Deck 15: Psychological Treatments

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سؤال
Jenny is receiving psychotherapy for an eating disorder. Her therapist is warm and empathetic and can easily take her perspective. He encourages Jenny to express her thoughts and feelings about her eating issues and does not judge or criticize anything she says. This therapist is most likely using a ________ therapeutic approach.

A) cognitive-behavioral
B) rational-emotive
C) client-centered
D) psychoanalytic
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سؤال
The textbook discusses two basic, general approaches that can be used to treat clients with mental health disorders. These approaches are

A) psychoanalysis and behavior modification.
B) cognitive therapy and group therapy.
C) dream analysis and electroconvulsive therapy.
D) psychotherapy and biological therapy.
سؤال
Dr. Macallan is a behavioral therapist. When treating a person with schizophrenia, Dr. Macallan takes his client out to dinner in order to show what behaviors are appropriate when dining in public. Dr. Macallan is using ________ to help his client.

A) a token economy
B) unconditional positive regard
C) cognitive restructuring
D) modeling
سؤال
You have gone to the university's counseling center. There, you encounter a therapist who does not pass judgment on your behavior. Rather, he encourages you to talk about your experiences, and he often repeats back to you what you have just said. This therapist is most likely using

A) behavioral modification.
B) cognitive-behavioral therapy.
C) psychoanalysis.
D) humanistic therapy.
سؤال
Ron is just starting a career as a psychotherapist. What is most important for him to focus on if he wants to make sure he can help his clients?

A) the relationship between himself and his client
B) the amount of training and expertise he has
C) creating a comfortable clinical setting
D) treating clients the same age as himself
سؤال
Rand gets very anxious when he is in an enclosed space. Every time he gets in an elevator, he thinks, "I will never get out of here alive." His therapist helps Rand by having him think instead, "The doors of the elevator closed correctly and they will open correctly in just a minute." His therapist is using

A) systematic desensitization.
B) active listening.
C) modeling.
D) cognitive restructuring.
سؤال
Young Benny tells Lisa, "It is not that I am a bad person. It is just that I like to hit people with my toy gun." Lisa replies, "I hear you saying that you feel like your desire to use your toy gun does not make you a bad person." Lisa is using ________ with Benny.

A) empathy
B) unconditional positive regard
C) active listening
D) modeling
سؤال
Heather would like to learn to change her behavior and resolve problems with her husband. Heather would most likely benefit from

A) dream analysis.
B) free association.
C) psychotherapy.
D) active listening.
سؤال
Olga knows her therapist is using client-centered therapy when she

A) interprets Olga's dreams to understand her unconscious conflicts.
B) uses direct suggestions for how Olga could behave in more adaptive ways.
C) gets Olga to understand the perspective of others so she can be more empathetic.
D) helps Olga understand herself better by listening to and clarifying Olga's feelings.
سؤال
In his practice, Dr. Howard uses the idea that because actions are learned, they can also be unlearned through classical and operant conditioning. Dr. Howard is most likely a ________ therapist.

A) cognitive
B) humanistic
C) behavior
D) psychodynamic
سؤال
Michael has borderline personality disorder. He wants to pursue treatment using psychodynamic therapy because it

A) works reasonably well for people with borderline personality disorder.
B) is faster and less expensive than other effective therapies.
C) is based on "talk therapy," which has little effect on psychological functioning.
D) relies more on medication than on the client-therapist relationship.
سؤال
Ty needs help healing his relationships with his children and understanding his parenting role as part of a larger context. Ty would most likely benefit from ________ therapy.

A) family
B) group
C) behavior
D) cognitive
سؤال
Eleanor has been diagnosed with depression and is receiving psychotherapy as her only type of treatment. During psychotherapy, Eleanor may experience all of the following EXCEPT

A) transcranial magnetic stimulation.
B) active listening.
C) cognitive restructuring.
D) operant conditioning.
سؤال
Dr. Sampson is a clinical psychologist who knows that cognitive-behavioral therapy works best to help clients with

A) personality disorders.
B) schizophrenia.
C) anxiety and mood disorders.
D) autism.
سؤال
Deepa is very shy in public and finds it almost impossible to talk to people she does not know. Others think she is standoffish, but actually, she is afraid that people will criticize her, so she avoids interacting with them. If Deepa chooses to go to psychotherapy to overcome this problem, the therapist who would seem LEAST threatening to her is most likely a

A) client-centered therapist.
B) rational-emotive therapist.
C) psychoanalyst.
D) cognitive-behavioral therapist.
سؤال
Dr. Ellway uses therapy to explain how his client's thoughts are flawed and then demonstrates how the client could have more positive thoughts. Dr. Ellway is most likely a ________ therapist using ________.

A) cognitive; active listening
B) humanistic; active listening
C) cognitive; rational-emotive therapy
D) humanistic; rational-emotive therapy
سؤال
Johanna is a therapist who works with clients to help them understand their problems and work toward a solution by changing their behavior. Johanna is practicing

A) unconditional positive regard.
B) psychotherapy.
C) psychoanalysis.
D) free association.
سؤال
Assiyah, a therapy client, believes she is an unattractive person and thus stays home alone all the time. Her therapist told her, "Go to three social gatherings in the next two weeks. At each event, ask one person out on a date." Assiyah does this, and each time the person agrees to go on a date with her. She now goes to more social events and believes that she is attractive. Her therapist has successfully used ________ with Assiyah.

A) cognitive-behavioral therapy
B) rational-emotive therapy
C) psychoanalysis
D) client-centered therapy
سؤال
Dallas believes that he will never be successful or likable enough. His friends tell him that he is too hard on himself, but he persists in the belief that he will never live up to his own high standards. Because he needs to exchange his negative and unrealistic beliefs about himself for more realistic ones, Dallas would most likely benefit from treatment that includes

A) a systems approach.
B) cognitive restructuring.
C) psychoanalysis.
D) unconditional positive regard.
سؤال
Shoshanna works with a therapist who provides support while also improving her social skills through practice with others in a cost-effective manner. Shoshanna is most likely receiving ________ therapy.

A) psychodynamic
B) humanistic
C) family
D) group
سؤال
Which of the following is an advantage of group therapy, aside from low cost?

A) Participants can learn from each other.
B) It deals exclusively with physical problems.
C) Low cost is the only advantage of group therapy.
D) It ignores cultural differences between participants.
سؤال
Whether a group in group therapy is highly structured or more loosely organized depends on the ________ and the ________.

