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LMSW Licensure Prep > Diagnosis & Medication > Flashcards

Diagnosis & Medication Flashcards

1
Q

Biopsychosocial Assessment

A

Beginning of Assessment at all times. Demographic Info ; Physical health, Psychiatric history etc. assessment of biological, physiological (emotional) and social components of client’s life.

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2
Q

Social history

A

Consists of :
Identification of presenting problem
family history
sexual history

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3
Q

Collateral contacts

A

data gathered from individuals who know or who had contact with the client in order to obtain valuable information. (Ex. parents, teachers, etc.)

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4
Q

Beck Depression Inventory

A

Client completes test to see the severity of the client’s depression

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5
Q

Rorshach Inkblot Test

A

The use of inkblots to detect all other psychological issues with client. Projective testing

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6
Q

Intelligence Tests

A

Stanford-Binet Intelligence Scale

Weschsler Intelligence Scale

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7
Q

Stanford-Binet Intelligence Scale

A

highly reliable assessment of intellectual and cognitive abilities across the life span (All ages)

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8
Q

Weschsler Intelligence Scale

A

an intelligence test that measures a child’s intellectual ability and 5 cognitive domains that impact performance.

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9
Q

Learning Disabilities Tests & Communication disorder tests

A

Administered only by psychologists

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10
Q

ADHD Testing

A

Checklists are completed by parents, teachers or clients.

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11
Q

Personality Tests

A

MMPI (Minnesota Multiphasic Personality Inventory) & Myers-Briggs Type Indicator (MBTI)

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12
Q

Myers-Briggs Type Indicator (MBTI)

A

an introspective self-report questionnaire indicating differing psychological preferences in how people perceive the world and make decisions. The test attempts to assign four categories: introversion or extraversion, sensing or intuition, thinking or feeling, judging or perceiving.

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13
Q

The following situations require immediate action in the interests of the child’s safety:

A

Child abuse
Multiple recent losses
Suicidal or homicidal reference

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14
Q

Intervention for child abuse

A

report any suspected abuse or neglect if you are child welfare worker. Determine if the target child or other children in the house should be removed.

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15
Q

Intervention for suicidal reference

A
  1. Conduct a suicidal assessment when there are suicidal thoughts or mention of recent losses.
  2. Clarify if there is a plan
  3. If plan is confirmed call 911.
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16
Q

Intervention for homicidal reference

A
  1. Clarify the intent of the treat of harm to others and if there is a plan present.
  2. If plan of intent or harm is confirmed, then it is your duty to warn the person whom the threat is against.
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17
Q

Childhood Onset; Chronic Severe persistent irritability in children between 6-18; Onset typically before age 10; symptoms must be present for 12 months.
Criteria
*Severe temper Outbursts not consistent with child’s developmental age.
*Outbursts occur regularly 3 or more times per wk
at least in two different settings
*When outbursts are absent, the child’s mood is persistently irritable or angry.
*Threaten or bully siblings and parents
*Refuse to complete homework, chores or hygiene

A

Disruptive Mood Dysregulation Mood Disorder

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18
Q

involves a minimum of one major depressive episode and causes significant distress or impairment; defined as depressed mood (loos of interest or pleasure) something that is different from the client’s everyday mood.

Criteria:
at least 5 of the following symptoms have to have been present during the same 2-week period (and at least 1 of the symptoms must be diminished interest/pleasure or depressed mood).

A

Major Depressive Disorder

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19
Q

anhedonia

A

diminished interest or loss of pleasure in almost all activities

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20
Q
  • Sleep Disturbance
  • Psychomotor agitation or retardation
  • fatigue or loss of energy
  • feelings of worthlessness
  • diminished ability to think or concentrate
  • recurrent thoughts of death
  • recurrent suicidal ideation
A

Criteria for Major Depressive Disorder

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21
Q

Should a depressive mood be diagnosed if there is substance use or general medical disorder?

A

NO!

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22
Q

this disorder is characterized by depressive symptoms that do not meet the criteria for MDE; symptoms MUST be present for a minimum of two years of depressed mood. 1 year in children and adolescents)

A

Persistent Depressive Disorder

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23
Q

A mild but long term form of depression

A

Dysthymia

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24
Q

2 or more of the following:

  • poor appetite or overeating
  • insomnia or hypersomnia
  • low energy or fatigue
  • low self-esteem
  • poor concentration
  • feelings of hopelessness
A

Criteria for PDD (Persistent Depressive Disorder)

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25
Q

1 episode of mania followed by cycles of depression

A

Bipolar 1 Disorder-Manic Depressive

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26
Q

Cycles of hypo mania + depression

A

Bipolar II Disorder

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27
Q

An abnormal mood can consist of depression. mania, or hypo manic and is distinguished by intensity, duration and levels of impairment.
Bipolar I
Bipolar II
Cyclothymic disorder

