EPPP Part 2 Skills Practice Questions - Examination For Professional Practice In Psychology - Part 2 (Skills) Exam

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A 35-year-old presents with persistent depressed mood, anhedonia, weight loss, and impaired sleep for 6 weeks. Which is the most appropriate next step?

Diagnose major depressive disorder without further assessment Conduct comprehensive diagnostic evaluation including: structured/semi-structured interview (e.g., SCID-5), mental status exam, suicide risk assessment (e.g., Columbia Suicide Severity Rating Scale), medical/substance history, and validated symptom measures (e.g., PHQ-9, BDI-II); rule out medical causes and consider differential (bipolar with current depression, persistent depressive disorder, adjustment disorder with depressed mood) Start treatment without diagnosis Refer immediately without evaluation

Correct Answer:

Conduct comprehensive diagnostic evaluation including: structured/semi-structured interview (e.g., SCID-5), mental status exam, suicide risk assessment (e.g., Columbia Suicide Severity Rating Scale), medical/substance history, and validated symptom measures (e.g., PHQ-9, BDI-II); rule out medical causes and consider differential (bipolar with current depression, persistent depressive disorder, adjustment disorder with depressed mood)

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