DSM & Diagnosis Flashcards
(218 cards)
Mental Disorder (Broad Definition)
Areas affected
Syndrome characterized by clinically significant disturbance in ones cognition, emotions, behaviour that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning. Usually associated with distress or disability in social, occupational, and other important activities.
What type of assessment system does the DSM-5 use?
Nonaxial assessment system
What does ‘Polythetic Criteria Set’ mean in relation to the DSM-5?
For each diagnosis, a person may only have some of diagnostic criteria
What are the 3 ways to handle diagnostic uncertainty?
- Provisional: full criteria will eventually be met, but not enough info currently
- Other specified disorder: symptoms don’t meet full diagnostic criteria and clinician wants to provide reason why
- Unspecified Disorder: client’s symptoms don’t meet full criteria but clinician doesn’t want to indicate why
Level 1 Assessment Tool in DSM-5
Assesses 13 adult domains, 12 child domains
Identifies areas for further evaluation
Level 2 Assessment Tool in DSM-5
Detailed info on specific domains to assess with diagnosis, treatment planning, and follow up
WHODAS 2.0
SLUG PG
WHO Disability Assessment Schedule
- Understanding/communication
- Getting around
- Self-care
- Getting along with people
- Life activities
- Participation in society
Personality Inventory Domains (5)
What Personality Inventory?
DADNP
- Negative affect
- Detachment
- Antagonism
- Disinhibition
- Psychoticism
Cultural Formation
3 components that assess cultural features of a clients concerns
Outline for Cultural Formation
Includes identity, cultural conceptualizations of distress, cultural features affecting relationships between client and therapist, over all cultural assessment
Cultural Formation Interview (CFI)
Semi-Structured, 16 questions that assess impact of culture on client’s presenting concerns & treatment
- Cultural definition of concern
- Cultural perception of cause/context
- Cultural factors affecting coping
- Cultural factors affecting past/present help seeking
Cultural Concepts of Distress
Brief Description
Ways that a cultural group experiences, understands and communicates suffering, behavioural problems, or troubling cognitions.
Ataque de Nervios
Latino syndrome. Symptoms of intense emotional upset, uncontrollable crying, heat rising from chest to head, aggression, inhibition
Kufungisisa
South African. Depression.
Susto
Latin. Chronic somatic suffering stemming from emotional trauma. “spirit attack”
Neurodevelopmental Disorders (7)
GASCAIM
Onset during developmental period
- Intellectual disability
- Global Developmental Delay
- ASD
- ADHD
- Specific Learning Disorder
- Communication Disorder
- Movement Disorder
Intellectual Disability
Intellectual reasoning deficit
Adaptive Functioning deficit
2+ standard deviations below mean (70)
Severity rating is determined by…conceptual, social, practical domains. Not IQ
Vineland Adaptive Behaviours Scale
Assessment of adaptive functioning
Assesses what kids can DO, not necessarily their capabilities
1. Conceptual/Academic: memory, language, reading, writing
2. Social: empathy, interpersonal, social judgment
3. Practical: personal care, money, organization
Etiology of Intellectual Disability
75% prenatal 5% heredity 30% chromosomal abnormalities 10% pregnancy/perinatal complications 5% Childhood medical conditions 15-20% Environmental factors, comorbid conditions 30-40% unknown Low birth weight is strongest predictor
Borderline Intellectual Functioning
IQ 70-85
Global Developmental Delay
Under 5 yo
Not meeting developmental milestones
Too young for standardized testing
ASD previous conditions
Encompasses the previous: Autistic disorder, aspergers, childhood disintegrative disorder, pervasive developmental disorder NOS
ASD Diagnosis
- Social communication deficit (NV, V, Peer, reciprocity)
- Restricted & repetitive behaviour, interest, activities
- Onset in early developmental period (2yo)
- Impaired social, occupation, and other
- Language abnormalities (echolalia, pronoun reversal)
ASD Severity Ratings
These are so dumb
Level 1-requires support
Level 2-substantial support
Level 3-very substantial support