Treatment of Psychological Disorders chp 16 exam 3 Flashcards
What is the definition of treatment of therapy?
a) Interpersonal support for psychological challenges.
b) Systematic procedures designed to change abnormal behavior into normal behavior.
c) Advice from friends or family members.
d) Connecting with others through social media.
b) Systematic procedures designed to change abnormal behavior into normal behavior.
Which of the following is NOT a key feature of therapy according to Jerome Frank?
a) A trained healer whose expertise is socially accepted.
b) The use of words, acts, and rituals between healer and sufferer.
c) A specific diet and exercise regimen.
d) A series of contacts aimed at changing the sufferer’s emotional state and behavior.
c) A specific diet and exercise regimen.
What distinguishes therapy from other factors that may contribute to recovery, such as advice or exercise?
a) Therapy is performed exclusively by friends and family members.
b) Therapy is systematic and designed to alter abnormal behavior.
c) Therapy relies solely on physical and chemical procedures.
d) Therapy does not involve interactions between individuals.
b) Therapy is systematic and designed to alter abnormal behavior.
Which statement describes biological therapy?
a) A method involving systematic communication between healer and client.
b) Use of physical and chemical procedures to address psychological difficulties.
c) The inclusion of advice and social support in treatment plans.
d) Focusing on enhancing interpersonal relationships to resolve issues.
b) Use of physical and chemical procedures to address psychological difficulties.
What is the role of clinical researchers?
a) To diagnose and treat psychological disorders directly.
b) To systematically gather information to describe, explain, and predict psychological disorders.
c) To replace clinicians in therapy sessions.
d) To exclusively study Indigenous healing practices.
b) To systematically gather information to describe, explain, and predict psychological disorders.
What is one source of disagreement among therapists, according to Carl Rogers?
a) The methods used to collect clinical data.
b) The goals, outcomes, and measures of success or failure in therapy.
c) The integration of Indigenous Elders in treatment teams.
d) The necessity of physical treatments in psychotherapy.
b) The goals, outcomes, and measures of success or failure in therapy.
How do therapists’ views on abnormality influence their terminology?
a) All therapists use the term “patient” regardless of their perspective.
b) Those viewing abnormality as an illness use “patient,” while those seeing it as a problem in living use “client.”
c) Therapists avoid using terms like “patient” or “client” altogether.
d) Indigenous therapists use “client,” while others use “patient.”
b) Those viewing abnormality as an illness use “patient,” while those seeing it as a problem in living use “client.”
What is the first essential feature of all therapies?
a) A trained therapist who uses biological treatments.
b) A sufferer who seeks help.
c) A healer who is socially accepted.
d) Regular meetings between therapists and other clinicians.
b) A sufferer who seeks help.
Who qualifies as the healer in the essential features of therapy?
a) A random individual offering advice.
b) A trained, socially accepted expert whose expertise is recognized by the sufferer and their social group.
c) Any friend or family member of the sufferer.
d) An untrained individual offering alternative treatments.
b) A trained, socially accepted expert whose expertise is recognized by the sufferer and their social group.
What is the primary goal of the series of contacts between the healer and the sufferer in therapy?
a) To establish a social relationship.
b) To monitor progress for clinical research.
c) To change attitudes, emotional states, or behaviors.
d) To connect the sufferer with other social groups.
c) To change attitudes, emotional states, or behaviors.
Which of the following is NOT one of the essential features of all therapies?
a) A sufferer who seeks help.
b) A healer who is socially accepted.
c) Regular use of medication in treatment.
d) A series of contacts aimed at achieving change in the sufferer.
c) Regular use of medication in treatment.
Why must the healer’s expertise be socially accepted?
a) To ensure societal approval for their methods.
b) To gain recognition from clinical researchers.
c) So that the sufferer and their social group trust the process.
d) To provide an explanation for abnormal behaviors.
c) So that the sufferer and their social group trust the process.
