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84 Cards in this Set

  • Front
  • Back

Adjustment Disorder Comorbidity

Most mental disorders and medical disorders

Adjustment Disorder Treatment

Little research available for choice of therapy,



a crisis-intervention model -


relieving acute symptoms,



brief psychodynamic psychotherapy

Adjustment Disorder Instrumentation

No specific instruments for assessment other than the SCAD

MDD Comorbidity

Substance related disorders, panic disorder, OCD, anorexia nervosa, bulimia nervosa, borderline personality disorder

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

MDD Instrumentation

Beck Depression Inventory, Hamilton Rating Scale, SCID

Persistent Depressive Disorder (dysthymic disorder) comorbidity

Anxiety disorders and substance use disorders

8


Persistent Depressive Disorder (dysthymic disorder) treatment

Cognitive-behavioral therapy, interpersonal therapy, social skills, assertiveness & decision-making

Persistent Depressive Disorder (dysthymic disorder) instrumentation

Beck Depression Inventory, Steen Happiness Index

Bipolar Disorders Comorbidity

Panic attack, social anxiety, ADHD, conduct disorder, impulse control disorder, substance use disorder, intermittent explosive disorder, oppositional defiant disorder

Bipolar Disorders Treatment

Medication first line, family focused psycho-educational treatment, social rhythm therapy, and cognitive-behavioral therapy, group therapy during recovery

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.

Cyclothymic Disorder Comorbidity

Substance-related and sleep disorders (children-ADHD)

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

Cyclothymic Disorder Instrumentation

Hypomanic Checklist (HCL32) has been used to differentiate between unipolar depression and depression with hypomania symptoms

Panic Disorder Comorbidity

Anxiety disorders, agoraphobia, major depression, bipolar disorder, mild alcohol use disorders

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.

Panic Disorder Instrumentation

ADVIS (Brown et al.,1994) measures avoidance, severity of panic and panic related symptoms, Burns Anxiety Inventory

Phobias Comorbidity

Depends on specific phobias

Phobias treatment

Exposure-based are empirically validated and considered effective.



May include exposure as relaxation training, breathing retraining and paradoxical intention.

Phobias Instrumentation

Beck Anxiety Inventory and Burns Anxiety Inventory assess for differences in phobias and delusional fears.

Agoraphobia Comorbidity

Anxiety disorders, panic disorder, social anxiety disorder, depressive disorders, major depressive disorder, PTSD, and alcohol use disorder

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.

Agoraphobia Instrumentation

Beck Anxiety Inventory, Mobility Inventory for Agoraphobia, Agoraphobic Cognition Questionnaire

Social Anxiety Disorder Comorbidity

Anxiety disorders, major depressive disorders, and substance use disorders

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.

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).

OCD Comorbidity

Panic disorder, social anxiety disorder, GAD, specific phobia, bipolar disorder, tic, body dysmorphic disorder, trichotillomania excoriation and possibly schizophrenia or schizoaffective disorder

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.

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 (

PTSD Comorbidity

Depressive, bipolar, anxiety and substance use disorders

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

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

Generalized Anxiety Disorder (GAD) Comorbidity

Anxiety disorder, unipolar disorder

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.

GAD Instrumentation

Beck Anxiety Inventory, The Penn State Worry Questionnaire Anxiety Disorders Interview Schedule

Alcohol-related (USE) Comorbidity:

Bipolar disorders, schizophrenia, antisocial personality disorder

Alcohol-related (USE) Treatment

Combined behavior interventions - motivation enhancement, cognitive therapy, social skills training, cognitive restructuring, relaxation training, stress management, 12-Step, Family therapy

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)

Feeding and Eating Disorders Comorbidity

Social phobia, OCD, generalized anxiety disorder and PTSD and schizophrenia

Feeding and Eating Disorders Treatment

Multidisciplinary approach, cognitive-behavioral therapy, DBT for BED, active comparison group therapy (ACGT)

Feeding and Eating Disorders Instrumentation

Questionnaire on Eating and Weight Patterns-Revised (QEWP-R, Yanovski, 1993), Eating Disorder Examination Questionnaire

Anorexia Nervosa Comorbidity

Bipolar, depressive and anxiety disorders, alcohol use disorder

Anorexia Nervosa Treatment

Multidisciplinary approach, cognitive-behavioral therapy, DBT, group therapy, transdiagnostic approach, interpersonal psychotherapy and family therapy. 37

Anorexia Nervosa Instrumentation

Questionnaire on Eating and Weight Patterns-Revised (QEWP-R)

Bulimia Nervosa Comorbidity

Depressive symptoms, bipolar nervosa, depressive

Bulimia Nervosa Treatment

Manualized based CBT treatment is preferred and DBT for BED.

Bulimia Nervosa Instrumentation

DBT, CBT, Focus on therapeutic alliance, reducing negative affect, modifying eating behaviors, identifying situations that trigger behavior , Eating Disorder Inventory (EDI)

Femal Sexual Interest/Arousal Disorder Comorbidity

Depression, thyroid problems, anxiety, urinary incontinence and other medical problems, arthritis, irritable bowel disease

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

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).

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

Dissociative Identity Disorder Treatment

No recommendations

Dissociative Identity Disorder Instrumentation

No recommendations, includes social role, gender identification, sexuality and body

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

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.

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.

Somatization Symptom Disorder (Briquet’s syndrome) Comorbidity

Medical issues, anxiety and depressive disorders

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.

Somatization Symptom Disorder (Briquet’s syndrome) Instrumentation

Anxiety Disorders Interview Schedule

Factitious Disorders Comorbidity, Treatment, Instrumentation

Comorbidity: None provided in the DSM-5



Treatment: No therapies known to be effective, stress management



Instrumentation: Clinical interview

Delirium Disorder Comorbidity/Diff Diagnosis

None provided in the DSM-5. Differential diagnosis includes acute stress disorder, malingering and factitious disorder, other neurocognitive disorders

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

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

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

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

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

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.

PD's B Antisocial Instrumentation

Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview

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 .

PD's B BPD Instrumentation

Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical In Interview

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

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

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.

PD's C Avoidant Instrumentation

Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview

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

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

Reality Impairment: Psychotic Treatments

Treatment:



behavior and psychosocial therapies are preferred for schizophrenia along with antipsychotic medications.

Reality Impairment: Psychotic Instrumentation

Positive and Negative Syndromes Scales , Structured Interview for Psychotic Symptoms

Reality Impairment: DID Treatment

Treatment:



There is limited recommendations for treatment, with the exception of individual therapy and medication.

Reality Impairment: DID Instrumentation

Instrumentation:



Cambridge Depersonalization Scale, Structured Clinical Interview for Depersonalization and Derealization Spectrum

Reality Impairment: Schizophrenia Treatment

Medication and psychosocial intervention; behavior therapy, skills training, social support, and group therapy can be helpful in providing information.

Reality Impairment: Schizophrenia Instrumentation

Instrumentation:



Positive and Negative Syndromes Scale (PANSS, Kay et al., 1987), Structured Interview for Psychotic Symptoms

Schizoaffective Treatment: Evidence not available for treatment



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