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IPI > Psychedelics > Flashcards

Psychedelics Flashcards

1
Q
  1. There is an inherent bias towards minorities, which results in lower:
A

PRESCRIPTIONS.

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2
Q
  1. According to Dr. Harding, minorities experience excessive wait times for appointments.
A

TRUE.

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3
Q
  1. The national average for uninsured Hispanic individuals is:
A

30%

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4
Q
  1. In order to improve services for minorities, Dr. Harding recommends that providers:
A

Advocate for diversity representation in clinical trials, provide a similar level of care to all groups, identify, create or improve diversity goals so that your practice represents the demographic distribution of your area.

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5
Q
  1. To improve timeliness with regard to excessive wait times for appointments for minorities recommends:
A

Being compassionate and flexible, within reason, for missed and late appointments and work with a local non-emergency medical transportation group to accommodate travel for qualified patients.

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6
Q
  1. To improve the psychedelic psychotherapy workforce, Dr. Harding recommends:
A

Supporting and promoting diversity on staff, boards, and other leadership positions, providing translation services, or hiring bilingual staff to support languages spoken locally and connecting with diverse providers in your area to collaborate on patient care.

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7
Q
  1. The first PTSD trial for MDMA-assisted therapy began in:
A

2003.

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8
Q
  1. Studies show that MDMA promotes fear extinction in mice and modifies fear memories during reconsolidation in rats.
A

True.

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9
Q
  1. Which of the following do Dr. Yazar-Klosinski and Amy Emerson recommend for MDMA-assisted therapy set and setting?
A

Music to support experience, periods of going inward, elements of mindfulness and empathetic rapport and presence.

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10
Q
  1. According to Dr. Yazar-Kolinski and Amy Emerson, about _______ adults have PTSD during a given year.
A

8 million.

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11
Q
  1. Which of the following secondary benefits were found in the Phase 2 studies of MDMA-assisted therapy?
A

Durable reduction in alcohol use.

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12
Q
  1. Which of the following factors may help lead to expanded access to MDMA-assisted therapy, and accelerating access to treatment.
A

Test risk mitigation procedures in a clinical treatment setting, collect safety-related health outcome data and establish centers of excellence.

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13
Q
  1. Race is an organizing concept that is interwoven into the structure of the United States in particular, according to Resmaa Menakem.
A

True.

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14
Q
  1. Resmaa Menakem requires that organizations that want to work with him by doing one year of container building have at least _____ of their organization participate.
A

10%.

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15
Q
  1. Resmaa Menakem’s definition of _______ is that the white body deems and has deemed itself the supreme standard by which all bodies’ humanity shall be measured, structurally and philosophically.
A

White body supremacy.

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16
Q
  1. Every victim has a ________ underbelly, according to Resmaa Menakem.
A

Perpetrator.

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17
Q

_________ developed the concept of intersectionality.

A
  1. Kimberle Crenshaw
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18
Q
  1. According to Resmaa Menakem, we will see a racialization component show up in terms of ________ psychedelics.
A

W ho is allowed to use, who is allowed to administer and who is allowed to work with

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19
Q
  1. According to Dr. Oxley & Dr. Prashad, after a patient fails to respond to two antidepressants, the chance of responding to a third medication drops to:
A

16%.

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20
Q
  1. Which of the following conditions may be treatable with ketamine?
A

Suicidal thoughts, bipolar depression, obsessive compulsive disorder and post traumatic stress disorder.

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21
Q
  1. According to Dr. Prashad and Dr. Oxley, ________ of patients typically respond to ketamine treatment.
A

70-80%.

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22
Q
  1. A burst of _______ seems to initiate the pathways that are believed to be involved in strengthening and formation of new neuronal connections, which is how ketamine works to treat certain conditions.
A

Glutamate.

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23
Q
  1. Side effects of nasal esketamine may include:
A

Dissociation, nausea/vomiting, sedation and increased blood pressure during treatment.

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24
Q
  1. Ketamine can be used concurrently with most standard antidepressants without reducing efficacy or increasing side effects. True
A

True.

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25
Q
  1. According to Dr. Schwartz, which of the following may be indicative of acute trauma stress
A

Feelings of irritability and anger, somatic symptoms of shakiness and nausea and feelings of fear and sadness.

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26
Q
  1. The _______ is the hub for sensory and motor nerves, including the vagus nerve.
A

Medulla.

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27
Q
  1. According to Dr. Schwartz, the ________ is involved in learning and is responsible for storage and retrieval of long term, explicit memories for facts.
A

Hippocampus.

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28
Q
  1. The social nervous system is:
A

Influenced by the attachment relationship (vagal tone of the mother), is strengthened by repeated practice, which myelinates the nerve pathways and functions as a fine-tuned brake.

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29
Q
  1. According to Dr. Schwartz, the “fight” stage of the trauma response involves SNS (social nervous system):
A

False.

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30
Q
  1. The integration of the upper and lower brain centers facilitates:
A

Regulation, reflection, self-control and impulse control.

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31
Q
  1. In order to effectively co-regulate, Dr. McCowan recommends that therapists work on their presence prior to session through:
A

Mindfulness, grounding, body scan, breathing.

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32
Q
  1. A therapist is considered to be present if they are:
A

Immersed in the moment.

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33
Q
  1. Which of the following may be barriers to presence?
A

Not being present in our relationships and lives outside the session, lacking mindfulness or intention in our routines and preparation before the session, lacking the necessary and intentional self-care and distraction and disconnection during the session.

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34
Q
  1. Cultural background and identity can influence both the therapist’s and participant’s biases, verbal/nonverbal expression, and conceptualization of symptoms or conditions.
A

True.

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35
Q
  1. According to Dr. McCowan, therapist self-care may help:
A

Reduce vicarious trauma.

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36
Q
  1. Which of the following questions does Dr. McCowan recommended asking for self-care and cultivating presence?
A

How do I work with tension or stress in my body? How much time do I spend in nature? Am I nourished or drained in my relationships? What brings me joy and pleasure, and am I making space for this?

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37
Q
  1. According to Dr. mate, in the shamanic tradition, shamans do not go through formal learning, they instead go through their own deep healing process before coming shamans.
A

True.

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38
Q
  1. In any form of therapy, what fundamentally makes the difference in effective healing work is:
A

How the therapist shows up for their client.

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39
Q
  1. According to Dr. Mate, it is appropriate for therapists to share details about themselves with their patients if ____________ is the intention.
A

Communicating their understanding of a shared experience.

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40
Q
  1. ___________ is not a state, but an ongoing process, according to Dr. Mate.
A
  1. Self-regulation.
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41
Q
  1. According to Dr. Mate, the most important aspect of the healing process is the:
A

Quality of the therapeutic alliance.

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42
Q
  1. Individuals with a strong, tenacious intellect may use that as a defense against:
A

Self-awareness and vulnerability.

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43
Q
  1. According to Dr. Richards, which of the following alternate terms may be used in place of “psychedelic” :
A

Hallucinogenic, psycholytic, entheogenic, phantastical.

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44
Q
  1. Which of the following is indicative of mystical consciousness, according to Dr. Richards:
A

Transcendence of time and space, deeply-felt positive mood, intuitive knowledge and unity.

