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84 Cards in this Set
- Front
- Back
Adjustment Disorder Comorbidity |
Most mental disorders and medical disorders |
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Adjustment Disorder Treatment |
Little research available for choice of therapy,
a crisis-intervention model - relieving acute symptoms,
brief psychodynamic psychotherapy |
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Adjustment Disorder Instrumentation |
No specific instruments for assessment other than the SCAD |
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MDD Comorbidity |
Substance related disorders, panic disorder, OCD, anorexia nervosa, bulimia nervosa, borderline personality disorder |
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MDD Treatment |
CBT, low level of social functioning perform best with interpersonal psychotherapy Newer therapies are: Behavioral Activation Therapy, CBT-I (I-insomnia), Mindfulness, exercise, Vagus nerve therapy |
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MDD Instrumentation |
Beck Depression Inventory, Hamilton Rating Scale, SCID |
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Persistent Depressive Disorder (dysthymic disorder) comorbidity |
Anxiety disorders and substance use disorders |
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8 Persistent Depressive Disorder (dysthymic disorder) treatment |
Cognitive-behavioral therapy, interpersonal therapy, social skills, assertiveness & decision-making |
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Persistent Depressive Disorder (dysthymic disorder) instrumentation |
Beck Depression Inventory, Steen Happiness Index |
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Bipolar Disorders Comorbidity |
Panic attack, social anxiety, ADHD, conduct disorder, impulse control disorder, substance use disorder, intermittent explosive disorder, oppositional defiant disorder |
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Bipolar Disorders Treatment |
Medication first line, family focused psycho-educational treatment, social rhythm therapy, and cognitive-behavioral therapy, group therapy during recovery |
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Bipolar Disorders Instrumentation |
The Structured Clinical Interview (SCID) can be used to validate, The Treatment Attitudes Questionnaire (limited research, better for planning). Bipolar II use the Hypomania Checklist 32 (HCL-32).
Combination treatment: Family focused therapy (FFT), IPT with social rhythm therapy, and CBT. Other treatments helpful include day treatment, group therapy, self-help groups, electroconvulsive therapy, and Vagus nerve stimulation. |
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Cyclothymic Disorder Comorbidity |
Substance-related and sleep disorders (children-ADHD) |
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Cyclothymic Disorder Treatment |
IPT, FFT, regulating sleep, circadian rhythms, and social rhythm.
Supplements may be career counseling and interpersonal skill development.
Group counseling may be useful |
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Cyclothymic Disorder Instrumentation |
Hypomanic Checklist (HCL32) has been used to differentiate between unipolar depression and depression with hypomania symptoms |
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Panic Disorder Comorbidity |
Anxiety disorders, agoraphobia, major depression, bipolar disorder, mild alcohol use disorders |
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Panic Disorder Treatment |
Cognitive-behavioral therapy treatment of choice;
panic control therapy (PCT),
new treatments include ACT, SFIT and some support for family and group therapy, graduated and pacing exposure can be helpful. |
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Panic Disorder Instrumentation |
ADVIS (Brown et al.,1994) measures avoidance, severity of panic and panic related symptoms, Burns Anxiety Inventory |
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Phobias Comorbidity |
Depends on specific phobias |
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Phobias treatment |
Exposure-based are empirically validated and considered effective.
May include exposure as relaxation training, breathing retraining and paradoxical intention. |
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Phobias Instrumentation |
Beck Anxiety Inventory and Burns Anxiety Inventory assess for differences in phobias and delusional fears. |
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Agoraphobia Comorbidity |
Anxiety disorders, panic disorder, social anxiety disorder, depressive disorders, major depressive disorder, PTSD, and alcohol use disorder |
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Agoraphobia Treatment |
Panic control therapy (PCT) is well documented.
Newer therapies, but not necessarily validated, are sensation-focused intensive treatment (SFIT) and ACT shows promise. |
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Agoraphobia Instrumentation |
Beck Anxiety Inventory, Mobility Inventory for Agoraphobia, Agoraphobic Cognition Questionnaire |
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Social Anxiety Disorder Comorbidity |
Anxiety disorders, major depressive disorders, and substance use disorders |
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Social Anxiety Disorder Treatment |
Cognitive therapy with exposure is most commonly recommended.
