DSM-5

Question 1

What is a mental disorder?

Answer 1

Significant disturbance in a person’s cognition, emotional state, or behavior that reflects dysfunction in mental functioning.

Question 2

3 considerations for diagnostic assessment

Answer 2

1. problem interferes with daily functioning
2. environmental context in which behaviors are occurring
3. Culture of both client and practitioner

Question 3

Disorders are ________ that are now seen as dysfunctional and causing great distress in adult life.

Answer 3

coping strategies

Question 4

Diagnosis

Answer 4

The process of identifying a problem and its underlying causes

Question 5

Diagnosis vs Assessment

Answer 5

Diagnosis: seeking underlying causes
Assessment: the analysis

Question 6

Positives of assessment:

Answer 6

uniform diagnosis, improves communication, basis for education

Question 7

Negatives of Assessment

Answer 7

lead to diagnostic labels, limited info on environment, doesn’t describe intervention strategy

Question 8

DSM:

Answer 8

diagnostic statistical manual of mental disorders

Question 9

DSM-5 came out which year?

Answer 9

2013

Question 10

DSM 1 characteristics:

Answer 10

Biopsychosocial model, psychoanalystic, 106 disorders

Question 11

DSM 2 characteristics

Answer 11

Eliminated disease model, treatment aimed at treating disease, 182 disorders

Question 12

DSM 3 characteristics

Answer 12

No belief in brain plasticity, treatment couldn’t affect structure of brain, use disease model for observations, multi-axial review introduced, 265 disorders

Question 13

DSM 3 revision characteristics

Answer 13

standardized diagnostic criteria/categories

Question 14

DSM 4 characteristics

Answer 14

retained some disease model, retained multi-axial system, NOS concepts introduced

Question 15

DSM 5 characteristics

Answer 15

New classification system, severity scores replace GAF, more dimensional focus, respect for age culture and gender, dedication to children, suicide risk, risk factors

Question 16

DSM 4 Axis 1

Answer 16

clinical disorders

Question 17

DSM 4 Axis 2

Answer 17

personality disorders

Question 18

DSM 4 axis 3

Answer 18

general medical conditions

Question 19

DSM 4 axis 4

Answer 19

psychosocial and environmental problems

Question 20

DSM 4 axis 5

Answer 20

global assessment of functioning (GAF)

Question 21

Which axes are combined in the DSM 5?

Answer 21

1 2 and 3

Question 22

Section 1 of DSM 5

Answer 22

introduction

Question 23

section 2 of dsm 5

Answer 23

20 classifications

Question 24

section 3 of dsm 5

Answer 24

assessments and diagnostics

Question 25

Dystonic conditions

Answer 25

(good insight) client experiences distress and has no capacity to cope with condition, motivated for therapy

Question 26

Syntonic conditions

Answer 26

(absent insight) heavily defended, reluctant to change, resistant to therapy

Question 27

0 severity

Answer 27

no impairment, GAF 100-71

Question 28

1 severity

Answer 28

mild impairment, GAF 70-61

Question 29

2 severity

Answer 29

moderate impairment, GAF 60-51

Question 30

3 severity

Answer 30

severe impairment, GAF 50-31

Question 31

4 severity

Answer 31

very severe impairment, GAF 30-1

Question 32

How many criteria for mild impairment?

Answer 32

2

Question 33

How many criteria for moderate impairment?

Answer 33

4

Question 34

How many criteria for severe impairment?

Answer 34

6

Question 35

Subtype:

Answer 35

mutually exclusive subgroupings within a diagnosis

Question 36

Provisional Diagnosis

Answer 36

used with a strong presumption that full criteria will be met for diagnosis but not enough info to confirm

Question 37

Unspecified disorders

Answer 37

meet category description but not criteria for disorder

Question 38

Other specified disorder:

Answer 38

communicate reason that client doesn't meet criteria for any specific category

Question 39

3 psychological factors in assessment

Answer 39

1. mental functioning 2. cognitive functioning 3. assessment of lethality

Question 40

2 biomedical factors in assessment

Answer 40

1. general medical (physical disability of illness and how it affects daily living) 2. perceived overall health status

Question 41

5 social/environmental factors

Answer 41

1. social help seeking 2. occupational participation 3. social support 4. family support 5. ethnic/religious affiliation

Question 42

culture

Answer 42

sum total of knowledge passed on from generation to generation within an given society

Question 43

cognitive schemas

Answer 43

learned structures of cognition used by an individual to make sense of the world

Question 44

are cognitive schemas dependent on cultural learning to a large extent?

Answer 44

yes

Question 45

Brain plasticity

Answer 45

neural structures can adapt to stressors