1. The goal of ___________________ is to acquire a comprehensive picture of the child’s internal and external world.
Assessment
Observing
Interviewing
Diagnosing
2. Research on Body/Brain based interventions like yoga and neurofeedback finds:
Significant decreases in anxiety, depression, anger, reactivity
Significant repair to the child’s limbic system
That these interventions have little to no effect on AD problems
Improved academic performance
3. Which intervention model uses a flexible, 3 components and 10 building blocks framework that fosters resiliency in children and is designed to translate across service systems?
Theraplay
Dyadic Developmental Psychotherapy (DDP)
Attachment, Self-Regulation, Competency (ARC)
Cognitive-Behavioral Therapy (CBT)
4. A teenage mother and her toddler have been referred to you by the department of social services. They want to know whether this mother is capable of attachment behaviors, and whether this child is attached to his mother. Can you do a formal assessment, and if so, what standardized tool might you use as part of your assessment?
No, the child is too young to do a standardized assessment
No, the mother is too young to do a formal assessment
Yes. Preschool and Early Childhood Functional Assessment Scale (PRECFAS)
Yes. Child and Adolescent Functional Assessment Scale (CAFAS) for the mother
5. No matter what treatment model you use, all of the following practices should be utilized EXCEPT:
Providing an environment that preserves the child’s external and internal safety
Framing interventions within the context of the child’s relationships with attachment figure and/or caregiver
Asking the child a lot of questions as to how they feel and why they are doing what they do
Maximizing concrete activities that provide reparative experiences
6. When children lack attachment behaviors and emotions, parents and caregivers often feel dissatisfied as well. Which of these statements do you think is most realistic?
It’s logical that parents of children with attachment disorders would feel dissatisfied. It’s hard to live long-term with a child who doesn’t show affection and who defies you at every turn.
Parents need more up-front training so they will be better prepared for what it is like to live with a child with AD.
Dissatisfied parents of children with AD are being selfish and needy, and probably need therapy to deal with their expectations.
Parents who adopt children usually have attachment problems themselves.
7. When observing the parent/caregiver and child’s interactions you are primarily looking for all of these EXCEPT:
How the child seeks and uses support
How well the child speaks
Level of cooperation
Level of sharing of affection
8. Which of the following statements is most true regarding ethical guidelines in treating attachment disorders?
It’s okay to use alternative treatments if you think they will work better than evidence-based treatments.
Alternative treatments should be used only if evidence-based options have been exhausted.
Sound theoretical foundations and broad clinical acceptance are not necessary requirements for alternative treatment options.
Physical coercion and psychologically or physically enforced holding are sometimes a necessary part of therapy.
9. Roger is 12 years old and has been diagnosed with attachment disorder by another therapist who referred him to you for treatment. In addition to this diagnosis, what other information would you like to have before starting therapy with Roger and why?
The quantity, frequency, persistence, and severity of Roger’s symptoms and how much they are interfering in his life because this will help determine the intensity of his treatment plan
Whether Roger also has PTSD because you can only treat one condition at a time
Whether Roger’s brain can be altered through therapeutic interventions, so you know if treatment is indicated
Whether Roger wants to be in therapy because he has to want to get better if treatment is going to work
10. What is the most important support you can give a parent of a child with an attachment disorder?
Advice
Validation
Information
Therapy
11. The most effective attachment disorder and PTSD treatments is which of the following?
Repair the child’s limbic system, increase prefrontal cortex activity, and increase parent satisfaction
Decrease child’s symptoms, increase the child’s peer group, increase the child’s academic performance
Remediate brain impairments and physiological responses, increase the child’s relationship capacity, and increase caregiver’s skills
Ensure that the child will never need therapy for attachment problems again
12. You are completing an assessment of Beatrice, who is 8 years old. You have read through her social service case files, interviewed her adoptive parents several times, and observed her in your office and at school. She’s had a physical by her pediatrician, and there were no medical concerns. What is the next element of your assessment process?
Interview the adoptive parents again without the child present
Evaluation using validated, standardized assessment tools
Start child and family therapy right away
Consult with your Medical and Psychiatric colleagues
13. Which intervention model relies heavily on the parent’s capacity to regulate their own emotions and responses to the child’s difficult behaviors and uses affective-reflective (a-r) dialogue?
