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Which type of therapy has individual sessions to analyze self-destructive cognitions/feelings/actions, and group sessions with skills training to improve relationships and decrease impulsivity?
A. Dialectical behavioral therapy
B. Cognitive behavioral therapy
C. Group therapy
D. Hypnosis
Dialectical behavioral therapy
B. CBT combines cognitive therapy (identifying and challenging underlying cognitive errors) with behavioral therapy (removing unwanted behaviors).
C. Group therapy offers the opportunity for purposefully created, closely observed, and skillfully guided interpersonal interaction in a collection of patients brought together by a leader for a shared therapeutic goal.
D. Hypnosis is a trance like state in which you have heightened focus and concentration. Hypnosis is usually done with help of a therapist using verbal repetition and mental images.
Developed by Klerman, Interpersonal Therapy is a brief therapy that addresses relationships in the “here and now.” Which psychiatric illness is it most commonly used to treat?
A. Anxiety
B. Obsessive compulsive disorder
C. Phobias
D. Depression
Depression
Interpersonal therapy works to improve impersonal communication, clarify feelings, and provide reassurance. May be combined with medication management. ITP is primarily used to treat depression.
Which of the following statements is not true of CBT?
A. CBT is an active treatment
B. CBT is a structured treatment
C. CBT is a long-term treatment
D. CBT is evidence-based
E. CBT is collaborative
CBT is a long-term treatment
Which psychosocial therapies for patients with schizophrenia have been shown to reduce relapse rates?
A. Psychotherapy
B. Psychosocial rehabilitation
C. Family psychoeducational therapy
D. Self help and support group
Family psychoeducational therapy
Psychoeducation teaches people about their condition and treatment options. It also includes education for family and friends on topics like coping strategies, problem solving skills and how to recognize the signs of relapse. Family psychoeducation can often help ease tensions at home, which can help the person experiencing the mental illness to recover.
Dialectical Behavioral Therapy is utilized for?
A. Depression
B. Phobias
C. Borderline personality disorder
D. OCD
Borderline personality disorder
CBT tends to be the more effective treatment for the others.
During the initial phase of interpersonal psychotherapy, what problem is the therapist most likely to identify for therapeutic focus with the patient?
A. Role transition
B. Role disputes
C. Unresolved grief
D. Interpersonal deficits
Role transition
Role Transition is chosen as a problem area when the onset or maintenance of the depressive episode is associated with difficulty coping with changes in current life circumstances. Role transitions may occur in many domains including employment, relationship status, physical health, living conditions, socioeconomic status, etc. The transition is conceptualized as moving from one social role to another social role.
Which common CBT technique is used to help patients recognize how they are improving rather than comparing themselves to others who are not depressed?
A. Giving credit
B. Psychoeducation
C. Graded task assignments
D. Functional comparisons of self
E. Dysfunctional thought record
Functional comparisons of self
Patients are taught to give themselves credit for even modest accomplishments to begin to relieve the global negativism that is common in depression
Psychoeducation involved teaching patients about their diagnoses and how the therapy will help, what the therapist’s responsibilities are and what the patients’ responsibilities are for the therapy to be successful
Graded task assignments encourage the depressed patient to “get along” with modest tasks at first
Dysfunctional thought records are used to teach patients to identify common cognitive distortions and to record their own examples
What treatment is contraindicated in initial treatment of patient experiencing domestic violence?
A. Psychodynamic therapy
B. Conjoint marital therapy
C. Supportive therapy
D. CBT
Conjoint marital therapy
Which of the below is ‘Psychodynamic’ group therapy?
A. Weekly over months, shared universal dilemmas, helps adapt to environment. Universalization and reality testing
B. 1-3x/week for years, for neurotic disorders, work on present/past life situations, focus on interpret unconscious conflict to challenge defenses and reduce shame. Catharsis, reality testing, examine transference.
C. Weekly up to 6 months, phobias or compulsions treated, works on cognitive distortions to relieve specific psychiatric symptoms. Reinforcement, cohesion, conditioning.
