Dimensional V Categorical Conditions, Problems with Dual Diagnosis

Question 1

The categorical model if classification assumes that:

Answer 1

Disorders have specific etiologies, pathologies, and treatment

Question 2

The categorical model of classification:

Answer 2

Does NOT account for co-occurence

Question 3

The categorical classification system was originally developed for the medical field by?

Answer 3

Emil Krapelin

Question 4

What is one of the ways the DSM-III attempted to force differential diagnosis?

Answer 4

Exclusionary criteria

Question 5

Brown, Campbell, Lehman, Grisham, and Mancill (2001) reported that _ _, of individuals in clinical setting who meet the criteria for lifetime major depressive disorder or dysthymic disorder also meet the criteria for a current or past anxiety disorder:

Answer 5

95%

Question 6

**Comorbidity **is now called:

Answer 6

Co-Occurrence

Question 7

DSM-5 has changed the terminology from NOS (not otherwise specified) to:

Answer 7

a. Co-occurence

b. Other specified*

c. Unspecified*

d. b & c*

Question 8

The DSM- 5 is now utilizing:

Answer 8

Dimensional classification

Question 9

Which category of disorders in the DSM has the MOST support to be the FIRST to shift to a dimensional classification system?

Answer 9

Personality Disorders

Question 10

The main impetus for the new DSM was:

Answer 10

c. Frustration with the current classification system (?)

Question 11

What is Dual Diagnosis?

Answer 11

Substance abuse AND at least one other clinical disorder or personality disorder (there may be more than one)

Question 12

What percentage of patients in psychiatric treatment meet the criteria for more than 1 diagnosis?

Answer 12

d. More than 50%

Question 13

Which setting would you most likely encounter a dual diagnosed patient?

Answer 13

a. Emergency Room

Question 14

Which of the following about substance use disorders (formerly substance dependence and substance abuse)** **and methodological issues in determining prevalence rates of dual diagnosis is TRUE?

Answer 14

b. Studies often use differing definitions and measures of substance use disorders, making prevalence rates diverse and difficult to compare.

Question 15

If an individual is diagnosed with a psychiatric disorder, how much more at risk are they to develop an alchohol or drug use disorder in their lifetime

Answer 15

?

Question 16

The highest rates of dual diagnoses are seen among which group?

Answer 16

a. Patients with severe mental illness (Schizophrenia, Bipolar)

Question 17

Which of the following are the most researched co-occurrence WITH substance use disorders?

Answer 17

Affective disorders (mood disorders)

Question 18

Which of the following is true about co-occurrence psychiatric disorders and substance abusers?

Answer 18

b. They experience more hospitalizations and relapses

Question 19

Which explanation does NOT fall under Causal Model Theory?

Answer 19

a. Substance-induced psychiatric disorder*

b. Feed-forward cycle

c. Social Facilitation model*
d. Self-medication model*

Question 20

What is the MOST critical issue facing assessment and diagnosis of dual diagnosis?

Answer 20

Multiple Comorbities