What is psychotherapy?
a) The use of medication to treat physical symptoms of psychological disorders.
b) A treatment system where a client and therapist use words and acts to overcome psychological difficulties.
c) A surgical procedure to address psychological difficulties.
d) The use of group therapy to solve interpersonal problems.
b) A treatment system where a client and therapist use words and acts to overcome psychological difficulties.
What does biological therapy involve?
a) The use of group discussions to address emotional issues.
b) The application of words and actions in therapy.
c) Physical and chemical procedures to help people overcome psychological difficulties.
d) Training in behavioral techniques to cope with stress.
c) Physical and chemical procedures to help people overcome psychological difficulties.
Which group used to outnumber the other in seeking therapy by four to one?
a) Men.
b) Adolescents.
c) Women.
d) Older adults.
c) Women.
How has men’s willingness to seek therapy changed?
a) Men are less willing to enter therapy than before.
b) Men are equally likely as women to seek therapy now.
c) Men are more willing to enter therapy than before.
d) Men still avoid therapy as much as in the past.
c) Men are more willing to enter therapy than before.
Which group tends to seek treatment for psychological problems less often?
a) Adolescents compared to adults.
b) Members of ethnic minority groups compared to the majority culture.
c) Men compared to women.
d) Older adults compared to younger adults.
b) Members of ethnic minority groups compared to the majority culture.
What impact has the reduction in stigma had on mental illness?
a) Increased awareness but no change in treatment-seeking behavior.
b) A significant reduction in stigma has encouraged people to acknowledge their mental health issues.
c) It has resulted in a complete eradication of stigma around mental health.
d) Stigma no longer plays a role in decisions about mental health acknowledgment.
b) A significant reduction in stigma has encouraged people to acknowledge their mental health issues.
making people less ashamed or embarrassed about something
Which of the following professionals conduct therapy?
a) Psychologists and school teachers.
b) Psychiatrists, counsellors, clinical social workers, and psychologists.
c) Only clinical social workers and psychiatrists.
d) Psychologists and medical doctors only.
b) Psychiatrists, counsellors, clinical social workers, and psychologists.
Where is mental health treatment typically conducted?
a) Private homes and recreational centers only.
b) Hospitals, correctional facilities, schools, and private clinics.
c) Online platforms exclusively.
d) Only in hospitals and schools.
b) Hospitals, correctional facilities, schools, and private clinics.
What is the difference between inpatient and outpatient treatment?
a) Inpatient treatment occurs at home, while outpatient occurs in a facility.
b) Inpatients receive care in a facility, while outpatients attend sessions and live at home.
c) Inpatient treatment is voluntary, while outpatient treatment is mandatory.
d) Outpatients receive more intensive treatment than inpatients.
b) Inpatients receive care in a facility, while outpatients attend sessions and live at home.
What does the Canadian Mental Health Act outline?
a) Guidelines for treating patients with physical illnesses.
b) Patient rights and conditions for involuntary admittance to hospitals.
c) Conditions under which therapy can be offered by non-professionals.
d) Procedures for transitioning from inpatient to outpatient care.
b) Patient rights and conditions for involuntary admittance to hospitals.
Which of the following is a common reason people enter therapy, according to surveys?
A) Financial problems
B) Problems with marriage, family, or job relationships
C) Physical health issues
D) For legal or court-mandated reasons
B) Problems with marriage, family, or job relationships
What percentage of Canadians is estimated to experience a mental illness in their lifetime, according to the CMHA?
A) 20%
B) 1%
C) 50%
D) 76.9%
A) 20%
Which group of people is less likely to seek mental health treatment, according to the text?
A) Women
B) Men
C) Members of ethnic minority groups
D) High-income individuals
C) Members of ethnic minority groups
What was a key barrier to seeking mental health therapy identified in the text?
A) High cost of treatment
B) Lack of awareness about mental health issues
C) Stigma associated with seeking help
D) Lack of trained professionals
C) Stigma associated with seeking help
Which of the following factors contributes to the under-use of therapy, as mentioned in the text?