A) type of disorder being treated; amount of time available each session
B) personality of the clients; therapist's experience with groups
C) therapist's preferred treatment approach; time available each session
D) type of disorder being treated; therapist's preferred treatment approach
سؤال
Rajesh is experiencing symptoms of depression. However, if he seeks treatment at all, Rajesh is likely to describe his feelings as

A) anxiety and fear.
B) tension and strain.
C) bipolar disorder.
D) mental illness.
سؤال
Stephanie, who is shy and insecure, was having trouble forming lasting relationships. She tried self-help books, attended seminars, and joined dating websites. While watching a talk show on TV she heard about rebirthing therapy and decided to give it a try. What is the problem with Stephanie's approach?

A) Therapies that aren't evidence based can prevent people like Stephanie from getting effective treatment and can be dangerous.
B) Stephanie is probably too old to really benefit from rebirthing therapy, so it could be dangerous for her.
C) Stephanie should try Reiki therapy first, since it is less intrusive than rebirthing.
D) There is nothing wrong with what Stephanie is planning to do. If she thinks it will work, it will.
سؤال
The underlying theme of the systems approach is that

A) if the client knows the system of treatment, the chances of a good outcome of treatment are low.
B) the individual is in therapy because he or she is no longer part of a larger context, and isolation has resulted in disordered thinking.
C) an individual is part of a larger context and any change in individual behavior will affect the whole system.
D) the only way to achieve lasting results in therapy is to follow a specific set of systems of treatment.
سؤال
The best way to determine if a psychological treatment is safe and effective is to

A) rely on the testimonials of practitioners who use the treatment.
B) try it on animals first.
C) Treatments should vary according to the particular disorder and the client's symptoms.
D) subject the treatment to randomized clinical trials.
سؤال
According to some therapists who lead group therapy sessions, the ideal number of clients in a group is

A) two.
B) around eight.
C) 10-12.
D) four.
سؤال
Like all psychological theories, psychological treatments need to be validated by using

A) trial and error.
B) empirical research.
C) "fringe" therapies.
D) faith and tradition.
سؤال
Jeremy has very high levels of anxiety. He needs treatment in a structured therapy setting and wants social support, but he does not have a lot of money. The best treatment choice for Jeremy would be

A) psychoanalysis.
B) client-centered therapy.
C) cognitive therapy.
D) group therapy.
سؤال
Dr. Eliseo is a modern psychologist. Sometimes he has clients with psychological disorders who do not respond to therapy or typical psychotropic medications. In these extreme cases, he uses alternative treatments, which are likely to include all of the following EXCEPT

A) transcranial magnetic stimulation.
B) lobotomy.
C) deep brain stimulation.
D) electroconvulsive therapy.
سؤال
In addition to therapy, Norah often uses psychotropic medications to help her clients with their symptoms of psychopathology. Norah might use any of the following categories of treatments EXCEPT

A) antidepressants.
B) mood stabilizers.
C) stimulants.
D) transcranial magnetic stimulation.
سؤال
In addition to individual therapy, two other types of therapy are

A) group and family.
B) systems and behavioral.
C) cognitive and humanistic.
D) behavioral and group.
سؤال
Research has shown that the original D.A.R.E. program, which was widely used and very popular,

A) did not reduce drug and alcohol use.
B) was very successful in reducing drug use.
C) reduced drug use but not alcohol use.
D) only worked for older children.
سؤال
A cognitive-behavior therapist is LEAST likely to be successful in helping which of the following clients?

A) Jan, who believes she is being followed by people from another planet
B) Jordan, who is anxious about his family being safe in their home and repeatedly checks the locks
C) Jouma, who is afraid that people will think badly of her and consequently avoids going to social events
D) Jenkins, who is depressed because he believes he is worthless and who sleeps up to 15 hours every day
سؤال
Shoshanna is hyperactive at school, often having trouble with instructions, sitting still in her seat, and focusing on her schoolwork. Shoshanna is most likely to be treated with a ________, such as ________.

A) stimulant; Xanax
B) mood stabilizer; Prozac
C) stimulant; Ritalin
D) mood stabilizer; Adderall
سؤال
Jeremy and Julius met when they were clients of the same therapist, Dr. Miller. Jeremy, who had a diagnosis of depression, was surprised to hear that Julius, whose diagnosis was for panic disorder, was getting the very same treatment as he was from Dr. Miller. According to Barlow (2004), why might this be a problem?

A) Treatments require randomized clinical trials to be effective.
B) Clients should not discuss their treatments with each other.
C) Treatments should vary according to the particular disorder and the client's symptoms.
D) Psychotropic drugs should always be a part of any therapeutic intervention.
سؤال
Ramon has been diagnosed with panic attacks and has been prescribed an anti-anxiety drug to help relieve his symptoms. He has most likely been prescribed ________, and he may experience ________ as a side effect.

A) Valium (a benzodiazepine); drowsiness
B) Prozac (an SSRI); nausea
C) lithium (a mood stabilizer); addiction
D) Xanax (a benzodiazepine); seizures
سؤال
Brendon believes that he is worthless, other people do not like him, and he will never have satisfying interpersonal relationships. To counteract this belief, Brendon's therapist says to him, "Brendon, I like and appreciate you. I enjoy interacting with you. What do you think of that?" Soon, Brendon starts to think differently about himself. The therapist is using

A) behavioral modification.
B) cognitive restructuring.
C) free association.
D) active listening.
سؤال
Geneva has been trying to find a medication to help her with her social phobia. So far, no anti-anxiety medications have been helping with her symptoms. Because her doctor is concerned that another mental disorder is occurring in addition to Geneva's phobia, he may also try to treat her with

A) antidepressants.
B) analgesics.
C) stimulants.
D) anticonvulsants.
سؤال
Constanza just entered therapy for an eating disorder. She is starting to recognize how her role in the family affects her family members' treatment of her. She has started to change some of her behaviors; for example, she now stands up for herself when someone criticizes her. Accordingly, her parents are starting to treat her with more respect. The positive changes in the family's interactions makes sense if you look at the problem based on a(n)

A) systems approach.
B) rational-emotive perspective.
C) unconditional positive regard approach.
D) group perspective.
سؤال
Client A has schizophrenia believed to be caused by brain dysfunction, and he is being seen by a psychiatrist. Client B has a mild eating disorder believed to be caused in part by inaccurate beliefs, and he is being seen by a clinical psychologist. Client A will likely receive ________, and Client B will likely receive ________.

