15. Watch Dogs 2 The sequel to Ubisoft’s controversial open world game way back 2014. The cyberpunk-ish open world action game returns with more hacking, cyber-espionage, and tearing down evil conglomerates https://achievementguide.info/choosing-the-right-place-to-play/.
San Francisco awaits the new protagonist, Marcus Holloway, as he ventures deep into the cyber hacking group of DedSec. Compared to the original, this is the biggest Watch Dogs game and it accurately captures the beauty of San Francisco Bay Area. Players roam around its open world environment cracking codes, reading emails, piloting your drone and so much more. At least there aren’t any serious downgrade this time. It has a PlayScore of 8.50 14. Shantae: Half Genie Hero Wayforward’s best-selling game heads for the PlayStation 4.. Follow Shantae and her friends as she saves her town from a mysterious dark magic. Use Shantae’s damage-dealing hair to whip enemies back and forth and solve environmental puzzles by transforming into different animals. This is the Fourth game of the Shantae series but this is the first to ever showcase High Definition visuals and smooth gameplay designs. Enjoy its unique levels while listening to the game’s groovy tunes. It’s DLC’s add new characters to the journey including Risky, Shantae’s rival. it has a PlayScore of 8.53 13. The Last Guardian Sony’s third and final game of the series is long overdue. After 10 years in the making, it's finally out and it didn’t disappoint. Follow a young boy and his giant pet Trico as they explore ruined caverns and traverse their way to dangerous platforms. Solve puzzles and manipulate the game’s fantastic environments with the help of your AI controlled-buddy. It offers the same elements from its predecessors, albeit with a technical improvement. It was well-received, although it had a bit of a problem with its out-of-date designs. It has a PlayScore of 8.57 12. Gravity Rush 2 Control the flow of space in Project Siren’s award-winning series. Kat makes her return as the daring Gravity Queen. Follow her journey battling the Nevis and find out what happened after the first game’s events. In this sequel, soar through the skies with its improved gravity mechanic. The beloved Kat can now seamlessly switch between two Gravity styles: Lunar and Jupiter. These two different types aid Kat in her quest to save its city filled with glowing colors. Lunar makes for lighter actions, while Jupiter relies on the heavy stuff. It exceeded fan expectations and won the hearts of many players. It has a PlayScore of 8.75 11. Wolfenstein II: The New Colossus Although it’s a first person shooter at best, Id Software’s Nazi shootfest is brimming with raw power and unfiltered violence. This is a direct sequel to 2014’s New Order and as usual, it’s set in an alternate history where Hitler won World War 2. It’s crazy, but it’s a good kind of crazy especially when you blow their heads off. Return to the shoes of BJ Blazkowicz and equip a wide arsenal of military grade weapons to take The Red Army down. Engage in a brutal firefight with your enemies and secure yourself in its advantageous cover system. It receives a PlayScore of 8.77 10. Assassin’s Creed: Origins Ubisoft’s iconic franchise is stepping up its game after a year in hiatus. Travel to the land of the Pharaohs and the great pyramids. Follow Bayek in his quest to uncover a mysterious organization that predates the Assassin and Templar Order. Weave through a complex story with political conspiracies, ancient temples, and surprising cameos. Explore Egypt like never before as Ubisoft recreates the full beauty of the land. Fulfill assassination contracts, survive the blistering desert heat, and use your pet eagle to scout enemies above. It’s Assassin’s Creed at its fullest form, and we can’t wait for what's in store for the future of the franchise. It has a PlayScore of 8.80 9. Dishonored 2 Arkane Studios’ take on the stealth-action adventure genre really did a number on their success. The original Dishonored was so well-received making a sequel is the least of their problems. Set years after the first game, Corvo and the now-Princess Emily are taken over by a mysterious usurper. For the first time in the series, control either one of these protagonists in an effort to quell an evil threat. Use their unique stealth abilities and decide whether you want to go guns blazing, pacifistic or neutral.
