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As it pertains to international segmentation, unique segmentation is used when

Lydia and her fiancé, Marco, come to counseling together. Lydia quickly says she does not know why Marco has made her come since everything is so good. She reports she has been “so completely happy” for about two weeks, and that though she often gets depressed, nothing can bring her down right now. Lydia has says she has only needed a few hours of sleep each night, so she has been getting up early to exercise, decorate the house, and learn a new language. At work she says she has felt extremely productive and she has been volunteering for every new job since she has so much energy. Lydia talks in an almost pressured speech throughout the session and constantly changes the subject. When she steps outside to call her mom with a new idea about how to organize her parent’s home, Marco shares that despite her indications that all is going well, she has been spending excessive money on her decorating projects for herself and others to the point of maxing out two credit cards in the past week. Also, Lydia’s boss who is also a friend of Marco let him know that she is in danger of losing her job because she has volunteered for everything but can’t seem to finish any projects. Which diagnosis is most likely for Lydia?

About a year ago Elijah started having odd beliefs and thoughts about the world around him. He began telling his family that the KGB was following him to try to steal his plans to protect the US from biological weapons. Elijah tells his family that he frequently hears the FBI communicating to him telling him where to go and how to avoid the KGB. Elijah’s only work experience after high school has been working for a local mechanic. Which diagnosis is most likely for Elijah?

Roger states that he has been miserable for the past three weeks. He says he has been in an irritable mood most of the time and keeps “biting peoples’ heads off over nothing.” He is also having trouble sleeping at night (he says he wakes up after just a few hours and can’t seem to fall back asleep). Roger has not been able to concentrate at work. He says for the past three weeks he has had a recurring nightmare that the house is on fire and he wakes up in a cold sweat. Three weeks ago, his house did catch on fire and Roger escaped but was burned on his legs and is undergoing treatment for smoke inhalation. Roger says he hasn’t felt happy or even calm for three weeks, but is always watching for something bad to happen. He has avoided going to his mother’s house for the past two weeks even though he usually went over there daily. His mom always has a fire going in the fireplace in winter, and Roger says he can’t stand to be around that right now. The times he has been unable to avoid her home, he said he felt nauseous as soon as he saw the fire, and that he began sweating. Unfortunately, everything he has done to avoid thinking about the fire does not seem to help – he can’t seem to help thinking about it repeatedly every day and he feels hopeless and sad as a result. Which diagnosis is most likely for Roger?

Which sequence accurately represents the steps in the consumer adoption process?

For the past two years, Emma finds herself constantly worried about sin and that she is an evil person. She says each day she finds herself worrying that she may be a sinner bound for hell. She tries to ignore the thoughts, but says she the worries are unavoidable and that she will repeatedly have the thought while trying to do other things. The only thing that helps with the worries about her evil nature are to read her Bible and pray. So when she feels overwhelmed in feelings she is overly sinful she will read 39 verses and then pray for at least five minutes for forgiveness. Often, Emma feels she may have miscounted the verses so she recounts the number of verses and starts the process over. When she feels satisfied that she has read exactly 39 verses and prayed for forgiveness, Emma feels better for a short time, but then quickly thinks of some other “wrong” she committed at some point in her past, and begins worrying that perhaps she was not forgiven sufficiently for that wrong, and restarts the ritual to seek forgiveness again. Which diagnosis is most likely for Emma?

Stephanie is typically a pleasant teenager. Most of the time even unpleasant days are handled by her with a good attitude. For example, when her dog died last week she was sad, but talked about how that happens in life. However, sometimes she gets exceptionally angry at very little things. Yesterday, Stephanie’s dad asked her to help with dishes while she was texting some friends. She immediately began a profanity laced tirade at him saying that he doesn’t want her to fit in with anyone and that he needs to do some work himself instead of treating her like a slave. These types of outbursts seem to occur at least two or three times a week and this has been going on for about a year. Which diagnosis is most likely for Stephanie?

Richard has had episodes of sheer terror over the past 8 months when walking into a church building. He breaks into a cold sweat and often feels like he is having a heart attack. During these attacks he imagines that he is completely losing control of himself. He has stopped going to church because he fears having another one of these attacks, but they have also happened without warning at other times. Which of the following diagnoses is most likely?

Which of the following statements is true regarding the difference between major depressive disorder and persistent depressive disorder?

Katie reports that over the past six months she has been binge eating several times a week and self-inducing vomiting afterwards to control her weight. She states she has lost weight going from a 20 on the BMI scale to a current 14. Katie states that she is ugly because she is fat and needs to lose more weight. Which of the following diagnoses is most likely?