Combined Quizzes

Question 1

1) Name one difference between the DSM-5 and the DSM5-TR

Answer 1

a. DSm-5-TR takes into account and recognizes cultural competency issues and inclusivity

Question 2

2) List three main diagnostic criteria for Hoarding Disorder:

Answer 2

a. Persistent difficulty discarding or parting with possession, regardless of their actual value
b. The difficulty is due to a perceived need to save the items and to distress associated with discarding them
c. The difficulty discarding possession results in the accumulation of possession that congest and clitter active living areas and substantially comprises their intended use. If living areas are uncluttered, it is only b/c of the interventions of third parties

Question 3

3) Briefly summarize how the DSM-5 conceptualizes severity for Schizophrenia

Answer 3

a. Dimensionally, with current severity of the primary symptoms of psychosis (delusions, hallucinations, disorganized speech, abnormal psychomotor bx, and negative sx) rated by the clinician on a 5-point scale ranging from 0 (not present) to 4 (present and severe). The severity rating is not, however, required for dx.

Question 4

4) Please list 2 diagnostic criteria for Antisocial Personality Disorder (DSM-5)

Answer 4

a. Must be at least 18 years old

b. Pervasive Pattern of disregard for and violation of the rights of others, occurring since age 15 as indicated by 3 or more:
i. Failure to conform to social norms with respect to lawful behaviors
ii. Impulsivity or failure to plan ahead
iii. Reckless disregard for others safety

Question 5

5) Please describe one STRENGTH or ADVANTAGE of formal DSM diagnosis and one LIMITATION or CRITICISM of formal DSM diagnosis:

Answer 5

a. Strength: Allows shorthand communication between clinicians and allows for consistency in the field
b. Weakness: reduces humans to a diagnostic label and may muss important characteristics that don’t fit into a criteria

Question 6

6) Is the following statement TRUE or FALSE?

he current version of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders is the DSM-5-TR; the current version of the World Health Organization’s International Classification of Diseases is ICD-11, and the current HIPAA-compliant coding systems in the United States is ICD-10-CM.

Answer 6

TRUE

Question 7

7) List one specific change from the DSM-5 to the DSM-5-TR

Answer 7

a. An increased focus on inclusion and cultural awareness
b. The addition of Prolonged Grief Disorder

Question 8

8) Please select the most accurate statement (select ONE):
a. In reality, both the DSM and ICD systems share a number of similarities, and each system has its own strengths and limitations; informed practitioners should be knowledgeable about both systems and apply their clinical judgment thoughtfully in diagnosing clients.
b. ICD best
c. DSM best

Answer 8

a

Question 9

9) List Criteria of a Major Depressive Episode

Answer 9

a. Five or more of the following symptoms have been present for the same 2-week period and represent a change from previous functioning at least of the symptoms is either depressed mood or loss of interest and pleasure
i. Fatigue or loss of energy
ii. Feelings of worthlessness
iii. Insomnia or hypersomnia
iv. Depressed mood
v. Psychomotor agitation or retardation
vi. Lack of interest or pleasure in activates that previously brought joy
vii. Diminished ability to think or concentrate
viii. Recurrent thoughts of death or SI
ix. Significant weight loss
b. Symptoms cause clinically significant distress or impairment
c. Episode is not attributable to the physiological effects of a substance

Question 10

10) List 2 Criteria for MDD

Answer 10

a. Five or more of the following symptoms present during 2 week period and represent change of function, must have depressed moor or loss of interest and pleasure
b. There has never been a manic or hypomanic episode

Question 11

11) Darkness Visible
a. Author William Styron died on November 1, 2006, at the age of 81, at his home on Martha’s Vineyard, of complications related to pneumonia. Based on your careful reading of Darkness Visible, very briefly mention what is interesting about this specific cause of death?

Answer 11

i. He mentioned it as a possible method of suicide.

Question 12

12) Please list 3 of the “Criterion A” symptoms for SCHIZOPHRENIA

Answer 12

a. Characteristic symptoms: Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated):
i. Delusions
ii. Hallucinations
iii. Disorganized speech (e.g., frequent derailment or incoherence)
iv. Grossly disorganized or catatonic behavior
v. Negative symptoms (i.e., diminished emotional expression or avolition

Question 13

13) TRUE OR FALSE: DSM-5-TR diagnostic criteria for SCHIZOPHRENIFORM DISORDER require the presence of symptoms lasting at least 1 month but less than 6 months. If symptoms are present for 6 months or more, a diagnosis of SCHIZOPHRENIA should be made (assuming other criteria are met).

