the beginning of the study exercises

Tonight was my first night preparing for the LCSW exam... or my 2nd. You saw those posts. To get started, I thought I'd take a practice test to get a feel for what kind of questions I may see. Not too bad for someone that feels totally ill-prepared for what I am embarking upon. I took almost no clinical classes but soon I will be licensed as such. My prep wasn't formal or timed but I did make it through 33 practice questions. I decided to stop there so I could read the answers while the questions and my reasonings were fresh in my mind. 22/33 correct (66.7%). Of those missed:
6 were diagnostic/definitions-- not surprising as I know I don't know that stuff. That's why I've selected the DSM as my main study text. I'm debating on rather or not I want to reread my abnormal psychology book. Plus: it'll be simpler to read than the DSM. Con: it will have the same basic information as the DSM; perhaps I should spend my time elsewhere to get more varied information. Maybe I should read both but not read about the same topic in both books. For example, study personality disorders in the DSM but psychotic disorders in the abnormal psych book.
2 were general questions about the DSM, such as how it is organized.
1 was a question about medication. The question looked at the class of medication. When I read the explanation and saw what was listed as examples, I knew the right answer.
1 was an example of me being tricked by the wording. Part of what I hope to learn from practice tests is to be a careful reader and not get tricked out of correctly answering things I know. One missed. I focused on the wrong part of the question and probably answered a different question correctly (i.e., the one I was answering when marking my response). 
1 I classify as other/unknown. I still don't know what it's talking about.

The practice test has 150 questions. Seems like I'll be doing a cold practice for a while before really getting into the studying. Current status: assessing where I am and gleaning what type of materials need to be studied. Note to self: Read the NASW ethics book before taking this test. 

Any ideas of how I can exercise while sitting and studying? lol

Namaste.    

getting my game head on

more tips....

Wednesday, April 16, 2008

Tips for Passing

I passed the exam on 4/16/08 on my first try. I have never studied so hard for an exam in my entire life. Luckily, it paid off! Following are the best tips I can offer to help you pass...

[1] Know yourself and how you study best.
I am a procrastinator by nature, and never wrote a college or graduate school paper until two days before it was due, no matter how far in advance I knew about the assignment. I purposefully scheduled my licensure exam to take place one week after I scheduled it. I scheduled the exam on a Friday for the following week. I knew that if I had done it any other way I would not have taken the time to study until the last minute. Be honest with yourself about your study habits. I've been out of school for several years, but remember well typing papers well into the morning.

[2] Use study guides.
I did not take the licensure exam prep class, but I know several people who did, and who were very nice in sharing the workbook that came with the class. This workbook is the veritable bible of the licensure exam. It has everything you need to know for the exam, plus practice tests. I know several people who have found the prep course helpful. Use case study books, the DSM, NASW Code of Ethics, CBT manuals, etc. These are your study guides. The exam will measure your knowledge of this material and your ability to apply it to brief case studies.

[3] Take several practice exams.
This was helpful to me for many reasons. First, it familiarized me with the type and format of questions that could appear on the actual exam. I have severe test anxiety, and knowing what to expect was very helpful.
Another purpose it served was to help me see in which areas I needed to focus more.

[4] Make flash cards.
I have never in my life done this before, but it helped!!! I made the cards while taking the practice exams. Whenever I would get an answer wrong, I would make a flash card out of it. These were a great review the morning of the exam.

[5] Know what to do FIRST/NEXT.
Knowing what to do FIRST or NEXT will make the difference in passing the exam.

[6] Read the question.
Slowly and carefully. Know what the question is asking. Pay attention to the first and last sentences in the case study; often the answer is within those two sentences. Look at the answers carefully. The answer is most likely within the question or case study. Look for similar wording. This could also be the difference in passing the exam.

[7] BREATHE.
As you will hear countless people tell you, this exam does not measure how good of a social worker you are. It also does not measure what you might actually do in practice.

starting to think about what i need to know

From http://lcsw.blogspot.com/2008/03/5-tips-for-passing-exam.html

5 tips for passing the exam

Reaching the point of taking the LCSW exam is a mixed blessing at best. It means that you have met the requisite hours of practice and supervision, which is a testament to your tenacity and clinical abilities. It also means that a new chapter of studying and anxiety is opened as you prepare to add four new letters behind your name and take a timed test that covers a broad range of topics.
From time to time I will receive emails from people who are preparing to take the exam or who have taken it and not passed. Inevitably, these emails include some request for advice about how to study or prepare for the exam. So, I thought I would cull the advice I have given over the past year or two into one post.
I am not doing this so that you will no longer email me. I do the best I can to respond to each one that I receive. I also know that I will not cover every anxiety or frustration with one post, but for those who like lists and things in a neat little package here are my tips for passing the exam.

