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LCSW Exam > Psychiatric Diagnosis using the DSM5 > Flashcards

Psychiatric Diagnosis using the DSM5 Flashcards

1
Q

key concepts for behavioral health questions: rule out what conditions first

A

medical/physical health conditions that can cause behavioral health symptoms

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2
Q

key concepts for behavioral health questions: prioritize what

A

safety for self/others

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3
Q

key concepts for behavioral health questions: for diagnosing, look for ___ of behavior

A

patterns, changes, loss of functioning

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4
Q

key concepts for behavioral health questions: does age matter for diagnosing

A

yes, same symptoms could be a different diagnosis based on age

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5
Q

key concepts for behavioral health questions: make sure treatment is ____ restrictive

A

least restrictive possible for safety and appropriateness

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6
Q

definition of a mental disorder

A

clinically significant disturbance in cognition emotion regulation, behavior that reflects dysfunction in psychological, biological or developmental processes underlying mental function; usually associated with significant distress/disability in social, occupational, other important activities

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7
Q

things that AREN’T a mental disorder

A

-expectable/culturally approved response to common stressor/loss
-socially deviant behavior and conflict between individual and society UNLESS deviance/conflict is from dysfunction in individual

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8
Q

for exam questions on diagnosis; concentrate on essential ____

A

features/primary symptoms of the primary diagnoses and on the glossary of technical terms in DSM

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9
Q

ADHD
Autism Spectrum
Communication Disorder
Intellectual Disabilities
Motor Disorder
Specific Learning Disorder

A

neurodevelopmental disorders

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10
Q

Major Depressive Disorder
Disruptive Mood Dysregulation Disorder
Persistent Depressive Disorder (PDD)
Premenstrual Dysphoric Disorder
Substance/medication Induced Depressive Disorder
Depressive Disorder due to other medical condition

A

Depressive Disorders

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11
Q

Schizotypal (Personality) Disorder
Delusional Disorder
Brief Psychotic Disorder
Schizophreniform Disorder
Schizophrenia
Schizoaffective Disorder
Substance/medication induced psychotic Disorder
Psychotic disorder due to another medical condition
Catatonia Associated with another mental Disorder
catatonic Disorder due to another medical condition
Unspecified catatonia
Other specified schizophrenia spectrum and other psychotic disorder
Unspecified schizophrenia spectrum and other psychotic Disorder

A

Schizophrenia Spectrum and Other Psychotic Disorders

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12
Q

Bipolar I and II Disorder
Cyclothymic Disorder
Substance/medication induced bipolar and related Disorder
Bipolar and Related Disorder due to another medical condition
Other Specified Bipolar and Related Disorder
Unspecified Bipolar and Related Disorder

A

Bipolar and Related Disorders

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13
Q

Separation Anxiety Disorder
Selective Mutism
Specific Phobia
Social Anxiety Disorder
Panic Disorder
Panic Attack specifier
Agoraphobia
Generalize Anxiety Disorder
Substance/medication induced anxiety Disorder
Anxiety Disorder due to another medical condition
Unspecified Anxiety Disorder

A

Anxiety Disorders

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14
Q

Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomnia (hair pulling)
Excoriation (skin picking) Disorder
Obsessive-Compulsive and Related Disorder due to another medical condition
Unspecified obsessive-compulsive and related Disorder

A

obsessive-compulsive and related Disorders

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15
Q

Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
PTSD
Acute Stress Disorder
Adjustment Disorder
Other specified trauma and stressor related Disorder
unspecified trauma and stressor related

A

Trauma and stressor related Disorder

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16
Q

Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder

A

Dissociative Disorders

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17
Q

Somatic Symptom Disorder
Illness Anxiety Disorder
Conversion Disorder
Psychological Factors Affecting other medical conditions
Factitious Disorder (imposed on self or another)
Other specified somatic symptom and related disorder
Unspecified Somatic symptom and related Disorder

A

Somatic Symptom and Related Disorders

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18
Q

Pica
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder
Anorexia Nervosa
Bulimia Nervosa
Binge-Eating Disorder
Other specified feeding or eating disorder
unspecified feeding or eating disorder

A

Feeding and Eating Disorders

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19
Q

enuresis
encopresis
other specified elimination Disorder
unspecified elimination disorders

A

Elimination Disorders

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20
Q

insomnia disorder
hypersomnolence disorder
narcolepsy
breathing related (sleep apnea, hypoventilation, circadian rhythm sleep-wake disorder)
parasomnias (non REM sleep arousal disorder, nightmare disorder, REM sleep behavior disorder, restless legs syndrome)