A) deep brain stimulation treatment; behavioral therapy
B) humanistic therapy; an antipsychotic drug
C) deep brain stimulation treatment; a stimulant
D) an antipsychotic drug; cognitive therapy
سؤال
Fabricio has a PhD in clinical psychology. Which of the following actions can he NOT perform in most states?

A) own a private practice
B) conduct research on his therapy techniques
C) prescribe drugs for mental health problems
D) work in a hospital setting
سؤال
Juanita is seeing a psychiatrist. Her psychiatrist is a mental health professional who can prescribe drugs because she

A) has an advanced degree in psychology.
B) has a medical degree.
C) uses only the psychodynamic approach to therapy.
D) can set up a private practice.
سؤال
Janice wants to overcome her fear of snakes. One therapist says she should get over it all at once, and he suggests visiting a pet store and holding a live snake until she no longer feels anxious. A second therapist suggests that she visualize a variety of increasingly scary snakes while trying to remain relaxed. To treat Janice's phobia, the first therapist is suggesting ________, whereas the second therapist is proposing ________.

A) exposure; systematic desensitization
B) systematic desensitization; exposure
C) modeling; exposure and response prevention
D) exposure and response prevention; modeling
سؤال
Josie treats many clients with anxiety disorders and obsessive-compulsive disorder. All of the following have proven to be effective for treating her clients EXCEPT

A) cognitive-behavioral therapy.
B) phototherapy.
C) deep brain stimulation.
D) cognitive restructuring.
سؤال
Jerome is afraid of the ocean. In order to help him overcome his fear, Jerome's therapist suggests that they immediately go swim in the ocean for 30 minutes. Jerome's therapist is using the ________ technique.

A) systematic desensitization
B) placebo
C) exposure
D) simulation
سؤال
Dr. Carmine has a client with obsessive-compulsive disorder. He knows that if he can show his client that nothing bad will happen to her when she encounters a fear-inducing trigger, the conditioned association between her anxiety and the stimulus will be broken. To do this, he shows her a fearful stimulus and will not allow her to engage in compulsions. Dr. Carmine is using ________ to treat his client.

A) exposure and response prevention
B) exposure
C) systematic desensitization
D) a placebo
سؤال
Hans has severe obsessive-compulsive disorder, and neither therapy nor drug treatment has effectively improved his symptoms. Hans is beginning to explore alternative methods to help his disease. Hans is most likely to discuss ________ with his doctor as an alternative treatment.

A) electroconvulsive therapy
B) transcranial magnetic stimulation
C) deep brain stimulation
D) antipsychotics
سؤال
Tulisa is a college sophomore who seeks mental health services on her university's campus to help her cope with the stress of her upcoming exams. She should most likely be treated by a

A) psychiatric social worker.
B) paraprofessional.
C) psychiatrist.
D) counseling psychologist.
سؤال
You meet a new person at a party who tells you that she is a counseling psychologist. You correctly believe that she

A) is a therapist for people with a diagnosed mental disorder.
B) provides psychotropic treatment to mentally ill people in the hospital.
C) counsels people with adjustment and life stress problems.
D) works under the supervision of a clinical psychologist to help people who have life stress problems.
سؤال
When treating anxiety disorders, including panic disorder, anti-anxiety drugs

A) are effective and the treatment of choice for many therapists.
B) work in the short term, but symptoms return when the drugs are no longer taken.
C) have more negative side effects than other classes of psychotropic medication.
D) are not effective because anxiety disorders are more cognitive than biological.
سؤال
Counseling psychologists typically differ from clinical psychologists in that they

A) cannot prescribe drugs.
B) are less likely to work with someone who has a serious psychological disorder.
C) have an advanced degree in clinical psychology.
D) provide psychotherapy treatment to clients.
سؤال
When you go to your therapist in an attempt to overcome your fear of heights, she asks you to lie on a couch and relax while you imagine slowly climbing up the steps of a ladder. By having you progressively relax while imagining a stressful stimulus, she is using

A) flooding.
B) modeling.
C) cognitive restructuring.
D) systematic desensitization.
سؤال
Thad needs to seek mental health care because he is experiencing intense anxiety. Which of the following providers is LEAST qualified to provide direct treatment to Thad?

A) psychiatric social worker
B) counseling psychologist
C) psychiatrist
D) clinical psychologist
سؤال
Eric is terrified of cows. In his first session with a therapist, Eric is instructed in some deep-breathing exercises to create a calm state. Then, the therapist prompts Eric to visualize a mildly fear-provoking situation involving driving past a field of cows. Eric's therapist is using

A) exposure.
B) exposure and response prevention.
C) systematic desensitization.
D) modeling.
سؤال
Which of the following people is Roman, a paraprofessional, best able to help?

A) Thomas, who is experiencing a schizophrenic episode with hallucinations and delusions
B) Akash, a student who is struggling to adapt to life at college
C) Roberto, a former drug addict who is now sober and needs help finding a job
D) Nikesh, who is hospitalized for depression and needs to find an outpatient clinic
سؤال
When using systematic desensitization, many practitioners now believe that the most important component of alleviating an anxious or fearful response is

A) exposure to the feared stimulus.
B) the relaxation techniques.
C) the client-therapist relationship.
D) the type of anxiety being treated.
سؤال
Simone is a practitioner who teaches clients to relax as they are progressively exposed to a feared stimuli or situation without being able to act in any way to reduce their fears. Simone is using ________, a technique used in ________ therapy.

A) exposure and response prevention; cognitive-behavioral
B) exposure and response prevention; cognitive
C) exposure; cognitive-behavioral
D) exposure; cognitive
سؤال
A friend reports that he will be using a fear hierarchy in his next therapy session. He is most likely

A) making a list of fearful situations in ascending order.
B) intentionally exposing himself to his greatest fears all at once.
C) learning how to relax gradually when exposed to a fearful stimulus.
D) encouraging others to face their biggest fears.
سؤال
Researchers use randomized clinical trials to determine the effectiveness and safety of therapeutic treatments. Which of these is the key element in this kind of research?

