A 30-year-old woman comes to the physician because of difficulty sleeping. She is afraid of falling asleep and gets up earlier than desired. Four months ago, she was the driver in a car accident that resulted in the death of her unborn child. She has vivid nightmares of the event and reports that she frequently re-experiences the accident. She blames herself for the death of her child, has stopped working as an accountant, avoids driving in cars, and has withdrawn from her parents and close friends. Which of the following is the most likely diagnosis?
AAcute stress disorder
BNormal grief
CMajor depressive disorder
DAdjustment disorder
EPost-traumatic stress disorder
During a psychotherapy session, a psychiatrist notes transference. Which of the following is an example of this phenomenon?
AThe patient feels powerless to change and blames his problems on the situation into which he was born
BThe doctor feels that the patient's unwillingness to change is frustrating as it is similar to the feelings the doctor has towards his/her child with behavior problems
CThe patient feels that her father is too controlling and interferes with all aspects of her life
DThe patient is annoyed by the doctor because he feels the doctor is lecturing like his mother used to do
EThe doctor has feelings of sexual attraction towards the patient
A mental health volunteer is interviewing locals as part of a community outreach program. A 46-year-old man discloses that he has felt sad for as long as he can remember. He feels as though his life is cursed and if something terrible can happen to him, it usually will. He has difficulty making decisions and feels hopeless. He also feels that he has had worsening suicidal ideations, guilt from past problems, decreased energy, and poor concentration over the past 2 weeks. He is otherwise getting enough sleep and able to hold a job. Which of the following statement best describes this patient's condition?
AThe patient may have symptoms of mania or psychosis.
BThe patient is likely to show anhedonia.
CThe patient likely has paranoid personality disorder.
DThe patient has double depression.
EThe patient should be started on an SSRI.
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