IP Flashcards

(52 cards)

1
Q

Diagnosis criteria typically includes what three things?

A
  1. impact on functioning
  2. the exclusion of other conditions
  3. specified timeframe for symptoms.
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2
Q

Integrated care that combines ______ and ______ is pivotal for effective diagnosis and treatment.

A

mental health and primary health care

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3
Q

Gather all of this when making a diagnosis

A

client, partner, family reports, health records, and tests

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4
Q

What is the primary purpose of the DSM-5?

A

The primary purpose of DSM-5 is to assist trained clinicians in the diagnosis of their patients’ mental disorders as part of a case formulation assessment that leads to a fully informed treatment plan for each individual.

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5
Q

DSM

A

Diagnostic and Statistical Manual of Mental Disorders, a manual for diagnosing mental disorders.

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6
Q

ICD-CM

A

International Classification of Diseases, Clinical Modification, a version modified for clinical use in the United States.

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7
Q

Prolonged Grief Disorder

A

A new diagnosis included in DSM-5-TR, characterized by persistent and intense grief that disrupts functioning.

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8
Q

What major updates does the DSM-5-TR include?

A

The DSM-5-TR includes a new diagnosis for prolonged grief disorder, modifications to criteria sets for over 70 disorders, and reviews of racial impacts on mental disorders.

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9
Q

Global Assessment of Functioning (GAF)

A

Axis V in the DSM multiaxial system, assessing an individual’s overall level of functioning.

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10
Q

Multiaxial System

A

A system in DSM-III and DSM-IV that assesses mental health disorders across multiple axes, including clinical and environmental factors. (now obsolete in DSM V

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11
Q

How does DSM-5-TR address diagnosing children?

A

The DSM-5-TR updates diagnostic criteria to capture experiences and symptoms of children more precisely, emphasizing careful evaluations.

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12
Q

Differential Diagnosis

A

The process of distinguishing a particular disorder from others that share similar signs and symptoms.

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13
Q

What are “other specified” and “unspecified” designations in diagnoses?

A

These designations allow clinicians to specify a particular reason for a diagnosis that does not meet full criteria or to identify cases where insufficient information is available.

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14
Q

A category of disorders that includes conditions predominantly affecting the development of the nervous system, manifesting in early life.

A

Neurodevelopmental Disorders

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15
Q

What role do ICD codes play in DSM-5-TR?

A

ICD codes in DSM-5-TR provide the only permissible diagnostic codes for mental disorders for clinical use in the U.S., enhancing congruence between DSM and ICD systems.

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16
Q

ICD-CM VS. DSM V TR

A

Very similar. ICD-CM is used globally and DSM V is used primarily in US. Some differences

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17
Q

What is the first step in the DSM-5-TR differential diagnosis process?

A

The first step is to rule out Malingering and Factitious Disorder.

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18
Q

How do Malingering and Factitious Disorder differ in their motivation?

A

Malingering is motivated by external rewards, whereas Factitious Disorder occurs without obvious external rewards.(playing sick role)

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19
Q

The relationship between substance use (including medications) and psychiatric symptoms where the latter may result directly from the effects of the substance.

A

substance etiology

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20
Q

Why is it crucial to rule out substance etiology in psychiatric diagnosis?

A

Missing a substance etiology can lead to incorrect diagnoses and inappropriate treatment, as symptoms can be misattributed to primary psychiatric disorders.

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21
Q

What is the third step in the DSM-5-TR differential diagnosis process?

A

The third step is to rule out disorders due to another medical condition.

22
Q

What does the fourth step in the differential diagnosis process involve?

A

The fourth step involves determining the specific independent mental disorder(s).

23
Q

A psychological response to an identifiable stressor that results in clinically significant emotional or behavioral symptoms.

A

adjustment disorder

24
Q

What does the fifth step differentiate?

A

The fifth step differentiates Adjustment Disorders from residual Other Specified and Unspecified Mental Disorders.

