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When referring to the mood disorders called cyclothymia and persistent depressive disorder, it would be accurate to say that an individual with cyclothymia probably


A) would be considered 'moody'.
B) cannot function normally at all.
C) has more depressive episodes.
D) has full manic episodes.

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

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Clinical studies have shown that the response rate for patients receiving at least some relief from depressive symptoms by using antidepressants is approximately ________.


A) 25%
B) 50%
C) 75%
D) 100%

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

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The melancholic specifiers for depressive disorders include all of the following EXCEPT


A) weight loss.
B) loss of libido (sex drive) .
C) sleeping late and hypersomnia.
D) anhedonia.

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

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All of the following statements about lithium therapy are true EXCEPT


A) for those patients who respond to lithium, approximately 70% will relapse.
B) for anyone with recurrent manic episodes, maintenance on lithium is recommended to prevent relapse.
C) once a person is symptom-free for six months, he/she may stop taking lithium.
D) people stop taking lithium to regain the euphoric feeling that mania produces.

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

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A woman who is extremely depressed a year or so after the loss of her spouse might be diagnosed with


A) normal bereavement
B) dysthymia
C) major depression
D) complicated grief

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

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According to recent research on the development of depression, dysfunctional attitudes (a negative outlook) and hopelessness attributes (explaining things negatively) constitute a _____________ vulnerability to depression.


A) biological
B) cognitive
C) behavioural
D) sociological

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

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Bipolar II disorder consists of


A) depression with hypomanic episodes.
B) depression with anxiety.
C) depression with mania.
D) depression with dysthymia.

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

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With regard to the treatment of mood disorders, which of the following statements is accurate?


A) Patients do not recover from episodes of major depression without treatment.
B) Delaying or preventing future episodes of major depression is an important treatment goal.
C) After a patient has experienced a major depressive episode and recovered, treatment can be discontinued.
D) Close to 100% of patients with major depressive disorder respond to drug treatment.

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

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When used in connection with mood disorders, 'flight of ideas' means


A) anxiety about airplane travel.
B) rapid speech expressing many exciting ideas at once.
C) limited imagination reflected in a slow way of speaking.
D) repression of all creative ideas.

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

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Unipolar mania


A) does not exist.
B) is rare.
C) is fairly common.
D) is a part of bipolar disorder.

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

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In Aaron Beck's depressive cognitive triad, individuals think negatively about all of the following EXCEPT


A) themselves.
B) their immediate world.
C) their past.
D) their future.

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

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Regarding Beck's views on depression, which of the following definitions of cognitive errors and negative schema is NOT correct?


A) In a self-blame schema, depressed individuals feel personally responsible for every bad thing that happens.
B) Arbitrary inference means that a depressed individual emphasises the positive rather than the negative aspects of a situation.
C) In a negative self-evaluation schema, depressed individuals believe that they can never do anything correctly.
D) Overgeneralisation occurs when a small error is magnified to mean something much more significant.

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

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Tebogo is currently completing a chemical formula that he knows will cure cancer.He recently submitted a book to a publisher and was sure that it would become a bestseller.For several weeks prior to this, he was bedridden, morose, had no energy and lacked any spontaneity.He never left his bed and had to be cared for by his family.Tebogo's diagnosis is


A) major depressive disorder.
B) persistent depressive disorder.
C) bipolar I disorder.
D) bipolar II disorder.

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

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Thandi has been diagnosed with major depressive disorder, recurrent.She wants to know what to expect in the future regarding her condition.You tell her that according to recent research the median lifetime number of major depressive episodes is


A) 2 or 3.
B) 4 to 7.
C) 8 to 11.
D) 12 to 15.

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

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A person who experiences a persistent depressed mood for at least two years but is not experiencing major depression may have


A) persistent depressive disorder.
B) cyclothymic disorder.
C) bipolar disorder.
D) double depression.

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

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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 a pathological grief reaction?


A) Mr A experienced a death in his family.In addition to symptoms of depression, he has been having auditory hallucinations in which he hears other deceased people talking to him.
B) Miss B has experienced the death of a close friend.She is so depressed that she has no appetite and no energy and is suicidal.
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 and says she just isn't ready to get another dog and, besides, it would be impossible to replace her beloved 'Toto'.
D) Dr D's husband died a few months ago.Recently, in addition to her depressive symptoms, she has been having paranoid delusions in which she believes that certain unnamed individuals are planning to remove her husband's body from the grave.

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

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Recent research suggests that


A) social and psychological explanations seem to account for factors that contribute to both anxiety and depression.
B) for mania, the biological vulnerability may not be specific to that disorder.
C) the same genetic factors contribute to both anxiety and depression.
D) all of the above

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

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A person who eats and sleeps too much is experiencing a depressive episode with __________ features.


A) atypical
B) melancholic
C) chronic
D) catatonic

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

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All of the following are side effects of lithium therapy EXCEPT ____________.


A) lowered thyroid functioning
B) weight loss
C) toxicity
D) lack of energy

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

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Prevention of mood disorders in children and adolescents include all of the following EXCEPT


A) universal programmes.
B) selected interventions.
C) indicated interventions.
D) milieu interventions.

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

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