Let's all keep going. Here's another free practice question to help you get prepared to pass the ASWB exam.This time, we're digging into the Trauma- and Stressor-Related Disorders chapter of the DSM. The disorders included there are:
Reactive Attachment Disorder (inhibited, withdrawn behavior toward adult caregivers + emotional disturbance + history of neglect)
Disinhibited Social Engagement Disorder (child actively approaches and interacts with unfamiliar adults)
Posttraumatic Stress Disorder (Intrusion symptoms and avoidance following exposure to trauma)
Acute Stress Disorder (Symptoms following between three days to one month of exposure to trauma)
Adjustment Disorders (Emotional or behavioral symptoms in response to stressor, within 3 months of onset)
Got it? Here's a question:
A woman tells a social worker that she's been "a wreck" ever since being sexually assaulted a few weeks ago. She says she's been irritable, lashing out angrily for no apparent reason. She reports being hypervigilant and having difficulty concentrating. In which of the following categories do these symptoms belong?
A. Intrusion Symptoms
B. Negative Mood
C. Dissociative Symptoms
D. Arousal Symptoms
What do you say?
Not sure? Well, here are each of those categories spelled out.
Intrusion symptoms: Recurrent, involuntary, and intrusive distressing memories; recurrent distressing dreams; flashbacks; distress in response to internal or external cues that symbolize or resemble an aspect of the traumatic event/s.
Negative Mood: Persistent inability to experience positive emotions.
Dissociative Symptoms: An altered sense of reality of one's surroundings and one's self; an inability to recall an important aspect of the traumatic event/s.
Arousal Symptoms: Sleep disturbance; Irritable behavior and angry outbursts; hypervigilance; problems with concentration; exaggerated startle response.
So, you have your answer! (It's D, right?)
One category of symptoms didn't make it into the A-D list. Avoidance Symptoms: Efforts to avoid distressing memories, thoughts, or feelings associated with the event/s; efforts to avoid external reminders of the event/s.
Another quick question:
The woman is reporting these symptoms within three weeks of the sexual assault, so the MOST likely diagnosis for her would be _________________.
PTSD or acute stress disorder?
Unless you skipped the info up top, you know the answer. Acute stress disorder is diagnosed between three days and one month since a trauma. For PTSD to be diagnosed, at least a month has to have passed since the trauma occurred. The best diagnosis for the woman is acute stress disorder.
There you have it. You're ever-more ready to pass the social work licensing exam. For more questions from the DSM and all parts of the content outline, sign up for SWTP's full-length practice tests. Each test has thorough rationales and links for additional study. Get started now! Good luck!
November 21, 2016