Dsm 5 Midterm Review

Front 1

Johnoften questions the fidelity of his wife Ellen. He has installed a GPS trackerin

hercar and cell phone, and often checks her underwear when she returns home from

work.He uses the rationale that “women can’t be trusted” to justify his behavior. Heis

oftenin disputes with his friends and employs the defense mechanism projection on

them,telling them that they are weak, though internally he feels this way about

himself,but must maintain a façade in front of others. He believes that showing

weaknessis to allow others to “take control.”

Back 1

Personality Disorder: Paranoid Personality Disorder

Front 2

Mark,a single 48 year old man, prefers to work the third shift as a word processorfor

alaw firm. His co-workers see him as unwaveringly serious and cold. He does not

participatein any social functions, and rarely speaks to any of them. He gives short

answersto questions and is unlikely to participate in water cooler sessions.

Back 2

Personality Disorder: Schizoid Personality Disorder

Front 3

Carybelieves that she is a clairvoyant and can “see” things that others cannot.

Althoughshe is an American born Caucasian, she speaks with a heavy West Indian

accent.She also believes that she has the mental power to “change” things around her.

Thesebeliefs have isolated her from other people, who perceive her to be weird.

Back 3

Personality Disorder: Schizotypal Personality Disorder

Front 4

Shanaseems to always be involved in dramatic relationships and situations. She

appearsto thrive off of these situations. She is often uncomfortable within her groupof

friendswhen she is not the center of attention and will often dramatizes her storiesin

orderto command an audience. At times she will also dress provocatively and use

sexualsuggestions, though when called upon her actions, will appear surprised at

beingcalled out.

Back 4

Personality Disorder: Histrionic Personality Disorder

Front 5

Paulabelieves that she is the best thing since sliced bread. She believes that sheis the

smarteststudent in her class and feels that the professor should recognize hergreatness

andgive her an automatic A just for showing up. She has a secret fear of rejectionand

loss,so when she received a C in her course, she was completely devastated and

complainedto the dean about her grade, and trumped up allegations against her

professor

Back 5

Personality Disorder: Narcissistic Personality Disorder

Front 6

Tiamet Jay and it seems as though she “fell” for him hard. The couple had sex on

theirsecond date, and subsequently Tia told Jay that she was in love with him. Tia

wouldcall Jay several times throughout the day, often telling him that she wanted to

seehim. After three weeks, Tia was a frequent overnight guest at Jay’s house and

alreadybegan leaving clothes there. They had sex often, with Tia frequently tellingJay

thathe was special, and she couldn’t imagine life without him. Jay noticed that attimes

Tiaslept in late and did little during the day. He also noticed little fresh cutson her

arm,but Tia’s response was usually that she fell. After two months, Tia began toseem

coldand distant. She stopped spending nights at Jay’s house and would often ignore

hisphone calls. One day she sent an email to Jay telling him that she’s not inlove with

him anymore and she prefers not to see him again.

Back 6

Personality Disorder: Borderline Personality Disorder

Front 7

Danielleappears to be very shy. She desires to be around people and have friends, but

isafraid of being criticized. Although she would like to be involved in arelationship,

sherarely pursues one because of her uncertainties.

Back 7

Personality Disorder: Avoidant Personality Disorder

Front 8

Mariaallows her husband Henry to make all of the decisions in the relationship and

forthe family, even if she disagrees with his ideas, she won’t tell him becauseshe is

scaredhe will leave. When Henry drinks, he often slaps her around, but Maria will

makeexcuses for her bruises, and will accept Henry’s apologies when he is sober.

Back 8

Personality Disorder: Dependent Personality Disorder

Front 9

Tywas the oldest son in a single parent household. He assumed responsibilitieswhen he was young, and it seems to have carried over when he got older. He isvery serious and lacks a sense of humor. He has alienated his siblings becauseof his desire tomaintain control over them although they are all adults now. Hetends to run his family

muchlike his mother raised him and his siblings, and is rigid in his rules.

Back 9

Personality Disorder: Obsessive Compulsive Personality Disorder

Front 10

Whilewatching television one day, Karlene experienced a rush of anxiety,

accompaniedwith a pounding heart, numbness in her fingers and toes, violent shaking

andchest pains which left her gasping for air. Thinking she had just experienced a

heartattack, she went to the emergency room, but all test results were negative. 5

monthslater she experienced another episode on her way to work. A third attack

occurred3 weeks thereafter, and soon the attacks picked up in frequency. She soon

becomeso preoccupied with the fear of having an attack that she could not concentrate

onher work.

Back 10

Anxiety Disorder: Panic Disorder (w/o Agoraphobia)

Front 11

..Stacey, a widower, is the owner of a large company. One dayshe experienced a dizzy

spellthat lasted for five to ten minutes. Similar to Karlene, she went to thedoctor, but

alltest results were negative. A few months later, she experienced anotherepisode, this

timeshe went to the doctor’s office accompanied by her housekeeper since she was

nowafraid of having an episode while she was alone in public. She has now changed

herdaily pattern of traveling, as she is escorted to a limousine by herhousekeeper,

drivento work, and is escorted to her office by two of her workers. She does not goto

thebathroom alone, is escorted by her secretary, and pays additional employees to

accompanyher to functions at all times.

