Anxiety/Obsessive Compulsive Related Disorders
A disorder where someone has excessive worry and anxiety about a number of different events
Generalized Anxiety Disorder (GAD)
Criteria has been met for at least one hypomanic episode and at least one major depressive episode
Bipolar II Disorder
When diagnosing Major Depressive Disorder, at least one symptom must be _________ or ____________.
Depressed mood or loss of interest/pleasure in activities
The key feature to this disorder is the presence of emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of the onset of the stressor
Adjustment Disorder
The specifier for individuals who experience recurrent depressive disorder during the Fall and Winter seasons
Major Depressive Disorder With Seasonal Patterns
Repetitive behaviors or mental acts that an individual feels driven to perform
Compulsions (Characteristic of OCD)
Describes feelings of grandiosity, decreased need for sleep, feeling more talkative than usual, having flight of ideas, distractibility, and psychomotor agitation. Symptoms have been present for at least a week.
Manic Episode (Bipolar I)
What is the age range that you could appropriately diagnose DMDD?
6-18yo
True or False: In order for someone to meet criteria for a diganosis of Reactive Attachment Disorder, they MUST grow up in an abusive biological home
False: that is one potential insufficient caregiving possibility that may lead to RAD, but it is not required of the diagnosis
Paranoid, Schizoid, and Schizotypal Personality Disorders are all examples of Cluster __ Personality Disorders
Cluster A Personality Disorders
A disorder where an individual fears or avoids situations because of thoughts that escape may be difficult or help may not be available in the event of incapacitating or embarrassing symptoms
Agoraphobia
Which of the following does not belong here in the list of symptoms associated with bipolar I/II:
Inflated self-esteem, more talkative than usual, easily fatigued, involvement in high risk activities, decreased need for sleep, distractibility
Easily fatigued: this is not an associated symptom of manic or hypomanic episodes (although someone with bipolar disorder may report a level of fatigue following the crash of a manic/hypomanic episode)
Which of the following is NOT a risk factor to suicide?
Previous suicide attempts, family history of suicidal behavior, chronic feelings of helplessness/hopelessness, giving away personal belongings
Giving away personal belongings (that is a warning sign to a suicide)
After diagnosing an Adjustment Disorder, if symptoms have not been resolved within ___ months, you would need to re-assess and give a new diagnosis.
Six months
Cluster A personality disorders are often described to be "eccentric, detached, and distrustful."
Cluster C personality disorders are often described to be "fearful and anxious."
How would you describe a Cluster B personality disorder?
Difficulties with regulating emotions/behaviors and emotionally erratic
(Borderline Personality Disorder, Antisocial Personality Disorder, Narcissistic Personality Disorder)
Recurrent and persistent thoughts, urges, or images that are experienced as both intrusive or unwanted, and cause varying levels of anxiety and distress
Obsessions (Characteristic of OCD)
How long does someone need to present with hypomanic symptoms in order for it to meet DSM criteria for a hypomanic episode?
At least four consecutive days
Disruptive Mood Dysregulation Disorder is characterized by what types of behaviors?
Severe and recurrent temper tantrums (verbal or physical in nature) and persistently irritable/angry mood in between tantrums
The DSM recognizes three different extremes to insufficient caregiving associated with Reactive Attachment Disorder. What is one of them?
Social neglect/abuse/deprivation, repeated changes in primary caregiver (frequent changes in foster care), rearing in unusual settings (shelter, grouphome, frequent psychiatric inpatient stays, residential facilities, etc)
In what year what was the most recent version of the DSM 5-TR published?
2022
When considering diagnosing a child and adult with GAD, what is the main difference in criteria?
Number of symptoms required (children only require one symptom, adults require at least 3)
How long do symptoms need to be present during a manic episode to meet criteria for Bipolar I?
At least one week
How many settings must be behaviors be present for DMDD to be diagnosed?
At least two
Why do mental health providers often use an Adjustment Disorder as a preliminary diagnosis if possible?
To avoid over-pathologizing a potentially typical and temporary reaction to a major life stressor
In your own words, what are the determining factors that suggest someone meets criteria for a diagnosable mental health disorder? For example, everyone feels sad at times. So why isn’t everyone diagnosed with Major Depressive Disorder?
(1) Number of symptoms present
(2) Length of time co-occurring symptoms are present
(3) If the symptoms are causing clinically significant distress