Author Question: A teenager reports to her therapist that she had been sexually abused by her older brother. She ... (Read 31 times)

audragclark · **on:** Jul 19, 2018

A teenager reports to her therapist that she had been sexually abused by her older brother. She explains that she went somewhere else during the assaults and does not remember the details.

The patient reports that she often feels numb or not real in romantic relationships, especially if sexual activity occurs or is anticipated, and that she generally avoids such relationships. Which of the following disorder(s) should be suspected based on this history? Select all that apply. a. Acute stress disorder
b. Obsessive-compulsive disorder
c. Generalized anxiety disorder
d. Agoraphobia
e. Social phobia
f. Posttraumatic stress disorder

Question 2

A 45-year-old male client uses a treatment method that focuses on the relationship between an individual's body structure and its function. This mode of treatment is:

a. Naturopathic
b. Homeopathic
c. Chiropractic
d. Acupuncture

millet · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, F
Both acute stress disorder and posttraumatic stress disorder can involve dissociative elements such as numbing, feeling unreal, and being amnesic for traumatic events. Both disorders are also responses to acute stress or trauma, which has occurred here. The distracters are disorders not evident in this patient's presentation. Obsessive-compulsive disorder is characterized by intrusive thoughts or compulsive behavior, which are not evident here. Generalized anxiety disorder involves extensive worrying that is disproportionate to the stressors or foci of the worrying. Agoraphobia is an irrational fear of open areas that often results in patients being unable to leave controlled secure areas such as their homes. Social phobia involves a fear of social situations, particularly those with the potential for public embarrassment.

Answer to Question 2

C
Chiropractors use manipulation therapy of the spine to improve the relationship of the body structure (spine) to its function, which is thought to aid the body in healing various conditions, such as migraine headache. Naturopathic therapy, homeopathic therapy, and acupuncture do not have this focus.