CBT Diagnosis, and Treatment Planning 3

Question 1

A client endorses recurrent intrusive thoughts about harming her infant but finds them deeply distressing and ego-dystonic. The most accurate DSM-5 diagnosis is:

Accepted Answer

OCD with harm obsessions

Answer

Ego-dystonic intrusive thoughts about harm that cause distress without intent to act are classic OCD harm obsessions, not psychosis or impulse control problems.

Question 2

Which CBT model uses the concept of 'negative automatic thoughts' as the primary entry point for treatment planning?

Accepted Answer

Beck's cognitive therapy

Answer

Beck's cognitive therapy identifies negative automatic thoughts as the most accessible level of cognition and uses them to uncover deeper schemas.

Question 3

In differential diagnosis, what distinguishes social anxiety disorder from avoidant personality disorder?

Accepted Answer

Severity and pervasiveness of avoidance and self-view as socially inept

Answer

Avoidant personality disorder involves a more pervasive pattern of social inhibition and deep belief of being fundamentally inadequate, whereas social anxiety disorder may be situation-specific.

Question 4

SMART goals in CBT treatment planning require that goals be Specific, Measurable, Achievable, Relevant, and Time-bound. Which example best meets all criteria?

Accepted Answer

Client will reduce panic attack frequency from 5/week to 1/week within 8 weeks

Answer

Only the first option includes a specific behavior, a measurable baseline and target, a realistic reduction, relevance to panic disorder, and a defined timeframe.

Question 5

Which assessment approach helps identify behavioral avoidance patterns that maintain anxiety in CBT case formulation?

Accepted Answer

Functional behavioral analysis

Answer

Functional behavioral analysis examines antecedents, behaviors, and consequences to reveal how avoidance is triggered and reinforced.

(CBT) Cognitive Behavioral Therapy Certification Practice Test

(CBT) Cognitive Behavioral Therapy Certification Practice Test

CBT Diagnosis, and Treatment Planning 3