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Reactive Attachment Disorder (inhibited, withdrawn behavior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
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
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
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
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
months 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!