What's the DX
This disorder has a hallmark feature of worry over everything and anything.
Generalized Anxiety Disorder
The most common of all the schizophrenia spectrum disorders is schizoaffective.
False.
The most common of all the schizophrenia spectrum disorders is schizophrenia.
This is the amount of time symptoms must be present for a diagnosis of PTSD.
At least one month
Side Note: 3 days up to less than 1 month would be acute stress disorder
A 19-year-old woman is referred to a psychiatrist by her internist after she admits to him that she recurrently pulls hair from her eyebrows to the point that she has scarring and there is little or no eyebrow hair left. She states that her natural eyebrows are “bushy” and “repulsive” and that she “looks like a cave- man.” A photograph of the woman before she began pulling her eyebrow hair shows a normal-looking teenager. What is the most appropriate diagnosis?
A. Trichotillomania (hair-pulling disorder).
B. Body dysmorphic disorder.
C. Delusional disorder, somatic type.
D. Normal age-appropriate appearance concerns.
E. Obsessive-compulsive disorder.
B. Body dysmorphic disorder
Two possible ways someone can be exposed to actual or threatened death, serious injury, or sexual violence.
Directly experiencing the traumatic event(s)
Witnessing, in person the event (s) as it occurred to others.
Learning that the traumatic event(s) occurred to a close family member or close friend.
This disorder is an overlapping episode of manic and depressive episodes as well as times of delusion and hallucinations as well as times where the delusions are independent.
Schizoaffective Disorder
Major depressive disorder involves 5 or more symptoms of depression experienced most of the day, nearly every day, for at least 2 consecutive weeks.
True.
With this diagnosis there is no manic or hypomanic episode.
A 31-year-old man narrowly escapes (without injury) from a house fire caused when he dropped the lighter while trying to light his crack pipe. Six weeks later, while smoking crack, he thinks he smells smoke and runs from the build-ing in a panic, shouting, “It’s on fire!” Which of the following symptoms or circumstances would rule out a diagnosis of post traumatic stress disorder (PTSD)for this patient?
A.Having difficulty falling asleep.
B.Being uninterested in going back to work
C.Inappropriately getting angry at family members.
D.Experiencing symptoms only when smoking crack cocaine.
E.Concluding that “the world is completely dangerous.”
D. Experiencing symptoms only when smoking crack cocaine.
A 30-year-old single woman reports having experienced auditory and persecutory delusions for 2 months, followed by a full major depressive episode with sad mood, anhedonia, and suicidal ideation lasting 3 months. Although the depressive episode resolves with pharmacotherapy and psychotherapy, the psychotic symptoms persist for another month before resolving. What diagnosis best fits this clinical picture?
A.Brief psychotic disorder.
B.Schizoaffective disorder.
C.Major depressive disorder.
D.Major depressive disorder with psychotic features.
E.Bipolar I disorder, current episode manic, with mixed features
B. Schizoaffective disorder.
A helpful resource within the DSM-5 for clinicians working with diverse populations
Cultural Formulation Interview
It is Found in Section III of the DSM-5. Comprise of 16 Questions to define culture and relationships to the diagnosis.
Name the three common paraphilic disorders that may be present in children and/or adolescents
Exhibitionistic disorder
Fetishistic Disorder
Frotteuristic disorder
Pedophilic disorder
Sexual masochism disorder
Sexual sadism disorder
Transvestic disorder
Voyeuristic disorder
In a fetishistic disorder, an individual might experience impairment and negative consequences due to their sexual arousal from shoes.
True.
Remember: Sexual arousal from an object
Criteria for Fetishistic disorder:
-Duration is 6+ months
-Distress or impairment
-Differential Diagnosis (DD) - transvestic disorder
These can be auditory, visual or tactile.
Hallucinations.
Remember - Hallucinations can affect all senses. This is a positive symptoms of the schizophrenia spectrum disorders.
A 32-year-old man reports 1 week of feeling unusually irritable. During this time, he has increased energy and activity, sleeps less, and finds it difficult to sit still. He also is more talkative than usual and is easily distractible, to the point of finding it difficult to complete his work assignments. A physical examination and laboratory workup are negative for any medical cause of his symptoms and he takes no medications. What diagnosis best fits this clinical picture?
A.Manic episode.
B.Hypomanic episode.
C.Bipolar I disorder, with mixed features.
D.Major depressive episode.
E.Cyclothymic disorder.
A. Manic episode
this type of treatment involves "facing anxiety-provoking stimuli, one’s fears become extinguished, new coping skills are developed, and significant cognitive change occurs."
Exposure techniques
The criteria of extreme neglect in the developmental years is critical to diagnosis of this disorder.
Reactive Attachment Disorder
Individual who have dissociative amnesia often have difficulties retaining new information.
False.
With this disorder, clients cannot remember important information about their personal life. Forgetting is limited to specific areas of client's life, or the client's life history or identity.
Persistently elevated, expansive, or irritable mood and increased goal-directed activity or energy, lasting for at least one week, coupled with three symptoms. Results in functional impairment, hospitalization, or psychotic symptoms.
Manic episode
This is one of the 3 building blocks for Mood disorders. The other 2 building blocks include:
Depressive episode and Hypomanic episode
Over a period of several years, a 50-year-old woman visits her dermatologist’s office every few weeks to be evaluated for skin cancer, showing the dermatologist various freckles, nevi, and patches of dry skin about which she has become concerned. None of the skin findings have ever been abnormal, and the dermatologist has repeatedly reassured her. The woman does not have pain, itching, bleeding, or other somatic symptoms. She does have a history of occasional panic attacks. What is the most likely diagnosis?
A.Unspecified anxiety disorder.
B.Illness anxiety disorder.
C.Hypochondriasis.
D.Somatic symptom disorder.
E.Factitious disorder
B. Illness anxiety disorder
This therapeutic approach tends to be the best practice for many trauma related and anxiety related disorders.
Cognitive Behavioral Therapy
This mood disorder is defined by a depressive episode and a hypomanic episode.
Bipolar II disorder
Major Depressive disorder criteria include Depressed mood and 2 or more symptoms that occur more days than not for at least 2 years (adults).
False.
Persistent Depressive Disorder include the depressed mood and 2 or more symptoms that occur more days than not for at least 2 years (adults).
What is the name for the types of symptoms that are felt physically in the body? (ie: racing heart, sweaty palms, etc.)
Somatic Symptoms
Symptoms reported by clients can include but not limited to:
Pain symptoms
Problems with breathing or heartbeat
Abdominal complains
Menstrual disorders
A 6-year-old girl has repeatedly approached strangers while in the park with her class. The teacher requests an evaluation of the behavior. The girl has a his-tory of being placed in several different foster homes over the past 3 years.Which diagnosis is suggested from this history?
A.Attention-deficit/hyperactivity disorder (ADHD).
B.Disinhibited social engagement disorder (DSED).
C.Autism spectrum disorder (ASD).
D.Bipolar I disorder.
E.Borderline personality disorder.
B. Disinhibited social engagement disorder (DSED)
What kind of data is collected during the initial assessment?
Presenting problem
Risk Level
Identification
History of Concerns
Trauma History
Health condition
Family History
Social History
Educational & Occupation History
Substance History
Spiritual/Cultural Factors
Developmental History
Legal History
SNAP (Strengths, Needs, Abilities, and Preferences)