Back 11

Anxiety Disorder: Panic Disorder (with Agoraphobia)

Front 12

Doloresis a 45 year old married mother of a pre-teen. She was admitted to the

psychiatricdepartment on an emergency basis after having a nervous breakdown and

threateningto commit suicide. 4 days before, she discovered she was 18 weeks

pregnant.This was unexpected, and she felt both shocked an despaired due to her

beliefthat she cannot manage another child at her age. The thought of her life being

disruptedby a child was too much for her. She became tense and unable to sleep. She

hadexcessive crying spells, and became easily agitated. While meeting with the

psychiatrist,she had a clear conscious and did not demonstrate any distorted

perceptionsor delusions. 2 days after her release from the hospital, she began to calm

down,she began planning for the pregnancy and having an optimistic outlook on the

additionto the family.

Back 12

Trauma and Stressor Related Disorder: Adjustment Disorder

Front 13

Garyis a 27 year old married electrician. For the past year he has been complainingof

dizziness,sweaty palms, heart palpitations and ringing in his ears. He has also

experienceddry throat and a constant edgy and watchful feeling that often interfered

withhis ability to concentrate. Because of these symptoms, he has seen aneurologist,

neurosurgeon,chiropractor and an ENT specialist. He was initially told that he might

havean inner ear problem before being referred to a therapist. Upon meeting the

therapist,Gary discusses his immense anxiety over pleasing his wife’s family ever sincetheir three month whirlwind courtship and marriage

Back 13

Anxiety Disorder: Generalized Anxiety Disorder

Front 14

Lastyear as a sophomore in college, Trisha was raped by an acquaintance after afrat

party.Shortly after she dropped out of school and has been living with her parentsever

since.She re-experiences the rape on a daily basis and has not been able to ventureout

tosocial gatherings due to the anxious and subsequent depressive moods that shefeels.

Back 14

Trauma and Stressor Related Disorder: Post Traumatic Stress Disorder

Front 15

Stanleyobtained his driver’s license in May. In July he was involved in a three car

collisionin which a passenger in another vehicle was killed. For two weeks Stanley

hadvivid memories of the accident and refused to drive. By the beginning of thethird

week,Stanley was driving again, although he felt some unease behind the wheel the

firstfew times after the accident.

Back 15

Trauma and Stressor Related Disorder: Acute Stress Disorder

Front 16

Marialost her job after working there for 15 years and now can’t afford to pay her

mortgage.She’s constantly crying and doesn’t want to get out of bed. Her family calls

andshe doesn’t pick up and won’t leave the house or answer the door. She feels

worthlessand is not motivated to get a job.

Back 16

Depressive Disorder: Depression

Front 17

Danny can’t hold a job because of his inconsistency at work.Some days he’s energetic

andcheerful and other days he feels sad, worthless and doesn’t want to get out ofbed.

Back 17

Bipolar and Related Disorders: Bipolar Disorder

Front 18

Forthe past 3 years Stacy has become a shut-in. She has been in despair about herlife

anddoesn’t see any possibilities of it getting any better. She’s ultimately givenup on

life.

Back 18

Depressive Disorders: Persistent Depressive Disorder (Dysthymia)

Front 19

Josewas in the process of getting a divorce after two years of depressive and manic behavior.

Back 19

Bipolar and Related Disorders: Cyclothymic Disorder

Front 20

Maria was shot in the head and because of it she couldn’tremember her name, family

oranything in her past.

Back 20

Dissociative Disorders: Dissociative Amnesia Disorder

Front 21

Jessicahad an interview for Geico, when she got in front of the building she walks

awayand leaves her car. She never attended the interview.

Back 21

Dissociative Disorders: Dissociative Amnesia Disorder (formerly specified as Dissociative Fugue)

Front 22

Beverlyis a daycare teacher/nanny. But when she wakes in the morning she has

provocativeclothes on and doesn’t understand why.

Back 22

Dissociative Disorders: Dissociative Identity Disorder

Front 23

Mary Lous is 18 years old and has an issue with washing. Shefelt that if she turned on

anywater, waterbugs were going to crawl out of the pipes and attack her.

Back 23

Schizophrenia Spectrum and Other Psychotic Disorders: ?

Front 24

Bobwas waiting for the 214B bus on a rainy day. Standing there was another man.

Thebus was 3 hours late. During this period the other man never moved from hisspot

andwhen Bob tried to strike a conversation he never responded. Just as the buscame

theman yelled out “ the sky is falling.”

Back 24

Schizophrenia Spectrum and Other Psychotic Disorders: Catatonia?

Front 25

I can never go out with my girlfriend Lisa in public becauseshe’s constantly looking

overher shoulders and behind her. When I ask why she says someone is going to kill

herbecause she knows things.

Back 25

Schizophrenia Spectrum and Other Psychotic Disorders: Psychotic Paranoid type?

Front 26

Aliceis a lover of spy movies. She watches them so much that they have affected her

life.She stays in her bed for days at a time and doesn’t wash. She doesn’t talk to

anyonebecause she believes they’re apart of the CIA and she swears she sees red dots

on herwall all the time.

Back 26

Schizophrenia Spectrum and Other Psychotic Disorders: Undifferentiated Psychotic?