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45
Q
  1. According to Dr. Richards, ineffability may involve:
A

The need for words that do not exist yet

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46
Q
  1. Potential applications of psychedelics in medicine may include the treatment of addictions according to Dr. Richards.
A

True.

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47
Q
  1. If the data supports it, Dr. Richards recommends facilitating the reclassification of __________ off of schedule 1/ClassA.
A

Psilocybin.

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48
Q
  1. Who said, “The essence of the spiritual life is feeling gratitude”?
A

David Steindl-Rast.

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49
Q
  1. Who synthesized and discovered ketamine?
A

Calvin Stevens.

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50
Q
  1. According to Dr. Wallach, a key difference between dissociative drugs and classical hallucinogens is the _________ effect.
A

Disembodiment.

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51
Q
  1. Which of the following are considered to be indirect effects of ketamine?
A

Increased glutamate signaling, increased monoamine signaling and hormone and neurotrophic factor release: BDNF, cortisol, beta-endorphin.

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52
Q
  1. The NMDA receptor is a glutamate ion channel found in the central nervous system and periphery, and plays an important role in?
A

Synaptic signaling, plasticity, learning and memory and cell survival.

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53
Q
  1. Research indicates that Rapamycin ________ the antidepressant response rate of ketamine at two weeks following treatment.
A

Triples.

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54
Q
  1. Which of the following is a main competency category of the IPI Psychedelic Assisted Psychotherapy Training Program?
A

Research and science, therapeutic process, professional development, and intrapersonal development.

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55
Q
  1. The research and science competency category will include reviewing ___________ in the IPI Psychedelic Assisted Psychotherapy Training Program.
A

Dosing protocols.

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56
Q
  1. Discussion of mechanism of action will be included as part of the research and science competency category in the IPI Psychedelic Assisted Therapy Program?
A

True.

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57
Q
  1. The IPI program will cover __________.
A

Mystical experiences.

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58
Q
  1. Professional development topics will include __________ at IPI.
A

Harm reduction, cultural competency, policy and advocacy and professional liability.

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59
Q
  1. Transference and countertransference will be covered as part of the _______ competency category at IPI.
A

Intrapersonal Development.

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60
Q
  1. According to Rick Doblin, ________ revitalized the psychedelic therapy underground in the 1970’s-80’s.
A

MDMA.

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61
Q
  1. MAPS (Multidisciplinary Association for Psychedelic Studies) was founded in ______.
A

1986.

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62
Q
  1. According to Rick Doblin, the FDA requires _________ for studies on neuroscience and psychedelics.
A

Proof of Safety and Proof of Efficacy.

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63
Q
  1. Psychedelics for substance abuse have a large role to play, both to help people work through traumas and breakthrough to sense of connection and connection.
A

True.

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64
Q
  1. According to Dr. Doblin, which of the following indications may psychedelics be used as a treatment modality?
A

Anxiety, depression and end of life anxiety.

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65
Q
  1. For the way materials emerge from patients under psychedelics, a traditional approach to psychotherapy is too
A

Directive, focused and structured.

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66
Q
  1. According to Dr. Raison, psilocybin produces profound effects on consciousness primarily through ________ agonism.
A

5-HT2A.

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67
Q
  1. Low entropy states are more _______ according to Dr. Raison.
A

Rigid.

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68
Q
  1. Which of the following are considered to be high entropy states according to Dr. Raison?
A

Psychedelic state, dreaming/REM sleep and early psychosis.

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69
Q
  1. According to Dr. Raison, reductions in experiential avoidance are associated with symptom improvement.
A

True.

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70
Q
  1. A series of small academic studies suggest psilocybin holds promise for the treatment of:
A

Cancer-related distress, major depression, treatment-resistant depression and substance use orders.

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71
Q
  1. Psilocybin produces acute CNS (central nervous system) effects that support profound emotional/cognitive experiences that are associated with long-term therapeutic effects.
A

True.

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72
Q
  1. According to Shannon Carlin, a practitioner’s commitment and devotion involves supporting another person in their:
A

Awe of existence and one’s place in it, restoring of trust and faith in humanity and one’s self, relating and reconnecting with their own wisdom and experience and process of meaning making and discovery of purpose.

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73
Q
  1. Which of the following are considered to be principles of psychedelic ethics according to Shannon Carlin?
A

Safety, transparency, confidentiality and privacy, sexual boundaries.

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74
Q
  1. Shannon Calin recommends that at the time of intake and before each medicine session, practitioners ask their client to commit to safety agreements that include not driving a vehicle after the session, informing staff of thoughts of harming self or others, and staying on-site until medical staff say it is safe to go home.
A

True.

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75
Q
  1. According to Shannon Carlin, if a person lacks capacity to consent during a session the practitioner should:
A

Continue treatment according to their previous informed consent.

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76
Q
  1. Shannon Carlin recommends that representatives of the psychedelic therapy:
A

Accurately say there is a lot we do not know.

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77
Q
  1. Ethical decision making involves:
A

A commitment to do the right thing, awareness to apply morals and act consistently and competency to assess information, identify alternatives, consequences and risks.

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78
Q
  1. In 1955 _________ started to use LSD in psychotherapy.
A

Leuner & Sandison.

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79
Q
  1. In the 1960’s, ________ publications were made on psychedelics.
A

8,000.

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80
Q
  1. The European Society for Psycholytic Therapy was established in:
A

1964.

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81
Q
  1. The term psycholysis was coined by Sandison in 1960.
A

True.

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82
Q
  1. Which of the following diagnoses did studies show may be treated with psychedelic psychotherapy:
A

Anxiety neuroses, depressive neuroses, OCD.

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83
Q
  1. The stagnated-Fragmented course in psycholytic therapy may induce:
A

Erratic flow of experience.

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84
Q
  1. According to Michael Pollan, when the goal is to test the efficacy and safety of psychedelics in treating mental illness, the FDA (food and drug administration) and DEA (Drug enforcement administration) have been:
A

Supportive.

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85
Q
  1. Decriminalizing personal possession and growing psychedelics is the correct path to follow, according to Michael Pollan .
A

True.

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86
Q
  1. Michael Pollan’s concerns around commercializing psychedelics include:
A

Capitalism cheapening them, psychedelics being pushed onto people and commodifying something sacred.

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87
Q
  1. The Native American community has developed a very safe and effective healing method through the use of peyote by:
A

Ritualizing the experience, not commercializing the medicine, always involving an elder and typically ingesting the medicine in a group.

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88
Q
  1. Michael Pollan sees particular value in the use of psychedelics in the ______ population due to the medicine’s ability to shift ingrained patterns of thinking and behavior.
A

Older.

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89
Q
  1. Wild peyote takes _______ to grow.
A

15 years.

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90
Q
  1. According to Dr. Wickramesekera, which of the following alters both the DMN (default mode network) and the experience of self?
A

LSD, ayahuasca, MDMA, psilocybin.

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91
Q
  1. ___________ is considered to be a common phenomenon in altered states of consciousness, according to Dr. Wickramasekera.
A

Time distortion.

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92
Q
  1. According to Dr. Wickramasekera, a PCI (perturbational complexity index) given after an altered state of consciousness quantitatively assesses:
A

Experience of time distortion, involuntariness and flow and experience of unitive consciousness.

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93
Q
  1. Suggestibility in altered states of consciousness does not correlate with suggestibility outside of altered states of consciousness according to Dr. Wickramasekera.
A

True.

