Psychopathology and Diagnosis (DSM-5-TR) Flashcards

A client meets 5 of the 11 criteria for alcohol use disorder. What severity specifier applies?

Answer: Moderate

Severity is mild with 2-3 symptoms, moderate with 4-5, and severe with 6 or more.

Which feature most clearly distinguishes delirium from major neurocognitive disorder?

Answer: Acute onset with fluctuating attention and awareness

Delirium develops quickly (hours to days) and fluctuates over the day, while neurocognitive disorders usually develop gradually.

A client is very worried about having cancer but has no or only mild physical symptoms. Which diagnosis fits best?

Answer: Illness anxiety disorder

Illness anxiety disorder involves preoccupation with having a serious illness while somatic symptoms are absent or mild.

What distinguishes factitious disorder from malingering?

Answer: Factitious disorder involves deception even without obvious external rewards

Malingering is driven by external incentives like money or avoiding duty, while factitious disorder involves deception without obvious external rewards.

In DSM-5-TR, dissociative fugue is coded as:

Answer: A specifier of dissociative amnesia

Since DSM-5, dissociative fugue has been a specifier of dissociative amnesia rather than a separate diagnosis.

Insomnia disorder requires sleep difficulty at least 3 nights per week for at least:

Answer: 3 months

Insomnia disorder requires at least 3 nights per week for at least 3 months, and shorter cases are coded as episodic.

Gender dysphoria in adolescents and adults requires a marked incongruence lasting at least:

Answer: 6 months

DSM-5-TR requires the incongruence between experienced and assigned gender to last at least 6 months, along with clinically significant distress or impairment.