D. Daily groups with rapid turnover of patients, heterogenous groups, emphasis on the “here and now” problem solving, education on treatment. Empathy and reality testing.
1-3x/week for years, for neurotic disorders, work on present/past life situations, focus on interpret unconscious conflict to challenge defenses and reduce shame. Catharsis, reality testing, examine transference.
A= Supportive
C= CBT
D= Inpatient
In the middle phase of interpersonal psychotherapy, the therapist focuses on the patient’s?
A. Emotional losses
B. Current relationships
C. Changes in health
D. Giving patient sick role
Current relationships
The clinician relates the depressive syndrome to difficulties establishing and maintaining interpersonal relationships. Treatment involves decreasing social isolation by using past relationships and the relationship with the therapist as models for new relationships.
CBT therapy may be used to help treat individuals with bulimia nervosa. Which of the following is the goal of this type of treatment?
A. Encourage them to enjoy food without feeling the need to binge or purge
B. Correct inappropriate beliefs they have about themselves and their disorder
C. Alter their response to periods of extreme stress or anxiety
D. Suppress all food-related thoughts to reduce the risk of binging
Correct inappropriate beliefs they have about themselves and their disorder
CBT is a 1st line therapy for treatment of bulimia and aims to change the way the patient thinks about themselves and their disorder.
What dysfunctional process in systemic therapy is illustrated by a mother telling her 15 year old son to confront his father about excessive drinking?
A. Triangulation
B. Circular questioning
C. Self differentiation
D. Second order change
Triangulation
Triangulation occurs when an outside person intervenes or is drawn into a conflicted or stressful relationship in an attempt to ease tension and facilitate communication. It is the process that occurs when a third person is introduced into a dyadic relationship to balance either excessive intimacy, conflict, or distance and provide stability in the system.
Which of the following describes the therapeutic factor ‘contagion’ in group therapy?
A. Imparting a sense of optimism to group members
B. Group is working together for a common goal
C. One member helps another, helps to establish cohesion
D. Expression of an emotion in one member elicits the expression of emotion in another member
Expression of an emotion in one member elicits the expression of emotion in another member
A= Inspiration
B= Cohesion
C= Altruism
An individual interpersonal psychotherapist explains to her patient that the patient has major depression and provides psychoeducation about the condition. The therapist is doing which of the following in this phase of therapy?
A. Engaging in countertransference
B. Enabling patient
C. Inducting patient into sick role
D. Giving differential diagnosis
Inducting patient into sick role
Individual interpersonal psychotherapy emphasizes helping the patient to accept the medical diagnosis of major depression and its seriousness.
What disorder is not treated with CBT?
A. MDD
B. Social Anxiety Disorder
C. Phobias
D. Unresolved Grief
Unresolved Grief
Unresolved grief is treated with interpersonal therapy.
What type of family therapy uses paradoxical directives, such as disrupting the symptom or behavioral sequence?
A. Structural
B. Strategic
C. Systemic
D. Bowenian
Strategic
Strategic family therapy’s core concepts are power and control, with focus on family life cycle transitions, roles changes, and adapting to change. Goals are problem solving with identification of “exception to the rules,” address double binds, disrupting the sequences of behavior that perpetuate problems. Most of the work is done outside the therapy session. The therapist will give the family homework and ask them to experiment with fresh responses to recurring problems.
What is the therapeutic factor of treating bulimics in group therapy to openly disclose personal attitudes toward body image and give detailed experiences with binging/purging?
A. Universality
B. Abreaction
C. Imitation
D. Ventilation
Universality
B. Abreaction: unearth repressed emotions and relive them to increase insight
C. Imitation: emulation or modeling of one’s behavior after another person
D. Ventilation: expression of surpassed feelings, ideas, or events to group members to ameliorate a sense of shame of guilt (aka self disclosure)
Which technique used in interpersonal therapy involves the therapist identifying maladaptive communication patterns to help the patient communicate more effectively?
