Treatment of Psychological Disorders
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AP Psychology › Treatment of Psychological Disorders
A person with schizophrenia has persistent hallucinations and delusions. Which medication class is most appropriate?
Stimulants, used for ADHD to improve attention and reduce hyperactivity, and may worsen psychotic symptoms.
SSRIs, primarily prescribed for depression and many anxiety disorders, not first-line for core psychotic symptoms.
Antipsychotics, used to reduce psychotic symptoms such as hallucinations and delusions in schizophrenia-spectrum disorders.
Benzodiazepines, used short‑term for acute anxiety and insomnia, not for long‑term management of psychosis.
Explanation
Antipsychotics are the most appropriate medication class for treating persistent hallucinations and delusions in schizophrenia. These medications work by blocking dopamine receptors in the brain, which helps reduce positive symptoms of psychosis. SSRIs are primarily used for depression and anxiety disorders and are not effective for psychotic symptoms. Benzodiazepines provide short-term anxiety relief but don't address core psychotic symptoms. Stimulants are used for ADHD and could potentially worsen psychotic symptoms by increasing dopamine activity.
A therapist gradually pairs a feared stimulus with relaxation to reduce anxiety. What technique is being used?
Free association, encouraging uncensored speech to reveal unconscious conflicts and unresolved childhood issues.
Systematic desensitization, combining relaxation training with a fear hierarchy to countercondition anxiety responses.
Cognitive restructuring, challenging automatic thoughts and replacing them with balanced appraisals through evidence testing.
Token economy, using tangible rewards to increase desired behaviors in structured settings through operant conditioning.
Explanation
This describes systematic desensitization, a behavioral technique that combines relaxation training with gradual exposure to feared stimuli through a hierarchy. The process involves counterconditioning, where the relaxation response becomes paired with the feared stimulus, reducing the anxiety response over time. Cognitive restructuring focuses on changing thoughts rather than pairing stimuli with relaxation. Free association is a psychodynamic technique for exploring unconscious conflicts. Token economy uses rewards to increase desired behaviors in structured settings, not for treating phobias.
A therapist teaches coping skills, assigns homework, and targets thoughts and behaviors. Which therapy is described?
Client-centered therapy, emphasizing empathic listening and self-directed growth without structured skills training or homework.
Cognitive-behavioral therapy, structured and skills-focused, targeting maladaptive thoughts and behaviors with practice and homework.
Aversion therapy, pairing unwanted behaviors with unpleasant stimuli to reduce behavior through conditioning principles.
Psychodynamic therapy, emphasizing insight into unconscious processes and early relationships rather than skills practice.
Explanation
This describes cognitive-behavioral therapy (CBT), which is characterized by its structured, skills-focused approach that targets both maladaptive thoughts and behaviors. CBT therapists typically assign homework, teach coping skills, and use specific techniques to modify both cognitive and behavioral patterns. Client-centered therapy emphasizes empathic listening without structured skills training. Psychodynamic therapy focuses on insight into unconscious processes rather than skills practice. Aversion therapy specifically uses unpleasant stimuli to reduce unwanted behaviors.
A therapist treats a phobia by repeated, direct contact with the feared object until anxiety decreases. What technique?
Exposure therapy, repeatedly confronting the feared stimulus to reduce anxiety through habituation and extinction processes.
Psychodynamic interpretation, analyzing unconscious conflicts and childhood experiences as the primary mechanism of change.
Aversion therapy, pairing an unwanted behavior with an unpleasant stimulus to reduce the behavior through conditioning.
Systematic desensitization, which always requires relaxation training and never uses direct contact with feared stimuli.
Explanation
This describes exposure therapy, where clients repeatedly confront feared stimuli until anxiety decreases through habituation and extinction processes. Unlike systematic desensitization, which always uses relaxation training and gradual exposure, flooding involves direct, intense contact with the feared object. The repeated exposure helps break the association between the stimulus and anxiety response. Systematic desensitization requires relaxation training and gradual hierarchies. Psychodynamic interpretation focuses on unconscious conflicts. Aversion therapy pairs unwanted behaviors with unpleasant stimuli.
A therapist focuses on modifying observable behavior using reinforcement and punishment. Which therapy type is this?
Behavior therapy, emphasizing observable behavior change through operant and classical conditioning principles.
Psychodynamic therapy, emphasizing unconscious conflicts, transference, and insight rather than reinforcement contingencies.
Client-centered therapy, emphasizing empathic understanding and unconditional positive regard over direct behavior modification.
Cognitive therapy, emphasizing thought monitoring and challenging beliefs rather than primarily using punishment and reinforcement.
Explanation
This describes behavior therapy, which focuses on modifying observable behaviors through operant and classical conditioning principles like reinforcement and punishment. Behavior therapy emphasizes changing specific behaviors rather than exploring unconscious material or providing empathic understanding. Psychodynamic therapy emphasizes unconscious conflicts and transference. Client-centered therapy emphasizes empathic understanding and unconditional positive regard. Cognitive therapy primarily focuses on thought patterns rather than reinforcement contingencies.
