Complete Solutions
2+LGBTQ & mental illness Correct Answers
Higher rates of depression, anxiety, obsessive-
compulsive and phobic disorders, suicidality, self-
harm, and substance use among LGBTQ2 people
Double the risk for post-traumatic stress disorder
(PTSD) than heterosexual people
LGBTQ2 youth face approximately 14 times the risk
of suicide and substance abuse than heterosexual
peers
77% of trans respondents in an Ontario-based
survey had seriously considered suicide and 45%
had attempted suicide (CMHA, 2020)
Bisexual women have poorer mental health
outcomes other LGBTQ2 groups (Gilmour, 2019)
Account for Trauma - 'the 3-E's" Correct Answers
Trauma results from an event, series of events,...
experienced by an individual as physically or
emotionally harmful or life threatening and that
has lasting adverse effects on the individual's
functioning and mental, physical, social, emotional,
or spiritual well-being. (SAMHSA, 2014, p. 7)
Acute Stress Disorder (ASD) (p.368) Correct
Answers Onset/duration:
Occurs immediately after a traumatic event
lasting ≤ 4 weeks
,Symptoms:
Re-experiencing
Avoidance
Negative cognition
Hyper-arousal (being on-guard)
Agitation
Includes:
dissociative symptoms (ex. Depersonalization and
derealization)
Admission to a Psychiatric Facility Correct Answers
A person may be admitted as:
Voluntary: a person agrees to be admitted and
does so of their own free will
Capable to make decisions, give consent, leave the
hospital
Informal: the person is admitted with the consent
of a substitute decision maker
Not capable to make decisions
Involuntary: a person who is detained in a
psychiatric facility under a certificate of involuntary
admission (Form 3) or a certificate of renewal
(Form 4)
Because of a mental disorder a person is at
significant risk of self harm or personal impairment
OR harm to others AND is NOT suitable to be
admitted as voluntary or informal
Alterations in Thought content: Obsession Correct
Answers repetitive thought, emotion, impulse
,Alterations in Thought content: Phobia Correct
Answers persistent and exaggerated fear
Alterations in Thought content:Delusions: Correct
Answers Fixed, false belief, not based in reality,
not shared by others
Person cannot be corrected or convinced otherwise
Delusions of control; thought insertion, thought
broadcasting, ideas of reference
Paranoid: irrational distrust or belief that others
intend them harm
Bizarre: implausible beliefs
Somatic: involving the body
Delusions of grandeur: exaggerated belief of one's
importance
Alterations in thought process: Correct Answers
Loosening of association
Circumstantiality
Tangential
Neologisms
Thought blocking
Flight of ideas
Word salad
Perseveration
Clang association
Echolalia
Verbigeration
Pressured speech
, Anxiety Disorders:
Incidence and etiology? Correct Answers Who is
affected?
Most common mental disorders of adulthood
More common in women vs men
Etiology:
Genetics: family history
Brain Chemistry: abnormal levels of certain
neurotransmitters
Environmental Factors: trauma, stressful events,
use and withdrawal from addictive substances
Anxiety: Correct Answers Response to stimuli
about the future or threatening situation
Vague feelings of dread/apprehension
Productive; motivates to solve problems
Resolves with problem resolution
Normal emotional response:
Physiologic arousal (Table 23.1)
Cognitive process (ex. Fight vs flight)
Coping strategies
Assessment Techniques Correct Answers
Observation
Examination
Interview
Collaboration:
Negotiate the terms of the interview with the
client; purpose, time frame, the use of note taking,