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94
Q
  1. According to Dr. Wickramasekera, ___________ can effect the type of relationship a patient experiences in psychedelic psychotherapy, particularly if they experience transference.
A

Insecure Attachment.

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95
Q
  1. The diathesis stress model suggests that people with an insecure attachment style may be more susceptible to _________ in psychedelic therapy.
A

Suggestion and dissociation.

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96
Q
  1. Transference is a normal and expected part of the therapeutic process.
A

True.

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97
Q
  1. Which of the following is an example of negative countertransference?
A

Feeling overwhelmed or anxious in session.

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98
Q
  1. Responding to transference does not include which of the following steps?
A

Gossiping with coworkers about your feelings toward the client.

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99
Q
  1. Which of the following responses is beneficial when responding to a client’s fear of losing control?
A

Making supportive statements of safety and connection.

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100
Q
  1. Providing empathetic presence in the face of intense distress is an essential element of psychedelic assisted therapy.
A

True.

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101
Q
  1. Who is responsible for assuring that erotic transference and counter transference is never acted upon?
A

The practitioner.

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102
Q
  1. Transpersonal psychology is considered to be _______ part of the in western psychology.
A

Fourth force.

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103
Q

103.________ proposes that at the core of the world’s religions lies a universal, fundamental, mystical truth regarding the nature of the self, consciousness and ultimate reality.

A

Perennial philosophy.

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104
Q
  1. Which of the following is a central characteristic of the mystical state?
A

Ineffability, noetic quality, transiency and passivity.

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105
Q
  1. _________ possesses a chemical structure similar to the neurotransmitter serotonin.
A

Psilocybin.

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106
Q
  1. ___________ is an intuitive response of awe, humility, holiness, reverence and wonder in the presence of inspiring reality.
A

Sacredness.

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107
Q
  1. _________ of Americans say they have had a religious or mystical experience.
A

49%.

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108
Q
  1. According to Dr. Prashad, which of the following conditions may be treated with Ketamine?
A

Suicidal thoughts, bipolar depression, obsessive compulsive disorder and PTSD.

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109
Q
  1. Up to _______ of patients will fail to respond to multiple attempts at treatment through ketamine.
A

1/3.

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110
Q
  1. Which of the following would constitute an exclusion from receiving ketamine treatments?
A

Pregnancy, uncontrolled hypertension, active mania, glaucoma.

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111
Q
  1. According to Dr. Prashad the doses of ketamine used for psychiatric indications are higher than those used in abuse populations.
A

False.

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112
Q
  1. Many providers report that ________ decreases the efficacy of ketamine.
A

Lamotrigine.

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113
Q
  1. According to Dr. Prashad, ketamine has been found to increase physiological response during opioid withdrawal.
A

False.

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114
Q
  1. If an individual is actively using ________, ketamine treatments can be dangerous due to increased blood pressure.
A

Marijuana, opioids, cocaine and alcohol

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115
Q
  1. Which of the following are considered to be characteristics of borderline personality disorder? Anger outbursts, extreme emotional swings, unstable relationships and fear of abandonment.
A

Anger outbursts, extreme emotional swings, unstable relationships and fear of abandonment.

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116
Q
  1. Multiple studies indicate that ketamine is associated with exacerbation of core psychotic and cognitive symptoms in ________.
A

Schizophrenia.

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117
Q
  1. If a patient has a history of _________ with psychosis, but no current psychotic symptoms, ketamine may be a treatment option but the patient should be carefully monitored.
A

Major depressive disorder,

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118
Q
  1. Ketamine may be used to treat postpartum depression and is safe for women who are breastfeeding
A

True.

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119
Q
  1. Which of the following does Dr. Amato recommend when administering ketamine treatments with PTSD?
A

Exercising caution with patients with big trauma history, ensuring a therapist is involved for preparation and integration and starting with an oral dose.

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120
Q
  1. Dr. Amato recommends exercising caution when administering ketamine treatments to patients who have ___________.
A

Migraines and seizure disorders.

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121
Q
  1. Letting patients with trauma history know they may re-experience trauma with defenses lowered during ketamine treatment is part of the _______.
A

Informed consent discussion.

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122
Q
  1. Which of the following are potential stressors to assess prior to ketamine treatment?
A

Work problems, recent losses, family and relationship problems and legal issues.

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123
Q
  1. Meditation and mindfulness practices aim to help individuals to:
A

Become more aware, become more present and widen their capacity to hold multiple points of awareness simultaneously.

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124
Q
  1. The core intention of meditation and mindfulness practices is to calm down and not have thoughts.
A

False.

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125
Q
  1. __________ are ways that human beings interface with the world, and refers to how much complexity we are able to take in.
A

The three gates (body, speech, mind).

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126
Q
  1. Asking someone with trauma to pay close attention to their inner world can sometimes mean coming into contact with traumatic stimuli.
A

True.

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127
Q
  1. Which of the following may support the establishment of a daily meditation practice?
A

Apps and tracking progress, making a beautiful space to meditate, seek instruction, meditate on the spot, even for 30 seconds.

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128
Q
  1. For clients with complex PTSD, Dr. Lewis recommends first focusing on ___________.
A

Exteroception.

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129
Q
  1. The study design of the FDA Phase 3 trials with MDMA for PTSD consists of four phases: screening, three preparation sessions, 9 integration therapy sessions, and a two month follow up.
A

True.

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130
Q
  1. The most frequent non-serious adverse events for those that were in the MDMA trial group were:
A

Muscle tightness and decreased appetite.

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131
Q
  1. The FDA will not require a pediatric study with MDMA.
A

False.

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132
Q
  1. There will be a future dose response safety study with MDMA concerning which types of pharmaceutical drugs?
A

SSRI’s.

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133
Q
  1. According to Dr. Doblin, studies on MDMA in the late 90s and early 2000s claimed that it damaged dopamine and serotonin receptors. However, these studies were actually using __________ in their studies, not MDMA.
A

Methamphetamine.

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134
Q
  1. Third party payers such as insurance companies can expect to save money with MDMA assisted therapy within ____________.
A

3 years.

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135
Q
  1. “Classic” psychedelics, such as LSD, psilocybin are:
A

Serotonin 2a receptor agonists.

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136
Q
  1. Activation of the Serotonin 2A receptors enhances:
A

Learning rates, plasticity, synaptogenesis and neuroplasticity markers.

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137
Q
  1. According to Dr. Carhart-Harris, various cortexes of the brain seem to “talk” to each other while on psychedelics such as psilocybin and LSD.
A

True.

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138
Q
  1. Psilocybin “flattens” the brain’s landscape, making it easier for patients to experience diversity of thought and healthier flexibility of thoughts.
A

True.

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139
Q
  1. In a study comparing psilocybin to the SSRI escitalopram, it was found that psilocybin increased participants:
A

Ability to cry and feelings of pleasure.

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140
Q
  1. According to Dr. Carhart-Harris, neuroplasticity increases were observed after __________ of psilocybin.
A

3 months.

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141
Q
  1. According to Dr. Watts, psychological flexibility is the result of:
A

Acceptance and connectedness.

