Exam 2

Question 1

Specific tests for anxiety disorders

Answer 1

GAD:

• Penn State Worry Questionnaire (PSWQ)
• Worry & Anxiety Questionnaire (WAQ)

PTSD:
-Harvard Trauma Questionnaire (HTQ)

Question 2

General tests for anxiety disorders

Answer 2

Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV)

Burns Anxiety Inventory (BAI)

Beck Anxiety Inventory

Social Interaction Anxiety Scale (SIAS)

Question 3

Other methods of assessing anxiety disorders

Answer 3

Psychophysiological measures:
EEG
Sweating
Tension

Behavioral measures:
Behavioral Avoidance Test

Recent stressors:
Recent Life Changes Scale

Coping methods:
COPE Inventory

Question 4

Types of coping

Answer 4

1. **Avoidant/Disengage**
2. Problem focused
3. Emotion focused

Question 5

Theories association with development of anxiety disorders

Answer 5

1. Avoidance-Conditioning
2. Modeling
3. Cognitive Theory (focus on neg emotions)
4. Fear of Fear

Question 6

Sources of info for conducting assessment

Answer 6

Self-report
Teacher/spouse/parent report
Test results
Legal documents
Medical reports 
Past behavior (work/relationships)
Psychophysiological records

Question 7

Info included in report

Answer 7

Identifying info
Clinical complaints
MSE
Psychological tests administered
Psychological test results
Diagnostic impression
Summary and recommendations

Question 8

Ethical and legal challenges on assessment

Answer 8

• Accepting a Referral
  
  • Who is the client?
  • Clinical vs administrative
  • Irrelevant questions, inappropriate measures, feedback, payment
• Selecting Test Battery
  
  • personal pref
  • familiarity
  • related to referral questions
  • well known and reliable
• Conducting Psych Eval
  
  • Standardized instructions
  • Treat pts with dignity and respect
  • Therapist needs to meet client

Preparing/presenting Report

• Test findings vs gen inferences
• Describe what people are prob like
• Avoid painting pts in neg light
• Managing Case Records
  
  • Confidentiality
  • Organized and pristine
  • Store records for length of time

Question 9

Process once referral is received

Answer 9

1. Evaluate referral
2. Contact referring professional
3. Review chart/order charts with consent
4. Review previous test results

Question 10

Anxiety Tree

Answer 10

Acute Stress Disorder 
PTSD
Social Phobia 
Simple Phobia 
Panic Disorder w Agoraphobia
Panic Disorder wo Agoraphobia
Agoraphobia wo History of Panic Attacks 
OCD
Generalized Anxiety Disorder

Question 11

Variables to consider

Answer 11

• Diagnostic variables/symptoms
• Nondiagnostic variables
  
  • state (expectations, distress), trait (coping styles)
• Enjronmental variables
• Treatment context
  
  • setting, format, intensity
• Relationship variables

Question 12

Difference regarding treatment progress acceptability

Answer 12

Push too hard, they will avoid and leave. Have to be careful not too push them. Can’t expect progress to be as fast as others

Question 13

Mood Disorders (10)

Answer 13

1. MDD - 2 weeks of depressed/ irritable mood, loss of pleasure, etc
2. DD - 2 years of depressed mood, low energy, etc
3. Depression Due to Med Con
4. Substance Induced Depression
5. Depression in Older Adults
6. Depression NOS
7. Bipolar I - episode of mania, possible depression
8. Bipolar II - hypomania and MDD
9. Cyclothymia - hypomania and lower grade depression
10. Mood Disorder NOS

Question 14

Assessments for mood disorders

Answer 14

Structured Clinical Interview for DSM-IV-TR (SCID)

Beck Depression Inventory (BDI)

Quick Inventory for Depressive Symptomatology (QIDS)

Child and Adolescent Psychiatric Assessment (CAPA)

Hamilton Rating Scale (HAM-D)

Question 15

Considerations when assessing mood disorders

Answer 15

• Race, culture, ethnicity
• Psychiatric comorb
• Personality disorder comorb
• Medical comorb
• Environmental stressors
• Functioning

Question 16

Degenerative Dementia

Answer 16

DD:

• Insidious onset
• less likely of psych history
• conceals disability
• near miss answers
• mood fluctuates
• stable cog deficit
• tries hard to perform but unconcerned by losses
• short term memory loss
• memory loss first
• declining social function

Question 17

Depression (compared to DD)

Answer 17

• less insidious onset
• history of depression
• highlights disabilities
• don’t know answers
• diurnal variation in mood
• fluctuating cog deficit
• tries hard, distressed by losses
• short and long term mem loss
• dep mood = mem loss
• associated with anxiety

Question 18

When to and when not to diagnose personality disorders

Answer 18

When not to:

• under 18
• still at home

When to:

• chronic and pervasive
• inflexible across situations
• causes distress or impairment

Question 19

Personality Disorders (10)

Answer 19

1. Antisocial Personality Disorder: self concerned; violates others rights
   
   • vicious, smooth, anxious
2. Borderline Personality Disorder: unstable; abandonment; extreme likes and dislikes
3. Histrionic: dramatic attention seeking; sexually promiscuous or inhibited
4. Narcissistic: grandiose; lack of empathy
5. Paranoid: unwarranted distrust and suspicion of others; self fulfilling prophesies
6. Schizoid: no interest or enjoyment
7. Schizotypal: odd thinking, behavior, relation to others
8. Avoidant: avoid social sit due to fear of rejection and embarrassment
9. Dependent: need to be taken care of; no decision making
10. OCPD: preocc with orderliness, perfection, interpersonal control; rigid

Question 20

Personality Disorder Assessment

Answer 20

Rorschach

Thematic Apperception Test (TAT)

Minnesota Multiphasic Personality Inventory (MMPI)

Personality Assessment Inventory (PAI)

Question 21

Acceptable comprehensive assessment (anxiety in social situation)

Answer 21

Overlapping symptoms
Comorbidity
Overlapping etiologies

Integrated model
-integration bw biological, psychosocial, experimental, and social variables

Is it fear of having a panic attack or fear of being humiliated?
Is it recognized as irrational?
Is it related to fear of separation?
Fear of closed places?
Related to specific past event?