1. Think about the way you study best and do that more often. There are a myriad of materials out there to help you prepare for the exams. These range from practice exams to study guides to study guides with practice exams, etc. Most, if not all, of these guides are dry as a bone and merely regurgitate the material you need to know to pass the exam. They have their formulas for getting the material across to you. However, they do not know you best, you do. So, take the materials you choose to study and adapt them to the ways in which you learn. For me, this blog is the result of the way I learn. I needed to re-write the material I was studying in my own words in order to really get a grasp on it. Instead of a pen and paper I took to my laptop and wrote a series of notes that became my study guide. All of the posts on this blog concerning the theories and methods were the result of my homemade study guide. So, think about the ways you learn: flashcards, quizzes, study groups, putting things in your own words, etc. and adapt the study guides to your taste not vice versa.
2. The exam doesn't care how you practice social work. This is one of the hardest lessons to learn and it took me a while to really grasp its meaning. My impression of the exam is that it does not measure real world application of Social Work principles and guidelines; instead, it measures "ideal" (read textbook) applications of these principles. One of the helpful things I took into the exam was a sense that I needed to reframe the questions so that my answers reflected not what I would do first but what "the book" would do first. Therefore, when I encountered a "what would you do first" question I could usually eliminate two of the responses right off the bat. Then I would generally choose the more conservative response from the remaining choices. This may not work for all of these questions but it helped me get into a frame of mind that had me answering questions as the book would want me to answer them rather than the way I think the questions should be answered.
3. The exam measures your ability to remember data. This is not an exam that measures the efficacy of your practice or your ability to help people in a way that empowers them. This exam measures your skills at memorization. Now, I realize this is a fairly cynical view of a standardized test. However, I cannot think of another way to put it. The national exam was created as a method to take the subjectivity of licensure committees out of the process and have an "objective" tool that measures knowledge of social work practice and principles. If you don't pass the first time around, it says absolutely nothing about how good a social worker you are. The only thing a failing score reveals is that you might need more time memorizing the material and putting it to use the way the test wants you to.
   
4. The exam is not always "right." The earlier you give up fighting the questions and their "right" answers, the earlier you can get on with studying the material as needed. I remember studying for the exam and talking with my supervisor about some of the questions and answers. He and I would read some of the questions and talk about how we would answer them given the choices on the test. In each one of these Q&A sessions there would be one or two questions that we would agree on that the test would count as wrong. He had his doctorate in social work and was a successful private practitioner for many years and he still couldn't always get the right answers according to the test. You have to remember that the correct answer for the test may not be your way of answering the question, but it is still the correct answer. Unfortunately, you will not get very far by arguing with the computer over which "answer" you should perform first in a particular situation. Instead, study for the purpose of the exam and remember that the real world is a lot messier than answer A, B, C, or D.
   
5. You have already passed. Remember that the exam is merely the culmination of a long road of clinical practice and supervision. To get to this point in your career you have most likely been through 100 hours of supervision and thousands of hours of clinical practice. Your supervisor has signed off on your capabilities as a social work practitioner. People have come to you for therapeutic help and returned again and again because they believe you can help them. All in all, to get to the point where you can even take the test requires the implicit and explicit approval of a number of people in your life. They know you are a good social worker, regardless of the outcome of your exam. The LCSW exam does not prove that you are a good social worker, that you care about the self-determination of others, or that you stand for justice and provide a voice for the voiceless. Clients wouldn't return if you were a bad social worker, supervisors wouldn't sign the necessary forms if you weren't a good clinician. The fact of the matter is that you have a crowd of people who know that you are ready to take the exam and approve of your doing so. In essence, you have already passed the difficult part; the exam is more a formality than a gate-keeper.

So, there you have it. These five tips helped me put the exam in what I felt was the proper perspective. To be sure, I studied hard and often. However, I was not about to let the exam dictate how I felt about my abilities to practice as a clinical social worker. I merely thought of it as one more step on an already long and most completed journey, a step that affirmed what I already knew from experience. Namely, that I was a good social worker and that I could practice effectively, ethically and compassionately.

Peace

small accomplishment

My to do list for Thur-Sun had 35 items on it. I completed 19 items and made headway on another 3. For me, 22 tasks + a trip to Memphis + a night out=hella impressive & productive for me. With lots of sleep to boot. Not sure how it all happened but glad to have gotten so much done. Sadly, blogging is not one of the things accomplished. Nonetheless, know you are in my thoughts.

fibro cue in the hands?

