Unformatted Attachment Preview
(1) Kate is 14 and is seeing a clinical psychologist because of concerns about her mood. During
intake, the psychologist interviews Kate and her parents separately. Both Kate and her parents
report that she is sad and down all day nearly every day, and that she is no longer interested in
things she used to enjoy, such as reading and playing softball. Kate and her parents also both
note that Kate is eating far less than she used to, and that she is very indecisive. Kate reports that
she is having difficulty falling and staying asleep at night, and that she feels very guilty, but her
parents do not report these symptoms. All symptoms reported have been present for the last
month. These symptoms are interfering with Kate’s ability to do her schoolwork.
Identify and briefly describe three different rules you could use to combine this information and
the diagnosis that would result following the application of that rule (9 points).
(1/2 page; 1 page max)
(2) Stéphane is a 3-year-old boy. His parents have brought him to the clinic because they are
concerned about his behavior. He is very touchy and gets angry about what seem like small
things. Some things really upset him, and then he has violent, out of control tantrums during
which he screams, kicks, and hits his parents. These tantrums are more extreme than is typical
for a child of this age. For example, he likes to do everything in the exact same order every
morning, and he has a tantrum when his parents ask him to do things differently. He has a
tantrum anytime his parents try to put socks on him because he hates wearing them. Stéphane’s
parents also report that he hates the feeling of his tags in his shirts and they cut the tags out or he
will have a tantrum and not wear the shirt. His parents report that he has least one of these
tantrums most days of the week. His parents report that he is nearly always irritable or angry and
he frequently refuses to do what they ask. These behaviors have been going on for more than a
(a) List three diagnoses the clinician might be considering based on the parents’ description of
Stéphane’s behavior (point form) (3 points).
(b) For each of the diagnoses, describe why you considered it and whether you would diagnose it
based on the information given, justifying your decisions with reference to specific DSM-5
symptoms, features, and criteria (14 points).
(1/2 page; 1 page max)
(3) Joelle is an 8-year-old girl. She is visiting a psychiatrist because of concerns about her ability
to pay attention, as well as hyperactivity.
(a) The three informants that clinicians usually ask about children’s psychological symptoms are
parents, teachers, and children themselves. From which of the three informants should the
psychiatrist collect information? Explain why or why not for each informant. (6 points)
(b) Based on the information the psychiatrist collects, Joelle is given a diagnosis of ADHDCombined. Her parents are interested in exploring behavioral treatment in addition to
medication. Drawing on the results of the MTA Study, compare the outcomes of behavioral
(i.e., psychosocial) treatment and treatment with stimulant medication for children with ADHD.
Be sure to briefly (1 sentence) describe the design of the MTA, identify key outcomes, describe
which outcomes improve with each type of treatment, whether one approach works better than
the other for important outcomes, and the long-term outcomes of each type of treatment (8
(1 page; 1.5 pages max)
(4) Kwame is a 7-year-old boy. His parents have brought him to see a clinical psychologist
because he is engaging in washing rituals that have become more elaborate over the last year.
For the last three months, he has spent more than an hour a day washing his hands and arms
following a set routine. If he is interrupted while he is washing, he must start again. When the
psychologist asks him why he is washing, Kwame says that he is worried that he is covered in
germs, and that washing makes him feel better. He says that he doesn’t like these thoughts and
that they just pop into his head even though he doesn’t want them to.
(a) What DSM-5 diagnosis would the psychologist be most likely to give Kwame? (1 point)
(b) Briefly describe three key features that informed your diagnostic decision (6 points).
(c) Kwame’s parents want to try a psychological treatment before trying medication.
Describe an evidence-based behavioral treatment the psychologist could use. Be sure to
describe the key features of this approach and what would happen in treatment over
multiple sessions (8 points)
(d) Using the framework of classical conditioning, explain how this treatment may work to
reduce symptoms (8 points).
(1 page, 1.5 pages max)
5) There is some evidence that adolescents with depression show an attentional bias towards sad
material. A psychologist has developed a novel treatment for depression that trains people’s
attention away from sad material.
(a) Briefly describe what would happen during this treatment (3 points).
(b) Briefly describe the design of a study that would test whether this treatment reduced
depressive symptoms, including what participants would do and how you would measure
depressive symptoms. In doing so, be sure to define internal validity, construct validity, and
external validity, and explain how your design addresses each of these issues (18 points).
(1 page, 1.5 pages max).