Social Work Clinical Exam
All things social work clinical exam prep
Terms in this set (41)
A. Depressed more days than not for at least 2 years. Youth and children irritable 1 yr.
B. 2 or more of the following
1. Poor appetite or over eating
2. Insomnia - Hypersomnia
3. Low energy fatigue
4. Poor concentration, difficulty with decisions
5. Low self-esteem
C. During 2 years symptoms A & B have never been gone for more than 2 mo. at a time.
D. No major depressive episodes during first 2 years.
E. No manic episode, mixed criteria for cyclothymia not met.
Bi Polar I
A. Presence of only 1 manic episode no past major depression
B. Not better accounted for by affective disorder, not superimposed on Schizophrenia, Schizophreniform, Delusional Disorder or Psychotic Disorder not otherwise specified.
C. Impairment social and occupational
Bi Polar II
A. History of one or more major depressive episodes
B. Presence or history of at least 1 hypomania
C. Never been manic
D. Criteria A & B not better accounted for
E. Distress impairment social occupational
Psychotic Disorder Due to a General Medical Condition
The psychotic symptoms are judged to be a direct physiological consequence of a general medical condition.
Voluntary movements are distorted through involuntary muscular control.
Profound Mental Retardation
IQ Below 20 -25
Considerable impairment, requires constant supervision and aid.
Severe Mental Retardation
IQ 20 -25 to 35-40
Little or no speech in childhood, can perform elementary self care, can read survival worlds, significant physical and sensory problems.
Aggressive conduct, threatens physical harm to other people or animals, property damage or loss, serious violation of rules.
Must be present in past 12 mo, 1 behavior present past 6 months.
Can be over age 18 if anti social personality disorder criteria not met.
Pattern beginning before age 13.
Genetic and environmental
Reactive Attachment Disorder
Marked disturbance in social relatedness before age 5 years.
Inhibited type frozen watchfullness
Failure to speak in specific social situations
Interferes with education/occupation
Last 1 month and not the 1st month of the school year
slightly more common in females usually occurs before age 5.
the feer of being away from the parent and the desire to avoid strangers. begins from nine to about eighteen months
Mulitiple ticks that are sudden, purposless movement, vocal ticks occur through out the day, can affect social life, you can take medication, its inherited
Repeated regurgitation and re-chewing of food for a period of at least 1 month following a period of normal functioning
Substance-Induced Psychotic Disorder
The psychotic symptoms are judge to be a direct psychological consequence of a drug of abuse, a medication, or toxin exposure.
a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes
Degenerative disease of the brain frontal & temporal lobes
Personality changes, social skills, language problem, snout, suck grasp
apathy or extreme agitation
Disturbance of consciousness and a change in cognition that develops over a short time. Can include hallucinations
Can fluctuate during the course of the day
Emotional Symptoms (anxiety, depression) causing impairment following an identifiable psychosocial stressor (Divorce, illness) and lasting less than 6 months.
Greater than 6 months in presence of a chronic stressor.
Intermittent Explosive Disorder
Episodes during which a person acts on aggressive impulses that result in serious assaults or destruction of property.
an eating disorder characterized by episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise
a serious eating disorder characterized by a fear of gaining weight that results in prolonged self-starvation and dramatic weight loss
Gender Identity Disorder
Strong persistent cross-gender identification. Characterized by persistent discomfort with one's sex causing significant distress and/or impaired functioning.
perversion in which a person receives sexual gratification from seeing the genitalia of others or witnessing others' sexual behavior
Major Depressive Episode
(psychiatry) a state of depression with all the classic symptoms (anhedonia and lethargy and sleep disturbance and despondency and morbid thoughts and feelings of worthlessness and sometimes attempted suicide) but with no known organic dysfunction
Weight gain or loss
Diminished interest in past pleasures
can be applied to current or most recent major depressive episode, MDD, Bipolar I & II
Either if the following: loss of pleasure in all or most activities, lack of reactivity to usually pleasurable stimuli
3 or more of the following: distinct depressed mood, depression worse in morning, early morning awakening, marred psychomotor retardation, weight loss or anorexia
Acute Stress Disorder
A. Exposure to a traumatic event in which both of the following were present:
1. Person experienced, witnessed, or was confronted with event(s) involving actual or threatened death or serious injury, or a threat to the physical integrity of self or others
2. Response involved intense fear, helplessness, or horror
B. Either during or after the distressing event, 3+ dissociative symptoms:
1. Numbing, detachment, or absence of emotional responsiveness
2. Reduction in awareness of surroundings
5. Dissociative amnesia
C. Trauma persistently re-experienced in 1+ of: recurrent images, thoughts, dreams, illusions, flashbacks, sense of re-living, or distress on exposure to reminders of the event
D. Marked avoidance of stimuli that arouse recollections of the trauma
E. Much symptoms of anxiety or increased arousal
F. Clinically significant distress or impairment
G. Duration 2 days - 4 weeks, occurs within 4 weeks of the traumatic event
H. Not due to a substance or GMC, not better accounted for by, or merely an exacerbation of, existing axis I or II
A condition lasting at least 4 days in which a person experiences abnormally elevated, expansive or irritable mood. At least 3 out of 7 other designated symptoms similar to those in a manic episode must also be present but to a lesser degree than in mania
repeated and unexpected panic attacks, along with either persistent concerns about future attacks or a change in personal behavior in an attempt to avoid them
fear of being in a place or situation from which escape is difficult or embarrassing, or in which help is unavailable in the event of a panic attack
Sexual Aversion Disorder
a disorder characterized by an aversion to and avoidance of genital sexual interplay
atypical sexual activity that involves one of the following: (1) nonhuman objects, (2) nonconsenting adults, (3) the suffering or humiliation of oneself or one's partner, or (4) children
Gets sexual gratification by exposing their genitals to another person
Long-term, recurring, intense sexually arousing urges, fantasies, or behavior involving the use of nonliving, unusual objects, which cause distress or impairment in life functioning
A type of paraphilia involving sexual urges or sexually arousing fantasies about bumping and rubbing against nonconsenting persons for sexual gratification.
Occurs over a 6 mo period, fantasies involving children under age 13 - distress functioning
a somatoform disorder in which a person displays blindness, deafness, or other symptoms of sensory or motor failure without a physical cause
A somatoform disorder in which the person complains of severe and prolonged pain that is not fully explainable by organic pathology and is thus assumed to be caused or intensified by psychological factors.
Characterized by excessive preoccupation with one's health and incessant worry about developing physical illnesses. -Don't subjectively suffer from physical distress so much as they overinterpret every conceivable sign of illness.
Body Dysmorphic Disorder
Preoccupation with minor or imagined defect in appearance, leading to significant emotional distress or impaired functioning. Patients often repeatedly seek cosmetic surgery.
Disorder in which the individual's physical or psychological symptoms are intentionally faked, under voluntary control and are adopted in order to assume the role of a sick person. Compare to malingering. Called factitious disorder by proxy or Munchausen syndrome when a parent produces a physical illness in a child.
-One cannot remember personal info such as one's own name or specific personal events
-Usually associated with a stressful or emotionally traumatic event (e.g. abuse)