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BA - Treating the Highs and Lows of Bipolar Adults 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.


1.1 In the “Sharing” exercise, what are six questions you may ask the client?
1.2 What is one of the most helpful tactics to use when treating adults with bipolar disorder?
2.1 What kind of technique uses a list of questions and asks the clients to complete them with a yes or no after having read a catalogue of informative materials on the disorder?
2.2 How do “underidentifying clients” differ from those clients who reject a diagnosis?
3.1 What technique is suggested for clients who feel anxious and are experiencing a particularly frightening hallucination?
3.2 What are some examples of delusional thoughts that clients have in their heads?
3.3 What is the “Trust List” technique?
4.1 What must the client do in an effort to prevent a serious manic or depressive state?
5.1 What four questions should you ask a client who is experiencing symptoms outside of a bipolar diagnosis and the cause is suspected to be an autoimmune disorder?
5.2 What is one difference between a client who is suffering from borderline personality disorder and a client that is bipolar?
5.3 What are some characteristics of clients that have been infected with the HIV virus?
6.1 How do you define social Zeitstorer?
6.2 How do you define social Zeitgeber?
6.3 When interrupted, what causes a bipolar client to be more vulnerable to falling into a manic or depressive episode?
7.1 What are some lifestyle modification suggestions that a therapist could use to help a client deal with her PMS emotional roller coaster?
7.2 What is the difference between men and women when attempting suicide?
7.3 What is the average age of men who are diagnosed with mania?
8.1 What technique may be used for clients experiencing Hyperthymic Temperament?
9.1 What are some advices you could suggest to the family of a client?
10.1 What is the “Affirmations technique” used for?
11.1 What are four other considerations to take into account when prescribing medications or treating a client on medications?
12.1 What is the “Me Day” technique?
13.1 What drug has been reported to give the same kind of energized feeling that maniacs thrive on?
14.1 What are some suggestions in the “List of Small Steps” technique?

A. Provide them with information
B. How has bipolar disorder affected my relationship as a whole? How has it affected me as a person? What is the hardest thing that I face daily regarding this illness? What do I want to see change right now? What do I need in my own life to find happiness? If things stay as they are, where do I see my relationship in the future?
C. Underidentifying clients refuse to deal with the emotions instead of completely rejecting the diagnosis.
D. The “Self Administered Quiz” technique
E. A grandiose image of themselves such as the client believing he or she is a messenger of God, a deity, or somatic delusions in which they believe that their body is rotting away.
F. “5 to 1 count” technique
G. The client must take an active role in monitoring their behavior.
H. This technique involves asking the clients to write names of people whom they trust and why they trust them so they may pull out this list during a paranoid episode.
I. A client suffering from borderline personality disorder has shorter periods of depressive states and does not experience the manic state of a strictly bipolar client.
J. Have you ever experienced swelling or pain of the joints? Has this swelling or pain ever caused you to walk with a cane or other assistance? Have you ever noticed a red/purplish rash on your face or lesions on any part of your body? Have you ever experienced a mild to severe seizure?
K. A person or social demand that throws a person’s sleeping patterns off balance
L. Moodiness, irritability, memory loss, and confusion
M. Circadian Rhythms
N. People or events that function as an external time clock to regulate a client’s habits
O. Women choose methods, such as ingesting a severe amount of pills, which take a long time to come into effect while men choose a more immediate method such as a gun or hanging.
P. Reducing her intake of caffeine, sugar, and sodium prior to menstruation which will help decrease the rapid mood swings.
Q. Personality Checklist technique
R. 30 years old
S. This technique may help the client inundate him/herself with positive affirmations that will help him/her regain his/her self-confidence.
T. Take seriously the person’s condition. Stay calm, but don’t under-react. Involve other people. Don’t try to handle the crisis alone or jeopardize your own health or safety. Call 911, if necessary.
U. This technique may help relieve stress which involves letting a client take a day off work and other responsibilities to pamper and indulge him/herself
V. MAOIs require many dietary restrictions as well as some other medications. Mood-stabilizing agents often require monitoring to ensure that they’re not damaging the client’s thyroid, kidneys, or liver. Many psychotropic medications can cause birth defects or pass chemicals through breast milk. Many clients during a manic or hypo-manic episode doubt their need for medications because they experience such euphoria.
W. Find an activity, make a commitment, keep your exercise gear packed and ready to go, buy exercise videos or equipment, etc.
X. Cocaine

Course Content Manual Questions The answer to Question 25 is found in Section 25 of the Course Content. The Answer to Question 26 is found in Section 26 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.


15.1 How can precise information about the nature, duration and timing of an individual’s prodrome or ‘relapse signature’ be obtained?
17.1 What is the advantage of the MADRS, a 10-point observer rated scale designed to reflect change in the severity of depression especially during treatment?
18.1 According to Metalsky et al., what has been argued to be a major component of the vulnerability to depression?
19.1 What dominates the clinical picture of agitated depression?
20.1 According to Koukopoulos, what symptoms must be present along with major depression and inner agitation?
21.1 What are two examples of treatment-resistant symptoms?
22.1 What effect does sexual impulsivity have on a person in the long term?
23.1 According to Tse et al.,what does the “Individual Component” primarily relate to?
24.1 According to Sullivan, what method can therapists use to help patients gain insight into the deeper wishes or feelings that might be driving their behavior?
25.1 What are the DIGFAST symptoms?
27.1 What eight items should be included in a complete clinical assessment for patients with a manic, hypomanic, or mixed episode?

A. It is easy to administer and to score
B. Through careful interviewing of the client and, if possible, other close associates
C. Depressed anxious mood and inner, psychic agitation
D. A depressive attributional style
E. Rapid cycling, mixed mania
F. (1) Racing or crowded thoughts; (2) irritability or unprovoked feelings of rage; (3) absence of signs of motor retardation; (4) talkativeness; (5) dramatic descriptions of suffering or frequent spells of weeping; (6) mood lability and marked emotional reactivity; and (7) early insomnia
G. A person’s personality attributes; his/her determination to succeed vocationally; and how the re-occurring nature of the illness, the disturbances caused by the illness, the adverse side effects of medication, stress in workplace and, finally, loss of confidence is dealt with
H. An effect on the person’s self-esteem and self-image
I. Distractability, Insomnia, Grandiosity, Flight of Ideas, Activity, Speech, and Thoughtlessness
J. Psychoanalytic theory
K. clinical status, medical comorbidities, psychiatric comorbidities, psychosocial status, current medication, past medication, medication compliance, and substance use