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TPA - I Feel Like I'm Dying! Treating Panic Attacks and Anxiety Disorders 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 What are steps in the “Sit Don’t Run” technique?
1.2 What did Dr. Thomas P. Hackett state about anxiety?
1.3 What are three factors physicians use to determine adaptive from unadaptive anxiety?
1.4 What are behaviors that may be affected and impaired when the level of anxiety is high?
2.1 What are steps to the “Stop and Relax” technique?
2.2 When may anticipatory anxiety occur for clients?
3.1 What are some symptoms of panic attack clients?
3.2 What are some panic disorder traits that many clients have in common?
3.3 What is a helpful technique for clients who experience severe chest pain and tension?
4.1 What is wrong with a client if he/she has mitral valve prolapse?
5.1 What may be a useful technique to help a client get through their depressive state and ease anxiety?
6.1 What is a helpful therapy for clients with simple phobias?
6.2 What may be some objects of fear for clients who have a simple phobia?
7.1 What is the most common drug that panic disorder clients take?
8.1 According the Maudsley Hospital in London, what are some rituals obsessive compulsive disorder clients do?
9.1 According to Maudsley Hospital in London, what percent of clients with social dysfunction may report having no friends or social contacts in high school?
10.1 According to Dr. G.L. Klerman, what are three ways that separation anxiety is linked to panic and agoraphobia in adults?
11.1 How may irritable bowel syndrome be triggered?
12.1 What are some tips that may help panic disorder clients during their traveling?
13.1 What are healthy diet guidelines that will help reduce stress?
13.2 What are two non-aerobic exercises that can help with panic attacks?
14.1 What are the steps to the Three-Part Breathing technique?

A. “I think that not only psychologic morbidity, but also physical morbidity is lowered in individuals who have ‘appropriate’ anxiety before surgery.”
B. Slow down and stop, feel your body’s heaviness, think health, allow time for the panicky feelings to pass by
C. Mental concentration is very often inhibited, social functioning may also be impeded
D. If the severity of the anxiety bears little relationship to the situation, if the anxiety interferes with the capacity to experience satisfaction or pleasure, and if the anxiety restricts normal activity
E. When the client is dreading a certain event for which they already hold a pre-existing phobia
F. Stop or slow down, relax your facial muscles, smile inwardly, say to yourself, ‘My eyes are twinkling and sparkling', take a deep abdominal breath, imagine you are inhaling through holes in the bottoms of your feet, up through your legs, and into your stomach, feel the upward flow of warmth and heaviness, as you exhale slowly, imagine the air flowing back down through holes in your feet, taking all the tension along with it, at the same time, let your jaw, tongue, and shoulders go limp
G. Avoidance, low self-esteem, interpersonal hypersensitivity, somatization, hopelessness, and self-blame
H. Respiratory complaints such as shortness of breath and chest pains, nervous system trouble, such as dizziness and tingling sensations, and gastrointestinal reactions, such as nausea and abdominal distress
I. A client with MVP is one whose mitral valve is slightly damaged so that small amount of blood may seep back through to the upper chamber
J. 1 to 8 Count Breathing
K. Exposure Therapy
L. Best Case Scenario technique
M. Marijuana
N. Flying, animals, vegetables
O. 61%
P. Cleaning, repeating, completion, checking, avoiding
Q. By anxiety, stress, and tension
R. Agoraphobic adults report a greater than expected frequency of school phobia and separation anxiety as children, school phobia and separation anxiety respond to tricyclic antidepressants as do panic and agoraphobia, family studies indicate that children of parents with panic/agoraphobia have a higher incidence of school phobia and separation anxiety than the children of a matched control group.
S. Increase your intake of fruits and vegetables, eat whole grains, eat more foods from the bean family, cut down on sugar, spread out your eating so you have four or five mini-meals a day instead of three large ones, avoid caffeine, drink six to eight glasses of water
T. Have a definite, pleasant destination, bring along some food, have something enjoyable to do during the trip
U. Take a deep breath, imagine your lungs are divided into three parts, visualize the lowest part of your lungs filling with air, imagine the middle part of your lungs filling, visualize the upper part filling with air and our lungs becoming completely full, exhale fully and completely, as you empty your upper lungs, drop your shoulders slightly, visualize the air leaving the middle portion of your lungs, and feel your rib cage contract, pull in your abdomen to force out the last bit of air from the bottom of your lungs
V. Yoga, weight training

Course Content Manual Questions The answer to Question 23 is found in Section 23 of the Course Content. The Answer to Question 24 is found in Section 24 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 According to American Psychiatric Association, what is a panic attack?
16.1 What is the average age of onset for lifetime panic disorder?
17.1 What are some questions for Crisis Intervention?
18.1 What are some subclinical indications of hypochondrias?
19.1 What is the most potent correlate of agoraphobia avoidance?
21.1 What may be the cause of the first panic attack for a client?
21.2 How does ‘Cognitive Behavioral Therapy’ help clients?
23.1 What are some behaviors clients may adopt in order to escape or avoid situations where they have experiences of a panic attack?
24.1 According to Garssen, de Ruiter, and van Dyck, what technique for the treatment of panic disorder is most effective when used in combination with cognitive interventions?
25.1 What are the Five Basic Principles on which "My Five-Point Program" is based on?
26.1 When may Panic symptoms escalate?
27.1 What may represent the best alternative for the treatment of panic disorder?

A. 25
B. A discrete period of intense fear or discomfort that has an abrupt onset, reaches a peak within 10 minutes, and is accompanied by at least 4 of 13 somatic or cognitive symptoms
C. Heightened self-consciousness, separation anxiety, and abnormal trait anxiety
D. Have you recently adjusted, discontinued or changed any medications either prescription or nonprescription? Have you experienced any recent illness, deaths, change in relationship, job, financial situation in the past 6 months?
E. Something traumatic in their life
F. Anticipated panic
G. Placing self to the ground or sitting, making efforts to control breathing, using distraction, checking their pulse, holding onto someone or something
H. Helps people change their thoughts in order to change their feelings and behaviors
I. Use the creative powers of your unconscious mind to help you change yourself, use visualizations and affirmations to change your self-image so that you feel confidence rather than fear, use rational and positive thinking to see yourself and events as they really are and also to visualize how you want them to be, act as if you are already the way you want to be, set goals to become the person you want to be
J. Breathing retraining
K. A combination of medication and cognitive-behavioral therapy
L. When an individual focuses on the bipolar disorder symptoms and misreads them as dangerous while concomitantly blocking corrective information and reasoning

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