General Information

In cooperation with Norton Books, the JournaLearning International Home Study Program is now available for use by psychologists and other interested professionals who wish to obtain 10.5 hours of continuing education credit. The test consists of multiple choice questions covering all the chapters. Each question has one correct answer. Participants must correctly answer 75% of the questions in this test to receive credit. Partial credit (less than 10.5) hours will not be given. Documentation of CE credit will be provided to all participants who successfully complete the test. An individual who fails the test on the first attempt may take it one additional time after careful review of the material. Licensed mental health professionals who are completing the Program as part of their respective state licensure requirements are urged to send in the completed test well in advance of their deadlines. We recommend that you allow three to six weeks for mailing and processing. Please fill out all of the personal information on the form, (i.e. name, address, etc.) and sign on the line certifying your completion of the test.

Information on Continuing Education Credit

Please allow 3 to 6 weeks for notification of your results, and if you pass, your letter of completion for 10.5 credits. You may want to keep a copy of this test as a record for your certifying agency. JournaLearning International is approved by the American Psychological Association to offer continuing education for psychologists. JournaLearning International maintains responsibility for the program. JournaLearning International is an approved provider of Continuing Education by the Florida Board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling. Florida Provider Number CM-671 Exp. 1/2001. JournaLearning International is approved by the National Board for Certified Counselors to offer continuing education for National Certified Counselors. This home-study program has been approved by the NBCC for 10.5 hours of continuing education credit for NCCs, subject to continued approval by NBCC. NBCC provider #5635. This course meets the qualifications for 10.5 hours of continuing education credit for MFCC's and LCSW's as required by the California board of Behavioral Sciences - Provider #PCE 127. Although we collaborate with Norton Books, JournaLearning International is a separate entity and retains sole responsibility for this home-study program.

*Many states will accept programs approved by the APA, NBCC and California and Florida Boards. Check your local rules.

Requested Survey Information

1. I chose a home study instead of a workshop because it (check all that apply):
___takes less time from my work.
___helps me learn better.
___circumvents the problem of living in an area where workshops are not frequently offered.
___other_________________________________________

2. How did you find out about this home study program?
___received a mailing
___saw an ad in__________________________________
___saw it in the book after purchasing it
___a friend/colleague told me
___other _________________________________________

3. Please send us any additional comments you might have about this program, its usefulness to you, the format, etc.

Understanding Biological Psychiatry - Home Study Course Objectives

The course objective is to familiarize the therapist with the biological, anatomical, and chemical foundations of psychopharmacology, in order to facilitate communications in the split-treatment model as well as in the "therapeutic triangle" of psychopharmacologist, therapist, and patient.

Participants will learn:
1. Basic brain anatomy, including nerve cell function (Chapter 1)
2. Current biological theories of mental disorders (Chapter 2)
3. Application of biological theory to specific clinical disorders (Chapter 3)
4. Application of medical models to screen out physical disorders (Chapter 4)
5. Development of the split-treatment model with emphasis on the therapist's role in facilitating the success of pharmacotherapy (Chapter 5)
6. The various classes and uses of medication used in biological psychiatry (Chapter 6)

Instructions for Test Takers

Following these instructions, you will find the Home/Independent Study test questions.

1. Please use dark ink.
2. For each test question, fill in the circle next to the letter which corresponds to the correct answer. Do NOT underline or circle the correct answer.
3. Make a copy of the questions and answers for your own records, as the copy you send to us will not be returned.
4. When you have completed the entire test, please be sure to sign the certification statement at the top of the page labeled "Certification Page." Please also make sure all information requested on this Certification Page is filled out and legible. If this is not done, the questions and answers will be returned to you unscored.
5. In order for us to properly complete the processing of your test, and for you to receive credit, please make sure all information accompanying the test is filled out and legible.
6. Return this entire form with $70 to: JournaLearning International, P.O. Box 1310, Clackamas, OR 97015

Please send any questions or correspondence about this home study program directly to JournaLearning International at the address on the back of this form or send an email to: books@journalearning.com. We will be happy to respond promptly. Copyright © 1999 JournaLearning International. All rights reserved. Answer all of these questions from the point of view of this book.

