Assessment and Diagnosis Flashcards

1
Q

Conversion Disorder (Functional Neurological Symptom Disorder)

A

Conversion disorder is characterized by a sudden loss of neurological function, usually in the context of a severe stressor. Specific characteristics of conversion disorder include the following: One or more symptoms of altered voluntary motor or sensory function, e.g., inability to walk, sudden blindness. The symptom is not explained by a neurological or medical condition. Common conversion symptoms include pseudoseizure, paralysis, and becoming mute.

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2
Q

Trauma- and Stressor-Related Disorders

A

Post-traumatic Stress Disorder Acute Stress Disorder

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3
Q

Intellectual Disability

A

a disorder that begins during the developmental period. It is characterized by deficits in intellectual functioning and adaptive functioning.

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4
Q

Bipolar and Related Disorders

A

Bipolar Disorder Hypomania Cyclothymia

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5
Q

Stage 7: Very severe cognitive decline

A

In the final stage of Alzheimer’s, individuals lose the ability to respond to their environment, to carry on a conversation and, eventually, to control movement.At this stage, individuals need help with much of their daily personal care, including eating or using the bathroom. They may also lose the ability to smile, to sit without support and to hold their heads up. Reflexes become abnormal. Muscles grow rigid. Swallowing is impaired.

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6
Q

Schizoaffective Disorder

A

A major mood episode must be present at the same time as the active-phase symptoms of schizophrenia Major depressive or manic Preceded or followed by at least 2 weeks of delusions or hallucinations without prominent mood symptoms

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7
Q

Stages of Alzheimer’s Disease

A

Stage 1: No impairment (normal functioning) Stage 2: Very mild cognitive decline Stage 3: Mild cognitive decline (early-stage Alzheimer’s can be diagnosed in some, but not all, individuals with these symptoms) Stage 4: Moderate cognitive decline(Mild or early-stage Alzheimer’s disease) Stage 5: Moderately severe cognitive decline (Moderate or mid-stage Alzheimer’s disease) Stage Six: Severe cognitive decline Stage 7: Very severe cognitive decline

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8
Q

Schizotypal Personality Disorder

A

a serious condition in which a person usually has few to no intimate relationships. These people tend to turn inward rather than interact with others and experience extreme anxiety in social situations. People with this disorder often have trouble engaging with others and appear emotionally distant. They find their social isolation painful and eventually develop distorted perceptions about how interpersonal relationships form. They may also exhibit odd behaviors, respond inappropriately to social cues, and hold peculiar beliefs

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9
Q

Schizoid Personality Disorder

A

a condition in which people avoid social activities and consistently shy away from interaction with others. People with the disorder are generally loners with a profound inability to connect with others and form personal relationships. To others, people with this disorder may appear aloof and dull, and they’re often ignored in social settings. People with this disorder show a flattened or restricted range of emotions and can appear indifferent to what’s going on around them. However, their inner life can be rife with a deep emotional need, sensitivity, and confusion about the world around them.

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10
Q

symptoms of OCD

A

Fear of being contaminated by shaking hands or by touching objects others have touched Doubts that you’ve locked the door or turned off the stove Thoughts that you’ve hurt someone in a traffic accident Intense distress when objects aren’t orderly or facing the right way Images of hurting your child Impulses to shout obscenities in inappropriate situations Avoidance of situations that can trigger obsessions, such as shaking hands Replaying pornographic images in your mind Dermatitis because of frequent hand washing Skin lesions because of picking at your skin Hair loss or bald spots because of hair pulling

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11
Q

Depressive Disorders

A

Major Depressive Disorder Persistent Depressive Disorder (Dysthymia)

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12
Q

Schizophrenia: Positive Symptoms

A

Thought broadcasting Delusions Ideas of reference Ideas of persecution Delusions of grandeur Hallucinations (auditory, visual, olfactory, gustatory, tactile) Paranoia

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13
Q

Feeding and Eating Disorders

A

Anorexia Nervosa Bulimia Nervosa Binge-Eating Disorder

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14
Q

Major Depressive Disorder

A

characterized by the presence of 5 or more of the following symptoms during the same 2-week period. At least one of the symptoms is either depressed mood or loss of interest or pleasure in activities. The person’s symptoms cause distress or difficulty in functioning at home, work, or other important areas (social, occupational, recreational). The person’s symptoms are not caused by substance use (e.g., alcohol, drugs, medication) or a medical disorder.

