Rotations 2.0

Rotations 2.0 Episode 75 Bipolar Disorder

Todd Fredricks DO MSS Season 2 Episode 75

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Episode 75 Bipolar Disorder

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Endless Highway by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 74 Generalized Anxiety Disorder

Question 1

A 32-year-old woman presents to a primary care clinic because she has been “worrying all the time” for the past 8 months. She worries about her job performance, her parents’ health, household finances, and minor daily responsibilities. She reports difficulty sleeping, muscle tension, irritability, fatigue, and trouble concentrating. She says she knows her worry is excessive but cannot control it. Her symptoms are causing problems at work and in her relationships. Which of the following is the most likely diagnosis?

C. Generalized anxiety disorder

Question 2

A 41-year-old man is diagnosed with generalized anxiety disorder. His physician explains that several neurotransmitter systems may contribute to his symptoms. The physician states that one inhibitory neurotransmitter is particularly important because dysregulation may increase amygdala activity and make it harder for the body to relax after stress. Which of the following neurotransmitters is being described?

D. Gamma-aminobutyric acid

Question 3

A 27-year-old woman with generalized anxiety disorder asks about treatment options. She prefers a nonpharmacologic treatment because she is concerned about medication adverse effects. Her physician recommends a therapy that focuses on identifying and changing maladaptive thought patterns and behaviors. According to the article, which of the following is considered the “gold standard” psychological treatment for generalized anxiety disorder?

D. Cognitive behavioral therapy

Paper for Next Week:

Billings, Jo, and Helen Nicholls. “PTSD and Complex PTSD, Current Treatments and Debates: A Review of Reviews.” British Medical Bulletin 156 (2025): 1–13. https://doi.org/10.1093/bmb/ldaf015.

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