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You gotta map measuring stick right there. If you're trying to say if your client has early remission, there's the numbers. It's either they have been clean for at least three months but less than 12 months or in sustained remission, no criteria for 12 months or longer, with the exception that Criteria A4 when you look at the 11 criteria for alcohol usage disorder, "Craving," may be met even while they are not exhibiting... casinoslots nz (silence) drink again or never go anywhere near alcohol, you can still have cravings and not have any of the other manifestations of the disorder and not be classified as actively in remission, actively in relapsing, actively, excuse me, I misspoke, not being classified as actively relapsing, you are actively in remission, so pay attention to how you use "Craving" now and alert the other professionals and the legal people around you that when we talk about "Craving," we can talk about "Craving" without the person having alcohol use disorder actively intoxicated or relapsing. Hope I didn't beat that one up too much, but I thought it was kind of important. So this funny little picture that you see here is the hat that my colleague and I wore at the National Conference on Addictive Disorders a couple weeks ago when we were giving a presentation on the importance of trusting your gut as a clinician when you are assessing and treating someone moving forward with process addictions that aren't listed in the book yet.
So if you've got a hoarder sitting in front of you, you will be able to find numbers for that in DSM-5, but what if you have a person who has internet or some kind of gaming, whether it's video gaming or another kind of gaming that is not specific to gambling, what if they've got an internet problem and it has caused massive problems in their life and you notice that there is clinically significant impairment or distress in their life and the lives of their family with the internet, but there's no numbers in the DSM-5. You will be able now to justify, because justification is what it's all about with diagnosing and reimbursement, you'll be able to justify that person's diagnosis by saying that there's clinically significant impairment or distress relating to this person's behavior. So I got some of these hats and I want you to know that it was very cool wearing them in St. Louis, Missouri a couple weeks ago after all the drama that was going on. And not a single soul asked us what the initials on our hat meant. I think they probably thought that we were very important people and my colleague and I got a tickle out of that just walking around with our little Clinically Significant Impairment or Distress hats on. - [Voiceover] The only thing that I really, since you were talking about this clinical significant impairment of, this is Denise E. by the way, of alcohol or drug taking along with process behaviors, so process addictions. There is an article in Scientific American and the qoute, it said, "Drugs and gambling alter many of the same brain circuits in similar ways, as shown by studies of blood flow and electrical activity in people's brains as they complete computer tasks that mimic casino games." So there are so many similarities between gambling and what happens in one's brain and taking drugs or alcohol and what happens in one's brain, so I just wanted to as long as we were talking about significant impairment or distress, it also alters the chemicals in a person's head and so there's a myriad of effects from either process addictions or chemical addictions. - [Voiceover] Absolutely, because the chemistry that our brains are swimming in, the hormones the dopemine response... - [Voiceover] Serotonin, yeah. - [Voiceover] The dopaminergic effect is all people are talking about at the National Conference on Addiction Disorders last week, two weeks ago, I just think you're absolutely right on by pointing that what's under the hat of that person is where his addiction is, there's a lot going on in the brain and that's what we're trying to pay more and more attention to. - [Voiceover] I put this together because I just wanted to sort of highlight, for example, the adolescent in the lower left hand corner is sort of blissfully unaware that they have a ball and chain attached to their ankle, which is really typical of a lot of the clients that we see at Quest. And I know all of these things are expensive, I promise you can already find them used on Amazon, kinda blows my mind, (laughs) I think some people must've just run right out and bought them and started selling them on Amazon, good for them. The Pocket Guide, which I make reference to in this quote, gives you some coaching and some awesome diagnostic questions, DSM-5 style. So you're getting the questions that some brilliant bunch of clinicians put together and you can just crack the book open like I did recently when I had a gentleman sitting across from me whose wife said that he had a sexual disorder and I got a distinct impression, after 23 years, I get lots of distinct impressions, because of patterns that I see people manifesting, I got the distinct impression that this person might be narcissistic and I thought, "Okay, let's just use this Pocket Guide right now," so I said, "Would you be willing to answer a few other questions besides just the addiction questions that you wanted to start out with?" He said, "Sure." I asked him the nine diagnostic questions of Narcissistic Personality Disorder out of the DSM-5 Diagnostic Exam Pocket Guide, he answered yes to six out of nine of them without blinking, and if you or I were asked those questions, in most cases we would be offended, we would be saying, "Well, of course not!" and he answered them very matter of factly, as if, "Why are you asking me these things?"