A therapist remains nonjudgmental, reflects feelings, and avoids directing solutions. Which approach is this?
Behavior therapy, emphasizing reinforcement contingencies and exposure exercises to change observable behaviors.
Psychodynamic therapy, emphasizing interpretation of unconscious conflicts, defenses, and transference patterns.
Cognitive therapy, emphasizing structured identification and disputation of maladaptive thoughts using worksheets and homework.
Client-centered therapy, emphasizing empathic reflection, unconditional positive regard, and client-led exploration.
Explanation
This describes client-centered therapy, developed by Carl Rogers, which emphasizes remaining nonjudgmental, providing empathic reflection of the client's feelings, and avoiding directive interventions or solutions. The therapist creates conditions for the client's own self-exploration and growth. Cognitive therapy uses structured techniques and homework. Behavior therapy focuses on reinforcement and exposure procedures. Psychodynamic therapy emphasizes interpretation of unconscious conflicts and transference patterns.
A depressed client receives a medication increasing serotonin signaling over time. Which class is most likely?
Stimulants, which increase alertness and attention in ADHD but are not primary medications for depression.
SSRIs, antidepressants that increase serotonin signaling and are commonly prescribed for depression and many anxiety disorders.
Antipsychotics, primarily used to reduce hallucinations and delusions by affecting dopamine pathways in psychotic disorders.
Mood stabilizers like lithium, primarily used to prevent manic episodes and reduce relapse in bipolar disorder.
Explanation
SSRIs (Selective Serotonin Reuptake Inhibitors) are antidepressants that work by increasing serotonin signaling in the brain and are commonly prescribed for both depression and many anxiety disorders. The therapeutic effects typically develop gradually over several weeks of treatment. Antipsychotics primarily target dopamine pathways to reduce hallucinations and delusions in psychotic disorders. Mood stabilizers like lithium are used to prevent manic episodes in bipolar disorder. Stimulants increase alertness and attention in ADHD.
A therapist encourages a client to say whatever comes to mind without censoring. Which psychodynamic technique is this?
Free association, encouraging uncensored speech to help reveal unconscious thoughts and conflicts in psychodynamic therapy.
Cognitive restructuring, identifying cognitive distortions and replacing them with balanced alternatives using evidence.
Systematic desensitization, pairing relaxation with a fear hierarchy to reduce anxiety through counterconditioning.
Token economy, reinforcing desired behaviors with tokens exchangeable for rewards in structured treatment settings.
Explanation
This describes free association, a fundamental psychodynamic technique where clients are encouraged to say whatever comes to mind without censoring their thoughts. The goal is to help reveal unconscious thoughts, conflicts, and associations that may be driving current symptoms or difficulties. Cognitive restructuring involves identifying and challenging distorted thoughts with evidence. Systematic desensitization pairs relaxation with fear hierarchies. Token economy uses reinforcement systems with tokens exchangeable for rewards.
A therapist helps a client identify and challenge catastrophizing thoughts about social situations. What technique is this?
Exposure with response prevention, preventing compulsive rituals while exposing clients to obsession triggers to reduce anxiety.
Cognitive restructuring, identifying cognitive distortions and replacing them with more accurate, evidence-based interpretations.
Aversion therapy, pairing an unwanted behavior with an unpleasant stimulus to reduce the behavior through conditioning.
Systematic desensitization, pairing relaxation with gradually increasing exposure to feared stimuli through a hierarchy.
Explanation
This describes cognitive restructuring, a core technique in cognitive therapy that involves identifying maladaptive thought patterns like catastrophizing and challenging them with evidence-based alternatives. The therapist helps clients examine the evidence for their catastrophic predictions about social situations and develop more balanced, realistic thoughts. Exposure with response prevention is used for OCD treatment. Systematic desensitization uses relaxation paired with feared stimuli. Aversion therapy pairs unwanted behaviors with unpleasant stimuli to reduce those behaviors.
A client with depression and anxiety is prescribed an SSRI. Which disorders are SSRIs commonly used to treat?
ADHD as primary medication, increasing attention and decreasing hyperactivity through stimulant-like effects on arousal.
Depression and many anxiety disorders, with symptom improvement typically occurring gradually over several weeks.
Bipolar I disorder as sole maintenance, primarily preventing manic episodes without need for mood stabilization.
Schizophrenia-spectrum psychosis, primarily reducing hallucinations and delusions through dopamine receptor blockade.
Explanation
SSRIs are commonly used to treat depression and many anxiety disorders, with symptom improvement typically occurring gradually over several weeks of treatment. They work by increasing serotonin signaling in the brain and are considered first-line medications for these conditions. SSRIs are not primarily used for schizophrenia-spectrum psychosis, which requires antipsychotics. They are not used alone for bipolar I disorder maintenance due to risk of triggering mania. SSRIs are not primary medications for ADHD, which typically requires stimulants.