Mood Disorder
This disorder requires at least 2 weeks of depressed mood or loss of interest.
Major Depressive Disorder
This disorder is characterized by excessive, difficult-to-control worry occurring more days than not for at least 6 months about a number of events or activities.
Generalized Anxiety Disorder
Name (or describe) the 4 clusters of PTSD symptoms
Intrusion, Avoidance, Negative Alterations in Mood and Cognitions, Alterations in Arousal and Reactivity
Briefly explain when it is more appropriate to diagnose Major Depressive Disorder with anxious distress rather than a comorbid diagnosis of Major Depressive Disorder and Generalized Anxiety Disorder
Up to TAs discretion
How long must symptoms persist for Persistent Depressive Disorder?
2 years (1 year for children and adolescents)
A client fears scrutiny during social interactions because they worry they will be negatively evaluated. Symptoms have persisted for over a year and are not attributable to the physiological effects of a substance or another medical condition. What is the likely diagnosis?
Social Anxiety Disorder
Symptoms lasting between 3 days and 1 month following trauma are most consistent with what diagnosis.
Acute Stressor Disorder
True or false: A client who meets criteria for Post-Traumatic Stress Disorder cannot also receive a diagnosis of Major Depressive Disorder because depressive symptoms are part of PTSD.
Main differences between a manic episode vs a hypomanic episode
Duration (1 week vs 4 days) and functional impairment (manic causes marked impairment)
Bonus: manic may require hospitalization or have psychotic features
After a panic attack, what must be present for 1 month or more in order to diagnose Panic Disorder?
one or both of the following:
-Persistent concern or worry about additional panic attacks or their consequences
-A significant maladaptive change in behavior related to the attacks
Two 7-year-old children have histories of severe neglect.
Which diagnosis is most likely for each child?
Child A: Reactive Attachment Disorder
Child B: Disinhibited Social Engagement Disorder
A client experienced a workplace firing 4 months ago and now reports insomnia, anxiety, difficulty concentrating, persistent negative self-thoughts , and feeling overwhelmed after the incident. They deny avoidance, hypervigilance, or exposure to actual or threatened death, serious injury, or sexual violence.
What diagnosis should be considered before PTSD?
Adjustment Disorder
A 29-year-old client presents with recurrent depressive episodes. During assessment, she reports several periods lasting 4–5 days in which she needed only 3 hours of sleep, felt unusually confident, was more productive than usual, and received comments from friends that she seemed "different." She was never hospitalized and did not experience psychosis. What is the most likely diagnosis?
Bipolar II Disorder
True or false: an agoraphobia diagnosis is appropriate for the following
a client has marked fear and anxiety about using public transportation. The client fears or avoids these situations because of thoughts that escape might be difficult. If they must go on public transportation, they have to bring a friend. The fear and anxiety causes clinically significant distress.
False; agoraphobia requires marked fear or anxiety about TWO or more of the following situations:
A client reported experiencing an assault 2 weeks ago. They disclosed having intrusive memories, nightmares, avoidance of reminders, hypervigilance, and difficulty concentrating.
Question: What key piece of information is needed before determining whether the diagnosis is PTSD or Acute Stress Disorder?
duration of symptoms
A client reported increased anxiety and spends several hours each day worrying about contamination and repeatedly washes their hands.
What additional information would help determine whether this is GAD or OCD?
Exploring whether the thoughts are experienced as intrusive, unwanted obsessions and whether the washing functions as a compulsion.
Before diagnosing Major Depressive Disorder, DSM-5-TR requires that symptoms are not better explained by this category of disorders
Schizoaffective Disorder
"At least one major depressive episode is not better explained by schizoaffective disorder and is not superimposed on schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorders"
What additional information must you gather before determining whether the client meets DSM-5-TR criteria for GAD?
A 43-year-old client reports feeling "stressed all the time." They worry about work performance, finances, their parents' health, and whether friends are upset with them. They report difficulty concentrating and occasional sleep disturbance. During intake, the client states, "My mind never shuts off."
any of the following:
A firefighter witnessed multiple fatalities during a building collapse. They experienced mild distress initially but developed significant intrusion, avoidance, negative mood, and arousal symptoms 8 months later.
What PTSD specifier should be considered?
PTSD with delayed expression
How would you differentiate adjustment disorder with anxiety from generalized anxiety disorder?
For adjustment disorder:
-emotional/behavioral response is clearly linked to the identifiable stressor rather than generalized anxietyed across multiple domains
-symptoms do not meet full criteria for another mental disorder
-symptoms resolve within 6 months after the stressor ends