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Psychopathology > Psychopathology MIDTERM Summer 2020 > Flashcards

Psychopathology MIDTERM Summer 2020 Flashcards

1
Q

T/F: Counselors should never develop a safety plan with a client exhibiting suicidal ideation.

A

False

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2
Q

Involuntary or intentional passage of fecal matter into inappropriate places, such as clothing or onto floors, is:

A

Encopresis

At least once per month for three months
Age 4 or older
With/Without constipation and overflow incontinence

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3
Q

Name the disorder: Recurrent episodes of binge eating, with recurrent inappropriate compensatory behaviors in order to prevent weight gain, at least once a week for 3 months

A

Bulimia Nervosa

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4
Q

The neurotransmitter responsible for wakefulness and alertness is (it impacts the limbic (emotion) system and frontal lobes (cognition):

A

Norepinephrine

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5
Q

Medication(s) recommended for Eating Disorders include:

A

Anorexia Nervosa (In maintenance phase):

  • TCAs
  • Fluoxetine (Prozac)
  • Atypical Antipsychotics (for delusional beliefs)

Bulimia Nervosa

  • Fluoxetine (Prozac)
  • Ondansetron (Zofran) and topiramate (Topamax)

Binge Eating Disorders
- Lisdexafetamine (Vyvanse) [Others are not yet confirmed]

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6
Q

A disorder that includes preoccupation with having or acquiring a serious illness

A

Illness Anxiety Disorder

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7
Q

What are some treatment constraints within the managed care system?

A

Accrediting bodies and state-level governing bodies and agencies

Agency Settings and Available Services

Diagnosis and Reimbursement

Payer Source, Session Number, and Service Restraints

Treatment Teams - MDs, psychiatrists, social workers, and behavioral specialists that have different convictions about what the client needs

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8
Q

A mnemonic for both Suicidal and Homicidal Ideation assessment is:

A

SIMPLE STEPS

S = Suicidal
I = Ideation
M = Method 
P = Perturbation
L= Loss
E = Earlier Attempts 
S = Substance Use 
T = (Lack of) Troubleshooting Skills
E = Emotions / Diagnosis
P = (Lack of) Protective Factors 
S = Stressors and Life Events
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9
Q

Disorders within Obsessive-Compulsive and Related Disorders include:

A

Obsessive-compulsive Disorder

Body dysmorphic Disorder

Hoarding Disorder

Trichotillomania Disorder

Excoriation Disorder

Substance/medication-induced Obsessive-compulsive and related Disorder

Obsessive-compulsive and related Disorder d/t another medical condition

Other Specified OCRD

Unspecified OCRD

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10
Q

An example of a TCA drug is:

A

Norpramin
Elavil
Anafranil
Tofranil

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11
Q

The group of disorders typically diagnosed during infancy or early childhood is:

a) Feeding Disorders
b) Eating Disorders
c) Both Feeding and Eating Disorders
d) None of the above

A

a) Feeding Disorders

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12
Q

Treatment strategies for dissociative disorders include:

A

Accurate assessment of disorder (various scales)

Dissociative Identity Disorder:
Phase-oriented approach

Dissociative Amnesia and Depersonalization/Derealization:
Sequential treatment: Symptom regulation and narrative therapy

Dissociative Amnesia:
Mindfulness-based therapy (MBT)

Depersonalization/Derealization:
Eye Closure, Eye Movements (ECEM)

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13
Q

The neurotransmitter that hyperpolarizes cells to restrict signal transmission is:

A

Glycine

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14
Q

A disorder including one or more symptoms of altered voluntary motor or sensory function

A

Conversion Disorder

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15
Q

Some contraindications for SSRI antidepressants are:

A

NSAIDs

Antiplatelets

Schizophrenia and psychosis drugs

Lithium

bipolar disorder and in a manic phase, although they can be useful for depressive phases

a bleeding disorder, such as hemophilia

type 1 diabetes or type 2 diabetes

epilepsy unless well-controlled

narrow angle glaucoma

serious kidney, liver or heart problems

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16
Q

The neurotransmitter that increases neurotransmission by lowering the threshold for neural excitation is:

A

Glutamate

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17
Q

T/F: Fluoxetine (Prozac) can be used to treat Anorexia Nervosa during a client’s weight-restored/maintenance phase.

