DSM-5: Neurodevelopmental Disorders

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Questions and Answers

A researcher is studying the effectiveness of a new social skills program for children with Autism Spectrum Disorder. Which outcome would MOST indicate a successful intervention?

  • Decreased sensitivity to loud noises.
  • Enhanced ability to echo phrases spoken by others.
  • Increased engagement in repetitive motor movements.
  • Improved ability to initiate and maintain conversations. (correct)

An adult with Intellectual Disability is struggling to manage their finances and maintain their living space. Which area of adaptive functioning is MOST significantly impaired?

  • Social skills
  • Practical skills (correct)
  • Motor skills
  • Conceptual skills

A five-year-old child is having difficulty pronouncing certain sounds, making it hard for others to understand them. What therapeutic approach is MOST likely to improve their speech clarity?

  • Using exposure therapy to reduce anxiety related to speaking.
  • Providing targeted exercises and strategies to improve articulation. (correct)
  • Prescribing stimulant medication to improve focus.
  • Implementing cognitive restructuring techniques.

A child who stutters is starting to avoid speaking in class and during social gatherings due to increasing anxiety about their speech. What intervention MOST directly addresses both the fluency and emotional aspects of their condition?

<p>Speech-language therapy combined with CBT (C)</p> Signup and view all the answers

A teenager with Social (Pragmatic) Communication Disorder consistently misses humorous cues and implied meanings in conversations. How might this MOST directly impact their social interactions?

<p>Frequent misunderstandings and awkward exchanges with peers. (C)</p> Signup and view all the answers

A student with Specific Learning Disorder struggles significantly with reading comprehension but excels in math and science. Which intervention strategy would be MOST effective in supporting their academic success?

<p>Offering tutoring sessions focused on reading strategies and comprehension. (A)</p> Signup and view all the answers

A child with ADHD is constantly fidgeting, interrupting others, and has trouble waiting their turn. Based on these symptoms, which neurotransmitter system is MOST likely involved?

<p>Dopamine (A)</p> Signup and view all the answers

A teacher observes that a student frequently daydreams in class, struggles to follow multi-step instructions, and often misplaces assignments, but does not display hyperactive or impulsive behaviors. Which presentation of ADHD is MOST consistent with these observations?

<p>Predominantly Inattentive Presentation (C)</p> Signup and view all the answers

A student diagnosed with Specific Learning Disorder has been receiving specialized education programs. How long should these programs be implemented before re-evaluation of their effectiveness?

<p>5 years (D)</p> Signup and view all the answers

What is generally considered the most effective initial treatment approach for Specific Learning Disorder?

<p>Specialized education programs tailored to address specific academic deficits. (B)</p> Signup and view all the answers

An individual reports persistent and excessive worry about various aspects of their life, finding it difficult to control the anxiety. Which disorder is most likely indicated?

<p>Generalized Anxiety Disorder (A)</p> Signup and view all the answers

A patient experiences sudden episodes of intense fear accompanied by physical symptoms like palpitations and shortness of breath, without any obvious trigger. Which disorder is most consistent with these symptoms?

<p>Panic Disorder (A)</p> Signup and view all the answers

How do Bipolar I and Bipolar II disorders primarily differ in their presentation?

<p>Bipolar I includes manic episodes, while Bipolar II includes hypomanic episodes. (B)</p> Signup and view all the answers

Which of the following behaviors would be most indicative of Separation Anxiety Disorder in a child?

<p>Distress when separated from attachment figures. (D)</p> Signup and view all the answers

A child consistently fails to speak in specific social situations, such as at school, despite speaking normally at home with family. What condition does this presentation align with?

<p>Selective Mutism (C)</p> Signup and view all the answers

What is the most prominent characteristic of Social Anxiety Disorder?

<p>Fear of negative evaluation in social situations. (C)</p> Signup and view all the answers

An individual experiences periods of hypomanic and depressive symptoms, but these do not meet the full criteria for manic or major depressive episodes. Which of the following disorders is most likely?

<p>Cyclothymic Disorder (D)</p> Signup and view all the answers

An individual reports experiencing depressed mood and associated symptoms for the past two years, but the symptoms do not meet the criteria for major depressive disorder. Which condition is most likely?

<p>Persistent Depressive Disorder (D)</p> Signup and view all the answers

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Flashcards

Autism Spectrum Disorder (ASD)

A neurodevelopmental disorder impacting social communication, marked by restricted, repetitive behaviors and sensory sensitivities.

Intellectual Disability

A condition with deficits in intellectual and adaptive functioning.

Speech Sound Disorder

A disorder where individuals have difficulty producing speech sounds correctly.

Childhood-Onset Fluency Disorder

A speech disorder commonly known as stuttering, affecting fluency.

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Social (Pragmatic) Communication Disorder

Difficulties in the social use of verbal and nonverbal communication.

