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Flashcards in DSM 5 Quiz Deck (25):
1

Identify the possible diagnoses, including V. Codes.

1. Seth, age 14, is constantly arguing with his teachers and parents and was recently kicked off the soccer team.

1. Seth, age 14, is constantly arguing with his teachers and parents and was recently kicked off the soccer team.

Oppositional defiant disorder, arguing with authority,

Not enough for conduct; no violation of rights of others

Also, possibly depressive disorder; irritability

2

Identify the possible diagnoses, including V. Codes.

2. Georgia tears up when she shares that she shares that she doesn’t feel like getting out of bed in the morning because life is too hard.

2. Georgia tears up when she shares that she shares that she doesn’t feel like getting out of bed in the morning because life is too hard.

MDD

3

Identify the possible diagnoses, including V. Codes.

3. Barbara shares that she and her husband fight all the time about her drinking.

3. Barbara shares that she and her husband fight all the time about her drinking.

Alcohol use disorder

V code relationship distress with spouse

4

Identify the possible diagnoses, including V. Codes.

4. Sam shares that he has a good week every few months where he is really productive at work and doesn’t need much sleep. The problem is that he always crashes and can’t get out of bed for weeks.

4. Sam shares that he has a good week every few months where he is really productive at work and doesn’t need much sleep. The problem is that he always crashes and can’t get out of bed for weeks.

Hypomania, cuz still doing work; MDD = Bi-polar 2

Maybe also MDD

But, cyclical nature = bi-polar 2

5

Identify the possible diagnoses, including V. Codes.

5. Bill says his wife loses it every so often and acts like a crazy person for over a week. She goes on shopping sprees they can’t afford and cleans the house all night.

5. Bill says his wife loses it every so often and acts like a crazy person for over a week. She goes on shopping sprees they can’t afford and cleans the house all night.

Manic phase only = bi-polar 1

Also put down relationship distress with spouse

6

Identify the possible diagnoses, including V. Codes.

6. Lisa, age 8, is brought in by her mother who shares that Lisa cries every time she is dropped off at school.

6. Lisa, age 8, is brought in by her mother who shares that Lisa cries every time she is dropped off at school.

Separation anxiety

V code parent child relational problem

7

Identify the possible diagnoses, including V. Codes.

7. Charlotte shares that in graduate school she will have spurts where she gets a lot done and feels really energized, then she’ll have a hard time motivating to get anything done.

7. Charlotte shares that in graduate school she will have spurts where she gets a lot done and feels really energized, then she’ll have a hard time motivating to get anything done.

Cyclothymia; mild mania and mild depression

8

Identify the possible diagnoses, including V. Codes.

8. Anthony, age 8, is referred by his school teacher because he can’t finish tasks in class and is disrupting other kids.

8. Anthony, age 8, is referred by his school teacher because he can’t finish tasks in class and is disrupting other kids.

ADHD

Possibly a learning disorder

9

Identify the possible diagnoses, including V. Codes.

9. Nick was in a serious car accident three weeks ago and hasn’t been able to sleep because he keeps having nightmares of the crash

9. Nick was in a serious car accident three weeks ago and hasn’t been able to sleep because he keeps having nightmares of the crash

Acute stress disorder

It been a month from accident and he is reliving the event

10

Identify the possible diagnoses, including V. Codes.

10. Jamie becomes tearful when she shares that she feels irritable with her kids all the time. 10. Jamie becomes tearful when she shares that she feels irritable with her kids all the time.

10. Jamie becomes tearful when she shares that she feels irritable with her kids all the time. 10. Jamie becomes tearful when she shares that she feels irritable with her kids all the time.

MDD

11

Identify the possible diagnoses, including V. Codes.

11. Cindy, who is referred by her EAP for falling behind in her work, shares that she smokes pot to help her relax.

11. Cindy, who is referred by her EAP for falling behind in her work, shares that she smokes pot to help her relax.

V code occupational problem

Want to get them functioning at work

Possibility of cannabis use disorder

Anxiety disorder is tickled here, but not enough

12

Identify the possible diagnoses, including V. Codes.

12. Marge reports that for the last four months she’s had a hard time sleeping because she’s staying awake at night worrying about an endless list of things.

12. Marge reports that for the last four months she’s had a hard time sleeping because she’s staying awake at night worrying about an endless list of things.

Unspecified anxiety disorder

4 month time line

for GAD it needs to be at least 6 months

13

Identify the possible diagnoses, including V. Codes.

13. Mary describes her son, Henry, age 6, as a little brat who can’t sit still for one minute and is always causing problems at school.

