Psychology DSM-5-TR Changes and Disorders

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Questions and Answers

Which of the following is a major change in DSM-5-TR compared to DSM-5?

  • The inclusion of Prolonged Grief Disorder as a new diagnosis (correct)
  • The elimination of personality disorders
  • The requirement of biological markers for all disorders
  • The removal of PTSD as a diagnosis

Which of the following is an example of a neurodevelopmental disorder in DSM-5-TR?

  • Attention-Deficit/Hyperactivity Disorder (ADHD) (correct)
  • Schizophrenia
  • Major Depressive Disorder
  • Generalized Anxiety Disorder

Which symptom is required for a diagnosis of schizophrenia in DSM-5-TR?

  • At least one positive symptom (delusions, hallucinations, or disorganized speech) (correct)
  • Persistent panic attacks
  • Dissociative episodes
  • Obsessions and compulsions

Which of the following is a newly refined feature of Major Depressive Disorder in DSM-5-TR?

<p>The removal of the bereavement exclusion (B)</p> Signup and view all the answers

What distinguishes Bipolar I Disorder from Bipolar II Disorder in DSM-5-TR?

<p>Bipolar I requires a history of full manic episodes, while Bipolar II involves hypomania (C)</p> Signup and view all the answers

Which of the following is a key feature of Generalized Anxiety Disorder (GAD) in DSM-5-TR?

<p>Excessive worry and anxiety about multiple domains for at least 6 months (B)</p> Signup and view all the answers

Which of the following distinguishes PTSD from Acute Stress Disorder in DSM-5-TR?

<p>PTSD symptoms must last for more than one month (C)</p> Signup and view all the answers

Which of the following is NOT considered an Obsessive-Compulsive and Related Disorder in DSM-5-TR?

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

Which personality disorder is characterized by intense fear of abandonment and emotional instability?

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

Which of the following is a key diagnostic criterion for Substance Use Disorder in DSM-5-TR?

<p>The persistence of use despite negative consequences (B)</p> Signup and view all the answers

DSM-5-TR completely removed the categorical model for personality disorders.

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

Schizoaffective Disorder requires both mood disorder symptoms and psychotic symptoms occurring concurrently.

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

Persistent Depressive Disorder (Dysthymia) requires symptoms to last for at least 1 year in adults.

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

A panic attack specifier can be used in DSM-5-TR with various anxiety and mood disorders.

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

In DSM-5-TR, PTSD can be diagnosed even if the traumatic event was only indirectly experienced (e.g., learning about the violent death of a loved one).

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

In DSM-5-TR, Autism Spectrum Disorder (ASD) is classified based on severity levels rather than distinct subtypes.

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

The DSM-5-TR requires cultural considerations to be included in all diagnostic assessments.

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

Avoidant Personality Disorder and Social Anxiety Disorder have identical diagnostic criteria in DSM-5-TR.

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

Dissociative Identity Disorder (DID) requires at least two distinct personality states that disrupt identity.

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

Hoarding Disorder is classified under the Trauma- and Stressor-Related Disorders section of DSM-5-TR.

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

DSM-5-TR retains the categorical model for personality disorders, though an alternative dimensional model is included.

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

Schizoaffective Disorder requires mood symptoms (e.g., depression, mania) co-occurring with psychotic symptoms.

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

Persistent Depressive Disorder (Dysthymia) must last at least 2 years in adults and 1 year in children/adolescents.

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

A panic attack specifier can be applied to various anxiety and mood disorders, not just Panic Disorder.

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

PTSD can be diagnosed when trauma is indirectly experienced, such as learning about the violent death of a loved one.

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

DSM-5-TR classifies Autism Spectrum Disorder (ASD) using severity levels, removing previous subtypes like Asperger's Syndrome.

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

Cultural considerations must be included in DSM-5-TR assessments through tools like the Cultural Formulation Interview (CFI).

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

Avoidant Personality Disorder (AvPD) and Social Anxiety Disorder (SAD) overlap, but AvPD is more pervasive and lifelong.

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

Hoarding Disorder is part of Obsessive-Compulsive and Related Disorders, not Trauma- and Stressor-Related Disorders.

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

Flashcards

Prolonged Grief Disorder

A new diagnosis in DSM-5-TR for severe, prolonged bereavement disrupting daily functioning.

Neurodevelopmental Disorder

Disorders that originate during the developmental period, affecting physical, learning, language, or behavior.

Schizophrenia Requirement

Diagnosis requires at least one positive symptom like delusions or hallucinations.

Major Depressive Disorder Change

The bereavement exclusion has been removed in DSM-5-TR.

