Major Depressive Disorder Exam II

Question 1

Diagnostic Criteria

Answer 1

5 + of the following and at least one of depressed mood or loss of interest or pleasure (same 2-week period)
o Depressed mood most of day every day
o Markedly diminished Interest in almost all activities
o Sig. Weight loss or weight gain
o Insomnia or hypersomnia
o Psychomotor Agitation or retardation
o Fatigue/Loss of Energy
o Worthlessness or excessive/inappropriate Guilt
o Poor Concentration/indecisiveness
o Recurrent thoughts of Death
• Code severity and course specifier

Question 2

Assessment

Answer 2

• SCID-5
• Beck’s Depression Inventory
• MMPI-2 (depression scale)

Question 3

Theory

Answer 3

o Depression is a result of learning history
▪ Actions of person do not result in positive reward
 AND
▪ Escape and Avoidance behaviors from aversive condition are reinforced
o Additional consequences that increase depression (e.g. forming of close relationships)

Question 4

Behavioral Activation Treatment Protocol

▪ Orienting to treatment (2 sessions)

Answer 4

• Discuss BA model and strategies
• Roles and responsibilities of P and T
• How BA fits P’s presentation

Question 5

Developing treatment goals

Answer 5

• Address avoidance patterns

* Short-term and long-term goals – despite how P feels

Question 6

Individualizing activation and engagement targets

Answer 6

• Functional analysis
o What is maintaining the depression?
o Identify behavior of interest; ABC worksheets
o Activity monitoring; avoidance modification

Question 7

Repeatedly applying and troubleshooting activation and engagement

Answer 7

Rumination, consequences of it, mindfulness practice

Question 8

Reviewing and consolidating treatment gains

Answer 8

Relapse prevention, links between actions and feelings, target primary avoidance patterns