Process - Physician - Fraser Health Authority

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COGNITIVE BEHAVIORAL MODULE……………………………………………………………..The cognitive-behavioral module contains a selfassessmentquestionnaire for GAD that matchesthe section with the highest scores to thecorresponding profiles of worrier, avoider or harddriverIt also contains handouts that explain basic CBTconcepts and exercises to shift anxiety drivenbehaviors and cognitionsThis module has been organized so that materialscan be handed out sequentially or chosen to matchpatients’ specific needsPatient Empowerment Anxiety Manual VIHA.March.2010 87
GAD: Self-Assessment QuestionnaireName: __________________________________________ Date: ________________________Please rate how well each of the statements below describes your usual way of interacting withthe world.0 = never or rarely true for me; 1 = somewhat true; 2 = quite a bit true; 3 = very true of me.1. ____I spend a lot of time thinking about what might go wrong for the people I care about.2. ____I am always reminding my family and friends to be careful in what they do.3. ____There seem to be so many dreadful things happening in society these days.4. ____People say I worry too much, but they don’t understand what could go wrong.5. ____I always plan very carefully for events and try to think of everything that could go wrong.6. ____Even after an event has turned out OK, I still think about what could have gone wrong.7. ____I feel better going out if I have someone with me who could help me if I get anxious.8. ____I can’t understand people who say: “Don’t worry; it will all work out.”9. ____I will do everything to protect my family from even the slightest harm.10. ___It’s hard to feel safe anywhere.11. ___I prefer to go to places that are familiar to me and feel safe.12. ___I don’t seem to go out to as many places and events as I used to.13. ___I have high standards for myself and expect to do my best at everything.14. ___I am often overwhelmed by all the things I have to do.15. ___I can’t focus on one thing at a time and therefore nothing much gets done.16. ___I always push myself very hard to do my best at everything.17. ___Sometimes I am so worried about doing things right that I can’t even get started.18. ___People think I am reliable, conscientious and always willing to take on extra tasks.19. ___I get really mad at myself if I make mistakes.20. ___I am afraid that I would be rejected if I did not do excellent work.Patient Empowerment Anxiety Manual VIHA.March.2010 88
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SteppedCareLevel 1PSP Mental Health
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Fold back this page before administ
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CBISCOGNITIVE BEHAVIOURAL INTERPERS
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Table of ContentsINTRODUCTION. . .
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IntroductionThe following modules h
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TipsTeachingSelling Strategies• E
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Flow ChartsThis module contains flo
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Patient NeedsTryThe Circle of Depre
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AnxiousSymptomsTryOverwhelmedChaoti
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Assessment ModuleThe Assessment Mod
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5 Energy levela. How would you rate
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15 Phobiasa. Any unrealistic or exc
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21 CAGEHow many drinks might you ha
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DIAGNOSTIC SCREENING WORKSHEET (CON
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Problem List Action PlanACTIVATIONR
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Self-Assessment QuestionnaireName:
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Self-Assessment ProfilePleaser: Hig
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Self-Assessment ProfileOver-Thinker
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Understanding Depression- Frequentl
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Depression: System-Wide CrashDepres
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Activation ModuleThe Activation Mod
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Depression’s Energy BudgetEvery d
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Small GoalsThe concentration, fatig
Page 47 and 48: Problem SolvingDepression can make
Page 49 and 50: Chunk the DayStrategies that give p
Page 51 and 52: Appreciation Exercise“Good for Me
Page 53 and 54: The Circle of DepressionCognitive-b
Page 55 and 56: Common Thinking ErrorsThe situation
Page 57 and 58: THOUGHT CHANGE PROCESS (CONTINUED)T
Page 59 and 60: Thought StoppingDepression often ma
Page 61 and 62: Good Guilt / Bad GuiltA world witho
Page 63 and 64: Setting LimitsMost of us like to be
Page 65 and 66: Is Anger a Problem for You?Tom arri
Page 67 and 68: Stress ResponseIntroduction to Rela
Page 69 and 70: Variation - Box BreathingABDOMINAL
Page 71 and 72: Body ScanPurpose• Body scan is a
Page 73 and 74: Stress BustersPurpose• Shorter te
Page 75 and 76: MindfulnessPurpose• Mindfulness i
Page 77 and 78: BreathMINDFULNESS MEDITATION (CONTI
Page 79 and 80: Healthy Habits for SleepingDepressi
Page 81 and 82: IT’S TRUE: YOU ARE WHAT YOU EAT!
