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DSM-5 Study Guide Questions and Answers

Terms in this set (119)

A young woman, age 21, is a talented sophomore at a prestigious college, where she lives in a dormitory. She describes herself as "shy" and "slow to warm up" in social situations. She used to drink one or two cans of beer on social occasions. She found that drinking alcohol reduced her anxiety, so she started taking her "social lubricant" before most social events. After a difficult breakup with her boyfriend about 15 months ago, she began drinking larger amounts of alcohol to "forget him". She has become irritable and impatient with friends and lost many of them. Her mother found empty bottles of hard liquor in her room during a visit and confronted her. The daughter exploded and erratic behavior and promised to cut back. Despite her efforts, she has found it difficult to reduce her drinking. Every night, she decides to drink only one beer but craves more and eventually ends up drinking a few shots as well and fails to do her schoolwork. She has been skipping her morning classes b/c she feels sick and has to have a drink to prevent shaking, sweating, and anxiety. She has also stopped hiking with friends on the weekends, b/c she worries that she may start shaking in the middle of a hike. Once, she fell off her bike while she was drunk and broke her wrist. Her grades have started to deteriorate. An instructor asked her to see a doctor after he became aware of her drinking behavior. What is the likely diagnosis?

A. Adjustment disorder.
B. Alcohol intoxication.
C. Alcohol use disorder.
D. Alcohol withdrawal.
Concerned parents bring a 33- year- old man to the psychiatrist. He appears to be his stated age, with erythematous face and holding his reddened and chapped hands away from his body. He takes a few minutes to adjust into the seat. He appears very embarrassed during the evaluation as he shares his story. He describes being very concerned about getting sick from the germs in the environment. This concern translates into frequent hand washing and showering. He explains that he has a particular ritual for these grooming procedures and that if he feels that he made a mistake, he has to repeat the whole procedure from the start. He specks approximately 5 hours per day on his grooming rituals. He also shares that things in his room have to be in a particular order; otherwise, he feels very uncomfortable and thus spends significant time readjusting these items. Moreover, when driving, he frequently worries that the ran over someone, and he has to go back to make sure the no body is lying on the ground. This worry has led him to avoid driving. He realizes that his concerns are irrational but cannot stop his rituals b/c they help with the significant anxiety that accompanies his troubling thoughts. He has not worked for the past 5 years b/c his rituals and worries caused him to be late and inefficient at his job. He currently lives with and is supported by his parents. He finally agreed to come in for an evaluation at their urging. What is the likely diagnosis?

A. Generalized anxiety disorder.
B. Obsessive- compulsive disorder.
C. Obsessive- compulsive personality disorder.
D. Panic disorder.