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15
Q

Borderline Personality Disorder

A

Relationships with others are intense and unstable. They swing wildly from love to hate and back again. People with this will frantically try to avoid real or imagined abandonment. patients may also be uncertain about their identity or self-image. They tend to see things in terms of extremes, either all good or all bad. They also typically view themselves as victims of circumstance and take little responsibility for themselves or their problems. Other symptoms include: Feelings of emptiness and boredom Frequent displays of inappropriate anger Impulsiveness with money, substance abuse, sexual relationships, binge eating, or shoplifting Intolerance of being alone Recurrent acts of crisis such as overdosing or self-injury (such as cutting) Manipulating boundaries

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16
Q

Substances

A

Alcohol Caffeine Cannabis Hallucinogens Inhalants Opioids Sedatives, hypnotics, or anxiolytics Stimulants Tobacco Other (or unknown)

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17
Q

Bipolar Disorder

A

Formerly referred to as “manic depression,” this disorder is characterized by the presence of manic episodes in addition to depression

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18
Q

Narcissistic Personality Disorder

A

a condition in which there is an inflated sense of self-importance and an extreme preoccupation with one’s self.

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19
Q

Inattention Symptoms of ADHD

A

Fails to give close attention to details or makes careless mistakes in schoolwork Difficulty sustaining attention in tasks or play Does not seem to listen when spoken to directly Does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace Difficulty organizing tasks and activities Avoids or dislikes tasks that require sustained mental effort (such as schoolwork) Often loses toys, assignments, pencils, books, or tools needed for tasks or activities Easily distracted Often forgetful in daily activities

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20
Q

Symptoms of Major Depressive Disorder

A

Depressed mood Loss of interest or pleasure in activities Significant weight loss or weight gain. Decrease or increase in appetite. Insomnia or hypersomnia Psychomotor agitation or retardation Fatigue or loss of energy Feelings of worthlessness or excessive guilt Diminished ability to think or concentrate. Indecisiveness. Recurrent thoughts of death. Suicidal ideation or a suicide attempt.

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21
Q

Stage 5: Moderately severe cognitive decline(Moderate or mid-stage Alzheimer’s disease)

A

Gaps in memory and thinking are noticeable, and clients begin to need help with day-to-day activities. At this stage, clients may: Be unable to recall their own address or telephone number Become confused about orientation (place, time, person, situation) Need help choosing proper clothing for the season or the occasion Still remember significant details about themselves and their family Still require no assistance with eating or using the bathroom

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22
Q

symptoms of PTSD

A

frightening thoughts and memories associated with the trauma, nightmares, flashbacks, avoiding situations reminiscent of the trauma, psychic numbing, negative alterations in thoughts or mood, angry outbursts, reckless behavior, problems sleeping, and hypervigilance. Flashbacks can be triggered by smells, sights, or sounds. Auditory hallucinations and paranoia are present in more severe cases

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23
Q

Schizophreniform Disorder

A

Two of more of the following symptoms must be present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these symptoms must be (1), (2), or (3): Delusions Hallucinations Disorganized speech Grossly disorganized or catatonic behavior Negative symptoms Symptoms are present for more than 1 month but less than 6 months.