13. Mary describes her son, Henry, age 6, as a little brat who can’t sit still for one minute and is always causing problems at school.

ADHD

V code parent child relational problem

14

Identify the possible diagnoses, including V. Codes.

14. Nancy, who lost her husband four months ago, states that the only thing she enjoys these days is playing with her granddaughter.

14. Nancy, who lost her husband four months ago, states that the only thing she enjoys these days is playing with her granddaughter.

Bereavement and unspecified depressive disorder

if she had more depressive symptoms bump it up to MDD

15

Identify the possible diagnoses, including V. Codes.

15. Melissa shares that she has been in love three times this year and all of the relationships have ended badly.

15. Melissa shares that she has been in love three times this year and all of the relationships have ended badly.

Borderline personality disorder

Unstable relationships

16

Identify the possible diagnoses, including V. Codes.

16. Jerry, a 45-year-old loan agent, recently lost his job, is arguing a lot with his wife, and complains that he just can’t get out of bed in the morning.

16. Jerry, a 45-year-old loan agent, recently lost his job, is arguing a lot with his wife, and complains that he just can’t get out of bed in the morning.

Adjustment disorder, relationship distress with a spouse, MDD

17

Identify the possible diagnoses, including V. Codes.

17. Tina, a 16 year old, is referred by her probation officer after being arrested for breaking into a house.

17. Tina, a 16 year old, is referred by her probation officer after being arrested for breaking into a house.

Conduct disorder (violation of the rights of others)

18

Identify the possible diagnoses, including V. Codes.

18. Greg, an Iraqi vet, and his girlfriend, Meg, come to see you because they are fighting a lot and Greg can’t stop thinking about the things he’s seen.

18. Greg, an Iraqi vet, and his girlfriend, Meg, come to see you because they are fighting a lot and Greg can’t stop thinking about the things he’s seen.

PTSD and V code relationship distress with intimate partner

19

Identify the possible diagnoses, including V. Codes.

19. Shawna shares that she needs to drink five drinks instead of two to “feel buzzed” and that she has a hard time getting up in the morning.

19. Shawna shares that she needs to drink five drinks instead of two to “feel buzzed” and that she has a hard time getting up in the morning.

Alcohol use disorder

Possible substance induced mood disorder cuz she is having a hard time getting up in the morning

20

Identify the possible diagnoses, including V. Codes.

20. Ethan, age 8, is brought to therapy by his dad and step-mom. The stepmom reports that since the death of his mother over a year ago Kevin has been extremely irritable and throws a tantrum almost every day if things don’t go his way.

20. Ethan, age 8, is brought to therapy by his dad and step-mom. The stepmom reports that since the death of his mother over a year ago Kevin has been extremely irritable and throws a tantrum almost every day if things don’t go his way.

Bereavement

Disruptive mood Disregulation disorder (a child that is constantly irritable, don’t Dx before age 6 and not after 10)

21

Identify the possible diagnoses, including V. Codes.

21. Arthur, a minister, recently lost his wife to cancer and is questioning his faith.

21. Arthur, a minister, recently lost his wife to cancer and is questioning his faith.

Bereavement

V code spirituality problem

22

Identify the possible diagnoses, including V. Codes.

22. Cindy, a 24-year-old actress, comes to see you because her husband is tired of her needing to be the center of attention all the time.

22. Cindy, a 24-year-old actress, comes to see you because her husband is tired of her needing to be the center of attention all the time.

V code relationship distress with partner

Maybe histrionic personality disorder

23

Identify the possible diagnoses, including V. Codes.

23. Sarah, age 7, recently witnessed her dad get hit by a car and has started crying when she is dropped off at school.

23. Sarah, age 7, recently witnessed her dad get hit by a car and has started crying when she is dropped off at school.

PTSD

Separation anxiety

Maybe adjustment disorder

24

Identify the possible diagnoses, including V. Codes.

24. Howard, age 42, is referred by his doctor. He shares that he is unhappy in his marriage because his wife is physically abusive but divorce goes against his religious beliefs.

24. Howard, age 42, is referred by his doctor. He shares that he is unhappy in his marriage because his wife is physically abusive but divorce goes against his religious beliefs.

V code relationship distress

v code physical spouse violence

possibly v code spirituality problem

25

Identify the possible diagnoses, including V. Codes.

25. Kevin, age 7, is brought in by his grandmother who is his primary caretaker, because he has become aggressive with her since his mother went to prison two months ago.

25. Kevin, age 7, is brought in by his grandmother who is his primary caretaker, because he has become aggressive with her since his mother went to prison two months ago.

adjustment disorder

v code parent child relational problem

maybe v code upbringing away from parent