A) Increased awareness of mental health
B) The social stigma associated with therapy
C) Lack of mental health professionals
D) Higher availability of government funding
B) The social stigma associated with therapy
Which of the following therapy approaches primarily focuses on improving structural or biochemical functioning?
A) Psychodynamic Approaches
B) Cognitive-Behavioural Approaches
C) Biological Approaches
D) Humanistic and Existential Approaches
C) Biological Approaches
What is a key strength of the cognitive-behavioural approach?
A) It relies on subjective therapist interpretation.
B) It has considerable research support for its application to several disorders.
C) It focuses on uncovering unconscious conflicts.
D) It primarily uses psychotropic drugs.
B) It has considerable research support for its application to several disorders.
Which therapy technique is commonly associated with psychodynamic approaches?
A) Rational-emotive therapy
B) Free association
C) Operant conditioning
D) Desensitization
B) Free association
What is a major limitation of the biological approaches to therapy?
A) They neglect the biological aspects of the client’s problem.
B) They may neglect non-biological problems of clients.
C) They are not effective for all psychological disorders.
D) They are only effective for minor disorders.
B) They may neglect non-biological problems of clients.
Which therapy approach is designed to help clients develop more functional behaviours and includes techniques like operant conditioning?
A) Psychodynamic Approaches
B) Behavioural Approaches
C) Cognitive-Behavioural Approaches
D) Humanistic and Existential Approaches
B) Behavioural Approaches
What is the goal of humanistic and existential approaches to therapy?
A) To change harmful thinking patterns to more useful ones.
B) To provide support for honest self-appraisal, self-acceptance, and self-actualization.
C) To identify and resolve unconscious conflicts.
D) To eliminate undesirable behaviours through conditioning.
) To provide support for honest self-appraisal, self-acceptance, and self-actualization.
Which of the following is a potential weakness of cognitive-behavioural approaches?
A) They ignore the effects of dysfunctional thinking.
B) They may neglect unobservable cognitive processes.
C) They overemphasize therapist interpretation.
D) They rely too heavily on psychotropic drugs.
B) They may neglect unobservable cognitive processes.
Which therapy technique is commonly used in behavioural approaches to treat phobias?
A) Free association
B) Desensitization
C) Cognitive restructuring
D) Existential analysis
B) Desensitization
A method to reduce fear by slowly exposing someone to what they are afraid of while ensuring they stay relaxed.
What trends have changed who tends to receive treatment for psychological disorders?
a) Only individuals with severe psychological disorders now seek treatment.
b) People from a broader demographic, including those with less severe issues, now seek treatment.
c) Treatment is only sought by individuals from high-income backgrounds.
d) The stigma surrounding mental health has led to a decrease in people seeking treatment.
b) People from a broader demographic, including those with less severe issues, now seek treatment.
What are the three key features common to all forms of therapy?
a) The use of medication, group sessions, and relaxation techniques.
b) A therapeutic relationship, a structured approach, and a focus on treatment goals.
c) Individual counseling, community support, and socialization activities.
d) Cognitive-behavioral techniques, long-term duration, and spiritual guidance.
b) A therapeutic relationship, a structured approach, and a focus on treatment goals.
Which of the following is the most common biological approach used in treating psychological disorders?
a) Psychosurgery
b) Electroconvulsive therapy (ECT)
c) Drug therapy
d) Hypnotherapy
c) Drug therapy
What is the primary function of psychotropic drugs in the treatment of psychological disorders?
a) To cure psychological disorders completely
b) To alter brain chemistry and reduce symptoms
c) To replace psychotherapy
d) To provide long-term behavioral conditioning
b) To alter brain chemistry and reduce symptoms
Which of the following drug groups is commonly used to reduce confusion, hallucinations, and delusions in people with psychotic disorders?
a) Antidepressants
b) Mood stabilizers
c) Antipsychotics
d) Anxiolytics
c) Antipsychotics
What is the primary use of antidepressant drugs?
