CBT Diagnosis, and Treatment Planning 2

Question 1

Which DSM-5 specifier is used when a major depressive episode co-occurs with full manic criteria?

Accepted Answer

With mixed features

Answer

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.

Question 2

In CBT case conceptualization, what does the 'maintenance' component of a formulation primarily explain?

Accepted Answer

Why current symptoms persist despite the client's wish to recover

Answer

The maintenance component identifies cognitive and behavioral cycles—such as avoidance and safety behaviors—that keep symptoms going in the present.

Question 3

A therapist notes that a client's GAD is best explained by intolerance of uncertainty. Which treatment target does this suggest as primary?

Accepted Answer

Reducing uncertainty-avoidance behaviors and building tolerance for ambiguity

Answer

When intolerance of uncertainty drives GAD, treatment focuses on exposing clients to ambiguous situations and reducing reassurance-seeking behaviors.

Question 4

Which assessment measure is specifically designed to evaluate dysfunctional attitudes consistent with Beck's cognitive model of depression?

Accepted Answer

Dysfunctional Attitude Scale (DAS)

Answer

The DAS measures rigid, maladaptive beliefs about performance and approval that are central to Beck's cognitive theory of depression.

Question 5

When creating a treatment plan for a client with comorbid OCD and major depression, which condition should typically be addressed first?

Accepted Answer

Depression first, because low motivation prevents ERP engagement

Answer

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.

(CBT) Cognitive Behavioral Therapy Certification Practice Test

(CBT) Cognitive Behavioral Therapy Certification Practice Test

CBT Diagnosis, and Treatment Planning 2