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Regarding severe cases of major depressive disorder, those in which the depressive episode has lasted five years or more, all of the following statements are accurate EXCEPT


A) the episode may not entirely clear up, leaving some residual symptoms.
B) the likelihood of a subsequent episode is high.
C) the next episode is likely to be manic, rather than depressive.
D) subsequent episodes may be associated with incomplete inter-episode recovery.

E) All of the above
F) B) and C)

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In comparing ECT (electroconvulsive therapy) to antidepressant medication, all of the following statements are accurate EXCEPT that


A) some patients have long-term memory problems after ECT.
B) continued treatment with medication or psychotherapy is not needed after ECT.
C) short-term memory loss is a side effect of treatment with ECT.
D) 50% of psychotically depressed patients who do not improve using medication benefit from ECT.

E) B) and C)
F) A) and D)

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Experiences associated with _____________ trigger mania in vulnerable individuals.


A) negative emotions
B) positive life events, like the arrival of a new baby,
C) striving to achieve important goals
D) unexpected changes in life

E) B) and D)
F) C) and D)

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Clinical studies have shown that 50% to 75% of patients taking Prozac and other SSRIs will experience


A) manic episodes.
B) suicidal tendencies.
C) sexual dysfunction.
D) cardiac irregularities.

E) All of the above
F) A) and B)

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One of the problems encountered by psychiatrists who prescribe medication for patients with bipolar disorder is that patients often


A) stop taking the medication in order to bring on a depressive state.
B) stop taking the medication in order to bring on a manic state.
C) overdose on the medication during a severe manic state.
D) become addicted to the medications during a severe manic state.

E) None of the above
F) All of the above

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Although grieving is considered a normal process, it does sometimes become a psychological disorder. Which of the following cases would NOT be diagnosed as complicated grief?


A) Mr. A's sister suddenly passed away from illness about a year ago. Mr. A is still suffering from severe depression and persistent thoughts of joining his sister in heaven.
B) Two years ago, Miss B has experienced the death of a close friend. She is so depressed that she has no appetite or energy, and believes that she will never be truly happy again without her friend.
C) Mrs. C's dog recently died. Three weeks later, her friends suggest that she get another dog "to help her get over the loss." Mrs. C refuses, saying she just isn't ready to get another dog and still has trouble accepting that "Duchess" is gone.
D) Dr. D's cat died 18 months ago. In addition to his depressive symptoms, he cannot stop replaying the scene of her death in his mind, which is interfering with his social life.

E) C) and D)
F) All of the above

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Considering the terms used to differentiate mood disorders, cyclothymic is to dysthymic as


A) bipolar disorder is to major depressive disorder.
B) manic is to hypomanic.
C) major depressive disorder is to bipolar disorder.
D) bipolar I is to bipolar II.

E) A) and D)
F) None of the above

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In about _____________ of patients, cyclothymic mood swings develop into full-blown bipolar disorder.


A) one-fifth
B) one-third
C) two-thirds
D) four-fifths

E) A) and B)
F) A) and C)

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In comparison to patients with major depressive disorder, patients with persistent depressive disorder are


A) more likely to display symptoms of depression.
B) more likely to attempt suicide.
C) less likely to experience long-term episodes of depression.
D) more likely to be in remission in seven to nine months.

E) B) and C)
F) A) and D)

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Although the mood-stabilizing drug lithium is the preferred treatment for bipolar disorder, patient compliance has been a problem. Patients often stop taking their lithium, even though it is effective in stabilizing their moods, because they


A) become anxious that the drug is too toxic.
B) miss the euphoric feelings that mania produces.
C) start to have panic attacks.
D) cannot afford the high cost of the medication.

E) B) and C)
F) A) and B)

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All of the following statements are true about electroconvulsive therapy (ECT) EXCEPT


A) electric shock is administered directly to the brain for less than a second.
B) though there are serious side effects, ECT is highly effective and the relapse rate is very low after treatment.
C) for severely depressed patients with psychotic features, approximately 25% of those not responding to medication will benefit.
D) ECT treatments are administered every day for a total of 6 to 10 treatments.

E) A) and B)
F) None of the above

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In terms of the etiology of mood disorders, research has shown that


A) environmental stress plays a larger role in causing depression in men than in women.
B) genetic factors are more important in the development of depression in men in comparison to the development of depression in women.
C) genetic and environmental factors are equally contributory to mood disorders.
D) there are no sex differences in vulnerability to depression.

E) C) and D)
F) A) and B)

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The presence of medical illnesses or symptoms of dementia can make the diagnosis of depression difficult in


A) middle-aged men.
B) menopausal women.
C) highly creative individuals.
D) the elderly.

E) C) and D)
F) B) and C)

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The antidepressant medication lithium is also referred to as a mood stabilizer because it


A) increases the availability of both dopamine and norepinephrine in the brain.
B) is less toxic than the SSRI medications.
C) helps to prevent manic episodes.
D) increases thyroid functioning, which results in improved mood stabilization.

E) B) and C)
F) All of the above

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Explain how a grief reaction can become a disorder. Is it possible to predict who will develop complicated grief?

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Interpersonal psychotherapy deals with all of the following interpersonal problems EXCEPT


A) environmental interactions.
B) acquisition of new relationships.
C) identification and correction of deficits in social skills.
D) interpersonal role disputes.

E) A) and B)
F) A) and C)

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Children with disruptive mood dysregulation disorder are most at risk for later developing


A) bipolar disorder.
B) mood and anxiety disorders.
C) psychotic disorders.
D) psychopathic personality traits.

E) A) and B)
F) B) and D)

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"Mixed features" refers to a type of mania in which a manic episode is


A) extremely severe.
B) very mild.
C) accompanied by depression or anxiety.
D) related to a medical condition.

E) C) and D)
F) None of the above

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In recent years, a trend of ______________ children with bipolar disorder has become problematic.


A) underdiagnosing
B) overdiagnosing
C) not recognizing
D) mistreating

E) C) and D)
F) None of the above

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Which of the following factors contribute to the integrative theory of depression?


A) Stressful life events
B) Stress hormones
C) Neurotransmitters
D) All of these are correct

E) A) and C)
F) None of the above

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