Term
| What are the 4 major dichotomies of classification in Psychiatric disease? |
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Definition
1) Categorical vs. Dimensional
2) Lumping vs. Splitting
3) Descriptive vs. Etiological
4) Validity vs. Reliability |
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Term
| What are the 5 axes of the DSM-IV? |
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Definition
1) Psychiatric illness (why are you here?)
2) Personality (what kind of person?)
3) General medical (medically ill?)
4) Stressors (Why now?)
5) Level of functioning (How well is he managing?) |
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Term
| What major changes are expected to occur with the introduction of the DSM V? |
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Definition
1) Focus on dimensional criteria (severity gauges)
2) Addition of attenuated symptoms disorders (Schizophrenia prodrome)
3) Criteria changes |
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Term
| What is the most common diagnoses treated by Psychiatrists? |
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Definition
1) Depression
2) Anxiety
3) ADHD
4) Biopolar
5) Schizophrenia |
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Term
| How does Paul McHugh's system of Psychiatric Diagnosis differ from the DSM approach? |
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Definition
4 Classification/causes
1) Diseases (patients HAVE it)- AD/Schizo
2) Vulnerabilities (patients ARE like his)- Anxiety, Personality
3) Behaviors (Patients are DOING it)- Addictive, Anorexia, Paraphilia
4) Events (Things HAPPENED to the patient)- PTSD, Grief, Adjustment |
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Term
| What are the major principle approaches to diagnosis in Psychiatry? Provide an example for each. |
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Definition
1) Identify principal reason for visit (Depressed mood)
2) Determine if it is clinically significant (Not serious)
3) Rule out "secondary causes" (hypothyroidism, alcohol?)
4) Consider diagnostic conceptualization using DSM IV (Major Depressive Episode)
5) Specify subtype (Major Depressive Disorder, single episode, moderate, without psychotic features)
** Use broad differential, Occam's razor and implicit hierarchies of DSM** |
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Term
Each of the following represent an "Axis" of the DSM IV except:
a. Major mental disorders
b. Past psychiatric history
c. Global assessment of functioning
d. Personality Disorders |
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Definition
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Term
All of the following are Axis 1 diagnoses except:
a. Major depression
b. Asthma
c. Anxiety
d. Schizophrenia |
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Definition
| B- Asthma is a general medical condition (axis 3) |
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Term
"Axis III" illnesses include which of the following?
a. Diabetes
b. Major depression
c. Borderline personality disorder
d. OCD |
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Definition
A
B and D are axis 1 (Psychiatric illness)
C is axis 2 (Personality) |
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Term
The DSM-IV emphasizes all of the following except:
a. Reliability
b. Operational criteria
c. Etiologic theories
d. Multiple diagnosis/comorbidity |
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Definition
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Term
Mental retardation would be best coded on which Axis?
a. 1
b. 2
c. 3
d. 4
e. 5 |
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Definition
A
1) Psychiatric illness (why are you here?)
2) Personality (what kind of person?)
3) General medical (medically ill?)
4) Stressors (Why now?)
5) Level of functioning (How well is he managing?) |
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Term
Which psychiatric conditions have been proposed to be classified by a dimensional rather than a categorical perspective?
a. Personality disorders
b. Psychotic disorders
c. Dementias
d. Sleep disorders |
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Definition
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Term
Which Statement best describes the difference between diagnosis in psychiatry vs. diagnosis in other specialties?
a. There are no major differences
b. General medicine focuses on disease, psychiatry on disorders.
c. General medicine focuses on disorders, psychiatry on symptoms.
d. Neurologists call it AD, Psychiatrists call it Alzheimer's syndrome |
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Definition
B
-Diseases have known etiologies and pathologies.
-Disorders have no known basis or pathology.
- Symptoms are just subjective evidence of disease or condition |
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