Friday, June 27, 2014

Chapter 09 Exam Question 38

Jack is able to get sexual gratification by experiencing pain. He enjoys being whipped, tortured, and verbally abused by women. Jack would be diagnosed with ______________.

a. Transvestic Fetishism
b. Sexual Masochism
c. Frotteurism
d. Sexual Sadism

Chapter 09 Exam Question 37

When Ralph was arrested for attempting to have sex with a minor, the police searched his home and found hundreds of child porn movies and magazines. Ralph's diagnosis is _________.

a. Frotteurism
b. Exhibitionism
c. Pedophilia
d. Sexual Sadism

Chapter 09 Exam Question 36

Dino enjoys touching and rubbing up against women on the subway and the bus. He has recently begun doing this in the elevator and on escalators by coming too close or pretending to "bump" into a woman. Dino would be diagnosed with _______________.

a. Frotteurism
b. Exhibitionism
c. Pedophilia
d. Sexual Sadism

Chapter 09 Exam Question 35

Seth is fascinated by women's shoes and stockings. He has recurrent, intense sexually arousing fantasies, urges, or behaviors which revolve around high heels, panty hose, and patent leather. He has twenty pairs of shoes and has stolen shoes from women's dressing rooms and from female coworkers. He often masturbates from merely smelling them or when a partner wears them. He would be diagnosed with ______________.

a. Fetishism
b. Pedophilia
c. Sexual Masochism
d. Frotteurism

Chapter 09 Exam Question 34

The fantasies, urges, or actions that are experienced as sexually arousing in exhibitionism persist over a period of ____ months

a. 2
b. 3
c. 6
d. 9

Chapter 09 Exam Question 33

Peter enjoys exposing his genitals to unsuspecting women on the street. His most likely diagnosis is ____________.

a. Fetishism
b. Exhibitionism
c. Frotteurism
d. Voyeurism

Chapter 09 Exam Question 32

Therese suffers from pain as the result of involuntary contraction of the perineal muscles anytime there are attempts to penetrate the vagina by a penis, finger, or tampon. Therese is suffering from ____________.

a. Anorgasmia
b. Vaginismus
c. Sexual Aversion Disorder
d. Female Sexual Arousal Disorder

Chapter 09 Exam Question 31

Every time Deb tries to have sexual intercourse, she suffers from genital pain. This pain is not due to the lack of stimulation or lubrication. Deb would be diagnosed with ____________.

a. Sexual Aversion Disorder
b. Dyspareunia
c. Female Sexual Arousal Disorder
d. Hypoactive Sexual Desire Disorder

Chapter 09 Exam Question 30

Sally can reach an orgasm through solitary masturbation. She has a normal sexual desire, but she has a recurrent inability to reach orgasm with her partner. Sally's diagnosis is most likely _________________.

a. Female Orgasmic Disorder
b. Hypoactive Sexual Desire Disorder
c. Dyspareunia
d. Congenital Adrenal Hyperplasia

Chapter 09 Exam Question 29

Clinical trials of other erectile dysfunction medications have shown response rates of nearly ____ percent.

a. 50
b. 60
c. 70
d. 80

Chapter 09 Exam Question 28

This medication, unlike papaverine, produces an erection only if sexual excitement is present.

a. Boniva
b. sertraline
c. Viagra
d. Allegra

Friday, June 13, 2014

Chapter 09 Exam Question 27

Masters and Johnson sought to reduce anxiety that interferes with arousal through sensate focus which progresses through three phases:

a. response retraining, genital stimulation, and nondemand intercourse
b. pleasuring, genital stimulation, and nondemand intercourse.
c. pleasuring, genital stimulation, and ondemand intercourse.
d. acceptance, genital stimulation, and nondemand intercourse

Chapter 09 Exam Question 26

Among males, erectile disorder has been linked to nicotine; smokers have _______ the rate of erection problems as nonsmokers.

a. twice
b. three times
c. four times
d. five times

Chapter 09 Exam Question 25

According to psychoanalytic theory, men and women with sexual arousal disorder show inhibited sexual excitement because unconsciously they perceive sexual activity as _____________.

a. dangerous
b. odd
c. confusing
d. dirty

Chapter 09 Exam Question 24

Bob suffers from a recurrent inability to attain an adequate erection for sexual activity. When he does achieve an erection, he is unable to maintain the erection. His most likely diagnosis is ______________________.

