Depressive Disorders Attack of the Anxieties Co-Occurring Disorders Schizophrenia Spectrum Bipolar Related Disorders
100
What is Dysthymia
This is another name for Persistent Depressive Disorder.
100
What is E.
Criteria for specific phobia do not include:

A. Marked fear or anxiety about a specific object or situation.

B. The phobic object or situation almost always provokes immediate fear or anxiety.

C. The phobic object or situation is actively avoided or endured with intense fear or anxiety.

D. The fear or anxiety is out of proportion to the actual danger posed by the specific object or situation and to the socio-cultural context.

E. The disturbance is better explained by the symptoms like fear, anxiety and avoidance of situations associated with panic-like symptoms or other incapacitating symptoms.
100
What is Gambling Disorder
This is the only addiction disorder that does not include a substance.
100
What is Catatonia
Symptoms involving psychomotor functions such as stupor, posturing, grimacing and/or mutism are indicative of this specifier.
100
What is C

In determining whether a mood episode is hypomanic versus manic, one must consider the length of time the symptoms have occurred. To meet criteria for a manic episode, the symptoms must have lasted for at least 7 days versus hypomania where the symptoms have only lasted at least 4 days.
Which of the following is used to differentiate between a manic and hypomanic episode?

A. In hypomania there is no involvement in activities that have a high potential for painful consequences.

B. The diagnosis of hypomania only requires inflated self-esteem or grandiosity.

C. In hypomania the period of abnormally and persistently elevated, expansive, or irritable mood with increased goal-directed activity or energy lasts at least 4 consecutive days.

D. A hypomanic episode cannot be induced by a substance.

E. In hypomania, sleep is not affected.
200
What is Substance/Medication-Induced Depressive Disorder
A person can be given this diagnosis if they find themselves having depressed moods and diminished interest in almost all activities after, "getting back on the wagon."
200
What is Selective Mutism
A 9 year-old Caucasian girl with no past psychiatric history and appropriate developmental milestones presents with a consistent failure to speak at school for the past 2 months. She is talkative at home and interacts well with her siblings. This recent change in behavior has been affecting her performance at school. This girl could meet criteria for this anxiety disorder.
200
What is E. Auditory Hallucinations
Which of the following is NOT a symptom of caffeine withdrawal according to the DSM-5?

A. Headache

B. Difficulty concentrating

C. Flu-like symptoms

D. Depressed mood

E. Auditory hallucinations
200
What is D. Schizophreniform Disorder

This patient presented with delusions and negative symptoms, avolition, decrease emotional expression that lasted more than a month and less than 6 months. Considering the time frame, helps to rule out Brief Psychotic Disorder and Schizophrenia. Diagnosis may qualified as “provisional “if diagnosis has to be done without waiting for recovery. Delusional Disorder is not the first diagnosis to consider due to this patient also presented negative symptoms and significant acute impairment in social and productive areas. Finally personality disorder is also less likely as patient’s presentation is acute, there is an abrupt change in functioning, and the case did not describe a pervasive pattern of detachment from social relationships.
A 20 year old Caucasian male was brought by his mother, who was concern because her son has spent long hours isolated in his room for the last 4 months. He is no longer active and enthusiastic as he used to. He has not hang out with his friends. He has not taken a shower in weeks. More recently, he stopped eating, when he is offered food he examines it and asks mother to try it first.

With the information presented above, which is the first diagnosis that you may consider in your differential?

A. Delusional Disorder

B. Schizoid Personality Disorder

C. Brief Psychotic Disorder

D. Schizophreniform Disorder

E. Schizophrenia
200
What is C. Anxiety Disorder

Any anxiety disorder, such as panic attacks, social phobia, or a specific phobia, occurs in approximately 75% of individuals with bipolar disorder. The other answer choices listed above occur in over half of individuals with bipolar I disorder. Note: Adults with bipolar disorder also have higher rates of co-occurring medical conditions. Metabolic syndrome and migraines are more common in individuals with bipolar disorder than in the general population.
What is the most common comorbidity in Bipolar I Disorder?

A. ADHD

B. Substance Use Disorder

C. Anxiety Disorder

D. Impulse-Control Disorder

E. Conduct Disorder
300
What is Disruptive Mood Dysregulation Disorder
A teenager who struggles to control their temper at school, at home, and even with friends might receive this diagnosis.
300
What is C. - 8 Years Old
Selective Mutism usually occurs before this age.

a. 2
b. 4
c. 8
d. 10
300
What are Generalized Anxiety Disorder & Opiod Use Disorder.
An 60-year-old woman has been referred to your clinic following a medical hold at a local hospital. The woman cites she has often felt anxious for most of her life and cites difficulty being in large groups, difficulty talking with unfamiliar individuals and racing thoughts. The woman is also reported to have been isolating herself, often refuses to eat and complains about chronic pain. The woman's niece also reports that the woman has been taking more of her Dilaudid medication than is prescribed. It is found later that the woman has had multiple trips the ER for non-medical related chronic pain. She may meet criteria for these diagnoses
300
What is D. All the Above

The subtypes of schizophrenia (paranoid, disorganized, catatonic, undifferentiated, residual) were removed from DSM-V because they were found to have poor validity and low reliability. They also have limited diagnostic stability—they have not been shown to exhibit distinctive patterns with respect to longitudinal course. Also, the subtypes were not found helpful in predicting treatment response or providing targeted treatment.
Why were subtypes of schizophrenia (i.e. paranoid, disorganized, catatonic, undifferentiated, residual) removed from DSM-5?

