Counseling Psychopathology and Diagnosis (DSM-5-TR)

Question 1

Which duration of symptoms is required for a diagnosis of Major Depressive Disorder in an adult under the DSM-5-TR?

Accepted Answer

At least 2 weeks

Answer

A major depressive episode requires five or more symptoms present during the same 2-week period, including depressed mood or loss of interest or pleasure, along with clinically significant distress or impairment.

Question 2

Generalized Anxiety Disorder requires excessive anxiety and worry occurring more days than not for at least how long?

Accepted Answer

6 months

Answer

The DSM-5-TR requires excessive worry about multiple events or activities, more days than not, for at least 6 months, along with at least three associated symptoms in adults.

Question 3

A client experiences a persistent pattern of grandiosity, need for admiration, and lack of empathy beginning in early adulthood. Which diagnosis best fits?

Accepted Answer

Narcissistic personality disorder

Answer

Narcissistic personality disorder is characterized by grandiosity, a need for admiration, and lack of empathy. These traits distinguish it from the other Cluster B disorders.

Question 4

Which of the following is a hallmark feature of Bipolar I Disorder?

Accepted Answer

At least one manic episode

Answer

A diagnosis of Bipolar I Disorder requires at least one manic episode. Hypomanic and major depressive episodes may occur but are not required. Bipolar II involves hypomania and major depression with no full manic episode.

Question 5

A client reports intrusive, unwanted thoughts about contamination and washes their hands for hours each day. Which disorder is most consistent with these symptoms?

Accepted Answer

Obsessive-compulsive disorder

Answer

Obsessions (intrusive thoughts) paired with compulsions (repetitive behaviors performed to reduce distress) that consume significant time, such as more than an hour per day, indicate OCD.

Counseling Practice Test

Counseling Practice Test

Counseling Psychopathology and Diagnosis (DSM-5-TR)