The sample for this study was tiny but it doesn't stop the discovery from being fascinating. I hope someone works fast to attempt replication with a larger sample size. 

Fibromyalgia Mystery Finally Solved!

Researchers Find Main Source of Pain in Blood Vessels

Added by Rebecca Savastio on June 20, 2013.
Saved under Health, Rebecca Savastio, U.S.
Tags: top

Researchers have found the main source of pain in Fibromyalgia patients, and contrary to what many believe, it does not stem from the brain. The findings mark the end of a decades-old mystery about the disease, which many doctors believed was conjured in patients’ imaginations. The mystery of Fibromyalgia has left millions of sufferers searching for hope in pain medications. Up until recently, many physicians thought that the disease was “imaginary” or psychological, but scientists have now revealed that the main source of pain stems from a most unlikely place- excess blood vessels in the hand.
The discovery may lead to new treatments and perhaps even a total cure in the future, bringing relief to as many as 5 million Americans thought to have the disease. To solve the Fibromyalgia mystery, researchers zeroed in on the skin from the hand of one patient who had a lack of the sensory nerve fibers, causing a reduced reaction to pain. They then took skin samples from the hands of Fibromyalgia patients and were surprised to find an extremely excessive amount of a particular type of nerve fiber called arteriole-venule (AV) shunts.
Up until this point scientists had thought that these fibers were only responsible for regulating blood flow, and did not play any role in pain sensation, but now they’ve discovered that there is a direct link between these nerves and the widespread body pain that Fibromyalgia sufferers feel.
The breakthrough also could solve the lingering question of why many sufferers have extremely painful hands as well as other “tender points” throughout the body, and why cold weather seems to aggravate the symptoms. In addition to feeling widespread deep tissue pain, many Fibromyalgia patients also suffer from debilitating fatigue.
Neuroscientist Dr. Frank L. Rice explained: “We previously thought that these nerve endings were only involved in regulating blood flow at a subconscious level, yet here we had evidences that the blood vessel endings could also contribute to our conscious sense of touch… and also pain,” Rice said. “This mismanaged blood flow could be the source of muscular pain and achiness, and the sense of fatigue which are thought to be due to a build-up of lactic acid and low levels of inflammation fibromyalgia patients. This, in turn, could contribute to the hyperactivity in the brain.”
Current treatments for the disease have not brought complete relief to the millions of sufferers. Therapies include narcotic pain medicines; anti-seizure drugs, anti-depressants and even simple advice such as “get more sleep and exercise regularly.” Now that the cause of Fibromyalgia has been pinpointed, patients are looking forward to an eventual cure. Other expressed frustration about how much they had suffered already:
“When are they ever going to figure out that things are never “all in your head?” said one commenter. “Whenever something doesn’t fit in their tiny little understanding, they belittle the patient and tell them they are crazy. People have suffered through this since they were invented. Prescribing SSRIs for everything is not the answer any more than a lobotomy or hysterectomy was.”
The announcement has the potential to unlock better future treatments and undoubtedly has patients all over the world rejoicing that the mystery of Fibromyalgia has finally been solved.
By: Rebecca Savastio
http://guardianlv.com/2013/06/fibromyalgia-mystery-finally-solved/

You can read more at http://www.prohealth.com/library/showarticle.cfm?libid=18169&B1=ARTSHARE if you so desire. 
 

goal check-in

2013 goals- progress

(1) This year, I will unpack. Completely, fully, with organization. I  at my last house and there are things I missed. Some have already been freed in my new location. My landlord sucks, which can inspire back peddling, but I hope to make peace with one another and be able to stay here for at least 3 years.
Discontinued. I can't wait for my opportunity to leave this house. I have no positive words to say about my landlord. I think I'll begin to pack.

(3) Pay off my student loan. I owe 1405.88. After interest, that might be $1465.88. A range is fairer to me than an absolute elimination. Thus, I'll say that by December 2013, I will owe no more than $310. That means I would have eliminated about 75% of that debt. I explored this topic at 43things
My payoff amount is now $599-- that's a big difference from $1086 in February. This debt will be gone by December 2013. Apparently, I'll exceed the goal I wrote concerning this at the beginning of the year.

