Psychology Case Studies Quiz

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Questions and Answers

Based on DSM-5-TR, what is the most likely diagnosis for a 23-year-old man who has been experiencing hallucinations and paranoid delusions for the past two years? He believes that government agents are following him and sending him secret messages through TV broadcasts. His parents note that he has become increasingly withdrawn and disorganized in his speech. However, during this time, he has also had several major depressive episodes lasting for months.

  • Schizoaffective Disorder (correct)
  • Schizophrenia
  • Major Depressive Disorder with Psychotic Features
  • Brief Psychotic Disorder

What is the best diagnosis based on DSM-5-TR for a 32-year-old combat veteran who reports having nightmares and intrusive thoughts about an explosion that killed members of his unit. He avoids crowded places, has frequent mood swings, and becomes easily startled by loud noises. He also constantly worries about his future and struggles to sleep.

  • Acute Stress Disorder
  • Post-Traumatic Stress Disorder (PTSD) (correct)
  • Panic Disorder
  • Generalized Anxiety Disorder (GAD)

A 28-year-old woman presents with periods of elevated mood, high energy, and impulsivity lasting about four days. During these times, she sleeps very little but still feels energized, talks excessively, and spends large amounts of money impulsively. However, she has also experienced severe depressive episodes lasting weeks. Her job performance has declined significantly, but she has never had a full manic episode. What is the most likely diagnosis?

  • Major Depressive Disorder
  • Bipolar II Disorder (correct)
  • Bipolar I Disorder
  • Cyclothymic Disorder

A 40-year-old woman collects newspapers, magazines, and other items, filling every room in her home. She refuses to discard anything, even if it is broken or no longer useful. When family members try to clean her home, she becomes extremely anxious and distressed. What is the most appropriate DSM-5-TR diagnosis?

<p>Hoarding Disorder (A)</p> Signup and view all the answers

A 10-year-old boy struggles to stay focused in class, often gets up from his seat, interrupts others, and frequently loses his school supplies. His teacher reports that he is easily distracted and has trouble following instructions. His parents say he has always been "high-energy," but he does not display significant defiant behavior toward authority figures. What is the most likely diagnosis?

<p>Attention-Deficit/Hyperactivity Disorder (ADHD) (C)</p> Signup and view all the answers

A 29-year-old woman survived a violent car accident six months ago and now has frequent flashbacks, nightmares, and avoids driving. She experiences intense anxiety and dissociation when near roads and highways. Which treatment is most appropriate?

<p>Cognitive-Behavioral Therapy (CBT) with Exposure Therapy (D)</p> Signup and view all the answers

A 21-year-old man with paranoid schizophrenia has been taking a first-generation antipsychotic for two years but has developed involuntary facial and tongue movements. What is the best next step?

<p>Switch to a second-generation (atypical) antipsychotic (A)</p> Signup and view all the answers

A researcher is studying the long-term effects of childhood trauma on the risk of developing Major Depressive Disorder (MDD) in adulthood. Which research method is most appropriate?

<p>Longitudinal study (D)</p> Signup and view all the answers

A clinical researcher is conducting a study on childhood trauma and PTSD risk. The study involves interviewing participants about past traumatic events. What is the primary ethical concern?

<p>Preventing re-traumatization and providing appropriate psychological support (B)</p> Signup and view all the answers

Flashcards

Schizoaffective Disorder

A mental disorder combining psychotic symptoms and mood episodes.

Schizophrenia

A chronic brain disorder characterized by distorted thinking, emotions, and behavior.

Major Depressive Disorder with Psychotic Features

Major depression accompanied by delusions or hallucinations.

Post-Traumatic Stress Disorder

A mental health condition triggered by experiencing or witnessing a traumatic event.

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Generalized Anxiety Disorder

A disorder marked by excessive worry about various aspects of life.

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Bipolar II Disorder

Characterized by at least one hypomanic episode and one major depressive episode.

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Hoarding Disorder

Persistent difficulty discarding or parting with possessions, causing significant distress.

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Attention-Deficit/Hyperactivity Disorder

A neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity.

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Cognitive-Behavioral Therapy

A type of psychotherapy that helps patients understand the links between thoughts, feelings, and behaviors.