Cognitive-behavioral group therapy (CBGT) has empirical support (Hofmann & Barlow, 2002).
Other treatments recommended are exposure alone, cognitive restructuring alone, exposure combined with cognitive restructuring, social skills training, and relaxation, homework and role playing, mindfulness, attention training, self-efficacy interventions and interpersonal therapy all show promise. |
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Social Anxiety Disorder Instrumentation |
Fear of Negative Evaluation and Social Interaction Anxiety Scale (SIAS), Achenbach System of Empirically Based Assessment (ASEBA)-assesses for social problems (ages 6-18), Revised Children’s Manifest Anxiety Scale (RCMAS-2) measures for social anxiety (ages 6-19). |
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OCD Comorbidity |
Panic disorder, social anxiety disorder, GAD, specific phobia, bipolar disorder, tic, body dysmorphic disorder, trichotillomania excoriation and possibly schizophrenia or schizoaffective disorder |
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OCD Treatment |
Exposure and response prevention therapy is first choice. Other treatments found to be helpful are cognitive approaches that focus on thinking , ACT more research needed. |
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OCD Instrumentation |
Yale-Brown Obsessive Compulsive Scale (Y-BOCS) one of most useful, Obsessive-Compulsive Inventory-Revised, The OCI-R has 18 items with 6 subscales (washing, ordering, hoarding, obsessing and neutralizing ( |
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PTSD Comorbidity |
Depressive, bipolar, anxiety and substance use disorders |
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PTSD Treatment |
Prolonged exposure therapy considered the best therapy treatment of choice based on research, cognitive processing therapy (CPT) designed for survivors of sexual assault and traumatic brain injury-PTSD, anxiety management training. Other treatments sometimes used in therapy include EMDR, group and family therapy, stress inoculation training |
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PTSD Instrumentation |
The Clinician-Administered PTSD Scale, The PTSD Checklist ( For Children: K-SADS PTSD section, Child Behavior Checklist (Childhood Trauma Questionnaire (Psychometric Evaluation of the Children’s Impact of Traumatic Events Scale-Revised |
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Generalized Anxiety Disorder (GAD) Comorbidity |
Anxiety disorder, unipolar disorder |
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GAD Treatment |
Cognitive-behavioral therapy (cognitive restructuring) is most frequently used,
behavior therapy, affective therapy (AWARE) although less effective than cognitive and behavioral therapies, and ACT. |
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GAD Instrumentation |
Beck Anxiety Inventory, The Penn State Worry Questionnaire Anxiety Disorders Interview Schedule |
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Alcohol-related (USE) Comorbidity: |
Bipolar disorders, schizophrenia, antisocial personality disorder |
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Alcohol-related (USE) Treatment |
Combined behavior interventions - motivation enhancement, cognitive therapy, social skills training, cognitive restructuring, relaxation training, stress management, 12-Step, Family therapy |
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Alcohol-related (USE) Instrumentation |
Screeners: Rapid Alcohol Problems Screen (RAPS4), Michigan Alcoholism Screening Test (MAST), CAGE (Screening for Alcohol Abuse), Alcohol Use Disorders Identification Test (AUDIT) |
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Feeding and Eating Disorders Comorbidity |
Social phobia, OCD, generalized anxiety disorder and PTSD and schizophrenia |
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Feeding and Eating Disorders Treatment |
Multidisciplinary approach, cognitive-behavioral therapy, DBT for BED, active comparison group therapy (ACGT) |
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Feeding and Eating Disorders Instrumentation |
Questionnaire on Eating and Weight Patterns-Revised (QEWP-R, Yanovski, 1993), Eating Disorder Examination Questionnaire |
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Anorexia Nervosa Comorbidity |
Bipolar, depressive and anxiety disorders, alcohol use disorder |
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Anorexia Nervosa Treatment |
Multidisciplinary approach, cognitive-behavioral therapy, DBT, group therapy, transdiagnostic approach, interpersonal psychotherapy and family therapy. 37 |
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Anorexia Nervosa Instrumentation |
Questionnaire on Eating and Weight Patterns-Revised (QEWP-R) |
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Bulimia Nervosa Comorbidity |
Depressive symptoms, bipolar nervosa, depressive |
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Bulimia Nervosa Treatment |
Manualized based CBT treatment is preferred and DBT for BED. |
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Bulimia Nervosa Instrumentation |