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142
Q
  1. The ACE model stands for Accept, Connect, and Encompass.
A

False

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143
Q
  1. In applying the ACE Model in your own work, Dr. Watts recommends:
A

Writing your own preparation structure in line with ACE, Write your own visualization, Record audios of the visualization for yourself or others, play around with the six principles for designing prep, session, and integration protocols.

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144
Q
  1. Psychological photosynthesis, according to Dr. Watts, is the process of transmuting suffering into growth
A

True.

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145
Q
  1. According to Dr. Watts in the study she ran in 2017 on psilocybin, participants described the majority of their depression as a sense of disconnection.
A

True.

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146
Q
  1. According to Dr. Watts there are _______ key areas in psychological flexibility.
A

Six.

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147
Q
  1. According to Sara Gael, even though they are human synthesized, MDMA and ketamine still have _________ that it is important to be knowledgeable about it if you choose to work with them in therapy.
A

Lineage.

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148
Q
  1. The __________ one brings to the field of psychedelic assisted therapy is informed by the mentors and teachers in one’s life.
A

Perspective.

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149
Q
  1. Someone’s own personal identity may inform the populations they wish to work with in the psychedelic field
A

True.

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150
Q
  1. ____________ impacts the location where an individual is able to practice with a specific medicine.
A

Legality and regulation.

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151
Q
  1. Which of the following are examples of a setting where someone may work in the psychedelic field:
A

University, research, private practice, retreats.

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152
Q
  1. Which of the following does Sara Gael consider to be adjacent to psychedelic-assisted therapy?
A

Drug policy and advocacy, harm reduction and art.

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153
Q
  1. According to Dr. Van Derveer, integrative psychiatry is the process of:
A

Attending to bio-psycho-social-spiritual aspects of wellness, resolving root causes, seeing health on a continuum as opposed to pathology.

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154
Q
  1. Integrative psychiatry is only of relevance to psychiatrists, not therapists.
A

False.

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155
Q
  1. Which of the following statements about inflammation is false, according to Dr. Van Derveer?
A

Acute inflammation negatively impacts immune defense.

156
Q
  1. Overactive inflammatory signaling is observed in which of the disorders?
A

Autism, schizophrenia, depression, PTSD.

157
Q
  1. Adverse Childhood Events (ACEs) decrease the likelihood someone will experience psychosis.
A

False.

158
Q
  1. According to Dr. Van Derveer, the standard American Diet has too much: ___________.
A

Refined sugar.

159
Q
  1. Axiology is defined as:
A

The study of value and valuation.

160
Q
  1. Teleology is defined as the study of destiny.
A

False.

161
Q
  1. According to Keith Kurlander, a patient’s congruence with their highest values will result in:
A

Inhibition, focus, attention, self-regulation.

162
Q
  1. According to Keith Kurlander, normal mental health can be accompanied by regret, resentment, and short to moderate term gratifying behaviors.
A

True.

163
Q
  1. According to Keith Kurlander, psychedelics can lead to higher degrees of:
A

Self-determination and health behaviors.

164
Q
  1. According to Keith Kurlander, patients resist behavior change because:
A

The patient has not identified their own value hierarchy, the patient has not established enough links in the proposed behavioral shift to their highest value, the clinician is overly focused on their own value system and not attentive to the patient’s value system.

165
Q
  1. According to Dr. Schwartz, parts begin when we are children and become locked away as protectors or “exiles” when those parts are:
A

Traumatized, shamed, hurt.

166
Q
  1. According to Dr. Schwartz “manager protectors” keep us connected to our locked away or “exiled” parts.
A

False.

167
Q
  1. According to Dr. Schwartz, Self with a capital “S”, is what lies beneath the various parts residing in an individual.
A

True.

168
Q
  1. According to Dr. Schwartz, wounded parts are naturally _________ even though they may initially impede personal growth.
A

Valuable.

169
Q
  1. According to Dr. Schwartz, psychedelics may _______ the process of healing parts.
A

Speed up.

170
Q
  1. According to Dr. Schwartz, the goal of IFS is:
A

Transforming broken parts into valuable parts, convincing parts that there is one self leader that can guide them, merging parts, bringing self-leadership into the external world.

171
Q
  1. What year was the American Indian Religious Freedom act passed?
A

1978.

172
Q
  1. In what year did Congress pass the Compulsory Indian Education Law forcing Navajo children to attend funeral Indian boarding schools with Euro-American (white anglo saxon protestant) customs and curriculum?
A

1887.

173
Q
  1. What did the Indian Relocation Act of 1956 do?
A

It encouraged Native Americans in the United States to leave Indian Reservations.

174
Q
  1. What did the Indian Removal Act of 1830 do?
A

It exchanged land with tribes removing them from any of the states or territories, west of the Mississippi river.

175
Q
  1. What areas of indigenous wellbeing can be helped through communal healing?
A

Indigenous Healthcare Systems, Indigenous Unions of power and healthy relationships.

176
Q
  1. What tactics did the US government use to dismantle Indigenous Nations?
A

Forced religion, federal Indian boarding schools and tribal reservations.

177
Q
  1. The best way to broaden the window of tolerance is to:
A

Work the edges of the window of tolerance helping clients to handle a wider range of affect and sensations.

178
Q
  1. The primary goals of treatment include all of the following except:
A

Erase the memories of the traumatic past.

179
Q
  1. The three stages of trauma treatment are:
A

Establish stability, process traumatic material, and integrate the new sense of self into identity and relationships.

180
Q
  1. The resource of containment:
A

Gives clients choice about when to think about or process traumatic material.

181
Q
  1. Effective trauma treatment should:
A

Involve a balance between the regulating function of top-down processing and the accessing function of bottom-up processing.

182
Q
  1. All is true about heart rate variability except:
A

Lower variability leads to greater capacity to handle stress.

183
Q
  1. The focus of an inner approach to professional ethics is best described as:
A

Increasing therapist’s awareness and attunement.

184
Q
  1. The two gaps in most traditional western ethics education are a focus on:
A

Information about therapy with clients in non-ordinary states of consciousness and the therapists motivation.

185
Q
  1. Any client in an extra-ordinary state of consciousness is most likely to be:
A

More vulnerable, sensitive and suggestible.

186
Q
  1. A therapist working with clients in extra-ordinary states of consciousness needs to pay more attention to:
A

Laws and ethical codes, their own motivations, meta-awareness of their own process and safety of the client.

187
Q
  1. The chart of professional vulnerabilities to ethical misconduct is designed particularly to help a therapist identify:
A

Motivations.

188
Q
  1. According to Kylea Taylor, the scope of competence for therapists doing psychedelic-assisted therapy includes:
A

Knowledge of the medicine and its territory, willingness to so self-inquiry, special training and ability to focus on the client’s best interests for a prolonged period.

189
Q
  1. Which of the following is not a benefit of positive experiences of touch during early childhood development?
A

Prevents sleep deprivation.

190
Q
  1. Which of the following is not a possible benefit of safe, appropriate touch in psychotherapy?
A

Can lead to increased transference between therapist and client.

191
Q
  1. What is the most important thing that you can do to increase your capacity to deliver safe, appropriate touch in psychotherapy?
A

Uncover and resolve wounding and biases related to personal experiences of touch abuse and/or neglect.

192
Q
  1. Which of the following circumstances would be appropriate for use of touch in psychotherapy?
A

When verbal language is limited (consent navigated ahead of time, non-verbal responses monitored).

