Mental Disorders and Diagnosis Overview

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Questions and Answers

Which of the following best describes the biopsychosocial model of mental disorders?

  • A purely biological approach to mental illness
  • A framework integrating biological, psychological, and social factors (correct)
  • A system used solely for diagnosing anxiety disorders
  • A model that only considers childhood experiences

What is the primary purpose of the DSM-5-TR?

  • To provide treatment guidelines for all mental disorders
  • To eliminate cultural bias in psychiatric diagnosis
  • To classify and diagnose mental disorders using specific criteria (correct)
  • To explain the causes of all mental illnesses

Which neurotransmitter is most strongly linked to schizophrenia?

  • Dopamine (correct)
  • GABA
  • Serotonin
  • Norepinephrine

Which type of research study tracks the same group of individuals over a long period?

<p>Longitudinal study (D)</p> Signup and view all the answers

Which of the following is an example of a categorical approach to diagnosis?

<p>Classifying disorders into discrete types (C)</p> Signup and view all the answers

A 35-year-old woman reports persistent worry about finances, work, and personal relationships for over six months. She experiences restlessness, fatigue, difficulty concentrating, and muscle tension. What is the most likely diagnosis?

<p>Generalized anxiety disorder (GAD) (A)</p> Signup and view all the answers

A 24-year-old man exhibits extreme fluctuations in mood. He has weeks of excessive energy, little sleep, impulsive spending, and increased social activity, followed by weeks of extreme sadness and lack of motivation. What is the most likely diagnosis?

<p>Bipolar disorder (B)</p> Signup and view all the answers

Which of the following research methods would best determine if Adverse Childhood Experiences (ACEs) contribute to depression in adulthood?

<p>Longitudinal study (B)</p> Signup and view all the answers

Which intervention would be most appropriate for a client with PTSD who avoids trauma reminders and has flashbacks?

<p>Cognitive-Behavioral Therapy (CBT) with exposure therapy (D)</p> Signup and view all the answers

A school psychologist is assessing a child with hyperactivity, impulsivity, and difficulty sustaining attention across multiple settings. What is the most likely diagnosis?

<p>Attention-Deficit/Hyperactivity Disorder (ADHD) (C)</p> Signup and view all the answers

Which of the following statements about comorbidity is TRUE?

<p>It occurs when two or more disorders exist in the same person (B)</p> Signup and view all the answers

Why was the bereavement exclusion removed from Major Depressive Disorder in DSM-5-TR?

<p>To acknowledge that bereavement-related depression can be clinically significant (D)</p> Signup and view all the answers

Which of the following best describes trauma-informed care (TIC)?

<p>A framework that minimizes re-traumatization and prioritizes safety (B)</p> Signup and view all the answers

Which factor is an example of a Protective Childhood Experience (PCE)?

<p>A stable and supportive caregiver (C)</p> Signup and view all the answers

How does cognitive-behavioral therapy (CBT) treat depression?

<p>By challenging negative thought patterns and changing behaviors (B)</p> Signup and view all the answers

Psychopathology refers only to severe mental disorders.

<p>False (B)</p> Signup and view all the answers

A longitudinal study is best suited for understanding the long-term effects of childhood trauma.

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

Schizophrenia is caused exclusively by environmental factors.

<p>False (B)</p> Signup and view all the answers

Protective Childhood Experiences (PCEs) can buffer against the effects of Adverse Childhood Experiences (ACEs).

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

The DSM-5-TR requires a biological test for diagnosing all mental disorders.

<p>False (B)</p> Signup and view all the answers

A 22-year-old college student reports hearing voices that tell him to avoid his friends. He also believes that his professors are sending him secret messages through lecture slides. His hygiene has declined, and he has withdrawn from social activities. What is the most likely diagnosis?

<p>Schizophrenia</p> Signup and view all the answers

A combat veteran frequently experiences nightmares, avoids crowded places, and has exaggerated startle responses. He also reports constant worrying about finances and relationships. How would you differentiate PTSD from Generalized Anxiety Disorder in this case?

<p>The key difference is that PTSD symptoms are directly related to a traumatic event, while GAD involves generalized worry that is not tied to a specific trauma.</p> Signup and view all the answers

A 30-year-old woman grew up in a home where she witnessed domestic violence, suffered emotional neglect, and had parents with substance use issues. Now, she struggles with trust in relationships, experiences chronic anxiety, and has difficulty regulating emotions. Which framework best explains the long-term effects of her early life experiences?

<p>Biopsychosocial Model (D)</p> Signup and view all the answers

A 40-year-old man with major depressive disorder has not responded well to SSRIs and psychotherapy. His depression is severe, and he has suicidal thoughts. Which treatment option would be considered next?

<p>Electroconvulsive Therapy (ECT) (C)</p> Signup and view all the answers

A clinician is treating a Latinx client with anxiety, who believes their symptoms stem from "nervios" (a culturally recognized concept of distress). The clinician dismisses this and insists on a Western model of anxiety. What is the clinician failing to practice?