A) include the treatment in a group of randomly chosen treatments and apply all of them to participants
B) compare the treatment one group gets with a control group condition to see if there is any difference
C) perform the treatment trials in a clinical setting
D) Researchers experience the treatment before actual clients or patients to ensure safety.
سؤال
Priya has been depressed for the last year and has been hospitalized for the past three months because she is suicidal. Many of the "first-line" or typical treatments for depression have not been effective for Priya, including cognitive therapy and drug therapy. Which of the following forms of treatment would a psychiatrist be most likely to recommend for Priya?

A) phototherapy
B) transcranial magnetic stimulation
C) a frontal lobotomy
D) an atypical antipsychotic
سؤال
Bipolar disorder is characterized by mood disturbances that may range from major depression to mania. However, the treatment for bipolar focuses on ________ rather than ________.

A) depressive symptoms; manic symptoms
B) behavior modification; treatment with medications
C) manic symptoms; depressive symptoms
D) anxiety symptoms; behavior modification
سؤال
Disorders of emotion can sometimes be treated by a medication that works by increasing the levels of serotonin and other neurotransmitters in the brain. Such drugs are called

A) antidepressants.
B) antipsychotics.
C) mood stabilizers.
D) stimulants.
سؤال
Electroconvulsive therapy may be a better treatment option than drugs for clients who

A) are pregnant.
B) are mildly depressed.
C) also have an anxiety disorder.
D) are over age 60.
سؤال
Giving a client diagnosed with depression a placebo instead of an active drug

A) has no impact on a client's depressive symptoms.
B) alleviates symptoms in approximately 30 percent of clients.
C) causes clients to say they feel better even when they do not.
D) aggravates some depressive symptoms by affecting brain functioning.
سؤال
In terms of alternative therapies for depression, some clients with mild to moderate depression respond well to ________, whereas clients with severe and difficult-to-treat depression may respond better to ________.

A) regular aerobic exercise; phototherapy
B) changes in their diets; electroconvulsive therapy
C) regular aerobic exercise; electroconvulsive therapy
D) changes in their diets; phototherapy
سؤال
When comparing treatments of depression, Dr. Crowning believes that cognitive-behavioral therapy

A) is less effective than drugs.
B) is just as effective as drugs.
C) does not have an effect above and beyond that of drugs.
D) is better suited for other types of psychological disorders.
سؤال
The treatment for depression that works by creating a seizure in the brain using an electrical current is called

A) deep brain stimulation.
B) electroconvulsive therapy.
C) transcranial magnetic stimulation.
D) phototherapy.
سؤال
Jered is suicidal. He has been seriously depressed for about a year and is saying that he wants to "end it all." He has not responded to typical therapies. His psychiatrist believes it is critical to try something that will work as effectively and as quickly as possible. His psychiatrist will probably recommend

A) electroconvulsive therapy.
B) lithium.
C) a combination of selective serotonin reuptake inhibitors and lithium.
D) antidepressants and antipsychotics.
سؤال
Unlike most psychological disorders, there is an optimal treatment for

A) schizophrenia.
B) autism spectrum disorder.
C) PTSD.
D) bipolar disorder.
سؤال
Theresa is experiencing a depressive episode and undergoes cognitive therapy to treat her symptoms. If she were in therapy with Aaron Beck, she would most likely be asked to challenge her negative thoughts about

A) herself and her unconscious needs and motives.
B) her upbringing and her past relationships.
C) herself, her situation, and the future.
D) her skills and how to fulfill her potential for growth.
سؤال
LaToya, who experiences severe depression, was recruited for a research study in which she will receive either an antidepressant or an active placebo. LaToya receives the active placebo. Compared with people receiving the active drug, LaToya will

A) be equally likely to experience symptom relief.
B) tend to expect symptom relief and therefore will experience it.
C) be more likely to experience worse symptoms, including extreme mania.
D) experience less symptom relief.
سؤال
Dr. Aruna has diagnosed several clients with social anxiety disorder, and he is interested in finding a treatment plan that will be effective in the long term and have the fewest side effects. Dr. Aruna should try

A) cognitive-behavioral therapy only.
B) cognitive-behavioral therapy and an antidepressant.
C) humanistic therapy and a stimulant.
D) an anti-anxiety drug only.
سؤال
Because bipolar disorder can include unusual thoughts that seem out of touch with reality, medications that are used to treat ________ may be effective for people with bipolar disorder.

A) schizophrenia
B) autism spectrum disorder
C) PTSD
D) anxiety
سؤال
Johnny's therapist has asked him to write down every instance of a negative thought and to challenge each of these thoughts so they become less automatic. For example, Johnny can attempt to gather evidence for his negative beliefs (which he probably will not find), or he can try to view the same situation from a neutral or positive point of view. The therapist who is treating Johnny is most like

A) Aaron Beck.
B) Carl Rogers.
C) Sigmund Freud.
D) Marsha Linehan.
سؤال
Because people with obsessive-compulsive disorder (OCD) have recurring intrusive thoughts and feel compelled to perform anxiety-reducing actions, the most effective treatment for OCD is

A) cognitive therapy.
B) cognitive-behavioral therapy.
C) exposure.
D) psychotropic medication.
سؤال
Arnold is working with a client who has obsessive-compulsive disorder. Although he will be treating the client with cognitive-behavioral therapy, Arnold would also like to prescribe a psychotropic medication to help relieve some of the client's symptoms. Arnold should most likely try a(n)

A) anti-anxiety drug.
B) antipsychotic.
C) stimulant.
D) antidepressant.
سؤال
Don has a cleanliness obsession that revolves around a fear of dirt and germs. His compulsion involves handwashing. In treatment for his disorder, Don is asked to touch all the dirty doorknobs in his therapist's office building and is told he cannot wash his hands. He and the therapist then sit together while Don tries to relax and overcome his feelings of extreme discomfort. This treatment

A) is better suited for generalized anxiety disorder.
B) has been shown to be ineffective and may even make symptoms worse.
C) is an appropriate therapy based on extinguishing a conditioned response.
D) is less effective than drugs in treating obsessive-compulsive disorder.
سؤال
When comparing cognitive-behavioral therapy (CBT) and drug treatments for treating anxiety disorders, research has shown that

A) drugs are more effective.
B) relapse is less likely with drugs.
C) CBT is more cost-effective.
D) CBT has longer-lasting effects.
سؤال
Rebecca notices that as winter approaches and the days get shorter, colder, and less sunny, she feels increasingly sad and down. Rebecca's friend suggests that she try a treatment in which she sits by a high-intensity light source for a short period of time each day. Rebecca's friend is suggesting that she try

A) phototherapy.
B) cognitive-behavioral therapy.
C) behavioral therapy.
D) a mood stabilizer.
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Deck 15: Psychological Treatments
1
Jenny is receiving psychotherapy for an eating disorder. Her therapist is warm and empathetic and can easily take her perspective. He encourages Jenny to express her thoughts and feelings about her eating issues and does not judge or criticize anything she says. This therapist is most likely using a ________ therapeutic approach.