Theraplay
Dyadic Developmental Psychotherapy (DDP)
Attachment, Self-Regulation, Competency (ARC)
Corrective Attachment Therapy (CAT)
14. Which of the following are side effects of atypical antipsychotics?
Overproduction of saliva
Hypertension
Weight loss
Metabolic side effects
15 What are some of the significant differences between mania and hypomania?
Hypomania always presents with depression.
Hypomania has longer duration criteria (14 days) because it is less severe than mania.
Hypomania is more debilitating than mania and presents with psychosis.
Hypomania has shorter duration criteria (4 days) and does not present with psychosis.
16.Which term describes when a person with bipolar disorder has experienced four or more mood episodes in 12 months that meet the criteria for a manic, hypomanic, or major depressive episode?
Cyclothymic disorder
Mixed features
Rapid cycling
Other unspecified
17.When a person with bipolar disorder has mixed features, what does this involve?
Anxiety and posttraumatic reactions
Concurrent symptoms of depression and mania
Euthymic mood and suicidal thinking
Psychosis and depressive symptoms
18. True or False: If a person has both depressive episodes and hypomanic episodes and the individual’s mood episodes stem from a substance use disorder, the individual should be diagnosed with bipolar II disorder.
True
False
19. How does psychoeducation help a person with bipolar disorder reduce the risk of additional mood episodes?
By helping them understand when it is safe to stop taking medications
By helping them learn to recognize and address early warning signs
By minimizing family involvement in treatment
By encouraging nutritional supplements instead of medications
20. True or False: If the criteria for bipolar I disorder are met and the symptoms are primarily due to a medical illness, the person should be diagnosed with bipolar I disorder.
True
False
21. Which psychosocial approach used to treat bipolar and related disorders emphasizes the regulation of one’s sleep-wake cycle, energy, alertness, and appetite cycles?
Dialectical behavior therapy
Psychosocial Rehabilitation
Interpersonal and Social Rhythm Therapy
Family focused therapy
22. For individuals who have co-occurring bipolar disorder and a substance use disorder, which of the following treatments is most effective?
Psychiatric treatment without substance use treatment
Treating the bipolar symptoms only after the person is no longer using substances
Integrated psychiatric and substance use treatments
Treating the substance use disorder only after the person’s bipolar symptoms are stable
23. Which type of therapy used with individuals with bipolar and related disorders blends traditional CBT components with mindfulness?
Dialectical behavior therapy
Radical behavior therapy
Family-focused therapy
Person-focused therapy
24.Which factor did Post et al. (2015) find is associated with an earlier age of onset of bipolar disorder, as well as greater likelihood of co-occurring substance use and rapid cycling?
Dropping out of high school
Experiencing verbal abuse during childhood
Marrying later in life
Being raised by a single parent
25. Research with the Bipolar Disorder Phenome Database has identified which trait that runs in the families of people with bipolar and related disorders?
Co-occurring social anxiety disorder
Similarity in number and frequency of manic episodes
History of divorce and poverty in the family
Age at first use of substances
26. Gordon had a manic episode 2 years ago but has been stable since with no mood symptoms. He takes magnesium supplements daily. He likes to play video games frequently, has an erratic sleep schedule, and has poor hygiene. Which factor described above is the MOST important to address to reduce his risk of additional manic episodes?
Taking magnesium supplements
Playing video games
Erratic sleep schedule
Poor hygiene
27. According to research by Schaffer and colleagues (2015), when treating an individual with bipolar I disorder, it is critical to remember that a correlate of increased risk of suicide attempt is:
Current or recent depressive episode
Most recently in a manic episode
History of multiple hypomanic episodes
Taking more than one medication
28. What is the critical mood feature needed to diagnose bipolar I disorder?
At least one manic episode
Repeated periods of hypomanic symptoms
At least one major depressive episode
Recurring depressive episodes
29. When working with a client experiencing a manic episode, which approach is the most likely to be effective with supporting medication adherence?
Confronting the person in an authoritarian manner
Using Motivational Interviewing strategies
Letting the client decide when they need medications
Requiring medication adherence as a condition of ongoing therapy
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