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BC - Treating the Ups and Downs of Bipolar Children Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

1.1 The Know Your Child exercise is a technique that helps parents understand their child’s diagnosis better. What are some questions asked for the Knowing Your Child exercise?
2.1 What are techniques parents may find useful to help reduce a child’s separation anxiety?
2.2 Rages for bipolar children can include...
3.1 What are some of the warning signs that parents can look for when monitoring their child’s suicidal behaviors?
4.1 In addition to a client’s rage and mood fluctuations, what are other criteria to determine bipolar disorder from ADHD in a child client?
5.1 Child clients who suffer from bipolar disorder who carry out self-destructive behaviors are reacting to negative self-talk. What exercise is helpful for these clients to help resist the urge of negative self-talk?
6.1 What are three techniques used to predict kindling and seasonal affective disorder?
6.2 What are a few tactics that may reduce the intensity of a child when they are in a depressive or manic state?
7.1 What are four techniques that parents with raging children can use at home?
8.1 What are two techniques for treating a fearful client?
9.1 What are three techniques for children who experience mixed states?
9.2 What are some guidelines to the “Contract to Avoid Conflict” technique?
10.1 What are two techniques for combating the difficulties in prescribing medication to bipolar children?
10.2 What is an example of other non-medicinal treatments useful for bipolar clients?
11.1 Light Therapy is most effective for what types of clients?
12.1 What are three techniques to reduce stress on bipolar child clients?
12.2 What is one of the main stressors for any bipolar child?
12.3 What may be some categories included in the Transition Form?
13.1 Sometimes bipolar children misunderstand what others are saying, which tends to lower their self-esteem. What may be a useful technique to help a bipolar child client understand others intentions?
13.2 What may be a useful technique to help a bipolar child client gain confidence in themselves?
Answers:

A. Listen to the child’s feelings, keep calm when a child is upset about separating, gently remind the child that he or she survived the last separation, anticipate transition points that can cause apprehension, firmly, consistently, and caringly set limits, teach relaxation technique, praise the child's efforts to address symptoms
B. Does your child have attention problems? Does your child exhibit unusual sadness?
C. Depressed mood, history of a previous attempt, decline in school performance, increased social withdrawal, loss of interest and pleasure in easily enjoyable activities, changes in appearance—for instance, no longer caring about one’s hair or clothing, preoccupation with themes of death—the client may begin to read books with themes of death and dying, increased irritability and behavior problems, giving away important possession, use of drugs and alcohol, changes in sleep and/or appetite patterns
D. Hitting, biting, punching, breaking things, and shouting foul language
E. Recording Positive Self-Talk
F. Disturbances during sleep, giftedness, risk-seeking behavior, early hypersexuality, lithium
G. let the child define his or her mood, learn your child’s code words or actions, anticipate triggers when you can, and plan to deal with them before they happen. Don’t let your child’s mood trigger an automatic reaction in yourself
H. Trauma history, trigger list, survival tactics
I. Breathing exercises, counting
J. Write a plan, check your own mood, detox, hydrotherapy
K. Keep it simple and specific, make the requirements just challenging enough, make sure there’s a “buy-in,” use feedback techniques, remember to update
L. Define your emotions, sensory focus, contract to avoid conflict.
M. Light Therapy
N. Medication routine, other non-medicinal treatments
O. Acclimation, point system, transition form
P. clients whose depression is directly affected by the seasonal change and lack of sunlight
Q. Expected transition, date transition will begin, date transition will end, beginning preparation date
R. Transition in any daily schedule or routine, such as a move or a new school
S. Filling out a “Positive Questionnaire”
T. Communication exercise

Course Content Manual Questions The answer to Question 21 is found in Section 21 of the Course Content. The Answer to Question 22 is found in Section 22 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

15.1 What are some types of bipolar rages?
15.2 What is a symptom of bipolar disorder in all ages?
16.1 What is a critical aspect of controlling emotions for a bipolar child client?
17.1 How is the Problem-Solving discussion home treatment helpful?
17.2 What is the goal of the problem-solving discussion home treatment?
18.1 What are some prescription medications that can induce symptoms of mania?
18.2 What are some important factors to consider when diagnosing bipolar disorder clients?
19.1 What are the mental health counselor’s major goals when treating bipolar disorder?
19.2 According to Papolos, what are three alternative forms of treatment for bipolar disorder?
19.3 What are some activities that can be taught to adolescents to reduce depressive symptoms?
20.1 According to the Child & Adolescent Bipolar Foundation, if one parent has bipolar disorder, what is the percentage that one child might have bipolar disorder?
22.1 What are some symptoms children with early onset bipolar disorder may exhibit?
23.1 What type of skills might children who have difficulty with social interactions practice?
24.1 What is the meaning of the RAINBOW program?
Answers:

A. Hypersexuality
B. Loss of contact with reality, destruction of property (including the child's own), self-abuse, and lashing out at others
C. Parents help the child think about tomorrow and visualize and describe feelings associated with anticipated positive and negative expectation
D. how much one attends to or shifts attention away from external events and internal sensations that are generating distressing affects
E. Antidepressant agents, stimulants, steroids, sympathomimetics, and bromocriptine
F. Help the child use more differentiated and subtle rather than polarized descriptions of feelings
G. To ameliorate symptoms, prevent relapses, reduce the long-term morbidity, and promote optimum growth and development.
H. Medical and psychiatric history, family psychiatric history, direct observation, physical exam, and personal interviews
I. Daily mood logs, listing evidence that dispels the distorted thoughts, self-monitoring, self-thought redirection
J. use of electroconvulsive therapy, repeated transcranial magnetic stimulation, and omega-3 fatty acids
K. Defiance, refusal to comply with adults’ requests, and deliberately annoying people
L. 15%-30%
M. Routine, affect regulation, I can do it, No negative thought & line in the “now,” Be a good friend and balance lifestyles for parents, “Oh, how can we solve the problem?”, ways to get support
N. Staying calm in the midst of frustration, collaborative problem solving, and seeing situations from alternative viewpoints

 
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