Exam 4 DSM-5

Question 1

What version of the mental health diagnostic manual is used today?

Answer 1

DSM-5

*DO NOT USE ROMAN NUMERALS ANYMORE

Question 2

What was added with the publication of the DSM-5?

Answer 2

Further SDOH and cultural factors that can be considered in diagnosis

*We need to consider lived experiences when treating

Question 3

How did the DSM-5 reorganize mental health disorders?

Answer 3

Disorders are now reflected across a continuum based on developmental and lifespan considerations

*many still do not have an objective means to identify them

Question 4

What are neurodevelopment disorders?

Answer 4

Disorders that were previously classified as childhood diagnoses

Question 5

*What disorders are considered “neurodevelopmental disorders?”

Answer 5

-Intellectual disabilities + delays
-Communication disorders
-Autism spectrum disorders
-ADHD

Question 6

Where is Bipolar disorder found in the DSM-5 and what significance does this have?

Answer 6

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

Question 7

What are the 3 anxiety disorders?

Answer 7

-Generalized Anxiety Disorder
-Social Anxiety Disorder
-Panic Disorder

Question 8

Which disease states have now been separated from the anxiety disorders in the DSM-5?

Answer 8

Obsessive-Compulsive disorder

Trauma- and Stressor-related disorders

(have new, separate chapters)

Question 9

What terms are no longer used to describe substance-related disorders?

Answer 9

“Abuse” and “Dependence”

Question 10

What is included under the scope of “Substance Use Disorders?”

Answer 10

All substances that can be addicting
-only vary with symptom presentation based on the substance used

*Note: includes gambling disorder

Question 11

How are neurocognitive disorders classified?

Answer 11

Into Major and Mild neurocognitive disorders

Specify by type (ex. Alzheimer’s)

Question 12

What are the 2 tools to assess for depression?

Answer 12

Patient Health Questionnaire (PHQ-9)

Beck Depression Inventory (BDI)

Question 13

What is assessed by the Patient Health Questionnaire (PHQ-9) and who fills it out?

Answer 13

-Screens for depression and suicidal thinking

*Patient-rated

Question 14

What is assessed by the Beck Depression Inventory (BDI) and who fills it out?

Answer 14

Attitudes and characteristics of depression

*Patient-rated

Question 15

What are the two depression “Research Rating Scales?”

Answer 15

Hamilton Depression (HAM-D, HDRS)

Montgomery-Asberg Depression Rating Scale (MADRS)

Question 16

What is assessed by the Hamilton Depression scale (HAM-D, HDRS) and who fills it out?

Answer 16

Validated in clinical trials, gold standard for evaluating change over time

*Clinician-rated

Question 17

What is assessed by the Montgomery-Asberg Depression Rating Scale (MADRS) and who fills it out?

Answer 17

*Validated in clinical trials, GOLD STANDARD

Clinician-rated

Question 18

What is assessed by the Mood Disorders Questionnaire (MDQ) and who fills it out?

Answer 18

Assesses for Bipolar I disorder (especially mania, differentiate from depression)

*Patient-rated

Question 19

What does the Young Mania Rating Scale (YMRS) assess for and who fills it out?

Answer 19

Evaluates Bipolar Disorder symptoms over time

*Clinician-rated by patient report

Question 20

What are the two scales used to assess Schizophrenia in clinical trials?

Answer 20

Positive and Negative Syndrome Scale (PANSS)

Brief Psychiatric Rating Scale (BPRS)

Question 21

What does the Positive and Negative Syndrome Scale (PANSS) tell us and who rates it?

Answer 21

Gold standard for assessing schizophrenia drug efficacy in clinical trials

*Clinician-rated

Question 22

What does the Brief Psychiatric Rating Scale (BPRS) tell us and who rates it?

Answer 22

Gold-standard scale for schizophrenia clinical trials

*Clinician-rated

Question 23

What two scales are used to assess movement side effects of antipsychotics?

Answer 23

Simpson-Angus (SAS)

Barned Akathisia Scale (BARS)

Question 24

What is akathisia?

Answer 24

Uncontrolled movements

(think Parkinson’s but drug-induced)

Question 25

What does the Simpson-Angus (SAS) tell us and who rates it?

Answer 25

Evaluates drug-induced parkinsonian symptoms

*Clinician-rated

Question 26

What does the Barnes Akathisia Scale (BARS) tell us and who rates it?

Answer 26

Objective observation of akathisia

*Clinician-rated

Question 27

What is Tardive Dyskinesia?

Answer 27

A drug-induced movement disorder in which the patient cannot control their facial movements and may develop facial tics

Question 28

What two scales are used to assess for Tardive Dyskinesia/Movement Side Effects?

Answer 28

Abnormal Involuntary Movement Scale (AIMS)

Extrapyramidal Symptoms Rating Scale (ESRS)

Question 29

What dos the Abnormal Involuntary Movement Scale assess for and who rates it?

Answer 29

Assesses tardive dyskinesia

*Clinician-rated

Question 30

What does the Extrapyramidal Symptoms Rating Scale (ESRS) assess for and who rates it?

Answer 30

Assesses parkinsonian symptoms, akathisia, dystonia, and tardive dyskinesia

*Clinician-rated

Question 31

What are the 2 overall psychiatric functioning assessments?

Answer 31

Clinical Global Impressions (CGI)

Global Assessment of Functioning (GAF)

Question 32

What is assessed by the Clinical Global Impressions (CGI) assessment and who rates it?

Answer 32

Assesses change over time

CGI-S= severity
CGI-I= improvement

*Observer-rated

Question 33

What is assessed by the Global Assessment of Functioning (GAF) and who rates it?

Answer 33

Psychiatric functioning

**Variable results based on clinician evaluation and experience (bias)

*Clinician-rated