A

True

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18
Q

A drug that decreases the availability or action of a neurotransmitter is:

A

Antagonist

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19
Q

Some treatment strategies for somatic symptom and related disorders include:

A

Brief Psychodynamic Therapy

CBT and Affective-CBT

Mindfulness-Based Therapy

Exposure-Based Therapy

Transcranial Magnetic Stimulation (TMS)

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20
Q

The classification of drug used to treat psychotic features is:

A

Antipsychotic

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21
Q

Name the term: Symptoms may occur when a drug is abruptly discontinued after tolerance or dependence has been built

A

Withdrawal

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22
Q

A drug that increases the availability or action of a neurotransmitter is:

A

Agonist

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23
Q

A SMART goal is:

A 
Part of the A (Aim) of I CAN START.
Specific
Measurable
Achievable
Realistic
Timeboxed
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24
Q

The four phases of neurotransmission are:

A

Stimulation
Rising
Peak and Falling
Undershoot and Refactory

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25
Q

Name the term: One drug significantly enhances the effect of another drug (ex: alcohol and sedatives)

A

Synergism

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26
Q

Medications which alter one’s mental state are called:

A

Psychotropics

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27
Q

What are some gray areas for counselors creating and implementing treatment plans?

A

Legislation makes reimbursement possible, but counselors have to keep up with bureaucratic documentation and record keeping.

In order for clients to be reimbursed, counselors must prove that the clients needed the treatment, which can be subjective. This increases the demand for assessment, diagnosis, and the proof of treatment outcomes.

With reimbursement possible, managed care companies require an authorization for services.

Counselors have to navigate third-party payer expectations.

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28
Q

The elements of I CAN START are:

A 
I = Individual Counselor
C = Contextual Assessment
A = Assessment and Diagnosis
N = Necessary Level of Care
S = Strengths
T = Treatment Approach
A = Aim and Objectives of Treatment
R = Research-Based Intervention
T = Therapeutic Support Services
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29
Q

GABA, Serotonin, and Norepinephrine are examples of:

A

Neurotransmitters

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30
Q

Repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rigid rules

A

Compulsions

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31
Q

A “contract for safety” is:

A

A no-suicide contract where the client agrees not to kill himself or herself for a period of time.

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32
Q

Inappropriate elimination of urine into bedding or clothing is:

A

Enuresis

At least twice per week for three consecutive months
Nocturnal, diurnal, and both
Can affect 19% of 5-12 yo
Primarily genetic and biological

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33
Q

What are some of the accrediting bodies, state-level governing bodies and agencies?

A

Commission on Accreditation of Rehabilitation Facilities (CARF)
Joint Commission International (JCO)
Council on Accreditation (COA)

**In order to maintain accreditation from these nonprofits, counselors must adhere to their standards of care and meet the criteria for effective treatment

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34
Q

Possible diagnoses where similar symptoms have been observed is called:

A

Differential diagnosis

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35
Q

Name the disorder: Repeated regurgitation of food over a period of at least 1 month. Regurgitated food may be re-chewed, re-swallowed, or spit out

A

Rumination Disorder

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36
Q

Alteration in perception or experience of the external world so that it seems unreal. Also feeling “flat” as if one’s environment lacks in spontaneity, emotional coloring, and depth. What is happening around is not real.

A

Derealization

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37
Q

Persistent difficulty discarding or parting with possessions, regardless of their actual value, is:

A

Hoarding disorder

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38
Q

In the Contextual Assessment of I CAN START, the three contexts that should be considered are:

A
  • Intrapersonal context (Attachment, development, personality, etc.)
  • Interpersonal context (Microsystem → Chronosystem, people interacting with one another)
  • Superordinate context or social identities (Age, gender, race, etc.)
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39
Q

What legislation led to our current managed care system?

