Intro to Psychiatric Diagnosis and DSM-5

Question 1

Breakdown in the interaction between organ systems contributes to (blank)

Answer 1

psychopathology

Question 2

What are three criteria for psychiatric disorders?

Answer 2

symptom severity
distress
disability

Question 3

T/F: Psychiatric disorders include culturally sanctioned behaviors, like homosexuality.

Answer 3

False

Question 4

What were some problems with DSM 4?

Answer 4

high rates of comorbidity
high use of “not otherwise specified”
treatment non-specificity

Question 5

a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning

Answer 5

mental disorder

Question 6

T/F: The diagnosis of a mental disorder should have clinical utility: it should help clinicians to determine prognosis, treatment plans, and potential treatment outcomes for their patients.

Answer 6

True

Question 7

T/F: The diagnosis of a mental disorder is equivalent to a need for treatment.

Answer 7

False!!

Question 8

What are 3 different types of evidence that can be used to diagnose mental illness?

Answer 8

antecedent validators
concurrent validators
predictive validators

Question 9

similar genetic markers, family traits, temperament, and environmental exposure

Answer 9

antecedent validators

Question 10

similar neural substrates, biomarkers, emotional and cognitive processing, and symptom similarity

Answer 10

concurrent validators

Question 11

similar clinical course and treatment response

Answer 11

predictive validators

Question 12

serves as a designated location, separate from diagnostic criteria, text, and clinical codes, for items that appear to have initial support in terms of clinical use but require further research before being officially recommended as part of the main body of the manual

Answer 12

section III

Question 13

Brief DSM-5 developmental history
Guidance on use of the manual
Definition of a mental disorder
Cautionary forensic statement
Brief DSM-5 classification summary

Answer 13

section I

Question 14

Chapter structure
Criteria
Subtypes
Severity
Explanatory text: development and course, risk and prognosis, culture and gender related factors, diagnostic markers, functional consequences, comorbidity

Answer 14

section II

Question 15

T/F: Symptoms of mental illness are not specific for one particular disorder

Answer 15

true

ex: panic attacks could be a symptom of PTSD or generalized anxiety disorder

Question 16

So how can you sort out one specific disorder after hearing a nonspecific symptom?

Answer 16

other symptoms must be present
duration
severity

**get this info from the interview

Question 17

What is this an example of: Can be diagnosed with depression without even feeling sad, if you have loss of interest plus 4 of the other sx’s

Answer 17

variable menu approach

Question 18

T/F: Overlapping terminology can pose a problem. Ex: OCD vs obsessive compulsive personality disorder…

Answer 18

True

Question 19

T/F: Every problem identified in the multiaxial diagnosis should be addressed in the treatment plan

Answer 19

True