Midterm Study Guide 600 Online w-TR Rev F'24-1 PDF

**Exam is 65 multiple-choice or true/false items.** **STUDY GUIDE -- Midterm** 1. 2. **[Intake Interviewing]** **NOTE**: As mentioned in the Week 2 Engagement Questions, access this article in Unit 2.1 Overview section of our course in the Digital Campus. These numbers refer to pages within t...

**Exam is 65 multiple-choice or true/false items.** **STUDY GUIDE -- Midterm** 1. 2. **[Intake Interviewing]** **NOTE**: As mentioned in the Week 2 Engagement Questions, access this article in Unit 2.1 Overview section of our course in the Digital Campus. These numbers refer to pages within that article/chapter. 1\. What is meant by the presenting problem? After the client describes the presenting concern (e.g., anxiety), why is it helpful to ask "what does anxiety mean to you?" and/or "what do you experience when you are anxious?" (24-25) 2\. As non-medical therapists, why do we need to know about a person's medical/health state? Is it really possible for medical conditions or substances/medications to mimic or trigger psychiatric symptoms? (27) During an intake, is it appropriate to ask if the client has discussed his/her symptoms with a physician? 3\. Note how cultural identity can impact a person's understanding of the presenting problem, what it means to seek therapy services, and the client-therapist relationship? (30-31) [**DSM--5-TR: Cultural Formulation**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.Culture_and_Psychiatric_Diagnosis) 1. 2. What are some reasons that cultural concepts are important to consider with psychiatric diagnosis and treatment. (p. 872-873) **[Seligman Chapter 1: Introduction to Effective Treatment Planning]** 1. 2. [**DSM-5-TR: Other Conditions That May Be a Focus of Clinical Attention**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.Other_Conditions_Z_codes) 1. 2. [**DSM-5-TR: Adjustment Disorders**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.x07_Trauma_and_Stressor_Related_Disorders#BABCBEHF) 1. For an adjustment disorder diagnosis, how soon after a stressor do symptoms need to begin? What evidence suggests that symptoms are clinically significant? 319 How does this differ from a Z code? 2. The symptoms of adjustment disorder persist within what timeframes? 319 [**DSM-5-TR: Prolonged Grief Disorder**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.x07_Trauma_and_Stressor_Related_Disorders#BABDFEFGF9) 1. For a prolonged grief disorder diagnosis, at least one of what two symptoms characterizing the development of a persistent grief response must be present? How long must this symptom(s) be present? How long ago was the death? (p. 323) **[Reichenberg Chapter 8: Situationally Precipitated Disorders and Conditions]** 1. What are some characteristics of individuals who adjust more easily to life stressors? Characteristics of those who are more susceptible to an adjustment disorder? 262 2. Primary focus of treatment for adjustment disorder? 263 A couple of promising therapeutic approaches? 264 Prognosis for adjustment disorders? 267 [**DSM-5-TR: Depressive Disorders**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.x04_Depressive_Disorders) 1. 2. 3. 4. 5. 6. **[Reichenberg Chapter 5: Depressive Disorders]** 1. 2. 3. 4. [**DSM-5-TR: Anxiety Disorders**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.x05_Anxiety_Disorders) 1. What is characteristic of separation anxiety disorder? Does the typical/expected separation anxiety that often occurs during childhood qualify as this diagnosis/disorder? (p. 217) 2. What is involved in a specific phobia (Criteria A)? Duration? (p. 224) 3. What is the first DSM criterion for social anxiety disorder (social phobia)? What is the "perceived threat?" Note that there is also concern about showing anxiety symptoms, leading to negative evaluation (2^nd^ criterion). (p. 229-230) 4. Are the panic attacks in panic disorder expected or unexpected? Is one attack sufficient? In addition to panic attacks, what else has to occur for 1 or more months (Criterion B)? (p. 235-6) Note -- IF someone meets the criteria for both panic disorder and agoraphobia, both diagnoses are given. 5. What are common symptoms of a panic attack (physiological and cognitive)? How many symptoms are needed to qualify as a panic attack? (p. 235-6) 6. What is the source of perceived threat for a person with agoraphobia? In the event of developing panic-like symptoms, the person is concerned that \_\_\_\_\_ or \_\_\_\_\_. How many settings? (p. 246) Note -- IF someone meets the criteria for both panic disorder and agoraphobia, both diagnoses are given. 7. Can substances, medications, or medical conditions contribute to anxiety symptoms? **[Reichenberg Chapter 6 and Related Class Material on Anxiety Disorders]** 1. Is it important to involve parents when treating children with separation anxiety disorder? (Pg. 179) 2. (p. 186-7) How was "**external exposure**" utilized in the agoraphobia video (elevator, subway, bus) or snake phobia video? Give a specific example of "**habituation**" in treatment. Incorporate the terms "long enough" and "often enough" is your description (e.g., the person must remain in the situation "[long enough]" for anxiety to reach a peak and then decline and to repeat the exposure "[often enough]" for habituation to occur and anxiety to extinguish). How was habituation demonstrated in the elevator video? How was "**expectancy violation**" demonstrated in the videos (e.g., Sedata's belief she would get trapped and die if she was in an elevator, however that expectation was violated. Therefore, her cognitions were revised to see elevators as less threatening.). Give a specific example of its use. 3. What is a concern about using medications prior to interoceptive exposure, during the treatment of phobias, or when treating other anxiety disorders? (p. 188) Is the prognosis for the treatment of specific phobias favorable? (188) 4. What are 2 components of the treatment plan for social anxiety disorder? (Pg. 191) 5. How can therapists help by providing psychoeducation about panic symptoms (and reframing them)? Specifically, how could it help a person understand that the rapid breathing, rapid heart rate, dizziness, and tingling experienced during a panic attack are uncomfortable, but not dangerous? (p. 195-6) What is the treatment of choice for panic disorder (196)? 6. Briefly describe what is involved with **interoceptive (internal)** exposure (e.g., create panic-like sensations by spinning in chair, rapid breathing, brisk exercise, breathing through straw) in Panic Control Therapy? See the handout about how to create panic-like symptoms. [What is helpful] about evoking these panic-like symptoms (e.g., person gets accustomed to and learns to cope with these symptoms and realizes that, while uncomfortable, they are not dangerous)? [**DSM-5-TR: Bipolar and Related Disorders**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.x03_Bipolar_and_Related_Disorders) 1. 2. 3. 4. 5. 1. 2. 3. 4. [**DSM-5-TR: Personality Disorders**](https://dsm-psychiatryonline-org.lib.pepperdine.edu/doi/full/10.1176/appi.books.9780890425787.x18_Personality_Disorders) 1. How is paranoid personality disorder different from delusional disorder, persecutory type or schizophrenia with paranoid delusions? 740 2. Review the [DSM-5 symptoms] for the following personality disorders: borderline, histrionic, avoidant, dependent, obsessive-compulsive. Note some key terms like "instability" for BPD and "control" for OCPD. 3. Why do people with avoidant personality disorder withdraw and become socially isolated? How does this compare to the reason for social isolation in schizoid personality? 767 Reichenberg, Chapter 19, Personality Disorders ============================================== 1. 2. 3. 4. **EXAM FORMAT**: 65 multiple-choice items.