Course Transcript Questions The answer to Question 1 is found in Section 1 of the Course Content. The Answer to Question 2 is found in Section 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.

Questions: 1. What are topics you might consider when  educating your bipolar client? 2. What are types of resistant clients? 3. What are characteristics of clients exhibiting symptoms of a psychosis? 4. What are techniques to predict manic and depressive states and to aid clients? 5. What are conditions that may co-occur with bipolar disorder? 6. What are characteristics of the sleep-wake cycle? 7. What are differences found between men and women with bipolar disorder? 8. What are temperamental disturbances that affect a client’s vulnerability for bipolar disorder? 9. What are steps to take in preventing a client’s suicide? 10. What are aspects to keep in mind when analyzing the role childhood plays in an adult bipolar client’s life? 11. What are types of treatments that clients may take in addition to therapy? 12. What occurs when a bipolar client becomes sensitized to stress? 13. What are the most common types of substance abuse in bipolar clients? 14. What are ways that bipolar clients can adjust their living habits to help them better cope with their disorder?

Answers: A. Hyperthymic, cyclothymic, and dysthymic. B. Psychotropic medications; non-medicinal; and hospitalization. C. Autoimmune disorders, borderline personality disorder, and cyclothymic disorder. D. Regular mealtimes; eating natural foods; and regular exercise. E. Characteristics of functions and dysfunctional families; types of dysfunctional families; and family communication. F. in suicide rates; effect of PMS on bipolar and unipolar women; and mania in men. G. The symptoms of the disorder; its effect on the client’s relationships; and the effect of stress on the intensity and timing of manic and depressive episodes. H. Kindling. I. one who reject diagnosis; the underidentifying; and the over-generalizing . J. Alcohol, illegal drug abuse, and nicotine. K.  Delusional thoughts; hallucinations; and paranoia. L. Social Zeistorers; social Zeitgebers; and a regulated sleep pattern M. Establishing a family history, reviewing a checklist of risk factors, and giving advice to the client’s family. N. Listing Symptoms According to Category; Preventative Maintenance Plan; and Three-Part Breathing Exercise.

Course Article Questions The answer to Question 15 is found in Section 15 of the Course Content. The Answer to Question 16 is found in Section 16 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.

Questions: 15. According to George, what are the key elements in an integrated treatment approach for people with bipolar disorder? 16. What is the most effective form of therapy for increasing medication compliance in bipolar patients? 17. According to Berk, what is the main disadvantage caused by not having a universal bipolar depression rating scale? 18. How does George define the process of "mood-repair" in bipolar disorder? 19. According to Koukopoulos, what are the key difference between a "flight of ideas" in a manic episode and in a mixed depression episode? 20. What are the most reliable signs of depression prone to agitation? 21. According to Sonne, what differences in symptoms do bipolar clients with comorbid substance-abuse disorders experience? 22. What are the stages in Annon’s P-LI-SS-IT model for creating a sexual health program for a bipolar client? 23. What components affect the establishment of a successful work environment for a bipolar client? 24. According to Havens, what is the main idea behind the counterprojective therapeutic approach? 25. What is Interpersonal and Social Rhythm Therapy? 26. According to Russell, what are the steps in creating a "stay well strategy"? 27. According to DSM criteria for a Manic Episode, what symptoms must have persisted and have been present to a significant degree?

Answers: A. expressed in a greater volume of words; the content and somehow the pattern of thoughts are reflected in the content and pattern of the speech itself; and a manic patient will never complain about the flight of ideas, while the mixed-depressed client will experience it as torturous. B. focuses on maintaining a regular schedule of daily activities to reduce triggers and improve emotional stability, as well as on avoiding problems in personal relationships. C.  Total lack of inhibition in speech and movement;  A certain mental vivacity unusual to inhibited depression; Rich description of their depressive suffering; Early or middle insomnia rather than late insomnia. D. Accept the diagnosis, mindfulness, education, identify trigger factors, recognize warning signs, manage sleep and stress, make lifestyle changes, and access support. E. they are more likely to have frequent hospitalizations for affective symptoms, earlier onset of bipolar disorder, more rapid cycling, and more mixed mania F. induced by atypical means, the memory response to the event is more likely to be happy when the client is depressed, and vice versa G. Permission to discuss sexual issues, limited information about sexual health, specific suggestions, and intensive therapy. H. Sharing feelings with the client, whether manic or depressive, reduces those feelings. I. Cognitive behavioral therapy J. Individual factors relating to the course of the client’s illness; support from family, friends, coworkers, and the client’s boss; factors relating to the work environment including flexibility of hours and accommodation of the illness; and wider context components including stigmatization of the disorder and government support. K. Symptoms of mixed depression such as lability, increased speech and motor drive, and agitation are not included on any standard unipolar depression rating scales, and the resulting inability to measure mixed episode may lead to an incorrect diagnosis of unipolar depression and inappropriate treatment L. Engagement and psycho-education, a focus on relapse prevention, cognitive therapy and personal vulnerability, and group support. M. inflated self-esteem or grandiosity; decreased need for sleep; more talkative than usual or pressure to keep talking; flight of ideas or subjective experience that thoughts are racing; distractibility; increase in goal-directed activity; and excessive involvement in pleasurable activities that have a high potential for painful consequences

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Additional post test questions for Psychologists, Ohio Counselors, and Ohio MFT’s