DSM-5 Flashcards

1
Q

What is a mental disorder?

A

Significant disturbance in a person’s cognition, emotional state, or behavior that reflects dysfunction in mental functioning.

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2
Q

3 considerations for diagnostic assessment

A
  1. problem interferes with daily functioning
  2. environmental context in which behaviors are occurring
  3. Culture of both client and practitioner
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3
Q

Disorders are ________ that are now seen as dysfunctional and causing great distress in adult life.

A

coping strategies

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4
Q

Diagnosis

A

The process of identifying a problem and its underlying causes

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5
Q

Diagnosis vs Assessment

A

Diagnosis: seeking underlying causes
Assessment: the analysis

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6
Q

Positives of assessment:

A

uniform diagnosis, improves communication, basis for education

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7
Q

Negatives of Assessment

A

lead to diagnostic labels, limited info on environment, doesn’t describe intervention strategy

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8
Q

DSM:

A

diagnostic statistical manual of mental disorders

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9
Q

DSM-5 came out which year?

A

2013

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10
Q

DSM 1 characteristics:

A

Biopsychosocial model, psychoanalystic, 106 disorders

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11
Q

DSM 2 characteristics

A

Eliminated disease model, treatment aimed at treating disease, 182 disorders

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12
Q

DSM 3 characteristics

A

No belief in brain plasticity, treatment couldn’t affect structure of brain, use disease model for observations, multi-axial review introduced, 265 disorders

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13
Q

DSM 3 revision characteristics

A

standardized diagnostic criteria/categories

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14
Q

DSM 4 characteristics

A

retained some disease model, retained multi-axial system, NOS concepts introduced

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15
Q

DSM 5 characteristics

A

New classification system, severity scores replace GAF, more dimensional focus, respect for age culture and gender, dedication to children, suicide risk, risk factors

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16
Q

DSM 4 Axis 1

A

clinical disorders

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17
Q

DSM 4 Axis 2

A

personality disorders

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18
Q

DSM 4 axis 3

A

general medical conditions

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19
Q

DSM 4 axis 4

A

psychosocial and environmental problems

20
Q

DSM 4 axis 5

A

global assessment of functioning (GAF)

21
Q

Which axes are combined in the DSM 5?

A

1 2 and 3

22
Q

Section 1 of DSM 5

A

introduction

23
Q

section 2 of dsm 5

A

20 classifications

24
Q

section 3 of dsm 5

A

assessments and diagnostics

25
Q

Dystonic conditions

A

(good insight) client experiences distress and has no capacity to cope with condition, motivated for therapy

26
Q

Syntonic conditions

A

(absent insight) heavily defended, reluctant to change, resistant to therapy

27
Q

0 severity

A

no impairment, GAF 100-71

28
Q

1 severity

A

mild impairment, GAF 70-61

29
Q

2 severity

A

moderate impairment, GAF 60-51

30
Q

3 severity

A

severe impairment, GAF 50-31

31
Q

4 severity

A

very severe impairment, GAF 30-1

32
Q

How many criteria for mild impairment?

A

2

33
Q

How many criteria for moderate impairment?

A

4

34
Q

How many criteria for severe impairment?

A

6

35
Q

Subtype:

A

mutually exclusive subgroupings within a diagnosis

36
Q

Provisional Diagnosis

A

used with a strong presumption that full criteria will be met for diagnosis but not enough info to confirm

37
Q

Unspecified disorders

A

meet category description but not criteria for disorder

38
Q

Other specified disorder:

A

communicate reason that client doesn’t meet criteria for any specific category

39
Q

3 psychological factors in assessment

A
  1. mental functioning
  2. cognitive functioning
  3. assessment of lethality
40
Q

2 biomedical factors in assessment

A
  1. general medical (physical disability of illness and how it affects daily living)
  2. perceived overall health status
41
Q

5 social/environmental factors

A
  1. social help seeking
  2. occupational participation
  3. social support
  4. family support
  5. ethnic/religious affiliation
42
Q

culture

A

sum total of knowledge passed on from generation to generation within an given society

43
Q

cognitive schemas

A

learned structures of cognition used by an individual to make sense of the world

44
Q

are cognitive schemas dependent on cultural learning to a large extent?

A

yes

45
Q

Brain plasticity

A

neural structures can adapt to stressors