193
Q
  1. Touch may be particularly helpful, yet also risks being particularly harmful, in psychedelic-assisted psychotherapy.
A

True.

194
Q
  1. The following are alternatives to using physical touch that may provide benefits, while avoiding risks/pitfalls except:
A

Instruct the client to instead touch you in the way they wish to receive touch.

195
Q
  1. All of the following are advantages of using psychiatric scales and screeners except:
A

They are expensive.

196
Q
  1. PHQ9 is one of the most important scales for use in depression. Which of the following statements about PHQ9 is correct?
A

It is a nine-item scale that is freely available.

197
Q
  1. Which of the following statements about bipolar disorder is correct?
A

Bipolar disorder is often confused as unipolar depression.

198
Q
  1. Which of the following statements about adult ADHD is accurate?
A

Even in adults with ADHD, the symptoms of ADHD always start before the age of 12.

199
Q
  1. All of the following statements about the HERO wellness scale are accurate except:
A

A higher score indicates a lower level of wellness.

200
Q
  1. In the psychedelics and wellness survey PAWS of 2510 individuals with previous psychedelic use the phq9 had the following effect size as measured by cohen’s d?
A

Cohen’s D >1.0.

201
Q
  1. Cultural appropriation is:
A

The use of cultural traditions and objects without permission.

202
Q
  1. Social location only includes geographic location and gender.
A

False.

203
Q
  1. Which of the following is not considered cultural appropriation? __________.
A

Permission.

204
Q
  1. Our social locations can be contradictory to one another.
A

True.

205
Q
  1. Using one’s spirituality to avoid facing unresolved issues either on a personal, interpersonal or systemic level is:
A

Spiritual bypassing.

206
Q
  1. Which of the following does not appropriately describe ritual or the use of the ritual:
A

Only stays within current parameters of consciousness.

207
Q
  1. In the preparation session, Mary Sanders recommends the clinician provide the patient with psychoeducation around the medicine and what it might feel like in the body in order to help normalize a wider range of experiences and expressions.
A

True.

208
Q
  1. Consent should be discussed in the preparation session and in the medicine session.
A

True.

209
Q
  1. Research shows that MDMA:
A

Extends duration of serotonin, norepinephrine and dopamine, acutely decreased activity in the left amygdala, inhibits reuptake and increases blood flow to the prefrontal cortex.

210
Q
  1. Research shows that psilocybin activates ___________ receptors, most often in the prefrontal cortex.
A

Serotonin.

211
Q
  1. The clinician’s role is to:
A

Help move and release tension, offer spaciousness, cultivate safety and trust the medicine.

212
Q
  1. Which of the following behavior may indicate the patient is in a state of hyperarousal?
A

Pacing.

213
Q
  1. Integration is NOT:
A

Talking only.

214
Q
  1. Indigenous practices have a dualistic way of seeing integration?
A

False.

215
Q
  1. Which of the following is a common model of integration?
A

Visionary Plant Medicine Integration.

216
Q
  1. There are limitations to talk therapy for integration:
A

True.

217
Q
  1. Integration is complete when:
A

It is never complete, integration unfolds over time.

218
Q
  1. Integration should be discussed:
A

In the preparation phase.

219
Q
  1. Which of the following parameters should be monitored on patients receiving ketamine?
A

Oxygenation levels, blood pressure and heart rate.

220
Q
  1. Which of the following are possible complications of ketamine administration?
A

Laryngospasm, hypertension, tachycardia, dissociation.

221
Q
  1. Which route of racemic ketamine administration has the most scientific support?
A

Intravenous.

222
Q
  1. Which route of racemic ketamine administration has the least bioavailability?
A

Oral.

223
Q
  1. Which of the following is NOT a downside of oral ketamine?
A

Easily abused/overused.

224
Q
  1. Which of the following are NOT standard discharge instructions after ketamine administration?
A

Do not exercise.

225
Q
  1. Which governing document is required for both a nonprofit and professional corporation?
A

Bylaws.

226
Q
  1. A fiscal relationship is:
A

Available to for profit or nonprofit organizations.

227
Q
  1. What is the first relationship a therapist will need to develop in order to start offering ketamine-assisted therapy in private practice?
A

A relationship to a prescribing physician or NP.

228
Q
  1. Which CPT codes are most commonly used for a 120+ minute KAT session?
A

90837-99354-99355.

229
Q
  1. Which of the following is not a good risk management strategy?
A

None of the above.

230
Q
  1. Which of the following reasons for administering outcome measures to your clients may require IRB approval?
A

Compiling data for research purposes.

231
Q
  1. Which of the following patients should be seen by an anesthesiology or EM provider for ketamine treatment?
A

Patients with heart failure.

232
Q
  1. Which of the following outcomes in adulthood are affected by elevated ACE stores?
A

Mental health, development of addiction, rate of stroke and heart attack, decreased rate of response to conventional treatments.

233
Q
  1. Which of the following scenarios should postpone treatment with ketamine treatment?
A

Upcoming travel and housing insecurity.

234
Q
  1. Active abuse of which substance is an absolute rule out of ketamine treatment?
A

Cocaine.

235
Q
  1. Which of the following statements is true about ketamine?
A

Ketamine is a tool in the patients toolbox.

236
Q
  1. Which of the following medications or class of medications do not interfere with ketamine’s efficacy?
A

Latuda.

237
Q
  1. Which of the following are not a potential conflict of interest?
A

Holistic.

238
Q
  1. When do conflicts of interest need to be disclosed?
A

Discussing services with prospective patients, when giving a presentation, when publishing scientific data.

239
Q
  1. Which of the following does not help one achieve integrity?
A

Flying by the seat of our pants.

240
Q
  1. Which of the following does not contribute to a safe practice?
A

Continuing therapy when ineffective.

241
Q
  1. According to Dr. Oxley, what is the most common transparency error made by ketamine clinics?
A

Provider to provider documentation lacks clarity and completeness.

242
Q
  1. What is not considered normal scope of practice for therapists?
A

Dosing ketamine prescriptions.

243
Q
  1. What are three benefits of the KAP approach to the treatment of depressive disorders?
A

Reduction in negative thoughts, possibility of a rapid shift, optimal time for introducing new habits.

244
Q
  1. Which of the following types of events may lead to the diagnosis of depressive disorders?
A

Chronic stress, cultural challenges, single incident trauma.

245
Q
  1. Name three challenges in integration specific to treatment of depression:
A

Working with SI, possible increase in sympathetic arousal, possible imbalances in family system.

246
Q
  1. Which of the following are principles of inner directed approach in KAP for depression?
A

Trust in inner healing intelligence, experiential learning, non-pathologizing.

247
Q
  1. Which of the following are areas to discuss during preparation for KAP for depression?
A

Set and setting, guiding principles, expectations and possible experiences.

248
Q
  1. Which of the following are paradigms of treatment of depression with ketamine?
A

Medical, psychological, transpersonal.

249
Q
  1. Which preparation topics help us recognize client defense mechanisms?
A

Navigating challenging experiences, going “internal.”

250
Q
  1. What preparation strategy can be used to address a client’s hopes and fears?
A

Manage expectations.

251
Q
  1. Which of the following challenges to therapists/practioners need to address in their own preparation?
A

Boundaries, liability, imposter syndrome.