A. Use of therapeutic relationship
B. Communication analysis
C. Clarification
D. Encouragement of affect
Communication analysis
Communication analysis allows the therapist to identify maladaptive communication patterns to help the patient communicate effectively.
Exposure and response prevention, a specialized CBT technique, has been most widely studied and used in which disorder?
A. PTSD
B. Panic disorder
C. Social phobia
D. OCD
OCD
Exposure and response prevention, a treatment that is primarily behavior in focus, is the best-established therapy for OCD, either alone or combined with CBT.
What best defines the goals of supportive psychotherapy?
A. Self differentiation, or the ability to separate thoughts from feelings
B. Help the patient enact change in thinking patterns and behaviors
C. Transforming destructive behaviors into positive outcomes
D. Stabilize patient’s functioning and strengthen patient’s defenses
Stabilize patient’s functioning and strengthen patient’s defenses
Purpose of DBT is to diminish what?
A. Role transition
B. Parasuicidal thoughts
C. Overgeneralization
D. Relationship problem
Parasuicidal thoughts
A. Role transition is the problem a therapist will most likely identify for therapeutic focus with the patient in the initial phase of interpersonal psychotherapy.
C. Overgeneralization is identified and corrected in CBT.
D. Relationship problem is the focus of therapy during the initial interview of a couple presenting for therapy.
A highly motivated patient in psychodynamic psychotherapy finds that he has nothing to say, which is an example of?
A. Transference
B. Triangulation
C. Resistance
D. Reassurance
Resistance
Resistance: unconscious and conscious forces within a patient that resist treatment.
What kind of cognitive error is represented by an 18yo patient stating “I’m stupid,” when she recalls her embarrassment about miscalculating her waiter’s tip at lunch yesterday, despite the fact that she was just graduated as valedictorian of her high school class?
A. Selective abstraction
B. Arbitrary inference
C. Personalization
D. Magnification
E. Absolutistic thinking
Arbitrary inference
Arbitrary inference – conclusion that is reached in the face of contradictory evidence
Selective abstraction – conclusion drawn after looking at only a small portion of the available data
Magnification – exaggerating the significance of an attribute, event or sensation
Personalization – linking external events to oneself when there is little or no basis for doing so
Absolutistic thinking – categorizing oneself or one’s personal experiences into rigid dichotomies (all good or all bad)
The following circumstance an example of: Betty’s parents encourage her to go to college, but complain that expenses will be a hardship for the family ?
A. Cognitive dissonance
B. Double bind
C. False dilemma
D. Barber paradox
Double bind
A double bind is a dilemma in communication in which an individual (or group) receives two or more conflicting messages, with one negating the other. In some circumstances (particularly families and relationships) this might be emotionally distressing. This creates a situation in which a successful response to one message results in a failed response to the other (and vice versa), so that the person will automatically be wrong regardless of response. The double bind occurs when the person cannot confront the inherent dilemma, and therefore can neither resolve it nor opt out of the situation.
In dialectical behavioral therapy, validation refers to which of the following?
A. Process of verifying patient’s claims
B. Complete absence of truth of patient’s statements
C. Process of offering support and acknowledgement of patient’s thoughts, feelings, and behaviors
D. Process in which therapist joins with patient by disclosing personal experiences
Process of offering support and acknowledgement of patient’s thoughts, feelings, and behaviors
A. Validation has nothing to do with verifying the truth of a patient’s thoughts, feelings, and behaviors.
B. Validation has nothing to do with accepting the truth of a patient’s thoughts, feelings, and behaviors.
D. Validation does not involve therapist self-disclosure.
Which of the following statements is not true of psychoanalysis?
A. The therapist is trained in psychoanalysis at a psychoanalytic institute and has had his or her won psychoanalysis
B. The patient presents for analysis 3-5 times a week
C. Countertransference phenomena are the focus of the analysis
D. Psychoanalysis takes 3 or more years
Countertransference phenomena are the focus of the analysis
The other statements are characteristic of psychoanalysis.
19-year-old failed recent midterm exam despite studying a great deal for the test. She is conventional lose her scholarship and excessively worried. Her belief that she is going to have to drop out of college because she did poorly on midterm is an example of which of the following types of distortion?