A

Mental Health Parity and Addiction Equity Act of 1996

Patient Protection and Affordable Care Act (2010)

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40
Q

Types of medications that can be used to treat comorbid symptoms seen in dissociative disorders include:

A

Mood stabilizers
Antianxiety / Anxiolytics
Some antidepressants and opioid antagonists have been found to be helpful

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41
Q

Treatment strategies for Feeding Disorders include:

A

Primarily behavioral interventions (e.g., Diaphragmic breathing and distraction, self-regulation/monitoring) and environmental structuring

Family counseling and parenting training

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42
Q

Suggestions for working with people from other cultures.

A

Be aware of the limitations of the DSM

Conduct thorough and sensitive cultural assessments

Be aware of your personal and professional biases

Collaborate with other culturally sensitive professionals and your clients in diagnosis and treatment

Practice contextual sensitivity (as prescribed by the ACA Code of Ethics)

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43
Q

Recurrent and persistent thoughts, urges, or images that are experienced as intrusive and unwanted

A

Obsessions

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44
Q

Elements of the T in I CAN START. (Therapeutic Support Services)

A

Case management, support groups, sponsor, nutritionist, occupational therapist, social worker, etc
Includes psychopharmacology

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45
Q

Specifiers of several obsessive-compulsive disorders, with regards to insight, are:

A

Good or fair insight

Poor insight

Absent insight/delusional beliefs

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46
Q

A disorder including falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception

A

Factitious Disorder

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47
Q

Recurrent pulling out of one’s hair, resulting in hair loss

A

Trichotillomania

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48
Q

Choose the best response: The difference between an agonist and an antagonist in pharmacological medications is:

a. Agonists support action; antagonists block action
b. Agonists are made within the body; antagonists are made outside of the body
c. Agonists block action; antagonists support action
d. Agonists are neurotransmitters that go directly to the brain; antagonists go directly to vital organs related to psychological responses

A

a. Agonists support action; antagonists block action

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49
Q

Some contraindications for medications used to treat elimination disorders are:

A 
overactive thyroid gland
schizophrenia
manic-depression
suicidal thoughts
alcoholism
alcohol intoxication
serotonin syndrome
a type of disorder with high serotonin levels
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50
Q

The three areas of the DSM are:

A

Section I: DSM-5 Basics
Section II: Diagnostic Criteria and Codes
Section III: Emerging Measures and Models

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51
Q

Elements of the C in I CAN START. (Contextual Factors)

A

Client’s intrapersonal and interpersonal characteristics, demographics

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52
Q

I CAN START is:

A

A model containing the elements to construct a comprehensive, strengths-based treatment plan.

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53
Q

One or more somatic symptoms that are distressing or result in significant disruption of daily life.

A

Somatic Symptom Disorder

Typically more than 6 months

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54
Q

Intimate Partner Violence is:

A

Physical, sexual, or threatened abuse that is perpetuated by current or former romantic partner

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55
Q

Name the term: Enhancement of a drug’s effects through interaction with another drug (ex: stimulants and antidepressants)

A

Potentiation

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56
Q

DSM stands for:

A

Diagnostics and Statistical Manual of Mental Disorders

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57
Q

A psychiatrist can assess that a client has begun to build a tolerance for a drug when…

A

…higher doses of a medication are required to maintain the same effects

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58
Q

T/F: In homicidal clients, you must document the discussion, develop a safety plan in cases of lower risk, and consult with peers or supervisors

A

True

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59
Q

Name the term: When the body requires a greater amount to produce the desired effect

A

Tolerance

60
Q

An example of an antipsychotic drug is:

A

Zyprexa
Haldol
Thorazine
Risperdal

61
Q

Fowler’s three core principles are:

A

A way to build a bridge for discussing client needs when planning for intervention.