Page 83 and 84: The Wellness WheelPHYSICALGROWTHSEL
Page 85 and 86: CBISCognitive Behavioural Interpers
Page 87 and 88: FLOW CHARTS……………………
Page 89 and 90: PANIC DISORDER• Anxiety “System
Page 91 and 92: The Many Faces of AnxietyPanic Diso
Page 93 and 94: Medical ConsiderationsMost Common M
Page 95 and 96: Anxiety“System-Wide Explosion”A
Page 97: Resources for Self-HelpOnline Resou
Page 101 and 102: GAD: Self-Assessment ProfileHard Dr
Page 103 and 104: How Anxiety WorksTHOUGHTSBODYFEELIN
Page 105 and 106: Panic CircleEvent (public speaking)
Page 107 and 108: Your Emotional Thermometer• Imagi
Page 109 and 110: Anxiety EquationAnxiety arises out
Page 111 and 112: 2. When something bad happens, I wo
Page 113 and 114: Coping CardsAnxious people often ma
Page 115 and 116: Problem SolvingAnxiety is strengthe
Page 117 and 118: Example: Kelly begins by making a l
Page 119 and 120: D.E.S.C. ScriptAssertiveness doesn
Page 121 and 122: Application forPsychiatric Medicati
Page 123 and 124: APPENDIX 2: WOMEN’S MENTAL HEALTH
Page 125 and 126: Pharmacotherapy in the Perinatal Pe
Page 131: FAMILY PHYSICIAN GUIDE | ADDRESSING
Page 134 and 135: Olanzapine (Zyprexa)Tablets, wafers
Page 136 and 137: Consortium forOrganizationalMentalH
Page 138 and 139: 3. Gather details on current andpre
Page 140 and 141: Task Two: ADVISE1. Provide meaning
Page 142 and 143: SUPPORTED SELF‐MANAGEMENT FOR DEP
Page 144 and 145: TABLE OF CONTENTSIntroduction 1What
Page 146 and 147: INTRODUCTIONTake a moment now to as
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WHAT IS DEPRESSION?The two most com
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WHAT CAUSES DEPRESSION?People becom
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WHAT CAUSES DEPRESSION?ThoughtsEach
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WHAT CAUSES DEPRESSION?EmotionDepre
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WHAT CAUSES DEPRESSION?ActionDepres
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WHAT CAN YOU DO ABOUT DEPRESSION?MI
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MORE ABOUT MEDICATIONMedication is
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ANTIDEPRESSANT SKILLSIn this sectio
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REACTIVATING YOUR LIFEStep 1: Ident
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REACTIVATING YOUR LIFESmall DutiesE
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REACTIVATING YOUR LIFEStep 2: Choos
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REACTIVATING YOUR LIFEStep 3: Set r
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REACTIVATING YOUR LIFEStep 4: Carry
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THINKING REALISTICALLYNegatively di
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THINKING REALISTICALLYStep 1: Learn
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THINKING REALISTICALLYStep 4: Pract
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SOLVING PROBLEMS EFFECTIVELYStep 1:
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REDUCING THE RISK OF RELAPSEPlan ah
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Congratulations! You have now made
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SUGGESTED READINGON DEPRESSION AND
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DIETThe Canada Food GuideGuidelines
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SLEEPStress, anxiety, and depressio
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CAFFEINECaffeine stimulates the sym
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CHALLENGING DEPRESSIVE THOUGHTSSitu
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PROBLEM SOLVINGACTION ADVANTAGES DI
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AnxietyDementiaDementiaBipolar155
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Practice Support ProgramGeneralized
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Montreal Cognitive Assessment(MoCA)
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Serial 7s: Administration: The exam
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Appendix CNAME OF PATIENTStandardiz
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Item 11Scoring WORLD backwards (ins
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Appendix CStandardized Mini Mental
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SCORING THE MOOD DISORDERQUESTIONNA
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FORM 4MENTAL HEALTH ACT[ Sections 2
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CommunityMHSU ReferralFormBounceBac
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REFERRAL FORMMental Health and Subs
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MENTAL HEALTH AFTER HOURSPLEASE LEA
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DOCUMENTATION REQUIRED UPON REFERRA
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Adult Eating Disorders ProgramRefer
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Medical History:Medical causes of l
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Who Are We?This is a specialized pr
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Fraser South Eating Disorders Progr
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Fraser South Eating Disorders Progr
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Fraser East:This program is part of
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Fact SheetPanic Disorder GroupDoes
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Fact SheetGeneralized Anxiety Group
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4 th Floor Sherbrooke Centre Tel (6
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Early Psychosis Intervention Progra
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*Additional Resources*For Informati
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Mental Healthand Addiction… suppo
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Fraser Health Mental Healthand Addi
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ADDICTION SERVICESAddiction Service
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ADDICTION SERVICESYouth Addictions
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ADDICTION SERVICES6. Long-term Resi
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MENTAL HEALTH SERVICESMental Health
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MENTAL HEALTH SERVICESDelta Mental
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MENTAL HEALTH SERVICES4. Community
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MENTAL HEALTH SERVICESMinistry of E
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MENTAL HEALTH SERVICES7. Residentia
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Mental Health & AddictionsHEALTHY L
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Client name: ______________________
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Client name: ______________________
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Taking Wellness to Heart! Metabolic
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Mental Health and Substance Use Rev
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Collaborative Care Process Map-Epis
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Fax the Special Authority Request t
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o o o o o o o • • • o o o o o
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Process - Physician - Fraser Health Authority

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