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LMSW Exam: DSM 5 and Psychopathology

Terms in this set (34)

comorbid
existing with or at the same time (illnesses or disorders)
contraindicated
not recommended or safe to use (ex. meds)
delusion
false, fixed belief
disorientation
confusion with regard to person, time, or place
dissociation
disturbance or change in the usually integrative functions of memory, identity, perception, or consciousness; common in those with trauma
endogenous depression
___ caused by a biochemical imbalance
exogenous depression
___ caused by external events or psychosocial stressors
folie a deux
shared delusion
hallucinations
false sensory experiences; auditory most common
hypomanic
elevated, expansive, or irritable mood that is less severe than full-blown manic symptoms; not severe enough to interfere with functioning and no psychosis
postmorbid
subsequent to the onset of an illness
premorbid
prior to the onset of an illness
psychotic
experiencing delusions or hallucinations; not necessarily violent
ego syntonic
behaviors in sync with the ego (no guilt); if symptoms are this, hard to treat
ego dystonic
behavior not in sync with the ego = guilt; easier to engage in treatment
multiaxial system
discarded in DSM 5; axis I, II, and III combined into one axis with all mental and other medical diagnoses; axis IV replaced with significant psychosocial and contextual features; dropped axis V (GAF); added WHODAS 2.0 (disability assessment schedule); each section is developmentally organized
not otherwise specified
replaced with other specified disorder and unspecified disorder
other specified disorder
category used when the clinician can specify the reason that the presentation does not meet the criteria
unspecified disorder
category used when the clinician is unable to specify the reason or does not want to include the specific explanation
autism spectrum disorder
- a disorder that appears in childhood and is marked by significant deficiencies in communication and social interaction, and by rigidly fixated interests and repetitive behaviors
- now a spectrum including Aspergers, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder NOS
- characterized by difficulties with pragmatics and restricted repetitive behaviors, interests, activities
substance use disorders
combined substance abuse and substance dependence
intellectual disabilities
- no longer mental retardation; IQ and adaptive functioning used to determine client's ability
- this section includes Intellectual Developmental Disorder, Global Developmental Delay, Unspecified Intellectual Disability
communication disorders
Disorders characterized by marked impairment in language and/or speech
- includes language disorder, speech sound disorder (previously phonological disorder), childhood-onset fluency disorder (stuttering), social (pragmatic) communication disorder, and unspecified communication disorder
social (pragmatic) communication disorder
New to DSM-5
- difficulty with pragmatics = deficits in understanding and following social rules of verbal and nonverbal communication in naturalistic contexts, changing language according to the needs of the listener or situation, and following rules for conversations and storytelling
- cannot be diagnosed in the presence of restricted repetitive behaviors, interests, and activities (autism).
Attention deficit/hyperactivity disorder
- a disorder characterized by restlessness, inattentiveness, and impulsivity
- must appear by age 12
- other specified ADHD and unspecified ADHD included
Specific learning disorder
a marked deficit in a particular area of learning that is not caused by an apparent physical disability, or by an unusually stressful home environment
motor disorders
a group of disorders characterized by motor symptoms such as tics, stereotypic movements, or lack of coordination; new subcategory
- includes developmental coordination disorder and stereotypic movement disorder
tic disorders
disorders characterized by sudden, repetitive, nonrhythmic motor movements or sounds, ex. eye blinking, grimacing, throat clearing, grunting
- includes Tourette's, persistent (chronic) motor or vocal tic disorder, provisional tic disorder, other specified TD and unspecified TD
schizophrenia spectrum and other psychotic disorders
This is a group of disorders characterized by major disturbances in perception, thought, language, emotion, and behavior; no subtypes of schizophrenia now
- includes schizotypal PD, delusional disorder, brief psychotic disorder, schizophreniform disorder, schizophrenia, schizoaffective, substance/med induced psychotic disorder, and psychotic disorder due to another med condition
catatonia
a pattern of extreme psychomotor symptoms, found in some forms of schizophrenia, which may include catatonic stupor, rigidity, or posturing
bipolar and related disorders
group of mood disorders where mania is the defining feature; some specifiers = with mixed features, anxious distress; includes bipolar 1 disorder, bipolar 2 disorder, cyclothymic disorder, substance/med induced bipolar and related disorder, BARD due to another med condition, and other specified and unspecified BARD
depressive disorders
general category of mood disorders in which people show extreme and persistent sadness, despair, and loss of interest in life's usual activities; specifier = anxious distress, with mixed features (MDD); includes disruptive mood dysregulation disorder, major depressive disorder single and recurrent episodes, persistent depressive disorder (prev. dysthymia), premenstrual dysphoric disorder, sub/med induced, DD due to another med condition, other specified DD, and unspecified DD; bereavement exclusion removed
anxiety disorders
psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety
dysarthria
slurred speech
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