diagnosing with dsm5

Question 1

rule out

Answer 1

physical health diagnosis that can cause behavioral health symptoms

Question 2

safety check

Answer 2

ensure self and others are safe

Question 3

look for significant

Answer 3

patterns of behavior, changes, loss of functioning

Question 4

age matters

Answer 4

same symptoms will have different diagnosis at different ages

Question 5

how long/different onset times will indicate

Answer 5

different diagnosis

Question 6

consider least restrictive

Answer 6

treatment environment

Question 7

recognize that SW works within medical model and sometimes

Answer 7

meds are best practices

Question 8

psychotic symptoms don’t necessarily indicate schizophrenia or MI

Answer 8

could be mood/substance use/borderline
fevers, allergic reactions, hormone changes, poison, sleep loss, physical health conditions
RULE OUT PHYSICAL HEALTH CONDITIONS FIRST

Question 9

watch for term contraindicated

Answer 9

something not safe or recommended

Question 10

intellectual disability=intellectual disability disorder

Answer 10

requires deficits in adaptive function and cognitive capacity assessment
onset in developmental years
IQ less than 70; mild, moderate, severe, profound

Question 11

autism spectrum disorder

Answer 11

childhood onset and deficits in social communication and interaction, restricted/repetitive activities/behaviors and interests, more common in boys

Question 12

ADHD

Answer 12

inattention, hyperactivity and impulsiveness

must be in 2 domains-school, work, home so need collateral info

Question 13

tic disorders (e.g. tourettes)

Answer 13

tics may come and go but need to be present for 1 year

Question 14

schizoaffective

Answer 14

need bipolar or depressive mood episode throughout

Question 15

bipolar

Answer 15

changes in energy/activity level as well as mood

Question 16

persistent depressive disorder

Answer 16

covers chronic MDD and dysthymic diagnosis; SAD in winter with less sun

Question 17

disruptive mood dysregulation disorder

Answer 17

for kids under 18 instead of bipolar diagnosis

Question 18

separation anxiety diagnosis

Answer 18

onset at any age, need symptoms for at least 6 months, common for kids with school phobia

Question 19

panic disorder and agoraphobia

Answer 19

separate and distinct diagnosis; agoraphobia–can have intense anxiety and fear without panic attacks

Question 20

OCD and related

Answer 20

repetitive behaviors and compulsion, insight specifier and allow for delusional beliefs (not psychotic diagnosis)

Question 21

adjustment disorder

Answer 21

specifiers: depressed mood, anxiety, conduct disturbance; use after stressful event

Question 22

PTSD

Answer 22

criterion for how people experience traumatic event, lower threshold for kids 6 and under, 4 symptom clusters–arousal, avoidance, persistent negative changes in cognition and mood, re-experiencing

Question 23

acute stress disorder

Answer 23

qualifier for event being witnessed or experienced; symptoms needed in each category–arousal, avoidance, dissociation, intrusion and negative mood

Question 24

reactive attachment disorder

Answer 24

from social neglect
results in emotionally and or socially disengaged individuals who have difficulty forming attachments to care giving adults

Question 25

dissociated identity disorder

Answer 25

2+ distinct personalities as well as observable/self-reported identity transitions and gaps in memory of daily events; not diagnosable if caused by a medical condition, substance us, widely accepted cultural or religious practice

Question 26

somatic symptoms and related disorder

Answer 26

can be diagnosed with medical conditions, may or may not be related

Question 27

factitious disorder

Answer 27

can be imposed on self or another (by proxy); repeated, unexplained illness, form of child abuse

Question 28

anorexia

Answer 28

behaviors with low caloric intake, low weight

Question 29

bulimia

Answer 29

binging and compensatory behaviors once a week over 3 months

binge eating disorder–binging and distress but no compensatory behaviors

Question 30

conduct disorder

Answer 30

can be childhood or adolescent onset, or unspecified

precursor to antisocial personality

Question 31

antisocial personality disorder

Answer 31

only personality disorder can’t give to someone younger than 18;

Question 32

schizoid personality

Answer 32

detachment from social relationships and restricted range of emotions, activities, and interests
schizotypal personality–compromised social relationships with odd beliefs, magical thinking, suspiciousness/paranoid

Question 33

enuresis can be dinural, nocturnal, or both

Answer 33

encopresis can be with or without constipation and overflow inconvenience

Question 34

Rhett syndrome

Answer 34

rare genetic disorder, persistent and progressive developmental regression after period of normal development; age of onset before age 4 (usually 1-2); symptoms–stereotypical hand movements, problems with coordination of gait and trunk movements, profound intellectual disability, severe expressive and receptive language development; FEMALES ONLY

Question 35

fragile x syndrome

Answer 35

genetic abnormality on X chromosome that leads to intellectual disability and behavior problems

Question 36

delirium

Answer 36

changes in level of consciousness/orientation, changes in cognition and perceptions; difficulty shifting and maintaining attention, delirious
caused by medical condition, substance use; medical emergency
rapid, acute symptoms onset which fluctuate overtime

Question 37

dementia

Answer 37

disturbance involving memory impairment and other cognitive impairments, caused by medical condition (series of strokes), progressively worse over time

Question 38

cluster A personality

Answer 38

odd and eccentric; paranoid, schizoid, schizotypal

Question 39

cluster B personality

Answer 39

dramatic, emotional, erratic

antisocial, borderline, histrionic, narcissistic,

Question 40

cluster C personality

Answer 40

anxious and fearful

avoidant, dependent, obsessive compulsive