A) cognitive-behavioral
B) rational-emotive
C) client-centered
D) psychoanalytic
client-centered
2
The textbook discusses two basic, general approaches that can be used to treat clients with mental health disorders. These approaches are

A) psychoanalysis and behavior modification.
B) cognitive therapy and group therapy.
C) dream analysis and electroconvulsive therapy.
D) psychotherapy and biological therapy.
psychotherapy and biological therapy.
3
Dr. Macallan is a behavioral therapist. When treating a person with schizophrenia, Dr. Macallan takes his client out to dinner in order to show what behaviors are appropriate when dining in public. Dr. Macallan is using ________ to help his client.

A) a token economy
B) unconditional positive regard
C) cognitive restructuring
D) modeling
modeling
4
You have gone to the university's counseling center. There, you encounter a therapist who does not pass judgment on your behavior. Rather, he encourages you to talk about your experiences, and he often repeats back to you what you have just said. This therapist is most likely using

A) behavioral modification.
B) cognitive-behavioral therapy.
C) psychoanalysis.
D) humanistic therapy.
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5
Ron is just starting a career as a psychotherapist. What is most important for him to focus on if he wants to make sure he can help his clients?

A) the relationship between himself and his client
B) the amount of training and expertise he has
C) creating a comfortable clinical setting
D) treating clients the same age as himself
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6
Rand gets very anxious when he is in an enclosed space. Every time he gets in an elevator, he thinks, "I will never get out of here alive." His therapist helps Rand by having him think instead, "The doors of the elevator closed correctly and they will open correctly in just a minute." His therapist is using

A) systematic desensitization.
B) active listening.
C) modeling.
D) cognitive restructuring.
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7
Young Benny tells Lisa, "It is not that I am a bad person. It is just that I like to hit people with my toy gun." Lisa replies, "I hear you saying that you feel like your desire to use your toy gun does not make you a bad person." Lisa is using ________ with Benny.

A) empathy
B) unconditional positive regard
C) active listening
D) modeling
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8
Heather would like to learn to change her behavior and resolve problems with her husband. Heather would most likely benefit from

A) dream analysis.
B) free association.
C) psychotherapy.
D) active listening.
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9
Olga knows her therapist is using client-centered therapy when she

A) interprets Olga's dreams to understand her unconscious conflicts.
B) uses direct suggestions for how Olga could behave in more adaptive ways.
C) gets Olga to understand the perspective of others so she can be more empathetic.
D) helps Olga understand herself better by listening to and clarifying Olga's feelings.
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10
In his practice, Dr. Howard uses the idea that because actions are learned, they can also be unlearned through classical and operant conditioning. Dr. Howard is most likely a ________ therapist.

A) cognitive
B) humanistic
C) behavior
D) psychodynamic
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11
Michael has borderline personality disorder. He wants to pursue treatment using psychodynamic therapy because it

A) works reasonably well for people with borderline personality disorder.
B) is faster and less expensive than other effective therapies.
C) is based on "talk therapy," which has little effect on psychological functioning.
D) relies more on medication than on the client-therapist relationship.
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12
Ty needs help healing his relationships with his children and understanding his parenting role as part of a larger context. Ty would most likely benefit from ________ therapy.

A) family
B) group
C) behavior
D) cognitive
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13
Eleanor has been diagnosed with depression and is receiving psychotherapy as her only type of treatment. During psychotherapy, Eleanor may experience all of the following EXCEPT

A) transcranial magnetic stimulation.
B) active listening.
C) cognitive restructuring.
D) operant conditioning.
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14
Dr. Sampson is a clinical psychologist who knows that cognitive-behavioral therapy works best to help clients with

A) personality disorders.
B) schizophrenia.
C) anxiety and mood disorders.
D) autism.
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15
Deepa is very shy in public and finds it almost impossible to talk to people she does not know. Others think she is standoffish, but actually, she is afraid that people will criticize her, so she avoids interacting with them. If Deepa chooses to go to psychotherapy to overcome this problem, the therapist who would seem LEAST threatening to her is most likely a

A) client-centered therapist.
B) rational-emotive therapist.
C) psychoanalyst.
D) cognitive-behavioral therapist.
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16
Dr. Ellway uses therapy to explain how his client's thoughts are flawed and then demonstrates how the client could have more positive thoughts. Dr. Ellway is most likely a ________ therapist using ________.

A) cognitive; active listening
B) humanistic; active listening
C) cognitive; rational-emotive therapy
D) humanistic; rational-emotive therapy
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17
Johanna is a therapist who works with clients to help them understand their problems and work toward a solution by changing their behavior. Johanna is practicing

A) unconditional positive regard.
B) psychotherapy.
C) psychoanalysis.
D) free association.
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18
Assiyah, a therapy client, believes she is an unattractive person and thus stays home alone all the time. Her therapist told her, "Go to three social gatherings in the next two weeks. At each event, ask one person out on a date." Assiyah does this, and each time the person agrees to go on a date with her. She now goes to more social events and believes that she is attractive. Her therapist has successfully used ________ with Assiyah.

A) cognitive-behavioral therapy
B) rational-emotive therapy
C) psychoanalysis
D) client-centered therapy
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19
Dallas believes that he will never be successful or likable enough. His friends tell him that he is too hard on himself, but he persists in the belief that he will never live up to his own high standards. Because he needs to exchange his negative and unrealistic beliefs about himself for more realistic ones, Dallas would most likely benefit from treatment that includes

A) a systems approach.
B) cognitive restructuring.
C) psychoanalysis.
D) unconditional positive regard.
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20
Shoshanna works with a therapist who provides support while also improving her social skills through practice with others in a cost-effective manner. Shoshanna is most likely receiving ________ therapy.

A) psychodynamic
B) humanistic
C) family
D) group
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21
Which of the following is an advantage of group therapy, aside from low cost?

