Intro to DSM

Question 1

What is the general trend of mental status disorders, and percentage of budget allocated to them?

Answer 1

higher income countries have higher percent of budget allocated to them, and have higher percentages (d/t loss of other health concerns)

Question 2

True or false: mental disorders increase the risk of physical disorders, and v.v.

Answer 2

True

Question 3

Which is a bigger problem: overdiagnosing (pathologizing normal sadness) or underdiagnosing and lack of treatment. Why?

Answer 3

Underdiagnosing, because not diagnosing has a lot more health effects

Question 4

What is a major reason for the stigma with mental disorders?

Answer 4

Because people think that it is self inflicted

Question 5

What countries use the DSM-V, and which use ICD-10?

Answer 5

‘merica uses DSM

Everyone else uses ICD-10

Question 6

What was the major change that occurred between the DSM 2 and 3?

Answer 6

Went from psychoanalytic model, to purely symptom based diagnostic criteria

Question 7

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?

Answer 7

Yes–before you could not, technically

Question 8

What, generally, is Asperger’s syndrome?

Answer 8

Difficulty reading others’ body language

Question 9

What is the major issue with overdiagnosis?

Answer 9

Shifts focus on those who are worried well

Question 10

What is the definition of a mental disorder?

Answer 10

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

Question 11

What must be true to diagnose someone with a mental disorder?

Answer 11

Has to significantly impact their life

Question 12

True or false: there is an increase in the prevalence of mental disorders in higher income countries

Answer 12

False–higher percentages, only because other diseases go down

Question 13

True or false: it is much more dangerous to you if you have schizophrenia than you are a danger to others

Answer 13

True

Question 14

What happened to the diagnostic threshold for GAD from the DSM IV to 5?

Answer 14

Lower threshold

Question 15

What happened to Asperger’s syndrome in the DSM 5?

Answer 15

Removed–not just levels

Question 16

What are the major critiques of the DSM 5? (2)

Answer 16

• Too heavy of an influence from big pharma

- Overdiagnosis

Question 17

Can you diagnose a mental illness if it is solely an expected or culturally appropriate response to an event?

Answer 17

No.

Question 18

Does the DSM offer treatment options, or just diagnostic criteria?

Answer 18

Only diagnostic criteria

Question 19

What, technically, is a syndrome?

Answer 19

Cluster of s/sx occurring together that are characteristic of a specific disorder

Question 20

True or false: only a few psychiatric disorders are syndrome?

Answer 20

False–most are

Question 21

What are the 6 domains of the WHODAS?

Answer 21

• Cognition
• Mobility
• Self-care
• Getting along with people
• Life activities
• Participation in society

Question 22

What, generally, is the WHODAS?

Answer 22

WHO disability assessment schedule–a way to assess the severity of a mental illness

Question 23

What are the two etiologies that may produce s/sx of mental disorders?

Answer 23

• Medical conditions

- Substance use

Question 24

What is an “unspecified” disorder?

Answer 24

Disorder that falls into a general category, but not a specific dx

Question 25

True or false: in cases where a patient meets more than 1 dx in the DSM, the text will state which takes precedence

Answer 25

True

Question 26

What are “conditions for further study”?

Answer 26

Potential syndromes that do not have enough evidence to call it a true disorder (e.g. internet gaming disorder)

Question 27

What information about diagnoses are included in the DSM 5? (4)

Answer 27

• Prevalence
• Course
• Familial pattern
• ddx

Question 28

What is amok?

Answer 28

Dissociative episode with a period of brooding followed by violent outburst and highly aggressive behavior

Occurs in southeast Asia

Question 29

What is Koro?

Answer 29

Fear of penis retraction and death–contagious

South and east asia

Question 30

True or false: the DSM creates a framework to guide research about treatment

Answer 30

True

Question 31

True or false: the DSM increases diagnostic reliability

Answer 31

True