25
A mental disorder that causes clinically significant impairment but does not meet the criteria for any specific DSM-5-TR diagnosis, with a specified reason noted.
Other Specified Mental Disorder
26
How does a clinician establish the boundary between a mental disorder and no mental disorder?
The clinician evaluates whether the symptoms cause clinically significant distress or impairment in important areas of functioning.
27
Clinically Significant Distress
Distress that is severe enough to warrant a diagnosis and causes notable impact on social, occupational, or other crucial life areas.
28
What is important about the relationship between symptoms and a nonpsychiatric medical condition?
The relationship can be direct, psychological, medication-induced, or coincidental; understanding this is essential for accurate diagnosis.
29
What is a key factor in diagnosing Substance/Medication-Induced Mental Disorders?
Determining whether the psychiatric symptoms remit within a specific period after cessation of acute intoxication or withdrawal from the substance.
30
A diagnosis indicating that psychological symptoms adversely impact a nonpsychiatric medical condition.
Psychological Factors Affecting Other Medical Conditions
31
What is the goal of differential diagnosis in psychiatric settings?
To accurately identify and differentiate between mutually exclusive diagnoses to explain a patient's symptom presentation.
32
How does DSM-5-TR define "clinically significant distress?"
There is no strict definition; it's based on clinical judgment
33
In the differential diagnosis process, what must be ruled out after Malingering and Factitious Disorder?
Substance Etiology
34
What generally happens when multiple DSM-5-TR diagnoses are assigned to a single patient?
They can indicate a single underlying process
35
What are common reasons for a patient to misrepresent their symptoms?
1. Underlying psychological condition 2. Intentional exaggeration of symptoms 3. Seeking social support
36
What is the diagnostic implication of a patient presenting with overlapping psychiatric and substance-induced symptoms?
The symptoms are either independent or linked
37
What must be established when considering that a mental disorder could be due to another medical condition?
Coincidence of psychiatric symptoms and nonpsychiatric medical condition
38
When differentiating between Adjustment Disorders and Other Specified or Unspecified categories, what is a crucial factor?
Connection to psychosocial stressors
39
Introduction Diagnosis is integral part of medicine and the way in which it organises illness: a diagnosis is essential for
providing an explanatory framework for clinicians, predicting outcomes and identifying treatment options (Jutel, 2009).
40
The social role associated with being diagnosed as ill, which allows individuals to access medical services, insurance reimbursements, and sick leave.
sick role
41
How does receiving a diagnosis benefit the patient?
It facilitates access to medical services, provides a social explanation for illness, and aids in managing the individual's identity.
42
A concept referring to how mental illness can alter a person's life narrative and everyday life, affecting social relationships and personal expectations.
Biographical disruption
43
What are the social consequences of mental illness diagnosis?
Diagnosed individuals face stigma, social exclusion, and reduced life chances.
44
The language and practices used in medicine that can shape societal norms of what is considered typical or deviant.
medical discourse
45
What does research suggest patients desire from psychiatric encounters?
Patients seek explanations for their problems and symptoms to construct meaningful illness narratives.
46
The personal story that patients create to explain their experiences with illness, linking their body, self, and society.
Illness narrative
47
What are the two “voices” in medical communication, according to Mishler?
The voice of medicine, which focuses on abstract rules, and the voice of the lifeworld, reflecting the patient's personal context and experiences.
48
Conversational face-work
Strategies employed to maintain a coherent and socially acceptable identity during interactions, particularly in sensitive situations like psychiatric interviews.
49
How do patients contribute to the diagnostic process during interviews?
Patients provide explanations for their symptoms and connect them to life experiences, helping inform the diagnostic process.
50
Lists of symptoms used in diagnostic manuals to classify psychiatric illnesses, primarily based on subjective reports rather than objective measurements.
Symptom categories
51
What happens when the patient's narrative and medical understanding misalign?
It can lead to challenges in convincing clinicians of the patient's suffering, leading to a feeling of being unheard or ignored.
52