Rosh Psychiatry Board Practice Exam

For a patient with significant soft tissue injuries related to sexual behavior, what is the recommended intervention?

1. Admit for inpatient psychiatric care

2. Refer to neurology for limbic leucotomy

3. Refer to psychiatry for electroconvulsive therapy

4. Refer to psychology for cognitive-behavior therapy

The correct answer is: Refer to psychology for cognitive-behavior therapy

Cognitive-behavior therapy (CBT) is generally the recommended intervention for patients dealing with the psychological effects of soft tissue injuries related to sexual behavior. This therapeutic approach is effective in helping individuals understand the thoughts and feelings that influence their behaviors. In cases where patients experience distress due to their injuries or related behavioral issues, CBT can assist them in restructuring their thought patterns, developing coping strategies, and addressing maladaptive behaviors. CBT is particularly suitable because it not only focuses on the cognitive aspects of how a patient perceives their situation but also emphasizes behavior change. This can be highly beneficial for patients grappling with the emotional aftermath of trauma or injuries stemming from sexual behavior, as it fosters a supportive environment for discussing sensitive issues while promoting healthier coping mechanisms. Other interventions listed might not directly address the unique needs of a patient with significant soft tissue injuries related to sexual behavior. Inpatient psychiatric care could be more appropriate for severe cases requiring hospitalization, but for this specific scenario, psychotherapy is more aligned with the immediate needs for coping and behavioral adjustment. Neurology referrals for limbic leucotomy and electroconvulsive therapy are typically reserved for different psychiatric conditions, making them less relevant in this context.