252
Q
  1. Providing culturally responsive care includes careful discussion and not making assumptions about which of the following?
A

Spiritual/Transcendence Beliefs.

253
Q
  1. Preparation for KAT only entails our preparing clients.
A

FALSE.

254
Q
  1. When attending to our own “set and setting, it is important to:
A

Examine our agendas, beliefs, and biases about this work.

255
Q
  1. According to Guili Zavaschi, desired outcomes from KAP may be:
A

To move towards completion of what could not be completed when trauma originated, movement of client towards secure attachment, get in touch with parts/identities of themselves that may exist beyond the wounded one.

256
Q
  1. The most fundamental trauma intervention should be:
A

On the self of the therapist.

257
Q
  1. Using the SIBAM model may support:
A

Client to feel their feelings, client to be more aware of subtle bodily sensations, client to gain insight, making connections that were severed by trauma.

258
Q
  1. Zavaschi made reference to Shamata and Vipassana in the context of:
A

Helping clients focus in the here and now and deepen into what is present.

259
Q
  1. During a kAP session when clients access an insight they consider may be beneficial to their trauma healing, a therapist may help by:
A

Feeling that experience as fully as they can and plant a flag for ordinary consciousness.

260
Q
  1. When accessing an experience beyond self or of a higher self, a therapist may support trauma healing by:
A

Helping client explore it, helping client give voice to it, helping client simply be with it, helping client give voice to it.

261
Q
  1. Racial trauma is a:
A

Traumatic response to experiences that are collectively characterized as racism, including acts of prejudice, discrimination, or violence against a subordinate racial group based on attitudes of superiority held by the dominant group. Is cumulative and usually not comprised of one specific incident. Can result in symptoms of PTSD and sometimes a PTSD diagnosis. Is frequently under-addressed in graduate studies programs.

262
Q
  1. ___________ can be a helpful tool for gathering a client’s history if they have experiences of racial trauma.
A

Cultural genogram.

263
Q
  1. Racial microaggressions are:
A

Verbal and nonverbal communications, intentional and unintentional, that portray insensitivity, disrespect and or negligent attention to another person due to their marginalized heritage or identity.

264
Q
  1. How can a therapist create a culturally informed psychedelic practice?
A

Address ethnoracial content of the client’s lived experiences, create a set and setting that demonstrates humility towards the clients culture, such as culturally relevant music, art and resources. Understand social deterimants of health and how this might impact clients seeking psychedelic assisted therapy.

265
Q
  1. Which of the following is an important consideration when working with BIPOC clients, ketamine and PTSD?
A

Ketamine can exacerbate dissociative symptoms, what is my social location in regards to my client’s social location and how this impacts the treatment provided to them. How am I using CBT techniques and perspectives. Incorrectly pathologizing a client’s experiences.

266
Q
  1. What are some differentiating factors of using ketamine assisted psychotherapy for treating PTSD when compared to other psychedelic medicines?
A

It is important to rule out uncontrolled dissociation, ketamine does not provide the heart opening effects as a frequent subjective symptom when compared to mdma, no concerning interactions with SSRIs.

267
Q
  1. Which of the following are benefits of ketamine troches?
A

Easy to make, better taste, widely available in compounding pharmacies.

268
Q
  1. Which of the following routes of ketamine administration has the highest bioavailability?
A

Intravenous.

269
Q
  1. Patients with acute suicidality may benefit from which route of administration according to Margaret Brako?
A

Intramuscular.

270
Q
  1. Bioavailability is highly variable in which of the following routes of ketamine administration according to Dr. May?
A

Nasal.

271
Q
  1. Ideally boosters should be administered within the first hour of a 3 hour ketamine session according to Margaret brako?
A

True.

272
Q
  1. Dr. May finds that which of the following routes of ketamine administration has the highest abuse potential?
A

Nasal.

273
Q
  1. What are the goals of integration?
A

Meaning making, processing, application of insights, embracing and adapting to changes, enhanced self-monitoring.

274
Q
  1. What are five areas of integration?
A

Personal, spiritual, somatic, relational, communal.

275
Q
  1. What are three integration challenges in KAP?
A

Zig-zagging, flight into health, survivor guilt.

276
Q
  1. Name three types of facilitated integration:
A

Individual with KAP therapist, internal group integration, external group integration.

277
Q
  1. What types of integration might be recommended for KAP integration?
A

Group, individual, peer-led.

278
Q
  1. Which of the following is an example of a “splitting the team” integration challenge?
A

Non-disclosure and blaming KAP provider.

279
Q
  1. Potential risks of psilocybin-assisted therapy include:
A

Elevated blood pressure and heart rate, acute or persisting psychotic symptoms, mania and hypomania.

280
Q
  1. Psilocybin primarily acts on ___________ receptors.
A

Serotonin.

281
Q
  1. Psilocybin may interact with _________.
A

Antidepressants.

282
Q
  1. Psilocybin-assisted treatments have shown therapeutic potential for:
A

Depression, anxiety and addictions.

283
Q
  1. Who is currently approved to provide psilocybin assisted therapy in the US?
A

No one.

284
Q
  1. An adverse event is:
A

Any medical or mental health issue that arises during treatment.

285
Q
  1. What are two components of quantum change?
A

Mystical and insight experiences.

286
Q
  1. Psychological insights occasioned by psilocybin include all of the following except:
A

Shaking or trembling.

287
Q
  1. Mystical experiences can be challenging experiences and vice versa.
A

True.

288
Q
  1. In the psilocybin session report read during the training, what was the tool that broke apart the rigid patterns of the participants mind?
A

Jackhammer.

289
Q
  1. The primary outcomes of the clinical trial showed:
A

Depression scores were significantly decreased following the treatment at one month, depression scores were reduced up to 12 months after the treatment was completed and depression scores were reduced in the day after the first psilocybin session.

290
Q
  1. Is the therapeutic relationship important in psilocybin therapy trials for people with depression?
A

Yes.

291
Q
  1. What function does the amygdala serve in the brain?
A

Valence representation.

292
Q
  1. What circuit is involved in fear extinction?
A

Amygdala infralimbic circuit.

293
Q
  1. Psilocybin acute effects on emotional stimulus perception include:
A

Reduced sensitivity to fearful stimuli.

294
Q
  1. Psilocybin acute effects on amygdala to fearful stimuli include:
A

Reduced amygdala reactivity to fearful stimuli.

295
Q
  1. Enduring effects of psilocybin on amygdala function include:
A

Reduced amygdala reactivity 1 week after psilocybin therapy.

296
Q
  1. What is the potential therapeutic significance of psilocybin effects on amygdala circuitry?
A

Antidepressant effects of psilocybin may result from enduring changes to amygdala-prefrontal circuits implicated in fear learning and fear extinction.

297
Q
  1. Demoralization in palliative care patients is characterized as:
A

Hopelessness, existential distress and meaninglessness.

298
Q
  1. Features of mystical experience as characterized by the mystical experience questionnaire include:
A

Unity, transcendence and ineffability.

299
Q
  1. The clinical phases and proper sequence of the psychedelic treatment model are:
A

Preparation, medication session and therapeutic integration.

300
Q
  1. Scientific findings of the NYU 2016 psilocybin trial with cancer patients demonstrated a reduction in demoralization and hopelessness.
A

True.