A. Poor validity

B. Low reliability

C. Limited diagnostic stability

D. All of the above

E. None of the above
300
What is C. Auditory Hallucinations
Which of the following is NOT a symptom of mania:

A. Grandiosity

B. Racing thoughts

C. Auditory hallucinations

D. Pressured speech

E. Increased goal-directed activity
400
What is Other Specified Depressive Disorder
The designation, "Short-duration depressive episode (4-13 days)" may be used as a presentation for this diagnosis.
400
What is Other specified anxiety disorder
Ataque de nervios which appears in DSM-IV-TR as a culture-bound syndrome most likely fits the criteria in DSM-5 for this disorder.
400
What are Bipolar Type I Disorder and Opiod Use Disorder.
A 35-year-old man presents for his CDA citing he has had major problems controlling his anger since he was very young. The man cites extensive history of fighting at school and battery charges on his record. The man also reports intense mood swings where he can go from, "king of the world," to a, "berserker," in an instant. Due to extensive history of difficulty controlling his moods, the man reports he took up use of Heroin to, "get my brain to shut up." The man reported his use of Heroin ended up making his mood swings, "worse in the long run," especially when he would come down from his high. This man may meet criteria for these diagnoses
400
What is B. Patient can have more than 5 delusions at the same time.
Which of the following statements is true in the delusional disorder?

A. The presence of delusions with a duration must be 1 week or longer.

B. Patient can have more than 5 delusions at the same time.

C. No hallucinations present.

D. No manic or major depressive episodes present.

E. Delusions must be non-bizarre in content.
400
What is C. Either

The symptoms presented could be present in both Type I and II Bipolar
A 20 year old college sophomore presents to the counseling center. She reports that her parents complained about her fast talking and say she is behaving "manic" like her uncle Charlie who has a gambling problem. She reports feeling great and mentions only coming in today as her parents threatened to stop her emergency credit card unless she complies. She has maintained good grades, is full of energy only requiring 3 hours of sleep, finishes her homework quickly so that she can focus on some new projects like painting her dorm room. She says everything was going well until she started to buy some extra clothes online with her parents' credit card.
This young woman's experiences may meet criteria for:
A. Bipolar Type I
B. Bipolar Type II
C. Either
500
What is A. 5%
Approximately what percentage of women will experience the onset of a major depressive episode during pregnancy or postpartum?
A. 5%
B. 15%
C. 30%
D. 50%
500
What is Social Anxiety Disorder, performance only
A 26 year old female actress with no past psychiatric history and medical history of mitral valve prolapse, presents to the emergency room complaining of palpitations, sweating, shortness of breath, nausea, dizziness, chills alternating with sensations of heat, numbness from her fingertips to all of her body and face, along with feelings that she is watching herself from the outside. She reports that everything happened very quickly, minutes before the last dress rehearsal where she is playing a very demanding, challenging role that she always wanted. The patient denies having similar experience in the past, but she admits that she tends to stress greatly prior to her first performance. Which of the following should be included in the differential diagnosis?

A. Major depressive disorder
B. Agoraphobia
C. Panic disorder
D. Social anxiety disorder, performance only
E. Generalized anxiety disorder
500
What are Post Traumatic Stress Disorder; Cannabis Use Disorder, In sustained remission; Stimulant Use Disorder, Severe, amphetamine-type substance
A woman brings herself into your clinic citing, "I want to get my kid back." Client reports she had a recent relapse on meth that resulted in her child being taken from her custody. Upon further gathering of information, you learn that the woman has had a long history of abuse since childhood, had taken up smoking marijuana at least twice a day to cope and has been in multiple abusive relationships. She later states she began meth usage 3 years prior to coming in and had used, "pretty much every day," until she got clean one year prior to coming in. The woman currently reports she has not used marijuana for over 5 years. She may meet criteria for these diagnoses.
500
What is Brief Psychotic Disorder
A middle-aged man is placed on a mental hold after he checks himself into the hospital claiming, "they're after me and I won't let them have me," and threatening to use a knife on himself. After the hold was lifted, the man was taken to a psychiatric hospital where he was treated for one week. It was learned that the man had no history of mental illness, no history of drug usage, and had no medical complications. The man's family reported that the man had been acting strange for about 10 days leading up to the mental hold. This man may meet criteria for this diagnosis.
500
What is D.

Cyclothymic disorder may specify if with anxious distress. Specifiers for Bipolar I disorder and Bipolar II disorder are with anxious distress, with mixed features, with rapid cycling, with melancholic features, with atypical features, with mood-congruent/incongruent psychotic features, with peripartum onset, and with seasonal pattern.
Which of the following specifiers may apply to Bipolar I disorder, Bipolar II disorder and Cyclothymic disorder:

A. With peripartum onset

B. With seasonal pattern

C. With rapid cycling

D. With anxious distress

E. With mixed features






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