A. Selective abstraction
B. Overgeneralization
C. Catastrophic thinking
D. A schema
Catastrophic thinking
Selective abstraction: detail is taken out of context and believed whilst everything else in the context is ignored. Example would be a professional dancer getting into psychotherapy focuses on a minor miss-step despite a claim for her performance.
Overgeneralization: If something bad happens just once, they expect it to happen over and over again.
Catastrophic thinking: defined as ruminating about irrational worst-case outcomes.
A schema: “I always have to work harder than everyone else to succeed”
What is a contraindication to family therapy?
A. Strong religious or cultural beliefs against intervention
B. History of divorce
C. Child & adolescent trauma
D. Childhood physical disorders
Strong religious or cultural beliefs against intervention
Select the response that correctly lists the modes of treatment for Dialectical Behavioral Therapy for patients with borderline personality disorders:
A. Group skills training, individual therapy, phone consultations, consultation teams
B. Group skills training, individual therapy and hospitalization
C. Individual therapy and hospitalization
D. Group skills training, individual therapy, pharmacotherapy and phone consultations
Group skills training, individual therapy, phone consultations, consultation teams
Although hospitalization and pharmacotherapy may be necessary for some patients with borderline personality disorder, they are not within the 4 modes of treatment for DBT.
In psychodynamic therapy “working through” focuses on which of the following?
A. Identifying patterns of defense mechanisms and object relations
B. Identifying dysfunctional cognitions
C. Using role playing and acting out
D. Making negative conscious impulses subconscious
Identifying patterns of defense mechanisms and object relations
Plotting, graded exposure and participant modeling are examples of what?
A. Systemic desensitization
B. Confrontation of anxiety-provoking experiences
C. Automatic thoughts
D. Emotional constriction
Confrontation of anxiety-provoking experiences
All examples of exposure therapy; used for reducing fear and anxiety responses. In therapy, a person is gradually exposed to a feared situation or object, learning to become less sensitive over time.
Which form of therapy would describe the therapeutic goal as “improving ego functioning and self esteem?”
A. Psychoanalytical
B. Expressive
C. Supportive
D. Interpersonal
Supportive
Group therapy may be indicated for neurotic disorders. What type of group therapy indicated for neurotic disorders focuses on present and past life situations and intergroups relationships?
A. Day hospital group
B. Supportive group
C. Psychodynamic group
D. Cognitive behavioral group
Psychodynamic group
A. A day hospital group is designed for acute or chronic major mental illness and is focused on a plan to return to baseline.
B. A supportive group is designed for patients for shared universal dilemmas, such as loss of a child, and focuses on loss and life management skills.
D. Cognitive behavioral group therapy is designed for patients with phobias and compulsive problems and focuses on cognitive distortions.
What is a primary function of free association in psychoanalysis?
A. Helps patient learn about himself or herself
B. Acts as an “ice breaker” between analyst and patient
C. Prevents patient from lying or overthinking
D. Helps with working through transference neurosis
Helps with working through transference neurosis
Free association induces regression to work through transference neurosis, and it also provides material to discuss. Other techniques to cause regression are closing the eyes (or otherwise preventing the patient from seeing the analyst), lying down, and maintaining a quiet, relaxed state.
Behavioral therapy technique in which patient is exposed to progressively greater fear inducing situation is referred to as:
A. Transference
B. Hypnotic concentration
C. Systemic desensitization
D. Consensual validation
Systemic desensitization
In systemic desensitization, patient is exposed to progressively more anxiety-provoking stimuli and taught relaxation techniques.
A patient is often tardy to work. The supervisor warns them not to be late. Pt’s father unexpectedly dies and pt leaves town without telling supervisor and is again given a warning. The next day, a delayed train causes the patient again to be late to work. In therapy, the overlapping of multiple potential causes of tardiness is an example of what?
A. Sensitization
B. Overdetermination
C. Compilation
D. Decentrism
Overdetermination