Exam 2 - Practice Problems Flashcards
Case Example:
Sofia reports feeling irritable and easily distracted. She sleeps only a couple of hours a night because she doesn’t feel like she needs to sleep. She has started a new project at work and feels like this is going to make her a star, but her boss has asked to talk to her because others are having trouble understanding what she’s doing. She’s afraid that she may get fired but she has been feeling this way for several weeks and wants to keep going.
Questions:
- What diagnosis should we consider for Sofia?
- What are some possible treatments?
- Diagnosis: Bipolar I Disorder
- Possible Treatments?
- 1st = Lithium
- Talk Therapy: Social Rhythms Therapy, Goal Regulation, Family
Education
Case Example:
Steve has depression. He states that he feels sad all the time, and spends much of his day staring into space. He got fired from work for calling in sick too often, and now worries that he will no longer be able to pay his bills. He thinks he’s useless and a burden to everyone around him. While this is the first time he’s felt this bad, he recalls feeling similarly when he was in high school.
Questions:
- Potential causes of Steve’s depression?
- What treatments would be best for Steve?
- What are some potential causes of Steve’s depression?
-
Brain: reduced activity in Dorsolateral Prefrontal Area
- combination of neurotransmitter function
- Cognitive: Thoughts being useless and burden trigger negative feelings and behavior
- Environment: Stress often triggers depression
-
Brain: reduced activity in Dorsolateral Prefrontal Area
- What treatments would be best for Steve?
- SSRIs
- CBT – targeting negative thoughts + behavioral activation to increase positive emotion
Case Example:
Jerry experiences shortness of breath, heart palpitations, fear of dying, and fear of going “crazy.” His episodes occur erratically, sometimes two to three times a week and last about 10-15 minutes.
Questions:
- What is his diagnosis? How do you know?
- What are some potential causes?
- What treatment would you recommend?
- What is his diagnosis? How do you know?
- Panic Disorder - sudden onset of physical symptoms in a 10 minute window
- What are some potential causes?
- Physical symptoms trigger thoughts which results in the cycle of panic
- What treatment would you recommend?
- Interoceptive exposure
Case Example:
Maria was recently diagnosed with PTSD. She has trouble sleeping at night and feels on edge at all times. She avoids going anywhere for fear of being reminded of the trauma and has pushed most people away from her for fear of upsetting others.
Questions:
- What are some potential causes?
- What treatments would you recommend?
- What are some potential causes?
- Trauma + Avoidance
- Lack of social support
- What treatments would you recommend?
- Cognitive Processing Therapy
- Prolonged Exposure
- SSRIs
Poll-Eve Questions:
Question: Bill worries about a long list of concerns. He thinks about these topics at work, when he exercises, and as he tries to sleep. He is easily fatigued, can’t concentrate, and is restless. He has been worrying like this for a year. He meets criteria for:
a. Agoraphobia
b. Social Anxiety Disorder
c. Major Depression
d. Generalized Anxiety Disorder
Answer: (d) Generalized Anxiety Disorder
Poll-Eve Questions:
Question: Robert has just experienced an episode of mania followed by a depressive episode. Which diagnostic label best describes his condition?
a. Bipolar I
b. Bipolar II
c. Dysthmia
d. Major Depression
Answer: (a) Bipolar I
Poll-Eve Questions:
Question: Jacqueline has been depressed for the past 3 years. While she doesn’t experience symptoms all day every day, she feels sad, has trouble sleeping and trouble concentrating
more days than not. Jacqueline might be given a diagnosis of:
a. Bipolar II
b. Major Depression
c. Persistent Depressive Disorder
d. She does not have a disorder
Answer: (c) Persistent Depressive Disorder
Poll-Eve Questions:
Question: For the last few weeks Alex has experienced serious symptoms including weight loss, feelings of worthlessness, insomnia, and difficultly in concentrating. They are also experiencing depressed mood. What is their diagnosis?
a. Major Depression ✓
b. Persistent Depressive Disorder
c. Generalized Anxiety
d. Bipolar I
Answer: (a) Major Depression
Poll-Eve Questions:
Question: Sydney experiences frequent unexpected panic attacks. The best treatment for helping her reduce her fear of bodily sensations that seem to trigger her panic attacks would be:
a. Flooding
b. Situational Exposure
c. Interoceptive Exposure
d. Deep breathing
Answer: (c) Interoceptive Exposure
Poll-Eve Questions:
Question: Robert strikes out during a softball game, causing his team to lose the game. He begins to brood about his failure and concludes that not only is he a failure in sports, but in all areas of his life. How might we describe Robert’s attribution style?
a. Magnified
b. Global
c. External
d. Stable
Answer: (b) Global
Depression biopsychosocial cognitive explanation
Poll-Eve Questions:
Question: Adam reports experiencing all of the following for the last 3 months: sleeping 18 hours a day, difficulty making decisions, feelings of worthlessness, trouble concentrating and feeling hopeless. Does he meet criteria for Major Depressive Disorder
a. Yes (True)
b. No (False)
Answer: (b) No/False
Identify the Bipolar Disorder Type:
Bipolar I. Disorder
- Because they had experienced Mania (aka: a Manic Episode)
Identify the Bipolar Disorder Type:
Bipolar II. Disorder
- Because they only had hypomania (no Mania/Manic Episode)
