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 a particular time of year
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
Manic Episode
Name any 5 of the 9 DSM symptoms of Major Depressive Disorder
Depressed mood, loss of interest, weight gain/loss, insomnia/hypersomnia, psychomotor agitation/retardation, fatigue/loss of energy, feelings of worthlessness/guilt, difficulty concentrating/indecisiveness, thoughts of death/suicide
A child cannot carry comorbid diagnoses of Reactive Attachment Disorder and this neurodevelopmental disorder.
Autism Spectrum Disorder
This personality disorder, often mistaken for Bipolar Disorder, involves poor self image, erratic moods/behaviors, impulsivity, and heightened sensitivity to any form of criticism, abandonment, or rejection from others
Borderline Personality Disorder
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:
Inflated self-esteem, more talkative, 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)
A diagnosis indicating low, but chronic depression, lasting for at least two years
Persistent Depressive Disorder
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
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 are two 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)
A client presents to a therapy intake and successfully meets criteria for both Generalized Anxiety Disorder and Major Depressive Disorder, Single Episode, Mild.
What word describes someone who carries more than one mental health diagnosis at the same time?
Cormorbid diagnoses (Comorbidity)
Name any three of the six DSM symptoms of Generalized Anxiety Disorder
Restlessness (on edge); fatigued; difficulty concentrating; irritability; muscle tension; sleep disturbance
How would you describe the difference between Bipolar I and Bipolar II disorder?
Answers may include: Bipolar II never reaches full mania; Bipolar II typically experiences more depressive episodes, while Bipolar I typically experiences more manic episodes; Hypomanic symptoms are often not severe enough to cause marked impairment in functioning or hospitalization, as manic episodes may
When diagnosing Major Depressive Disorder, you are required to specify if it is a "Single Episode" or "Recurrent Episode" along with the severity. What is the difference between a single and recurrent episode?
Single episode refers to (1) episode in your lifetime, without a gap in symptoms
Recurrent episode means that someone has experienced several MDD episodes, with symptom-free intervals in between (typically of at least 2 months)
How would you describe the difference between the onset of Anxiety Disorders and the onset of Trauma and Stressor Related Disorders?
Someone with an Anxiety Disorder is likely to experience their symptoms consistently, and they are often future oriented (fear of embarrassment, something bad will happen, rejection, going out in crowds/public spaces, etc). Trauma and stressor related disorders are caused by a specific, identifiable circumstance, which means symptoms may improve and circumstances improve (adjustment disorders)
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