A

Bipolar Related Disorder

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28
Q

Forms of Bipolar Related Disorders

A
  1. Mood Cycles
  2. Cycles of Mania (Risky Behaviors)
  3. Hypomania (an elevated mood but not enough to cause trouble;only people who know you may realize that you’re experiencing Hypomania)
  4. Depression
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29
Q

Severity of Bipolar-Related Disorders

A

mild-presence of 2 symptoms
moderate-presence of 3 symptoms
severe-presence of 4 or 5 symptoms with motor agitation

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30
Q

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and increased activity or energy, lasting at least 1 week and present most of the day, nearly every day.
3 OR MORE OF THE FOLLOWING MUST BE PRESENT:
1.inflated self-esteem or grandiosity
2. decreased need for sleep (feels rested after only 3 hours of sleep)
3. more talkative than usual or pressure to keep talking
4. flight of ideas or subjective experience that thoughts are racing
5. Distractability
6. increased in goal directed activity
7. excessive involvement in activities that have a high potential for painful consequences

A

Manic Episode

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31
Q

mood disturbance is sufficiently severe to cause impairment in social or occupational functioning or to necessitate hospitalization or there are psychotic features.
Note: at least one lifetime manic episode is required for the diagnosis of Bipolar I disorder.

A

Manic Episode II

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32
Q

episode is not severe enough to cause marked impairment in social and occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is by definition, manic.

A

Hypomanic episode

33
Q

for at least 2 years (1 year in children and adolescents) there have been numerous periods of hypo manic symptoms that do not meet the criteria for full episode and numerous periods with depressive symptoms.
Criteria for major depressive, manic or hypo manic have never been met

A

Cyclothymic Disorder

34
Q

Characterized by significant distortion in the individual’s perception of reality.
1. Hallucinations
2.Delusions or false beliefs
3.Disorganized speech
4. Negative symptoms (restricted, blunted, emotional expression or flat affect. lack of motivation)
The need of one or 3, along with other symptoms for at lease 6 months.

A

Schizophrenia Spectrum & Other related disorders

35
Q

Schizophrenia

A

begins before the age of 25 and is a lifelong illness. Symptoms usually last for at least 6 months. Significant impairment in social and occupational.

36
Q

2 or more of the following symptoms have been present for a period of one month. The individual must have 1 of the following delusions, hallucinations, disorganized speech AND

  • Negative symptoms
  • flat affect
  • psychomotor slowing or under activity
  • alogia-(Impoverished quantity or content of speech)
  • avolition- (lack of motivation; unable to complete goal oriented tasks)
  • poor social performance or self care
  • poor nonverbal communication
A

Schizophrenia

37
Q

Schizophreniform

A

meets all the criteria for schizophrenia except for duration. Symptoms occur for one month but less than 6 months.
Onset: Youths & young adults

38
Q

Schizoaffective

A

Schizophrenia & Mood disorder (Depressed or bipolar type) or catatonia
minimum of one month
schizophrenia + mood dysregulation together mostly

39
Q

Brief Psychotic Disorder

A

sudden onset of symptoms due to traumatic event. Same as schizophrenia but occurs after traumatic event.
Symptoms: emotional volatility, strange or bizarre, screaming or muteness, and impaired memory for recent events.
Symptoms last less than one month; once trauma is resolved, symptoms subside.

40
Q

Delusional Disorder

A

never meets the criteria for schizophrenia; 1 month duration; only symptom is delusions; no significant impairment; onset mid to late 30s. Ex.-Being controlled by aliens, government is using me for their project etc.

41
Q

Types of Delusional Disorders

A 
Jealous type
Erotomanic type 
Grandiose type
Persecutory Type (very common-person close to them is being attacked, harassed, cheated, persecuted, or conspired against
somatic type
42
Q

Anxiety Disorders

A

unpleasant vague sense of apprehension that is accompanied with physical symptoms. Either anxious about everything or specific things. physical symptom because of apprehension.

4 more of the following:
increased heart rate 
trembling/shaking
shortness of breath 
feeling of choking
chest pain
feeling dizzy
feelings of reality 
sweating 
nausea 
numbness/or tingling 
chills or hot flashes 
fear of loosing control 
fear of dying
43
Q

Separation Anxiety Disorder

A

developmentally inappropriate and excessive anxiety concerning separation from the home or individual person is attached too.
Symptoms must be present for at least 4 weeks in children and adolescents and 6 months in adults
2 yr old common; 10 yr old not common; causes significant impairment in social, school, occupational, or other areas of functioning

44
Q

Selective Mutism

A

Persistent failure to speak in certain situations with a demonstrated ability to talk in other situations; lasts minimum of one month; begins in preschool years (2-6 years old

Ex: School no talking; at home talkative (Child may have anxiety at school)

45
Q

Specific Phobia

A

Unwanted fear of specific objects or situations. Anxiety related to concern about harm from the feared object, concern about embarassment, or fear of consequences

46
Q

Claustrophobia

A

fear of constricted and confined spaces

47
Q

Acrophobia

A

fear of heights

48
Q

Arachnaphobia

A

fear of spiders

49
Q

Panic Disorder

A

recurrent unexpected panic attacks; begins in early 20s and common in women

50
Q

Social Anxiety Disorder (Social Phobia)