a) To stabilize moods in people with bipolar disorder
b) To reduce anxiety and tension
c) To improve the mood of people who are depressed
d) To correct distorted thinking in psychotic disorders
c) To improve the mood of people who are depressed
Mood stabilizing drugs are primarily used to treat which condition?
a) Schizophrenia
b) Generalized anxiety disorder
c) Bipolar disorder
d) Major depressive disorder
c) Bipolar disorder
Which drug group helps to reduce anxiety and tension in individuals with anxiety disorders?
a) Antipsychotics
b) Stimulants
c) Anxiolytics
d) Antidepressants
c) Anxiolytics
Which of the following is NOT a common group of psychotropic drugs used to treat psychological disorders?
a) Antidepressants
b) Mood stabilizers
c) Anxiolytics
d) Hallucinogens
d) Hallucinogens
Since the 1950s, the field of psychopharmacology has significantly impacted the treatment of psychological disorders by focusing on the effects of drugs on the:
a) Endocrine system
b) Brain and behavior
c) Digestive system
d) Immune system
b) Brain and behavior
What is the primary mechanism of action for antipsychotic drugs?
A. Increasing serotonin levels
B. Blocking dopamine receptors
C. Enhancing glutamate activity
D. Reducing norepinephrine release
B. Blocking dopamine receptors
Which symptoms do classic antipsychotic drugs primarily target?
A. Negative symptoms such as apathy
B. Positive symptoms such as hallucinations
C. Symptoms of anxiety
D. Symptoms of depression
B. Positive symptoms such as hallucinations
What is a common side effect of first-generation antipsychotics?
A. Weight gain
B. Tardive dyskinesia
C. Drowsiness
D. Decreased white blood cells
B. Tardive dyskinesia
causes involuntary, repetitive movements, often of the face, tongue, or limbs. These movements can include things like lip smacking, grimacing, or uncontrollable blinking.
Which second-generation (atypical) antipsychotic drug is associated with monitoring white blood cell counts due to its side effects?
A. Quetiapine
B. Clozapine
C. Risperidone
D. Olanzapine
B. Clozapine
What is a significant advantage of second-generation antipsychotic drugs?
A. Cure for schizophrenia
B. Relief for negative symptoms
C. Elimination of all side effects
D. Reduced movement disorders
B. Relief for negative symptoms
What disorder is caused by long-term use of classic antipsychotics and involves repetitive, tic-like movements?
A. Parkinson’s disease
B. Tardive dyskinesia
C. Schizophrenia
D. Anxiety disorder
B. Tardive dyskinesia
Why do many patients discontinue antipsychotic medications?
A. They are fully cured
B. Lack of accessibility
C. Unpleasant side effects
D. Lack of effectiveness
C. Unpleasant side effects
What unintended consequence followed the deinstitutionalization of psychiatric patients?
A. Growth in community health services
B. Increased homelessness
C. Reduction in psychiatric diagnoses
D. Increased funding for mental health care
B. Increased homelessness
Which neurotransmitter systems, besides dopamine, are implicated in schizophrenia treatment?
A. Norepinephrine and acetylcholine
B. Glutamate and serotonin
C. GABA and norepinephrine
D. Acetylcholine and serotonin
B. Glutamate and serotonin
What movement disorder can first-generation antipsychotics induce?
A. Tardive dyskinesia
B. Parkinson’s disease-like symptoms
C. Akathisia
D. Epileptic seizures
B. Parkinson’s disease-like symptoms
Which of the following is an example of a first-generation antipsychotic?
A. Clozapine
B. Quetiapine
C. Chlorpromazine
D. Olanzapine
C. Chlorpromazine
Which of the following is an example of a second-generation antipsychotic?
A. Chlorpromazine
B. Clozapine
C. Haloperidol
D. Thioridazine
B. Clozapine
Which side effect is common with second-generation antipsychotics?
A. Increased dopamine levels
B. Seizures
C. Weight gain and drowsiness
D. Severe respiratory distress
C. Weight gain and drowsiness
What is a notable off-label use of some second-generation antipsychotics?