"Of course I deserve these things." "Of course I need to be with smarter people and I'm a special kinda guy," so I'm just saying, with good diagnostic questions at your hip ready to use, you're gonna really enjoy some of the new DSM-5 material. So because DSM-5 is non-axial, we're no longer gonna be talking about the five axes, we're gonna be talking more about the dimensions that the person is exhibiting and we're going to focus on intoxication, withdrawal, and substance-induced categories, so it's use, intoxication, withdrawal and substance-induced, instead of the previous where we had our little continuum lined out of use, abuse, dependence, et cetera. So start paying attention to the language. You wanna add anything, Denise E. on the language that you're noticing? - [Voiceover] No, I think you covered it really well. Thank you. - [Voiceover] Sure. So now if you want to diagnose someone with alcohol addiction, you're gonna be calling it Alcohol Use Disorder and the first resistance I had when I read that was, well, it's not just alcohol use, but the reason that it is being called that in my mind, is because as the definition says in red, that's right out of the book, the problematic pattern of alcohol use, leading to clinically significant impairment or distress, very important phrase, as manifested by at least two criteria occurring within a 12 month period. And then you read the 11 criteria and you form your diagnostic impression. So they're either gonna have alcohol use disorder, mild, having two or three diagnostic criteria present and they still have the DSM-5 numerology of 305.00 and there's your ICD-9, F10.10. If they answered yes to four or five of the criteria, then it's alcohol use disorder, moderate, 303.90, and again ICD-9 F10.20, and if they have six or more criteria, it's alcohol use disorder, severe and it's still 303.90, and F10.20, so you're gonna be able to talk about mild, moderate or severe alcohol usage disorder and I think this is a a blessing because I think this is gonna include more people that we would've previously said, "No program for you, no diagnosis, you just didn't quite make the cutoff for this or that service or this or that reimbursement." I think this is gonna be helpful in a lot of the cases to get people help that they need if they've got additional severity disorders. - [Voiceover] Exactly. Exactly. - [Voiceover] And then the modifiers are whether they're in early remission, which is having no criteria, zero diagnostic criteria for 90 days, so they have to have at least three months clean, but less than 12 months to be in early remission. The ASAM Criteria are still gonna be necessary for you to use, the book is called "The ASAM Criteria," to prepare to take the exam because you need to be able to say, with justification, where you would place an addict or a person with the presenting problem that they give you in the oral exam. So I can tell you for a fact that our board of examiners has made the leap, as of this year, if you are gonna take the oral exam, you need to use DSM-5. Some of the major differences between DSM-IV and DSM-5, we're gonna talk about in the next couple of slides, so I want you to pay attention to if you had in your mind, a case presentation and your clinical supervisor gave you the case and said, "Alright, present it back to me Grand Round style as if you were in a hospital, leaning over the patient, and the doctor says, 'Alright, give me this case." You have to go tic tic tic right down the line, give the demographic information and this patient presented with blah blah blah and these are the essential components as you would get out of ASAM Criteria, where they're at and how you would justify what's going on with them, when it gets down to the nitty gritty and you have to give that person a diagnosis, you're no longer gonna be using five axes, you're gonna be using a new style of DSM-5 and so prepare yourself if you're either gonna take the Gambling or the Drug and Alcohol written and let me just talk about the oral.