A) Participants can learn from each other.
B) It deals exclusively with physical problems.
C) Low cost is the only advantage of group therapy.
D) It ignores cultural differences between participants.
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22
Whether a group in group therapy is highly structured or more loosely organized depends on the ________ and the ________.

A) type of disorder being treated; amount of time available each session
B) personality of the clients; therapist's experience with groups
C) therapist's preferred treatment approach; time available each session
D) type of disorder being treated; therapist's preferred treatment approach
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23
Rajesh is experiencing symptoms of depression. However, if he seeks treatment at all, Rajesh is likely to describe his feelings as

A) anxiety and fear.
B) tension and strain.
C) bipolar disorder.
D) mental illness.
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24
Stephanie, who is shy and insecure, was having trouble forming lasting relationships. She tried self-help books, attended seminars, and joined dating websites. While watching a talk show on TV she heard about rebirthing therapy and decided to give it a try. What is the problem with Stephanie's approach?

A) Therapies that aren't evidence based can prevent people like Stephanie from getting effective treatment and can be dangerous.
B) Stephanie is probably too old to really benefit from rebirthing therapy, so it could be dangerous for her.
C) Stephanie should try Reiki therapy first, since it is less intrusive than rebirthing.
D) There is nothing wrong with what Stephanie is planning to do. If she thinks it will work, it will.
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25
The underlying theme of the systems approach is that

A) if the client knows the system of treatment, the chances of a good outcome of treatment are low.
B) the individual is in therapy because he or she is no longer part of a larger context, and isolation has resulted in disordered thinking.
C) an individual is part of a larger context and any change in individual behavior will affect the whole system.
D) the only way to achieve lasting results in therapy is to follow a specific set of systems of treatment.
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26
The best way to determine if a psychological treatment is safe and effective is to

A) rely on the testimonials of practitioners who use the treatment.
B) try it on animals first.
C) Treatments should vary according to the particular disorder and the client's symptoms.
D) subject the treatment to randomized clinical trials.
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27
According to some therapists who lead group therapy sessions, the ideal number of clients in a group is

A) two.
B) around eight.
C) 10-12.
D) four.
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28
Like all psychological theories, psychological treatments need to be validated by using

A) trial and error.
B) empirical research.
C) "fringe" therapies.
D) faith and tradition.
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29
Jeremy has very high levels of anxiety. He needs treatment in a structured therapy setting and wants social support, but he does not have a lot of money. The best treatment choice for Jeremy would be

A) psychoanalysis.
B) client-centered therapy.
C) cognitive therapy.
D) group therapy.
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30
Dr. Eliseo is a modern psychologist. Sometimes he has clients with psychological disorders who do not respond to therapy or typical psychotropic medications. In these extreme cases, he uses alternative treatments, which are likely to include all of the following EXCEPT

A) transcranial magnetic stimulation.
B) lobotomy.
C) deep brain stimulation.
D) electroconvulsive therapy.
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31
In addition to therapy, Norah often uses psychotropic medications to help her clients with their symptoms of psychopathology. Norah might use any of the following categories of treatments EXCEPT

A) antidepressants.
B) mood stabilizers.
C) stimulants.
D) transcranial magnetic stimulation.
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32
In addition to individual therapy, two other types of therapy are

A) group and family.
B) systems and behavioral.
C) cognitive and humanistic.
D) behavioral and group.
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33
Research has shown that the original D.A.R.E. program, which was widely used and very popular,

A) did not reduce drug and alcohol use.
B) was very successful in reducing drug use.
C) reduced drug use but not alcohol use.
D) only worked for older children.
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34
A cognitive-behavior therapist is LEAST likely to be successful in helping which of the following clients?

A) Jan, who believes she is being followed by people from another planet
B) Jordan, who is anxious about his family being safe in their home and repeatedly checks the locks
C) Jouma, who is afraid that people will think badly of her and consequently avoids going to social events
D) Jenkins, who is depressed because he believes he is worthless and who sleeps up to 15 hours every day
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35
Shoshanna is hyperactive at school, often having trouble with instructions, sitting still in her seat, and focusing on her schoolwork. Shoshanna is most likely to be treated with a ________, such as ________.

A) stimulant; Xanax
B) mood stabilizer; Prozac
C) stimulant; Ritalin
D) mood stabilizer; Adderall
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36
Jeremy and Julius met when they were clients of the same therapist, Dr. Miller. Jeremy, who had a diagnosis of depression, was surprised to hear that Julius, whose diagnosis was for panic disorder, was getting the very same treatment as he was from Dr. Miller. According to Barlow (2004), why might this be a problem?

A) Treatments require randomized clinical trials to be effective.
B) Clients should not discuss their treatments with each other.
C) Treatments should vary according to the particular disorder and the client's symptoms.
D) Psychotropic drugs should always be a part of any therapeutic intervention.
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37
Ramon has been diagnosed with panic attacks and has been prescribed an anti-anxiety drug to help relieve his symptoms. He has most likely been prescribed ________, and he may experience ________ as a side effect.

A) Valium (a benzodiazepine); drowsiness
B) Prozac (an SSRI); nausea
C) lithium (a mood stabilizer); addiction
D) Xanax (a benzodiazepine); seizures
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38
Brendon believes that he is worthless, other people do not like him, and he will never have satisfying interpersonal relationships. To counteract this belief, Brendon's therapist says to him, "Brendon, I like and appreciate you. I enjoy interacting with you. What do you think of that?" Soon, Brendon starts to think differently about himself. The therapist is using

A) behavioral modification.
B) cognitive restructuring.
C) free association.
D) active listening.
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39
Geneva has been trying to find a medication to help her with her social phobia. So far, no anti-anxiety medications have been helping with her symptoms. Because her doctor is concerned that another mental disorder is occurring in addition to Geneva's phobia, he may also try to treat her with

A) antidepressants.
B) analgesics.
C) stimulants.
D) anticonvulsants.
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40
Constanza just entered therapy for an eating disorder. She is starting to recognize how her role in the family affects her family members' treatment of her. She has started to change some of her behaviors; for example, she now stands up for herself when someone criticizes her. Accordingly, her parents are starting to treat her with more respect. The positive changes in the family's interactions makes sense if you look at the problem based on a(n)

A) systems approach.
B) rational-emotive perspective.
C) unconditional positive regard approach.
D) group perspective.
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41
Client A has schizophrenia believed to be caused by brain dysfunction, and he is being seen by a psychiatrist. Client B has a mild eating disorder believed to be caused in part by inaccurate beliefs, and he is being seen by a clinical psychologist. Client A will likely receive ________, and Client B will likely receive ________.

