PSYCHOSIS
According to the DSM5, you are working with a patient who believes that an unknown entity has been removing thoughts from their head during the day and putting thoughts in their head at night. Which of the 5 key features that define psychosis are at play?
A. HALLUCINATIONS
B. DELUSIONS
C. GROSSLY DISORDERED BEHAVIORS
D. NEGATIVE SYMPTOMS
WHAT IS DELUSIONS
These beliefs would be considered bizarre disillusions because they are implausible, are not understandable to same-culture peers and are not derived from ordinary life experiences.
_______ IS AN EVIDENCED-BASED SCREENER THAT EXPLORES VARIOUS EVENTS OR SITUATIONS THAT COULD WARRANT TRAUMA (HELPS TO IDENTIFY A CRITERION A TRAUMA)
WHAT IS THE LEC-5
TYRONE HAS BEEN DEPRESSED FOR QUITE SOME TIME. HE OFTEN MOVES EXTREMELY SLOW WHEN PARTICIPATING IN BASIC ACTIVITIES (IE., TAKING A SHOWER OR GETTING DRESSED). WHICH SYMPTOM IS HE MOST LIKELY EXPERIENCING?
PSYCHOMOTOR RETARDATION
A. SCHIZOTYPAL PERSONALITY DISORDER
B. ANTISOCIAL PERSONALITY DISORDER
C. DEPENDENT PERSONALITY DISORDER
D. HISTRIONIC PERSONALITY DISODER
WHAT IS ANTISOCIAL PERSONALITY DISORDER
The patient shows a pattern of disregard for, and violation of, the rights of others. He has legal involvement, and appears to be willing to lie in order to get his needs met..**Think 'JOE'
THE PRIMARY DIAGNOSTIC FEATURES OF A ______ START WITH AN ABRUPT SURGE AND HAVE AT LEAST 4 OF THE FOLLOWING SYMPTOMS DURING THEIR SURGE: PALPITATIONS, POUNDING HEART, ACCELARTED HEART RATE, SWEATING, TREMBLING, SHAKING, SENSATIONS OF SHORTNESS OF BREATH OR SMOTHERING, FEELINGS OF CHOKING, CHEST PAIN, LIGHT-HEADED, ABDOMINAL DISTRESS, NAUSEA, PARESTHESIA (NUMBNESS OR TINGLING), DEREALIZATION OR DEPERSONALIZATION...
WHAT IS A PANIC DISORDER
(THINK MIKE IN BAD BOYS)
DESCRIBE THE DIFFERENCE BETWEEN DEREALIZATION AND DEPERSONALIZATION
WHAT IS Depersonalisation is where you have the feeling of being outside yourself and observing your actions, feelings or thoughts from a distance. Derealisation is where you feel the world is unreal. People and things around you may seem "lifeless" or "foggy". You can have depersonalization or derealisation, or both together.
_____ IS AN EVIDENCED-BASED SCREENER USED TO ASSESS FOR TRAUMA SYMPTOMS.
WHAT IS THE PCL-5
THE _____ is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression: THE ____incorporates the DSM-5 depression diagnostic criteria with other leading major depressive symptoms into a brief self-report tool.
WHAT IS THE PHQ-9
A. BORDERLINE PERSONALITY DISORDER
B. ANTISOCIAL PERSONALITY DISORDER
C. DEPENEDENT PERSONALITY DISORDER
D. HISTRIONIC PERSONALITY DISORDER
WHAT IS BORDERLINE PERSONALITY DISORDER
This disorder include fear or anxiety when faced with at least 2 of the following 5 situations: Using public transportation, being in public places, being in enclosed spaces, being in a crowd and being outside alone. When this is paired with a fear and avoidance of these situations because they 'might night be able to escape' or 'help might not be available' if they develop panic symptoms and this fear/anxiety is clearly out of proportion to the situation, and the anxiety/fear cause clinically significant distress or dysfunction...this meets criteria for?
WHAT IS AGORAPHOBIA
MR. TERRY EXPERIENCES DISORGANIZED THINKING, (OFTEN CALLED A FORMAL THOUGHT DISORDER, IS TYPICALLY INFERRED FROM AN INDIVIDUAL'S SPEECH PATTERNS). HE SWITCHES THOUGHTS FROM ONE TOPIC TO ANOTHER, ANSWERING QUESTIONS UNRELATED TO THE CONTENT BEING ASKED, SPEAKING IN INCOMPREHENSIBLE SYLLABLES, AND A VARIETY OF DIFFERENT WORD PATTERNS THAT MAKE NO SENSE..YOU NOTICE DURING ONE INTERACTION THAT MR. TERRY IS EXPERIENCING 'WORD SALAD'. WHAT IS THE SPECIFIC NAME FOR THIS TYPE OF DISORGANIZED THINKING?
