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A 28-year-old woman comes to the psychiatrist for help with her rear of flying. She states that for as long as she can remember, she has been afraid to fly. She has been able to do so, despite her fear, but she reports feeling trapped and extremely anxious each time she must do so. In addi- :ion, she has a great deal of anticipatory anxiety about any upcoming flight. She has recently taken a new job that requires flying for business at least twice per month and so would like to rid herself of this fear. Which of the following treatment options is optimal for this young woman?
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A 45-year-old woman comes to the psychiatrist requesting help in coping with her life. The patient states both of her parents have recently been diagnosed with cancer and her husband has just instituted divorce proceedings. She states she feels overwhelmed and anxious, with bouts of crying and panic attacks. Which one of the following therapies should be offered to this patient?
A 32-year-old woman presented to the psychiatric emergency room after a suicide attempt in which she swallowed a bottle of aspirin. On the inpatient unit it was noted that she was stealing needles and injecting feces under her skin to cause infections, She has a long history of multiple surgical procedures for unclear reasons. Which of the following guidelines is most useful for treatment of patients with this disorder?
What is the most common reason that psychotherapy for personality disorders is so difficult to carry out successfully?
A 22-year-old student is in therapy because he has a long history of chaotic interpersonal relationships, episodes of psychosis, and multiple hospitalizations. He has attempted suicide three times, mostly precipitated by his feeling overwhelmed in some social setting. One session, he comes to his therapist greatly upset and anxious because he forgot to study some material that will be on an upcoming examination. The therapist reminds the patient that he has done well on previous examinations and suggests that she help him devise a study plan for the time the patient has left before the test. Such an intervention is commonly used in which of the following therapies?
. A 24-year-old man comes to the therapist after being discharged from the hospital following treatment for a psychotic episode. The patient is currently stable on antipsychotic medication. He visits the therapist every other week and during the sessions he describes troubles in his relationship with his parents and in finding a job, and his occasional hallucinations. The therapist responds empathically to his difficulties and occasionally makes a suggestion as to how he might handle his job search more effectively. Supportive psychotherapy
A 22-year-old man comes to the therapist with the chief complaint of incredible anxiety during multiplechoice examinations. He reports that he becomes unable to focus, begins to sweat, and is unable to retrieve the information he knows he has learned. During sessions, the therapist hooks the patient up to a machine that measures galvanic skin response and trains the patient in relaxation techniques. Behavioral therapy
The parents of a 20-year-old schizophrenic are having difficulty dealing with their son‟s decline in function. Once a good student with friends and a social life, the son now spends his days barricaded in his room, mumbling to himself, or watching the street with binoculars. Which of the following family interventions would be most helpful in this situation?
A 49-year-old man comes to the doctor with high blood pressure and anxiety. Preferring to try something other than medication at first, the patient agrees to try another approach. He is attached to an apparatus that measures skin temperature and emits a tone proportional to the temperature. Which of the following techniques is being used with this patient?
A 29-year-old woman comes to a cognitive therapist with a 6-month history of sudden feelings that she is going to die. The patient reports that during these episodes her pulse races, she feels short of breath, and she gets chest pain. She notes that she feels like she is going to die on the spot and therefore has begun to restrict her movement outside the house so that she can remain near a phone in case she needs to call an ambulance. Which of the following treatment interventions should the therapist employ first to begin to help this patient with her problem?
A 16-year-old girl begins acting out sexually and skipping school. These symptoms coincide with the onset of frequent arguments between her parents, who have been threatening marital separation. Family therapy
A 45-year-old woman comes to a therapist with the chief complaint of feeling depressed. The therapist asks the patient to talk about her experiences. both in daily life and in the past. As the therapy progresses, the patient realizes that much of her depressive emotion comes from her feelings of abandonment as a child, when her mother was hospitalized for a long illness and was thus unavailable. The patient sees the therapist once a week. The therapist uses primarily clarification, confrontation, and interpretation as tools. Which of the following therapies is this patient most likely undergoing?
A 45-year-old man is diagnosed as having diabetes and will require insulin. His physician explains the use of the medication and tells the patient that he will need to be seen at frequent intervals until his glucose levels come under good control. The patient has always been somewhat hostile with the physician, but upon hearing this news, he says angrily, “You doctors are always the same! You always want control—of my time, of my money, and now of my every action!” As far as the physician knows, this patient has never had an unpleasant encounter with a physician before. Which of the following is the most likely explanation for the patient‟s reaction to his doctor?
A young woman with obsessive-compulsive disorder has suffered from contamination fears for years, and now her hands are raw from so much washing. Her therapist takes her to the bathroom and asks her to touch the toilet seat. Afterward, he stops her from washing her hands. The patients anxiety rapidly increases, and after a peak, declines. Which of the following is the name of this technique?
An 18-year-old girl comes to the psychiatrist because she pulls out her hair in patches when she is anxious or upset. She is taught to make a tight fist whenever she has this impulse rather than pull out her hair. Which of the following techniques is this?
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