Abnormal Psych Unit 3
It may be especially difficult to differentiate bipolar disorder in children from which of the following?
ADHD
Which of the following disorders is not commonly associated with onset in adolescence?
ARFID
Larry had thoughts about killing himself with a gun, and planned out the exact method and time of the act. This is best described by which of the following?
Active suicidal ideation
Shana is drastically thin and has a very restricted diet. She likely has which of the following?
Anorexia nervosa
Which of the following has the highest mortality rate?
Anorexia nervosa
Suicide attempts are likely to be higher in children with which of the following?
Anxiety disorders, eating disorders, ADHD
Josey's five-year-old son doesn't eat as much as he should. He may be diagnosed with which of the following?
Avoidant/restrictive food intake disorder
Brian eats massive amounts of food and feels disgusted with himself afterwards, but doesn't vomit or use laxatives. He likely has which of the following?
Binge-eating disorder
Disruptive mood dysregulation disorder was created in part out of a concern for which of the following being diagnosed in children?
Bipolar disorder
Andrew loses control around food and then self-induces vomiting. He likely has which of the following?
Bulimia nervosa
"That bagel is going to make me explode with fat!" Someone who says this could benefit from which of the following orientations?
CBT
Dr. Smith asked his depressed client to discuss why his belief about being a failure may be unrealistic. Dr. Smith likely belongs to which of the following orientations?
CBT
Karen, who has anorexia nervosa, eats a small piece of celery and thinks "this is the most fatty thing I have ever eaten and will make me gain 100 pounds." Based on this profile, Karen might best be helped by which therapeutic orientation?
CBT
Which component of CBT appears to be the most effective in promoting behavioral change?
Changing thinking patterns
Which of the following is characterized as chronic state of depression that a person suffers from for at least two years?
Dysthymia
Which of the following is a suicide prevention technique that has been supported through research?
Focus on high risk groups, societal level prevention, crisis intervention
To calculate BMI, weight in kg is divided by _____
Height in meters2
Which of the following is not characteristic of someone with anorexia nervosa?
High BMI
Which of the following is accurate regarding bipolar disorder?
It is less common than major depression.
Which of the following statements best describes the epidemiology of major depressive disorder?
It is the most common psychiatric disorder worldwide and affects far more women than men.
What structural brain abnormalities are seen in patients with anorexia nervosa?
Loss of gray matter and reduced brain mass
John is acting in a super-excited way, so energetic he forgets to go to work and calls the boss to insult him. He is likely experiencing which of the following?
Mania
Which of the following is not a biological treatment for depressive disorders?
Neuroimaging
Which of these is not a form of childhood feeding disorder?
OSFED
Which of the following is a myth about suicide?
People who talk about committing suicide are never serious about it.
Which of the following is not considered a suicide prevention technique?
Portraying famous people who have committed suicide in the media
Dr. Adams, a psychiatrist, conducted in-depth interviews of family members of a man who had just killed himself. The term that might best describe this is which of the following?
Psychological autopsy
The obsessionality and rigidity associated with some eating disorders have been associated with what aspect of brain functioning?
Serotonin and dopamine levels
Which of the following criteria is necessary for a diagnosis of anorexia nervosa?
Significantly low body weight
Kyle ate a tiny crumb of bread and immediately felt like his eating had gotten way out of control. He is likely demonstrating which of the following?
Subjective binge
To be diagnosed with major depressive disorder, a person must have either an abnormally low mood or
a loss of interest or pleasure in most daily activities
The most effective way to approach the treatment of anorexia nervosa is with
a multidisciplinary team
Passive suicidal ideation includes
a wish to be dead
Anorexia nervosa is more likely to begin at what time?
adolescence
Mania is not recognized in the DSM as a separate disorder because it
almost never occurs without depressive episodes
In an interview with a clinician, a woman says, "I got turned down when I asked someone for a date. I know I'll be alone the rest of my life." Such a statement is an example of
an automatic thought
Antidepressants have been shown to be effective for each of the following except for _____
anorexia nervosa
Which of the following diagnoses is more likely to be made for a female?
anorexia nervosa
Which of the following is commonly comorbid with depressive disorders?
anxiety disorders, substance abuse disorders, diabetes
Electroconvulsive therapy is most appropriate for patients who
are severely depressed and who have not responded to other treatments
Dr. Smith is seeing a new patient who is very thin and refuses to eat, but her weight is somehow still within the normal BMI index measures. Dr. Smith will likely diagnose the patient with which of the following?
atypical anorexia nervosa
Research on rats has identified which neural component that may be key to appetite and weight gain?
bed nucleus of the stria terminalis (BNST)
The diagnosis of bulimia nervosa requires the presence of
binge eating and inappropriate compensatory behaviors
Miguel has become morbidly obese. He regularly eats at restaurants that serve meals buffet style. He prefers to eat alone, however, and he often eats until he is uncomfortable. He does not purge. He may be suffering from
binge-eating disorder
What is the most common occurring eating disorder?
binge-eating disorder
Which of the following diagnoses is more likely to be made equally for a male or female?
binge-eating disorder
Research suggests which of the following might run in families?
bipolar I disorder, major depression, bipolar II
Kasandra has consumed soil because she believes it is necessary for her to have a healthy pregnancy, since her mother and grandmother have told her so. She likely has which of the following conditions?
cultural pica
Someone with bulimia nervosa may likely also have which of the following?