WHAT IS INCOHERENCE-(Be sure to note the differences between derailment or loose association- switching topic quickly with no pattern, tangential thinking- responds to questions with completely unrelated responses , and aphasia- language disorders caused by damage to the brain ).
LIST THE FIVE CATEGORIES OF SYMPTOMS THAT ARE REQUIRED TO DIAGNOSE A TRAUMA DISORDER
WHAT IS
1. INTRUSION
2. NEGATIVE MOOD
3. DISSOCIATION
4. AVOIDANCE
5. AROUSAL
NAME 3 MOST PRESCRIBED MEDICATIONS USED TO TREAT DEPRESSION.
WHAT IS (Selective Serotonin Reuptake Inhibitors (SSRIs)
1. CELEXA (citalopram)
2. LEXAPRO (escitalopram)
3. PAXIL (paroxetine)
4. PROZAC (fluoxetine)
5. TRINTELLIX (vortioxetine)
6. VIIBRYD (vilazodone)
7. ZOLOFT (sertraline)
SSRIs work by increasing serotonin levels in the brain. Serotonin is a neurotransmitter (a messenger chemical that carries signals between nerve cells in the brain). It's thought to have a good influence on mood, emotion and sleep
You have begun to assess a 31-year old client who has recently moved out from their parent's home. They described difficulty making decisions without having to call their parents and ask them questions several times. They state they often feel alone and helpless and wish they were in a relationship. They tells you they would like to be married in order to have someone to take care of them. They have related that when their brother says things to them they don't like, they have a difficult time disagreeing with him because they fear their brother will no longer talk to them. What is the best possible diagnosis, of the following, for this patient?
A. SCHIZOTYPAL PERSONALITY DISORDER
B. ANTISOCIAL PERSONALITY DISORDER
C. DEPENDENT PERSONALITY DISORDER
D. HISTRIONIC PERSONALITY DISORDER
WHAT IS DEPENDENT PERSONALITY DISORDER
You are working with a patient who is exhibiting the following symptoms: fear, anxiety, and/or avoidance that is limited to one of the agoraphobic situations and the associated cognitions deal with fear of being directly harmed by the situation itself, using the DSM5 differential diagnosis information would lead to a best diagnosis of....
A. SOCIAL ANXIETY DISORDER
B. PANIC DISORDER
C. ACUTE STRESS DISORDER
D. SPECIFIC PHOBIA, SITUATIONAL TYPE
WHAT IS SPECIFIC PHOBIA, SITUATIONAL TYPE
This should be used if the fear, anxiety, and /or avoidance are limited to only one of the agoraphobic situations.
**Agoraphobia is rooted in fear of panic like symptoms (embarrassing or incapacitating symptoms)
specifice phoiba is directly related to the situation itself
(ie., fear of heights is linked to a fear of death by falling)
This symptom is described as a decrease in motivated self-initiated purposeful activities.
WHAT IS AVOLITION
(Negative symptom of psychosis)
You are working with a client who presents with the following features: irritable behavior, angry outbursts, hypervigilance, exaggerated startle response, and problems concentrating. When assessed for a trauma disorder, your patient state they have never experienced any trauma. Which of the following specifiers would you be likely to use?
A. DISSOCIATIVE SYMPTOMS
B. WITH DISSOCIATIVE SYMPTOMS: DEPERSONALIZATION
C. WITH DISSOCIATIVE SYMPTOMS: DEREALIZATION
D. WITH DELATED EXPRESSION
WHAT IS DISSOCIATIVE SYMPTOMS
The patient's symptoms meet the diagnostic criteria but the gap in memory or an internal refusal to acknowledge the memory or experiences would qualify for this specifier.
According to the DSM5-TR, MDD can be classified into two types:SINGLE EPISODE AND RECURRENT. DESCRIBE THE DIFFERENCES.
WHAT IS
Single Episode: This refers to an individual experiencing only one major depressive episode in their lifetime, with no history of previous depressive episodes.
b. Recurrent: This diagnosis is made when an individual has experienced two or more major depressive episodes, with at least two months of symptom-free interval between episodes.
the main factor that distinguishes the two types is the number of depressive episodes. In the case of single episode MDD, the individual experiences only one episode, whereas recurrent MDD involves multiple episodes.