<p>Cultural competence (C)</p> Signup and view all the answers

Flashcards

Biopsychosocial Model

A framework integrating biological, psychological, and social factors in understanding mental disorders.

DSM-5-TR

A diagnostic manual that classifies and diagnoses mental disorders using specific criteria.

Neurotransmitter linked to schizophrenia

Dopamine is strongly linked to schizophrenia and its treatment.

Longitudinal study

Research tracking the same group over a long period to assess changes.

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Categorical approach to diagnosis

Classifying disorders into distinct types, treating them as discrete entities.

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Generalized Anxiety Disorder (GAD)

Characterized by excessive, persistent worry about multiple life aspects lasting over six months.

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Bipolar disorder

Involves extreme mood fluctuations, including episodes of mania and depression.

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Research best for ACEs and depression

Longitudinal study best determines the long-term effects of Adverse Childhood Experiences on depression.

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PTSD intervention

Cognitive-Behavioral Therapy (CBT) with exposure therapy is most effective for PTSD.

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ADHD diagnosis

Characterized by hyperactivity, impulsivity, and difficulty maintaining attention in multiple settings.

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Comorbidity

Occurs when two or more mental disorders exist in the same individual.

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Bereavement exclusion removal

It was removed to acknowledge that grief-related depression can be significant.

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Trauma-informed care (TIC)

A framework focused on minimizing re-traumatization and prioritizing safety in treatment.

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Protective Childhood Experience (PCE)

Stable and supportive caregivers that help build resilience against adversity.

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Cognitive-Behavioral Therapy (CBT) for depression

Treats depression by challenging negative thought patterns and changing behaviors.

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Psychopathology

Refers to all mental disorders, not just severe ones.

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Longitudinal studies for childhood trauma

Best suited for understanding the long-term effects of childhood trauma.

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Schizophrenia causes

Not exclusively caused by environmental factors; involves genetic and other factors too.

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Protective factors against ACEs

PCEs can buffer against the negative effects of Adverse Childhood Experiences.

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Cultural competence in therapy

Recognizing and integrating a client's cultural background in treatment strategies.

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Symptoms of schizophrenia

May include hallucinations and delusions, affecting social interactions and hygiene.

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Differentiating PTSD from GAD

Key difference: PTSD is trauma-related, while GAD involves excessive worry not tied to trauma.

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Framework for ACEs impact

Biopsychosocial Model best explains long-term effects of childhood adversity.

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ECT in severe depression

Electroconvulsive Therapy (ECT) is typically considered for treatment-resistant severe depression.

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Clinician’s failure in therapy

The clinician's dismissal of culturally specific understanding demonstrates a lack of cultural competence.

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Schizophrenia diagnosis indicators

Hallucinations, delusions, social withdrawal, and hygiene decline are key symptoms in diagnosis.

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Weight of evidence in diagnosis

DSM-5-TR uses standardized symptoms to form a basis for mental disorder diagnosis.

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Major depressive disorder features

Characterized by severe mood changes, lack of motivation, and may lead to suicidal thoughts.

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Understanding childhood trauma effects

Longitudinal studies track the lasting impact of childhood experiences on lifespan mental health.

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Symptoms of attention disorders

Include inattentiveness, hyperactivity, and impulsivity in various settings.

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Types of mental disorder treatments

Appropriate interventions for different disorders include therapy types and medication options.

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Classifying mental disorders

The categorical approach distinguishes types of disorders, treating them as distinct conditions.

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Study Notes

Mental Disorders

  • Biopsychosocial model integrates biological, psychological, and social factors.
  • DSM-5-TR classifies and diagnoses mental disorders using specific criteria.
  • Dopamine is strongly linked to schizophrenia.
  • Longitudinal studies track individuals over time.
  • Categorical approach classifies disorders into discrete types.
  • Generalized Anxiety Disorder (GAD) is characterized by persistent worry.
  • Bipolar disorder involves episodes of mania and depression.
  • Longitudinal studies assess the long-term effects of childhood trauma.
  • Protective Childhood Experiences (PCEs) can buffer against adverse childhood experiences (ACEs).
  • Psychopathology refers to all mental disorders, not just severe ones.

Research Methods

  • Longitudinal studies are best for assessing long-term effects of childhood trauma.
  • A longitudinal study tracks the same group over an extended time period.

Diagnosis

  • DSM-5-TR is a diagnostic manual to identify mental disorders using standardized symptoms.
  • Schizophrenia is diagnosed based on at least two significant symptoms observed over a month.

Treatment

  • Electroconvulsive therapy (ECT) is a potential treatment for severe, treatment-resistant depression, especially when suicidal thoughts are present.
  • Cognitive Behavioral Therapy (CBT) with exposure therapy is the gold standard for PTSD.
  • Cultural competence is crucial in therapy by acknowledging valid cultural concepts and integrating them into treatment.

Comorbidity

  • Comorbidity is when two or more disorders coexist in the same person.
  • Bereavement exclusion is no longer part of the diagnosis for major depressive disorder.

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