Question 1

Which category of disorder is most common among youth?&#10;A) Anxiety&#10;B) Depressive&#10;C) Trauma- and stressor-related&#10;D) Disruptive behavior disorder

Accepted Answer

Anxiety disorders are the most common mental health disorder among youth, affecting around 31.9% of individuals in this age group. Depressive disorders are the second most common, affecting around 13.3% of youth. Trauma- and stressor-related disorders and disruptive behavior disorders are less common, affecting around 6.4% and 10.6% of youth, respectively.

Question 2

All of the following statements describe Disruptive Mood Dysregulation Disorder except:&#10;A) A chronic, persistent pattern of temper outbursts and irritability in youth&#10;B) A new term for childhood bipolar disorder&#10;C) A disorder that results in substantial impairment in multiple settings such as home and school&#10;D) A disorder associated with lifelong problems related to mental health

Accepted Answer

Disruptive Mood Dysregulation Disorder is NOT a new term for childhood bipolar disorder. In fact, it was created to distinguish it from bipolar disorder in youth as it has a distinct set of symptoms and diagnostic criteria.

Question 3

Which of the following is likely the most appropriate diagnosis for a four-year-old who spends the first two weeks at his new preschool crying at drop-off, eating less than usual, and rarely initiating talk with his teachers?

A) Separation anxiety disorder
B) Selective mutism
C) Adjustment disorder
D) Normal developmental response

D

Accepted Answer

A four-year-old experiencing distress during the first two weeks at a new preschool is likely exhibiting a normal developmental response as they adjust to a new environment.

Question 4

What are the primary differences between intermittent explosive disorder, oppositional defiant disorder, and conduct disorder?&#10;A) Durations of concern&#10;B) Situations in which the concern occurs&#10;C) Premediation or intent of behavior&#10;D) Patterns of behavior

Accepted Answer

Intermittent explosive disorder is characterized by outbursts of impulsive aggression that are disproportionate to the situation and triggered by minor frustrations or provocations. Oppositional defiant disorder is characterized by a pattern of argumentative, disobedient, and hostile behavior towards authority figures. Conduct disorder involves more severe antisocial behavior such as aggression towards people and animals, destruction of property, theft, and violation of rules or laws. The primary differences between the three disorders are in the patterns of behavior.

Question 5

A young woman who shows strong fluctuations in mood that follow her menstrual cycle should first:&#10;A) Be referred to a psychiatrist for medication&#10;B) Be referred to a gynecologist for consultation&#10;C) Work with a counselor to develop coping skills&#10;D) Read about puberty so she can understand these changes are biologically normal

Accepted Answer

Fluctuations in mood that follow the menstrual cycle suggest premenstrual syndrome (PMS), a gynecological issue. Therefore, the young woman should be referred to a gynecologist for consultation to determine the best course of treatment, which may include medication or other interventions. Working with a counselor to develop coping skills may be beneficial, but it should not be the first course of action. Reading about puberty may provide some understanding, but it is not enough to address the underlying issue.

Deck 10: Diagnosis and Treatment of Children and Adolescents: Mood, Anxiety, Trauma- and Stressor-Related, and Disruptive Behavior Disorders