A) deep brain stimulation treatment; behavioral therapy
B) humanistic therapy; an antipsychotic drug
C) deep brain stimulation treatment; a stimulant
D) an antipsychotic drug; cognitive therapy
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42
Fabricio has a PhD in clinical psychology. Which of the following actions can he NOT perform in most states?

A) own a private practice
B) conduct research on his therapy techniques
C) prescribe drugs for mental health problems
D) work in a hospital setting
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43
Juanita is seeing a psychiatrist. Her psychiatrist is a mental health professional who can prescribe drugs because she

A) has an advanced degree in psychology.
B) has a medical degree.
C) uses only the psychodynamic approach to therapy.
D) can set up a private practice.
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44
Janice wants to overcome her fear of snakes. One therapist says she should get over it all at once, and he suggests visiting a pet store and holding a live snake until she no longer feels anxious. A second therapist suggests that she visualize a variety of increasingly scary snakes while trying to remain relaxed. To treat Janice's phobia, the first therapist is suggesting ________, whereas the second therapist is proposing ________.

A) exposure; systematic desensitization
B) systematic desensitization; exposure
C) modeling; exposure and response prevention
D) exposure and response prevention; modeling
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45
Josie treats many clients with anxiety disorders and obsessive-compulsive disorder. All of the following have proven to be effective for treating her clients EXCEPT

A) cognitive-behavioral therapy.
B) phototherapy.
C) deep brain stimulation.
D) cognitive restructuring.
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46
Jerome is afraid of the ocean. In order to help him overcome his fear, Jerome's therapist suggests that they immediately go swim in the ocean for 30 minutes. Jerome's therapist is using the ________ technique.

A) systematic desensitization
B) placebo
C) exposure
D) simulation
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47
Dr. Carmine has a client with obsessive-compulsive disorder. He knows that if he can show his client that nothing bad will happen to her when she encounters a fear-inducing trigger, the conditioned association between her anxiety and the stimulus will be broken. To do this, he shows her a fearful stimulus and will not allow her to engage in compulsions. Dr. Carmine is using ________ to treat his client.

A) exposure and response prevention
B) exposure
C) systematic desensitization
D) a placebo
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48
Hans has severe obsessive-compulsive disorder, and neither therapy nor drug treatment has effectively improved his symptoms. Hans is beginning to explore alternative methods to help his disease. Hans is most likely to discuss ________ with his doctor as an alternative treatment.

A) electroconvulsive therapy
B) transcranial magnetic stimulation
C) deep brain stimulation
D) antipsychotics
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49
Tulisa is a college sophomore who seeks mental health services on her university's campus to help her cope with the stress of her upcoming exams. She should most likely be treated by a

A) psychiatric social worker.
B) paraprofessional.
C) psychiatrist.
D) counseling psychologist.
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50
You meet a new person at a party who tells you that she is a counseling psychologist. You correctly believe that she

A) is a therapist for people with a diagnosed mental disorder.
B) provides psychotropic treatment to mentally ill people in the hospital.
C) counsels people with adjustment and life stress problems.
D) works under the supervision of a clinical psychologist to help people who have life stress problems.
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51
When treating anxiety disorders, including panic disorder, anti-anxiety drugs

A) are effective and the treatment of choice for many therapists.
B) work in the short term, but symptoms return when the drugs are no longer taken.
C) have more negative side effects than other classes of psychotropic medication.
D) are not effective because anxiety disorders are more cognitive than biological.
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52
Counseling psychologists typically differ from clinical psychologists in that they

A) cannot prescribe drugs.
B) are less likely to work with someone who has a serious psychological disorder.
C) have an advanced degree in clinical psychology.
D) provide psychotherapy treatment to clients.
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53
When you go to your therapist in an attempt to overcome your fear of heights, she asks you to lie on a couch and relax while you imagine slowly climbing up the steps of a ladder. By having you progressively relax while imagining a stressful stimulus, she is using

A) flooding.
B) modeling.
C) cognitive restructuring.
D) systematic desensitization.
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54
Thad needs to seek mental health care because he is experiencing intense anxiety. Which of the following providers is LEAST qualified to provide direct treatment to Thad?

A) psychiatric social worker
B) counseling psychologist
C) psychiatrist
D) clinical psychologist
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55
Eric is terrified of cows. In his first session with a therapist, Eric is instructed in some deep-breathing exercises to create a calm state. Then, the therapist prompts Eric to visualize a mildly fear-provoking situation involving driving past a field of cows. Eric's therapist is using

A) exposure.
B) exposure and response prevention.
C) systematic desensitization.
D) modeling.
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56
Which of the following people is Roman, a paraprofessional, best able to help?

A) Thomas, who is experiencing a schizophrenic episode with hallucinations and delusions
B) Akash, a student who is struggling to adapt to life at college
C) Roberto, a former drug addict who is now sober and needs help finding a job
D) Nikesh, who is hospitalized for depression and needs to find an outpatient clinic
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57
When using systematic desensitization, many practitioners now believe that the most important component of alleviating an anxious or fearful response is

A) exposure to the feared stimulus.
B) the relaxation techniques.
C) the client-therapist relationship.
D) the type of anxiety being treated.
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58
Simone is a practitioner who teaches clients to relax as they are progressively exposed to a feared stimuli or situation without being able to act in any way to reduce their fears. Simone is using ________, a technique used in ________ therapy.

A) exposure and response prevention; cognitive-behavioral
B) exposure and response prevention; cognitive
C) exposure; cognitive-behavioral
D) exposure; cognitive
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59
A friend reports that he will be using a fear hierarchy in his next therapy session. He is most likely

A) making a list of fearful situations in ascending order.
B) intentionally exposing himself to his greatest fears all at once.
C) learning how to relax gradually when exposed to a fearful stimulus.
D) encouraging others to face their biggest fears.
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60
Researchers use randomized clinical trials to determine the effectiveness and safety of therapeutic treatments. Which of these is the key element in this kind of research?

A) include the treatment in a group of randomly chosen treatments and apply all of them to participants
B) compare the treatment one group gets with a control group condition to see if there is any difference
C) perform the treatment trials in a clinical setting
D) Researchers experience the treatment before actual clients or patients to ensure safety.
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61
Priya has been depressed for the last year and has been hospitalized for the past three months because she is suicidal. Many of the "first-line" or typical treatments for depression have not been effective for Priya, including cognitive therapy and drug therapy. Which of the following forms of treatment would a psychiatrist be most likely to recommend for Priya?

