Paraphilic and Other Mental Health Disorders

Common Paraphilic Disorders

100

What specifier does not address the continued presence or absence of voyeurism per se, which may still be present after behaviors and distress have remitted?

a) “In a controlled environment”

b) “In full remission”

c) “In remission”

c) “In full remission”

200

In Pedophilic Disorder: An individual who is in late adolescence and involved in an ongoing sexual relationship with a 12 or 13-year old would not be be included. True or False?

True

300

Name two risk factors for Exhibitionistic Disorder?

a) Substance Use

b) Sexual Preoccupation

c) Adult Rape

d) Childhood Sexual Abuse

B & D

400

Which of the following is a differential diagnosis for  Pedophilic Disorder?

a) Antisocial Personality Disorder

b) Alcohol and Substance abuse Disorder

c) Obsessive Compulsive Disorder

d) All of the Above

d) All of the Above.

500

Autogynephilia , a specifier of transvestic disorder, is what?

Sexual arousal caused by thoughts or images of self as female.

Uncommon Paraphilic Disorders

100

Sexual Masochism is a disorder in which individuals use sexual fantasies, urges or behaviors; involving the simulated, not real, act of being humiliated, beaten, or otherwise made to suffer in order to achieve sexual excitement and climax.

• True or False?

False. Involving the, real, not simulated act of being humiliated…

200

General guidelines regarding time frame for signs/symptoms of sexual sadism disorder, must have persisted for at least___ months, recurrent and intense sexual arousal from the physical or psychological suffering of another person, as manifested by fantasies, urges, or behaviors.

a) 3 months

b) 6 months

c) 12 months

d) None of the above

b) 6 months

300

Adult females with Frotteuristic disorder often report first becoming aware of their sexual interest in surreptitiously touching unsuspecting persons during late adolescence or emerging adulthood.

True or False?

False (adult males)

400

Which Paraphilic disorder is nearly exclusively reported in males in clinical samples?

Fetishistic Disorder

500

Frotteuristic acts, include the uninvited sexual touching of or rubbing against another individual, may occur in up to:

a) 30% of adult males

b) 10% of adult males

c) 5% of adult females and 25% of adult males

a) 30% of adult males

Paraphilic Disorders Continued

100

One diagnostic criteria of exhibitionistic disorder, includes recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, over a period of at least 3 months, as manifested by fantasies, urges, or behaviors.

True or False?

False (6 months)

200

Which is the correct statement? For Sexual Masochism Disorder, use the specifier:

a) “In full remission”- if there has been no distress or impairment in social, occupational, or other areas of functioning for at last 5 years while in an uncontrolled environment.

b) “In a controlled environment”- is applicable to individuals living in institutional or other settings where opportunities to engage in masochistic sexual behaviors are restricted. 

c) Neither of the above.

d) Both of the above.

d) both of the above.

300

Many of the conditions that could be differential diagnoses for sexual sadism disorder, sometimes occur also as comorbid diagnoses. Therefore, it is necessary to carefully evaluate the evidence for sexual sadism disorder, keeping the possibility of other paraphilic or mental disorders as part of the differential diagnosis. Which of the conditions below, could be differential diagnoses for sexual sadism disorder?

a) Antisocial Personality Disorder

b) Sexual Masochism Disorder

c) All of the above

c) All of the above

400

What is the minimum age of the individual and age gap between individual and child, in order to qualify for diagnosis of pedophilic disorder?

a) 16 years and 5 year gap

b) 18 years and 4 year gap

c)15 years and 3 year gap

d) Any age after puberty, but at least a 4 year age gap

a) 16 years and 5 year gap

500

Transvestic disorder is different from Gender Dysphoria, in what key ways?

Individuals with transvestic disorder do not report an incongruence between experienced gender and assigned gender, nor desire to be of the other gender. -DSM V

Also those with Gender Dysphoria, are not usually sexually aroused by their feeling of incongruence

Other Mental Health Disorders/ Medication-induced

100

Other Medication-Induced Movement Disorders is the name for disorders not captured by any specific disorders listed in the Medication-induced section of the DSM 5.

True or False?

True

Examples include: 

1) Presentations resembling neuroleptic malignant syndrome that are associated with medications other than neuroleptics 

AND

2) Other medication-induced tardive conditions.

200

In Antidepressant Discontinuation Syndrome it includes a set of symptoms that occur after the abrupt cessation of an antidepressant medication. Symptoms generally begin within 2-4 days and typically include specific sensory, somatic and cognitive-emotional manifestations. Can you name some at least two sensory and somatic symptoms that are included in the DSM 5?

Flashes of lights, "electric shock" sensations, nausea and hypersensitivity to noises or lights. 

300

Withdrawal-emergent dyskinesia is usually time limited, lasting less than how many weeks? 

a) 1-2 weeks

b) 3-4 weeks

c) 4-8 weeks

d) 10 weeks

c) less than 4-8 weeks 

Dyskinesia that persists beyond this window is considered to be tardive dyskinesia.

400

How would dissociative symptoms due to complex partial seizures be coded/ written as? 

(don't need to know the numbered codes, just how to write and record it as a diagnosis. Use other specified mental disorder in your answer).

(G40.209) Complex partial seizures (F06.8) Other specified mental disorder due to complex partial seizures, dissociative symptoms.

500

What is Medication-Induced Acute Akathisia? 

Subjective complaints of restlessness, often accompanied by observed excessive movements (e.g. fidgety movements of the legs, rocking from foot to foot, pacing, inability to sit or stand still) developing within a few weeks of starting or raising the dosage of medication (such as a neuroleptic).

Random

100

Medication-Induced Postural Tremor is similar to the tremors seen with anxiety, caffeine and other stimulants.

True or False?

True

The tremors are actually very similar. They are fine tremors that occur during attempts to maintain posture and developing association with the use of medication.

200

What is the diagnostic criteria for voyeuristic disorder?

A: Over a period of at least 6 months, recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors. 

B: The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C: The individual experiencing the arousal and/or acting on the urges is at least 18 years of age.

a) A & C

b) A & B

c) All of the above

c) All of the above

300

Over what time period must recurrent and intense sexual arousal from either the use of non-living objects or a highly specific focus on nongenital body parts occur?

a) 1 month

b) 3 months

c) 6 months

d) 12 months

C) 6 months

400

What other paraphilic disorder, may also be a specifier for Transvestic Disorder?

Fetishism/ Fetishistic Disorder

500

Name 2 of the 4 specifiers for fetishistic disorder.

Body Parts, Nonliving objects, other, in a controlled environment, or in full remission.