Diagnosis, and Treatment Planning Flashcards
7 cards from real CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Diagnosis, and Treatment Planning flashcards as text
Which DSM-5 specifier is used when a major depressive episode co-occurs with full manic criteria?
Answer: With mixed features
The 'with mixed features' specifier applies when manic symptoms are present during a depressive episode but don't meet full criteria for a manic episode.
In CBT case conceptualization, what does the 'maintenance' component of a formulation primarily explain?
Answer: Why current symptoms persist despite the client's wish to recover
The maintenance component identifies cognitive and behavioral cycles—such as avoidance and safety behaviors—that keep symptoms going in the present.
A therapist notes that a client's GAD is best explained by intolerance of uncertainty. Which treatment target does this suggest as primary?
Answer: Reducing uncertainty-avoidance behaviors and building tolerance for ambiguity
When intolerance of uncertainty drives GAD, treatment focuses on exposing clients to ambiguous situations and reducing reassurance-seeking behaviors.
Which assessment measure is specifically designed to evaluate dysfunctional attitudes consistent with Beck's cognitive model of depression?
Answer: Dysfunctional Attitude Scale (DAS)
The DAS measures rigid, maladaptive beliefs about performance and approval that are central to Beck's cognitive theory of depression.
When creating a treatment plan for a client with comorbid OCD and major depression, which condition should typically be addressed first?
Answer: Depression first, because low motivation prevents ERP engagement
Severe depression can undermine the motivation and energy needed for exposure and response prevention, so it is often prioritized to create a foundation for OCD treatment.
The Situational Formulation (ABC model) used in CBT maps Antecedents, Beliefs, and Consequences. What does 'C' most accurately represent?
Answer: Emotional, behavioral, and physiological consequences
In the ABC model, Consequences include the full emotional, behavioral, and physiological responses that follow activation of a belief in a given situation.
Which principle guides the sequencing of treatment goals in a CBT treatment plan when safety and symptom reduction are both needed?
Answer: Address safety and crisis first, then symptom-focused interventions
CBT treatment planning follows a hierarchical approach where safety concerns (suicidality, self-harm) are addressed before moving to symptom-reduction goals.