Lcsw Study Guide Dsm V

Front 1

Treatment planning with maltreated/traumatized children

Back 1

Protect child from further harm;create conditions that insure that abuse doesn't reoccur;be aware possibility of child's removal may be primary concern of parent and may lead to panic, dissembling, or flight; treatment goals -skills that change parental behavior and child responses.

Front 2

components of the disruptive, impulse-control and conduct disorders classification

Back 2

Oppositional defiant disorder; intermittent explosive disorder; conduct disorder; pyromania; kleptomania

Front 3

Oppositional defiant disorder

Back 3

Pattern of negative, hostile, and defiant behavior and vindictiveness with less serious violations. Behavior is motivated by interpersonal reactivity or resentful power struggle with adults. 6 months with at least 4 criteria met. Two most common co-occurring conditions are ADHD and conduct disorder.

Front 4

Physical indicators and behavioral indicators of child abuse

Back 4

physical - bruises or broken bones on an infant without adequate explanation or that occur in unusual places; lacerations; fractures; burns in odd patterns; head injuries; internal injuries; open sores; untreated wounds or illness

Behavioral- overly compliant; passive, undemanding; overly aggressive, demanding, hostile; role reversal; extremely dependent behavior re; parental, emotional, physical needs; developmental delays

Front 5

Summarize assessment process in Clinical practice

Back 5

Determine presenting problem

Determine if there is a match between the problem and available services;ongoing data collection; make clinical diagnosis; sources of data other than family members; home visits; contacts with client's community.

Front 6

Define clinical diagnosis

Back 6

a product of the workers understanding of the clients problems based on data collected. Also categorizes the clients functioning, Also includes relevant medical illnesses or physical conditions and their influence on clients emotional life/functioning.

Front 7

Define partialization

Back 7

helping client to break down problems/goals into smaller, more manageable elements in order to decrease clients sense of overwhelm and increase clients empowerment. Discrete elements of problem/goal can then be prioritized as more manageable or more important.

Front 8

Define encopresis and enuresis

Back 8

Encopresis - involuntary fecal (p=poop) soiling in children who have already been toilet trained.

Enuresis -repeated voiding (ur - urine) during the day or night in bedding or clothes.

Encopresis and enuresis make up the two major categories of elimination disorders.

Front 9

Conduct disorder criteria

Back 9

Criteria A; persistent pattern of behavior in which significant age appropriate rules or societal norms are ignored, and others rights and property are violated (theft, decietfulness); aggression to people, animals and property destruction common

Criteria B: behavior cause acad., social, and other impairments

Criteria C: behaviors could not be better classified as antisocial personality disorder

Front 10

Conduct disorder criteria (con't)

Back 10

Childhood onset; at least one symptom prior to age 10

Adolescent - no symptoms prior to age 10

Conduct disorder does not include emotional dysregulation.

Front 11

Intermittent explosive disorder -

Back 11

age is at least 6 yrs.

high rate of aggression limited to impulsive aggression and is NOT premeditated

verbal aggression - twice weekly for at least 3 months.

behavioral outburst 3 property damaging episodes within a 12 month period.

have rapid onset; outbursts typically last less than 30 min.

Front 12

Paranoid Personality Disorder

Back 12

pervasive and inappropriate interpretation of others actions as threatening or demeaning. DOES NOT CAUSE PSYCHOTIC SYMPTOMS

Front 13

Schizoid Personality Disorder

Back 13

lack of concern for social relationships and restricted range of emotional experience and expression. Incapacity to form intimate social relationships/experience affection for others or lack of caring about others responses. prefer mechanical or abstract tasks; indifferent

Front 14

Schizotypal personality disorder

Back 14

deficits in interpersonal connectedness; peculiarities in various thought, perception, speech and behavior patterns (magical thinking, ideas of reference, recurrent illusions) excessive social anxiety

Front 15

Autism specturm disorder

Back 15

delays or abnormal functioning in social interaction/language for social communication AND restricted repetitive behavior interest and activities.

Front 16

Delirium

Back 16

disturbance in consciousness or attention; develops over a short period of time and fluctuates throughout day; changes in cognition; it is caused by medical condition or is substance related.

Front 17

Major Depressive Disorder

Back 17

5 or more symptoms during 2 consecutive weeks depressed mood or loss of ability to feel pleasure must be included to make diagnosis

Front 18

Schizophrenia Spectrum and other psychotic disorders spectrum d/o

Back 18

delusional disorder

brief psychotic disorder

schizophreniform disorder

schizophrenia

schizoaffective disorder

substance/medi. induced psychotic disorder

psychotic d/o due to GMC

catatonia

Front 19

Delusions

Back 19

fixed beliefs-bizarre beliefs-inplausible

types (persecutory, referential, somatic, religious, grandiose

Front 20

Hallucinations

Back 20

perception like experiences that occur without an external stimulus. auditory hallucinations are most common

Front 21

Negative symptoms

Back 21

account for a substantial portion of morbidity associated with schizophrenia but less prom. in other psychotic disorders.

Front 22

2 prominent neg. symptoms in schizophrenia

Back 22

diminished emotional expression in face, eye contact, intonation of speech and movements of hand and head

Avolition - decrease in motivated self initiated purposeful activities.

Front 23

Alogia (neg. symp)

Back 23

diminished speech output

Front 24

Anhedonia (neg. symp)

Back 24

decrease ability to experience pleasure

Front 25

Asociality (neg symp)

Back 25

decrease social interactions

Front 26

Delusional Disorder

Back 26

at least one month of delusions but no other symptoms

Front 27

Brief psychotic disorder

Back 27

lasts more than one day remits by 1 month.

