Exemplary Treatment Practices

Which of the following is a partial definition for "mental disorder" in the DSM-5-TR?

a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior.

. Which of the following is NOT a difference between the DSM and ICD?

The DSM was designed to be used by mental health clinicians, but the ICD was designed to be used by countries and frontline health workers.

Which of the following terms refers to "the branch of medical science dealing with the classification of diseases?"

nosology

Ralph is a 7-year-old with an average IQ who consistently performs poorly in math despite trying and working with a tutor? Which diagnosis is MOST appropriate?

specific learning disorder

Which disorder is most associated with clumsiness?

Developmental Coordination Disorder

Raul believes the CIA has implanted a chip in his brain to collect data about his greatest fears to prevent him from saving humanity. Which diagnosis is MOST likely?

Delusional Disorder

Reinaldo has felt depressed most of the time for 3 years without relief, experiencing reduced interest, difficulty sleeping, fatigue, & poor appetite. BEST diagnosis is…

Persistent Depressive Disorder

Cognitive behavioral theory is primarily influenced by which of the following philosophies?

Stoicism

All of the following are, according to Dr. Norton, myths about Stoicism EXCEPT:

Stoicism is a practical philosophy that emphasizes the use of reason to overcome negative emotions and live a virtuous life

The CBT model postulates that people can be taught to change ____ and ____ in order to experience relief.

thoughts and behaviors

What is the "first wave" of CBT?

behavioral therapy/behaviorism

How is "mindfulness" defined in the module lecture?

awareness that arises through paying attention, on purpose, in the present moment, non-judgmentally with self-understanding and wisdom

Which theorist experienced a panic attack at work, which triggered a severe anxiety disorder that did not respond well to traditional CBT?

Steven Hayes

Which of the following is NOT one of the four DBT skills training modules?

cognitive restructuring

All of the following are components of a DBT program EXCEPT:

meditation group

Which CBT theories was hospitalized as a teen for self-harm and suicidality?

Marsha Linehan

Hoang is being prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following disorders is he most likely to have been diagnosed with?

anxiety and depression

Which of the following antidepressant medications should be avoided due to potential side effects, used only after other common antidepressants have been ineffective?

monoamine oxidase inhibitors (MAOIs)

. Which group of medications is potentially addictive?

benzodiazepines

Reinaldo is being prescribed lithium. Which disorder is he most likely to have been diagnosed with?

bipolar disorder

Which group of antipsychotic symptoms is newer and associated with relief from a broader range of symptoms than older antipsychotic medications?

atypical antipsychotics

Which of the following neurotransmitters is most commonly associated with anxiety disorders and depression?

serotonin

Which of the following best describes the American Psychiatric Association's position on medical cannabis?

There is no current scientific evidence that cannabis is in any way beneficial for the treatment of any psychiatric disorder

CBD has been determined by the World Health Organization (WHO) to:

not pose a public health risk

All of the following are concerns Dr. Norton raised about a local medical cannabis dispensary EXCEPT:

Physicians at the clinic are hesitant to recommend medical THC for patients for whom it is appropriate.

Which of the following brain stimulation therapies is least invasive?

electro convulsive therapy (ECT)

Which treatment intervention teaches people to take control of physiological functions such as heart rate, respiratory rate and muscle tension?

biofeedback

All of the following are contraindications for VR-assisted psychotherapy (i.e., reasons to avoid VR-assisted therapy) cited by Dr. Norton EXCEPT:

English as a second language

According to meta analyses, the evidence is strongest for neurofeedback as a treatment for which category of disorders?

anxiety and depressive disorders

Meta analyses of virtual reality-assisted psychotherapies for phobias, social anxiety, and PTSD reveal that VR-assisted therapy is ____ as compared to in vivo exposure.

equally effective

Meta analyses reveal that psychotherapy delivered by telehealth is ___ as compared to therapy delivered in-person.

as effective

All of the following are among the three categories of virtual reality-assisted therapy that Dr. Norton uses in his practice EXCEPT

avatar therapists powered by artificial intelligence (AI)

Which of the following was cited by Dr. Norton as a reason why the ASAM criteria were developed?

Prior to the 1990s, people were often referred to residential treatment who could have stabilized on an outpatient basis

Samantha is in a treatment program that consists of her receiving about 9 hours of therapy a week. Which ASAM level of care is she participating in?

Level 2.1 Intensive Outpatient

What two categories of potentially addictive substances can produce potentially deadly withdrawal symptoms?

alcohol and benzodiazepines

Jacquez quit using opiates but struggles with intense cravings and urges. Abstinence is not yet "normal" for him. Which stage of change is he likely in?

Action

During her substance use evaluation, Consuela states, "I know I need to quit drinking, but I don't know how." What stage of change is she in?

Preparation

How many full time nurses should an ACT program serving 100 clients have?

3

Which of the following is NOT a characteristic of assertive community treatment (ACT)?

large caseload sizes

Which of the following is TRUE with respect to ACT programs?

There is no preset limit on how long clients can access services

Which of the following statements about strengths case management is FALSE?

It is important for clients to get a "big win" under their belt early on in recovery.

