Initial Assessment and Treatment
Personality Disorders
Anxiety Disorders
Feeding/Eating Disorders
Obsessive-Compulsive Related Disorders
100

What is the purpose of giving an Mental Status Exam (MSE)?

It describes the mental state and behaviors of the person being seen

100

Personality disorders are __________disorders characterized by maladaptive attitudes and behaviors that differ from the individuals cultural expectations

Lifelong

100

Separation Anxiety Disorder: Fear must be present for a minimum of ________in children and adolescents and _________ or more in adults (and cause significant functional impairment)

Answer: 4 weeks; 6 months

100

According to the text, why are males less likely to seek treatment for an eating disorders

  • Answer: men are less likely to seek treatment due to cultural biases that tend to consider eating disorders to be the domain of females.
100
  • An estimated 3.3 million people in the US have _________ and ranks among the 10 leading causes of medical disability in the industrialized nations
  • Answer: Obsessive-Compulsive Disorder (OCD)
200

What are two limits to confidentiality?

Answer: Suspect harm to self/others, suspect child, elderly, dependent abuse

200

Psychotherapy is considered to be the first line treatment for most personality disorders. Research found greater overall treatment effectiveness after ______ than in short term psychotherapy

Answer: 1 year

200

According to the text, what is the most treatable of all anxiety disorders? What is the treatment?

Answer: Specific Phobia ; Exposure Based Interventions

200
  • ___________ may be the most frequently occurring eating disorder, affecting 7 million adults and 1.6% of 13-18 year olds
  • Answer: Binge Eating Disorder
200
  • What are the four specifiers for Body Dysmorphic Disorder?
  • w/good or fair insight
  • w/poor insight
  • w/ absent insight/delusional belief
  • W/ Muscle dysmorphia- specific form that occurs exclusively in males
300

Identify at least one screening measure that would be helpful in determining if a diagnosis more aligns with an anxiety related disorder or a trauma related disorder

Answer: BAI, TSCC/TSI

300

_____________ is considered a “mild” schizophrenia spectrum disorder and has many similar symptoms including severe cognitive deficits, social isolation, and in times of crisis, severe psychotic symptoms.

Answer: Schizotypal Personality Disorder

300

Approximately 80% of people with ___________have a comorbid disorder.

Answer: Generalized Anxiety Disorder

300
  • What is the third most common chronic medical illness among adolescents?
  • Anorexia Nervosa
300
  • OCD can begin as early as age _____, but most often diagnosed in the late teens for males and in the early 20’s for females *it rarely begins after age ______
  • Answer: 2; 35
400

What type of information should you obtain during an clinical interview?

Background information (including developmental history), family history and functioning, social functioning, medical history, educational history, current symptoms/behaviors, assessment or risk (including SI, HI, self-harm), cultural identity, etc.

400

__________ have been proposed as the main factor contributing to the development of narcissism

Answer: Parenting practices

400

What is one measure that may assist in diagnostic clarification for anxiety disorders?

Answer: Becks Anxiety Inventory (BAI)

400
  • Pica is typically first diagnosed in infancy or childhood; can also occur in adults (especially _____________________ and persons with ________________)
  • Pregnant women;  neurocognitive disorders
400
  • Trichotillomania (hair-pulling disorder) occurs ____times more frequently in women than in men
  • Answer: 10
500

What is an example of a measure to gain further information for the diagnosis of a personality disorder?

MMPI-2-RF/A-RF- Minnesota Multiphasic Personality Inventory 2/Adolescent Restructured Form

500

How is Obsessive Compulsive Personality Disorder different from Obsessive Compulsive Disorder?

Answer: Ego syntonic disorder (unlike OCD) in which a sense of right and wrong about how life should be lived pervades every aspect of life

500

Generalized Anxiety Disorder is defined by excessive, uncontrollable anxiety and worry about a variety of life circumstances for more days than not, over a 6 month period. The worry is difficult to control, causes appreciable distress, and is accompanied by at least three of the following (at least 1 if a child):

  • Feeling edgy or restless
  • Fatigue
  • Difficulty in concentrating
  • Irritability
  • Muscle tension
  • Disrupted sleep
500
  • In children, ARFID can lead to the following dangerous medical condition:
  • Answer: Non-organic failure to thrive
500
  • What is the recommended treatment for Hoarding Disorder?
  • Answer: Exposure and Response Prevention; CBT
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