(4) Own less stuff. I'm not really sure how this looks but moving (again) showed me that I have a bunch of stuff. Most ppl don't have this much; why do I? Often, packing helps me see what things to shed. This time, it did not. Before the move, I mentally established the modest goal of getting rid of 60 things in 2013 onward-- 5 things per month on average. That's a minimum. I need less. I need to get rid of more. 365 items seems like an intimidatingly large commitment but maybe not. Somewhere between 100 & 365 for 2013?
I'm only at 32 on http://www.43things.com/person/rainbowphoenix compared to 23 in Feb.  Still not great at tracking what I've gotten rid of. Feeling a bit more motivated about this as I realize the amount that I own is a major reason I was resistant to moving. Having a landlord that flat foot refuses to make repairs inspires me more than having a bunch of stuff stifles me.

(5) Get my health in better shape. There's fibromyalgia, fibromyalgia, fibromyalgia. Then there's fitness. These past 6 months have been much worse than many 6 month periods. I'm trying a new medication (Savella), been referred to aquatherapies, and am reapproaching yoga (stopping is probably one of my worse mistakes thus far). I once said that I refuse to allow fibromyalgia to steal my life. It's been gaining more ground than I prefer so this year I am changing that.'
June 2013: Still not doing great with this goal. Actually just got put on 2 new daily meds. Went to yoga this past Wednesday and tried water aerobics on Thursday. I want to continue with both but the tattoo will delay my water activities. Got my bicycles repaired; need to spend more time riding them.

Feb 2013: Insurance won't pay for aquatherapies.
I take Savella as prescribed but doubt that it does much good. The timing is bad because allergen elimination decreases my pain. I have no way of knowing to what extent Savella helps.
Yoga hit a snag due to me having surgery on my hand; then I forgot to go to class.  I also acknowledge the need to increase home practice but struggle for a location. It is challenging to find the TV in the living room not in use, the space is insufficient in my bedroom, and the art room has a bunch of clean laundry and boxes in it right now that prevent that space for being used for anything. Hallway yoga? Maybe I'll do a few minutes of that. Also, I start photoshop classes this week, which will prevent me from attending the supportive yoga classes I was trying to commit to attending. 
Overall, I feel no healthier than when I started the year. I'm trying to make a health/fitness change per week. I give myself a C.

(6) Learn to eat in a way respectful to my body, particularly as it relates to delayed food sensitives
Working on starting over. Beginning at fast food instead of a specific food group.

(7) Do not increase the number of medications I take. Decrease my total of pills by at least one at year's end. This goal sounds mild but note that my doctor has me on 3 additional pills per day compared to what I was taking a month ago and has another on standby  Really, I think I'm trying to get off a blood pressure med, not be put back on cholesterol med, and not have Prilosec become a daily norm. More than get off of meds, I want to not increase despite being on the verge of that.
2 daily meds & 1 prn added last week of May. grrr. I'm kind of glad about one of them though because it's for something I've noticed as being high norm but never had a doctor express concern over before.

(8) Be a photographer/craftster for the year. Learn photoshop, Build my website (http://photosbyamy.weebly.com/). Build a kickstarter account to raise funds for a good and functional camera. Participate in 6 art fairs. Participate in photo club. Build some skills. Lets see what happens. I can put out another $700 with no or little return or I can see products move (though probably not enough to earn everything I put out in year 1 of seriousness).
June 2013: I completed 2 photoshop classes. Classes ended maybe 2 weeks ago. Haven't touched art since; I needed a break. It's all work. Not going to pursue all listed above. I need to pack, not unpack; I need to move.

Feb 2013: I signed back in to my website and reviewed how it operates. I signed up for a photoshop class. It starts this week.

(9) Be a better steward of my money. Actually balance my checking account regularly-- track weekly/biweekly. Balance quarterly. It's enough for me.
June: I changed my budgeting/tracking system to something less complicated. I decided on the change a few months ago then didn't address financial matters :o. Today, I looked back at it and began to balance.

Feb: The balancing has begun for the year. I have not updated for this week. Thus, I am behind.

(10) Lose some weight. My mom's pain increases when she gains weight. Dr. Steven Murphree once stated I would hurt less if I weighed less. Without mom's testimony it sounds silly but why not give it a try? I'll set a modest 12lb goal by my 31st (6-30-13). Shockingly (to me), I just opened my journal and learned that I've gained 25 lbs since Jan. 2010. For those of you that actually see me, do you see that 25lbs gained? Wow! SMH.
June 2013: I'm back at Jan's weight. That especially bites since my goal deadline is about 3 weeks away.

Feb: I've lost about 10lbs this year due to the elimination diet. I say "due to" but I've never lost weight on this diet before (which surprises even me). I resume regular eating in about 2 weeks so Feb/March will be the real tellers of how my weight loss goal is going. 