301
Q
  1. The clinical drug dosing model of the 2016 clinical trials and treatment model with patients with advanced cancer is:
A

Psychedelic dose-moderate to high dose.

302
Q
  1. The 2016 NYU and Johns Hopkins FDA clinical trials demonstrated that a reduction in depression and anxiety in cancer patients was correlated with:
A

Mystical experiences.

303
Q
  1. What neurotransmitter is psychedelic substances most similar to?
A

Serotonin.

304
Q
  1. Which theorist described the concept of mystical experience as it is applied in psychedelic research?
A

William James.

305
Q
  1. What are the four factors of the mystical experience questionnaire MEQ?
A

Unity, positive mood, transcendence of time/space, ineffability.

306
Q
  1. The majority of psilocybin participants describe their experience as among the most __________ experience of their life.
A

Meaningful.

307
Q
  1. Mystical experience scores have been shown to predict:
A

Persisting therapeutic effects.

308
Q
  1. The transformative and transpersonal components of psilocybin may ethically require:
A

Enhanced informed consent procedures.

309
Q
  1. Which psychedelic substance was most frequently studied in the treatment of alcohol use disorder (formerly called “alcoholism” in the 1950’s and 1960’s?
A

LSD.

310
Q
  1. What of the following is included in the manualized psychotherapy platform used in the 2022 randomized controlled trial of psilocybin assisted therapy for alcohol use disorder?
A

Motivational Interviewing.

311
Q
  1. A euphoric experience is required for psilocybin to catalyze a long term reduction in problematic drinking behaviors.
A

False.

312
Q
  1. In the 2022 randomized controlled trial of psilocybin assisted therapy for alcohol use disorder, the spiritual experiences participants had were always aligned with their own faith tradition.
A

False.

313
Q
  1. Reaching beyond the “set and setting” Betty Eisner described the concept of “matrix” which she described as the:
A

Larger environment surrounding the participant before and after the dosing session.

314
Q
  1. Which of the following are NOT TRUE regarding the diversity of social locations represented in psilocybin research?
A

Individuals from diverse social locations are well represented in psilocybin research.

315
Q
  1. Indigenous, ritualized use of psilocybin mushrooms in Mexico is:
A

Currently practiced by 12 ethnic groups.

316
Q
  1. The Mazatec ceremonial use of sacred mushrooms in veladas is employed to:
A

Cure serious illness, for divinatory purposes, to commune with deities, to locate missing people, objects and animals.

317
Q
  1. Chjota Chjine, the local, Mazatec name for “shaman” can be translated as:
A

He/She who knows.

318
Q
  1. Mazateca practices involving psychoactive plants and fungi can be described as:
A

None of the above.

319
Q
  1. Sacred mushrooms could be best described within Mazatec conceptions as:
A

Subjects or interlocutors with personhood and agency.

320
Q
  1. Intellectual property patents related to psilocybin-assisted therapy in the global north:
A

Entail Western cultural categories and definitions which might be incompatible with Mazatec ones.

321
Q
  1. Psychedelic-assisted psychotherapy research sessions that take place in comfortable and non-clinical living room-like facilities can be traced back to:
A

Early psychedelic research studies with alcoholics in Canada.

322
Q
  1. Dr. Bossis considers __________ according to Dr. Bossis for those who sit with a participant undergoing a psychedelic journey.
A

There is no best term.

323
Q
  1. Which of the following is important for a sitter to be aware of when guiding someone through a psychedelic journey?
A

Capacity for presence, personal equanimity, personal situations that are presently affecting them, if they are having a bad day.

324
Q
  1. Which 20th century psychoanalyst does Dr. Bossis quote here in relation to being a sitter during a psychedelic journey: “the purest form of listening is to listen without memory or desire.”
A

Wilfred Bion.

325
Q
  1. Dr Richard notes that the structure, not the content, of music played during a psychedelic journey is what matters.
A

True.

326
Q
  1. In any given session, a participant undergoing a psychedelic journey may show up as a:
A

Newborn child, rebellious adolescent, confused adult, enlightened spiritual master.

327
Q
  1. Which of the following is true about the history of MDMA as an adjunctive tool to psychotherapy?
A

The DEA designated MDMA as a Schedule 1 substance in 1985.

328
Q
  1. In terms of physiological effects, MDMA activates the:
A

Sympathetic nervous system.

329
Q
  1. The window of tolerance model as a possible mechanism of MDMA-AT for PTSD posits that:
A

Some fear activation is necessary for trauma therapies to be effective.

330
Q
  1. Which of the following is not characteristic of the therapeutic approach of the MDMA-AT:
A

Homework assignment by therapists in preparation sessions.

331
Q
  1. The protocol of the Phase 3 clinical trials of MDMA-AT for PTSD includes all of the following except:
A

Initial MDMA dose of 150mg.

332
Q
  1. The results of the Part 1 of the Phase 3 clinical trial of MDMA-AT for PTSD showed that:
A

There were no major safety issues in the MDMA-AT arm of the study.

333
Q
  1. Participants can expect various physical effects of the MDMA which include:
A

Jaw tension, dilated pupils, cold feet, headaches.

334
Q
  1. When we explain MDMA in preparatory sessions, we classify it as an entactogen or empathogen rather than a classis psychedelic:
A

True.

335
Q
  1. What are examples of necessary touch with MDMA-therapy?
A

Touch on shoulder and holding someone up to escort them to the bathroom.

336
Q
  1. MDMA therapy does not include the support system of the participant since the focus is on individual therapy.
A

False.

337
Q
  1. Therapists introduce the participant to the Night Attendant in:
A

Preparatory session 2 visit.

338
Q
  1. Music is used as an adjunct in MDMA therapy because it provides the participant with:
A

Reduced distractions, ability to connect to the inner healing intelligence within, staying connected to their emotions and can support the expression of non-verbal communication.

339
Q
  1. What is the definition of somatics?
A

The body as perceived from within by first-person perception.

340
Q
  1. Which of the following are Hakomi principles?
A

Mindfulness and organicity.

341
Q
  1. Which of the following is not a principle of somatics?
A

Somatics deals with internalizing an appropriate body image.

342
Q
  1. As it relates to Somatic Processing, the principle of organicity does not refer to:
A

The importance of loving presence in the therapeutic process.

343
Q
  1. The principles of Hakomi:
A

Support a sense of Presence conducive to experiential psychotherapy.

344
Q
  1. Gendlin’s expansion of the somatic view:
A

Includes the totality of inner experience.

345
Q
  1. Core components of the therapeutic process in MDMA-assisted psychotherapy involves:
A

An integrative therapy, inner directed approach, inner healing intelligence.

346
Q
  1. MDMA in the context of MDMA-Assisted Psychotherapy is thought to most often _______ the window of tolerance for individuals undergoing the treatment.
A

Expand.

347
Q
  1. Despite the fact that the therapeutic model is largely driven by the individual’s own process (inner healing intelligence), therapeutic interventions can be helpful and appropriate when the individual:
A

Can’t find available options, appears clearly outside their window of tolerance.

348
Q
  1. It’s very important to emphasize to a client/individual who is involved in MDMA-assisted therapy that the course of healing is often:
A

Non-linear.

349
Q
  1. A client is most often in need of help in a dosing session:
A

When their dissociation involves complete disconnection.

