Complete Graded A+
Practice
Exam
Social Sciences Psychology Clinical Psychology
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DSM: Development of hypothesis (diagnostic formulation); Gather
diagnosis information and make assessment (723.1)
1. onset of issue
2. chronic/episodic
3. Family history
4. Use Multiple Sources (client, collateral)
Diagnostic Formulation
considerations: 5. context of information (e.g., currently in crisis?)
6. Use clinician
observation and client
reports (723.1)
Rule out:
1) Malingering and Factitious Disorder,
2) a substance etiology,
3) an etiological medical condition,
4) determining the specific primary disorder(s),
Assessment
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)
1. inadequate data
2. multiple diagnoses
Diagnostic Challenges 3. atypical presentations
4. limited
intake time
(723.1)
, 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
MSE (Mental Status Exam)
10. Thought Process: Quality, content and Rate
Considerations
(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]
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)
Schizophrenia *Disorganized: Speech/Behavior/Thinking
5. Negative Sx:
*Lack of motivation/interest
*limited emotional expression
, Duration: sx for >6 months
6.
*Brief Psychotic Disorder: 1 day to 1 month
*Schizophreniform Disorder: 1 to 6 months
(723.2)
1. Schizoaffective: Schizophrenia with a concurrent
Other Psychotic Disorders mood disorder
2. Delusional disorder:
(bizarre beliefs)
(723.2)
Neuroleptics. First generation (typical) anti-psychotics
(1940s)
1. Thorazine
2. Stelazine
Anti-psychotic Second Generation: (atypical) (1980s)
medications: 1. Clozapine
2. Risperidone
All work on neurotransmitters
(dopamine, sometimes serotonin)
(723.2)
1. SST-Social Skills Training
Social Work 2. CBT- Cognitive Behavioral Therapy
Interventions for 3. ACT-Assertive
Schizophrenia Community Treatment
(723.2)
Differential Diagnosis (723.3)