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24
Q

Encopresis

A

poop

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25
Q

Symptoms of Narcissistic Personality Disorder

A

Reacts to criticism with rage, shame, or humiliation Takes advantage of other people to achieve his or her own goals Has feelings of self-importance Exaggerates achievements and talents Is preoccupied with fantasies of success, power, beauty, intelligence, or ideal love Has unreasonable expectations of favorable treatment Requires constant attention and admiration Disregards the feelings of others, lacks empathy Has obsessive self-interest Pursues mainly selfish goals

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26
Q

Personality Disorders

A

Histrionic Personality Disorder Borderline Personality Disorder Narcissistic Personality Disorder Obsessive-Compulsive Personality Disorder Antisocial Personality Disorder Conduct Disorder Oppositional Defiant Disorder Schizotypal Personality Disorder Schizoid Personality Disorder Paranoid Personality Disorder Dependent Personality Disorder

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27
Q

Schizophrenia Spectrum and Other Psychotic Disorders

A

Schizophreniform Disorder Schizophrenia Schizoaffective Disorder

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28
Q

Hoarding Disorder

A

characterized by persistent difficulty parting with possessions, regardless of their actual value. This difficulty is due to a perceived need to save the items and distress associated with discarding them. This results in the accumulation of possessions that clutter active living areas. The clutter makes these living areas largely unusable. behavior must represent a long-standing difficulty, as opposed to the result of a transient life circumstance, such as inheriting a cluttered property.

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29
Q

Paranoid Personality Disorder

A

indicated by a pattern of pervasive distrust and suspiciousness of others, such as their motives are interpreted as malevolent. Events and actions of others are interpreted in the most negative light possible, and convictions of others’ hostility are based on little or not objective evidence.

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30
Q

Symptoms of GAD

A

Excessive anxiety and worry (apprehensive expectation) about a number of events or activities. The anxiety is out of proportion to the situation most of the time. Difficulty controlling worry Difficulty concentrating Fatigue Irritability Muscle tension – shakiness, headaches Restlessness or feeling keyed up or “on the edge” Sleep disturbance (difficulty falling or staying asleep; or restless, unsatisfying sleep)

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31
Q

Compulsions

A

repetitive behaviors that you feel driven to perform. These repetitive behaviors are meant to prevent or reduce anxiety or distress related to your obsessions. For instance, if you believe you ran over someone in your car, you may return to the apparent scene over and over because you just can’t shake your doubts. You may also make up rules or rituals to follow that help control the anxiety you feel when having obsessive thoughts.

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32
Q

symptoms of bulimia nervosa

A

Recurrent episodes of binge eating during which the individual feels a lack of control Recurrent inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting Self-evaluation that is overly influenced by body weight and shape *The binge eating and compensatory behaviors must occur at least once a week for 3 months

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33
Q

Schizophrenia: Negative Symptoms

A

Alogia – delayed responses to questions and comments Anhedonia – inability to experience pleasure Flat affect – monotone voice, absence of facial expressions Social withdrawal Catatonia Declining ability to care for self Loss of interest in personal hygiene

34
Q

types of remission

A

Early Remission – At least 3 but less than 12 months without the symptoms of a substance use disorder, except craving the drug Sustained Remission – At least 12 months without the symptoms of a substance use disorder, except craving the drug

35
Q

Manic Episodes Symptoms

A

Abnormally and persistently elevated, expansive, or irritable mood and persistently increased goal-directed activity or energy, lasting at least 1 week May also include 3 or more of *Inflated self-esteem or grandiosity *Decreased need for sleep *More talkative than usual *Flight of ideas or racing thoughts *Distractibility *Increase in goal-directed activity or psychomotor agitation *Excessive risk-taking

36
Q

IQ tests

A

WAIS (Wechsler Adult Intelligence Scale), WISC (Wechsler Intelligence Scale for Children) or Stanford-Binet.

37
Q

Acute Stress Disorder

A

is similar to PTSD in that the symptoms are present in response to a crisis situation or hazardous event. The main difference between the two is that the symptoms last from 3 days to 1 month after the trauma. If the symptoms are still present after 1 month, the appropriate diagnosis would then be posttraumatic stress disorder.

38
Q

Anxiety Disorders

A

Generalized Anxiety Disorder

39
Q

Cyclothymia

A

for a period of at least 2 years, the symptoms of hypomania, and depression have appeared numerous times; however the criteria for hypomania episode or major depressive episode have not been satisfied. during the 2-year interval, hypomanic and depressive periods have occurred at least half the time and the patient has not been symptom free for more than 2 months at a time.

