Disorders of Trauma and Stress
Which factor during childhood has NOT been shown to increase a person's likelihood of developing a stress disorder after experiencing a trauma later in life?
a) living in poverty
b) being required to work for an allowance
c) experiencing parental divorce or seperation
d) living with someone with a psychological disorder
What is BEING REQUIRED TO WORK FOR AN ALLOWANCE?
Which of these is NOT a physical symptom of depression?
a) sleeping poorly
b) eating less frequently
c) experiencing frequent headaches
d) feeling sad and dejected
What is FEELING SAD AND DEJECTED?
Which statement is TRUE about factitious disorders?
a) Individuals with factitious disorder are not trying to achieve some external gain by faking illness.
b) Individuals with factitious disorder do not intentionally create illness.
c) Individuals with factitious disorder have no control over their behavior.
d) Individuals with factitious disorder do not want to assume the "sick role"
What is : INDIVIDUALS WITH FACTITIOUS DISORDER ARE NOT TRYING TO ACHIEVE SOME EXTERNAL GAIN BY FAKING ILLNESS.
The _____ symptoms of schizophrenia include delusions, disorganized thinking and speech, heightened perceptions and hallucinations, and inappropriate affect.
a) positive
b) negative
c) cognitive
d) ineffective
What is POSITIVE?
1) Ernest Hemingway was a physically strong, proud man who developed great concerns about his failing body. Depressed about his progressive illness, he intentionally ended his life. Shneidman would classify Hemingway as a:
a) death darer
b) death seeker
c) death ignorer
d) death initiator
2) Nora is ambivalent about her intent to die and deliberately swims in shark-infested waters. Shneidman would call Nora a:
a) death darer
b) death seeker
c) death ignorer
d) death initiator
1) What is DEATH INITIATOR?
2) What is DEATH DARER?
When a person feels that the external world is removed, mechanical, distorted, or even dead, the person is experiencing:
a) doubling
b) depersonalization
c) dissociative amnesia
d) derealizatiom
What is DEREALIZATION?
What kind of depression is major depression?
a) depression that occurs without periods of mania
b) depression that stems from a single event in a person's life
c) depression that includes only extreme sadness as a symptom
d) depression that occurs due to the lengthy absence of sunlight during the winter.
What is DEPRESSION THAT OCCURS WITHOUT PERIODS OF MANIA?
A person who has a disorder in which she is translating conflicts and anxiety into physical symptoms is said to have a _____ disorder.
a) phobia
b) dissociative
c) psychophysiological
d) conversion
What is CONVERSION?
Poverty of speech, blunted and flat affect, loss of volition, and social withdrawal are all _____ symptoms of schizophrenia.
a) positive
b) negative
c) hallucinatory
d) psychomotor
What is NEGATIVE?
1) Individuals who clearly intend to end their lives at the time they attempt suicide (and fail to do so), only to experience confusion in the very next hour or day, might be classified as:
a) death ignorers
b) death seekers
c) death initiators
d) death darers
2) How do death seekers differ from death darers?
a) Death seekers speed along their death, which is already underway.
b) Death seekers are uncertain about their death
c) Death seekers clearly intend to end their lives with their actions
d) Death seekers believe that death will not end their existence
1) What is DEATH SEEKERS?
2) Death seekers clearly intend to end their lives with their actions
Which diagnosis would a person experiencing multiple personalities MOST accurately be diagnosed with?
a) schizophrenia
b) dissociative identity disorder
c) fugue
d) subpersonality disorder
What is DISSOCIATIVE IDENTITY DISORDER?
A woman experiences recurrent thoughts of suicide, great sadness, and sleep disturbances. These symptoms began a week after she gave birth and have lasted more than 6 months. This woman is experiencing:
a) the "baby blues"
b) postpartum psychosis
c) hormone withdrawal syndrome
d) postpartum depression
What is POSTPARTUM DEPRESSION?
Someone who intentionally feigns an illness to receive external (compensation, empathy) gain is described as someone who:
a) is malingering
b) is experiencing somatization
c) has a factitious disorder
d) has an illness anxiety disorder
What is MALINGERING?
Elise has schizophrenia and has been exceptionally quiet for the past few days. Even when directly spoken to, she gives only very short answers or sometimes refuses to speak at all. Which symptom of schizophrenia is Elise displaying?
a) delusion of grandeur
b) alogia
c) avolition
d) derailment
What is ALOGIA?
