Mental Health Ch. 17
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Questions and Answers

What is the relationship between ADHD and the development of bipolar disorder in youth?

  • ADHD is a direct cause of bipolar disorder in youth.
  • Research has shown a clear link between ADHD and bipolar disorder in youth.
  • There is a strong connection between ADHD and bipolar disorder in youth.
  • Studies have not supported a connection between ADHD and bipolar disorder in youth. (correct)

    • What type of symptoms did youth with a diagnosis of ADHD more often manifest according to studies?

  • Discrete mood episodes
  • Chronic irritability and temper tantrums (correct)
  • Anxiety and depression
  • Manic episodes

    • What was found in a study of children with non-episodic irritability regarding their risk for developing bipolar disorder?

  • These children were at a significantly higher risk of developing bipolar disorder.
  • Their risk was equal to that of children with episodic irritability.
  • They were not typically at a higher risk for developing bipolar disorder. (correct)
  • Their risk was lower than that of children with episodic irritability.

    • What is considered the first-line treatment for children with bipolar disorder?

    <p>Monotherapy with traditional mood stabilizers or atypical antipsychotics</p> Signup and view all the answers

    What does maintenance therapy for bipolar disorder in children involve?

    <p>Using the same medications as for acute symptoms</p> Signup and view all the answers

    Which is the most common comorbid condition associated with bipolar disorder in children and adolescents?

    <p>Anxiety disorders</p> Signup and view all the answers

    When is augmentation with a second medication indicated in the treatment of children with bipolar disorder?

    <p>When monotherapy with initial medications fails</p> Signup and view all the answers

    What is notable about research studies dealing with the long-term maintenance of bipolar disorder in children?

    <p>They have not extensively dealt with long-term maintenance of bipolar disorder in children.</p> Signup and view all the answers

    What is a recommended intervention when dealing with manipulative behaviors in a client?

    <p>Setting limits on manipulative behaviors</p> Signup and view all the answers

    Which of the following is NOT a recommended goal when dealing with a client exhibiting manipulative behaviors?

    <p>Assisting the client in fulfilling own desires through manipulation</p> Signup and view all the answers

    What should be included in goals when working with a client who has manipulative behaviors?

    <p>Helping the client recognize consequences of their behaviors</p> Signup and view all the answers

    Which of the following is a recommended intervention when dealing with a client with manipulative behaviors?

    <p>Helping the client recognize consequences of their behaviors</p> Signup and view all the answers

    What intervention is suggested for clients with manipulative behaviors to assist them in improving their social interactions?

    <p>Setting limits on manipulative behaviors</p> Signup and view all the answers

    What nutritional recommendation is given for clients with Imbalanced Nutrition: Less than Body Requirements?

    <p>Supplying high-protein, high-calorie foods</p> Signup and view all the answers

    What should be monitored for clients with Imbalanced Nutrition: Less than Body Requirements?

    <p>Intake, output, and calorie count</p> Signup and view all the answers

    What aspect of bipolar disorder should be covered in patient and family education?

    <p>Symptoms of depression and mania</p> Signup and view all the answers

    Which of the following best describes the term 'mood'?

    <p>A pervasive and sustained emotion that influences one's perception</p> Signup and view all the answers

    What is the key characteristic that distinguishes mania from other mood states?

    <p>Inflated self-esteem and grandiosity</p> Signup and view all the answers

    Which of the following is NOT a potential cause of mania mentioned in the text?

    <p>Traumatic brain injury</p> Signup and view all the answers

    In which century did the documentation of symptoms associated with bipolar disorder first appear?

    <p>2nd century</p> Signup and view all the answers

    Which of the following terms was NOT used to describe manic-depressive illness in the 19th century?

    <p>Bipolar disorder</p> Signup and view all the answers

    In the early writings, how was mania classified?

    <p>As a form of severe madness</p> Signup and view all the answers

    Which statement best describes the term 'affect'?

    <p>The emotional reaction associated with an experience</p> Signup and view all the answers

    When was the term 'manic-depressive' first coined?