40
Q

symptoms of Anorexia Nervosa

A

A persistent energy intake restriction that results in significantly low body weight An intense fear of gaining weight or persistent behavior that interferes with weight gain A disturbance in self-perceived weight or body shape

41
Q

Stage Six: Severe cognitive decline

A

Memory continues to worsen, personality changes may take place and individuals need extensive help with daily activities. At this stage, individuals may: Lose awareness of recent experiences as well as of their surroundings Remember their own name but have difficulty with their personal history Need help dressing properly and may, without supervision, make mistakes such as putting pajamas over daytime clothes or shoes on the wrong feet Experience atypical sleep patterns Need help with daily living skills Have increasingly frequent trouble controlling their bladder or bowels Experience major personality and behavioral changes, including paranoia and delusions Tend to wander or become lost

42
Q

Diagnosing a Intellectual Disability

A

A diagnosis can only be made by a psychiatrist or a Psy.D. A psychiatric evaluation followed by administering an IQ test is involved in the process of rendering a diagnosis of ID.

43
Q

Binge-Eating Disorder

A

Recurrent episodes of binge eating during which the individual feels a lack of control The episodes must occur at least once a week for 3 months The binge-eating causes distress to the individual The binge-eating episodes are associated with 3 or more of the following: Eating much more rapidly than normal Eating until feeling uncomfortably full Eating large amounts of food when not physically hungry Eating alone due to embarrassment about how much one is eating Feeling disgusted, depressed, or guilty after the binge

44
Q

Hyperactivity-Impulsivity Symptoms of ADHD

A

Fidgets with hands or feet or squirms in seat Leaves seat when remaining seated is expected Runs about or climbs in inappropriate situations Difficulty playing quietly Often “on the go,” acts as if “driven by a motor” Talks excessively Blurts out answers before questions have been completed Difficulty waiting his or her turn Interrupts or intrudes on others (butts into conversations or games)

45
Q

Rumination Disorder

A

characterized by the repeated regurgitation of food for a period lasting at least one month

46
Q

Severity Levels of Intellectual Disability

A

Mild Moderate Severe Profound The levels of severity are defined on the basis of adaptive functioning, and not IQ scores, because it is adaptive functioning that determines the level of supports required.

47
Q

Obsessive-Compulsive and Related Disorders

A

Obsessive-Compulsive Disorder (OCD) Body Dysmorphic Disorder Hoarding Disorder

48
Q

Symptoms of Persistent Depressive Disorder (Dysthymia)

A

Depressed mood for at least 2 years in adults and 1 year in children and adolescents. Presence, while depressed, of 2 or more of the following: *Poor appetite or overeating *Insomnia or hypersomnia *Low energy or fatigue *Low self-esteem *Poor concentration or indecisiveness *Feelings of hopelessness

49
Q

Enuresis

A

pee

50
Q

Symptoms of schizotypal personality disorder

A

Incorrect interpretation of events, including feeling that external events have personal meaning (ideas of reference) Peculiar thinking, beliefs or behavior (magical thinking) Belief in special powers, such as telepathy Perceptual alterations, in some cases bodily illusions, including phantom pains or other distortions in the sense of touch Idiosyncratic speech, such as loose or vague patterns of speaking or tendency to go off on tangents Suspicious or paranoid ideas Flat emotions or inappropriate emotional responses Lack of close friends outside of the immediate family Persistent and excessive social anxiety that doesn’t abate with time

51
Q
A
52
Q

Manic Episodes Symptoms

A

Abnormally and persistently elevated, expansive, or irritable mood and persistently increased goal-directed activity or energy, lasting at least 1 week May also include 3 or more of Inflated self-esteem or grandiosity Decreased need for sleep More talkative than usual Flight of ideas or racing thoughts Distractibility Increase in goal-directed activity or psychomotor agitation Excessive risk-taking

53
Q

Obsessive-Compulsive Disorder (OCD)

A

characterized by the presence of unreasonable thoughts and fears (obsessions – sometimes referred to as ruminations) that lead you to engage in repetitive behaviors (compulsions). With obsessive-compulsive disorder, you may realize that your obsessions aren’t reasonable, and you may try to ignore them or stop them, but that only increases your distress and anxiety. Ultimately, you feel driven to perform compulsive acts in an effort to ease your distress.