A

sleep-wake Disorders

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21
Q

delayed ejaculation
erectile disorder
female orgasmic disorder
female sexual interest/arousal disorder
genito-pelvic pain/penetration disorder
male hypoactive sexual desire disorder
premature ejaculation

A

sexual dysfunctions

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22
Q

gender dysphoria (in adults or children)
other specified gender dysphoria
unspecified gender dysphoria

A

gender dysphoria

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23
Q

oppositional defiant disorder
intermittent explosive disorder
conduct disorder
antisocial personality disorder
pyromania
kleptomania
other specified/unspecified

A

disruptive, impulse-control, and conduct disorders

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24
Q

alcohol use disorder; intoxication; withdrawal; other/unspecified
caffeine intoxication; withdrawal; other/specified
cannabis use disorder; intoxication; withdrawal; other/unspecified
phencyclidine use disorder; intoxication; other/unspecified
other hallucinogen use disorder; intoxication; persisting perception disorder; other/unspecified
inhalant use disorder; intoxication; other/unspecified
opioid use disorder; intoxication; withdrawal; other/unspecified
sedative, hypnotic, or anxiolytic use disorder; intoxication; withdrawal; other/unspecified
stimulant use disorder; intoxication; withdrawal; other/unspecified
tobacco use disorder; withdrawal; other/unspecified
gambling disorder

A

substance related and addictive disorders

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25
Q

delirium
Alzheimer’s
frontotemporal neurocognitive disorder
neurocognitive disorder with lewy bodies
vascular neurocognitive disorder
neurocognitive disorder due to TBI
substance/med induced
due to HIV infection
due to prion disease
due to Parkinson’s disease
due to Huntington’s disease
due to another medical condition
due to multiple etiologies

A

neurocognitive disorders

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26
Q

Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder

A

Cluster A Personality Disorders

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27
Q

Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder

A

Cluster B Personality Disorders

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28
Q

Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder

A

Cluster C Personality Disorders

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29
Q

personality change due to another medical condition
other specified Personality Disorder
unspecified Personality Disorder

A

other Personality Disorders

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30
Q

Voyeuristic Disorder
Exhibitionist Disorder
Frotteuristic Disorder
Sexual Sadism Disorder
Pedophilic Disorder
Fetishistic Disorder
Transvestic Disorder
other specified/unspecified

A

paraphillic disorders

31
Q

neuroleptic-induced parkinsonism
other med-induced parkinsonism
neuroleptic malignant syndrome
med-induced acute dystonia
med-induced acute akathisia
tardive dyskinesia
tardive dystonia
med-induced postural tremor
other med induced movement disorder
antidepressant discontinuation syndrome
other adverse effect of meds

A

medication-induced movement disorders and other adverse effects of medications

32
Q

relational problems (related to family upbringing, support group)
abuse and neglect
education and occupational problems
problems related to crime or interaction with legal system
other problems related to social environment
other health service encounters with counseling and medical advice
problems related to other psychosocial/personal/environmental circumstances
other circumstances of personal history

A

other conditions that may be a focus of clinical attention

33
Q

do psychotic symptoms automatically indicate schizophrenia or mental illness

A

-no; could be in a mood disorder, substance use related, or Borderline Personality, could also be from fever, allergic reactions, lack of sleep
-other mental health symptoms could also be from physical health disorders

34
Q

in assessment for diagnosis, always rule out what first

A

physical health disorders with mental health symptoms

35
Q

watch for term contraindicated on exam questions, means that

A

something is not recommended or safe to use

36
Q

IDD requires deficits in what assessments

A

adaptive function and cognitive capacity (IQ); onset in developmental years, IQ of 70 or less; severity in mild, moderate, severe, profound

37
Q

onset for autism spectrum disorder (ASD), deficits in what

A

early childhood; social communication and interaction, and restricted, repetitive activities, behaviors, interests; more common in boys than girls

38
Q

domains of ADHD, onset prior to what age

A

inattention and hyperactivity/impulsivity
onset prior to age 12
evidenced in multiple domains

39
Q

tic disorders (like Tourettes) may come and go but must be present for how long

A

1 year

40
Q

schizoaffective disorder requires what type of mood episode lasting throughout most of the episode

A

bipolar or depressive

41
Q

bipolar disorder includes mood fluctuations as well as changes in

A

activity and energy

42
Q

persistent depressive disorder (PDD) new diagnosis in DSM5 that covers

A

major depression and dysthymic disorder

43
Q

disruptive mood dysregulation disorder used for what group instead of bipolar

A

kids/teens under age 18

44
Q

separation anxiety onset

A

at any age, symptoms present for at least 6 months; most common disorder for kids with school refusal

45
Q

panic disorder and agoraphobia: same or different?

