DSM-5

DSM-5

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Assignment No. 1:

Psychopathology and Clinical Intervention

Knowledge Demonstration I

Name:

1. What are the 4 strengths of the DSM-5?

• Gives medical practitioners a common language.
• Provides a thorough approach for classifying mental Diseases
• Has a multiaxial evaluation method.
• Promotes a holistic viewpoint by considering biological, social, and psychological variables.

2. What are 4 challenges in the use of the DSM-5?

• DSM-5 exaggerates the pathology of regular conduct.
• It is Bias based on culture and the possibility of incorrect diagnosis in various populations.
• Concerns regarding the reliability of the various physicians.
• Concerns relating to the unethical labeling and stigmatization of individuals.

3. How is the DSM organized?

DSM is organized into different sections, and they are as follows:

• Section 1: Use and Basics of the DSM-5.
• Section 2: Diagnostic Standards and Codes.
• Section 3:Emerging Models and Measures.
• Section 4:Interview for Cultural Formulation and Outline for Cultural Formulation.

4. How does the DSM 5 provide ways to note additional information about the client?

• The DSM-5 offers options to record more client data through one Specifiers, which offers further information regarding the diagnosed condition. Secondly is keeping track of any pertinent environmental or psychosocial factors that can affect the diagnosis.

5. Name 5 changes to the DSM 5

• Dismantling of the multiaxial support structure.
• The implementation of dimensional assessment methods.
• The reorganization of existing disturbances.
• The appearance of brand new illnesses.
• Alterations to the diagnostic criteria for many different illnesses.

6. What is the most significant element in identifying and assigning a diagnosis for a client?
7. Symptoms
8. Technical Terms: Please match the following technical terms with the definitions listed below
9. Affect: A pattern of observable behaviors expressing subjectively experienced feeling state (emotion).

Blunted: The significant reduction in the intensity of emotional expression.

Flat: Absence or near absence of any signs of affective expression.

Inappropriate: Discordance between affective expression and the content of speech or ideation.

Labile: abnormal variability in effect with repeated, rapid, and abrupt shifts in affective expression

Restricted or constricted: An impoverishment in thinking inferred from observing speech and language behavior. There may be brief and concrete replies to questions and restrictions on the amount of spontaneous speech (poverty of speech). Sometimes, the speech is adequate in amount but needs more information because it is overly concrete, overly abstract, repetitive, or stereotyped (poverty of content).

2. Agitation(psychomotor): Excessive motor activity associated with a feeling of inner tension. The activity is usually nonproductive and repetitious and consists of pacing, fidgeting, wringing hands, pulling of clothes, and inability to sit still.
3. Anxiety: The apprehensive anticipation of future danger or misfortune accompanied by a feeling of dysphoria or somatic symptoms of tension. The focus of anticipated danger may be internal or external.
4. Attention: The ability to focus sustainably on a particular stimulus or activity. Disturbance in attention may manifest by easy distractibility or difficulty in finishing tasks or concentrating on work.
5. Name the revisions to the DSM.

• Elimination of Multiaxial System: The DSM-5 removed the DSM-IV-TR’s five-axis multiaxial system for patient assessment. Instead, the DSM-5 emphasizes dimensional evaluation.
• The DSM-5 combines Autistic Disorder, Asperger’s Disorder, and Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS) into Autism Spectrum Disorder (ASD). This update aims to represent autism’s symptoms and severity better.
• Neurodevelopmental Disorders: The DSM-5 added “Neurodevelopmental Disorders,” which include ADHD, Specific Learning Disorder, and Intellectual Disability. These illnesses were originally distributed throughout the DSM-IV-TR.
• Binge-Eating Disorder: The DSM-5 included it in the Eating Disorders area. DSM-IV-TR did not recognize it as a disorder.
• Hoarding Disorder: The DSM-5 added Hoarding Disorder to Obsessive-Compulsive and Related Disorders.

