Diagnosis
Amanda complains of chest tightness, restlessness, persistent and excessive worry that is difficult to control, difficulty sleeping or relaxing, and nausea that has been present for 3 months at a time, but symptoms usually resolve before 6 months. What is a likely diagnosis for her?
Possible answers: Other Specified Anxiety
OR
Adjustment Disorder - with anxiety specifier (less plausible)
Name one potential benefit of using CARS to screen for suicide risk over other instruments such as Columbia Suicide Severity Risk Scale.
CARS includes questions about cultural (e.g., LGBT, REM) identity risk factors and questions about family conflict
Name one empirically supported treatment for Borderline Personality Dx
TF-CBT, DBT, Transference based psychodynamic therapy, interpersonal therapy
What is the strongest predictor for future SI or suicidal behavior?
past attempt
What is the name for the psychological phenomenon when one internalizes negative beliefs, attitudes, or emotions concerning one of their social identities leading to poor self-esteem?
internalized stigma / internalized oppression
What is a key differentiating factor between Cyclothymic Disorder vs Bipolar II Disorder?
Mood swings a lot more mild in CD (do not meet full criteria for depression or mania), rapid cycling between mood swings (sometimes even multiple per day), BP 2 has distinct severe depressive and hypomanic episodes that likely have worse impairment in day to day functioning.
What are some reasons you may want to administer an entire mood disorders module of the SCID?
diagnostic clarity for comorbidities, differential diagnosis, conflicting self-report vs unstructured interview info or collateral info, suspicions of under or over reporting of symptoms
What is the difference between TF-CBT and CPT for trauma?
trauma-focused CBT focuses more on identifying cognitive distortions and coping skills for trauma; CPT is more so related to "stuck points" related to shame/self-blame in trauma narrative
25% of all completed suicides are associated with which disorder?
Bipolar I
What is the name of the psychological process for adapting to new cultural norms when moving to a new country?
Acculturation
Give both the correct # amount of symptoms that need to be present for a Borderline Personality Disorder diagnosis and also examples of what those symptoms may be.
5 or more of following: fear of abandonment, unstable sense of self image, pattern of unstable relationships, impulsivity challenges, NSSI/SIB, periods of rapid shifts in emotional lability, chronic feelings of emptiness, anger/frustration challenges, disassociation
2 examples of screeners that can be used to support evidence for a NPD diagnosis
NPI or FFNI or SCID-5-PD
What are some examples for when an individual may warrant a referral to a dietitian for ED symptoms?
-loss of period in AFAB individuals
-low heart rate
-dizziness/fainting
-anemia
-severe risk of malnutrition
True or False: Older White men are one of the most vulnerable populations for high suicide risk based on past research.
True
Why is it incorrect to say "race" is a risk factor for increased risk for mental illness?
Name a reason why someone may not be given a primary diagnosis of a psychotic spectrum disorder (e.g., schizophreniform, schizoaffective, schizophrenia, other specified psychotic disorder) even when hallucinations or delusions are present.
-when hallucinations or delusions are tied to normative spiritual or religious practices
-when psychosis is medication or substance induced
-when hallucinations or delusions are only present during sleep-wake transitions (then it is more likely hypnogogic episode)
What populations has the Eating Disorder Experiences Questionnaire (EDE-Q) contained conflicting evidence of psychometric properties support for in general samples?
Name one alternative measure you may use instead
Black Women, Asian Americans, Men, Athletes, LGBTQ+ individuals (especially gender-diverse individuals), younger adolescents
YEDE-Q/ChEDE-Q (for youth and children) or EAT-26, SCOFF, ED-15
Name one important situation where a referral to a psychiatrist for SSRIs may be important to hold off on pending further information when someone presents with depressive symptoms.
Screening for BP I or BP II needs to happen first otherwise SSRIs could inadvertently trigger a manic episode
What determines whether a CPS report needs to be filed if someone under the age of 18 is in a sexual relationship with another individual?
The age of the partner depending on state consent laws
Give an example of cultural adaptation that may be used when using ACT to promote mindfulness when treating anxiety.
Answers will vary
What is an important diagnostic challenge when relying upon BMI as an indicator for the severe weight loss criterion of Anorexia Nervosa?
does not encompass atypical anorexia where all other criteria of anorexia is met but not the body size being below BMI cutoff
Sara is a clinician who administered the PCL-5 for a client's self-reported trauma history related to a car accident within the past month, a robbery within the past 2 weeks, and a history of childhood sexual abuse.
What makes this an inappropriate use of the PCL-5?
PCL-5 is for acute trauma (eg robbery and accident), not complex childhood trauma (E.g., CSA)
ITQ may be more appropriate if trying to screen all 3 at once
Explain ERP treatment for OCD step by step.
starting with psychoed about nature of illness
starting with defining obsessions, compulsions and identifying treatment targets
exposures and window of tolerance
response prevention - replacing compulsions with other behaviors
True or False: someone is more likely to die from a Benzodiazapine overdose than an olanzapine overdose.
True
Give an example of a broaching question for the impact of the "I" dimension of the ADDRESSING framework (Hays, 2024) on worldview?
Answers will vary