q bank q - beth77

[ArchivalUser]

A 34-year-oldwoman comes to her physician because she feels like she is an "absolute loser" in everythingshe does. She recently started a new job in an accounting firm but made a miscalculation last week and had a terrible conflict with her boss. She felt like an idiot at the time and has continued to feel that whatever she does is worthless. To support this statement, she continues to provide a list of all her mistakes and failures. She ends by stating that she must be the unluckiest person in the world, because it seems that all these problems happen only to her. She has been depressed in the past but she does not know if medication can change her life events and make her feel differentlyabout herself. Which of the followingis the most appropriatemanagement?
1) Address patient's early attachment issues and work on possible developmental deficits 2)Challenge the patient's negativebeliefs 3)Explore interpersonalrelationshipsby working on role disputes 4)Suggest participantmodeling technique to help with the problems5) Suggest that self-employmentwill help her avoid being criticized

[ArchivalUser]

is it 3??

[ArchivalUser]

its 2

[ArchivalUser]

why is it 2? Can u explain?
why not 1 or 3?

[ArchivalUser]

The correct answer is B . In this case the patient has many cognitive distortions and negativebeliefs about herself. Thus, the most appropriateand efficient technique to use would be to apply cognitive therapy and challenge the negativebeliefs. Addressing the patient's early attachment issues (choice A) may be appropriatefor a long-term psychodynamic psychotherapy. However, this approach is not useful in dealing with acute worsening. The more appropriateapproach is a fixed number of sessions of cognitive therapy. Working on role disputes in interpersonaltherapy (choice C) is another option. It seems, though, that this patient has many negative beliefs that are not related only to role disputes or transitions, so this therapy, even though helpful, may not be sufficient. Participant modeling technique (choice D) is a type of behavioraltechnique based on imitation.It is indicated in patients who need to learn how to cope with fearful situations by observing the therapists and imitating them. It is not indicated in this case.