54
Q

Post-traumatic Stress Disorder (PTSD)

A

following exposure to trauma, such as a hazardous event, violent and / or sexual assault, natural disaster, accident, torture, childhood sexual abuse, incarceration, or military combat. Symptoms must last longer than 1 month.

55
Q

ASD is characterized by symptoms in two key areas:

A

1) Deficits in social communication and social interaction 2) Restricted repetitive behaviors, interests, and activities (RRBs)

56
Q

Persistent Depressive Disorder (Dysthymia)

A

Persistent depressive disorder is a type of low-grade depression. It is a chronic, long-lasting form of depression sharing many characteristic symptoms of major depressive disorder. These symptoms tend to be less severe, but do fluctuate in intensity.

57
Q

Stage 3: Mild cognitive decline (early-stage Alzheimer’s can be diagnosed in some, but not all, individuals with these symptoms)

A

Friends, family or co-workers begin to notice impairments. During a detailed medical interview, doctors may be able to detect problems in memory or concentration. Common stage 3 difficulties include: Noticeable problems coming up with the right word or name Trouble remembering names when introduced to new people Having noticeably greater difficulty performing tasks in social or work settings Forgetting material that one has just read Losing or misplacing valuable objects Increasing trouble with planning or organizing

58
Q

Obsessive-Compulsive Personality Disorder

A

condition characterized by a chronic preoccupation with rules, orderliness, and control. This disorder is only diagnosed when these behaviors become persistent and disabling. The individual with this disorder often becomes upset when control is lost. The person then either emotionally withdraws from these situations, or becomes very angry. The person often has difficulty expressing tender feelings, and rarely pays compliments.

59
Q

Substance Use Disorders

A

The primary feature of a substance use disorder is a set of cognitive, behavioral, and physiological symptoms indicating that an individual continues using a substance despite having significant problems directly related to the substance. The DSM-5 does not separate the diagnoses of substance abuse and dependence

60
Q

obsessions of OCD

A

Fear of contamination or dirt Having things orderly and symmetrical Aggressive or horrific impulses Sexual images or thoughts Fear of harm to oneself or others

61
Q

Somatic Symptom and Related Disorders

A

Somatic Symptom Disorder (See Handout) Illness Anxiety Disorder (See Handout) Conversion Disorder (Functional Neurological Symptom Disorder)

62
Q

symptoms of substance use disorder

A

Taking the substance in larger amounts or over longer periods of time than was originally intended Having a desire to decrease substance use Spending large amounts of time obtaining and using the substance Craving the drug – having an intense desire to use the substance, especially in an environment where previous use occurred Failing to fulfill major role obligations at work, school, or home Continuing to use the substance despite social or interpersonal problems related to the substance use Giving up important social, occupational, or recreational activities because of substance use Using the substance in dangerous situations Continuing to use the substance despite having a physical or psychological problem that was caused or exacerbated by the substance use Tolerance Withdrawal

63
Q

Attention-Deficit/Hyperactivity Disorder (ADHD)

A

The DSM-5 divides the symptoms of ADHD into those of inattention and those of hyperactivity-impulsivity. To be diagnosed with ADHD, children should have at least 6 inattention symptoms or 6 hyperactivity-impulsivity symptoms – to a degree beyond what would be expected for children their age. The symptoms must be present for at least 6 months, observable in 2 or more settings, and not caused by another problem. The symptoms must be severe enough to cause significant difficulties. Some symptoms must be present before age 12.

