Assessment Flashcards
Bipolar Disorder Type 2 - Key Features (5)
- NO psychosis or mania
- ONLY hypomania
- No functional impairment
- Harder to get medication right
- More likely to be hospitalised for depression
Bipolar Disorder Type 1 - Key Features
- BOTH mania and hypomania
- Psychosis
- Psychotic depression
- Significant functional impairment
- More likely to be hospitalised for psychosis or mania
- Don’t need psychosis or hypomania to have BP1 diagnosed
Cluster A Personality Disorders (Odd/mad)
- Paranoid PD
- Schizotypal PD
- Schizoid PD
Cluster B Personality Disorders (Dramatic/Bad)
- Antisocial PD
- Borderline PD
- Histrionic PD
- Narcissistic PD
Cluster C Personality Disorders (Anxious/Sad)
- Dependent PD
- Obsessive-Compulsive PD
- Avoidant PD
What cluster do anxious (sad) type personality disorders belong to?
Cluster C
What cluster do dramatic (bad) type personality disorders belong to?
Cluster B
What cluster do odd (mad) type personality disorders belong to?
Cluster A
The W_ _ _ _ is an individually administered test of intelligence for clients aged 16 years to 90 years and 11 months.
WAIS-IV
The _ _ _ is a wide range, individually administered test of intelligence for clients aged 2 years to 85 years +
Standford-Binet Intelligence Scales (SB5)
What is the maximum age clients can be assessed using the WISC-V?
16 years and 11 months
What are the age ranges for the WPPSI-IV?
2:6 to 3:11 and 4:0 to 7:7
These are the core subtests for which intelligence assessment: Similarities, Vocabulary, Information, Block Design, Matrix Reasoning, Visual Puzzles, Digit Span, Arithmetic, Symbol Search and Coding
WAIS-IV
These are the core subtests for which intelligence assessment: Similarities, Vocabulary, Block Design, Matrix Reasoning, Figure Weights, Digit Span, Coding
WISC-V
These are the supplementary subtests in which intelligence assessment: Information, Comprehension, Visual Puzzles, Picture Concepts, Arithmetic, Picture Span, Letter Number Sequencing, Symbol Search, Cancellation
WISC-V
The following are the supplementary subtests for which intellgience assessment: Comprehension, Figure Weights, Picture Completion, Letter Number Sequencing, Cancellation
WAIS-IV
In what section of the DSM-5 would you find Adjustment Disorder?
Anxiety Disorders
In Adjustment Disorder, the development of emotional or behavioural symptoms in repsonse to an identifiable stressor/s occurs within how many months of onset of the stressor/s?
3 months
What is the prevalence rate of Adjustment Disorder in outpatient settings?
5-20%
Paranoid, Schizoid, and Schizotypal Personal Disorders belong to which cluster?
Cluster A (mad/odd)
Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders belong to which cluster?
Cluster B (bad/dramatic)
Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders belong to which cluster?
Cluster C (sad/anxious)
Antisocial Personality Disorder can be described as a pervasive pattern of disregard for and violation of the rights of others, occurring since what age?
15 years
How old must a person be to be considered for a diagnosis of Antisocial Personality Disorder?
18 years
What is the prevalence rate of Antisocial Personality Disorder?
0.2-3.3%
For ADHD, symptoms of inattention must have persisted for at least how many months?
6 months
For ADHD, symptoms of hyperactivity and impulsivity must have persisted for at least how many months?
6 months
To make a diagnosis of ADHD, several inattentive or hyperactive-impulsive symptoms were present prior to what age?
12 years
What is the prevalence rate of ADHD in children?
5%
What is the prevalence rate of ADHD in adults? (half of children %)
2.5%
How many diagnostic criteria are present under ASD in the DSM-5?
5
For ASD, what is Criteria A in the DSM-5?
- Social/Communication
- Persistent deficits in social communication and social interaction across multiple contexts
For ASD, what is Criteria A in the DSM-5?
- Social/Communication
- Persistent deficits in social communication and social interaction across multiple contexts
What is the prevalence rate of ASD?
1%
For which disorder is it necessary to have a least 1 manic episode?
Bipolar 1 disorder
The following is a description of what kind of episode: a distinct period of abnormally and persistently elevated, expansive or irritable mood and abnormally and persistently goal directed activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalisation is necessary)
A Manic episode
What is the prevalence rate of Bipolar 1 disorder in the US?
0.6%
In Cyclothymic Disorder, for how long must there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic episode?
2 years
The following describes what personality disorder: A pattern of instability in interpersonal relationships, self-image and affects and marked impulsivity
Borderline Personality Disorder
The following describes what personality disorder: A pattern of disregard for and the violation of the rights of others
Antisocial Personality Disorder
What is the prevalence of Borderline Personality Disorder in the general population?
1.6%
True or False: The SDQ has 5 scales with 5 items each. Four of the scales are totalled to provide the total difficulties score (excluding the prosocial scale)
True.
What does SDQ stand for?
Strengths and Difficulties Questionnaire
True or False: In Adjustment Disorder, Criteria D stipulates that the symptoms do not represent normal bereavement.