9. Name the areas that should be covered in an assessment.

• These areas might include medical history, psychiatric history, social history, current signs and symptoms, past experiences with drugs and alcohol, economic and cultural variables, difficulties with mental health running in the family, any traumatizing or unfavorable experiences, and functional impairment.

10. Johnny is a 10-year-old African-American boy diagnosed with severe, combined-type ADHD. What is the primary diagnosis, the subtype, and the specifier?

Primary Diagnosis: Attention-Deficit/Hyperactivity Disorder (ADHD)

The Subtype: Extreme Case of the Combined Type

The Specifier: Usually, the specifier for ADHD contains more details regarding the presentation, such as “Combined Presentation” for extreme cases involving both inattention and hyperactivity/impulsivity.

Assignment No 2

Read the Schizophrenia and Psychotic Disorder in the DSM

Please respond to the following questions. Remember to comment on the responses of two of your peers.

1. List 3 things that you have learned from this reading. Briefly discuss how you might apply something you learned from this reading to social work. Be specific by giving at least one example.

• It recognizes the differences between brief psychotic disorder, schizophrenia, schizoaffective disorder, and delusional disorder.
• It is recognizing the diagnostic requirements and symptoms connected to these illnesses.
• It acknowledges the significance of early diagnosis and treatment for people with psychotic disorders.

2. What are the main differences between Schizophrenia Disorder, Schizoaffective, Delusional, and Brief Psychotic Disorder?
   • Schizophrenia  symptoms that last at least six months, including hallucinations, delusions, confused thinking, and negative symptoms.
   • Schizoaffective Disorder is a mix of signs of schizophrenia and parts of mood disorders.
   • People with delusional disorder have beliefs that are not very strange and are not accompanied by any other noticeable psychotic symptoms.

• People with Brief mental Disorder have mental symptoms that come on quickly and last for less than one month.

3. What are the main behaviors or symptoms associated with Schizophrenia, Delusional, and Brief Psychotic Disorder?
   • Schizophrenia is characterized by a number of symptoms, such as hallucinations, delusions, disordered thinking, withdrawing from social activities, and problems with both cognitive and social functioning.
   • People with Delusional Disorder have delusions that aren’t too strange and don’t have any other clear signs of psychosis.
   • People with Brief Psychotic Disorder suddenly start having dreams, delusions, acting and talking in a disorganized way, and seeing things that aren’t there.
4. What are the main interventions associated with Schizophrenia, Schizoaffective, Delusional, and Brief Psychotic Disorders?

• Schizophrenia is often managed with antipsychotic medicines, psychotherapy, and social support.
• Delusional disorder is a psychiatric condition that many therapeutic interventions, including psychotherapy, cognitive-behavioral therapy, and family support, can effectively treat.
• The treatment modalities for Brief Psychotic Disorder typically involve hospitalization, administration of antipsychotic medicines, and provision of short-term psychotherapy.

5. What specifically, if anything, did you have difficulty understanding, and why do you think you had that difficulty?

• The technical and clinical terminology of the DSM-5 was difficult for me to understand. The terms “positive symptoms,” “negative symptoms,” “delusions,” and “hallucinations” were initially confusing.
• The booklet included rich clinical descriptions of many illnesses that demand a profound understanding of psychology and psychiatry. These descriptions often highlighted subtle differences between illnesses and criteria.

6. How can this reading be applied to your current position (employment/volunteer/internship)?

The present reading possesses applicability across diverse roles within the mental health domain, facilitating enhanced comprehension and engagement with individuals afflicted by psychotic diseases. Consequently, this knowledge acquisition will help me refine assessment procedures, therapeutic interventions, and supportive measures.

Reference

SOPHIA F. DZIEGIELEWSKI. (2015). DSM-5TM in Action.

DSM-5

Paper details

You will need to the attached PDF DSM-5 to be able to answer correctly Assignments 1 and 2 please.