64
Q

Histrionic Personality Disorder

A

People with this disorder are usually able to function at a high level and can be successful socially and at work. Symptoms include: Acting or looking overly seductive Being easily influenced by other people Being overly concerned with their looks Being overly dramatic and emotional Being overly sensitive to criticism or disapproval Believing that relationships are more intimate than they actually are Blaming failure or disappointment on others Constantly seeking reassurance or approval Having a low tolerance for frustration or delayed gratification Needing to be the center of attention Quickly changing emotions, which may seem shallow to others

65
Q

Stage 1: No impairment (normal functioning)

A

The client does not experience any memory problems. There is no evidence of symptoms indicative of dementia.

66
Q

Schizophrenia

A

described as a psychiatric diagnosis that describes a mental illness characterized by impairments in a person’s perceptions or expression of reality Symptoms lasts for at least 6 months and includes at least 1 month of symptoms that meet Criterion A (i.e., active-phase symptoms).

67
Q

Neurodevelopmental Disorders

A

Intellectual Disability (Intellectual Developmental Disorder) Autism Spectrum Disorder Attention-Deficit/Hyperactivity Disorder (ADHD)

68
Q

Paraphilic Disorders

A

Frotteuristic Disorder Sexual Masochism Disorder Sexual Sadism Disorder Voyeuristic Disorder Exhibitionistic Disorder Pedophilic Disorder Transvestic Disorder Fetishistic Disorder

69
Q

Body Dysmorphic Disorder

A

characterized by a focus on a physical defect that is not evident to others. Specific characteristics of body dysmorphic disorder include: Preoccupation with an imagined defect in appearance Performance of repetitive behaviors (e.g., mirror checking) or mental acts (e.g., comparing appearance to others) in response to the concerns May be associated with multiple, frantic, and unsuccessful attempts to correct imagined defect by cosmetic surgery

70
Q

Severity of Substance Use Disorders

A

Mild – 2-3 symptoms Moderate – 4-5 symptoms Severe – 6 or more symptoms Not applied to caffeine

71
Q

Stage 2: Very mild cognitive decline

A

The client may feel as if he / she is having memory lapses — forgetting familiar words or the location of objects. No symptoms, however, of dementia can be detected during a medical / psychological examination or by friends, family or co-workers.

72
Q

Generalized Anxiety Disorder

A

Generalized anxiety disorder (GAD) is a pattern of frequent, constant worry and anxiety over many different activities and events, lasting for at least 6 months.

73
Q

Antisocial Personality Disorder

A

A pervasive pattern of disregard for and violation of the rights of others. Symptoms usually begin in childhood or early adolescence. Symptoms include: Use of aliases Criminal and/ or manipulative behavior Impulsivity Reckless disregard for safety of self or others Lack of remorse Irritability and aggressiveness evidenced by pattern of physical fights or assaults Deceitfulness Failure to conform to social norms and lawful behavior

74
Q

Stage 4: Moderate cognitive decline (Mild or early-stage Alzheimer’s disease)

A

At this point, a careful medical assessment should be able to detect problems in several areas: Forgetfulness of recent events Greater difficulty performing complex tasks, such as planning dinner or managing finances Forgetfulness about one’s own personal history Becoming moody or withdrawn, especially in socially or mentally challenging situations

75
Q

mental status examination should include

A

appearance

orientation

speech pattern

affect/mood

impulsive/potential for harm

judgment/insight

thought processing/reality testing

intellectual functioning/memory

76
Q
A
77
Q

psychosocial stress

A

results when there is a percieved threat (real or imagined

typically caused by ongoing problems, not single events

78
Q

traumatization

A

wehn a client experiences neurological distress that does not go away or when he or she is not able to return to a state of equilibrium

can lead to mental, social, emotional, and physical disability

79
Q

Suicide assessment (Behavioral Changes)

A

 Loss of Interest in Activities
 Tearfulness
 Atypical Sleeping Patterns
 Sudden Recovery from Depression
 Giving away possessions
 Displaying Themes of Death
 Extreme feeling of Hopelessness

80
Q
A
81
Q
A