DSM V

Question 1

what are two differences between DSM-5 DSM IV?

Answer 1

DSM-5 has a non-axil system of diagnosis…has now moved to a dimensional approach for assessment & diagnosis in section II the global assessment of functioning (GAF) has been removed due to lack of clarity and questionable psychometric properties

Question 2

what is in section one of the DSM-5?

Answer 2

use of the manual

Question 3

what is in section II of the DSM-5?

Answer 3

mental disorders: clinical disorders, PDs, IDs & medical conditions; other conditions that may be a focus of clinical attention

Question 4

what is in section III of the DSM-5?

Answer 4

assessment measures; cultural formulation; alternative DSM-5 PD framework; conditions for further study

Question 5

in DSM-5 each disorder has

Answer 5

a set of criteria

Question 6

what 5 things does the disorder criteria cover

Answer 6

1. time frame (course & trajectory) 2. qualifying symptoms 3. disqualifying symptoms 4. differential diagnosis (parsimony) 5. severity (disability)

Question 7

what are 4 examples of psychological stressors?

Answer 7

relational problems; abuse & neglect; educational & occupational problems; housing & economic problems

Question 8

why are psychological stressors useful in diagnosis?

Answer 8

they draw attention to additional issues that may be relevant in formulation & treatment

Question 9

what is a difference between DSM V and DSM IV in section II?

Answer 9

the global assessment of functioning (GAF) has been removed due to lack of clarity and questionable psychometric properties

Question 10

what is different in DSM V about PD?

Answer 10

each of the 6 main types are defined by a specific pattern of impairments and traits

Question 11

when can a diagnosis of PD-TS (trait specified) in the DSM V?

Answer 11

when a PD is present but the criteria for a specific PD are not met fully. would note severity of impairment in personality functioning & the problematic personality traits.

Question 12

what are the two measures of the dimensional approach in the DSM V?

Answer 12

cross-cutting symptom measures (level I: 13 symptom domains; level II: in-depth assessment of certain domains) AND severity measures

Question 13

what is another difference between DSM IV & V?

Answer 13

splitting of disorders not otherwise specified into other specified disorders and unspecified disorders

Question 14

what is the 4 step order for writing a DSM diagnosis?

Answer 14

1. disorder (number first) 2. course 3. severity 4. symptoms

Question 15

in DSM V writing the main clinical disorders have a…….. only

Answer 15

number

Question 16

how would you write a diagnosis of PTSD?

Answer 16

post traumatic stress disorder 309.81 (F43.10)

Question 17

which disorder does not have a DSM code until you add the subtype (specify if) eg?

Answer 17

adjustment disorder

Question 18

how do you write adjustment disorder?

Answer 18

Adjustment disorder (specifier) ie 309.0 (F43.21) with depressed mood

Question 19

how you you write a major depressive diagnosis

Answer 19

263.23 (F32.2) MDD, single episode, severe (with melancholic & anxious distress features)

Question 20

what does WHODAS stand for?

Answer 20

world health organized disability assessment schedule

Question 21

how many items in the WHODAS?

Answer 21

36

Question 22

how many domains in the WHODAS

Answer 22

6

Question 23

what are first 3 domains of the WHODAS?

Answer 23

1. understanding & communicating 2.getting around 3. self care

Question 24

what are the 4,5,6 domains of the WHODAS?

Answer 24

4. getting along with people 5. life activities (household, school/work) 6. participation in society

Question 25

what does CFI stand for?

Answer 25

cultural formulation interview

Question 26

what does a cultural formulation interview help understand?

Answer 26

the impact of culture on the clinical presentation