350
Q
  1. A therapist can do the following things to allow the “unfolding” of an individual’s healing process EXCEPT:
A

Come to the session with a clear agenda.

351
Q
  1. Demonstrating authentic relationship & genuine interest can support therapeutic alliance in MDMA-assisted therapy sessions-
A

True.

352
Q
  1. Which of the following is not a foundational component of therapeutic alliance?
A

Sharing mutual interests and perspectives.

353
Q
  1. Two important dimensions of the therapeutic relationship that impact therapeutic alliance and trust between clients and practitioners are:
A

Therapist level of empathic presence and client level of therapeutic trust.

354
Q
  1. Which of the following responses is not beneficial when responding to a client’s experience of rupture?
A

Naming the rupture as transference.

355
Q
  1. The container is the holding space for the therapeutic process, made up of therapeutic relationship, presence, safety, boundaries, and intention and should be aligned with the client’s culture, identities and belief system-
A

True.

356
Q
  1. Who holds inherent power in the client/therapist relationship and is therefore responsible for maintaining the overall safety of MDMA-assisted therapy sessions?
A

The practitioner.

357
Q
  1. For a new therapist, the initial key to working well in a co-therapy pair is:
A

Spending time getting to know the therapist you are paired with.

358
Q
  1. By working in a therapy pair, the risk of ethical breaches can be eliminated:
A

False.

359
Q
  1. When participants access their child parts, parental countertransference is frequently activated, and therapists should be alert to how their responses may be subtly or markedly different from one another.
A

True.

360
Q
  1. When a participant is upset with one therapist in the pair and asks for the therapist to be removed:
A

Both therapists should work to explore with the participant what is the nature of the problem, both therapists should discuss the situation with a consultant-supervisor to get help with a difficult situation so as to understand the rupture. The therapist in question should try to repair the rupture—all of the above.

361
Q
  1. If your co-therapist is working with a participant in a way that you don’t understand:
A

Have faith that they have a good reason, hold a beginner’s mind of curiosity and wait if you feel that they are working with the participant in a way that is inappropriate, say something.

362
Q
  1. In a well functioning co-therapy pair:
A

The pair takes time to debrief and are both supportive and willing to bring up difficult questions about choice points in the session under review and the pair are learning from one another as well as from the participant in a form of peer supervision.

363
Q
  1. There are _____ integrations sessions in the MAPS MDMA-Assisted Therapy protocol.
A

9.

364
Q
  1. It is important to begin an integration session:
A

Open-ended.

365
Q
  1. Unlike MDMA experiential sessions, MDMA assisted therapy integration sessions are not client centered by instead are driven by the therapist.
A

False.

366
Q
  1. MDMA Assisted therapy integration session themes include:
A

Application and anchoring of benefits, normalization, and navigating relational issues.

367
Q
  1. Inquiring about the participants ________ experience during the integration session can help the participant access and process emotions.
A

Somatic.

368
Q
  1. It is important to remind participants of the ______ nature of integration, and that their healing process will continue after treatment termination.
A

Ongoing.

369
Q
  1. Intergenerational trauma:
A

Can represent both adaptive and maladaptive responses.

370
Q
  1. Which of the following is true?
A

A BIPOC experience PTSD and other mental health challenges at higher rates than other ethnic groups but access therapy at lower rates.

371
Q
  1. Although they stand to benefit from MDMA-Assisted therapy, there is a strong stigma associated with MDMA assisted therapy for BIPOC due to historical factors such as:
A

Past abuses in healthcare and research settings, the legacy of the War on Drugs, Mass Incarceration.

372
Q
  1. When encountering a BIPOC patient for the first time, a white MDMA Assisted Therapist should:
A

Work on developing a bedrock of trust and safety in the therapeutic relationship.

373
Q
  1. According to the research of Monnica Williams and colleagues, the four symptom clusters of racial trauma include:
A

Reexperiencing the event, avoiding trauma reminders, heightened arousal and hyper-vigilance resulting in psychological distress and impaired functioning.

374
Q
  1. The three levels of cultural humility referred to in this training are:
A

Personal, interpersonal, collective.

375
Q
  1. Meyer’s (2013) Minority Stress Model:
A

Suggests that minorities often develop strategies that mitigate the stressful effects of stigma, prejudice and discrimination including developing communities of support generating communal pride in their minority identities, and engaging in communal activism to challenge discrimination. It also posits that stigma, prejudice, and discrimination create a hostile and stressful social environment that may cause mental health problems for minority populations.

376
Q
  1. One of the effects of experiencing stigma, bias, and discrimination from society is:
A

Denying oneself full expression of one’s sexual orientation and gender identity, judging and holding prejudice against people who hold similar gender identities or sexual orientations, assuming that other’s will judge, be biased against, or become hurtful or rejecting if one’s sexual orientation or gender identity are expressed or disclosed.

377
Q
  1. The statement below that best describes one of the primary reasons provided by the Mithoefers for why research participants in the early MDMA-AT trials may not have discussed their sexual orientation or gender identity with the investigators is:
A

Due to lack of awareness and common approaches to mental health practice, investigators may not have invited conversations about how discrimination based on the participant’s sexual orientation and gender identity may have impacted their trauma.

378
Q
  1. From the list below, which of the following questions from an intake assessment may be experienced as exclusionary by some LGBTQIA+ participants?
A

Legal name, sex at birth, mother/father’s information.

379
Q
  1. A possible example of an LGBTQIA+ affirming approach used is MDMA-AT is:
A

A practitioner asking a participant who is talking about younger parts of self what gender those parts are or what pronouns the parts use. A practitioner socially locating themself and encouraging discussion about power differentials if practitioner holds identities that have social privilege that the participant does not have based on the participant’s social location. A practitioner asking participants about significant relationships in the participant’s life and not assuming that the participant only has one significant partner/spouse or that the participant defines their significant partner/spouse in romantic or sexual terms. A practitioner asking a participant how has identifying as LGBTQIA+ in a society that can be stigmatizing, prejudice, and verbally and physically threatening to anyone who is not heterosexual, cisgender, monogamous or fitting into what society has deemed socially superior or normative impacted how they have experienced the trauma for which they are seeking treatment.

380
Q
  1. Something that practitioners can do to create a more inclusive practice for LGBTQIA+ participants is:
A

Inclusive intake assessment, explicitly ask about discrimination and the impact of stigma, discuss issues of identity and power dynamics in the relationship early, affirm/center participants identities/cultures.

381
Q
  1. Harm reduction involves:
A

A focus on supporting drug users. Policies, programs and practices that aim to minimize negative health, social, and legal impacts associated with drug use. Relation to human rights.

382
Q
  1. Which of the following reflects the accurate order of support phases in psychedelic therapy?
A

Preparation, session, integration, psychotherapy.

383
Q
  1. Which of the following is a psychological use of psychedelics that is not therapy?
A

Basic psychology, pharmacology, neuroimaging.

384
Q
  1. _________ is the philosophical study of being, existence, and reality.
A

Ontology.

385
Q
  1. Classical integration to ground a client’s psychedelic experience may help to maximize the benefits of the experience.
A

True.

386
Q
  1. Which of the following is considered to be a common principle for the psychedelic therapist’s role in clinical practice?
A

None of the above.

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