Dsm Made Easy With Instructor's Notes For Final Fall 2006

Front 1

When is it an Adjustment disorder?

Back 1

1. When the person has a depressed and/or anxious mood combination or a disturbance of conduct that does not meet criteria for another Axis I or II disorder.

Front 2

List coding notes for Adjustment Disorder

Back 2

-with depressed mood, -with anxiety, -with mixed mood, -with disturbance of conduct, -with mixed disturbance of emotions and conduct, -unspecified: i.e.job problems, physical complaints, social withdrawal

Front 3

List specifications to note with Adjustment Disorder

Back 3

Specify whether Acute (less than six months), chronic (six months or more with specific stressor on Axis IV)

Front 4

Which three disorders are seldom processed as primary disorders?

Back 4

Conduct disorders, personality disorders, ADHD

Front 5

What is a good assessment for a suspected personality disorder?

Back 5

MMPI

Front 6

What three markers indicate a personality disorder?

Back 6

Pervasiveness, Pattern (consistent themes, like an anti-social taking advantage of others w/o conscience, Intensity

Front 7

Two steps are involved when qualifying a personality disorder. Name them.

Back 7

Identification of maladaptive or abnormal behaviors. Your clinical judgement as to whether there's a pattern of behavior that constitutes a recognized syndrome.

Front 8

Name the personality disorders by cluster.

Back 8

Cluster A: These people can be described as withdrawn, cold, suspicious, or irrational

Front 9

Define Paranoid personality disorder

Back 9

general avoidance of intimacy, lack warm feelings, cold, may appear hostile, become caustic and want you to back off. Stubborn and uncompromising.

Front 10

Define Antisocial personality disorder

Back 10

Total disregard for others, lacks remorse, history of CD before age 15. ODD last nine symptoms are usually precursors to CD which leads to Anti-social personality disorder

Front 11

Define Schizotypal personality disorder

Back 11

No close friends, anxious, present as being eccentric or bizarre in most social situations. Seemingly peculiar in the way they look, think, or talk

Front 12

Define Borderline personality disorder

Back 12

Chronic feelings of emptiness, intense anger and dysphoria. They have transient psychotic episodes. Excessive emotional demands in close relationship.

Front 13

Define Avoidant personality disorder

Back 13

Want relationship but fear criticism or rejection

Front 14

Define Schizoid personality disorder

Back 14

Not overly psychotic. Not as peculiar with thought broadcasters or thought inserters, but have restricted range of emotions and want no close friends.

Front 15

Define Histrionic personality disorder

Back 15

Frequently sexually seductive, dresses dramatically to gain attention. Grew up as cute little one as child.

Front 16

Define Dependent personality disorder

Back 16

Fear abandonment but w/o intensity and rage of borderline. Pleasers and fixers easy to read but can't tell why. Seek another relationship when one ends.

Front 17

Define Narcissistic personality disorder.

Back 17

Self esteem is fragile. Any criticism can provoke rage or depression. Differ from anti-social, borderline, histrionic in that they lead more stable lives.

Front 18

Define Obsessive-compulsive personality disorder

Back 18

Rigid and seek control in response to anxiety. They are stubborn in work ethics and values.

Front 19

T or F. As a general rule, when clients are under 18 you can put diagnosis deferred on Axis II when you suspect a personality disorder.

Back 19

T

Front 20

T or F. If children present with learning disorders before they are tested, you can give a provisional learning diagnosis until confirmed by testing.

Back 20

T

Front 21

How does a clinician diagnose a person with pronography problems?

Back 21

Look for Paraphilias or the Sexual disorder related to what it is about the porn that the client is addicted to. Otherwise, they will be coded Sexual Disorder NOS

Front 22

T or F. Adjustment disorder has been modified to include chronic stressors of duration like HIV disorder..

Back 22

T

Front 23

Describe the personality disorder: Lying, no insight, withhold information, wait for the right question to be asked rather than volunteering the truth.

Back 23

Anti-social

Front 24

List the four categories of Sleep Disorders.

Back 24

Disorders of the initiating and maintaining sleep: DIMS, Disorders of excessive somulence: DOES, Disorder of sleep-wake schedule, Dysfunctions associated with sleep, sleep stages, and partial arousal

Front 25

What are the two large sleep disorder categories in the DSM?

Back 25

1. Dysomnias: disturbance in amount, quality, or timing of sleep. 2. Parasomnias: abnormal events during sleep (behavioral or psychological)

Front 26

Explain Primary Insomnia.

Back 26

Person has difficulty falling or staying asleep if no other mental disorder, substance abuse, or general medical condition better explains it.

Front 27

Describe Primary Hypersomnia...Narcolepsy.

Back 27

Excessive sleeping or daytime sleepiness (if primary attacks of daytime sleepiness are associated with cataplexy or hypnogogic hallucinations or sleep paralysis.

Front 28

Describe Breathing-related disorder.

Back 28

Loud snoring or periods of apnea (people have problems with airway and need to wake up to breathe)

Front 29

Describe Circadian Rhythm sleep disorder

Back 29

Person's main complain is sleep disruption due to an altered sleep-wake cycle.

Front 30

Describe Nightmare disorder.

Back 30

Person's main complaint nightmares. Repeated awakening are a threat to physical or mental well-being. Similar to PTSD effects and occurs during REM (eyes flutter) sleep.

Front 31

Describe Sleep Terror

Back 31

Person complains about sleep behavior of another person. Wake up sweating with rapid heartbeat or screaming after husband belts wife during dream. Sleepwalking disorder here also.

Front 32

Describe Intermittent Explosive disorder (Impulse Control Disorders).

Back 32

Rule out all other causes of violence first like anti-social, borderline, ADHD, conduct disorder. Person will have had several episodes of sudden, serious, violent behavior, grossly out of proportion to any precipitating event.

Front 33

Describe Kleptomania (Impulse Control Disorders).

Back 33

Repeatedly stealing objects. Rule out antisocial and borderline. Person tries to resist impulse to steal, but once they do, there is pleasure or relief. These objects are not needed for personal use or monitory value

Front 34

Describe Pyromania (Impulse Control Disorders).

Back 34

Fascinated with fire, its colors, heat, etc. Rule out vengeance, profit (insurance), PTSD

Front 35

Describe Pathological Gambling (Impulse Control Disorders).

Back 35

Love the rush of winning, self-esteem is tied into the win. But, they need constant wins to feel good. Significan negative effects of financial, social, occupational, or personal. These people are never satisfied.

Front 36

Describe Tricotellomania (Impulse Control Disorders).

Back 36

Persistent hair pulling resulting in noticeable loss. The key is that a person gets a sense of pleasure or relief. If not, then you diagnose OCD.

Front 37

Define Bulimia.

Back 37

Binging on food, not purging

Front 38

Define Hyposexual

Back 38

Low sex drive. It must cause life impairment for diagnosis.