From a strengths case management perspective, a client's personal goal on her recovery plan is termed a ____ statement.

passionate

Raul, who has been diagnosed with Schizophrenia, experiences thoughts that the CIA has implanted a chip in his brain that can monitor his thoughts. What type of symptom is this?

positive

Which of the following is NOT one of the 4 facts associated with psychosocial rehabilitation?

A person's diagnostic label does not provide significant information about the person's level of skill to function in a work environment

All of the following are challenges in implementing exemplary substance use treatment EXCEPT:

staff who lack personal experience with addictions

With respect to substance use treatment, relapse is expected

True

3 to 5 years after treatment, clients who voluntarily participated in substance use treatment had significantly lower relapse rates than those who were mandated or coerced into treatment.

False

Which of the following medications is NOT prescribed for individuals in recovery from opioid use disorders?

disulfiram

All of the following were contributors to deinstitutionalization EXCEPT:

the passage of THE Affordable Care Act

What is Assertive Community Treatment (ACT)

An intensive integrated approach, to community mental health service delivery.

Which of the following is NOT a principal of psychosocial rehabilitation?

The state should intercede on behalf of individuals with severe mental illness who cannot care for themselves (i.e., parens patriae.

Which of the following is NOT one of the five neuroscience hypothesis of depression offered by Dr. Thomas Field?

mononeucliec acid

Which term refers to interacting brain regions that are thought to be impaired in individuals with autism spectrum disorder, attention deficit/hyperactivity disorder, post traumatic stress disorder and schizophrenia?

default mode network

Fydor is a therapist at a university counseling center. Annabelle is an undergraduate student seeking therapy for a major depressive episode. Fydor constructs a treatment plan that involves teaching Annabelle to use thought records target maladaptive cognitions; graded tasks to help her gradually engage in healthy behaviors, such as bathing regularly, walking, talking to her friends, and eating regularly; and linking her to a mindfulness group that teaches skills for cognitive defusion while also providing social support. After a couple months of therapy, Annabelle tells Fydor that she appreciates his help, because she was not engaging in health-promoting behaviors before seeing him. Whish of the following pathways from the Contexsual Model of Psychotherapy best describes how the treatment plan objectives described above helped Annabelle?

specific ingredients

Meta analysis conducted on the efficacy of psychotherapy revel that the effect size for psychotherapy is approximately?

.80

Which of the following is a set of approaches such as gestalt and person-centered approaches, systematic therapy, and attachment theory that was designed for couples working to develop an understanding of their partner's and their own emotions?

Emotion-Focused Therapy

According to ACA (n.d.) the 20/20 Task Force agreed on the following definition for "professional counseling"

A professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals.

According to Ackerman (2017) which therapy theorizes that there are five basic human needs that must be met to allow for healthy functioning, and life satisfaction, including the following:
Survival (food, water, shelter, sexual fulfilment.
Love and belonging (via family, friendships, community, etc.)
Power (sense of accomplishments, self confidence, self-esteem)
Freedom ( independence, sufficient personal space, autonomy)
Fun (satisfaction, pleasure, enjoyment)

Reality Therapy

How is mindfulness described in the module lecture?

described as awareness that arises through paying attention, on purpose in the present moment, non-judgmentally… in the service of self understanding and wisdom.

Two of your module videos featured Scott D. Miller, an expert on the efficacy of psychotherapy. What did Miller say about the relationship between (a) client outcomes and (b) the degree of training/experience of the clients therapist?

There is little or no difference between the outcomes of inexperienced and experienced therapist.

According to Sutton (2021), which of the following therapies operates under the assumption that while the problem presented by the client may have many factors and causes, it typically occurs within a social and interpersonal context such as losing a job, divorce, death of a loved one, relocation, and retirement impact our environment and relationships?

Interpersonal Therapy

According to Heslin (2020), which "are diagnosed when maladaptive and relatively inflexible patterns of thinking, feeling, and behavior cause impairments across a wide range of situations leading to repeated antagonistic, disruptive, and self defeating experiences?

personality disorders

Aldert sleeps 10 hours a night, loves his sleep, struggles to function for a couple hours after waking up each morning, and takes a mid-afternoon nap everyday, yet typically feels tired. What disorder is most likely?

Hypersomnolence disorder

Elmyra is 8 years old. She never speaks in school, no matter how much trouble she gets into for it, but she talks fine in all other situations and circumstances. Which of the following diagnosis is the most appropriate?

Selective Mutism

According to Heslin (2020) schizophrenia is comprised of 3 main symptom domains. Which of the following is NOT one of those domains?

deficits in social communication and interaction

According to Norton (2022), what disorder was added to the DSM-5 when the DSM-5 TR was published in 2022?

Prolonged Grief Disorder

Jameson defecates frequently, defecates in the urinal in the school bathroom. Which diagnosis is most appropriate?

Encopresis

Which of the following was NOT among the criticisms of the DSM offered by Dr. Thomas Insel, the director of NIMH, according to Mc Carthy (2013)?

Lack of reliability

5 days ago Shante, a 21 year old college student was sexually assaulted. She is experiencing troubling nightmares, is afraid to go out in public, feels as though life is meaningless, is experiencing flashbacks is hypervigilant and "lashed out" at some supportive friends and family, without provocation and then apologized. Which diagnosis is most appropriate?

Acute Stress Disorder