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Discuss the role of neurotransmitters and negative cognitions in the etiology and treatment of depression.

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Neurotransmitters play a crucial role in...

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Side effects of tricyclic antidepressants include


A) weight loss.
B) excessive urination.
C) sexual dysfunction.
D) insomnia.

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An important difference between "major depressive disorder, recurrent" and "major depressive disorder, single episode" is that


A) single episode type is more common.
B) recurrent type is more common.
C) single episode symptoms are more severe.
D) recurrent symptoms are more severe.

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Suheil comes into your clinical psychology practice reporting that he's been feeling so down that he's had suicide on his mind. To determine his level of risk for suicide, you should make sure to assess Suheil's


A) desire to actually carry out a suicide.
B) access to weapons and other means of suicide.
C) specific plans, if any, for committing suicide.
D) All of these are correct

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Which of the following statements is accurate regarding the treatment of mood disorders?


A) Patients do not recover from episodes of major depression without treatment.
B) Delaying or preventing future episodes of major depression is often an important treatment goal, instead of merely recovering from current depression.
C) After a patient has experienced a major depressive episode and recovered, treatment can be discontinued.
D) Close to 100 percent of patients with major depressive disorder respond to drug treatment.

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Which of the following eight-year-old children should most likely receive a diagnosis of disruptive mood dysregulation disorder?


A) Hakim, who cannot sit still in class or at the dinner table
B) Bella, who stayed up all night for three nights in a row making what she believes is the world's prettiest dress
C) Bobby, who always gets into fights and is extremely rebellious with authority figures
D) Mary Ann, who can't help snapping at her parents and an overwhelming feeling of irritability that she feels uncontrollable

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A student who has been doing very well in her psychology class receives a minor critical comment on an essay that she wrote as part of an exam. The student thinks, "This is terrible. I'm probably going to fail the course." This type of cognitive error in thinking is called


A) arbitrary inference.
B) overgeneralization.
C) pessimism
D) dissociating.

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For both men and women, depression and problems in marital relations are associated, but


A) the causal direction is different.
B) for men marital relations seem to contribute toward depression.
C) for women the depression seems to cause the marital relation problems.
D) therapists need to consider disturbed marital relationships separately from mood disorders.

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Current research into neurotransmitter systems has produced the "permissive" hypothesis, which means that


A) low levels of serotonin are sufficient to explain the etiology of mood disorders.
B) the norepinephrine system regulates serotonin levels; if norepinephrine is low, depression will occur.
C) when serotonin levels are low, other neurotransmitter systems become dysregulated and contribute to mood irregularities.
D) the absolute levels of neurotransmitters are more significant in mood regulation than the overall balance of the various neurotransmitters.

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All of the following are side effects of lithium therapy EXCEPT


A) lowered thyroid functioning.
B) weight loss.
C) toxicity.
D) lack of energy.

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In studies of bipolar patients who experience cyclothimia, it has been found that as many as 60% are


A) female.
B) male.
C) elderly.
D) adolescents.

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Prevention of mood disorders in children and adolescents include


A) universal programs.
B) selected interventions.
C) indicated interventions.
D) all of these are correct

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Since traditional antidepressant medication such as tricyclics may actually provoke rapid cycling in patients with bipolar disorder, mood stabilizers and ________ are often prescribed instead.


A) antipsychotics
B) tranquilizers
C) anticonvulsants
D) opiates

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One symptom of depression is an increase in sleeping. What other symptom related to sleep occurs in depression?


A) Decreased slow wave sleep, the deepest stage of sleep
B) Less intense REM activity
C) Stages of deepest sleep occurring earlier in the sleep cycle
D) Slower onset of REM sleep

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Research has found that low serotonin levels may be implicated in suicidal behavior because they affect all of the following EXCEPT


A) impulsivity.
B) instability.
C) inertia.
D) overreaction.

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Lithium is a(an) _______and is prescribed as the gold standard for treatment of _______.


A) antipsychotic; very severe depression
B) anticonvulsant; bipolar disorder
C) mood stabilizer; bipolar disorder
D) SSRI; bipolar disorder

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When used in connection with mood disorders, "flight of ideas" means


A) anxiety about airplane travel.
B) rapid speech expressing many exciting ideas at once.
C) limited imagination reflected in a slow way of speaking.
D) an increase in creative ideas.

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With regard to the relationship between stress and depression, all of the following statements are true EXCEPT that


A) the context of the life event, as well as its meaning to the individual, is more important than the nature of the event itself.
B) an individual's current mood state might distort earlier memories of life events that precipitated the depression.
C) stressful life events are strongly related to the onset of mood disorders.
D) recurrent episodes of depression, but not initial episodes, are strongly predicted by major life stress.

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Being depressed ________ the risk of death in elderly patients who have had a stroke or heart attack.


A) has no effect on
B) doubles
C) triples
D) reduces

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Some psychologists were reluctant to make premenstrual dysphoric disorder a formal diagnosis because


A) it had too much overlap with other mood disorders' diagnostic criteria.
B) it is so rare that a formal diagnostic category is unjustified.
C) it is strictly a consequence of hormonal imbalances and is therefore not a psychological disorder.
D) it has the potential to be stigmatizing for women.

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