DBT, CBT, Focus on therapeutic alliance, reducing negative affect, modifying eating behaviors, identifying situations that trigger behavior , Eating Disorder Inventory (EDI) |
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Femal Sexual Interest/Arousal Disorder Comorbidity |
Depression, thyroid problems, anxiety, urinary incontinence and other medical problems, arthritis, irritable bowel disease |
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Femal Sexual Interest/Arousal Disorder Treatment |
Medication, couples and group therapy can be appropriate, 12-Step Program modeled after alcoholics anonymous, sex addicts anonymous, sexual compulsives anonymous and sex and love addicts |
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Femal Sexual Interest/Arousal Disorder Instrumentation |
The Sexual Interest and Desire Inventory-Female (SIDI-F), The Sexual Opinion Survey , Sexual Dysfunction Scale Sexual Desire Inventory and the Early Sexual Experiences Checklist used to detect unwanted sexual experiences before age 16. Interview for Sexual Functioning in 5 domains (sexual fantasy and cognition, sexual behavior and experiences, orgasm, sexual drive, and sexual arousal). |
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Dissociative Identity Disorder Comorbidity |
PTSD, depressive disorders, avoidant and borderline personality disorders, conversion disorder, somatic symptom disorder, eating disorders, substance-related disorders, OCD, sleep disorders |
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Dissociative Identity Disorder Treatment |
No recommendations |
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Dissociative Identity Disorder Instrumentation |
No recommendations, includes social role, gender identification, sexuality and body |
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Sleep-Wake Disorders Disorder Comorbidity or Co-existing |
Depressive and anxiety disorders. King (2014b) listed other co-existing conditions to include autism, ADHD, panic and other related disorders, OCD, adjustment disorders, dissociative disorders, somatic symptom and related disorders, feeding and eating disorders, elimination disorders, amphetamine or other stimulant use disorders, neurocognitive disorders and persistent complex bereavement |
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Sleep-Wake Disorders Disorder Treatment |
Psychopharmacology, CBT, bright light therapy, sleep education, sleep hygiene, sleep restriction, stimulus control, cognitive restructuring, paradoxical intension, relaxation and relaxation therapy. Cognitive-behavioral therapy for insomnia is gaining support because of the relationship between depression and sleep disorders. CBT-I behavioral treatment, relaxation therapy including progressive relaxation, biofeedback, cognitive thought stopping have been found to be helpful. Positional therapy (head elevated) can be recommended for sleep apnea. |
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Sleep-Wake Disorders Disorder Instrumentation |
Level 2 Sleep Disturbance Patient-Reported Outcome Measurement Information System (PROMIS) Short Form (Epworth Sleepiness Scale Sleep Disorders Questionnaire ( Sleep Condition Indicator, The Composite Scale of Morningness , Sleep timing Questionnaire , Sleep History Questionnarie , Sleep Disturbance Questionnaire Sleep Impairment Index , Pittsburgh Sleep Quality Index (. A recent Semi-structured clinical interview, laboratory analysis, sleep log or diary are components of the different questionnaires with the exception of polysomnography. |
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Somatization Symptom Disorder (Briquet’s syndrome) Comorbidity |
Medical issues, anxiety and depressive disorders |
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Somatization Symptom Disorder (Briquet’s syndrome) Treatment |
Affective cognitive-behavioral therapy (ACBT), group and family therapy (rare disorder)(forms include conversion, pain, hypochondriasis, and body dysmorphic). Treatment will vary depending upon form; example IPT-P and CBT for pain or HRT for skin scratching and picking. |
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Somatization Symptom Disorder (Briquet’s syndrome) Instrumentation |
Anxiety Disorders Interview Schedule |
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Factitious Disorders Comorbidity, Treatment, Instrumentation |
Comorbidity: None provided in the DSM-5
Treatment: No therapies known to be effective, stress management
Instrumentation: Clinical interview |
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Delirium Disorder Comorbidity/Diff Diagnosis |
None provided in the DSM-5. Differential diagnosis includes acute stress disorder, malingering and factitious disorder, other neurocognitive disorders |
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Delirium Disorder Treatment and Instrumentation |
Treatment: Medical and neurological assessment, psychotherapy and medication (slow the process), eliminate casual factors; medications causing side-effects, metabolic disorders, etc. Instrumentation:
Instrumentation: None provided, Mental Status Examination and neurology |
