Clinical Assessment and Evaluation Flashcards

Question

Specifiers for substance dependence/abuse

Answer 1

1) Early full remission: At least 1 month and less than 12 months where no criteria is met 2) Early partial remission: At least 1 month and less than 12 months where one or more criteria have been met, but full criteria for dependence is not met 3) Sustained full remission: 12 months or more where no criteria is met 4) Sustained partial remission: 12 months or more where one or more criteria have been met, but does not meet criteria for dependence

Answer 2

1) Disturbance that lasts for at least 6 months and includes at least 1 month of active-phase symptoms 2) Active phase symptoms must include 2 or more of the following: ``` Delusions Hallucinations Disorganized speech Grossly disorganized/catatonic behavior Negative symptoms ``` - Prevalence is .5-1.5% - First degree relatives have a risk of developing schizophrenia that is 10 times greater than that of the general population - Slightly higher in males than females

Answer 3

1) Paranoid type: Preoccupation with one or more delusions or frequent auditory hallucinations 2) Disorganized type: Prominent disorganized speech, disorganized behavior, and flat/inappropriate affect 3) Catatonic type: At least 2 of the following: motoric immobility, excessive purposeless motor activity, negativism or mutism, peculiarities of voluntary movement, or echolalia 4) Undifferentiated type 5) Residual type: Had a least one episode of schizophrenia but there is an absence of prominent delusions, hallucinations, disorganized speech, but still some negative symptoms or milder forms of above described symptoms present

Answer 4

Presentation similar to schizophrenia, but disturbance lasts from 1-6 months

Answer 5

Disturbance in which mood episode and active phase symptoms of schizophrenia occur together, which is preceded or followed by at least 2 weeks of delusions or hallucinations without mood symptoms

Answer 6

At least one month of NON-BIZARRE delusions without other active phase symptoms. Except for the delusion, the person's functioning is otherwise not impaired -Persecutory type is most common Prevalence rate of .03%

Answer 7

Erotomanic: Another individual is in love with the person Grandiose: Inflated self worth, power, knowledge Jealous: Person believes partner is being unfaithful Persecutory: Person or someone close to them is being persecuted or ill-treated Somatic: Physical defect or medical problems Mixed: Characteristics or more than one without any single theme dominating Unspecified: Delusions not characteristic of any of the above themes

Answer 8

Psychotic disturbance that lasts more than one day and remits by one month

Answer 9

The presence of at least one Major Depressive Episode Episode: 5 or more symptoms for 2 weeks or more 1) At least 1 symptom is depressed mood or loss of interest or pleasure 2) Significant weight loss or weight gain 3) Insomnia or hypersomnia 4) Psychomotor agitation or retardation 5) Fatigue or loss of energy 6) Feelings of worthlessness or guilt 7) Problems with thinking, concentration, or indecisiveness 8) Recurrent thoughts of death, suicidal ideation, plan, or attempt Lifetime prevalence: 10-25% for women; 5-12% for men Periods of remission generally last longer early in the course of treatment

Answer 10

Chronically depressed mood that occurs for most of the day, more days than not for at least 2 years (one year in children) Lifetime prevalence: 6% Equally common in children, occurs 2-3 times more frequently in women than men

Answer 11

Abnormally and persistently elevated, expansive, or irritable mood for at least 1 week Three or more of the following: 1) Inflated self-esteem 2) Decreased need for sleep 3) Pressured speech 4) Racing thoughts, flights of ideas 5) Distractibility 6) Psychomotor agitation 7) Excessive involvement in pleasurable activities Causing marked impairment or requiring hospitalization

Answer 12

Occurrence of 1 or more manic episodes or mixed episodes DOES NOT REQUIRE DEPRESSIVE EPISODE Lifetime prevalence is .4-1.6% Equally common in males/females and across different races/ethnicities More than 90% of people who have a manic episode go on to have future episodes

Answer 13

1 or more major depressive episode and at least 1 hypomanic episode Lifetime prevalence is about .5% may be more common in women

Answer 14

Chronic fluctuating modd disturbance involving numerous hypomanic symptoms and numerous periods of depressive symptoms persistent at least 2 years (one year in children)

Answer 15

Not a codable disorder A discrete period of intense fear or discomfort in which 4 or more symptoms develop abruptly and peak within 10 minutes: ``` Palpitations Sweating Trembling Shortness of breath Chest pain Dizziness Derealization/ depersonalization Fear of dying ```

Answer 16

Not a codable disorder Anxiety about being in places or situations from which escape might be difficult or embarassing Situations are avoided or endured with marked distress or require the presence of a companion

Answer 17

Agoraphobia without history of panic attack

Answer 18

Recurrent Unexpected panic attacks At least one attack followed by one month or more of concern about additional attacks or fear of going crazy

Answer 19

Persistent fear of one or more social/performance situations where the person is exposed to unfamiliar people or the scrutiny by others Fears actions will result in embarrassment Can provoke situationally bound panic attack Lifetime prevalence: 3-13% More common in women