a. Male Sexual Arousal Disorder
b. Male Erectile Disorder
c. Dyspareunia
d. Androgen Insensitivity Syndrome

Chapter 09 Exam Question 23

Ginger is consistently unable to maintain an adequate lubrication-swelling response during sexual excitement nor is she able to maintain her arousal long enough to complete sexual activity. Ginger's most likely diagnosis is _______________________.

a. Vaginismus
b. Female Orgasm Disorder
c. Dyspareunia
d. Female Sexual Arousal Disorder

Chapter 09 Exam Question 22

The percentage of patients showing improvement with psychotherapy for treatment of sexual desire disorders ranges from ______________ percent.

a. 10 - 25
b. 30 - 45
c. 30 - 45
d. 50-70

Chapter 09 Exam Question 21

This hormone may increase sexual desire in men and women who experience sexual desire disorders.

a. progesterone
b. estrogen
c. adrenaline
d. testosterone

Chapter 09 Exam Question 20

Ironically, the most common pharmacological treatments for depression ___________ may themselves result in decreased desire and other sexual dysfunction.

a. the mood stabilizers
b. the SSRIs
c. the MAOIs
d. the anxiolytics

Chapter 09 Exam Question 19

Portia avoids having sexual contact with her partner to the point that she makes excuses or comes home late from work to avoid confrontation. She clearly presents with disgust and has suffered two to three panic attacks when the opportunity to have sex with her partner occurs. Portia would be diagnosed with ______________________.

a. Hypoactive Sexual Desire Disorder
b. Gender Identity Disorder
c. Sexual Aversion Disorder
d. Frotteurism

Chapter 09 Exam Question 18

Jane does not initiate sexual relations with her husband, but she reluctantly participates after he initiates. She has a very low desire for sexual activity and this is causing significant interpersonal difficulties. Jane's diagnosis is:

a. Sexual Conversion Disorder
b. Paraphilia
c. Hypoactive Sexual Desire Disorder
d. Dsypareunia

Chapter 09 Exam Question 17

To meet criteria for a sexual dysfunction disorder, the minimum duration of dysfunction must be ___________________.

a. There is no minimum duration of dysfunction required.
b. 1 month
c. 2 months
d. 3 months

Chapter 09 Exam Question 16

David has been concerned about his sexual performance since his heart surgery. In fact, he worries about it so much that his performance with his wife has been quite affected. The DSM-IV-TR classifier for David's is ________________________.

a. Lifelong Type vs. Acquired Type
b. Early Remission vs. Full Remission
c. Generalized Type vs. Situational Type
d. Due to Psychological or to Combined Factors

Thursday, June 12, 2014

Chapter 09 Exam Question 15

John's sexual dysfunction has occurred in most circumstances, regardless of sexual stimulation, situations, or partners. The DSM-IV-TR classifier for John's situation is ___________________.

a. Lifelong Type vs. Acquired Type
b. Early Remission vs. Full Remission
c. Generalized Type vs. Situational Type
d. Due to Psychological or to Combined Factors

Chapter 09 Exam Question 14

Sally has experienced sexual dysfunctions since she was thirteen years old. The DSM-IV-TR classifier for Sally's situation is _________________________.

a. Early Remission vs. Full Remission
b. Lifelong Type vs. Acquired Type
c. Generalized Type vs. Situational Type
d. Due to Psychological or to Combined Factors

Chapter 09 Exam Question 13

Any physical disorder that involves the ____________ system can affect sexual performance.

a. central nervous
b. circulatory
c. respiratory
d. cardiovascular

Chapter 09 Exam Question 12

Recent research continues to implicate _________________ as central to the development and maintenance of all sexual dysfunctions in both men and women.

a. performance anxiety
b. sexual concerns
c. performance depression
d. sexual anxiety

Chapter 09 Exam Question 11

Charles has a fear of not being able to perform sexually, which has become problematic in his relationship with his wife. Masters and Johnson would probably call this ________________.

a. performance anxiety
b. sexual dysfunction
c. paraphilia
d. frotteurism

Chapter 09 Exam Question 10

Sexual tensions decrease during this phase.

a. plateau phase
b. orgasmic phase
c. resolution phase
d. refractory phase

Chapter 09 Exam Question 9

Unlike men, women do not experience a point of ____________ before their orgasms.

