What's New

Question 1

ToF. Removal of the Multi-axial System

Answer 1

True

Question 2

DSM-5 utilizes 2 new terms:

Answer 2

Subtypes and Specifiers

Question 3

Principal diagnosis

Answer 3

understood to be the one “chiefly responsible for occasioning the admission of the individual.”

Question 4

Provisional Diagnosis

Answer 4

intended for circumstances where either the duration or the full criteria have not yet been met but are expected to be met.

Question 5

Persistent Depressive Disorder

Answer 5

replaces Dysthymic Disorder and subsumes the category of Recurrent Major Depression.

Question 6

ToF. In the DSM 5 bereavement excludes the diagnosis of depression;

Answer 6

False

Question 7

ToF. Bipolar diagnosis can include Mixed Features Specifiers that allow clinicians to document significant Depressive features and Anxiety Specifiers.

Answer 7

True

Question 8

DSM-5 removes OCD (Obsessive Compulsive Disorder) and PTSD (Post Traumatic Stress Disorder) from the section of Anxiety Disorders.

Answer 8

True, they are placed among 2 newly created categories of OCD and Related Disorders and Trauma Stress Disorders respectively.

Question 9

DSM-5 distinguishes Panic Disorder and Agoraphobia as 2 distinct disorders

Answer 9

True

Question 10

Panic Attacks appear in the presence of various other disorders, clinicians may use Panic Attack Specifier

Answer 10

True

Question 11

The 5 subtypes of Schizophrenia (catatonic, disorganized, paranoid, residual, and undifferentiated) still characterize this disorder.

Answer 11

False

Question 12

Catatonia (is a Specifier and can be employed with Schizophrenia, Bipolar Disorder, and Depression

Answer 12

True

Question 13

Schizophrenia

Answer 13

At least 1 positive symptom (hallucinations, delusions, or disorganized speech) is now required to meet the criteria

Question 14

Schizoaffective Disorder

Answer 14

Schizoaffective Disorder requires that either depression or bipolar features be present for a majority of the disorder’s duration.

Question 15

New group of disorders

Answer 15

DSM-5 adds a new group of disorders known as the OCD and Related Disorders. This includes not only what has traditionally been OCD itself, but certain related illnesses including: Body Dysmorphic Disorder and Trichotillomania. Newly created diagnoses in this section are Excoriation Disorder (skin picking) and Hoarding Disorder.

Question 16

SUBSTANCE ABUSE DISORDERS

Answer 16

No distinction is made between Substance Abuse and Substance Dependence. This is in keeping with the “Spectrum” approach. The main diagnostic heading is Substance Abuse Disorder. The various substances of abuse are now subsumed under this heading: Criteria.

Question 17

Substance Abuse Criterias

Answer 17

Criteria 1– 4 Craving
Criteria 5– 7 Impaired Social Functioning Criteria 8– 9 Failure to Consider Risks
8– 9 Failure to Consider Risks of Use
Criterion 10 Tolerance Criterion 11 Withdrawal

Question 18

The substances include

Answer 18

Alcohol, Caffeine, Cannabis, Hallucinogen, Opioids, Sedative-Hypnotics/ Anxiolytics, Stimulants, Tobacco, and Other.

Question 19

New SA disorder

Answer 19

Tobacco Use Disorder has also been added

Question 20

NEURODEVELOPMENTAL DISORDERS

Answer 20

Neurodevelopmental Disorders first appear in childhood and are capable of producing lasting impairment of academic, social, occupational, and intrapersonal functioning. The disorders include: Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), Communication Disorder, Specific Learning Disorder, and Motor Disorders.

Question 21

DSM-5 conflates Autism, Asperger’s Disorder, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder NOS into one diagnosis

Answer 21

Autism Spectrum Disorder (ASD).

Question 22

ASD is characterized by

Answer 22

1) deficits in social communication and social interaction and 2) restricted repetitive behaviors.

Question 23

Specific Learning Disorder replaces

Answer 23

Reading Disorder, Mathematics Disorder, and Disorder of Written Expression and clinicians should specify if any of the above features are present.

Question 24

The diagnosis of Mental Retardation has been replaced by

Answer 24

Intellectual Developmental Disorder. This disorder is now assessed more by adaptive functioning and less by absolute IQ score.

Question 25

DSM-5 establishes a new section for Trauma and Stressor Related Disorders. These include

Answer 25

PTSD, Acute Stress Disorder, Adjustment Disorders, and Reactive Attachment Disorder.

Question 26

NEUROCOGNITIVE DISORDERS

DSM-5 introduces a substantial shift in the diagnostic schema regarding Dementia.

Answer 26

The term Dementia has been replaced with Neurocognitive Disorder (NCD).

Question 27

The Neurocognitive Disorders include a long list of subtypes that are distinguished from one another by the specific cause of the disorder.

Answer 27

Subtypes include: Alzheimer’s, Vascular, Substance Induced, Traumatic Brain Injury, HIV Infection, Parkinson’s Disease, Lewy Bodies, Prion Disease, and Huntington’s Disease.

Question 28

DISSOCIATIVE DISORDERS

Dissociative Disorders are listed as a separate diagnostic category that includes

Answer 28

Dissociative Identity Disorder, Dissociative Amnesia, Depersonalization/ Derealization Disorder (this subsumed Depersonalization Disorder). Dissociative Fugue is no longer a distinct diagnosis but is a Specifier.

Question 29

SOMATIC SYMPTOM DISORDER (SOMATOFORM DISORDERS)

Somatic Symptom Disorder is a new diagnostic construct in DSM-5.

Answer 29

Somatization Disorder, Hypochondriasis, Pain Disorder, and Undifferentiated Somatoform Disorder have all been removed and replaced by the new Somatic Symptom Disorder diagnosis.

Question 30

FEEDING AND EATING DISORDERS

A new disorder,

Answer 30

Avoidant/ Restrictive Food Intake Disorder, is primarily confined to children who have extreme food preferences leading to substantial psychological or nutritional problems.

Question 31

The frequency of purging behavior required to diagnose Bulimia Nervosa has been reduced

Answer 31

from twice per week to once per week. When overeating with a loss of control and significant distress occurs at least weekly for 3 months,

Question 32

another new disorder,

Answer 32

Binge-Eating Disorder is introduced.

Question 33

SLEEP-WAKE DISORDER (SLEEP DISORDERS)

new sleep disorders include

Answer 33

Rapid Eye Movement Sleep Behavior Disorder and Restless Leg Syndrome.

Question 34

GENDER DYSPHORIA (GENDER IDENTITY DISORDERS)

Answer 34

Gender Dysphoria is no longer categorized alongside sexual dysfunctions and paraphilias. It is now

Question 35

SEXUAL DYSFUNCTIONS

DSM-5 reorganizes the section of Sexual Dysfunctions.

Answer 35

Genito-Pelvic Pain/ Penetration Disorder replaces Vaginismus and Dyspareunia.

Question 36

Sexual Aversion Disorder has been removed due to a lack of research evidence

Answer 36

True

Question 37

DSM-5 introduces the notion that illness is an either/ or phenomenon instead of being along a spectrum or continuum.

Answer 37

False

Question 38

the boundaries between certain disorders are less sharply defined in DSM-5 than the DSM-4

Answer 38

True
For example, Depression can have Bipolar or Anxiety “Specifiers” thereby acknowledging the overlap of the illness. Likewise, Anxiety disorder can be assigned Bipolar or Depression Specifiers.

Question 39

DSM-5 diagnosis concerns itself with the extreme ends of these spectrums.

Answer 39

True

The middle of each spectrum is a zone of “healthy functioning”.