The principles include:

  • alliance building
  • enhancing curiosity about the function of suicidal thoughts and urges
  • enhancing experience and expression of intense emotions
62
Q

The classification of drug used to treat various anxiety disorders is:

A

Antianxiety / Anxiolytic

63
Q

The neurotransmitter that functions in the central nervous system with memory, learning, behavioral arousal, attention, mood, rapid eye movement AND an lead to muscle contraction in the peripheral nervous system is:

A

Acetylcholine

64
Q

Medications that may be used to treat somatic symptom disorders include:

A

Antidepressants (TCAs, SSRIs, and SNRIs seem to be somewhat effective)

65
Q

Name the term: Mental and biochemical response to a non-present drug intervention “as if” the drug were present

A

Placebo response

66
Q

Medications that may be used to treat enuresis are:

A

Desmopressin (DDVAP)
Physically contain urine for a longer time

Imipramine / Tofranil (TCA)
For encopresis as well

67
Q

The neurotransmitter which is more active in the peripheral nervous system and regulates fight or flight response is:

A

Epinephrine / Adrenaline

68
Q

A break in how the mind handles information. Disconnecting from thoughts, feelings, memories, and surroundings. Can affect sense of identity and perception of time.

A

Dissociation

69
Q

Key features of somatic symptom and related disorders include:

A

All share the “prominence of somatic symptoms associated with significant distress and impairment”

Usually diagnosed in primary care systems

Focus is on the presence of symptoms vs. lack of medical explanation

70
Q

The classification of drug used to treat Major Depressive Disorder is:

A

Antidepressant

71
Q

What is managed care?

A

Approach to delivering and financing health care that seeks to control costs, as well as ensure the quality and consistency of care provided to clients.

72
Q

Common features of elimination disorders include:

A

Inappropriate elimination of urine or feces

Not due to a medical condition

Typically diagnosed during childhood and adolescence

Focus is on developmental age rather than biological age

Can be intentional or involuntary

73
Q

Name the disorder: Recurrent episodes of binge eating, at least once a week for 3 months

A

Binge-Eating Disorder

74
Q

Elements of the I in I CAN START. (Individual)

A

Counselor’s characteristics (personal and professional)
Transference & Countertransference
Experience and scope of practice

75
Q

Elements of the R in I CAN START. (Research-based Interventions)

A

Grounded on theoretical framework and aims / objectives

76
Q

Name the disorder: Restriction of energy intake relative to requirements, leading to significantly low body weight in the context of age, sex, development trajectory, and physical health

A

Anorexia Nervosa

77
Q

The normative development of control over bladder and bowel movements is referred to as:

A

Normative toilet training

78
Q

T/F: We are legally and ethically required to report child abuse

A

True

79
Q

A disorder NOT listed under the category of Feeding and Eating Disorders is:

a) Pica
b) Rumination Disorder
c) Obesity
d) Anorexia Nervosa

A

c) Obesity

80
Q

T/F: There is one specific etiology for suicidal ideation

A

False

81
Q

Sasha reads the information packet for her new prescription of Zoloft (sertraline). Zoloft is classified as an antidepressant. What should Sasha expect to see under the medication’s indication?

a. “Many users of Zoloft might also like to try Cymbalta or any other of our fine products!”
b. “Zoloft is indicated to relieve symptoms related to depression and major depressive disorders”
c. “Zoloft should not be taken if the user drinks more than 5 alcoholic beverages daily”
d. “One side effect of Zoloft is indicated for dizziness and increased anxiety”

A

b. “Zoloft is indicated to relieve symptoms related to depression and major depressive disorders”

82
Q

Terrance, a 44 year old African American man, mentions that he has had issues discussing his adolescent experiences with his father to his son. He notes that the stories have faded away from his memory “as if they were never really there”. He also notes that, when walking with his son around his childhood neighborhood, Terrance began to wander off away from the place where his old house once stood.

Terrance notes feeling upset every time his son asks him about his father, causing him to pull away from his child. He has no history of drug use and is “fit as a fiddle” according to his doctor.