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Bipolar I Disorder

Involves full manic episodes; distinct from Bipolar II, which includes hypomania.

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Generalized Anxiety Disorder (GAD)

Characterized by excessive worry and anxiety about multiple domains lasting at least 6 months.

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PTSD Duration

PTSD symptoms must last for more than one month after a traumatic event.

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Obsessive-Compulsive Disorders

In DSM-5-TR, includes Hoarding, Trichotillomania, and Body Dysmorphic Disorder.

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Borderline Personality Disorder

Defined by intense fear of abandonment and emotional instability.

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Substance Use Disorder Key Criterion

Diagnosis includes persistence of use despite negative consequences.

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Categorical Model

DSM-5-TR retains this model for personality disorders but includes a dimensional option.

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Schizoaffective Disorder

Requires concurrent mood disorder symptoms and psychotic symptoms.

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Persistent Depressive Disorder

Also known as Dysthymia, requiring symptoms to last at least 2 years in adults.

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Dimension vs. Categorical

Refers to the approach of assessing personality disorders in DSM-5-TR.

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Indirect Trauma in PTSD

PTSD can be diagnosed from indirectly experienced trauma, like learning a loved one died.

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Autism Spectrum Disorder Classification

Classified by severity levels, not distinct subtypes in DSM-5-TR.

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Cultural Considerations in DSM-5-TR

Cultural effects on mental health must be assessed using tools like the Cultural Formulation Interview.

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Avoidant vs. Social Anxiety Disorder

Avoidant Personality Disorder is more pervasive and lifelong than Social Anxiety Disorder.

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Dissociative Identity Disorder (DID)

Requires at least two distinct personality states that disrupt identity.

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Hoarding Disorder Classification

Classified as an Obsessive-Compulsive and Related Disorder, not Trauma-related.

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Personality Disorder Types

Includes a range of disorders such as Borderline and Antisocial Personality Disorder.

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Manic Episodes Criteria

Full manic episodes are required to diagnose Bipolar I Disorder.

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Acute Stress Disorder

Symptoms last between 3 days to 1 month after trauma; shorter than PTSD.

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Anxiety and Mood Disorders with Panic Attacks

Panic attack specifiers can be applied to various anxiety and mood disorders.

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Identifying Substance Use Disorder

Identified through usage persistence despite ongoing harm.

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Emotional Instability

Feature of Borderline Personality Disorder; involves rapid mood swings.

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Study Notes

DSM-5-TR Changes from DSM-5

  • DSM-5-TR removed the bereavement exclusion from Major Depressive Disorder (MDD)
  • Added Prolonged Grief Disorder as a new diagnosis
  • Retained PTSD as a diagnosis
  • Biological markers are not required in all disorders
  • Personality disorders were not removed

Neurodevelopmental Disorders

  • ADHD, Autism Spectrum Disorder (ASD), Intellectual Disability, and Learning Disorders are examples of neurodevelopmental disorders

Schizophrenia Diagnosis

  • At least one positive symptom (delusions, hallucinations, or disorganized speech) is required for a schizophrenia diagnosis in DSM-5-TR

Major Depressive Disorder (MDD)

  • DSM-5-TR no longer excludes bereavement from Major Depressive Disorder

Bipolar Disorders

  • Bipolar I has a full manic episode, while Bipolar II involves hypomania (a less severe form of mania)
  • Bipolar II does not include full-blown mania

Generalized Anxiety Disorder (GAD)

  • Excessive worry about multiple life domains for at least 6 months is a key feature of GAD

PTSD vs Acute Stress Disorder (ASD)

  • PTSD symptoms last more than one month after the event
  • ASD symptoms last between 3 days to 1 month after the event
  • Hoarding Disorder, Trichotillomania, and Body Dysmorphic Disorder are obsessive-compulsive and related disorders

Borderline Personality Disorder (BPD)

  • BPD is characterized by extreme emotional swings, impulsivity, and fear of abandonment

Substance Use Disorder (SUD)

  • The persistence of use despite negative consequences is a key diagnostic criterion for substance use disorder

DSM-5-TR True/False Questions

  • DSM-5-TR completely removed the categorical model for personality disorders (False)
  • Schizoaffective Disorder requires both mood and psychotic symptoms concurrently (True)
  • Persistent Depressive Disorder must last at least 2 years in adults (False)
  • DSM-5-TR classifies ASD using severity levels (True)
  • Avoidant Personality Disorder and Social Anxiety Disorder have identical diagnostic criteria (False)
  • Dissociative Identity Disorder requires at least two distinct personality states (True)
  • Hoarding Disorder is in the Trauma- and Stressor-Related Disorders section (False)

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