A family practice physician who has an office in the same building where you have your
private practice refers one of his patients to you suspecting medication abuse. You see a
48 year old man, John Clay Edsel, who tells you that his doctor prescribed an
antidepressant to help him with his symptoms of a major depressive episode. In a rapidfire
fashion, Mr. Edsel very quickly describes his symptom picture. As soon as he started
his antidepressant medication, Mr. Edsel reported that he began to have increased energy,
racing thoughts, found it hard to sit still, and it was difficult for him to concentrate. Mr.
Edsel also related a decreased need for sleep adding, “Three hours is all I need to wake
up refreshed. I’ll sleep longer when I’m retired.” He adds, “After about 2 or 3 days I quit
taking the antidepressants.” Mr. Edsel’s depression stopped but the new symptoms have
continued. What is Mr. Edsel’s diagnosis?
a) Major depressive disorder
b) Cyclothymic disorder
c) Bipolar II disorder
d) Bipolar I disorder
Answer: d) Bipolar I disorder
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American social policy places greater emphasis than other western industrialized nations on:
A) universal programs? B) ?means tested programs C) ?in-kind assistance D) ?individual initiative
A husband of an alcoholic often alters his behavior to accommodate his wife's drinking. For example, he cooks and eats breakfast alone while his wife sleeps in, whereas before he woke her with a hug and they breakfasted together
When he realizes that changing his behavior supports his wife's alcoholism, he ________. A. feels normative shame B. realizes he is enabling his wife's drinking C. notices he is enhancing his self-esteem D. becomes an overachiever by changing his behavior yet again
Motivational Interviewing has been found to be successful as a treatment method in several client systems. Identify and describe at least three.
What will be an ideal response?
In the 1990s, several media sources reported that a new heroin epidemic had gripped the United States. Toward the end of the first decade of the 2000s, that epidemic had:
A. subsided. B. remained unknown as to its seriousness. C. increased in seriousness. D. remained at the same level. E. none of the above.