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Erin, for over two years has fluctuating mood disturbances that cause him some distress and has interfered in his relationship with his girlfriend and his friends. When he is “up,” he is very energetic and has a decreased need for sleep. During this period, he can accomplish much, feels very creative, and completes many tasks. These times usually last about two days. After this period of being “up,” he complains he has a “down” period. During the down times, he feels sluggish and has little energy. He states, “When I go through a downtime, I just feel heavy and blah. No, not depressed or hopeless, just really drained, more than anything.” He has never met the criteria for a Manic episode, Hypomanic episode, or Major Depressive episode. Erin is diagnosed with which of the following conditions?

A ray of sunlight passes through three different materials, as seen in the picture below. The arrangement is part of a design to reduce the heat in a hot Tempe summer day. What is the correct relationship between the refractive indices of the three materials?

John is a seven-year-old boy who is very dependent on his mother. Recently, his mother and father divorced, and his father moved out of the house. His mother states, “John is so clingy and dependent on me. He was going to camp out with four of his young friends. They were three houses down in a tent with the dad of one of those kids. Well, he shows up in the back yard about 10 pm with his sleeping bag in his arms. Didn’t want to be away from me. He has night terrors and ends up in bed with me three nights out of the week. Worries about everything, and seems to get lots of stomach aches and headaches. I think he is afraid of everything right now. Needs me to help him with things I know he can do himself. I am worried about his dependency.”  What might be an appropriate diagnosis?

Ken, a four-year-old, has never liked to be held and avoids being hugged or kissed. He is withdrawn even from his mother and father. His mother says that he was hard to deal with as a child and was never affectionate to her or his father. She says, “He is so cold with us. When he was a baby, he wanted to be left in his crib. He cried when I picked him up. His grandmother tried to rock him, but he would cry more.” He is stilted and overformal in his speech. A solemn child, he enjoys solitary play and sometimes becomes focused on one activity to the exclusion of anything else. He also engages in self-soothing behaviors in new situations or with new people. Ken loves books and spends much time in his room with his toys. He is extremely concerned that his toys and books are kept in a specific order and in a specific place. Ken is interested in insects to the exclusion of most other things. His books and toys are focused on this interest. He is likely diagnosed with which of the following conditions?

Systematic Desensitization’s goal is to gradually desensitize the client who suffers from a phobia or panic by gradually eliminating the anxiety response to the stimulus. The technique is used successfully by clinicians if they are trained in both the technique and in relaxation techniques. Which of the following are true of this treatment?

Clark, 10, has speech and language difficulties and has been referred to speech therapy. His issues have been marked early in development. The child has audible or silent blocking as he attempts conversation. He often engages in sound and syllable repetitions and uses broken words. His repetition and circumlocutions result in the prolongation of both vowels and consonants. On occasion, he engages in monosyllabic whole-word repetitions. When anxious or stressed, his words and speech are produced with excess physical tension. What language disorder does Clark evidence in his speech?  

Ms. Stone brings in her son, Darrion, 10. She states, “Darrion is a clingy child, unlike my five other children. He gets really upset when he is away from home. He will go to his grandmother’s house, but he doesn’t like it when he is separated from me or from our home. Doesn’t even like vacations much. He states, “I don’t know. I just worry about what will happen to mama when I am away from home. I worry that I will get lost from her or she from me, and my sisters and brothers. I really hate to be left home alone, too. I know that Home Alone movie was supposed to be silly, but… it kinda bothered me. I have bad dreams about being lost from mom and the family. And when mom is gone for a long time, I get an upset stomach.” Darrion’s diagnosis is which of the following?  

The essential feature is marked, or intense fear or anxiety triggered by the real or anticipated exposure to a range of situations. The disorder is characterized by marked or intense fear or anxiety triggered by the real or anticipated exposure to a wide range of situations, such as using public transportation, being in large open spaces, standing in line or a crowd, or being alone while away from home. This defines what disorder?    

Ashley, 10, has several behaviors that have continued for over three years. Her teacher believes these behaviors distract her and her class. The child has been sent to the principal numerous times in the past year for her behaviors. The teacher indicates, “This is a very attention-seeking child. She is always trying to get my attention and the attention of the other children in class. She jerks around and twists her head, rolls her shoulders, and squirms in her seat. But she always makes funny sounds and grunts. She rolls her eyes and makes faces at me. At times, she jerks all over and peeps. She is a smart little girl, but she seems to be seeking my attention and everyone else’s.” Ashley is diagnosed with which of the following conditions?

Ms. Smith, your client, has been to her internist for a physical checkup due to fatigue and loss of appetite. The internist has referred Ms. Smith to you after finding nothing physiologically wrong with her. During your intake interview, Ms. Smith states, “This has never happened to me before, but since Janie started the university last fall semester, I have just been feeling so down… so blue (she sighs).  I am just so tired, even when I get up in the morning.  I don’t have an appetite… and I have lost about 20 pounds… I just seem so listless, like nothing is fun anymore.  I’ve just about stopped going to my bridge games, and I haven’t been to the health club for months now.  I have never felt this way before… And you know, I forget stuff…. can’t focus on reading….just mope about the house. My husband and son are worried about me, maybe I have some disease or cancer…. I’m just a mess (cries a little) This has been going on for 3 months now…I just can’t even stand myself…”  You diagnose a likely what for this client?