Introduction and Chapter 1: Foundations

1. The author suggests integrating/internalizing the material in Understanding Biological Psychiatry by:
__ a. taking notes on those sections the reader finds difficult to understand
__ b. reading each chapter twice
__ c. explaining brain function to patients
__ d. discussing core concepts with fellow therapists

2. The facilitation of learning through a moderate arousal state is a function of the:
__ a. hippocampus
__ b. locus coeruleus
__ c. hypothalamus
__ d. neocortex

3. The condition resulting from loss or damage to the myelin sheaths of nerve cells is:
__ a. Alzheimer's disease
__ b. multiple sclerosis
__ c. Parkinson's disease
__ d. Sydenham's chorea

4. Which of the following is NOT a characteristic of a neurotransmitter?
__ a. synthesis and storage in nerve terminals and cell bodies
__ b. effects can be blocked by similar molecular structures
__ c. linked to specific receptor sites
__ d. carries an electrical current

5. Neurotransmitters are stored in the:
__ a. synaptic vesicles
__ b. axons
__ c. receptors
__ d. reuptake pumps

6. Neurotransmitters which have not been bound to receptor sites are broken down by:
__ a. pyridoxine
__ b. monoamine oxidase
__ c. neuronal inhibition
__ d. GABA

Chapter 2: Core Concepts in Biological Psychiatry

7. In addition to genes and environment interdependently shaping bodily processes, current theory holds that environment is also a factor in shaping genes themselves.
__ a. True __ b. False

8. According to the author, suicide is often a final act of
__ a. impulsivity
__ b. depression
__ c. passive-aggressive disorder
__ d. alcoholism

9. The environmental contribution of socialization and mirroring to the development of self-concept and self-directedness composes the personality aspect known as:
__ a. sensitivity
__ b. differentiation
__ c. character
__ d. stability

10. Hormones remain inactive in the bloodstream until:
__ a. released from carrier proteins
__ b. bound to carrier proteins
__ c. catalyzed by carrier proteins
__ d. none of the above

11. Transference of memory from short- to long-term status involves:
__ a. repeated stimulation of neurons
__ b. increases in dendritic connections between neurons
__ c. increases in hormonal production
__ d. both a and b

12. According to the author, neural connections are weakened by ruminationover imagined events.
__ a. True __ b. False

13. Which of the following statements is NOT true?
__ a. Most pleasure and aversion centers are located in the hypothalamus.
__ b. Pleasure centers coalesce in the median forebrain bundle, while aversion-response centers come together in the periventricular system.
__ c. Pleasure and aversion centers have a strong correlate with learning and memory functions.
__ d. Dopamine neurons must be adequately stimulated for the experience of pleasure, while enough activated norepinephrine neurons produce memory storage of pleasure-producing behaviors.

14. Excessive levels of corticosteroids in the bloodstream can destroy memory cells in the hippocampus.
__ a. True __ b. False

Chapter 3: Biological Theories of the Major Psychiatric Disorders

15. The author stresses the importance of isolating the primary origin of an individual's illness (its biological or psychosocial predeterminants) to facilitate successful treatment.
__ a. True __ b. False

16. The author discusses obsessive-compulsive disorder as resulting from the dysregulation of
__ a. pleasure vs. inhibition response
__ b. anxiety response
__ c. attention response
__ d. socialization processes

17. In males, low ____ levels are associated with higher risk of ____.
__ a. blood glucose, manic episodes
__ b. norepinephrine, memory loss
__ c. thyroid stimulating hormone, sleep disorders
__ d. cholesterol, suicide

18. The author considers as "therapeutic gold" in regard to understanding the mechanism of depression:
__ a. the development of sleep laboratories
__ b. the model of learned helplessness
__ c. the ability to test for hormonal markers
__ d. none of the above

19. Of the following genres of treatment for depression, the one which has no statistically proven value is:
__ a. biological
__ b. psychological
__ c. social
__ d. hypnotic

20. Early diagnosis of a mood disorder can prevent:
__ a. kindling
__ b. exaggerated response to medication
__ c. both a and b
__ d. none of the above

21. Traditional antipsychotic medications bind ____ receptors.
__ a. serotonin
__ b. dopamine
__ c. glutamate
__ d. GABA

22. Which of the following is NOT considered a variant of obsessive-compulsive disorder?
__ a. nail biting
__ b. anorexia
__ c. REM sleep disorder
__ d. hypochondriasis

23. An individual with undiagnosed ADHD may resolve his/her dissonance with societal expectations through:
__ a. lowered self-esteem and depression
__ b. developing an antisocial attitude
__ c. substance abuse
__ d. any of the above

24. Stress-induced eating is related to increased ____ levels, and is suppressed by____ .
__ a. serotonin, norepinephrine
__ b. dopamine, serotonin
__ c. norepinephrine, serotonin
__ d. norepinephrine, dopamine

25. Which of the following is NOT considered influential on substance (i.e. drug) dependence?
__ a. duration of substance effect
__ b. dosage size
__ c. length of substance use
__ d. mode of substance administration

26. Relaxation training is contraindicated in the treatment of:
__ a. spontaneous panic attacks
__ b. cue-induced panic attacks
__ c. both a and b
__ d. none of the above

27. Which of the following statements is false?
__ a. PTSD involves biological mechanisms of conditioning, kindling, and learned helplessness.
__ b. PTSD is positively correlated with extroversion.
__ c. Emotional reliving of the original trauma under controlled therapeutic conditions can help decrease the occurrence of spontaneous flashbacks.
__ d. Damage to memory cells of the hippocampus may underlie the increased vulnerability to dissociative disorders accompanying PTSD.