(11) Recycled from Jan 2012: "Put forth more effort to find a spiritual home. 24 attempts minimal." Okay, 20. Slight change from last year.
Feb 2013: I've gone to City Fellowship at least 5 times this year, I went to the church at the Health Food store once too many times :). Still needing to get to New St. Luke and might check out the UMC and non-denominational churches I visited last year. 

Last week, I went to City Fellowship. Today, I planned to go to New St. Luke Missionary Baptist but my hair was still wait when I woke up. If I can get it dry in 30 minutes, I'll go back to City Fellowship. 

(15) Keep A1C at or below 6.5. It's a constant goal of mine though my new doc wants it at a 6.0. I guess I can aim for 6.3  May's # didn't nail it. Thankfully, I'm still not at a place to be called "bad"

(16) Get my first tattoo. I wrote that for 2011 but here it is 2 years later. It's time to get some of these reoccurring items off the list.
I've actually sought out 5 artists this year for my yoga design. Tattoo artists seem to be flakes from my experience but I finally got an appointment scheduled for today. 15 minutes before we were to start, I got a text that something came up but I'll get a discount once we connect. We'll see. Mostly I'm being quoted something like $500 so I'm not sure that I'll proceed if it doesn't work out with the discount artist.

(18) Do some training in reading others. A microexpression online training? Read Bodytalk? Something.
June: no new updates. Feb: I purchased Bodytalk and Body Language. I haven't read much of either but at least I have some tools to get crackin'.

(20) Evaluate these goals and my progress regularly, no less than once a quarter. Here is another  conscious review....  I am glad to report that every item on this list is in my regular stream of consciousness. I may not be progressing in them all but I'm trying to work out a plan and get to action at least.

Today's status from Anne Lamott. It was worth sharing and keeping forever.

I had a great idea for a new book, although come to think of it, maybe it is just a Facebook post. But it would be called Pre First Draft, and address the way we suit up and show up to be writers, artists, and general tribal-two-stomp creative types.

I think it would begin with an admonition: if you used to love writing, painting, dancing, singing, whatever, but you stopped doing it when you had kids or began a strenuous career, then you have to ask yourself if you are okay about not doing it anymore.

If you always dreamed of writing a novel or a memoir, and you used to love to write, and were pretty good at it, will it break your heart if it turns out you never got around to it? If you wake up one day at eighty, will you feel nonchalant that something always took precedence over a daily commitment to discovering your creative spirit?

If not--if this very thought fills you with regret--then what are you waiting for?

Back in the days when I had writing students, they used to spend half their time explaining to me why it was too hard to get around to writing every day, but how once this or that happens--they retired, or their last kid moved out--they could get to work.

I use to say very nicely, "That's very nice; but it's a total crock. There will never be a good time to write. It will never be easier. If you won't find an hour a day now, you won't find it then."

It's the same belief as thinking that once you lose weight, you'll begin to feel good about yourself. No, you won't. If you're not okay with yourself at 185 pounds, you're not going to be okay at 140. It's an inside job.

How do you begin? The answer is simple: you decide to. Then you push back your sleeves and start writing--I.e., scribbling words down on paper, or typing at a computer. And it will be completely awful. It will be unreadable shit! You won't have a clue how it account to anything, ever. And to that, I say, Welcome. That's what it's like to be a writer. But you just do it anyway. At my church, we sing a gospel song called, "Hallelujah anyway." Everything's a mess, and you're going down the tubes financially, and gaining weight? Well, Hallelujah anyway.

So you decide to get back to work creatively, and you write up some thoughts or passages or memories or scenes. Then what? Then you write some more. Everywhere you go, you carry a pen, and take notes--ideas will start to come to you. You'll see and overhear and remember things that you want to include in this mysterious quilt you're putting together, so you jot them down. Imagine a rag-bag guy who lives inside you, who collects images, descriptions, holy moments, snippets of funny conversation, for you to use in your writing--but he doesn't have any hands, and needs you to help him amass the rags with which you can make squares for the quilt.

That's all you have to do today: pay attention--being a writer is about paying attention. Stop hitting the snooze button. Carry a pen with you everywhere, or else God will give me all these insights and images that were supposed to go to you. Hang up a shingle on the inside of you: now open for business. Wow! You won't have to wake up at 70, aching with regret that you threw your creative essence under the bus. And if you already are seventy, then you won't have to wake up at eighty, confused and in despair about how you let your gift slip away. Because you will have been writing--or dancing again, or practicing recorder--every single glorious, livelong, weird, amazing day.