a. climax
b. resolution
c. inevitability
d. variability

Chapter 09 Exam Question 8

This is the shortest period of the sexual response cycle

a. release phase
b. excitement phase
c. orgasmic phase
d. resolution phase

Chapter 09 Exam Question 6

When blood rushes in to the genitals, causing penile erection in males and vaginal lubrication and clitoral swelling in females, this is referred to as the:

a. plateau phase
b. excitement phase
c. orgasmic phase
d. arousal phase

Wednesday, June 11, 2014

Chapter 09 Exam Question 4

In their pioneering study of human sexuality, they greatly increased our knowledge about physiological aspects of sexual functioning.

a. Masters and Johnson
b. Masters and Jackson
c. Musters and Johnson
d. Ministers and Jackson

Chapter 09 Exam Question 3

________ are associated with intense urges, fantasies, or behaviors involving unusual targets of sexual arousal, while ________are associated with disturbances of the sexual response cycle or with painful intercourse.

a. Gender identity disorders, Paraphilias
b. Sexual dysfunctions, Paraphilias
c. Paraphilias, Sexual dysfunctions
d. Paraphilias, Gender identity disorders

Chapter 09 Exam Question 2

The DSM-IV-TR divides the psychosexual disorders into ________ general categories.

a. two
b. three
c. four
d. five

Chapter 09 Exam Question 1

_____________ et al. were among the first to collect data on the prevalence of different kinds of sexual behavior such as masturbation, marital and premarital heterosexual intercourse, and homosexuality.

a. Rush
b. Kinsey
c. Masters
d. Johnson

Chapter 08 - TERMS

What is Personality?
A stable and enduring pattern of relating to oneself and to the world.


What is Factor Analysis?
Mathematical technique to analyze a matrix of correlations to reduce dimensions and identify factors that may simplify and explain the relationships.


What is Big Five?
Dimensional model of personality that emphasizes the mixture of five main factors: openness to experience, conscientiousness, extroversion, agreeableness, and neuroticism.


What is Personality Disorders?
Enduring and inflexible patterns of thinking and behaving that cause distress either for the person or for other people.


What is Comorbidity?
Co-occurrence of two or more diagnoses.


What is Ideas of Reference?
False interpretation of events in terms of special meaning for the self.


What is Psychopath?
Antisocial personality, involving characteristics such as lack of empathy or concern for others, frequent rule violations, impulsivity, and superficial charm.

Chapter 08 Exam Question 50

This personality disorder addresses a long-standing pattern of depressive cognitions, gloominess, pessimism, and low self-esteem that causes distress or impairment in daily functioning.

a. Borderline Personality Disorder
b. Paranoid Personality Disorder
c. Depressive Personality Disorder
d. Passive-Aggressive Personality Disorder

Chapter 08 Exam Question 49

When symptoms of different personality disorders are mixed together, a diagnosis of ________________________ is given.

a. Undifferentiated Personality Disorder
b. Multi-phasic Personality Disorder
c. Personality Disorder To Be Further Reviewed
d. Personality Disorder Not Otherwise Specified

Chapter 08 Exam Question 48

All of the following personality disorders are more common in males than in females EXCEPT:

a. Antisocial Personality Disorder
b. Narcissistic Personality Disorder
c. Borderline Personality Disorder
d. Paranoid Personality Disorder

Chapter 08 Exam Question 47

The use of written materials that may have life significance is called ___________.

a. Bibliotherapy
b. Biotherapy
c. Autobibliotherapy
d. Biblictherapy

Tuesday, June 10, 2014

Chapter 08 Exam Question 46

Unlike Harry who has Obsessive-Compulsive Disorder, Jacob suffers from Obsessive-Compulsive Personality Disorder and ________________.

a. actively seeks therapy to change his compulsive behavior
b. displays true obsessions and compulsions.
c. frequently experiences uncontrollable thoughts about contamination
d. is not particularly distressed by his condition

Chapter 08 Exam Question 45

Jacob is preoccupied with control, orderliness, and perfectionism in every aspect of his life. He cannot complete a project on time due to his overly strict standards. While he is excessively devoted to his work, he is less motivated in relationships. Jacob would best be described as suffering from ___________________.

