Name that Diagnosis
A 7 year-old child has persistent inattention across school and home for over 6 months. Symptoms were present before age 12 and impair academic functioning.
F90.0 Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Presentation
What specifier is used when someone with MDD reports feeling keyed up/tense and fear that something awful will happen?
With anxious distress
How long must symptoms be present to diagnose Generalized Anxiety Disorder?
6 months
Can Disruptive Mood Dysregulation Disorder and Oppositional Defiant Disorder be diagnosed together?
No.
If criteria are met for Disruptive Mood Dysregulation Disorder, then Oppositional Defiant Disorder is not diagnosed. (pg. 523 Criterion C)
True or False: A manic episode automatically qualifies someone for Bipolar I Disorder.
True.
An older adult reports a little over 2 years of depressed mood more days than not, low self-esteem, poor concentration, and hopelessness, with no symptom-free period longer than 2 months.
F34.1 Persistent Depressive Disorder
True or False: Bipolar II Disorder can have “with psychotic features” during a hypomanic episode.
False
(Psychotic features during hypomania = mania = Bipolar I) pg. 153
Minimum duration for hypomanic episode?
4 consecutive days
Can Obsessive Compulsive Disorder and Generalized Anxiety Disorder be diagnosed together?
Yes.
If excessive worry is not solely related to obsessions, both can be diagnosed.
True or False: You can diagnose MDD if symptoms are better explained by Schizoaffective Disorder.
False. Must rule out psychotic spectrum disorders first.
A client experiences intrusive thoughts about contamination and performs repetitive handwashing rituals that take over 2 hours per day, and impairs occupational functioning with lack of insight.
F42.2 Obsessive-Compulsive Disorder, with poor insight
What specifier is used when a person with Bipolar I has four or more mood episodes in 12 months?
With Rapid Cycling (pg. 171)
Minimum and maximum duration for Acute Stress Disorder?
3 days to 1 month
A client has hallucinations and delusions for 8 months. During most of that time, they also meet full criteria for a major depressive episode. Additionally, there was a 3-week period of hallucinations without any mood symptoms.
What is the correct diagnosis?
F25.1 Schizoaffective Disorder, Depressive Type
True or False: PTSD requires direct exposure to trauma.
False.
Can include witnessing, learning about trauma to close family member, or repeated exposure (e.g., first responders).
A 24-year-old woman reports that for the past year she experiences marked mood lability, irritability, depressed mood, and decreased interest in activities during the week before the onset of menses. She also reports difficulty concentrating, fatigue, changes in sleep, and feeling overwhelmed. Her symptoms improve within a few days after menses begins and are minimal in the week after. Symptoms cause significant distress and interfere with work and relationships.
Write the full diagnosis.
F32.81 Premenstrual Dysphoric Disorder
A person with schizophrenia has prominent hallucinations but is currently functioning better than during the acute episode. Some symptoms remain.
Which course specifier applies?
In Partial Remission
(Residual symptoms present but no longer fully meeting criteria)
A 22 year-old has verbal and physical aggression twice weekly for 2 months. Outbursts are impulsive and disproportionate.
Does this meet criteria for Intermittent Explosive Disorder?
No. Duration must be at least 3 months.
A person develops depressive symptoms within 2 months of losing a job but does not meet full criteria for MDD.
Write out the most appropriate diagnosis?
F43.21 Adjustment Disorder, with Depressed Mood
True or False: ADHD symptoms must be present before age 12.
True. (Criteria B)
A client has 8 days of elevated mood, decreased need for sleep, pressured speech, grandiosity, and is hospitalized. There has never been a depressive episode.
Write the full diagnosis including severity.
F31.13 Bipolar I Disorder, Current Episode Manic, Severe
Pg. 142
A student writes the following diagnosis:
F31.81 Bipolar II Disorder, current episode hypomanic, with psychotic features
What is incorrect? Write out the correct diagnosis
This is incorrect because psychotic features cannot occur during hypomania. If psychotic features are present, the episode is, by definition, manic, not hypomanic.
F31.2 Bipolar I Disorder, Current Episode Manic, With Psychotic Features (pg. 143)
A client reports panic attacks for 3 weeks and persistent worry about having another attack.
Does this meet criteria for Panic Disorder?
No. Panic Disorder requires 1 month of persistent concern or maladaptive behavior change following an attack.
A client was involved in a serious car accident 3 weeks ago. Since the accident, they report:
• Recurrent intrusive memories
• Distressing dreams about the accident
• Flashbacks
• Intense psychological distress at reminders
• Efforts to avoid driving
• Avoiding conversations about the accident
• Persistent negative mood
• Feeling detached from others
• Exaggerated startle response
• Sleep disturbance
Writer out the most accurate diagnosis?
F43.0 Acute Stress Disorder
(Not PTSD due to duration <1 month)
True or False: If a child meets full criteria for Autism Spectrum Disorder, you cannot also diagnose Attention-Deficit/Hyperactivity Disorder.
False. Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder can be diagnosed together if full criteria are met for both.