This stage is characterized by a significant enough decline in functioning that nearly anyone else will notice the decline. The client may forget their own birthday in this stage. The client is likely not able to maintain their home dwelling.
What is stage 4?
In this situation (not a mental illness) the patient is knowingly and willfully utilizing medical resources for a secondary gain.
What is malingering?
Features:
Fear of going out in public
Fear of something going wrong
Fear of an embarrassing situation
Fear of a disaster occurring
Fear of nearly anything going wrong (e.g., cannot get out of a stairwell).
What is agorophobia?
This is the term used by psychiatric providers to describe the stressor applied to the person who goes on to develop acute stress reaction (acute stress disorder) and/or later PTSD.
What is a (the) precipitating event?
Must be present for at least 6 months. Pervasive anxiety is present based on provided patient history (at least two types of disorders).
What is SAD (Social Anxiety Disorder) and/or What is GAD (Generalized Anxiety Disorder)?
This stage is characterized by a marked decline. Close contacts such as co-workers and friends may notice decline, but the client is still generally able to drive and pay bills.
What is stage 3?
In this disorder a client or a proxy (such as a parent) may intentionally inflict an actual illness or abnormality in order to achieve gain due to their mental health disorder underlying the behavior.
What is fictitious disorder (formerly Munchausen or Munchausen by proxy)?
In children, commonly develops after a traumatic event, but is not a trauma disorder (examples, loud thunder, scary animals). In adolescents, commonly develops after an injury (example: sports are scary).
What is [any] phobia?
or
What is a phobia?
This disorder is characterized by assumption of multiple personalities, frequently as a complex response to the client's inability to process trauma.
What is dissociative identity disorder (DID)?
Unlike PTSD, this mental illness cannot occur for more than 1 month. It is also related to trauma and has the same defining features.
What is acute stress disorder (ASD) or acute stress reaction (ASR)?
This condition is characterized (early on) by vivid hallucinations and delusions and (later) significant decline in motor functioning. The client is at a higher-than-normal risk of EPS if given antipsychotics for their hallucinations.
What is Lewy Body dementia?
This disorder includes fixation on somatic complaints that are real and not imagined such as frequent headaches and migraines. The patient seeks assurances from providers based on a true physical ailment but may fixate on the somatic complaint in a way that interferes with life functioning.
What is somatic illness disorder?
Young men with this disorder may not want to urinate next to other men due to a fear of an embarrassing situation.
What is social anxiety disorder (AKA social phobia)?
This is the term for the type of dissociation that frequently results in generalized amnesia. At times the client may assume a new identity.
What is dissociative fugue?
Or: What is fugue?
Or: What is the fugue state?
This disorder needs to be present for at least 2 years in adults, or at least 1 year in adolescents or children.
Dysthymia
These two neurotransmitters are most commonly-referenced with consideration for medications that delay the progression of dementia such as donepezil and memantine.
What are acetylcholine and glutamate?
This disorder includes fixation on somatic complaints with the primary concern centered on fear of fatal or serious illness or ailment (e.g. convinced that one has terminal cancer).
What is illness anxiety disorder?
This therapeutic modality helps a client by exposing them to that which causes their phobia in a controlled manner in the hopes of desensitizing their stress response to the phobia.
What is flooding (implosion therapy)?
This disorder is far less serious than PTSD but results in a patient's inability to adapt or cope with a stressful event such as a loss in such a way that it significantly impacts social functioning for a period of time.
What is adjustment disorder?
This disorder does not have a specific time requirement and is related to anxiety, but does not contain the word "anxiety" as a term.
What is obsessive compulsive disorder (OCD)?
-or-
One of the various OCD-related disorders is an acceptable answer (hoarding disorder, trichotillomania, etc.)
This condition is characterized by a deficit of dopamine in the basal ganglia, resulting (early-on) in apraxia and tremors, and later resulting in delusions. Patients who have worked around pesticides are at highest risk for this disorder.
What is Parkinson's disease (Parkinson's dementia).
This French term refers to the phenomenon wherein patients with conversion disorder (functional neurologic disorder) appear seemingly unphased by an alteration in their physical health that would otherwise cause marked distress.
What is "La belle indifference?"
This disorder includes fixation on somatic complaints that are real and not imagined such as frequent headaches and migraines. The patient seeks assurances from providers based on a true physical ailment but may fixate on the somatic complaint in a way that interferes with life functioning.
What is somatic illness disorder?
This specific feeling/emotion associated with PTSD is highly correlated with suicidality and risk of self harm.
What is guilt?
In children, irritability may be a hallmark symptom.
What is Major Depressive Disorder (MDD)?