CMN 571 EXAM 2 FINAL PAPER SOLVED
QUESTIONS DETAILED ANSWERS FULL
SOLUTION PREPARATION SET
●● Risk Factors for development of bipolar disorder
Answer: childhood adversity, cannabis and other substance use,
previously married, genetic processes
●● common differential diagnosis for bipolar disorder
Answer: major depressive disorder, other bipolar disorders, GAD, Panic
disorder, PTSD, bipolar, substance/medication induced bipolar disorder,
schizoaffective disorder, adhd, disruptive mood dysregulation disorder,
personality disorders
●● differentiate depressive episodes in bipolar 1 disorder vs bipolar II
disorder
Answer: past episodes of mania, bipolar 1 accompanied by manic
episodes bipolar II no manic just hypomanic
●● For at least 2 years (at least 1 year in children and adolescents) there
have been numerous periods with hypomanic symptoms that do not meet
criteria for a hypomanic episode and numerous periods with depressive
symptoms that do not meet criteria for a major depressive episode.
Answer: cyclothymia
,●● symptoms of depression in children
Answer: 2 week duration of depressed or irritable mood and/or loss of
interest or pleasure
usually irritable rather than depressed
weight or appetite change
sleep disturbance
psychomotor retardation or agitation
fatigue or loss of energy
feelings of worthlessness or guilt
diminished concentration
suicidal ideations, intent, or plan
IMPAIRMENT in child's functioning critical to diagnosis in youth
●● mood disturbance symptoms in depression
Answer: mood change: painful arousal, hypersensitivity to unpleasant
events, insensitivity to pleasant events, insensitivity to unpleasant
events, reduced anticipatory pleasure, anhedonia affecting blunting,
apathy
●● severe recurrent temper outbursts manifested verbally (verbal rages)
and/or behaviorally (physical aggression toward people or property) that
are grossly out of proportion in intensity or duration to the situation or
provocation
,Answer: disruptive mood dysregulation disorder
●● family and twin data collectively suggest that genes explain
approximately what percent of bipolar disorder and what percent of
major depression
Answer: 75%, 37%
●● depressed mood for most of the day, for most days than not, as
indicated by either subjective account or observation by others, for at
least 2 years
Answer: persistent depressive disorder
●● DIGFAST
Answer: Manic Episode: distractibility, indiscretion, grandiosity, flight
of ideas, activity increase, sleep deficit, talkativeness
●● contraindications of bright light therapy
Answer: patients with glaucoma, cataracts, macular degeneration, retinal
detachment, retinitis pigmentosa or retinopathy, patients taking
photosensitizing medications
●● indications for bright light therapy
, Answer: seasonal affective disorder, circadian rhythm sleep disorders,
insomnia, postpartum depression, nonseasonal depression, bipolar
depression, parkinson's disease, adhd, dementia, fibromyalgia, delirium
●● 3 levels of CBT therapy:
Answer: automatic thoughts, intermediate beliefs, cognitive schemata
●● automatic thoughts:
Answer: the conscious response to stimuli
●● intermediate beliefs:
Answer: assumptions about the self, the world, and the future that led to
the automatic thought occurring in response to a particular stimulus
●● cognitive schema:
Answer: the content (the beliefs) and the organization of that content, an
individual schema determines which stimuli are most likely noticed and
encoded in memory, which stimuli are ignored or discounted, how
encoded information is linked to associated in memory, and which
memories are most easily recalled
●● probability overestimation, catastrophic thinking, all-or-nothing
thinking, overgeneralization, only considering evidence that is consistent
with existing beliefs
QUESTIONS DETAILED ANSWERS FULL
SOLUTION PREPARATION SET
●● Risk Factors for development of bipolar disorder
Answer: childhood adversity, cannabis and other substance use,
previously married, genetic processes
●● common differential diagnosis for bipolar disorder
Answer: major depressive disorder, other bipolar disorders, GAD, Panic
disorder, PTSD, bipolar, substance/medication induced bipolar disorder,
schizoaffective disorder, adhd, disruptive mood dysregulation disorder,
personality disorders
●● differentiate depressive episodes in bipolar 1 disorder vs bipolar II
disorder
Answer: past episodes of mania, bipolar 1 accompanied by manic
episodes bipolar II no manic just hypomanic
●● For at least 2 years (at least 1 year in children and adolescents) there
have been numerous periods with hypomanic symptoms that do not meet
criteria for a hypomanic episode and numerous periods with depressive
symptoms that do not meet criteria for a major depressive episode.
Answer: cyclothymia
,●● symptoms of depression in children
Answer: 2 week duration of depressed or irritable mood and/or loss of
interest or pleasure
usually irritable rather than depressed
weight or appetite change
sleep disturbance
psychomotor retardation or agitation
fatigue or loss of energy
feelings of worthlessness or guilt
diminished concentration
suicidal ideations, intent, or plan
IMPAIRMENT in child's functioning critical to diagnosis in youth
●● mood disturbance symptoms in depression
Answer: mood change: painful arousal, hypersensitivity to unpleasant
events, insensitivity to pleasant events, insensitivity to unpleasant
events, reduced anticipatory pleasure, anhedonia affecting blunting,
apathy
●● severe recurrent temper outbursts manifested verbally (verbal rages)
and/or behaviorally (physical aggression toward people or property) that
are grossly out of proportion in intensity or duration to the situation or
provocation
,Answer: disruptive mood dysregulation disorder
●● family and twin data collectively suggest that genes explain
approximately what percent of bipolar disorder and what percent of
major depression
Answer: 75%, 37%
●● depressed mood for most of the day, for most days than not, as
indicated by either subjective account or observation by others, for at
least 2 years
Answer: persistent depressive disorder
●● DIGFAST
Answer: Manic Episode: distractibility, indiscretion, grandiosity, flight
of ideas, activity increase, sleep deficit, talkativeness
●● contraindications of bright light therapy
Answer: patients with glaucoma, cataracts, macular degeneration, retinal
detachment, retinitis pigmentosa or retinopathy, patients taking
photosensitizing medications
●● indications for bright light therapy
, Answer: seasonal affective disorder, circadian rhythm sleep disorders,
insomnia, postpartum depression, nonseasonal depression, bipolar
depression, parkinson's disease, adhd, dementia, fibromyalgia, delirium
●● 3 levels of CBT therapy:
Answer: automatic thoughts, intermediate beliefs, cognitive schemata
●● automatic thoughts:
Answer: the conscious response to stimuli
●● intermediate beliefs:
Answer: assumptions about the self, the world, and the future that led to
the automatic thought occurring in response to a particular stimulus
●● cognitive schema:
Answer: the content (the beliefs) and the organization of that content, an
individual schema determines which stimuli are most likely noticed and
encoded in memory, which stimuli are ignored or discounted, how
encoded information is linked to associated in memory, and which
memories are most easily recalled
●● probability overestimation, catastrophic thinking, all-or-nothing
thinking, overgeneralization, only considering evidence that is consistent
with existing beliefs
