DSM–V: OCD & Body Dymphoric DT
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Questions and Answers

What is the primary aim of Parent Management Training (PMT)?

  • To empower parents with techniques for managing behaviors (correct)
  • To eliminate all challenging behaviors immediately
  • To focus solely on academic performance
  • To create behavioral problems in children
  • What is the first step in treating kleptomania-like symptoms?

  • Behavioral modification without assessment
  • Consultation with family members only
  • Immediate medication for symptom relief
  • A thorough assessment to rule out psychological issues (correct)
  • What determines the severity level of an Intellectual Disability (ID)?

  • The age of onset
  • Intelligence test scores alone
  • The number of symptoms present
  • The level of support required (correct)
  • Which two criteria are used to diagnose Autism Spectrum Disorder (ASD)?

    <p>Social communication deficits and restricted behavior patterns</p> Signup and view all the answers

    What characterizes Tourette's Disorder?

    <p>A combination of motor and vocal tics</p> Signup and view all the answers

    What are compulsions primarily performed to achieve?

    <p>Reduce anxiety</p> Signup and view all the answers

    Which of the following is NOT one of the main symptom categories for PTSD?

    <p>Compulsive behaviors</p> Signup and view all the answers

    What is the first-line treatment for Obsessive-Compulsive Disorder (OCD)?

    <p>Exposure and Response Prevention</p> Signup and view all the answers

    For a diagnosis of OCD, how much time must obsessions or compulsions consume each day?

    <p>Over an hour</p> Signup and view all the answers

    In acute stress disorder, how long do symptoms typically last?

    <p>Three days to a month</p> Signup and view all the answers

    Which type of delusion involves believing one has special abilities?

    <p>Grandiose delusion</p> Signup and view all the answers

    Which of the following can help enhance motivation in individuals with hoarding disorder?

    <p>Identifying personal goals</p> Signup and view all the answers

    What is the primary aim of prolonged exposure therapy for PTSD?

    <p>To reduce fear through exposure</p> Signup and view all the answers

    What type of delusions are considered possible but false?

    <p>Nonbizarre delusions</p> Signup and view all the answers

    Which type of hallucination is the most common?

    <p>Auditory hallucinations</p> Signup and view all the answers

    Which of the following is classified as an obsession?

    <p>Fear of contamination</p> Signup and view all the answers

    For a diagnosis of OCD, a person must exhibit which of the following?

    <p>Maladaptive characteristics causing distress</p> Signup and view all the answers

    What is the primary concern of Body Dysmorphic Disorder?

    <p>Perceived flaws in appearance</p> Signup and view all the answers

    Which disorder involves acquiring items due to emotional attachment?

    <p>Hoarding Disorder</p> Signup and view all the answers

    What is the primary goal of Exposure and Response Prevention (ERP) in treating OCD?

    <p>Expose to anxiety triggers while preventing compulsions</p> Signup and view all the answers

    Individuals with hoarding disorder typically seek help in what manner?

    <p>Involuntarily, under pressure</p> Signup and view all the answers

    Which of the following is NOT a symptom category of PTSD?

    <p>Compulsive behaviors</p> Signup and view all the answers

    What differentiates Body Dysmorphic Disorder from Trichotillomania?

    <p>Focus on perceived flaws in appearance</p> Signup and view all the answers

    Study Notes

    • Obsessions are persistent thoughts, urges, or images causing distress
    • Compulsions are repetitive behaviors or mental acts reducing anxiety
    • Common obsessions include contamination and harm fears
    • Common compulsions include excessive washing and checking
    • OCD diagnosis doesn't require both obsessions and compulsions
    • Maladaptive characteristics: significant distress, consuming over an hour per day

    Body Dysmorphic Disorder (BDD)

    • Primary concern: obsessive focus on perceived flaws in appearance
    • Differs from excoriation and trichotillomania: BDD is about appearance concerns, while others are about anxiety/compulsion
    • Hoarding disorder: emotional attachment to items and fear of needing them in the future.

    Treatment for OCD

    • Exposure and Response Prevention (ERP)
    • Expose to anxiety triggers, prevent compulsive responses
    • Enhancing Motivation for Hoarding Disorder: Help identify personal goals, benefits of change; voluntary treatment.
    • Main symptom categories of PTSD: Intrusion symptoms, Avoidance, Negative alterations in cognition and mood, Alterations in arousal and reactivity
    • PTSD vs Acute Stress Disorder: Trauma exposure (actual or threatened death, injury, or violence). PTSD: duration longer than a month; ASD: symptoms within 3 days to a month.
    • PTSD treatment: Prolonged Exposure Therapy to reduce fear, start soon after trauma, exposure to trauma memories
    • Other interventions: Cognitive Processing Therapy, Eye Movement Desensitization and Reprocessing (EMDR).

    DSM-5-TR: Schizophrenia Spectrum and Other Psychotic Disorders

    • Delusions are fixed false beliefs

    • Types of delusions include: persecutory, grandiose, jealous

    • Persecutory delusions are the most common. Bizarre delusions are implausible. Non-bizarre delusions are possible but false.

    • Hallucinations are perceptions without external stimuli; most common is auditory. Other types: visual, olfactory, tactile

    • Other psychotic symptoms include disorganized thinking, negative effect, positive symptom (hallucinations), negative symptom(affective flattening)

    • Delusional Disorder: Symptoms: one month of delusions. Types: Erotomaniac (belief someone is in love with you)

    • Brief Psychotic Disorder: Symptoms: one or more psychotic symptoms. Duration: more than a day, but less than a month.

    • Schizophreniform Disorder: Two or more symptoms from Criterion A of schizophrenia. Duration: at least one month but less than six months.

    • Schizophrenia: required 2+ symptoms for at least 1 month, including delusions, hallucinations, or disorganized speech. Duration at least 6+ months

    • Schizoaffective Disorder: major mood episode occurs along with schizophrenia symptoms, 2-week period of delusions or hallucinations without major mood disorder

    Reichenberg Chapter 3: Schizophrenia Spectrum and Other Psychotic Disorders

    • Working with clients with delusions: validate feelings instead of reinforcing delusions
    • Men and emerging symptoms of schizophrenia: typically emerge in late teens to early 20s; women: late 20s or early 30s.
    • Genetic, Environmental and Early Stressors: Prenatal infections, and early stressors influence schizophrenia.
    • Drugs that affect schizophrenia: Cannabis, amphetamines

    Other Disorders

    • Intellectual Disability (ID): Deficits in intellectual and adaptive functioning; Severity determined by level of support required.
    • Autism Spectrum Disorder (ASD): Criterion A (social communication and interaction deficits) and Criterion B (restricted, repetitive patterns of behavior)
    • ADHD (Attention Deficit Hyperactivity Disorder): Inattentive symptoms, hyperactivity-impulsivity symptoms, symptoms present in two settings
    • Tourette's Disorder: characterized by both motor and vocal tics. Diagnosis only if both types of tics are present.

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