Which of the following mental health disorders commonly affects ...

[hubes95]

Which of the following mental health disorders commonly affects substance abusers?
 
  A. Obsessive-compulsive disorder
  B. Antisocial personality
  C. Mania
  D. None of the above

Question 2

For premenstrual dysphoric disorder (PMDD) the clinician should:
 
  A. Give patients a trial of an SSRI to see if it relieves symptoms
  B. Recognize that oral contraceptives can relieve symptoms
  C. Ask the patient to keep a diary of mood and menses for 2 months
  D. Diagnose the disorder only if the patient exhibits psychotic symptoms

[Dunkey]

Answer to Question 1

ANS: B
Comorbidity with other psychiatric conditions is high in substance abusers. Antisocial personality disorder is present in a high percentage (35 to 60) of patients presenting for treatment of substance abuse and dependence. Other psychiatric disorders associated with substance-related disorders include mood disorders and anxiety disorders.

Answer to Question 2

ANS: C
Premenstrual dysphoric disorder (PMDD) is characterized by recurrent symptoms that occur during the luteal phase of the menstrual cycle and remit during menstruation. Even though many women express mood changes and other symptoms during the premenstrual phase, 5 to 9 fully meet the criteria for PMDD. Differential diagnosis includes bipolar disorder, thyroid dysfunction, premenstrual syndrome, exacerbation of unipolar depression, anxiety disorder, and cyclothymic disorder. Careful tracking of symptoms for at least 2 months is advised to determine a diagnosis of PMDD (Box 17.13).

[hubes95]

Thank you

[Dunkey]

Happy to help you