Licensed Clinical Social Worker (LCSW) Practice Exam

A university student presenting multiple distressing symptoms after a violent breakup is most likely diagnosed with which of the following?

1. Anxiety disorder

2. Bipolar disorder

3. Bulimia nervosa and posttraumatic stress disorder

4. Major depressive disorder

The correct answer is: Bulimia nervosa and posttraumatic stress disorder

In the context of a university student experiencing multiple distressing symptoms following a violent breakup, the most appropriate diagnosis among the provided options is the combination of bulimia nervosa and posttraumatic stress disorder (PTSD). This is because the student’s symptoms could potentially include not only emotional distress related to the trauma of the violent breakup but also disordered eating behaviors that may develop as a maladaptive coping mechanism. Posttraumatic stress disorder is characterized by re-experiencing the trauma, avoidance of reminders, negative changes in beliefs and feelings, and hyperarousal symptoms. A violent breakup can understandably lead to such emotional turmoil, triggering PTSD symptoms, especially if there was a significant threat to the student's safety or a sense of helplessness during the breakup. Bulimia nervosa may arise as a way for the student to exert control or cope with overwhelming emotions, as those who experience trauma often turn to food-related behaviors. This could manifest in cycles of binge eating and purging, leading to additional distress. Overall, while anxiety, bipolar disorder, and major depressive disorder could present with symptoms related to distress and emotional upheaval, the combination of bulimia nervosa and PTSD specifically addresses both the psychological trauma of the breakup and the potential coping mechanisms that could emerge