CMN 552 Final Exam Study Guide 180 Questions with Complete Solutions
MODULE 1: MOOD DISORDERS -
Risk Factors for development of bipolar disorder - Correct Answer childhood adversity, cannabis and other substance use, previously married, genetic processes common differential diagnosis for bipolar disorder - Correct Answer major depressive disorder, other bipolar disorders, GAD, Panic disorder, PTSD, bipolar, substance/medication induced bipolar disorder, schizoaffective disorder, adhd, disruptive mood dysregulation disorder, personality disorders differentiate depressive episodes in bipolar 1 disorder vs bipolar II disorder - Correct Answer past episodes of mania, bipolar 1 accompanied by manic episodes bipolar II no manic just hypomanic For at least 2 years (at least 1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode. - Correct Answer cyclothymia symptoms of depression in children - Correct Answer 2 week duration of depressed or irritable mood and/or loss of interest or pleasure usually irritable rather than depressed weight or appetite change sleep disturbance psychomotor retardation or agitation fatigue or loss of energy feelings of worthlessness or guilt diminished concentration suicidal ideations, intent, or plan IMPAIRMENT in child's functioning critical to diagnosis in youth mood disturbance symptoms in depression - Correct Answer mood change: painful arousal, hypersensitivity to unpleasant events, insensitivity to pleasant events, insensitivity to unpleasant events, reduced anticipatory pleasure, anhedonia affecting blunting, apathy 1 / 3
severe recurrent temper outbursts manifested verbally (verbal rages) and/or behaviorally (physical aggression toward people or property) that are grossly out of proportion in intensity or duration to the situation or provocation - Correct Answer disruptive mood dysregulation disorder family and twin data collectively suggest that genes explain approximately what percent of bipolar disorder and what percent of major depression - Correct Answer 75%, 37% depressed mood for most of the day, for most days than not, as indicated by either subjective account or observation by others, for at least 2 years - Correct Answer persistent depressive disorder DIGFAST - Correct Answer Manic Episode: distractibility, indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness contraindications of bright light therapy - Correct Answer patients with glaucoma, cataracts, macular degeneration, retinal detachment, retinitis pigmentosa or retinopathy, patients taking photosensitizing medications indications for bright light therapy - Correct Answer seasonal affective disorder, circadian rhythm sleep disorders, insomnia, postpartum depression, nonseasonal depression, bipolar depression, parkinson's disease, adhd, dementia, fibromyalgia, delirium
- levels of CBT therapy: - Correct Answer automatic thoughts, intermediate beliefs, cognitive
schemata
automatic thoughts: - Correct Answer the conscious response to stimuli
intermediate beliefs: - Correct Answer assumptions about the self, the world, and the future that led to the automatic thought occurring in response to a particular stimulus cognitive schema: - Correct Answer the content (the beliefs) and the organization of that content, an individual schema determines which stimuli are most likely noticed and encoded in memory, which stimuli are ignored or discounted, how encoded information is linked to associated in memory, and which memories are most easily recalled 2 / 3
probability overestimation, catastrophic thinking, all-or-nothing thinking, overgeneralization, only considering evidence that is consistent with existing beliefs - Correct Answer cognitive distortions potential functional consequences of disruptive mood dysregulation disorder include - Correct Answer chronic severe irritability, marked disruption in child's family and peer relationships, school performance, friendships, dangerous behavior, suicidal ideations or attempts, severe aggression, psychiatric hospitalization usually defined by its subjective component as the sensation of not sleeping well or enough. - Correct Answer insomnia characterized by either excessive nighttime sleep or excessive sleepiness during the day - Correct Answer hypersomnia form of therapy focused more on identifying the negatively valanced automatic thoughts associated with depressed moods and using strategies to both test the accuracy of the negative thoughts and consider more rational alternatives - Correct Answer Cognitive Therapy therapy that develops a time-limited approach to address the common problematic patterns in relationships that plague the lives of people with depression, including unresolved grief, role disputes, role transitions, and interpersonal deficits. elicits an interpersonal inventory and identifies the area or areas of interpersonal difficulty of greatest relevance to a particular patient - Correct Answer interpersonal psychotherapy emphasizes two skills: observing one's perceived sensations and accepting and experiencing those sensations nonjudgmentally - Correct Answer mindfulness meditation therapy identify thoughts and behaviors that you want to change, and the therapist helps you create a plan to change those thoughts and behaviors. - Correct Answer Cognitive Behavioral Therapy draws connections between your mood and relationships to underlying interpersonal issues - Correct Answer Interpersonal Therapy focuses on changing problematic behaviors, feelings, and thoughts by discovering their unconscious meanings and motivations - Correct Answer psychoanalysis therapy
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