Assessment and Diagnosis Flashcards
what is the difference between a patient and client?
patients are ill and are passively waiting to be treated while we call our clients clients because they are actively seeking to be treated
what is the difference between a psychologist and psychiatrist?
psychologists are mental health professionals with training in behavioral science while psychiatrist are medical doctors with advanced training in treating people with psychological disorders
a psychiatrist is someone who prescribes medications while a psychologist offers their therapeutic techniques for the enhancement of the mental health condition of our clients
this term refers to a procedure in which a clinician evaluates a person in terms of the psychological, physical, and social factors that influence the individual’s functioning
psychological assessment
this type of interview involves a series of open-ended questions
unstructured interview
this type of interview consists of a standardized series of questions with predetermined wording and order
structured interview
What types of information are sought through interviews?
-reasons for being in treatment
-symptoms
-health status
-family background
-life history
what are the types of information sought through interviews?
- reasons for being in treatment
- symptoms
- health status
- family background
- life history
what are the domains included in the mental status examination?
- Appearance and Behavior
- Orientation
- Content of Thought
- Thinking Style and Language
- Affect and Mood
- Perceptual Experiences
- Sense of Self
- Motivation
- Cognitive Functioning
- Insight and Judgement
what domains are assessed in the mental status examination?
- appearance and behavior
- orientation
- content of thought
- thinking style and language
- affect and mood
- perceptual experiences
- sense of self
- motivation
- cognitive functioning
- insight and judgment
what are some examples of abnormal behavior concerning appearance and behavior?
- hyperactivity
- psychomotor agitation
- psychomotor retardation
- catatonia
- compulsion
what is psychomotor agtation?
a state of being restless and stirred up
what is psychomotor retardation?
abnormally slow movements and lethargy
this term refers to extreme motor disturbances in a psychotic disorder not attributable to physiological causes
catatonia
this term refers to the domain that should be assessed in regards to idea that fill a person’s head
content of thought
this term refers to deeply entrenched false beliefs that are not consistent with the client’s intelligence or cultural background
delusions
this term refers to thoughts that have an odd and absurd quality but are usually bizarre or deeply entrenched
overvalued ideas
what is grandeur?
a grossly exaggerated conception of an individual’s own importance
this term refers to the feeling that one is being controlled by others, or even by machines or applications
delusion of control
this term refers to the belief that the behavior of others or certain objects or events is personally referring oneself
delusion of reference
this term refers to the belief that another person or persons are trying to inflict harm on the individual or that individual’s family or social group
delusion of persecution
this term refers to feelings of remorse without justification
delusion of self-blame
this term refers to the false belief usually associated with pathological jealousy involving the notion that one’s lover is being unfaithful
infidelity
this term refers to inappropriate concerns about one’s body, typically related to disease
delusion of somatic
example: may brain cancer kay may ants daw sa brain niya
this term refers to the idea that one’s thoughts are being broadcasted to others
thought broadcasting
this term refers to the belief that thought are being inserted into one’s mind by outside forces
thought insertion
what does the intensity of affect refer to?
the strength of the emotional reaction
what is affect?
an individual’s outward expression of emotion
what does mobility of affect mean?
the ease and speed with which people change the type of or intensity of emotional expression
what does range of affect mean?
extent and variety of emotional expression
limited expressions of emotion
what are the three types of mood?
euthymic, dysphoric, and euphoric
what are the 5 types of hallucinations?
- auditory
- visual
- olfactory
- somatic
- gustatory
what is mood?
an individual’s person experience of emotion
what are hallucinations?
hallucinations are false perceptions not corresponding to the objective stimuli present in the environment
what is the least reported type of hallucination?
gustatory
what are the 3 important things we need to assess when it comes to orientation?
orientation is a person’s awareness of TIME, PLACE, AND IDENTITY
this type of THOUGHT DISORDER involves speech that is incomprehensible
incoherence or word salad
this type of THOUGHT DISORDER involves a flow of thoughts that is vague, unfocused, and illogical
loosening of associations
this type of THOUGHT DISORDER involves thinking characterized by contradictions and erroneous thinkng
illogical thinking
this type of THOUGHT DISORDER refers to the experience in which a person seemingly loses a thought in the midst of speaking to a period of silence ranging from seconds to minutes
blocking
this type of THOUGHT DISORDER involves words invented by a person, or distortions of existing words to which a person has given new personalized meanings
neologisms
this type of THOUGHT DISORDER involves speech that is indirect and delayed in reaching the point because of irrelevant and tedious details
circumstantiality
this type of THOUGHT DISORDER involves going completely off the track and never returning to the point in a conversation
TANGENTIALITY
this type of THOUGHT DISORDER involves speech in which the sound, rather than the meaning of the words, determines the content of the individual’s speech
clanging
this type of THOUGHT DISORDER refers to persistent repetition or echoing of words, phrases, as of the person is intending to be mocking or sarcastic
echolalia
this type of THOUGHT DISORDER involves fast-paced speech that while usually intelligible, is marked by acceleration, abrupt changes of topic, and plays on words
flight of ideas
this type of THOUGHT DISORDER involves fabricating facts or events to fill in voids in one’s memory
confabulation
this type of THOUGHT DISORDER involves speech that is so rapid and driven that it seems as though the individual is being inwardly compelled to utter a stream of non-stop dialogue
pressure of speech
this type of THOUGHT DISORDER involves repetition of the same idea, word, or sound
perseveration
what was the DSM-II based on?
based it’s classifications on the system contained in the International Classifications of Diseases (ICD)
what were the years of each version of the DSM?
DSM-I - 1952
DSM-II - 1968
DSM-III - 1980
DSM-III-R - 1987
DSM-IV - 1994
DSM-IV-TR - 2000
DSM-V - 2014
enumerate the steps in the diagnostic process
- Client’s reported & observable symptoms
- Diagnosis Criteria & Differential Diagnosis
- Final Diagnosis
- Case Formulation
- Cultural Formulation
