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Assessment and Treatment of Anxiety in Children and Adolescents

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Parental anxiety, behavioral inhibition, and genetics have been identified as risk factors for developing anxiety disorders. Cognitive-behavioral therapy and medication are common treatments.

Parental anxiety and behavioral inhibition have been identified as risk factors for developing anxiety disorders.

Cognitive-behavioral therapy (CBT) is a first-line treatment for anxiety disorders and involves techniques like exposure therapy.

1. Which of the following has research identified as a risk factor for developing an anxiety disorder?

Learner Response: Parental anxiety

Correct Answer: Parental anxiety

Feedback:

2. Researchers studying the brains of children with high levels of anxiety have identified which of the
following?

Learner Response: Children with higher levels of anxiety had greater amygdala volume compared
to children with lower levels of anxiety.

Correct Answer: Children with higher levels of anxiety had greater amygdala volume compared
to children with lower levels of anxiety.

Feedback:

3. Which aspect of temperament has been identified as a risk factor for the development of anxiety?

Learner Response: Behavioral inhibition

Correct Answer: Behavioral inhibition

Feedback:

4. Which of the following types of medication is NOT recommended for treating anxiety disorders in
childhood and adolescence?

Learner Response: Antipsychotics

Correct Answer: Antipsychotics

Feedback:

5. Which of the following is an example of a compulsion?

Learner Response: Washing hands repeatedly

Correct Answer: Washing hands repeatedly

Feedback:
6. Maya started school a month ago and since then she has had difficulty speaking in class. She does not
respond to her teachers or initiate conversations with her peers when she is playing with them. Maya's
parents are concerned because Maya is a chatty kid at home with strong vocabulary skills. Which
diagnosis seems to fit best with Maya's difficulties?

Learner Response: Selective mutism

Correct Answer: Selective mutism

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7. How does acceptance and commitment therapy (ACT) approach the treatment of anxiety disorders?

Learner Response: It teaches the person to drop the struggle with their anxiety symptoms, and to
gradually increase their ability to observe symptoms, rather than react to them.

Correct Answer: It teaches the person to drop the struggle with their anxiety symptoms, and to
gradually increase their ability to observe symptoms, rather than react to them.

Feedback:

8. Becky is unable to use the bathroom at school because she fears the child in the next stall will hear
her urinating and think negatively about her. She tends to spend recess at the nurse's office so that she
can avoid conversations on the playground with her peer group, as she assumes she will say something
"stupid" and embarrass herself. Which of the following fits best with the difficulties Becky is having?

Learner Response: Social anxiety disorder

Correct Answer: Social anxiety disorder

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9. True or False: Anxiety disorders are diagnosed based on the symptoms reported, regardless of the
developmental context.

Learner Response: False

Correct Answer: False

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10. Which of the following medications is the first-line treatment for anxiety disorders in children and
adolescents?
Learner Response: SSRIs

Correct Answer: SSRIs

Feedback:

11. Which of these is a first line of treatment for anxiety disorders in children and adolescents?

Learner Response: Cognitive-behavioral therapy

Correct Answer: Cognitive-behavioral therapy

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12. What is one of the primary targets of the Supportive Parenting for Anxious Childhood Emotions
(SPACE) program?

Learner Response: Reducing family accommodation

Correct Answer: Reducing family accommodation

Feedback:

13. When teaching an anxious adolescent problem solving skills, after they have clearly identified the
problem as "I am afraid to go to the mall because I might have a panic attack," what would be the next
step?

Learner Response: Brainstorm all possible solutions.

Correct Answer: Brainstorm all possible solutions.

Feedback:

1. Which of the following medications is the first-line treatment for anxiety disorders in children and
adolescents?

Learner Response: SSRIs

Correct Answer: SSRIs

Feedback:
2. Becky is unable to use the bathroom at school because she fears the child in the next stall will hear
her urinating and think negatively about her. She tends to spend recess at the nurse's office so that she
can avoid conversations on the playground with her peer group, as she assumes she will say something
"stupid" and embarrass herself. Which of the following fits best with the difficulties Becky is having?

Learner Response: Social anxiety disorder

Correct Answer: Social anxiety disorder

Feedback:

3. Lena is the mother of 9-year-old Greg. Which of Lena's behaviors listed below is the most likely to
contribute to anxiety for Greg?

Learner Response: Trying to reduce any distress that Greg may feel by making accommodations
such as altering demands or routines

Correct Answer: Trying to reduce any distress that Greg may feel by making accommodations
such as altering demands or routines

Feedback:

4. Which of the following anxiety disorders is characterized by persistent fear and difficulty being away
from one's caregivers?

Learner Response: Separation anxiety disorder

Correct Answer: Separation anxiety disorder

Feedback:

5. Which type of situations do children with agoraphobia tend to fear?

Learner Response: Those where escape may not be possible or help available to them

Correct Answer: Those where escape may not be possible or help available to them

Feedback:

6. Which of the following types of medication is NOT recommended for treating anxiety disorders in
childhood and adolescence?

Learner Response: Antipsychotics

Correct Answer: Antipsychotics


Feedback:

7. Researchers studying the brains of children with high levels of anxiety have identified which of the
following?

Learner Response: Children with higher levels of anxiety had greater amygdala volume compared
to children with lower levels of anxiety.

Correct Answer: Children with higher levels of anxiety had greater amygdala volume compared
to children with lower levels of anxiety.

Feedback:

8. Miguel is terrified of spiders. Using the anxiety hierarchy created by Miguel, you help him to first look
at photos of spiders, then to watch as a spider crawls across the floor several feet from him, and
eventually, to place his hand on a cage containing a tarantula. Which technique are you using to help
Miguel?

Learner Response: Exposure

Correct Answer: Exposure

Feedback:

9. Which aspect of temperament has been identified as a risk factor for the development of anxiety?

Learner Response: Behavioral inhibition

Correct Answer: Behavioral inhibition

Feedback:

10. Which of the following is an example of a compulsion?

Learner Response: Washing hands repeatedly

Correct Answer: Washing hands repeatedly

Feedback:

11. Which of these is a first line of treatment for anxiety disorders in children and adolescents?

Learner Response: Cognitive-behavioral therapy

Correct Answer: Cognitive-behavioral therapy


Feedback:

12. Which of the following has research identified as a risk factor for developing an anxiety disorder?

Learner Response: Parental anxiety

Correct Answer: Parental anxiety

Feedback:

13. The parents of 16-year-old Devon cannot understand why her therapist has not diagnosed her with
panic disorder when Devon has already had 5 panic attacks. Which of the following would be a
reasonable explanation for Devon's therapist to decide against a diagnosis of panic disorder?

Learner Response: Devon’s panic attacks have all been triggered by the presence of a large dog
that Devon is terrified of.

Correct Answer: Devon’s panic attacks have all been triggered by the presence of a large dog
that Devon is terrified of.

Feedback:

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