PSY 503

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PSY 503
2012-03-26 20:19:08
Abnormal Psychology

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  1. What are the 6 steps of differential diagnosis?
    • 1. Rule our Substance Abuse Etiology
    • 2. Rule out Etiology due to General Medical Condition
    • 3. Determine the Specific Primary Disorder
    • 4. Differentiate Adjustment Disdorder from NOS category
    • 5. Establish the Boundary with no Mental Disorder
    • 6. Rule out Factitious Disorder or Malingering
  2. What are the 5 axes of diagnosis for the DSM-IV-TR?
    • I. Clinical Disorder
    • II. Personality Disorders and MR
    • III. Medical Conditions
    • IV. Psychosocial and Environental problems
    • V. GAF (Global Assessment of Functioning Scale)
  3. Is the DSM categorical or dimensional?
    Are disorders homogenous or heterogeneous?
    • Categorical
    • Heterogenous
  4. What is a mental disorder?
    How would you indicate this using the DSM?
    • Yes.
    • Use the NOS (Not Otherwise Specified) category to indicate multiple, concurrent etiologies.
  6. Can you rely only upon a psychological test to arrive at a DSM diagnosis?
    Why not?
    • No.
  7. What are the ONLY 2 categories of mental disorders coded on Axis II?
    Mental Retardation and Personality Disorders
  8. What are the characteristics of disorders on Axis II that set them apart from Axis I disorders?
    • Learned/not organic
    • Little or no response to medication
    • Ego syntonic (consistent with sense of self) vs. dystonic
  9. Name the major cluster of personality disorders and their basic characteristics.
    • Odd/Eccentric
    • Dramatic/Emotional
    • Anxious/Fearful
  10. In order to be diagnosed with a personality disorder, a patient must have active symptoms for how long?
    There is no absolute timeframe; it is mostly a matter of clinical judgment. A timeline of 1-3 years of pervasive symptoms can be helpful, but only when considered along with detailed history and content.

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