Answer 20

1) Either obsessions or compulsions - Obsessions are persistent thoughts, impulses, or images that are intrusive and cause distress - Compulsions are repetitive bxs or mental acts that the person feels driven to perform - Lifetime prevalence is 2.5%

Answer 21

1) Only when a person has been exposed to a traumatic event that involved actual or threatened death or serious injury 2) 3 broad categories - Persistent re-experiencing of the trauma - Persistent avoidance of stimuli/numbing - Persistent symptoms of increased arousal 3) Disturbance is more than 1 month - Less than 3 months (acute) - 3 months or more (chronic) -Lifetime prevalence is about 8%

Answer 22

PTSD symptoms that occur within 4 weeks of the trauma and last between 2 days and 4 weeks

Answer 23

1) At least 6 months of pervasive and excessive worry about a number of events or activities 2) Associated with at least 3 symptoms that include restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance - Lifetime prevalence is about 5% - Female to male is 3:2

Answer 24

1) History of recurrent and multiple somatic complaints that begin before 30 years of age and are of at least several years duration - In men: less than .2% - In women: between .2 and 2%

Answer 25

1) 1 or more physical complaints that cannot be fully explained medically 2) Duration is at least 6 months

Answer 26

1) 1 or more symptoms or deficits affecting voluntary motor or sensory function that suggests a neurological or other general medical condition 2) Not intentionally produced and cannot be explained by physical etiology

Answer 27

1) Pain in 1 or more sites of sufficient severity to warrant clinical attention 2) Psychological factors are judged to have an important role in the onset, severity, exacerbation or maintenance of the pain

Answer 28

1) Preoccupation with fear of having or belief that one has a serious disease, based on a person's misperception of their bodily symptoms 2) Belief is unsupported by medical examination and preoccupation lasts at least 6 months

Answer 29

1) Person is preoccupied with an imagined deficit in appearance

Answer 30

1) Characterized by physical or psychological symptoms that are intentionally produced or feigned 2) The goal appears to be to assume the sick role and there is an absence of external incentives for the behavior

Answer 31

1) Characterized by 1 or more episodes of a sudden inability to recall important personal information that cannot be explained by ordinary forgetfulness

Answer 32

1) Sudden unexpected travel away from home with an inability to recall one's past 2) Confusion about one's identity or assumption of a new identity 3) Duration is usually brief, lasting from hours to days

Answer 33

1) Presence of 2 or more distinct identities or personalities, each with it's own pattern of perceiving, relating to, and thinking about the environment and the self

Answer 34

1) Persistent or recurrent episodes of depersonalization ( feeling detached from one's mental process or body, or experiencing feelings like one is in a dream)

Answer 35

Characterized by a disturbance in sexual desire and in the psychophysiological changes that characterize the sexual response cycle

Answer 36

1) Recurrent intense sexual urges, fantasies, or behaviors that involve unusual objects, activities, or situations - Diagnosed almost exclusively in males

Answer 37

A strong and persistent cross-gender identification accompanied by a persistent discomfort with one's assigned sex

Answer 38

1) Refusal to maintain minimally normal body weight (body weight is less than 85% of what is expected for age and height) 2) Intense fear of gaining weight, misperception of body size or shape, denial of seriousness of current low body weight, and absence of menstruation - Lifetime prevalence among females is .5% - Females 10 times more likely to be diagnosed than males - Much more prevalent in industrialized societies

Answer 39

1) Repeated episodes of binge eating followed by inappropriate compensatory behaviors such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, excessive exercising 2) Binge eating and compensatory behaviors occur at least 2 times per week for 3 months - Prevalence among females is 1-3% - Females 10 times more likely to be diagnosed than males

Answer 40

Disturbance in the amount, quality, or timing of sleep (Primary insomnia, Narcolepsy) - Primary insomnia is about 1-10% in general pop and up to 25% in elderly - Complaints of insomnia are more prevalent among women

Answer 41

Abnormal behavior or physiological events that occur in association with sleep (sleepwalking, sleep terror disorder)

Answer 42

1) Failure to resist an impulse to perform an act that is harmful to the person or others

Answer 43

1) Maladaptive reaction to an identifiable psychosocial stressor, which occurs within 3 months of onset of the stressor 2) Once the stressor has terminated, the symptoms do not persist for more than an additional six months

Answer 44

Odd/ Eccentric 1) Paranoid personality disorder 2) Schizoid personality disorder 3) Schizotypal personality disorder

Answer 45

Dramatic/Erratic 1) Antisocial (disregard for others since at leas 15 years of age, but must be 18 to diagnose) 2) Borderline personality disorder 3) Histrionic personality disorder 4) Narcissistic personality disorder

Answer 46

Anxious/Avoidant 1) Avoidant personality disorder 2) Dependent personality disorder 3) Obsessive compulsive personality disorder

Clinical Assessment and Evaluation Flashcards

(70 cards)