Obsessive Compulsive Disorder: Advances in Psychotherapy

Transcription

1 Obsessive Compulsive Disorder: Advances in Psychotherapy Question from chapter 1 1) All the following are Common obsessions EXCEPT a) Fear of becoming someone else b) Unwanted violent impulses c) Fear of certain numbers d) Unwanted sacrilegious thoughts 2) The lifetime prevalence of OCD in the population is 1 in adults. a) 10 b) 20 c) 30 d) 40 3) OCD symptoms are experienced as egoa) Syntonic b) Ginantonic c) Dystonic d) Tectonic 4) Which is a semi-structured interview that contains 7 items and assesses insight as a continuous variable? a) HRSD b) OCI-R c) BABS d) BAI Question from chapter 2 5) Prevailing neurochemical theories suggest that abnormalities in the system underlie OCD symptoms. a) Adrenaline b) Serotonergic c) Limbic d) Dopamenergic 6) In which maintenance process does hypervigilance for threat cues enhance the detection of obsession stimuli? a) Passive avoidance b) Physiological factors c) Selective attention d) Safety-seeking behavior 7) The cognitive-behavioral approach to OCD assumes no specific brain dysfunction.

2 Question from chapter 3 8) Mental Rituals are which type of safety behavior observed in OCD? a) Passive avoidance b) Covert neutralizing c) Compulsive rituals d) Brief mini rituals 9) Regarding medications for OCD, about of people do not improve. a) 20% b) 30% c) 40% d) 50% 10) With CBT for OCD, there is a symptom reduction on average. a) 50 to 60% b) 60 to 70% c) 70 to 80% d) 80 to 90% 11) When recommending treatment for OCD, recommend a trial of sessions of CBT. a) 8 b) 12 c) 16 d) 20 Question from chapter 4 12) Which is NOT a concept to be conveyed in CBT psychoeducation? a) Dysfunctional interpretations of intrusive thoughts cause obsessions b) Unwanted intrusive thoughts are abnormal c) Avoidance and compulsive rituals maintain obsessions d) There is a coherent rationale for CBT 13) In Beck's model, which are in-situation appraisals that go through a person's mind and provoke an emotional or behavioral response? a) Mind reading b) Dysfunctional assumptions c) Learned associations d) Automatic thoughts 14) Which are general underlying beliefs that people hold about themselves and the world which make them inclined to interpret specific situations and stimuli in a catastrophic manner? a) Mind reading b) Dysfunctional assumptions c) Learned associations d) Automatic thoughts

3 15) The strategies of avoidance and mini rituals are known as a) Psychic displacement b) Short-term solutions c) Safety-seeking behaviors d) Magical thinking 16) Which involves refraining from doing anything to get rid of obsession anxiety except staying exposed to the situation? a) Response prevention b) Flooding c) Negative reinforcement d) Overloading 17) Which type of exposure means facing fears in imagination? a) Imaginal exposure b) Situational exposure c) In vivo exposure d) Vicarious exposure 18) Asking relevant questions to help the patient discover an understanding of how maladaptive thinking patterns maintain OCD symptoms is called a) Double teaming b) The Socratic Method c) Collaborative empiricism d) Promoting insight 19) People with OCD tend to exaggerate the risk of harm associated with obsessional situations by overestimating the and of the feared outcome. a) Probability, Severity b) Severity, Responsibility c) Responsibility, Impact d) Impact, Probability 20) What is a list of the situations, stimuli, and thoughts that the patient confronts during exposure sessions? a) Worry buffet b) Anxiety checklist c) Fear Hierarchy d) Avoidance Index 21) 25 SUDS represents a) No distress b) Minimal distress c) Moderate distress d) High distress

4 22) The patient and therapist must agree on the treatment plan before CBT begins. 23) Which is an exposure exercise which refers to deliberately intensifying an exposure in order to address a particular aspect of avoidance? a) Targeting b) Bullying c) Heightening d) Amplifying 24) Carrying out exposure for symptoms is more complicated than for contamination symptoms. a) Counting b) Vocalization c) Touching d) Harming 25) A good remark to use during exposure tasks is It's OK. I promise. I wouldn't let anything bad happen to you. Just trust me. 26) The use of humor to lighten the mood during exposures is not appropriate. 27) As a general rule, those who have made little progress after of well-conducted CBT are unlikely to benefit further by adding additional sessions. a) 12 to 16 b) 16 to 20 c) 20 to 24 d) 24 to 28 28) Therapeutic exposure to feared stimuli produces a) Boredom b) Familiarity c) Satiation d) Habituation 29) Franklin et al. (2000) found that over of patients who complete CBT achieve clinically significant improvement. a) 60% b) 70% c) 80% d) 90%

5 30) Adding SRI medications neither improves nor attenuates the efficacy of CBT. Questions from the appendix 31) If I feel anxious, there must be danger is which type of cognitive distortion? a) Intolerance of uncertainty b) Emotional reasoning c) Overestimation of responsibility d) Need to control thoughts 32) Which is NOT one of the 10 Commandments for Successful Exposure? a) Exposure practices should be repeated frequently b) Fight the discomfort c) Don't use subtle avoidance strategies d) Keep track of your fear level