1) If a person's bodily symptoms affect their voluntary motor and sensory functions, but the symptoms are inconsistent with any known medical disease, this condition is referred to as:
a) malingering
b) illness anxiety disorder
c) selective amnesia
d) conversion disorder
2) Which disorder is considered by law enforcement to be a form of child abuse?
a) conversion disorder
b) Munchausen syndrome by proxy
c) illness anxiety disorder
d) factitious disorder
1) What is CONVERSION DISORDER?
2) What is MUNCHAUSEN SYNDROME BY PROXY?
Four people all have stress disorder–related symptoms following a traumatic event. The person who may be diagnosed as having acute stress disorder is the one who has had symptoms for:
a) 6 weeks
b) 3 months
c) 3 weeks
d) 6 months
What is 3 WEEKS?
Many victims of spousal abuse stay with their abusers, even though it is obvious to others that they should, and actually could, leave. A good explanation for their behavior is:
a) symbolic (imagined) loss
b) learned helplessness
c) artifact theory
d) body dissatisfaction
What is LEARNED HELPLESSNESS?
Which statement BEST describes someone with illness anxiety disorder?
a) A person has an illness and believes they will never fully recover
b) A person misinterprets normal bodily functions and changes as signs of a serious health condition.
c) A person fabricates symptoms and seeks ongoing treatment from health care professionals.
d) A person causes real illness as a direct result of numerous preventive measures and self-pretreatment.
What is: A PERSON MISINTERPRETS NORMAL BODILY FUNCTIONS AND CHANGES AS SIGNS OF A SERIOUS HEALTH CONDITION.
The main difference between hallucinations and delusions is that hallucinations:
a) are more serious than delusions
b) involves perceptions and delusions involve belief
c) are more common early in the disorder and delusions are more common later
d) involves belief and delusions involve perception.
What is: INVOLVES PERCEPTIONS AND DELUSIONS INVOLVE BELIEF.
1) A loss of contact with reality is called:
a) delusional disorder
b) disorganized speech
c) psychosis
d) schizophrenia
2) A psychotic disorder in which personal, social, and occupational functioning deteriorates as a result of unusual perceptions, odd thoughts, disturbed emotions, and motor abnormalities:
a) delusional disorder
b) disorganized speech
c) psychosis
d) schizophrenia
1) What is PSYCHOSIS?
2) What is SCHIZOPHRENIA?
Define fight-or-flight response and give a situational example:
The fight-or-flight response is a physiological reaction that occurs in response to a perceived threat or danger.
Example; Public Speaking
Compare and contrast depression and mania, and explain how these are related to major depression and bipolar disorders.
Depression (MDD) is characterized as "being in a low state of mood all day, nearly everyday", while mania is defined as a state of abnormally elevated mood, energy, and activity that lasts for at least one week.
Bipolar I disorder includes symptoms of depression and mania; while Bipolar II disorder includes symptoms of depression and hypomania.
Hypomania - symptoms (although similar) are less severe and temporary.
What is the most common cause of having any of the four somatic symptom and related disorders?
What is: All four disorders can be attributed from psychological factors such as stressful and traumatic life experiences.
List the positive and negative symptoms of schizophrenia.
What is:
POSITIVE:
1) Hallucinations
2) Delusions
3) Disorganized speech/thing
4) Catatonic behavior
NEGATIVE:
1) FLAT AFFECT
2) ALOGIA
3) AVOLITION
1) Which is likely to be useful in distinguishing conversion or somatic symptom disorders from true medical problems?
a) the particular body part showing the symptom
b) the failure of the condition to develop through testing
c) the patient’s description of the symptoms
d) the physical symptoms are not felt by the individual
2) A therapist is evaluating a person who experienced catatonia, disorganized speech, restricted affect, avolition, and social withdrawal for the past two months. This has led to impairment in the person's personal life and at work. Does this patient meet the diagnostic criteria for schizophrenia?
1) What is THE FALIURE OF THE CONDITION TO DEVELOP THROUGH TESTING?
2) What is : NO, THE PERSON MUST EXPERIENCE THE SYMPTOMS FOR AT LEAST 6 MONTHS OR MORE?