Front 28

Schizophreniform disorder

Back 28

duration less than 6 months and absence of requirement of decline in functioning

Front 29

Schizophrenia

Back 29

at least 6 months and includes at least 1 month of active phase symptoms.

Front 30

Schizoaffective disorder

Back 30

mood disorder and active phase of schizophrenia

Front 31

Treatment of schizophrenic and other psychotic disorders

Back 31

Antipsychotic meds

Individual therapy - supportive, focuses on realistic goals to maintain highest level of functioning. Goal is to aid coping and self-acceptance.

Front 32

Treatment of schizophrenic and other psychotic disorders con't

Back 32

Family therapy - Education and support for family members

Group therapy - to help develop social skills, to begin or sustain relationships. Should be practical and supportive.

Milieu Therapy - Hospital/institutional treatment entailing therapeutic combination of staff, program, social structure, respite, and expectations of reasonable behavior.

Front 33

Treatment of schizophrenic and other psychotic disorders Con't

Back 33

Social network Intervention/Case management - help with housing, income, social support, educational/vocational opportunities, and medical care

Self help Groups - support and education for client and family members.

Front 34

bipolar 1 disorder

Back 34

Must have a manic episode. manic episode is usually followed by an episode of major depression or hypomania.

reoccurring mood episodes consisting of one or more major depressive episodes (must last at least 2 weeks) and at least one hypomanic episode must last at least 4 days.

Front 35

manic episode

Back 35

must last at least one week

if hospitalized maybe be for any duration.

Front 36

Cyclothymic Disorder

Back 36

2 yrs in adults

1 yrs in children

chronic, fluctuating mood disturbances

Front 37

Selective mutism

Back 37

characterized by a consistent failure to speak in social situations in which there is an expectation to speak.

Front 38

Phobia

Back 38

fearful or anxious about or avoidant of circumscribed objects or situations.

Front 39

Social Anxiety

Back 39

fearful or anxious about social interactions and situations. Cognitive ideation is of being negatively evaluated by others.

Front 40

Panic disorders

Back 40

experience recurrent unexpected panic attacks and is persistently concerned or worried about having more panic attacks

Front 41

Agoraphobia

Back 41

fearful and anxious about two or more situations: public transportation, being in open spaces, being in enclosed places, standing in line or being in a crowd, being outside of the home alone.

Front 42

Separation anxiety disorder

Back 42

excessive fear or anxiety concerning separation form home or attachment figures. anxiety exceeds developmental level.

4 weeks in children/adolescents

6+ months in adults.

Front 43

Generalized Anxiety Disorder

Back 43

excessive anxiety and worry about a number of events or activities that interfere significantly with psychosocial functioning; more pervasive, pronounced, and distressing; have longer duration; and frequently occur without precipitating factors.

Front 44

Obsessive-compulsive disorders (OCD)

Back 44

OCD; body dysmorphic disorder; hoarding disorder, trichotillomania, excoriation; substance/medication induced obsessions/compulsions.

Front 45

Truama and Stressor related disorders

Back 45

reactive attachment disorder, disinhibited social engagement diosrder, PTSD, acute stress disorder and adjustment disorders.

Front 46

Reactive Attachment Disorder.

Back 46

child rarely or minimally turns preferentially to an attachment figure for comfort, support, protection, or nurturance. children show diminished or absent expression of positive emotion during routine interactions with caregivers. Negative emotions of fear, sadness or irritability that are not explained. Develops before age 5 yrs and not before 9 months.

Front 47

Disinhibited Social Engagement D/O

Back 47

a pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers; violate social boundaries.Developmental age of at least 9 months for this d/o

Front 48

PTSD

Back 48

must be older than 6 yrs. exposure to actual or threatened death,serious injury, or sexual violence; persistent intrusion symptoms; avoidance of stimuli associated with event; neg altercations in cognitions and mood; marked reactivity

Front 49

Acute stress disorder

Back 49

same symptoms as PTSD except last from 3 days to 1 month

Front 50

Adjustment disorders

Back 50

presence of emotional or behavioral symptoms in response to an identifiable stressor. Adjustment disorders are associated with an increased risk of suicide attempts and completions. begins within 3 months and lasts no longer than 6 months after stressor has ceased.

Front 51

Dissociative Disorders

Back 51

characterized by a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior.

Front 52

Depersonalization/derealization disorder

Back 52

characterized by clinically significant persistent experiences of unreality or detachment form one's mind, self, or body

Front 53

Dissociative amnesia

Back 53

characterized by an inability to recall autobiographical information that is inconsistent with normal forgetting. Individuals can be unaware of loss of time.

Front 54

Dissociative identity disorder

Back 54

characterized by the presence of two or more distinct personality states or an experience of possession and recurrent episodes of amnesia.

Front 55

Somatic Symptom and Related disorders

Back 55

somatic symptom disorder

illness anxiety disorder

conversion disorder

Factitious disorder

Front 56

Somatic symptom disorder

Back 56

multiple, current, somatic symptoms that are distressing or result in significant disruption of daily life, most commonly pain is present. formally hypochondria

Front 57

Illness anxiety disorder

Back 57

preoccupation wit h having or acquiring a serious un-diagnosed illness for at least 6 months. high anxiety levels

Front 58

Factitious Disorder

Back 58

formally malingering -

falsifies medical or psychological signs and symptoms.

by proxy- makes someone else or themselves sick

Front 59

Feeding and Eating Disorders

Back 59

Pica

Rumination disorder

Avoidant/restrictive food intake disorder

Anorexia Nervosa

Bulimia Nervosa

Binge Eating disorder

Front 60

Gender Dysphoria

Back 60

incongruence between the gender they have been assigned and their expressed gender