Chapter 4: Medical Mimics of Mental Disorders

28. In the author's opinion, symptoms should be presumed to have medical causes until proven otherwise.
__ a. True __ b. False

29. Progesterone has a(n) ____ effect on the central nervous system, while estrogen tends to ____ it.
__ a. inflammatory, depress
__ b. anti-inflammatory, irritate
__ c. sedative, activate
__ d. activating, sedate

30. Obsessive-compulsive disorder can sometimes be traced to:
__ a. untreated streptococcal infection
__ b. Lyme disease
__ c. mononucleosis
__ d. systemic lupus erythematosus

Chapter 5: Practical Considerations in the Use of Medications

31. The author considers a psychotherapist's early mention of potential referral for psychiatric evaluation to be counter-productive to the developing patient-therapist relationship.
__ a. True __ b. False

32. A patient with the following disorder can display a high level of intolerance to the initial side effects of medication:
__ a. bi-polar
__ b. borderline
__ c. obsessive-compulsive
__ d. avoidant

33. Which of the following medications has the highest sedative effect?
__ a. BuSpar
__ b. Zoloft
__ c. Paxil
__ d. Pamelor

34. A diet deficient in ____ is often concomitant with depressive and anxiety disorders.
__ a. complex carbohydrates
__ b. protein
__ c. B-12
__ d. niacin

35. Which of the following is NOT a result of drug interactions?
__ a. trycyclics and SSRIs: elevated tricyclic blood levels
__ b. Serzone and Seldane: death
__ c. lithium and NSAIDs: increased lithium blood levels
__ d. lithium and diuretics: decreased lithium blood levels

Chapter 6: The Psychotropic Medications

36. Medications classified as minor tranquilizers are chemically unrelated to those classified as major tranquilizers.
__ a. True __ b. False

37. Clozapine, unlike other major tranquilizers, does not affect ____, but may affect ____ .
__ a. the striatum, white blood cell production
__ b. dopamine reception, the striatum
__ c. dopamine reception, white blood cell production
__ d. your attitude, your finances

38. Which of the following medications is NOT an SSRI?
__ a. Zoloft
__ b. Paxil
__ c. Wellbutrin
__ d. Luvox

39. Lithium blood levels exceeding the therapeutic range can result in:
__ a. aggressive behavior
__ b. mental confusion
__ c. both a and b
__ d. none of the above

40. Continuous performance tests can be useful in the diagnosis and treatment of:
__ a. OCD
__ b. ADHD
__ c. bipolar disorder
__ d. all of the above

Satisfaction Evaluation

Please rate the following 13 statements on a scale of 1 to 5 (1-strongly disagree, 5-strongly agree):
___ The information was well presented.
___ I learned something useful to my profession.
___ I read/bought this book because I could get CE credit.
___ I would recommend this home study to others.
___ I would recommend this book to others.
___ The material was consistent with the stated objectives.
___The information could contribute to achieving personal and/or professional goals.

The program met the stated learning objectives:
___ Basic brain anatomy, including nerve cell function.
___ Current biological theories of mental disorders.
___ Application of biological theory to specific clinical disorders.
___ Application of medical models to screen out physical disorders.
___ Development of the split-treatment model with emphasis on the therapist's role in facilitating the success of pharmacotherapy.
___ The various classes and uses of medication used in biological psychiatry.

Needs Assessment for Home-Study Continuing Education Program.

The JournaLearning International CE Committee would very much appreciate your taking a few moments to fill this out. We need information about the topic(s) you would be interested in studying and books or periodicals you would be interested in reading for CE credit- whether you are a practitioner, scientist, academician or some combination of these. If you are taking the test, please include this form with your materials, and mail the completed survey to:

JournaLearning International
P.O. Box 1310,
Clackamas, Oregon 97015

1. Have you ever taken a JournaLearning International CE course or workshop before?
___ Yes ___ No ___ Don't Know

2. Please check if you would be interested in a home study that addresses any of the following:
___ Issues in Child Psychology
___ Research/Statistics/Measurement
___ Domestic Violence-Women/Children
___ Domestic Violence- Men
___ Legal Issues/Ethics
___ Cultural/Minority Issues
___ Organizational/Administration
___ Technology and Psychology
___ Substance Abuse
___ Teaching/Supervision
___ Counseling/Therapy Skills
___ Other______________________________________

3. Please list any professional publications or books for which you would like to be able to receive CE credits, and which you believe contain articles relevant to the Continuing Education of counselors and psychotherapists:

________________________________________________

________________________________________________

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4. Please indicate below, any subjects that you would find interesting/relevant enough to attend a conference on, where travel may be required:

_________________________________________________

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