    <p>1913</p> Signup and view all the answers

    What is the primary focus of Frank's therapy?

    <p>Helping clients regulate their social rhythms and daily activities</p> Signup and view all the answers

    What is the purpose of group psychoeducation and group CBT for individuals with affective disorders?

    <p>To provide an atmosphere for discussing embarrassing issues and resolving them</p> Signup and view all the answers

    What is the role of self-help groups for individuals with bipolar disorder?

    <p>To offer an avenue of support that is peer-led and not meant to compete with professional therapy</p> Signup and view all the answers

    What is the ultimate objective in working with families of clients with mood disorders?

    <p>To resolve the symptoms and initiate or restore adaptive family functioning</p> Signup and view all the answers

    Which therapy approach has been shown to substantially reduce relapse rates for individuals with bipolar disorder when combined with medication?

    <p>Behavioral family treatment</p> Signup and view all the answers

    In cognitive therapy for mood disorders, what is the individual taught to control?

    <p>Thought distortions considered a factor in the development and maintenance of mood disorders</p> Signup and view all the answers

    What is the purpose of group therapy for individuals with affective disorders?

    <p>To provide an atmosphere for discussing life issues that cause, maintain, or arise out of having a serious affective disorder</p> Signup and view all the answers

    What is the role of peer support in group therapy for individuals with affective disorders?

    <p>To provide a feeling of security when discussing troublesome or embarrassing issues</p> Signup and view all the answers

    Which brain areas are correlated with dysfunction in bipolar disorder?

    <p>Frontal lobes, basal ganglia, temporal lobes</p> Signup and view all the answers

    What medications can trigger a manic response in individuals?

    <p>Steroids, amphetamines, high doses of anticonvulsants</p> Signup and view all the answers

    Why have psychosocial theories about bipolar disorder faced a decline in credibility in recent years?

    <p>Discovery of biological basis for bipolar disorder</p> Signup and view all the answers

    What has been the trend in diagnosing bipolar I disorder in children and adolescents over the past decade?

    <p>Increased significantly to 40 times the historical rate</p> Signup and view all the answers

    What is the estimated lifetime prevalence of pediatric and adolescent bipolar disorders?

    <p>Approximately 1%</p> Signup and view all the answers

    Which of the following brain structures is NOT mentioned as being correlated with dysfunction in bipolar disorder?

    <p>Occipital lobe</p> Signup and view all the answers

    What type of medication is notably known to trigger a manic response?

    <p>Steroids</p> Signup and view all the answers

    What do physiological influences include in relation to bipolar disorder?

    <p>Brain lesions, enlarged ventricles, genetics</p> Signup and view all the answers

    What distinguishes factitious disorder from malingering?

    <p>Unconscious motivation</p> Signup and view all the answers

    How do 75% of previously diagnosed hypochondriacs relate to anxiety in somatic symptom disorder?

    <p>Anxiety is related to the symptom</p> Signup and view all the answers

    What is the key feature that helps differentiate illness anxiety disorder from other somatic symptom disorders?

    <p>Absence or mildness of anxiety</p> Signup and view all the answers

    What makes malingering an important differential diagnosis for factitious disorder?

    <p>Conscious symptom production</p> Signup and view all the answers

    In the context of somatic symptom disorders, what percentage of previously diagnosed hypochondriacs do not have illness anxiety disorder?

    <p>25%</p> Signup and view all the answers

    Which type of stressor can be a key factor in distinguishing different types of somatic symptom and related disorders?

    <p>Mental stressor</p> Signup and view all the answers

    What does conversion disorder typically involve?

    <p>[Absent] neurological symptoms</p> Signup and view all the answers

    Which disorder is characterized by symptoms that repeatedly occur during the week before the onset of menses and remit with the onset of menses or shortly thereafter?

    <p>Premenstrual dysphoric disorder</p> Signup and view all the answers

    Which disorder involves depressive symptoms due to another medical condition or substance/medication-induced depressive symptoms?

    <p>MDD</p> Signup and view all the answers

    Which psychiatric disorder includes symptoms such as fatigue, changes in sleep, guilt, and appetite changes?

