Classification of Mental Illness-Ryst Flashcards

1
Q

What is a medical disorder?

A

constellation of symptoms

-associated w/ a cause, mode of transmission, age of onset, natural course of symptoms, and treatments

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2
Q

Why do we make medical diagnoses?

A

communication b/w providers, researchers, informs treatment planning

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3
Q

T or F

Symptoms do not equal a psychiatric disorder

A

T

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4
Q

Psychiatric disorders are (blank) based

A

criterion-based

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5
Q

What are the three things that make a psychiatric disorder?

A

symptoms, distress, disability

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6
Q

What is the structure of the DSM-5?

A
I. DSM-5 basics
II. Essential elements- diagnositic criteria and codes
III. emerging measures and models
-appendix
-index
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7
Q

What do you find in section I of DMS-5?

A
  • history
  • guide to use of manual
  • forensic statement
  • DMS-5 classification summary
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8
Q

A (blank) is a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning.

A

mental disorder

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9
Q

An expectable or culturally approved response to a common stressor or loss, such as the death of a loved one, (is not/is a) a mental disorder.

A

not

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10
Q

Socially deviant behavior (e.g., political, religious, or sexual) and conflicts that are primarily between the individual and society (are/ are not) mental disorders unless the deviance or conflict results from a dysfunction in the individual, as described above.

A

Are not

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11
Q

Mental disorders are usually associated with what?

A

signif distress or disability in social, occupational, or other important activities

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12
Q

T or F

A mental diagnosis is equivalent to a need for treatment

A

F!!!!! The diagnosis of a mental disorder is not equivalent to a need for treatment

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13
Q

Approaches to validating diagnostic criteria for discrete categorical mental disorders have included the following types of evidence…..???

A

Antecedent validators
Concurrent validators
Predictive validators

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14
Q

What kind of validators are these:

similiar genetic markers, family traits, temperament, environmental exposure

A

Antecedent validators

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15
Q

What kind of validators are these:

similiar neural substrates, biomarkers, emotional and cognitive processing, and symptoms similiarity

A

Concurrent validators

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16
Q

What kind of validators are these:

similiar to clinical course and treatment response

A

predictive validators

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17
Q

What section is this:
-part of text that is separate from main body and can help clinically but arent considered valid yet (needs more evidence based research)

A

Section III

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18
Q
What section is this:
Assessment Measures
Cultural Formulation
Alternative DSM-5 Model for Personality Disorders
Conditions for Further Study
A

Section III (emergine measures and models)

19
Q
What are these:
Attenuated Psychosis Syndrome
Depressive Episodes With Short Duration Hypomania
Persistent Complex Bereavement Disorder
Caffeine Use Disorder
Internet Gaming Disorder
Neurobehavioral Disorder Due to Prenatal Alcohol Exposure 
Suicidal Behavior Disorder
Non-suicidal Self-Injury
A

Conditions for further study (located in section III)

20
Q

What Does the optional measure section of DSM 5 provide you ?

A

gives info of high revelance to prognosis, treatment planning and outcome BUT does not make a diagnosis!!

21
Q

In DSM-5, the optional sectn what sections does this include?

A

Level 1 and Level 2 Cross-Cutting Symptom assessments
Diagnosis-specific Severity ratings
Disability assessment

22
Q

Who completes the optional measurement section of DSM-5?

A

Patient, informant, or clinician completed depending on the measurement

23
Q

(blank) is the recommended, but not required, assessment for disability

A

WHODAS 2.0

24
Q

What are the domains of WHODAS?

A
Understanding and communicating
Getting around
Self Care
Getting along with people
Life activities
-household
-work or school
Participation in Society
25
New patient comes in complaining of depression. What else do we need to know before making a diagnosis?
Other symptoms Symptom severity Distress Disability
26
What is the diagnostic crtieria?
- symptoms - severity - duration
27
What is the criteria for major depressive disorder?
5 or more of the 9: depressed mood, decr interests/pleasure, weight change, sleep change, agitation, fatigue, worthless/guilt feelings, decr conc and memory, thoughts of death Duration: 2 weeks or more Severity: signif distress and/or functional impairment
28
Can you have a major depressive disorder without being sad?
yes
29
(blank) suggests a diagnostic category
Chief complaint
30
What are the strategies for differential diagnosis?
- chief complaint suggests a diagnostic category - medical factors must be identified - consider role of substance abuse - second differential (related to condition) - affects patient care
31
In the DSM what does the diagnosis provide you with?
has a set of criteria, has therapeutic and prognostic implications
32
What is the structure of disorder chapters?
- criteria - subtypes and/or specifiers - severity - explanatory text
33
What do you find in the explanatory text
- diagnostic and associated features - prevalencee - development and course - risk and prognosis - culture and gender related factors - diagnostic factors - functional consequences - differential diagnosis - comorbidity
34
What are the categories of depression?
- adjustment disorder - major depressive disorder - dysthymia - bipolar disorder, depressed state - substance induced depression - depression secondary to a medical disorder
35
Do symptoms indicate a disorder?
no
36
An acute stress disorder lasts how long?
up to 4 weeks
37
How long does PTSD last?
greater than 3 months
38
How long can you have schizophreniform?
max 6 months
39
How long does schizophrenia last?
greater than 6 months
40
What is this: pervasive personality style involving preoccupation with orderliness, perfectionism, mental and interpersonal control. Rigid, perfectionistic, miserly, stubborn. Devotion to work excludes social/leisure pursuits.
Obsessive Compulsive Personality Disorder
41
What is this: | pervasive distrust and suspiciousness of others
Paranoid PD
42
(Blank) can present like depression.
Hypothyroidism
43
Before you diagnosis depression what must you rule out?
substance induced mood disorder