Exam 4 DSM-5 Flashcards
What version of the mental health diagnostic manual is used today?
DSM-5
*DO NOT USE ROMAN NUMERALS ANYMORE
What was added with the publication of the DSM-5?
Further SDOH and cultural factors that can be considered in diagnosis
*We need to consider lived experiences when treating
How did the DSM-5 reorganize mental health disorders?
Disorders are now reflected across a continuum based on developmental and lifespan considerations
*many still do not have an objective means to identify them
What are neurodevelopment disorders?
Disorders that were previously classified as childhood diagnoses
*What disorders are considered “neurodevelopmental disorders?”
-Intellectual disabilities + delays
-Communication disorders
-Autism spectrum disorders
-ADHD
Where is Bipolar disorder found in the DSM-5 and what significance does this have?
Between schizophrenia and depressive disorders
-This reflects the overlapping nature of bipolar disorder with these conditions
-Bipolar is still its own condition, hence it has its own chapter
What are the 3 anxiety disorders?
-Generalized Anxiety Disorder
-Social Anxiety Disorder
-Panic Disorder
Which disease states have now been separated from the anxiety disorders in the DSM-5?
Obsessive-Compulsive disorder
Trauma- and Stressor-related disorders
(have new, separate chapters)
What terms are no longer used to describe substance-related disorders?
“Abuse” and “Dependence”
What is included under the scope of “Substance Use Disorders?”
All substances that can be addicting
-only vary with symptom presentation based on the substance used
*Note: includes gambling disorder
How are neurocognitive disorders classified?
Into Major and Mild neurocognitive disorders
Specify by type (ex. Alzheimer’s)
What are the 2 tools to assess for depression?
Patient Health Questionnaire (PHQ-9)
Beck Depression Inventory (BDI)
What is assessed by the Patient Health Questionnaire (PHQ-9) and who fills it out?
-Screens for depression and suicidal thinking
*Patient-rated
What is assessed by the Beck Depression Inventory (BDI) and who fills it out?
Attitudes and characteristics of depression
*Patient-rated
What are the two depression “Research Rating Scales?”
Hamilton Depression (HAM-D, HDRS)
Montgomery-Asberg Depression Rating Scale (MADRS)
What is assessed by the Hamilton Depression scale (HAM-D, HDRS) and who fills it out?
Validated in clinical trials, gold standard for evaluating change over time
*Clinician-rated
What is assessed by the Montgomery-Asberg Depression Rating Scale (MADRS) and who fills it out?
*Validated in clinical trials, GOLD STANDARD
Clinician-rated
What is assessed by the Mood Disorders Questionnaire (MDQ) and who fills it out?
Assesses for Bipolar I disorder (especially mania, differentiate from depression)
*Patient-rated
What does the Young Mania Rating Scale (YMRS) assess for and who fills it out?
Evaluates Bipolar Disorder symptoms over time
*Clinician-rated by patient report
What are the two scales used to assess Schizophrenia in clinical trials?
Positive and Negative Syndrome Scale (PANSS)
Brief Psychiatric Rating Scale (BPRS)
What does the Positive and Negative Syndrome Scale (PANSS) tell us and who rates it?
Gold standard for assessing schizophrenia drug efficacy in clinical trials
*Clinician-rated
What does the Brief Psychiatric Rating Scale (BPRS) tell us and who rates it?
Gold-standard scale for schizophrenia clinical trials
*Clinician-rated
What two scales are used to assess movement side effects of antipsychotics?
Simpson-Angus (SAS)
Barned Akathisia Scale (BARS)
What is akathisia?
Uncontrolled movements
(think Parkinson’s but drug-induced)
What does the Simpson-Angus (SAS) tell us and who rates it?
Evaluates drug-induced parkinsonian symptoms
*Clinician-rated
What does the Barnes Akathisia Scale (BARS) tell us and who rates it?
Objective observation of akathisia
*Clinician-rated
What is Tardive Dyskinesia?
A drug-induced movement disorder in which the patient cannot control their facial movements and may develop facial tics
What two scales are used to assess for Tardive Dyskinesia/Movement Side Effects?
Abnormal Involuntary Movement Scale (AIMS)
Extrapyramidal Symptoms Rating Scale (ESRS)
What dos the Abnormal Involuntary Movement Scale assess for and who rates it?
Assesses tardive dyskinesia
*Clinician-rated
What does the Extrapyramidal Symptoms Rating Scale (ESRS) assess for and who rates it?
Assesses parkinsonian symptoms, akathisia, dystonia, and tardive dyskinesia
*Clinician-rated
What are the 2 overall psychiatric functioning assessments?
Clinical Global Impressions (CGI)
Global Assessment of Functioning (GAF)
What is assessed by the Clinical Global Impressions (CGI) assessment and who rates it?
Assesses change over time
CGI-S= severity
CGI-I= improvement
*Observer-rated
What is assessed by the Global Assessment of Functioning (GAF) and who rates it?
Psychiatric functioning
**Variable results based on clinician evaluation and experience (bias)
*Clinician-rated