    <p>Somatic symptom disorder</p> Signup and view all the answers

    What is the term used to describe depressive symptoms triggered by grief that persists over a prolonged period?

    <p>Complicated grief</p> Signup and view all the answers

    Which psychiatric disorder is characterized by symptoms of excessive worry about having a serious illness despite medical reassurance?

    <p>Illness anxiety disorder</p> Signup and view all the answers

    Which disorder is characterized by rapid mood fluctuations, tearfulness, and irritability lasting for less than 2 weeks after delivery?

    <p>Postpartum blues</p> Signup and view all the answers

    Which condition requires at least 5 symptoms in the final week before menses, with improvement after menstruation, and confirmation through prospective daily symptom tracking?

    <p>Premenstrual Dysphoric Disorder</p> Signup and view all the answers

    In which disorder do individuals present with physical symptoms that cannot be explained by any underlying medical condition?

    <p>Somatic symptom disorder</p> Signup and view all the answers

    What is the term for a temporary state of excessive anxiety about one's health?

    <p>Illness anxiety disorder</p> Signup and view all the answers

    Which disorder is differentiated from Major Depressive Disorder by the duration criterion of most of the day, more days than not for at least 2 years?

    <p>Persistent Depressive Disorder (Dysthymia)</p> Signup and view all the answers

    Which psychiatric disorder involves physical complaints that suggest a medical condition but have no demonstrable organic pathology?

    <p>Somatic Symptom Disorder</p> Signup and view all the answers

    Which condition involves marked depressed mood, hopelessness, irritation, and physical symptoms like joint pain and weight gain during the final week before menses?

    <p>Premenstrual Dysphoric Disorder</p> Signup and view all the answers

    Which disorder requires symptoms to be present most of the day, nearly every day for at least 2 weeks?

    <p>Major Depressive Disorder with peripartum onset</p> Signup and view all the answers

    What is the key difference between Factitious Disorder and Factitious Disorder Imposed on Others?

    <p>The presence of an identified deception</p> Signup and view all the answers

    In Factitious Disorder Imposed on Others, which individuals are typically targeted for the intentional production of symptoms?

    <p>Children</p> Signup and view all the answers

    What is a common characteristic associated with individuals suffering from Factitious Disorder?

    <p>Excessive checking for minor signs of illness</p> Signup and view all the answers

    Which personality disorder is often associated with Factitious Disorder?

    <p>Borderline Personality Disorder</p> Signup and view all the answers

    What is a significant aspect of Factitious Disorder Imposed on Others that distinguishes it as a form of abuse?

    <p>Intentional symptom production in someone else</p> Signup and view all the answers

    What is the primary motivation for individuals with Factitious Disorder to falsify symptoms?

    <p>Identification with the patient role</p> Signup and view all the answers

    How does Factitious Disorder differ from Factitious Disorder Imposed on Others in terms of symptom production?

    <p>Self-harm to produce symptoms</p> Signup and view all the answers

    Which type of individuals are typically associated with engaging in deceptive behavior related to Factitious Disorders?

    <p>Healthcare professionals only</p> Signup and view all the answers

    Why may normal activities be neglected when individuals take drugs in excess?

    <p>Because drugs activate the brain's reward system</p> Signup and view all the answers

    Which substance causes distortions in perception similar to LSD and Cannabis?

    <p>Hallucinogens</p> Signup and view all the answers

    What is a common symptom of substance use disorders related to impaired control?

    <p>Strong craving or urge for substance use</p> Signup and view all the answers

    What is a characteristic of substance-induced disorders?

    <p>Reversible upon substance cessation</p> Signup and view all the answers

    Which substance is NOT classified as a dissociative anesthetic?

    <p>Methadone</p> Signup and view all the answers

    How are substance-related disorders categorized according to duration?

    <p>&quot;Acute and chronic disorders&quot;</p> Signup and view all the answers

    What distinguishes substance-induced mental disorders from other mental health conditions?

    <p>&quot;They are triggered by substance use&quot;</p> Signup and view all the answers

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