What diagnosis might you offer Terrance?

a. F44.0 Dissociative Amnesia
b. None of the Above
c. F44.1 Dissociative Amnesia, with dissociative fugue
d. F20.81 Schizophreniform Disorder

A

c. F44.1 Dissociative Amnesia, with dissociative fugue

83
Q

Potential issues with a “contract for safety” include:

A

a) The client may believe that the counselor is only concerned with protecting himself or herself from legal action
b) The contract may inadvertently silence clients; they may feel discouraged, embarrassed, or ashamed if they do experience suicidal ideation
c) The term “contract” implies a legally-binding agreement
d) The document may inadvertently lead counselors to believe they are legally protected against malpractice when no such protection exists

84
Q

Elements of the A in I CAN START. (Assessment & Diagnosis)

A

Testing, data collection, intake form / interview
Mental Status Examination
Referral

85
Q

Some therapeutic interventions for obsessive-compulsive disorders include:

A

ALL DISORDERS:
Cognitive Behavioral Therapy (CBT), including approaches such as Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), Mindfulness-Based Cognitive Therapy (MBCT)

OCD / Body Dysmorphic:
Group work:
Exploring the experiences with others facing similar symptoms

Body Dysmorphic:
Inference-Based Therapy:
Cognitive Based; Addresses faulty inferences of self to expose their overvaluation to the client

Trichotillomania / Excoriation:
BT: Habit-reversal training
Stimulus control

Trichotillomania:
DBT for emotion regulation

86
Q

T/F: We are not legally required to report IPV unless the client is in imminent risk of harm

A

True

87
Q

Some potential indicators of client suicidality are:

A

a) past suicide attempts
b) substance abuse
c) impulsivity
d) hopelessness
e) loss of control
f) aggressiveness
g) thoughts of suicide
h) presence of a mental health disorder

88
Q

Treatment strategies for elimination disorders include:

A

Ruling out a medical issue

Behaviorist interventions (enuresis alarms)

Toilet education and training (encopresis)

Nutritional changes (encopresis)

Play therapy

89
Q

Disorders included in the Elimination Disorders category include:

A

Enuresis
Encopresis
Other Specified Elimination Disorder
Unspecified Elimination Disorder

90
Q

The study of how drugs affect receptor sites, send signals, and cause some neurochemical changes (in other words, how drugs affect the body) is:

A

Pharmacodynamics

91
Q

Key risk characteristics for homicidal clients include:

A 
Lack of empathy
History of harming people or animals
Destructive behaviors
Marked disregard for social norms
History of impulsivity
92
Q

The preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others is:

A

Body dysmorphic disorder

93
Q

The five main phases once a drug enters the body are:

A

Administration: Introduction into the system
Absorption: Reception into the system
Distribution: Delivery through the system
Metabolism: Process through the system
Elimination: Removal from the system

94
Q

T/F: In IPV, client safety is the first priority

A

True

95
Q

The classification of drug used to treat ADHD is:

A

Psychostimulant

96
Q

T/F: Couples counseling and trauma-based counseling are recommended in all IPV cases

A

False, if the client remains in an unsafe situation

97
Q

An alternative to a no-suicide contract is…

A

A Commitment to Treatment Statement, which emphasizes what a client WILL do rather than what he or she WILL NOT do

98
Q

Key features of feeding and eating disorders include:

A

“Persistent disturbance of eating or eating-related behavior that results in the altered consumption or absorption of food and that significantly impairs physical health or psychosocial functioning.” (APA, 2013, p.329)

A category of disorders requiring significant collaboration with medical professionals

99
Q

An example of an antianxiety (anxiolytic) drug is:

A 
Xanax
Buspar
Valium
Ativan
Librium
Klonopin (also mood stabilizer)
100
Q

T/F: Medication is recommended for Feeding Disorders

A

False

101
Q

The letters in the mnemonic representing a client’s risk of suicide potential mean:

A 
I = Ideation
S = Substance Abuse
P = Purposelessness
A = Anxiety
T = Trapped
H = Hopelessness
W = Withdrawal
A = Anger
R = Recklessness
M = Mood Changes
102
Q

T/F: In cases of imminent danger, it is NOT recommended to engage law enforcement or to warn potential persons at risk due to confidentiality

A

False

103
Q

Culture effects…

A

How we view our clients, their behavior, and their diagnoses.