A

separate and distinct disorders with unique criteria

46
Q

obsessive compulsive and related disorders share what, and specifier

A

repetitive behaviors and drive to perform them; specifier for insight (good, fair, poor, absent) and for delusional beliefs

47
Q

adjustment disorder includes what specifier and used for what age

A

specifiers-depressed mood, anxiety, disturbance of conduct; used for individuals of any age following a stressful life event

48
Q

acute stress disorder qualifiers

A

witnessed event or experienced it directly; categories to meet include arousal, avoidance, intrusion, dissociation, negative mood

49
Q

PTSD 4 clusters

A

arousal
avoidance
persistent negative changes in mood/cognition
re-experiencing

50
Q

reactive attachment disorder (RAD) comes from

A

neglect; results in emotionally and/or socially disengaged individual who have difficulty forming attachments to caregiving adults

51
Q

dissociative identity disorder requires

A

2+ distinct personality states and observable or self-reported identity transitions along with gaps in memory of daily events; cannot be attributed to medical condition, substance use, or broadly accepted cultural/religious practice

52
Q

somatic symptom and related disorders can be diagnosed along with medical conditions and ___ or ____ not be associated with the other conditions

A

may or may not be

53
Q

factitious disorder can be

A

imposed on self or imposed on another (by proxy); medical providers become suspicious when kid has repeated, unexplained illness (form of child abuse)

54
Q

anorexia nervosa criteria focus on behaviors that include what

A

low caloric intake and significantly low weight; may include openly expressed fear of weight gain/engaging in behaviors that inhibit chance to gain weight

55
Q

bulimia nervosa involves what and how often

A

binge eating and compensatory behaviors at least once per week over 3 months

56
Q

binge eating disorder involves what

A

overeating and distress at least once a week over 3 months without compensatory behaviors

57
Q

conduct disorder can be onset when

A

childhood onset type, adolescent onset type, or unspecified; may be a precursor to diagnosis of antisocial personality disorder

58
Q

age to be diagnosed with antisocial personality disorder

A

18+

59
Q

can personality disorders be diagnosed under age 18

A

all except for antisocial if symptoms present for at least 1 year

60
Q

schizoid personality disorder characterized by

A

detachment from social relationships and restricted range of emotions, activities, interests

61
Q

schizotypal personality disorder characterized by

A

compromised social relationships, also associated with odd beliefs, magical thinking, suspiciousness, paranoia

62
Q

enuresis can be ____ or ___

A

diurnal or nocturnal, or both

63
Q

encopresis can be with or without ___ and _____

A

constipation, overflow inconvenience

64
Q

Rett syndrome

A

rare genetic disorder involving persistent and progressive developmental regression after a period of normal development; onset before age 4 (usually between 1 and 2); sterotypic hand movements, problems with coordination of gait and trunk movement, profound mental retardation, severe expressive and receptive language development; only in females

65
Q

fragile X syndrome

A

genetic abnormality on X chromosome which leads to intellectual disability and behavioral problems

66
Q

Cluster A personality disorders

A

Odd and eccentric
Paranoid, schizotypal, schizoid

67
Q

Cluster B personality disorders

A

Dramatic, emotional, erratic
Antisocial, borderline, histrionic, narcissistic

68
Q

Cluster C personality disorders

A

Anxious and fearful
Avoidant, dependent, obsessive compulsive

69
Q

Delirium symptoms

A

Changes in level of consciousness and orientation, changes in cognition or perceptions, difficulty shifting and maintaining attention, delirious

70
Q

Delirium cause

A

General medical condition or substance use, combo of both; usually a medical emergency

71
Q

Delirium: duration

A

Rapid, acute onset of symptoms which can fluctuate over time

72
Q

Dementia symptoms

A

Disturbance involving memory impairment and other cognitive impairment
Dementia/Alzheimer’s

73
Q

Dementia causes

A

Usually by general medical condition, can be from series of strokes (vascular dementia) with patchy cognitive symptoms

74
Q

Dementia duration

A

Progressively worse over time

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