Answer 13

TRUE

Question 14

14) A DSM-5-TR diagnosis of SCHIZOAFFECTIVE DISORDER requires, in addition to other criteria (1 point):

Answer 14

i. An uninterrupted period of illness during which there is either a Major Depressive Episode or a Manic Episode concurrent with symptoms that meet Criterion A for Schizophrenia
ii. Delusions or hallucinations for at least 2 weeks in the absence of a major mood episode during the lifetime duration of the illness

Question 15

15) The Clinician-Rated Dimensions of Psychosis Symptoms Severity rating scale asks clinicians to rate 8 of their client’s possible symptoms from the 7 days on a 5-point scale from 0 (Not present) to 4 (Present and severe). Use of this rating scale is (1 point):

Answer 15

a. Optional; it is recommended, but not required for diagnosis

Question 16

TRUE or FALSE: Exposure to a phobic stimulus which only occasionally provokes an immediate anxiety response can still meet diagnostic criteria for Specific Phobia.

Answer 16

FALSE

Question 17

TRUE or FALSE:

Among other things, Panic Disorder requires recurrent unexpected Panic Attacks followed by at least 1 month of behavioral changes and/or concerns about having additional attacks or the implications of the attack (or its consequences).

Answer 17

TRUE

Question 18

TRUE or FALSE:

In the context of OCD, obsessions are “recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress” and that the individual attempts to ignore, suppress, or neutralize.

Answer 18

TRUE

Question 19

TRUE OR FALSE

To qualify for a diagnosis of OCD, a person must have “good insight” – that is, to meet diagnostic criteria, they must recognize that the disordered beliefs are not true.

Answer 19

FALSE

(“With good or fair insight” is now a specifier for OCD, and involves the individual recognizing that the OCD beliefs are “definitely or probably not true or that they may or may not be true,” DSM-5-TR).

Question 20

TRUE OR FALSE

Generalized Anxiety Disorder requires excessive anxiety and worry occurring more days than not for at least six months, and requires anxiety around more than one event or activity.

Answer 20

TRUE

Question 21

TRUE OR FALSE

The Anxiety Disorders are mutually exclusive from one another, and mutually exclusive from the Personality Disorders (such as Avoidant Personality Disorder); that is, a person can be diagnosed with only one Anxiety Disorder at a time, and cannot be diagnosed with an Anxiety Disorder AND a Personality Disorder.

Answer 21

FALSE

In fact, there is high co-occurrence among both, and there is so much overlap between Avoidant Personality Disorder and Social Anxiety Disorder that, “It has been suggested that they may represent different manifestations of similar underlying problems, or avoidant personality disorder may be a more severe form of social anxiety disorder” (DSM-5-TR, p. 767).

Question 22

TRUE OR FALSE

If a person experiences intense fear or discomfort in which symptoms develop and reach a peak within 10 minutes, you diagnose the person with “Panic Attack,” unless criteria are also met for Panic Disorder, in which case you diagnose the person with “Panic Disorder, Panic Attack specifier.

Answer 22

FALSE

Panic Attack is not a codable disorder, and the symptoms of Panic Attack are built into Criterion A for Panic Disorder, so the additional specifier is not given).

Question 23

TRUE OR FALSE

Hoarding Disorder does NOT require clinically significant distress or impairment.

Answer 23

FALSE

Question 24

TRUE OR FALSE

Separation Anxiety Disorder, Trichotillomania (Hair-Pulling Disorder), and Excoriation (Skin-Picking) Disorder can only be diagnosed in children under the age of 15.

Answer 24

FALSE

All can be diagnosed in adults.

Question 25

TRUE OR FALSE

Agoraphobia requires marked fear or anxiety about at least 2 of 5 characteristic situations, including using public transportation; being in open spaces, enclosed spaces, or outside of the home alone; or standing in line or being in a crowd.

Answer 25

TRUE

Question 26

Consider the DSM-5-TR diagnoses of Agoraphobia, Social Anxiety Disorder, Specific Phobia, and Generalized Anxiety Disorder. How do they differ, in terms of what the person is afraid of? Briefly summarize the principal focus of the individual’s anxiety for each disorder (a chart or list is fine).

Answer 26

Agoraphobia (from the Greek for “fear of the marketplace”) involves anxiety about being “trapped” in circumstances from which it is difficult to escape, or in which help might not be available in the event of developing panic or other embarrassing or incapacitating symptoms. It primarily involves fear and/or avoidance of public, crowded, or confined situations, although the presence of a companion may help.

Social Anxiety Disorder, in contrast, involves a fear specifically of being scrutinized and showing anxiety symptoms or acting in a way that will be judged by others and may share some characteristics with Avoidant Personality Disorder, which focuses on pervasive feelings of inadequacy, sensitivity to criticism, and avoidance of social situations from relatively early in life and in most contexts).

Specific phobia involves fears about a specific object or situation, such as animals or flying in an airplane.

