CTRS Special Populations & Clinical Considerations Flashcards

When leading a TR group for clients with major depressive disorder (MDD), behavioral activation is an evidence-based strategy that involves:

Answer: Scheduling gradual, pleasurable activities to interrupt the withdrawal-depression cycle

Behavioral activation counters depression's withdrawal cycle by systematically scheduling activities linked to positive reinforcement, increasing engagement and mood.

In TR practice with clients who have post-traumatic stress disorder (PTSD), which environment modification is most important?

Answer: Creating predictable, safe environments that minimize triggers while building sense of control and mastery

TR for PTSD prioritizes safety, predictability, and graduated exposure with client control, supporting the therapeutic window for trauma processing.

For a client with a lower extremity amputation preparing for discharge, leisure education should include:

Answer: Identifying adapted sports, prosthetic options for preferred activities, and community resources for amputee athletes

Effective TR for amputees addresses prosthetic options for sport/recreation, peer support networks, adaptive equipment, and community organizations specific to limb loss.

In dementia care, 'validation therapy' as used by TR specialists is based on the principle that:

Answer: Accepting and empathizing with the client's felt reality reduces distress and improves communication

Naomi Feil's validation therapy holds that acknowledging the emotional truth behind disoriented communication reduces anxiety and supports dignity in dementia care.

When planning TR interventions for clients with chronic pain, the 'fear-avoidance model' suggests that:

Answer: Fear of pain leads to avoidance behaviors that worsen disability, and TR can address this through graded activity exposure

The fear-avoidance model shows that catastrophizing about pain causes avoidance, deconditioning, and increased disability—TR's graded activity approach directly counters this cycle.

Special Olympics differs from Paralympic Games in that Special Olympics:

Answer: Serves athletes with intellectual disabilities and emphasizes participation, personal achievement, and inclusion over elite competition

Special Olympics focuses on athletes with intellectual disabilities, promoting participation, personal bests, and unified sports rather than elite competitive performance.