a. Obsessive-Compulsive Personality Disorder
b. Schizotypal Personality Disorder
c. Histrionic Personality Disorder
d. Narcissistic Personality Disorder

Chapter 08 Exam Question 44

Sally has an excessive need to be taken care of by her husband. She will not make any everyday decisions for herself and will not initiate any tasks or projects on her own without approval from her husband. Over the years, her behavior has led to her husband abusing her physically, and he has had extramarital affairs right in their home with Sally present in the other room. Sally is best diagnosed with ___________________.

a. Dependent Personality Disorder
b. Paranoid Personality Disorder
c. Narcissistic Personality Disorder
d. Obsessive-Compulsive Disorder

Chapter 08 Exam Question 43

The comorbidity of Avoidant Personality Disorder with other Axis II conditions is highest with _________________

a. Obsessive-Compulsive Disorder
b. Antisocial Personality Disorder
c. Avoidant Personality Disorder
d. Schizoid Personality Disorder

Chapter 08 Exam Question 42

People with ________________ see themselves as inadequate and inferior to others, and they are usually described as shy, lonely, and timid.

a. Obsessive-Compulsive Disorder
b. Antisocial Personality Disorder
c. Avoidant Personality Disorder
d. Schizoid Personality Disorder

Chapter 08 Exam Question 41

Julia is socially inhibited, is very sensitive to being evaluated negatively, and always feels inadequate around others. She does not open up to anyone and has turned down job opportunities as she fears she will fail. Julia is best described as having ______________.

a. Avoidant Personality Disorder
b. Schizoid Personality Disorder
c. Obsessive-Compulsive Disorder
d. Antisocial Personality Disorder

Chapter 08 Exam Question 40

In the general population, ---___ display at least one of the Cluster C personality disorders.

a. 2%
b. 4%
c. 6%
d. 8%

Chapter 08 Exam Question 39

Frank believes he is more important than he really is. He has a grandiose sense of self-importance, is preoccupied with fantasies about his own success and brilliance. In fact, just the other day he was in a meeting where he sat at the head of the table only to have to be asked to move. He abruptly stood up and said, "this is no way to treat the future head of the company!" Frank would best be described as having _________________.

a. Narcissistic Personality Disorder
b. Schizoid Personality Disorder
c. Dependent Personality Disorder
d. Obsessive-Compulsive Personality Disorder

Chapter 08 Exam Question 38

The general incidence of Histrionic Personality Disorder appears to be _____ percent of the population and between 10-15 percent within the mental health populations.

a. 2 to 3
b. 3 to 4
c. 4 to 5
d. 6 to 7

Chapter 08 Exam Question 37

Jill, or Jillicious as she liked to be called, was always in the arms of other men, even when she was escorted by her latest boyfriend. Her behaviors were always exaggerated and over the top. She flirted with married and single men, and loved to play the role of a damsel in distress. Jill would best be diagnosed with ______________.

a. Obsessive-Compulsive Personality Disorder
b. Histrionic Personality Disorder
c. Dependent Personality Disorder
d. Schizotypal Personality Disorder

Chapter 08 Exam Question 36

First line pharmacology for Borderline Disorder involves antidepressants such as ________, and antimanic drugs such as ___________.

a. MAOIs, lithium
b. MAOIs, SSRIs
c. SSRIs, MAOIs
d. SSRIs; lithium

Monday, June 9, 2014

Chapter 08 Exam Question 35

Of those diagnosed with Borderline Personality Disorder, ____ are female.

a. 75%
b. 50%
c. 25%
d. 5%

Chapter 08 Exam Question 34

Trina has been in numerous unstable relationships, experiences chronic feelings of emptiness, and frequently shifts her goals and career plans. She "falls" in love easily and threatens to hurt herself if her current boyfriend leaves her. She would best be described as having ______________________________.

a. Borderline Personality Disorder
b. Schizotypal Personality Disorder
c. Obsessive-Compulsive Personality Disorder
d. Schizoid Personality Disorder

Chapter 08 Exam Question 33

He was convicted for the Tate-LaBianca murders.

a. Ted Bundy
b. Charles Manson
c. John Wayne Gacy
d. Trent Michael Darby

Chapter 08 Exam Question 32

He was executed in 1989 for the serial murders of at least 22 women and is a good example of Antisocial Personality Disorder.