Finally, Generalized Anxiety Disorder involves excessive anxiety and worry (apprehensive expectation) about a number of events or activities. Although the anxiety in GAD relates to multiple issues and causes clinically significant distress, it is not focused specifically on fears related to panic symptoms or embarrassment.

Question 27

Please match the diagnosis to the correct language regarding timeframe for symptoms for each of the following

A. PTSD
B. Acute Stress Disorder C. Adjustment Disorder

Answer 27

PTSD: 1 months

Acute: 2. 3 days -1 month

Adjustment: within 3 months of event, terminating after 6 months

Question 28

TRUE OR FALSE

The principal distinction between Acute Stress Disorder and Adjustment Disorder is that Adjustment Disorder requires a much more severe trauma to qualify for diagnosis. While Acute Stress Disorder requires only “an identifiable stressor,” Adjustment Disorder requires “Exposure to actual or threatened death, serious injury, or sexual violation” (1 point).

Answer 28

FALSE

The types of events that qualify as “trauma” for the purposes of diagnosing Acute vs. Posttraumatic Stress Disorder are identical; the “identifiable stressor” language comes from Adjustment Disorder, Criterion A.]

Question 29

3) To diagnose a personality disorder, you must establish that the individual’s symptoms satisfy the GENERAL PERSONALITY DISORDER criteria. Criterion A requires “An enduring pattern of inner experience and behavior that deviates markedly from the expectations for the individual’s culture. This pattern is manifested in two (or more) of the following areas:” List at least TWO of the FOUR areas

Answer 29

Cognition

affectivity

interpersonal functioning

impulse control

Question 30

List five symptoms of Borderline Personality Disorder (not the General PD criteria, but five of the nine characteristics listed under the specific diagnosis

Answer 30

Efforts to avoid to real or imagined abandonment

pattern of instable or intense interpersonal relationships

identity disturbance

impulsivity in 2 areas that are self-damaging

recurrent suicidal ideation

affective instability due to reactivity of mood

chronic feeligns of emptiness

inaorpirate intense anger

transient, stress-related paranoid ideation

Question 31

TRUE/FALSE

Maraya is a 15 year old whose behavior suggests a longstanding and pervasive disregard for and violation of the rights of others. You should probably diagnose her with Antisocial Personality Disorder

Answer 31

FALSE

[Criterion B of Antisocial PD requires that the person be at least age 18 years.]

Question 32

Kora, a 6-year-old child with a developmental age commensurate to his chronological age, has for years exhibited a consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers as well as persistent social and emotional disturbance. When distressed, he rarely seeks or responds to comfort; he has limited positive affect and minimal social and emotional responsiveness to others. You know that Kora came from an unstable, disruptive home situation and changed foster care placements numerous times in the first few years of his life. Assuming other criteria were met, what Trauma- and Stressor-related diagnosis would you be thinking of for Kora

Answer 32

Reactive Attachment Disorder (

Question 33

Per DSM-5-TR, a diagnosis of Intellectual Developmental Disorder (Intellectual Disability) requires which of the following?

a) Deficits in intellectual functions
b) Deficits in adaptive functioning
c) Onset of deficits during the developmental period
d) All of the above
e) A and B only

Answer 33

d) All of the above

Question 34

A diagnosis of Autism Spectrum Disorder requires “Persistent deficits in _______ communication and social interaction across multiple contexts,” as well as “______, _____ patterns of behavior, interests, or activities”

Answer 34

social

restricted

repetitive

Question 35

TRUE or FALSE

Major Neurocognitive Disorder differs from Mild Neurocognitive Disorder principally in that Major ND requires evidence of a significant cognitive decline from a previous level of performance in one or more cognitive domains, and the cognitive deficits DO interfere with independence, while Mild ND requires evidence of only a modest/mild decline, and the cognitive deficits do NOT interfere with capacity for independence in everyday activities

Answer 35

TRUE

Question 36

Before making the diagnosis in Bonus Question #2, above, what Neurodevelopmental Disorder would you need to screen for in Kora’s case

Answer 36

autism

Question 37

You are doing an intake with a client who presents with 3 symptoms of inattention under Criterion A(1) of ADHD, and with 3 symptoms of hyperactivity and impulsivity under Criterion A(2) of ADHD. All other diagnostic criteria for ADHD are met. Can you diagnose the client with ADHD? Why or why not? Does the client’s age matter in this scenario? (1 point; must answer all three questions correctly for full credit

Answer 37

NO; not enough symptoms under either Criterion A(1) or Criterion A(2) (depending on the client’s age, must have at least 5 or 6 symptoms under one or the other – you don’t combine them (wording need not be exact); NO (even if the client were 17 or older, you need 5 under A(1) or A(2), and here there are only 3 under each, so not enough either way—they don’t need to write out this part; just an explanation why age doesn’t matter under this scenario).