DSM update Flashcards
Harriett seeks continual approval and attention from her supervisor and peers, is affectionate towards coworkers and especially flirty with the males at work social functions and, if criticized, becomes extremely hurt and angry, despite how minor of an incident.
What is the most likely diagnosis - histrionic personality disorder or bordelrine and how do you know?
Harriett’s symptoms describe excessive attention-seeking, reactivity and emotionality which are most consistent with a diagnosis of histrionic personality disorder. While her mood may be somewhat unstable, she does not demonstrate other characteristics of borderline personality disorder such as a pervasive pattern of unstable interpersonal relationships, marked impulsivity and instability of self-image and affects, as well as suicide threats.
What is parasuicidal behavior and which intervention targets it?
Parasuicide includes intentional, non-fatal, serious, self-harming behaviors such as cutting or burning. Reducing parasuicidal behaviors is a primary and explicit target of dialectical behavior therapy (DBT), which was developed to treat Borderline Personality Disorder as parasuicidal behaviors are frequently exhibited by individuals with BPD.
Insulin, which is released by the ________, is involved in the uptake and use of glucose and amino acids. Hypoinsulinism produces ___________. When untreated, this diesease results in _______________________.
Insulin, which is released by the pancreas, is involved in the uptake and use of glucose and amino acids. Hypoinsulinism produces diabetes mellitus (excessive blood glucose). When untreated, diabetes mellitus results in increased appetite with weight loss, apathy, confusion, mental dullness, polyuria, polydipsia, and increased susceptibility to infection.
Grand mal seizures involve a tonic phase (_______)which is then followed by a clonic phase (_______).
(what happens in each stage)
Grand mal seizures involve a tonic phase (extension of the limbs), which is then followed by a clonic phase (violent rhythmic contractions).
In Dissociative Amnesia, memory loss is usually for information acquired __________ the emotional trauma that brings on the symptoms. There is typically a gap or a series of gaps in recall for the individual’s life history. By contrast, in some forms of Amnestic Disorder (e.g., in Amnestic Disorder Due to a Brain Injury), memory loss is typically for information ________________.
In Dissociative Amnesia, memory loss is usually for information acquired after the emotional trauma that brings on the symptoms. There is typically a gap or a series of gaps in recall for the individual’s life history. By contrast, in some forms of Amnestic Disorder (e.g., in Amnestic Disorder Due to a Brain Injury), memory loss is typically for information in a circumscribed period of time immediately before the injury occurs. All of the other choices describe features that typically distinguish between Dissociative Amnesia and amnesia due to known physical causes
What does the research say about children of depressed parents? Risk with one depressed parent vs risk with two depressed parents
Research findings show having a biological parent with depression increases an offspring’s risk for major depression. What may be surprising however is that the risk is similar whether one or both parents experience major depression. Studies also indicate maternal and paternal depression affect biological offspring similarly in terms of rates of major depression
Differentiate the terms:
systematized delusion vs.
delusion of reference vs.
persacutory delusion.
A delusion of reference is one in which the person believes that objects or events in the immediate environment have an unusual and particular significance to him or her. In a persecutory delusion, the person feels that he or she is being mistreated in some way or conspired against; this is not the case here. Systematized delusions are organized around a coherent theme; there is no evidence that this is the case.
Undifferentiated Somatoform Disorder requires the presence of ____________that persist for __months or longer and which cannot be fully explained by another mental disorder or physical illness. Frequent complaints include ____, _____, _________, or ____________________.
Undifferentiated Somatoform Disorder requires the presence of one or more physical complaints that persist for 6 months or longer and which cannot be fully explained by another mental disorder or physical illness. Frequent complaints include chronic fatigue, loss of appetite, gastrointestinal, or genitourinary symptoms.
Somatization Disorder, which requires the presence of at least 8 different physical symptoms.
Which of the following is most true of Type I Schizophrenia as described by Timothy Crow?
There will be a poor prognosis.
The symptoms are due to a neurotransmitter abnormality.
A majority of symptoms will begin in adolescence.
It will not respond to most antipsychotic medications.
The Correct Answer is “B”
Timothy Crow distinguishes between two types (I and II) of Schizophrenia. Type I includes symptoms of delusions or hallucinations, inappropriate affect, and disorganized thinking. It is also thought to more likely be due to neurotransmitter irregularities. Type II symptoms are described by the other three choices, and is also considered to be more likely due to brain structure abnormalities
Individuals with ___________ Mental Retardation may learn to perform unskilled work under supervision in the general population, acquire communication skills during their early childhood years, are unlikely to progress academically beyond a second grade level, and often live in the community in supervised settings.
moderate (10% of the MR population)
Michael has a high-pressure legal career that involves frequent altercations with opposing counsel and ongoing stress. He commonly reacts to the stress of anger by clenching his teeth and generally tensing up. His therapist suggests biofeedback and would most likely recommend which type of biofeedback? © Academic Review EDR EEG EMG HRV
C. Biofeedback is the process of identifying physiological variables, or responses, for the purpose of helping an individual develop greater sensory awareness and is achieved by using electronic instrumentation to monitor responses then providing the information to the individual to improve their physiological control of responding. Electromyogram (EMG) biofeedback, measures impulses in the muscles and indicates the degree of relaxation or contraction/tension. It is commonly used for conditions such as stress, tension headaches, chronic pain, muscle stiffness, incontinence, urinary urgency and frequency, and when muscles are healing.
Electroencephalogram (EEG) or neurofeedback (b.) provides information on brainwave activity and patterns. It is often used in the treatment of attention deficit hyperactivity disorder, depression, and epilepsy to improve attention, reduce impulsivity and promote recovery from head injuries and strokes.
The presence of which of the following suggests the diagnosis is Acute Stress Disorder rather than Posttraumatic Stress Disorder? © Academic Review
response to the traumatic stressor involved intense fear, helplessness, or horror
a sense of reliving or reexperiencing the traumatic stressor
dissociative symptoms occur during or immediately following a traumatic stressor
increased symptoms of anxiety, poor concentration and irritability
The Correct Answer is “C”© Academic Review
C. Acute Stress Disorder, is by definition, only appropriate when the duration of symptoms last at least two days and occur within one month of the extreme stressor or traumatic event. Posttraumatic Stress Disorder requires symptoms to persist for more than a month so this diagnosis cannot be made within the initial month following the traumatic stressor
- A psychologist refers a client with bulimia nervosa to a physician for a medical evaluation. The physician discovers that the client has a serious medical complication associated with binging and purging, involving a low level of serum potassium. The client is at risk for kidney failure and cardiac arrest. This condition is called:
hypoglycemia
hypokalemia
hyperorexia
hypalgesia
Explanation
The Correct Answer is “B”
B. Certain behaviors associated with bulimia, specifically frequent vomiting and laxative use, can lead to serious medical complications, including electrolyte disturbances. Potassium is an electrolyte that is important to the function of the nerve and muscle cells, including the heart. Hypokalemia is the name given to the condition that involves low levels of serum potassium. Hypoglycemia (a.) is characterized by less than normal amounts of glucose in the blood. Hyperorexia (c.) refers to excessive appetite and hypalgesia (d.) involves a relative insensitivity to pain
