Treatment Interventions

Question 1

Clinical focus early in treatment

Answer 1

1) Establishing a therapeutic alliance and enhancing motivation for treatment
2) Educate client and family about diagnosis to help accept the disorder and its impact

Question 2

ADHD interventions

Answer 2

1) Self-instruction therapy (Meichenbaum)

2) Parent training and contingency contracting
(time-out, positive reinforcement, response cost)

3) Psychiatrist for med eval

Question 3

ODD interventions

Answer 3

1) Parent training
2) Multimodal intervention strategy for conduct disorder (behavior mod and family therapy)
3) Evaluate need for residential treatment, substance abuse eval/treatment, legal consultation

Question 4

Elimination D/O interventions

Answer 4

1) Behavior mod for enuresis and encopresis (Bell and pad)
2) Parent education
3) Medical eval
4) Psychiatrist for med eval

Question 5

Dementia interventions

Answer 5

1) Support and coping strategies for patient/family
2) Neuropsych eval
3) Psychiarist for med eval to help with associated anxiety, depression
4) Medical eval and ongoing medical care
5) Structured programs (adult daycare)
6) Caregiver’s support group
7) FInancial counseling, medicare resources

Question 6

Substance abuse/dependence interventions

Answer 6

1) Abstinence based approach to treatment
2) 12 step groups for patients and family members
3) Medical eval and treatment
4) Neuropsych eval to assess cog deficits
5) Psychiatrist for med eval
6) Social services (Obtaining SSI)

Question 7

Alcohol interventions

Answer 7

1) Community reinforcement approach
2) Cue exposure treatment
3) Project CALM (behavioral marital therapy plus disulfiram)
4) Social skills training

Question 8

Cocaine interventions

Answer 8

1) Behavior therapy

2) CBT relapse prevention

Question 9

Opiate interventions

Answer 9

1) Brief dynamic therapy

2) Cognitive therapy

Question 10

Benzodiazepine interventions

Answer 10

CBT

Question 11

Nicotine interventions

Answer 11

Multi-component CBT with relapse prevention for smoking cessation

Question 12

Schizophrenia interventions

Answer 12

1) Family interventions
2) Social skills training
3) Supported employment
4) Relapse prevention, family therapy focused on limiting negative emotions expressed in the family, med management)

Question 13

Major depression interventions

Answer 13

1) Behavior therapy
2) Cognitive therapy
3) Interpersonal therapy
4) Brief dynamic therapy
5) Self-control therapy
6) Social problem-solving therapy
7) Cognitive therapy for geriatric patients
8) Reminiscence therapy for geriatric patients
9) Med eval, hospitalization for acute episodes

Question 14

Bipolar I Interventions

Answer 14

1) Behavioral interventions to improve impulse control, such as role-playing, behavioral rehearsal, and role reversal
2) Psychiatrist for med eval and treatment

Question 15

Generalized anxiety D/O interventions

Answer 15

Adults: CBT, worry exposure, relaxation training, worry behavior prevention, time management, and problem solving; Applied relaxation

Children: CBT for anxious children, Family anxiety management training

Psychiatric referral for meds

Referral for medical eval

Question 16

OCD interventions

Answer 16

1) Exposure with response prevention
2) Cognitive therapy
3) Relapse prevention
4) Psychiatrist for med eval and treatment

Question 17

Panic/Agoraphobia/Specific phobia/ Social phobia Interventions

Answer 17

Panic: CBT, Applied relaxation

Agoraphobia: Exposure; couples communication training adjunctive to exposure

Specific phobia: Exposure/guided mastery, systematic desensitization

Social phobia: Exposure, CBT, systematic desensitization

Question 18

PTSD interventions

Answer 18

1) Stress inoculation training (Miechenbaum)
2) Exposure treatment
3) EMDR
4) Cognitive processing therapy (CPT)
5) PTSD support groups
6) Psychiatrist for med eval and treatment

Question 19

Pain disorder intervention

Answer 19

1) Stress inoculation training for coping with stressors
2) Behavior therapy for headaches
3) Multi-component CBT for pain associated with rheumatic disease
4) CBT adjunctive to physical therapy for chronic pain
5) CBT for chronic low back pain
6) EMG biofeedback for chronic pain
7) Multi-component CBT for IBS, Sickle cell
8) Multi-component operant-behavioral therapy for chronic pain
9) Thermal biofeedback for Reynaud’s syndrome
10) Thermal biofeedback plus autogenic relaxation training for migraines

Question 20

Sexual D/O interventions

Answer 20

1) Masters and Johnsons sex therapy for female orgasmic dysfunction
2) Zimmer’s combined sex and marital therapy for female hypoactive sexual desire
3) Hurlbert’s combined treatment approach for female hypoactive sexual desire
4) Bibliotherapy

Question 21

Eating disorder interventions

Answer 21

1) CBT for bulimia
2) IPT for bulimia
3) CBT for binge eating disorder
4) Behavior therapy for obesity
5) Hypnosis as an adjunct to CBT for obesity
6) Medical eval, Dental eval, Nutritional counseling, Psychiatrist for med eval, inpatient hospitalization, self-help groups

Question 22

Sleep disorder interventions

Answer 22

Sleep hygiene, relaxation techniques, restructuring cognitions, med management

Med eval (sleep lab), Psychiatric eval for meds, substance abuse eval

Question 23

Impulse control D/O interventions

Answer 23

1) Self-monitoring
2) Relapse prevention strategies of identifying triggers and creating plan to deal with triggers
3) Medical eval
4) Psychiatric eval
5) Self-help groups

Question 24

Personality D/O interventions

Answer 24

1) DBT for Borderline
2) Short-term, skills focused therapy is useful for improving psychosocial functioning and other specific symptoms of the personality disorders
3) Psychiatrist for med eval
4) Substance abuse tx
5) Self-help groups
6) Inpatient to stabilize acute episodes

Question 25

Marital discord interventions

Answer 25

1) Behavioral marital therapy
2) Emotionally focused couples therapy
3) Insight-oriented marital therapy

Question 26

Sex offenders

Answer 26

Behavior mod for sex offenders