a. Ted Bundy
b. Charles Manson
c. John Wayne Gacy
d. Trent Michael Darby

Chapter 08 Exam Question 31

One characteristic of Antisocial Personality is _________________________ as these individuals frequently talk their way out of difficult situations and may "con" others of their good intentions for the future.

a. the inability to profit from mistakes
b. the need for admiration
c. impulsivity
d. the ability to make a good impression on others

Chapter 08 Exam Question 30

One characteristic of Antisocial Personality is _________________ as these individuals may be caught in many crimes and receive varying kinds of punishment, they do not seem to learn from these individuals may be caught in many crimes and receive varying kinds of punishment, they do not seem to learn from these experiences.

a. the inability to profit from mistakes
b. the need for admiration
c. impulsivity
d. stimulus seeking

Chapter 08 Exam Question 29

Antisocial Personality Disorder is much more prevalent (over ___ percent) in certain settings such as substance abuse treatment groups among the legally incarcerated.

a. 10
b. 20
c. 30
d. 40

Chapter 08 Exam Question 28

The following V-code listed in the DSM-IV-TR, is applied to situations in which the antisocial behavior is not due to a mental disorder.

a. Subclinical antisocial activity
b. Adult antisocial behavior
c. On-going antisocial tendency
d. Antisocial behavior not otherwise specified

Chapter 08 Exam Question 27

According to DSM-IV criteria for the diagnosis of Antisocial Personality Disorder, the individual must be at least ____ years old and have evidence of a Conduct Disorder before age ____.

a. 10, 15
b. 12, 15
c. 18, 15
d. 21, 15

Chapter 08 Exam Question 26

Gary has been in trouble with the law since he was fifteen years old. He has scammed elderly persons out of money, broken numerous laws, is prone to aggressive and manipulative behaviors, and shows no remorse for his actions. He would best be described as having ______________.

a. Obsessive-Compulsive Personality Disorder
b. Schizoid Personality Disorder
c. Dependant Personality Disorder
d. Antisocial Personality Disorder

Chapter 08 Exam Question 25

The Cluster B personality disorders, as a group, affect about ____ percent of the general population.

a. 1.5
b. 2
c. 2.5
d. 3

Thursday, June 5, 2014

Chapter 08 Exam Question 24


The commonalities between Schizotypal Personality Disorder and Schizophrenia suggest that _______________________ could be useful in treatment.

a. psychodynamic therapies
b. antipsychotic medications
c. anti-depressant medications
d. anxiolytics

Chapter 08 Exam Question 23

Only a small percentage individuals initially diagnosed with Schizotypal Personality Disorder go on to develop _______________.

a. PTSD
b. Bipolar disorder
c. depression
d. schizophrenia

Chapter 08 Exam Question 22

Sally believes that the television documentary on the rain forest is actually a personal message for her to create an elaborate garden. This is an example of _________________.

a. flight of ideas
b. a hallucination
c. ideas of reference
d. directed hypnosis

Chapter 08 Exam Question 21

People with __________________________ find close relationships uncomfortable and usually do not have close friends.

a. Dependent Personality Disorder
b. Obsessive-Compulsive Personality Disorder
c. Borderline Personality Disorder
d. Schizotypal Personality Disorder

Chapter 08 Exam Question 20

Larry presents with social deficits and discomfort, combined with distortions of perception and cognition and eccentric behavior. He would be diagnosed with____________.

a. Dependent Personality Disorder
b. Obsessive-Compulsive Personality Disorder
c. Borderline Personality Disorder
d. Schizotypal Personality Disorder

Chapter 08 Exam Question 19

For those with Schizoid Personality Disorder, they ___________________________________.

a. use dramatic acts in manipulative ways
b. perceive attacks on their character which are not apparent to others
c. are largely indifferent to the praise or criticism of others
d. have a pattern of intense interpersonal relationships

Chapter 08 Exam Question 18

Jay has been diagnosed with ________ as he presents with a pervasive detachment from social relationships, has a restrictive range of emotional expression with others, and is not interested in sexual relationships or experiences.

a. Antisocial Personality Disorder
b. Borderline Personality Disorder
c. Schizoid Personality Disorder
d. Avoidant Personality Disorder

Chapter 08 Exam Question 17

Which of the following personality disordered individuals would have recurrent suspicions, without justification, regarding the fidelity of a spouse or sexual partner?