104
Q

Recurrent skin picking, resulting in skin lesions

A

Excoriation

105
Q

T/F: Pharmacokinetics deals with the movement of drugs within the body

A

True

106
Q

A disorder often connected to beliefs around weight, body shape, and appearance

A

Eating Disorder

107
Q

The neurotransmitter responsible for behavioral regulation, movement, learning, mood, and attention is:

A

Dopamine, which may have both excitatory and inhibitory effects in the brain

108
Q

The simultaneous presentation of two disorders or conditions within a client is called:

A

Comorbidity

109
Q

Deficit in memory–loss of memories, such as facts, information, and experiences–caused by brain damage, disease, trauma, or temporarily in the use of various sedatives and hypnotic drugs. Memory can be either wholly or partially lost due to the extent of damage. People with amnesia generally know who they are (although forgetting your identity is often seen in movie/television plots).

A

Amnesia

110
Q

The classification of drug used to treat bipolar disorders is:

A

Mood Stabilizer

111
Q

The function of neurotransmitters is:

A

To be the “messengers” that alert nerve and muscle cells to respond in specific ways

112
Q

The neurotransmitter that stabilizes the brain by preventing overexcitation is:

A

GABA

113
Q

Recurrent or persistent thoughts, urges or images that result in individual feeling driven to perform repetitive behaviors or mental acts is:

A

Obsessive-compulsive disorder

At least one hour a day

114
Q

The neurotransmitter responsible for managing homeostasis in the brain, as well as mood regulation, control of appetite, sleep and arousal, and pain regulation is:

A

Serotonin

115
Q

The disorders found in Feeding and Eating Disorders include:

A

Feeding:

  • Pica
  • Rumination Disorder
  • Avoidant/Restrictive Food Intake Disorder

Eating:

  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge-Eating Disorder

Other:

  • Other Specified Feeding or Eating Disorder
  • Unspecified Feeding or Eating Disorder
116
Q

Elements in the T in I CAN START. (Treatment Approach)

A

Theoretical framework for intervention

Guides treatment plan based on diagnostic data

117
Q

Name the disorder: Persistent eating of nonnutritive, nonfood substances over a period of at least 1 month.

A

Pica

118
Q

Elements of the S in I CAN START. (Strengths)

A

Available assets client holds to support positive outcomes

Includes personal, family, school, and community strengths and resources

119
Q

An example of an SNRI drug is:

A

Cymbalta
Effexor
Pristiq

120
Q

Elements of the A in I CAN START. (Aims & Objectives)

A

SMART goals and evidence of change

121
Q

The Level of Care Continuum contains:

A

4 levels: inpatient, residential, day/partial hospitalization, outpatient

122
Q

An example of a stimulant drug is:

A 
Adderall
Ritalin
Dexadrine
Vyvanse
Concerta
Focalin
123
Q

The category where “Acute Stress Disorder” is found is:

A

Trauma-Related Disorders

124
Q

Some medications used to treat OCD are:

A

SSRIs: Celexa, Prozac, Luvox, Paxil, Zoloft

TCA: Anafranil (clomipramine)

Antipsychotics such as Orap, Haldol, Risperdal used with SSRIs

125
Q

The part of I CAN START where intake, a mental status examination, etc. are conducted is:

A

A = Assessment and Diagnosis

126
Q

T/F: Dissociative disorders are a subset of Psychotic disorders

A

False

127
Q

Name the main neurotransmitters

A

First three are the “big 3”:

Norepinephrine
Dopamine
Serotonin
Acetylcholine
Epinephrine (adrenaline)
GABA
Glycine
Glutamate
128
Q

A disorder with the presence of one or more clinically significant psychological or behavioral factors that adversely affect a medical condition by increasing the risk for suffering, death, or disability.

