Diagnosing Children & Adolescents
A School therapist is asked to evaluate an 8 yr old girl who has been crying frequently in class and complaining of stomach aches. When the therapist interviews the student, the student begs the therapist to let her go home and be with her mother and also expresses fears that something bad might happen to her mom. What is the MOST likely diagnosis in this case?
A. PTSD
B. Separation Anxiety Disorder
C. School Phobia
D Generalized Anxiety Disorder
B. Separation Anxiety
A college student self-refers to the campus mental health center. She reports that for the last year she has been irritable and arguing more with her sorority sisters: plus her grades have dropped dramatically. She also reports losing weight due to decreased appetite. The client is MOST likely exhibiting:
A. Substance-Induced Mood Disorder
B. Adjustment Disorder with Depressed mood
C. Major Depressive Disorder
D. Persistent Depressive Disorder
C. Major Depressive Disorder
Reduce anxiety and emotional turmoil in family system
A: strategic
B: structural
C. bowen
D: satir
C: Bowen
Inferiority feelings motivate behavior
A: Adler
B: Existential
C. Reality
D: Client centered/humanistic
A: Adler
Legal and/or Ethical:
Report suspected elder abuse/neglect immediately and file a report within 2 days
Legal
A therapist evaluates a 6 yr old girl with moderately severe cerebral palsy. Among other symptoms the parents report that their daughter is often observed attempting to chew and eat non-food items, including sand and houseplants. Sometimes they are able to intervene while she is chewing on the item but she has been hospitalized on one occasion for ingesting leaves from a potentially harmful plan. What is the most likely diagnosis
A. Encopresis
B. Autism Spectrum Disorder
C. Rumination disorder
D. Pica
D. Pica
A 22 year old client is referred by his lawyer after being accused of burglary. The Lawyer claims that the client is depressed. When the therapist meets with the client the client states that he is depressed but cannot identify any specific symptoms. the MOST likely diagnosis is:
A. Major Depressive Disorder
B. Factitious Disorder
C. Malingering
D. Conversion Disorder
C. Malingering
unbalancing
A: strategic
B: structural
C. bowen
D: satir
B: Structural
Empty chair technique
A: CBT
B: solution focus
C. gestalt
D: Client centered/humanistic
C: Gestalt
Legal or/and Ethical:
Disclose fees before onset of treatment
Legal & Ethical
According to the DSM V for an individual to be diagnosed with ADHD, symptoms must be present before what age:
A. 5
B. 7
C. 12
D. 10
C. 12
A Client is referred to a therapist after being discharged from the psychiatric hospital. The Records indicate that he has been hearing voices for the past 4 months and he believes he is being followed. According to the DSM V criteria the MOST likely diagnosis for the client is:
A. Brief Psychotic Disorder
B. Schizophrenia
C. Schizoaffective Disorder
D. Schizophreniform Disorder
D. Schizophreniform Disorder
Family Sculpting
A: strategic
B: structural
C. bowen
D: satir
D: Satir
Identifying and meeting needs
A: object relations
B: solution focus
C. CBT
D: Reality Therapy
D: Reality Therapy
Legal or/and Ethical:
not maintain a therapeutic relationship solely for financial gain
Ethical
A Therapist in private practice receives a referral from a daycare for a 20 month old girl. During the assessment the therapist notices that the girl has no functional language, does not respond to prompts from her mother, and sits listlessly while wringing her hands. Her mother is very upset and reports that she doesn't understand her daughter's behavior. She states "she used to talk, play and have fun. Now she can't even feed herself.' What is the MOST likely diagnosis in this case:
A. Autism Spectrum Disorder
B. Intellectual Disability
C. Social (Pragmatic) Communication Disorder
D. Mixed Receptive-Expressive Language Disorder
A. Autism Spectrum Disorder
A Couple enters treatment with a therapist due to increasing conflicts and distance after 2 years of marriage. The man reports feeling as if his wife needs his approval for everything and he's exhausted with her constant worries and questions about what she should do. The woman endorses frequent worries about her husband leaving her or dying young and states that she only asks his opinion because she "trusts him more than I trust myself". The man says that he feels more like a parent than a husband and that this can't continue. The woman's diagnosis is MOST likely:
A. Avoidant Personality Disorder
B. Histrionic Personality Disorder
C. Dependent Personality Disorder
D. Generalized Anxiety Disorder
C. Dependent Personality Disorder
Restraining
A. Structural
B. Strategic
C. Bowen
D. Satir
B. Strategic
Deconstruct problem saturated stories
A: adler
B: narrative Therapy
C. CBT
D: object relations
B: Narrative Therapy
Legal or/and Ethical:
manage issues of privilege when records are requested in a legal proceeding
Legal
A 17yr old girl is referred to the school therapist after her teacher observed her “completely zoning out” on several occasions in class. When the therapist asks the girl about this she has difficulty describing the experience and says “I think im going crazy”. The therapist tries to clarify the girls meaning but the girl is only able to say “its like im there but I'm not, you know? I know I should be paying attention but its like I can’t control my own body.” the therapist is most likely to diagnose the girl with:
A: ADHD, inattentive type
B: Depersonalization disorder
c: Schizophrenia
D: Dissociative amnesia
B. Depersonalization Disorder
a 45 year old woman is referred to a therapist through her company's EAP: when she arrives at the initial appointment the therapist notes that she is dressed dramatically. She reports a conflict at work and says, "My boss never notices my accomplishments or contributions, and she's refused to accept my friend request on Facebook. Can yo ubelieve it? Everyone wants to be my friend on Facebook!" The therapist will MOT likely diagnose this client with:
A. Generalized Anxiety disorder
B. Histrionic Personality Disorder
C. Persistent Depressive Disorder
D. Narcissistic Personality Disorder
B. Histrionic Personality Disorder
Mimesis
A. Structural
B. Strategic
C. Bowen
D. Satir
A. Structural
Projection Identification
A. CBT
B. Reality
C. Object Relations/Psychodynamic
D. Existential
C. Object Relations/Psychodynamic
Legal and/OR Ethical
Consider appropriateness of electronic therapy and inform clients of potential risks
Legal and Ethical