a. Obsessive-Compulsive Personality Disorder
b. Histrionic Personality Disorder
c. Schizoid Personality Disorder
d. Paranoid Personality Disorder

Chapter 08 Exam Question 16

Paranoid Personality Disorder may have prevalence as high as ____ percent in the general population and ____ percent among outpatient clinics.

a. 2.5; 5
b. 2.5; 7.5
c. 2.5;10
d. 5.0; 15

Chapter 08 Exam Question 15

John is very distrustful and suspicious. He does not get along with friends at work and refuses to let his guard down. He holds grudges and believes he is being harassed. John would best be described as having ___________ Personality Disorder.

a. Obsessive-Compulsive
b. Dependent
c. Paranoid
d. Histrionic

Chapter 08 Exam Question 14

_______________ are most readily prescribed for personality disorders in Clusters B and C. while Cluster A symptoms appear to be treated best with ______________.

a. Atypical antipsychotic drugs, benzodiazepines
b. Benzodiazepines, SSRIs
c. SSRIs, atypical antipsychotic drugs
d. Mood stabilizers, atypical antipsychotic drugs

Chapter 08 Exam Question 13

Usually, the presence of a personality disorder is associated with poorer outcome of treatment in a _________ disorder.

a. Axis I
b. Axis II
c. Axis III
d. Axis IV

Wednesday, June 4, 2014

Chapter 08 Exam Question 12

___________ Personality Disorders tend to present symptoms that generally appear avoidant or fearful.

a. Cluster D
b. Cluster C
c. Cluster B
d. Cluster A

Chapter 08 Exam Question 11

___________ Personality Disorders tend to present symptoms that are dramatic, emotional, and erratic.

a. Cluster D
b. Cluster C
c. Cluster B
d. Cluster A

Chapter 08 Exam Question 10

___________ Personality Disorders tend to present symptoms that observers consider odd, or eccentric

a. Cluster D
b. Cluster C
c. Cluster B
d. Cluster A

Chapter 08 Exam Question 9

The DSM-IV-TR organizes the personality disorders into the following clusters, referred to as ______________.

a. A, B, and C
b. A, B, C, and D
c. A1, A2, B1, B2, C1, and C3
d. Cluster 1, Cluster 2 Cluster 3

Chapter 08 Exam Question 8

One examination of the application of Axis II diagnoses in adolescents aged 14-18 found an over-diagnosis of _________________.

a. Borderline and Narcissistic Personality Disorders
b. Histrionic and Borderline Personality Disorders
c. Antisocial and Histrionic Personality Disorders
d. Antisocial and Avoidant Personality Disorders

Chapter 08 Exam Question 7

Another diagnostic consideration involves the increasing tendency to apply the Axis II diagnoses to ______________.

a. the elderly
b. middle-age adults
c. children
d. adolescents

Chapter 08 Exam Question 6

In some personality disorders, ___________________ is among the defining features, obviously contributing to the difficulty of accurate diagnosis

a. cooperation with treatment
b. lack of comorbidity
c. exaggeration of symptoms
d. difference of opinions

Chapter 08 Exam Question 5

The DSM-IV-TR lists _____ different personality disorders.

a. three
b. six
c. ten
d. twelve

Chapter 08 Exam Question 4

This is the present model of personality which is endorsed by most psychometricians.

a. Eysenck Personality Inventory
b. Big Five
c. Cattell & Stice Questionnaire
d. Multi-Factor

Chapter 08 Exam Question 3

_________________ developed from mathematical attempts to tease apart the responses given in intelligence testing.

a. ANOVA analysis
b. Exponential coefficiency
c. Regression to the mean
d. Factor analysis

Chapter 08 Exam Question 2

Dr. Brown believes that personality is a collection of psychological characteristics, such as kindness or dependability, which can be identified and measured. She would be best described as a _______________.

a. Trait theorist
b. Humanist
c. Behaviorist
d. Psychoanalyst

Chapter 08 Exam Question 1

The DSM-IV-TR lists ________ and _______ on Axis II, which are dysfunctions that have been consistently problematic for a person throughout their life.

a. Anxiety Disorders; Personality Disorders
b. Mental Retardation; Personality Disorders
c. Personality Disorders; Somatoform Disorders
d. Somatoform Disorders; Anxiety Disorders