The oral exam, for sure, you need DSM-5, for the written, not so much, because the written exam is a national exam and it still focuses on DSM-IV. So you're good with the written, of course, study your brains out and contact myself and Denise E. if you want some tips on studying for those exams, because we've been there, done that and helped many interns do that. Also, start doing case presentations, if you're not already doing this, tell your supervisor, "I wanna do "case presentations DSM-5 style," and that wil definitely help you prepare for the oral exam. So what you see in front of you is the languages they're using for mental disorder and you're gonna hear the term disorder used much more now instead of illness or addiction, you're gonna hear the term disorder, in fact, let's go to the next slide. Addiction is now being referred to as Substance-Related and Addictive Disorders, so you have an SRAD instead of the old illness terminology and disease terminology, not saying that that terminology is wrong and can't still be used, I'm highlighting this because it's how you're gonna send your reports. You're gonna send reports to other professionals in other hospitals and other agencies. You're gonna send reports to... - [Voiceover] And the court system - [Voiceover] to judges and probation officers and all the people that are involved in legal issues with your clients. And most of us have clients with legal issues. If there's hardly a one that Denise and I haven't come across that some member of the family has some experience with jail or prison. So if a report has to be sent to a legal person, it's up to us as clinicians in 2014, use proper terminology and to educate the judges, the probation officers, the lawyers about what is the proper terms that go with DSM-5 and what are the proper terms that go with the research. So I'm asking you to step up if you haven't already and familiarize yourself with the DSM-5. There's a couple of books that I highly recommend that go with the DSM-5, one of them is the "Pocket Guide to the DSM-5 Diagnostic Exam." Do I think we should teach poker in elementary schools? Yes, I think there are elements of the game that you should teach in terms of like—because what poker really does is teach you how to deal with probabilities and uncertainties, and that's so integral to life. Everything we try to do—“should we take this route or that route”, “should I go here on vacation or there”—it's all about dealing with uncertainties and probabilities of things happening, and poker is a very fun and easy way to teach someone how to do that. It's a shame people often put poker in the same ballpark as just general gambling.
Just because some people choose to play it for money, but you don't have to play for money—it's just about winning. You could win anything. You could win pride. You could win matchsticks or money. And there is so many like core fundamentals of the game that I wish I had known at age ten, these ides, these sort of ways of thinking about expected value and probabilistic thinking in general would have sped up a lot of things in my life had I been more aware of it Oncasinogames Canada. And also learning how to evaluate evidence; that's something that is not taught in school or very rarely taught in school, learning how to change our minds, update our beliefs. When we get new information being able to weigh is that information reliable or not and playing poker has taught me how to do those much more accurately. So, if there's a way to teach children through a game, and children love to learn through games, poker could be one of those methods. I think being mathematically minded is—there's probably some aptitude involved in it, but I still think the vast majority of it is down to the determination and practice. You can take someone, I mean if you can just understand the concept of numbers in the first place, which I think the vast majority of humans can, then you can train someone to be more mathematically capable. It's like learning a language; it's almost like you have that initial passion and desire to get better, then it's those little incremental jumps. And it makes me so sad when I meet people who are like “I’m no good at math, no good at math” and if you actually keep asking them why and go back in their history it almost always comes down to some bad experience they had when they were probably seven years old and the teacher asked them “what's five times five?” and they screwed up and their friends laughed at them, and then these barriers get built and they're like “oh it's not my thing”. And I think it's just a huge tragedy because most humans can learn to be at least competent at basic mathematics, especially the mathematics involved in poker. It's really not that complicated. There's a lot of approximations you can do and I found that I used to actually not be very good at mental arithmetic. I was fine if I had a pen and paper and algebra, that was, I liked that, but in the moment of, mental arithmetic I could never do. But I started playing poker and started practicing these things and now it's a skill I'm proud of. So it's just a willingness to keep plugging away at it. Casino night parties are among one of the most well-liked themed parties for adults. They permit for using your creative “juices” and for your imagination to run wild! Casino nights can be very elaborate, or very simple based on your out there assets and spending budget. Really should you decide on the huge and elaborate affair, consider hiring a company to stage it. This post will focus on helping people strategy and stage a profitable casino evening on their own.
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