Assessment & Diagnosis Flashcards
T or F psychotic symptoms always indicate schizophrenia
False
Bipolar 1, major depression, substance abuse disorders, delusion disorder, borderline personality, and schizoaffective disorder all all conditions that may include what type of symptoms?
Psychotic symptoms
Can schizophrenia be diagnosed without a period of active psychotic symptoms?
No
Bipolar disorder requires at least 1 period of what?
Mania
A diagnosis of schizophreniform disorder can be given if patient experiences psychotic symptoms for how long?
Less than 6 months
A diagnosis of brief psychotic disorder can be given if a patient experiences psychotic symptoms for how long?
Less than 1 month
A diagnosis of schizophrenia can be given if patient experiences psychotic symptoms for how long?
6 months or more
T or F antisocial personality disorder is only diagnosed in individuals younger than 18 years
False older than 18
T or F to receive a diagnosis of antisocial personalty disorder a client must have symptoms before age 15
True
A client who exhibits antisocial symptoms under age 18 can be diagnosed with…
Conduct disorder
PTSD, acute stress disorder, adjustment disorder, and bereavement are examples of
Reactional disorders
Describe a malingering disorder
Faking or producing symptoms in order to obtain an external reward or achieve a goal
What do these disorders have in common?
- all personality disorders
- schizophrenia > 6 months
- dysthymic disorders
- generalized anxiety > 6 months
- hypochondria > 6 months
- somatization - several years
- obsession
- Paraphernalia
- sexual dysfunction
- dyssomnia
chronic disorders
Describe a factitious disorder
Producing symptoms due to a psychosocial need to adopt the sick role
Named the disorder associated with fictitious disorders that produce physical symptoms
Muchausen syndrome
Describe ADHD
Includes failure to remain attentive to various situations
Requires symptoms to occur in 2 different settings
T or F Muchausen’s Syndrome by Proxy is considered a form of child abuse
True
Describe Conduct Disorders
Repetitive and persistent pattern of conduct which violates either the basic rights of others or age appropriate social norms
What diagnosis must you have as a child in order to receive a diagnosis of antisocial personality disorder as an adult?
Conduct disorder
What is the most effective tx for antisocial personality disorder?
Environenentally based treatment
Describe oppositional disorder
Display aggressiveness by patterns of obstinate but generally passive behavior
Defiance cannot be result of any other disorder
T or F children with oppositional disorder also have symptoms of conduct disorder
False
How much more frequent is autism in males than females?
4-5 times more frequent
Describe autism disorder
- onset during infancy or before age 3
- failure to develop usual relatedness to parents and other people
- infants lack smile, avoid eye contact, fail to cuddle
- failure to develop normal language
What is the key abnormal impairment for autistic children?
Communication & social interactions
- severe and sustained impairment of social interactions
- repetitive patterns of behavior
- normal language & cognitive development
Are symptoms of
Asbergers
Symptoms of depression in children may include
Failure to gain expected weight, refusal to go to school,nfear parents might die, irritability
T or F a child with asbergers will have impairment in communications
False
What percentage of teen suicides are linked to depression?
80%
T or F behavioral and somatic symptoms of depression are most prominent in children and teens
True
Elimination of feces in inappropriate places that is usually involuntary and must occur at least 1 time a month for 3 months in a child at least 4 years old is called
Encopresis
Describe stereotypic movement disorder
Motor behavior that is repetitive w/ function and interferes with activities it can cause bodily injury if untreated
Common up to age 5 and more prevalent in boys an be caused by genetics, uti, or inability to wake up
enuresis
Regression after a period of normal development, onset usually before age 4 associated with stereotypical hand movements, problems with walking, mental retardation, only in females
Rhett’s Disorder
Patients w/ prolonged illnesses as children always have
delays in attaining average outcomes
Fear of pain
algophobia
fear of heights
acrophobia
This disorder is characterized by difficulty with vaginal pain and anxiety about pain during intercourse, symptoms must be present for at least 6 months
genitopelvic pain/penetration disorder
IN this stage of change, clients are unaware, unable, or unwilling to change there is the greatest lack of motivation and resistance
precontemplation
In this stage of change, clts are ambivalent or uncertain regard behavior change but is willing to look at pros and cons of change
contemplation
T or F biopsychosocial stress is usually caused by 1 event
F
_____ is a structured way of observing and describing a client’s current state of mind, under the domains of appearance, attitude, behavior, mood, affect, speech, thought process, thought content, perception, cognition, insight, and judgement
mental status exam
T or F Diagnostic information should always be shared with clients and used to facilitate the establishment of intervention plans?
T
Existing with or at the same time
comorbid
not recommended or safe to use
contraindicated
false fixed belief despite evidence to the contrary
delusion
confusion with regard to person, time or place
disorientation
disturbance or change in the usually integrative functions of memory, identity, perception, or consciousness
dissociation
depression caused by biochemical imbalance rather than psychosocial stressor
endogenous depression
depression caused by external events
exogenous depression
shared delusion
folie a deux
hearing, seeing, smelling, or feeling something that is not real
hallucination
subsequent to onset of an illness
postmorbid
prior to the onset of an illness
premorbid
experiencing delusions or hallucinations
psychotic