True
Which is NOT a symptom of MDD: weight gain/loss, Insomnia/hypersomnia, fatigue or loss of energy, recurrent thoughts of death, chronic feelings of emptiness, psychomoto agitation/retardation
Chronic feelings of emptiness
Which is NOT 1 of the 6 domains involved in Major Neurocognitive Disorder: Complex attention, executive functioning, social cognition, perceptual motor, language, fluid reasoning, learning and memory
Fluid Reasoning
The following is an essential feature of which Neurocognitive disorder: A disturbance of attention or awareness that is accompanied by a change in baseline cognition that cannot be better explained by a pre-existing or evolving neurocognitive disorder
Delirium
What are the cutoffs for the DASS_21? What would be considered clinically significant?
DASS-21
Depression Anxiety Stress
Normal 0-4 0-3 0-7
Mild 5-6 4-5 8-9
Moderate 7-10 6-7 10-12
Severe 11-13 8-9 13-16
Extremely Severe 14+ 10+ 17+
What do you need to remember about the DASS-21 for the exam?
Cannot diagnose MDD with DASS or plan any sort of Tx based on a DASS score
alone – needs further exploration via a BDI or clinical interview
ALL DASS Questions are Assessment Questions on exam
What do the different scales correlate with when it comes to diagnosis?
Depression - Mood Disorder
Anxiety - Specific Phobia and Panic Disorder
Stress - Generalised Anxiety Disorder
Is there a total DASS score - they will try to trick you elevate on the global scores - THERE IS NOOOOOOO GLOBAL SCORES
Board will expect suicide risk assessment with every client that comes through the door ask just a couple of questions at least -
DASS scoring - if there are high scores on any of the scales what would be expected to do with the client?
If you get scores in the clinical range for anything - expect to do a suicide risk assessment with every client
K10 - Global Assessment of Functioning - General Functioning
What is a clinically significant score on the K10?
* score under 20 are likely to be well
* score 20-24 are likely to have a mild mental disorder
* score 25-29 are likely to have moderate mental disorder
* score 20-50 and over are likely to have a severe mental disorder
K10 What is the maximum score? What scores do you needs to remember?
Max score = 50; Min score = 10 (Scale 1 – 5)
• Significant cut off score = 25 (half the max score) Above 30 is severe (remember this)
• K10 does not differentiate between Dep, Anx & Stress, just shows distress
• Need further exploration – not diagnostic (screener)
If someone says your client has a k10 of 35 - severe anx disorder; mood disorder; no MH issues; severe clinical distress consistent with severe mental H issue; mod stress or severe PTSD
ANSWER sever clinical distress
Both have been designed to maximize outcomes and see if you are doing what your clients want and measure the success of treatment
ORS & SRS
ORS Categories?
ORS Categories -
Individually
Interpersonally
Socially and
Overall
SRS categories are?
SRS -
- Relationship Goals
- Topics
- Approach
- method Overall
What is the CBCL?
The Child Behavior Checklist (CBCL) is a widely used questionnaire to assess behavioral and emotional problems.
It is often used as a diagnostic screener, but autism spectrum disorders (ASD) are not included in the CBCL for school-aged children.
When would you use a CBCL?
Perhaps if you had done an SDQ and the child scored high on internalising
State Trait Anxiety Inventory - What is state and what is trait?
State is disorder
Trait is personality
Who would you use a State Trait Anxiety Assessment for?
Someone who never worked
Someone who doesn’t leave house
Someone with physical ailments
Symptoms …questioning are they anxious are they depressed - more as a trait that a state - is this generalized anxiety triggered by something or is this a trait in this person - have they always had this trait and personality
Differentiate state and trait
Long standing symptoms with no medical explanation
What age group would you use the state trait anxiety assessment for?
Adult Anxiety
Facts about the State-Trait Anxiety Inventory;
- How many questions?
- What are the focus areas?
- How long to complete?
40
Worry, Tension, apprehension and nervousness.
10 - 20 mins
WHODAS - What is the who DAS? What does it do?
World Health Organisation Disability Assessment Scale
- Disability Ax - looks at disability caused by illness, physical Health, Mental Health, AOD problems
- Looks at the impact emotional issues have on everyday life
The adult self-administered version of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a 36-item measure that assesses disability in adults age 18 years and older.
WHOQOL
World Health Organisation Quality of Life Scale
What is the WMS and what is it for?
Weshler Memory Scale and immediate and delayed visual and verbal memory
Weshler Individual Reading Test assesses which categories?
Writing
Reading
Maths
Oral Expression
Listening and comprehension
What is the PH9? What is it for?
Patient Health Questionairre
Screening for depression
What would you used the MMPi for?
Minnesota Multiphasic Personality Inventory
Standardised psychometric test of adult personality and psychopathology
ABAS …..what is it a what age is it for ? How long doe it take to complete?
Adaptive Behaviour Assessment System
Birth to 89 years ( across the life span)
15-20 minutes
Some parts completed by a parent or teacher - self rating option for adults
What is the Adaptive Behavioural Assessment System Used for?
evaluating those with developmental delays, autism, ID, learning disabilites, neuropsychological disorders , and sensory or physical impairments
What are the 3 domains of the ABAS?
Conceptual, Practical and Social
WHEN WOULD YOU MOVE TO AN ABAS?
When a WISC is completed and scores are 70 or below - considered intellectual disability
What areas do the WHO-DAS assess?
Concentration
Remembering
Self Care
Getting Around
Life Activities
Participation in Society
Methods of Direct Behavioural Observations ….
Needs to be scientific as possible
Reliability - observing the same behaviours and doing the same things in various environments
Frequency, Duration, Intensity
You need to be specific with what you are measuring so that you can compare at a later time period