You have begun working with 36- year old Ty'Quanesha, who is very into high fashion. She shows up to your office in designer clothes, with designer shoes and at every opportunity during therapy, make comments about their dress and how you dress. Their language is very flowery, their expressions of emotion are exaggerated, and you often feel they could de described as "extra" or "over-the-top". When you ask how they interact with a large group of friends, they state to you, "as long as everyone listens to me, I'm great". Your best diagnosis for this individual would be?
A. SCHISOTYPAL PERSONALITY DISORDER
B. ANTISOCIAL PERSONALITY DISORDER
C. DEPENDENT PERSONALITY DISORDER
D. HISTRIONIC PERSONALITY DISORDER
WHAT IS HISTORIONIC PERSONALITY DISORDER
(Pattern of execessive emotionally and attention seeking. They enjoy being the center of attention and feel uncomfortable when ignored)
_______ IS DEFINED BY PERSISTENT AND RECURRING THOUGHTS, URGES, OR IMAGES THAT ARE INTRUSIVE TO THE PATIENT AND UNWANTED WITH OR WITHOUT REPETITIVE BEHAVIORS OR MENTAL ACTS WHICH THE PATIENT FEELS DRIVEN TO PERFORM IN ORDER TO RESPOND TO AN OBSESSION OR THE NEED TO APPLY THESE ACTIONS OR RULES IN A RIGID FASHION.
WHAT IS OBSESSIVE-COMPULSIVE DISORDER
According to the DSM-5, patients showing signs of Alogia and Anhedonia are displaying which of the key features that define psychotic disorders?
A. hallucinations
B. Negative symptoms
C. Delusions
D. Disorganized Thinking
WHAT IS NEGATIVE SYMPTOMS
Anehedonia is the decreased ability to experience pleasure.
Alogia is manifested by decreased speech output
PROVIDE 3 EXAMPLES OF INTRUSIVE SYMPTOMS.
WHAT IS recurrent memories, distressing nightmares, flashbacks
LIST AT LEAST 5 CRITERIA NEEDED TO DIAGNOSE MAJOR DEPRESSIVE DISORDER:
WHAT IS
Five (or more) of the following symptoms have been present during the same two-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.NOTE: Do not include symptoms that are clearly attributable to another medical condition.
1) Depressed mood most of the day, nearly every day, as indicated by either subjective report (eg, feels sad, empty, hopeless) or observations made by others (eg, appears tearful). (NOTE: In children and adolescents, can be irritable mood.)
2) Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation).
3) Significant weight loss when not dieting or weight gain (eg, a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. (NOTE: In children, consider failure to make expected weight gain.)
4) Insomnia or hypersomnia nearly every day.
5) Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down).
6) Fatigue or loss of energy nearly every day.
7) Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).
8) Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by their subjective account or as observed by others).
9) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.C. The episode is not attributable to the direct physiological effects of a substance or to another medical condition.
This is a Cluster A disorder, which makes it part of the odd and peculiar personality disorders. It only occurs in approximately less than 1% of the population. Its characteristics include not having close personal relationships and choosing to remain detached from others in society. People with this disorder often negates in introverted activities and arrange their life in such a way that even their choices of professions require very minimal interaction with others. They will often take on a job position even if their abilities far exceed the job criteria. These individuals appear to view themselves as bystanders instead of as an active member in society.
(symptoms of a flat affect, low excitability, "emotional coldness"- to others, it could look like depression but the person is not bothered by it)
LITTLE SALLY WALKER EXHIBITS THE FOLLOWING BEHAVIORS: EXCESSIVE SHYNESS, FEAR OF SOCIAL EMBARRASSMENT, CLINGING, COMPULSIVE TRAITS, AND MILD OPPOSITIONAL BEHAIVOR. SHE CONSISTENTLY FAILS TO SPEAK IN SOCIAL SITUATIONS WHERE THERE IS AN EXPECATION OF SPEAKING. THIS BEHAVIOR HAS BEEN EXHIBITED FOR APPROXIMATELY 3 MONTHS AND THERE AN UNDERLYING COMMUNICATION ISSUES NOTED. AUTISM IS NOT SUSPECTED. YOUR BEST DIAGNOSIS FOR LITTLE SALLY WALKER WOULD BE?
WHAT IS SELECTIVE MUTISM