A. Treating addiction disorders
B. Treating mood, insomnia, and anxiety
C. Treating obsessive-compulsive disorder
D. Treating eating disorders
B. Treating mood, insomnia, and anxiety
What percentage of Canadians use antidepressants?
A. 11%
B. 9%
C. 7%
D. 13%
B. 9%
What conditions, besides depression, are SSRIs used to treat?
A. PTSD and schizophrenia
B. Anxiety disorders, OCD, and panic disorder
C. Bipolar disorder and dementia
D. Insomnia and ADHD
B. Anxiety disorders, OCD, and panic disorder
How do antidepressants primarily work?
A. By increasing dopamine levels only
B. By targeting serotonin and norepinephrine pathways
C. By blocking acetylcholine receptors
D. By reducing GABA levels
B. By targeting serotonin and norepinephrine pathways
What group tends to benefit most from antidepressants?
A. Those with mild depression
B. Those with moderate depression
C. Those with severe depression
D. All equally benefit
C. Those with severe depression
What was the main function of tricyclic antidepressants (TCAs)?
A. To block reuptake of serotonin and norepinephrine
B. To increase dopamine only
C. To reduce serotonin levels
D. To block acetylcholine receptors
A. To block reuptake of serotonin and norepinephrine
What was a major drawback of monoamine oxidase inhibitors (MAOIs)?
A. Increased risk of addiction
B. Severe dietary restrictions
C. Short-term effectiveness
D. High cost of production
B. Severe dietary restrictions
Which antidepressant type works by blocking the reabsorption of serotonin?
A. MAOIs
B. TCAs
C. SSRIs
D. SNRIs
C. SSRIs
MAOIs (A) prevent the breakdown of neurotransmitters like serotonin but don’t specifically block reuptake.
TCAs (B) block the reuptake of both serotonin and norepinephrine, not just serotonin.
SNRIs (D) also block serotonin reuptake but affect norepinephrine reuptake as well.
Thus, SSRIs are the most specific to serotonin reuptake.
Which second-generation antidepressant class also blocks norepinephrine reuptake?
A. SSRIs
B. SNRIs
C. MAOIs
D. TCAs
B. SNRIs
When I say SNRIs are more selective compared to TCAs, I mean that SNRIs specifically target serotonin and norepinephrine reuptake, while TCAs target serotonin, norepinephrine, and other systems, like acetylcholine and histamine. This difference affects how they work and their side effects.
What additional benefit do SSRIs have over TCAs?
A. Faster effects in one week
B. Fewer side effects and better compliance
C. Higher serotonin reuptake rates
D. No dietary restrictions
B. Fewer side effects and better compliance
SSRIs are more selective in their action, primarily affecting serotonin levels without interfering with other neurotransmitters like norepinephrine, acetylcholine, and histamine, which are impacted by TCAs.
What drug is considered for treatment-resistant mood disorders and suicidal patients due to its rapid effect?
A. Fluoxetine
B. Ketamine
C. Duloxetine
D. Amitriptyline
B. Ketamine
What is a key concern about ketamine’s use as an antidepressant?
A. Short-term effectiveness only
B. Risk of neurotoxicity and addiction
C. Lack of FDA approval
D. Poor compliance rates
B. Risk of neurotoxicity and addiction
What risk is associated with antidepressants, especially SSRIs, in children and adolescents?
A. Increased risk of cardiovascular disease
B. Heightened risk of suicide in early treatment
C. Significant weight gain
D. Dependency and withdrawal symptoms
B. Heightened risk of suicide in early treatment
This is why black box warnings are included on antidepressant medications, alerting healthcare providers and patients to monitor closely for any signs of worsening depression or suicidal behavior when starting these medications or adjusting doses.
Which class of antidepressants is most commonly used for smoking cessation and ADHD?
A. SSRIs
B. NDRIs
C. SNRIs
D. TCAs
B. NDRIs
Which antidepressant class is commonly used off-label for insomnia?
A. SSRIs
B. Atypical antidepressants
C. SNRIs
D. MAOIs
B. Atypical antidepressants