Exam 2 Flashcards
(21 cards)
Specific tests for anxiety disorders
GAD:
- Penn State Worry Questionnaire (PSWQ)
- Worry & Anxiety Questionnaire (WAQ)
PTSD:
-Harvard Trauma Questionnaire (HTQ)
General tests for anxiety disorders
Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV)
Burns Anxiety Inventory (BAI)
Beck Anxiety Inventory
Social Interaction Anxiety Scale (SIAS)
Other methods of assessing anxiety disorders
Psychophysiological measures:
EEG
Sweating
Tension
Behavioral measures:
Behavioral Avoidance Test
Recent stressors:
Recent Life Changes Scale
Coping methods:
COPE Inventory
Types of coping
- **Avoidant/Disengage**
- Problem focused
- Emotion focused
Theories association with development of anxiety disorders
- Avoidance-Conditioning
- Modeling
- Cognitive Theory (focus on neg emotions)
- Fear of Fear
Sources of info for conducting assessment
Self-report Teacher/spouse/parent report Test results Legal documents Medical reports Past behavior (work/relationships) Psychophysiological records
Info included in report
Identifying info Clinical complaints MSE Psychological tests administered Psychological test results Diagnostic impression Summary and recommendations
Ethical and legal challenges on assessment
- Accepting a Referral
- Who is the client?
- Clinical vs administrative
- Irrelevant questions, inappropriate measures, feedback, payment
- Selecting Test Battery
- personal pref
- familiarity
- related to referral questions
- well known and reliable
- Conducting Psych Eval
- Standardized instructions
- Treat pts with dignity and respect
- Therapist needs to meet client
Preparing/presenting Report
- Test findings vs gen inferences
- Describe what people are prob like
- Avoid painting pts in neg light
- Managing Case Records
- Confidentiality
- Organized and pristine
- Store records for length of time
Process once referral is received
- Evaluate referral
- Contact referring professional
- Review chart/order charts with consent
- Review previous test results
Anxiety Tree
Acute Stress Disorder PTSD Social Phobia Simple Phobia Panic Disorder w Agoraphobia Panic Disorder wo Agoraphobia Agoraphobia wo History of Panic Attacks OCD Generalized Anxiety Disorder
Variables to consider
- Diagnostic variables/symptoms
- Nondiagnostic variables
- state (expectations, distress), trait (coping styles)
- Enjronmental variables
- Treatment context
- setting, format, intensity
- Relationship variables
Difference regarding treatment progress acceptability
Push too hard, they will avoid and leave. Have to be careful not too push them. Can’t expect progress to be as fast as others
Mood Disorders (10)
- MDD - 2 weeks of depressed/ irritable mood, loss of pleasure, etc
- DD - 2 years of depressed mood, low energy, etc
- Depression Due to Med Con
- Substance Induced Depression
- Depression in Older Adults
- Depression NOS
- Bipolar I - episode of mania, possible depression
- Bipolar II - hypomania and MDD
- Cyclothymia - hypomania and lower grade depression
- Mood Disorder NOS
Assessments for mood disorders
Structured Clinical Interview for DSM-IV-TR (SCID)
Beck Depression Inventory (BDI)
Quick Inventory for Depressive Symptomatology (QIDS)
Child and Adolescent Psychiatric Assessment (CAPA)
Hamilton Rating Scale (HAM-D)
Considerations when assessing mood disorders
- Race, culture, ethnicity
- Psychiatric comorb
- Personality disorder comorb
- Medical comorb
- Environmental stressors
- Functioning
Degenerative Dementia
DD:
- Insidious onset
- less likely of psych history
- conceals disability
- near miss answers
- mood fluctuates
- stable cog deficit
- tries hard to perform but unconcerned by losses
- short term memory loss
- memory loss first
- declining social function
Depression (compared to DD)
- less insidious onset
- history of depression
- highlights disabilities
- don’t know answers
- diurnal variation in mood
- fluctuating cog deficit
- tries hard, distressed by losses
- short and long term mem loss
- dep mood = mem loss
- associated with anxiety
When to and when not to diagnose personality disorders
When not to:
- under 18
- still at home
When to:
- chronic and pervasive
- inflexible across situations
- causes distress or impairment
Personality Disorders (10)
- Antisocial Personality Disorder: self concerned; violates others rights
- vicious, smooth, anxious
- Borderline Personality Disorder: unstable; abandonment; extreme likes and dislikes
- Histrionic: dramatic attention seeking; sexually promiscuous or inhibited
- Narcissistic: grandiose; lack of empathy
- Paranoid: unwarranted distrust and suspicion of others; self fulfilling prophesies
- Schizoid: no interest or enjoyment
- Schizotypal: odd thinking, behavior, relation to others
- Avoidant: avoid social sit due to fear of rejection and embarrassment
- Dependent: need to be taken care of; no decision making
- OCPD: preocc with orderliness, perfection, interpersonal control; rigid
Personality Disorder Assessment
Rorschach
Thematic Apperception Test (TAT)
Minnesota Multiphasic Personality Inventory (MMPI)
Personality Assessment Inventory (PAI)
Acceptable comprehensive assessment (anxiety in social situation)
Overlapping symptoms
Comorbidity
Overlapping etiologies
Integrated model
-integration bw biological, psychosocial, experimental, and social variables
Is it fear of having a panic attack or fear of being humiliated? Is it recognized as irrational? Is it related to fear of separation? Fear of closed places? Related to specific past event?