A

Psychological Factors Affecting Other Medical Conditions

129
Q

Disorders included in the Dissociative Disorders category include:

A 
Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder
130
Q

The categories of antidepressants include (five categories):

A

TCA – Tricyclic antidepressant (oldest, around for 60 years)

MAOI – Monoamine oxidase inhibitor

SSRI – Selective Serotonin reuptake inhibitor (around since late 1980s)

SNRI – Serotonin norepinephrine reuptake inhibitor (late 1990s)

Atypical

131
Q

The mnemonic representing a client’s risk of suicide potential is:

A

IS PATH WARM

132
Q

Which of the following is NOT a domain of the Cultural Formulation Interview?

a. Cultural Definition of the Problem
b. Cultural Factors Affecting Self-Coping and Past Help-Seeking
c. Cultural Factors Affecting Current Help-Seeking
d. Receptivity to Cultural Humility within Clinician

A

d. Receptivity to Cultural Humility within Clinician

133
Q

HITS is:

A

An assessment used to detect IPV

Hurt
Insult
Threaten
Scream

134
Q

Name that disorder: Difficulty digesting food; avoidance of specific types of food textures, colors and smells; eating at an abnormally slow pace, or having a general lack of appetite. The person does not have a distorted body image.

A

Avoidant/Restrictive Food Intake Disorder

135
Q

The classification of drug used to treat insomnia is:

A

Sedative / sedative-hypnotic

136
Q

The term that means a client experiences two diagnoses with much of the same need for principal diagnosis

A

Dual Diagnosis / Comorbidity

137
Q

An example of an MAOI drug is:

A

Marplan
Nardil
Parnate

138
Q

An example of a SSRI drug is:

A 
Celexa
Zoloft
Prozac
Lexapro
Paxil
Luvox
139
Q

Some ways to document and structure steps and collaboration agreements for client care in suicidal clients include:

A
  • Strengths-based approaches
  • Contracts for Safety
  • Commitment to Treatment statements
140
Q

Terica, a licensed professional counselor, determines that her client, Drew, has demonstrated symptoms for F50.01 Anorexia Nervosa, Restricting type, Moderate, in Partial Remission. In her treatment plan, Terica acknowledges that she will work from an Interpersonal Psychotherapy framework to work towards the Aim of “promoting a 50% reduction of Drew’s anxiety towards gaining weight”. Which statement represents an appropriate intervention to address Terica’s aim?

a) Develop a list of social relationships and expectations that inspire anxiety around disordered eating and body image with Drew
b) Complete a mental status examination to assess Drew’s cognitive ability
c) Encourage Drew to return to school to further his opportunities to return to work
d) Discuss Drew’s medications with his Primary Care Physician

A

a) Develop a list of social relationships and expectations that inspire anxiety around disordered eating and body image with Drew

141
Q

Detachment within the self, regarding one’s mind or body, or being a detached observer of oneself. Subjects feel they have changed and the world has become vague, dreamlike, less real, lacking in
significance or being outside reality while looking in.

A

Depersonalization

142
Q

The disorders included within somatic symptom and related disorders are:

A

Somatic Symptom Disorder

Illness Anxiety Disorder

Conversion Disorder (Functional Neurological Symptom Disorder)

Psychological Factors Affecting Other Medical Conditions

Factitious Disorder (Including Factitious Disorder Imposed on Self, Factitious Disorder imposed on Another)

Other Specified Somatic Symptom and Related Disorder

Unspecified Somatic Symptom and Related Disorder

143
Q

The study of how an organism affects a drug (from intake to elimination) is:

A

Pharmacokinetics

144
Q

An example of a mood stabilizer drug is:

A 
Depakote
Abilify
Lithium 
Klonopin
Valproate
145
Q

Common features of dissociative disorders include:

A

“…characterized by a disruption of and/or discontinuity in the normal integration of consciousness, identity, emotion, perception, body representation, motor control, and behavior.”

Typically found following trauma experiences and can result as a protection from pain

Client often loses connection to time and reality when experiencing a dissociative fugue.

146
Q

Treatment strategies for Eating Disorders include:

A

CBT, Interpersonal psychotherapy (IPT), and Dialectical Behavior Therapy (DBT)

Psychopharmacology and medical interventions

147
Q

Elements of the N in I CAN START. (Necessary Level of Care)

A

Level of Care Continuum: (from most restrictive and intense to least restrictive and intense)
Inpatient Hospitalization
Residential Treatment
Partial Hospitalization / Day Treatment
In-Home treatment programs
Community Treatment
Depends upon patient’s needs and resources available

Psychopathology (1 decks)

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