dental erosion, fatigue, nausea
In behavioral activation treatment for depression, the therapist and patient
develop a comprehensive list of specific goals and activities in major life areas
Bipolar disorder is comorbid with each of the following except _____
dissociative amnesia
People with persistent depressive disorder may also have major depressive episodes, a condition known as
double depression
The multidisciplinary team's critical first step in the treatment of anorexia nervosa is
ensuring renutrition
Major depressive disorder with a seasonal pattern is often treated by means of
exposure to bright light
Which of the following helped to establish a genetic basis for bipolar disorder?
family studies, adoption studies, twin studies
Sue was recently diagnosed with anorexia nervosa. Before the diagnosis, she may likely have had which of the following conditions?
generalized anxiety disorder, social phobia, PTSD
Lithium primarily works on which of the following?
glutamate
Leann is going through puberty before most of her middle school classmates. She may be at
greater risk for developing an eating disorder
Which of the following environmental factors may be important in causing a depressive episode?
health challenges, occupational problems, grief
Which of the following is not a risk factor for bulimia nervosa?
healthy self-esteem
Each of the following are risk factors associated with suicide except for ____?
high levels of serotonin
In animal studies, surgical lesions in the brain indicate that the neuroanatomical center for appetite and weight control is the
hypothalamus
Part of the brain that is critical in weight control is the ______
hypothalamus
One trait that may underlie bipolar disorder and substance abuse is _____
impulsivity
The attitude most difficult to overcome in patients with anorexia nervosa is their
inability to recognize the seriousness of the low weight
Which of the following is true regarding individuals with BED?
increased risk of suicide
Even at a very low body weight, a person with anorexia nervosa may experience
intense fear of gaining weight
Sydnee was injured, had to quit running on the team, and lost the close support of her teammates. She lost her total identity. Sydnee could benefit from which of the following orientations?
interpersonal psychotherapy
Dr. Wallace asked his depressed client to discuss the role of his current friends and family and how they may be affecting his depression. Dr. Wallace likely belongs to which of the following orientations?
interpersonal therapy
Kylie has anorexia nervosa, is near death, and refuses to be hospitalized. What is the likely best option for her medical doctor?
involuntary hospitalization
Anorexia nervosa is considered a very serious psychological problem primarily because
it has the highest mortality rate of any psychological disorder
Henry's very first date turned out to be a disaster. After that, he never went on another date again, assuming they would all turn out the same. Which of the following best describes this scenario?
learned helplessness
Kyle has been diagnosed with avoidant/restrictive food intake disorder. He likely has which of the following conditions?
learning disorder, anxiety disorder, developmental disorder
Which of the following is the preferred treatment for bipolar disorder?
lithium
The most common psychiatric disorder in the United States is ________
major depressive disorder
A person experiencing hypomanic episodes might not consider them problematic because they
may be times of high productivity or creativity
Which of the following is important to consider when deciding to hospitalize someone with anorexia nervosa?
medical complications, failure with outpatient treatment, suicide attempts
The prevalence of bulimia nervosa in men may be underestimated because
men tend to use other compensatory behaviors besides purging, such as exercise
Karen has BED. She likely also has which of the following?
mood disorder, anxiety disorder, impulse-control disorder
Neuroimaging studies of individuals with bipolar and depressive disorders have shown that
mood disorders involve a number of brain abnormalities
Eric has bulimia nervosa. He likely also has which of the following characteristics?
novelty-seeking tendencies, impulsivity, harm avoidance
The physical effects of anorexia nervosa after recovery may include
osteoporosis
According to an early family model, patients who seek treatment for anorexia nervosa are members of families who are experiencing enmeshment. This means that the family is
overinvolved in the affairs of the patient
"Baby blues" are a risk factor for which of the following?
peripartum depression
Eric eats paper clips. He likely has which of the following?
pica
Jimmy has just been diagnosed as having lead poison at a toxic level. He likely may have which of the following disorders?
pica
Henry's therapist insisted that his suicidal depression was in reality a form of his anger at his parents turned against himself. Henry's doctor likely belongs to which of the following orientations?
psycho dynamic
Which of the following treatments has received the least overall empirical support?
psychodynamic therapy
One technique used in cognitive-behavioral therapy for depression asks patients to
record their thoughts, feelings, and behaviors
Anorexia nervosa patients show an overall ____in gray matter volume, and bulimia nervosa patients display a(n) _____ in gray matter volume.
reduction; increase
The two subtypes of anorexia nervosa are
restricting and binge eating/purging
Before age 13, girls and boys are equally likely to have depression. During adolescence, rates of depression climb for girls, possibly because of
self-consciousness about bodily changes during puberty, victimization, hormones
The hallmark feature of a binge is the
sense of lack of control
The main difference between bipolar I and bipolar II disorder is the
severity of periods of mania
Compared with death by suicide, suicide attempts are
slightly more likely in males than in females
Stressful life events seem to lead to depression in some people but not in others. A likely reason is that
some people have more genetic sensitivity to life stress
A patient with bulimia nervosa who sometimes eats a typical or even small amounts of food but still feels that the eating is out of control is experiencing
subjective binge eating
Which of the following are highly comorbid with bulimia nervosa?
substance use, major depression, anxiety disorders
Second-generation antidepressants are often preferred over first-generation drugs because
they have fewer troublesome side effects
The _____ was developed to measure addiction to food.
yale food addiction sale
