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Self-Assessment Questions


Combined Therapy: Review Questions

Robyn R. Miller, MD

Dr. Miller is currently a Child and Adolescent Psychiatry Fellow, Department of Psychiatry, Wright State University School of Medicine, Dayton, OH.

Choose the single best answer for each question.

Questions 1 and 2 refer to the following case study:
A 68-year-old man visits his primary care physician (PCP) because of poor energy and concentration. He has been sleeping poorly, does not want to go out with his friends, and has lost 10 lb in the past month since his retirement. He reports 1 prior episode of depression resulting in a suicide attempt and hospitalization 20 years ago. His PCP starts him on a selective serotonin reuptake inhibitor (SSRI) and refers him to a mental health provider for interpersonal therapy (IPT).

1. Which of the following descriptions best characterizes this approach?

  1. Combined treatment
  2. Integrated treatment
  3. Split treatment
  4. Combined treatment and integrated treatment
  5. Combined treatment and split treatment
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2. In this type of treatment arrangement, the mental health provider should do which one of the following?

  1. Use the patient’s medical record to communicate with the PCP
  2. Tell the patient that he should stop taking the SSRI because medications interfere with the IPT process
  3. Agree to not share details with the PCP because of confidentiality regulations
  4. Refer the patient to the PCP for any questions because the PCP is legally responsible for the patient’s safety
  5. None of the above
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3. A 27-year-old man with schizophrenia has required multiple hospitalizations over the course of his illness that have been precipitated primarily by noncompliance with medications. All of the following treatment recommendations have been found to enhance treatment adherence in this setting EXCEPT:
  1. Reassessment of medications to minimize side effects
  2. Social skills training
  3. Individual cognitive behavioral therapy (CBT)
  4. Personal therapy
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4. Which of the following statements are consistent with American Psychiatric Association (APA) practice guidelines for the use of psychosocial interventions in the treatment of bipolar disorder?

  1. Interventions should target illness management and interpersonal conflicts
  2. Psychodynamic therapy is contraindicated
  3. Providers should identify which psychosocial intervention works best for the individual patient and adhere solely to this technique
  4. Interpersonal and social rhythm therapy (IPSRT) is the psychosocial intervention of choice
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