A) phototherapy
B) transcranial magnetic stimulation
C) a frontal lobotomy
D) an atypical antipsychotic
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62
Bipolar disorder is characterized by mood disturbances that may range from major depression to mania. However, the treatment for bipolar focuses on ________ rather than ________.

A) depressive symptoms; manic symptoms
B) behavior modification; treatment with medications
C) manic symptoms; depressive symptoms
D) anxiety symptoms; behavior modification
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63
Disorders of emotion can sometimes be treated by a medication that works by increasing the levels of serotonin and other neurotransmitters in the brain. Such drugs are called

A) antidepressants.
B) antipsychotics.
C) mood stabilizers.
D) stimulants.
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64
Electroconvulsive therapy may be a better treatment option than drugs for clients who

A) are pregnant.
B) are mildly depressed.
C) also have an anxiety disorder.
D) are over age 60.
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65
Giving a client diagnosed with depression a placebo instead of an active drug

A) has no impact on a client's depressive symptoms.
B) alleviates symptoms in approximately 30 percent of clients.
C) causes clients to say they feel better even when they do not.
D) aggravates some depressive symptoms by affecting brain functioning.
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66
In terms of alternative therapies for depression, some clients with mild to moderate depression respond well to ________, whereas clients with severe and difficult-to-treat depression may respond better to ________.

A) regular aerobic exercise; phototherapy
B) changes in their diets; electroconvulsive therapy
C) regular aerobic exercise; electroconvulsive therapy
D) changes in their diets; phototherapy
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67
When comparing treatments of depression, Dr. Crowning believes that cognitive-behavioral therapy

A) is less effective than drugs.
B) is just as effective as drugs.
C) does not have an effect above and beyond that of drugs.
D) is better suited for other types of psychological disorders.
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68
The treatment for depression that works by creating a seizure in the brain using an electrical current is called

A) deep brain stimulation.
B) electroconvulsive therapy.
C) transcranial magnetic stimulation.
D) phototherapy.
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69
Jered is suicidal. He has been seriously depressed for about a year and is saying that he wants to "end it all." He has not responded to typical therapies. His psychiatrist believes it is critical to try something that will work as effectively and as quickly as possible. His psychiatrist will probably recommend

A) electroconvulsive therapy.
B) lithium.
C) a combination of selective serotonin reuptake inhibitors and lithium.
D) antidepressants and antipsychotics.
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70
Unlike most psychological disorders, there is an optimal treatment for

A) schizophrenia.
B) autism spectrum disorder.
C) PTSD.
D) bipolar disorder.
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71
Theresa is experiencing a depressive episode and undergoes cognitive therapy to treat her symptoms. If she were in therapy with Aaron Beck, she would most likely be asked to challenge her negative thoughts about

A) herself and her unconscious needs and motives.
B) her upbringing and her past relationships.
C) herself, her situation, and the future.
D) her skills and how to fulfill her potential for growth.
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72
LaToya, who experiences severe depression, was recruited for a research study in which she will receive either an antidepressant or an active placebo. LaToya receives the active placebo. Compared with people receiving the active drug, LaToya will

A) be equally likely to experience symptom relief.
B) tend to expect symptom relief and therefore will experience it.
C) be more likely to experience worse symptoms, including extreme mania.
D) experience less symptom relief.
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73
Dr. Aruna has diagnosed several clients with social anxiety disorder, and he is interested in finding a treatment plan that will be effective in the long term and have the fewest side effects. Dr. Aruna should try

A) cognitive-behavioral therapy only.
B) cognitive-behavioral therapy and an antidepressant.
C) humanistic therapy and a stimulant.
D) an anti-anxiety drug only.
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74
Because bipolar disorder can include unusual thoughts that seem out of touch with reality, medications that are used to treat ________ may be effective for people with bipolar disorder.

A) schizophrenia
B) autism spectrum disorder
C) PTSD
D) anxiety
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75
Johnny's therapist has asked him to write down every instance of a negative thought and to challenge each of these thoughts so they become less automatic. For example, Johnny can attempt to gather evidence for his negative beliefs (which he probably will not find), or he can try to view the same situation from a neutral or positive point of view. The therapist who is treating Johnny is most like

A) Aaron Beck.
B) Carl Rogers.
C) Sigmund Freud.
D) Marsha Linehan.
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76
Because people with obsessive-compulsive disorder (OCD) have recurring intrusive thoughts and feel compelled to perform anxiety-reducing actions, the most effective treatment for OCD is

A) cognitive therapy.
B) cognitive-behavioral therapy.
C) exposure.
D) psychotropic medication.
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77
Arnold is working with a client who has obsessive-compulsive disorder. Although he will be treating the client with cognitive-behavioral therapy, Arnold would also like to prescribe a psychotropic medication to help relieve some of the client's symptoms. Arnold should most likely try a(n)

A) anti-anxiety drug.
B) antipsychotic.
C) stimulant.
D) antidepressant.
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78
Don has a cleanliness obsession that revolves around a fear of dirt and germs. His compulsion involves handwashing. In treatment for his disorder, Don is asked to touch all the dirty doorknobs in his therapist's office building and is told he cannot wash his hands. He and the therapist then sit together while Don tries to relax and overcome his feelings of extreme discomfort. This treatment

A) is better suited for generalized anxiety disorder.
B) has been shown to be ineffective and may even make symptoms worse.
C) is an appropriate therapy based on extinguishing a conditioned response.
D) is less effective than drugs in treating obsessive-compulsive disorder.
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79
When comparing cognitive-behavioral therapy (CBT) and drug treatments for treating anxiety disorders, research has shown that

A) drugs are more effective.
B) relapse is less likely with drugs.
C) CBT is more cost-effective.
D) CBT has longer-lasting effects.
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80
Rebecca notices that as winter approaches and the days get shorter, colder, and less sunny, she feels increasingly sad and down. Rebecca's friend suggests that she try a treatment in which she sits by a high-intensity light source for a short period of time each day. Rebecca's friend is suggesting that she try

A) phototherapy.
B) cognitive-behavioral therapy.
C) behavioral therapy.
D) a mood stabilizer.
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