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Define generalised anxiety disorder, and discuss how it differs from panic attacks.

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GAD is a syndrome that characterises eve...

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Which of the following is an example of the treatment technique for OCD called exposure and ritual prevention (ERP) ?


A) Kylie has an obsessive fear of contamination that has led to compulsive hand-washing rituals.Her therapist is treating her by making her touch dirty laundry but not allowing her to wash for increasingly longer periods of time afterwards.
B) Kerry has an obsessive fear of contamination that has led to compulsive hand-washing rituals.Her therapist is treating her by forcing her to wash her hands repeatedly, even when she doesn't feel anxious.
C) Neo has religious obsessions.She feels that if she doesn't read biblical passages every hour of the day, she will do something evil.Her therapist is treating her by having her attend religious services more frequently so that good thoughts will replace the bad ones.
D) Lebo has a hoarding compulsion.She becomes anxious whenever she has to throw something away; she even keeps stuff she doesn't need and will never use.Her therapist has arranged for all Lebo's junk to be dumped when she is away from home.

E) All of the above
F) A) and C)

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A

Obsessive-compulsive disorder is often accompanied by all of the following EXCEPT


A) severe generalised anxiety.
B) major depression.
C) visual hallucinations.
D) panic attacks.

E) B) and D)
F) C) and D)

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C

Evidence now suggests that agoraphobic avoidance behaviour is one component of


A) exaggerated obsessive-compulsive disorder.
B) major phobias.
C) severe, unexpected panic attacks.
D) mild generalised anxiety disorder.

E) A) and B)
F) B) and D)

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Agoraphobic avoidance behaviour appears to be determined by


A) how recently the last panic attack occurred.
B) the extent to which the person expects another panic attack to occur.
C) the number of panic attacks the person has had in the past.
D) how severe the panic attacks have been.

E) A) and B)
F) A) and D)

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In the general population, as many as ____ of people suffer from social anxiety disorder at some point in their lives.


A) 1.7%
B) 12.1%
C) 31.8%
D) 51%

E) C) and D)
F) A) and B)

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When people experience severe anxiety, they


A) often know it is irrational, but can't help it.
B) are usually able to just 'turn off' those feelings.
C) often experience a break with reality.
D) do not recognise that the feelings are, in fact, anxiety.

E) B) and C)
F) A) and D)

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Justin had a fear of riding on buses, so his mother had to drive him to school every day.Justin's phobia is a(n) _________ phobia.


A) situational
B) natural environment
C) blood-injury-injection
D) animal

E) C) and D)
F) B) and D)

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With regard to the obsessions seen in patients with OCD, the term 'need for symmetry' refers to


A) doing something a number of different ways.
B) keeping things in perfect order.
C) putting everything on one's right and nothing on the left.
D) accumulation of possessions.

E) B) and D)
F) All of the above

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B

A teenage girl had recently been having panic attacks while shopping at the mall.She was sitting in her room feeling very depressed.To cheer her up, a friend suggested they both go to an exercise class.Shortly after the warm-up started, however, she had another panic attack.What is the best explanation for this occurrence?


A) She was angry with the friend for insisting that she go out.
B) The medication that had been prescribed for her was only treating the depression, not the anxiety.
C) The physical sensations experienced during exercise had become an internal cue for panic to occur.
D) The exercise class was an unconditioned stimulus that resulted in a panic attack.

E) A) and B)
F) A) and C)

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The most common type of obsession is related to


A) Aggression.
B) sex.
C) contamination.
D) symmetry.

E) A) and D)
F) A) and C)

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Individuals suffering from posttraumatic stress disorder (PTSD) display a characteristic set of symptoms including all of the following EXCEPT


A) numbing of emotional responsiveness.
B) sudden flashbacks in which the traumatic event is relived.
C) decreased startle response and chronic under-arousal.
D) memories and nightmares of the event.

E) A) and D)
F) All of the above

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People with a psychological vulnerability to panic attacks tend to ________ normal physical sensations.


A) catastrophise
B) minimise
C) fake
D) ignore

E) None of the above
F) B) and C)

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Khanye, the patient with OCD described in the textbook, was compelled to take very small steps as he walked and to look back repeatedly.As with other types of checking compulsions, Khanye was trying to


A) restore a sense of safety and control.
B) reduce the possibility of contamination.
C) ward off an imagined disaster.
D) make sure he didn't make a mistake.

E) All of the above
F) B) and C)

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The main difference between situational phobia and panic disorder with agoraphobia (PDA) is


A) people with situational phobia never experience panic attacks outside the context of the phobic situation.
B) people with situational phobia experience panic attacks when confronted with the phobic situation as well as at other times.
C) people with PDA experience panic attacks only in specific situations.
D) people with PDA experience panic attacks only at specific times.

E) None of the above
F) B) and C)

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Which of the following people living in South Africa is most likely to develop GAD?


A) Miriam, a 50-year-old woman
B) Siyabonga, an 8-year-old boy
C) Willem, a 50-year-old male
D) Lesedi, a 15-year-old girl

E) None of the above
F) A) and B)

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Describe posttraumatic stress disorder and acute stress disorder, and discuss the difference between the two.

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Posttraumatic stress disorder is an emot...

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The recent research by Johnson et al.(2000) on cigarette smoking by teenagers indicates the possibility that


A) brain circuits are permanently 'wired'.
B) neurotransmitter systems operate independently of non-biological influences.
C) the sensitivity of brain circuits can be affected by environmental factors.
D) respiratory disorders cause changes in neurotransmitter systems.

E) A) and D)
F) C) and D)

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Physiological assessments of panic attacks recorded in the laboratory indicate an increase in all of the following EXCEPT


A) heartbeat.
B) finger temperature.
C) muscle tension.
D) stomach contractions.

E) All of the above
F) A) and B)

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The behavioural process in which OCD patients are not permitted to carry out their compulsions while in the presence of the anxiety producing stimulus or situation is called


A) exposure and ritual prevention.
B) thought-stopping technique.
C) anxiety reduction therapy.
D) behavioural inhibition conditioning.

E) A) and D)
F) B) and D)

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