Overview

Question 1

Core attributes of a psychiatric disorder

Answer 1

Syndrome involving defined alterations in cognition, mood, perception, and/or behavior

• Significant distress and/or functional impairment
• Characteristic course
• Not better accounted for by a known general medical condition
• Symptoms lie well outside the culturally recognized expression

Question 2

U.S lifetime/annual prevalence for psych illness

Answer 2

Lifetime ≈ 50%

Annual ≈ 25% (greater in clinical setting)

Question 3

Onset of Psych disorders

Answer 3

70% of pts are symptomatic by age 24

Question 4

Treatment trend

Answer 4

Fewer than 1 in 4 receive adequate tx in the US

Question 5

Types of therapy

Answer 5

Psychotherapy
Integrative approaches
Pharmacological Tx
Neurotherapeutics

Question 6

Biopsychosocial model

Answer 6

Consider:

• Cultural constructs
• Biological investigations
• Psychological theories
• Look at entire model & prioritize each aspect for each patient

Question 7

Advantages of DSM

Answer 7

Uniformity of language
Greater consistancy of dx
Better for conducting studies

Question 8

Disadvantages of DSM

Answer 8

Doesn’t consider etiology

Doesn’t reflect what you see in practice

Question 9

Multiaxial Diagnosis

Answer 9

Axis I: Psych disorders other than personality (mood, psychotic, anxiety, substance use…)

Axis II: Personality DOs and mental retardation

Axis III: Relevant medical conditions

Axis IV: Psychosocial and environmental stressors

Axis V: Global Assessment of Functioning