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Exposure Therapy

A psychological treatment that helps individuals gradually face their fears.

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Second-Generation Antipsychotic

A newer class of medication used to treat schizophrenia with fewer side effects.

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Tardive Dyskinesia

A movement disorder caused by long-term use of certain antipsychotic medications.

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Longitudinal Study

Research that follows the same subjects over a long period to observe changes.

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Ethical Considerations in Research

Principles guiding researchers to ensure participant safety and integrity.

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Re-traumatization

The process of being exposed to trauma again, causing distress.

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Major Depressive Disorder

A mental disorder characterized by persistent feelings of sadness and loss of interest.

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Acute Stress Disorder

A condition following a traumatic event, characterized by anxiety and intrusive memories.

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Panic Disorder

An anxiety disorder characterized by repeated unexpected panic attacks.

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Cyclothymic Disorder

A mood disorder characterized by periods of hypomanic symptoms and depressive symptoms lasting for at least 2 years.

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Conduct Disorder

A range of antisocial types of behavior displayed in childhood or adolescence.

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Autism Spectrum Disorder

A developmental disorder affecting communication and behavior.

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First-Generation Antipsychotic

Older medications used to treat schizophrenia, often causing more side effects.

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Psychotherapy

A treatment method that involves talking about one's problems with a trained therapist.

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Impulse Control

The ability to resist the urge to act on an impulse.

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Mood Episodes

Distinct periods during which a person's mood may be significantly elevated or lowered.

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Mental Health Diagnosis

The process of identifying mental health conditions based on symptoms and history.

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Study Notes

Case Study 1: Schizophrenia vs. Schizoaffective Disorder

  • A 23-year-old man experiences hallucinations and paranoid delusions.
  • He believes government agents are following him.
  • His speech has become increasingly disorganized.
  • He has also had multiple depressive episodes.
  • The likely diagnosis, based on DSM-5-TR, is Schizophrenia.

Case Study 2: PTSD vs. Generalized Anxiety Disorder

  • A 32-year-old combat veteran experiences nightmares and intrusive thoughts related to a past explosion.
  • He avoids crowded places, has mood swings, and worries constantly about his future.
  • The best diagnosis, based on DSM-5-TR, is Post-Traumatic Stress Disorder (PTSD).

Case Study 3: Bipolar I vs. Bipolar II Disorder

  • A 28-year-old woman experiences periods of elevated mood, high energy, and impulsivity.
  • These periods last about four days, with little sleep and excessive spending.

Case Study 4: OCD vs. Hoarding Disorder

  • A 40-year-old woman collects and refuses to discard items, filling her home.
  • She becomes anxious when family tries to clean her home.
  • The appropriate DSM-5-TR diagnosis is Hoarding Disorder.

Case Study 5: ADHD vs. Oppositional Defiant Disorder (ODD)

  • A 10-year-old boy has trouble concentrating, gets up from his seat frequently, and interrupts others in class.
  • He has difficulty following instructions.
  • His parents describe him as "high-energy."
  • The most likely diagnosis is Attention-Deficit/Hyperactivity Disorder (ADHD), no significant defiant behavior towards authority figures.

Case Study 6: PTSD Treatment Selection

  • A 29-year-old woman experiences flashbacks, nightmares, and avoids driving since a car accident.
  • The most suitable treatment is Cognitive-Behavioral Therapy (CBT) with Exposure Therapy.

Case Study 7: Schizophrenia Treatment Selection

  • A 21-year-old man with paranoid schizophrenia developed involuntary facial and tongue movements during his treatment with a first generation antipsychotic.
  • The best next step is switching to a second-generation(atypical) antipsychotic treatment.

Case Study 8: Longitudinal Study on Depression Risk

  • A research study is looking at the long-term effects of childhood trauma on the risk of developing Major Depressive Disorder (MDD) in adulthood.
  • The most suitable research method is Longitudinal study.

Case Study 9: Ethical Considerations in Trauma Research

  • A clinical researcher conducted a study on childhood trauma and PTSD risk.
  • The study involved interviews with participants.
  • The primary ethical concern is preventing re-traumatization and providing psychological support.

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