Intro to DSM Flashcards
What is the general trend of mental status disorders, and percentage of budget allocated to them?
higher income countries have higher percent of budget allocated to them, and have higher percentages (d/t loss of other health concerns)
True or false: mental disorders increase the risk of physical disorders, and v.v.
True
Which is a bigger problem: overdiagnosing (pathologizing normal sadness) or underdiagnosing and lack of treatment. Why?
Underdiagnosing, because not diagnosing has a lot more health effects
What is a major reason for the stigma with mental disorders?
Because people think that it is self inflicted
What countries use the DSM-V, and which use ICD-10?
‘merica uses DSM
Everyone else uses ICD-10
What was the major change that occurred between the DSM 2 and 3?
Went from psychoanalytic model, to purely symptom based diagnostic criteria
According to the DSM-5, can you diagnose someone with MDD if they’ve recently had a major loss? How was this changed with the DSM 5?
Yes–before you could not, technically
What, generally, is Asperger’s syndrome?
Difficulty reading others’ body language
What is the major issue with overdiagnosis?
Shifts focus on those who are worried well
What is the definition of a mental disorder?
A syndrome characterized by clinically significant disturbance in an individual’s cognition, emotional regulation, or behavior, that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning
What must be true to diagnose someone with a mental disorder?
Has to significantly impact their life
True or false: there is an increase in the prevalence of mental disorders in higher income countries
False–higher percentages, only because other diseases go down
True or false: it is much more dangerous to you if you have schizophrenia than you are a danger to others
True
What happened to the diagnostic threshold for GAD from the DSM IV to 5?
Lower threshold
What happened to Asperger’s syndrome in the DSM 5?
Removed–not just levels
What are the major critiques of the DSM 5? (2)
- Too heavy of an influence from big pharma
- Overdiagnosis
Can you diagnose a mental illness if it is solely an expected or culturally appropriate response to an event?
No.
Does the DSM offer treatment options, or just diagnostic criteria?
Only diagnostic criteria
What, technically, is a syndrome?
Cluster of s/sx occurring together that are characteristic of a specific disorder
True or false: only a few psychiatric disorders are syndrome?
False–most are
What are the 6 domains of the WHODAS?
- Cognition
- Mobility
- Self-care
- Getting along with people
- Life activities
- Participation in society
What, generally, is the WHODAS?
WHO disability assessment schedule–a way to assess the severity of a mental illness
What are the two etiologies that may produce s/sx of mental disorders?
- Medical conditions
- Substance use
What is an “unspecified” disorder?
Disorder that falls into a general category, but not a specific dx
True or false: in cases where a patient meets more than 1 dx in the DSM, the text will state which takes precedence
True
What are “conditions for further study”?
Potential syndromes that do not have enough evidence to call it a true disorder (e.g. internet gaming disorder)
What information about diagnoses are included in the DSM 5? (4)
- Prevalence
- Course
- Familial pattern
- ddx
What is amok?
Dissociative episode with a period of brooding followed by violent outburst and highly aggressive behavior
Occurs in southeast Asia
What is Koro?
Fear of penis retraction and death–contagious
South and east asia
True or false: the DSM creates a framework to guide research about treatment
True
True or false: the DSM increases diagnostic reliability
True