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Major or minor neurocognitive disorder (Dementia) Comorbidity, Treatment and Instrumentation |
Comorbidity: Age related diseases and delirium
Treatment: Support for caregivers
Instrumentation: Comprehensive medical and neurological assessment |
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PD's A Paranoid Disorder Treatment and Instrumentation |
Treatment: Little effectiveness studies available, individual treatment preferred, cognitive therapy, group therapy rarely recommended
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical In Interview |
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PD's A Schizoid Treatment and Instrumentation |
Treatment: Schema therapy , behavioral techniques such as social and communication skills
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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PD's A Schizotypal Treatment and Instrumentation |
Treatment: Supportive, lengthy and slow, cognitive therapy, behavior therapy for speech patterns
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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PD's B Antisocial Treatment |
Treatment: Individual therapy, with a structured and active approach to therapy is recommended,
some support for reality based approach for anger management, substance use disorders, and social skills training, mentalization-based therapy and schema therapy hold promise. Behavior, reality and cognitive approaches are helpful. |
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PD's B Antisocial Instrumentation |
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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PD's B BPD Treatment |
Treatment: DBT, mentalization-based therapy, transference-focused therapy, schema-focused CBT, supportive psychotherapy, STEPP group therapy. Group therapy can be more effective than individual therapy . |
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PD's B BPD Instrumentation |
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical In Interview |
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PD's B Histrionic Treatment and Instrumentation |
Treatment: Long term individual psychotherapy, cognitive-behavioral therapy as the treatment of choice, group therapy can be helpful (feedback)
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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PD's B Narcissistic Treatment and Instrumentation |
Psychoanalytic ,cognitive-behavioral, group therapy if all members are narcissistic and can tolerate the exposure and negative feedback.
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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PD's C Avoidant Treatment |
Treatment: Randomized and control trials effective for psychodynamic psychotherapy .
Little empirical evidence available; behavioral interventions, schema- focused therapy, group therapy, and family therapy may be helpful. |
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PD's C Avoidant Instrumentation |
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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PD's C Dependent Treatment and Instrumentation |
Treatment: Psychodynamic, cognitive-behavioral therapy, schema therapy can be helpful
Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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PD's C Obsessive-Compulsive Treatment and Instrumentation |
Treatment: Randomized and control trials effective for psychodynamic psychotherapy.
Instrumentation: Dysfunctional Thought Record (active log), Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview |
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Reality Impairment: Psychotic Treatments |
Treatment:
behavior and psychosocial therapies are preferred for schizophrenia along with antipsychotic medications. |
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Reality Impairment: Psychotic Instrumentation |
Positive and Negative Syndromes Scales , Structured Interview for Psychotic Symptoms |
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Reality Impairment: DID Treatment |
Treatment:
There is limited recommendations for treatment, with the exception of individual therapy and medication. |
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Reality Impairment: DID Instrumentation |
Instrumentation:
Cambridge Depersonalization Scale, Structured Clinical Interview for Depersonalization and Derealization Spectrum |
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Reality Impairment: Schizophrenia Treatment |
Medication and psychosocial intervention; behavior therapy, skills training, social support, and group therapy can be helpful in providing information. |
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Reality Impairment: Schizophrenia Instrumentation |
Instrumentation:
Positive and Negative Syndromes Scale (PANSS, Kay et al., 1987), Structured Interview for Psychotic Symptoms |
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Schizoaffective Treatment: Evidence not available for treatment
NO BACK |
None |