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Specific Learning Disorder

A learning disorder that is characterized by difficulties in reading, writing and mathematics.

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ADHD (Neurobiological Factor)

The primary neurobiological factor in ADHD is the dysregulation of dopamine.

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ADHD - Predominantly Inattentive

ADHD subtype characterized mainly by inattentiveness.

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Generalized Anxiety Disorder

Excessive worry about multiple aspects of life.

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Panic Disorder

Recurrent, unexpected panic attacks.

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Bipolar I vs. Bipolar II

Bipolar I includes manic episodes, Bipolar II includes hypomanic episodes.

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Separation Anxiety Disorder

Distress when separated from attachment figures.

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Selective Mutism

Consistent failure to speak in specific social situations despite speaking in others

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Social Anxiety Disorder

Fear of negative evaluation in social situations.

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Cyclothymic Disorder

Periods of hypomanic and depressive symptoms that do not meet criteria for full episodes.

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Persistent Depressive Disorder

Also known as Dysthymia; a chronic low mood.

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Premenstrual Dysphoric Disorder

Symptoms occur during the luteal phase of the menstrual cycle.

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Anorexia Nervosa

Intense fear of gaining weight despite being underweight.

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Study Notes

  • The following are questions that may be present on board exams, relating to DSM-5 Disorders

Neurodevelopmental Disorders

  • Hallucinations are not a core deficit in Autism Spectrum Disorder
  • Intellectual Disability diagnosis requires deficits in intellectual and adaptive functioning
  • The most effective intervention for Speech Sound Disorder is speech-language therapy
  • Childhood-Onset Fluency Disorder is commonly referred to as stuttering
  • A child with Social (Pragmatic) Communication Disorder will most likely struggle with understanding sarcasm and non-literal language
  • Specific Learning Disorder is characterized by difficulties in reading, writing, and mathematics
  • The primary neurobiological factor in ADHD is Dopamine dysregulation
  • The subtype of ADHD primarily characterized by inattentiveness is Predominantly Inattentive
  • Global Developmental Delay is a provisional diagnosis given before age 5
  • The primary treatment for Specific Learning Disorder is specialized education programs

Anxiety and Mood Disorders

  • Generalized Anxiety Disorder is characterized by excessive worry about multiple aspects of life
  • Panic Disorder involves recurrent, unexpected panic attacks
  • Bipolar I includes manic episodes, while Bipolar II includes hypomanic episodes
  • A child with Separation Anxiety Disorder will likely display distress when separated from attachment figures
  • Selective Mutism is characterized by consistent failure to speak in social situations despite speaking in others
  • The hallmark symptom of Social Anxiety Disorder is fear of negative evaluation in social situations
  • Cyclothymic Disorder involves periods of hypomanic and depressive symptoms that do not meet criteria for full episodes
  • Persistent Depressive Disorder is also known as Dysthymia
  • Premenstrual Dysphoric Disorder symptoms occur during the luteal phase of the menstrual cycle
  • Conduct Disorder is often a precursor to Antisocial Personality Disorder

Trauma, Dissociation, and Obsessive-Compulsive Disorders

  • PTSD symptoms must persist for at least one month
  • Acute Stress Disorder differs from PTSD in duration, lasting 3 days to 1 month
  • Dissociative Identity Disorder is characterized by two or more distinct personality states
  • Illness Anxiety Disorder is marked by preoccupation with having a serious illness despite lack of symptoms
  • Body Dysmorphic Disorder involves excessive concern with perceived physical flaws
  • Hoarding Disorder is distinct from OCD because it does not involve intrusive obsessions
  • Excoriation Disorder is skin-picking resulting in lesions
  • Factitious Disorder is characterized by intentional falsification of symptoms for psychological gain
  • The primary neurotransmitter associated with OCD is Serotonin
  • Trichotillomania involves hair pulling

Eating and Sexual Disorders

  • Anorexia Nervosa involves intense fear of gaining weight despite being underweight
  • The difference between Bulimia Nervosa and Binge-Eating Disorder is that Bulimia involves compensatory behaviors, while binge-eating does not
  • The defining characteristic of Avoidant/Restrictive Food Intake Disorder is a lack of interest in eating due to sensory concerns
  • Genito-Pelvic Pain/Penetration Disorder involves difficulty with vaginal penetration due to pain
  • Erectile Disorder is primarily diagnosed when there is a persistent difficulty in achieving or maintaining an erection
  • Premature Ejaculation is diagnosed when ejaculation occurs within one minute of penetration
  • Male Hypoactive Sexual Desire Disorder involves a lack of sexual desire
  • Female Orgasmic Disorder involves delay or absence of orgasm
  • Pica involves eating non-nutritive substances
  • Rumination Disorder involves regurgitation and re-chewing of food

Paraphilic Disorders and Miscellaneous

  • Exhibitionistic, voyeuristic, frotteuristic, and other paraphilic disorders are included in this section

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