LMSW Exam Prep Latest Update with Verified Solutions

LMSW Exam Prep Latest Update with Verified Solutions DSM: Development of diagnosis hypothesis (diagnostic formulation); Gather information and make assessment (723.1) Diagnostic Formulation considerations: 1. onset of issue 2. chronic/episodic 3. Family history 4. Use Multiple Sources (client, collateral) 5. context of information (e.g., currently in crisis?) 6. Use clinician observation and client reports (723.1) Assessment Rule out: 1) Malingering and Factitious Disorder, 2) a substance etiology, 3) an etiological medical condition, 4) determining the specific primary disorder(s), 5) differentiating Adjustment Disorder from the residual Other Specified and Unspecified conditions, and 6) establishing the boundary with no mental disorder. (723.1) Parsimony Use the fewest dx's to explain the most/all symptoms (723.1) Diagnostic Challenges 1. inadequate data 2. multiple diagnoses 3. atypical presentations 4. limited intake time (723.1) MSE (Mental Status Exam) Considerations 1. Appearance (hygiene, facial hair, body art/piercings, clothing) 2. Attitude (rapport, degree of engagement) 3. Behavior (calm, energetic, tired? ) 4. Movement (pscyhomotor retardation/agitation) 5. Gait/posture/tics 6. Eye contact and Facial Expressions 7. Speech (volume, rate, style, accent, clarity) 8. Mood: Client's report of emotional state 9. Affect: Clinician's observation of outward emotional presentation 10. Thought Process: Quality, content and Rate (obsessions?) 11. Perceptions: client experience of world 12: Oriented x 3 (person, place, date) 13. SI/HI (current, recent, hx) 14. Insight: level of awareness 15. Judgment: impulse control 16. Memory: Immediate/ST(recent)/LT(remote) (723.1) [II.A] Schizophrenia 1. increase in prodromal sx: isolation, depression, reduced self care, and changes in perception 2. onset: Late teens/early adult 3. compounded or triggered by AOD/SA 4. Positive Sx: *hallucinations *delusions (beliefs in the face of contradictory reality) *Disorganized: Speech/Behavior/Thinking 5. Negative Sx: *Lack of motivation/interest *limited emotional expression 6. Duration: sx for >6 months *Brief Psychotic Disorder: 1 day to 1