A

fear of anxiety about social situations, including contact with strangers; fear of appearing clumsy, silly or shameful; client does not want to be embarrassed.
Onset: middle teens

51
Q

Agoraphobia

A

fear of public or crowded situations

52
Q

General Anxiety Disorder

A

excessive worry and anxiety occurring more days than not, for at least 6 months; difficulty controlling worry
does not experience panic attacks

3 or more of the following symptoms:

  • restlessness, being on edge
  • easily fatigued
  • difficulty concentrating or mind going blank
  • irritability
  • muscle tension
  • sleep disturbance
53
Q

Trauma and Related Stressor Disorders

A

All of the disorders identify a trauma or stressor event as partially responsible for the development of the disorder

54
Q

Reactive Attachment Disorder

A

Disturbance is evident before age 5 and at least 9 months. consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers, manifested by both of the following child rarely or minimally seeks comfort when distressed; child rarely or minimally responds to comfort when distressed
1. Minimally social and emotional responsiveness to others
2. limited positive effect
3. unexplained irritability, sadness, ore fearfulness,
Trauma unstable attachment in E.Childhood (Ex. Foster care)

55
Q

Post-traumatic Stress Disorder (PTSD)

A

diagnosed if an individual has been involved in or witnessed a traumatic event and survived; more than 1 month; the more horrific the more likely the person would develop PTSD. (Disassociation, flashbacks, intrusive thoughts)

56
Q

Acute Stress Disorder

A

refers to individuals who develop symptoms within a short period of time after a traumatic event; use this diagnosis if the person meets the criteria for PTSD, except for duration; symptoms only last for a min. of three days and resolve within 4 weeks.

Ex. Lost Job; sitting on couch for 30 days

57
Q

Obsessive Compulsive Disorder

A

Obsessions or compulsions (repetitive), causes significant stress and impairment in other areas of functioning.

58
Q

Adjustment Disorder

A

occurs within 3 months of stressor; symptoms do not persist for more than 6 months. Ex: Lost job; sitting on the couch for 6 months.

59
Q

ADHD (Attention Deficit Disorder)

A

Must be present before 12; (1) predominantly inattentive presentation & (2) predominantly hyperactivity-impulsivity; (3) combined; Issues at home and at school

60
Q

ODD (Oppositional Defiant Disorder)

A

Childhood onset; younger than 5 symptoms must be present for at least 6 months. Older than 6, behaviors must occur once per week for 6 months.

argues with authority figures
deliberately breaks the rules
angry irritable, easily annoyed

61
Q

Conduct Disorder

A

3 or more behaviors present in the past 12 months. Aggressive, harm to others and animals, property damage serious violations of rules, property damage.

62
Q

Dissociative Disorder

A

two distinct personalities; begins in childhood; memory lapses; 2 personalities living in one body.

63
Q

Factitious Disorder

A

intentional falsification of physical or psychological signs of illness.

64
Q

factitious Disorder Imposed on Another (Muchaesen by Proxy)

A

Mothers saying their kids are sick so they can attain certain things.

65
Q

Enuresis

A

Impairment of urination at least twice a week for at least 3 consecutive months.

66
Q

Encopresis

A

expelling feces in places that are deemed inappropriate (Clothing, floor) by a child at least 4 years old.

67
Q

Pica

A

Eating at least one nonnutritive and nonfood substance. (Dirt, hair, insects & paints)

68
Q

Magical thinking

A

“I woke up on this side of the bed today so it will rain.”

69
Q

Delirium

A

State of unconsciousness and change in cognition. Rule out medical because of an episode or use of medication.

70
Q

Anti-Anxiety Medications

A 
Librium 
Xanax 
Valium (Diazepam)
Ativan (Lorazepam)
Klonipin (Clonazepam)
Restoril 
Buspar 
Beta Blockers.
71
Q

Anti-Depressants ( SSRI, Trycyclics, MAOIS

A 
Prozac
Paxil 
Zoloft 
Celexa
Lexapro 
Luvox
72
Q

Trycyclics

A 
Sinequan 
Surmontil 
Pamelor 
Elavil 
Norpramin 
Anafranil 
Asendin
Tofranil 
Vivactil
73
Q

MAOIS

A

Parnate

Nardil

74
Q

Anti-Psychotics

A 
Haldol 
Haldol Deconate 
Risperdol 
Abilify 
Seroquel
75
Q

Dystonia

A

Mini Seizures, facial and neck spasms caused by antipsychotics long use

76
Q

Akathasia

A

restlessness caused by anxiety

77
Q

Mood Stabilizers (Biopolar Disoders)

A 
Lithium 
Depakote 
Tegratol 
Topimax 
Lamictal 
Zyprexa
78
Q

Stimulants

A 
Ritalin
Adderall
Concentra 
Vyvanse
Strattera
Ritalin

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