Counseling Psychopathology and Diagnosis (DSM-5-TR) 3 — Questions and Answers
Question 1: Ten days after an assault, a client has intrusive memories, avoidance, and hyperarousal. Which diagnosis is most appropriate right now?
- Posttraumatic stress disorder
- Acute stress disorder (Correct answer)
- Adjustment disorder
- Prolonged grief disorder
Correct answer: Acute stress disorder
Acute stress disorder applies from 3 days to 1 month after trauma, and PTSD requires symptoms lasting more than 1 month.
Question 2: Adjustment disorder symptoms must begin within what time frame after the stressor starts?
- 1 month
- 3 months (Correct answer)
- 6 months
- 12 months
Correct answer: 3 months
Emotional or behavioral symptoms must start within 3 months of the stressor's onset.
Question 3: In DSM-5-TR, the severity of anorexia nervosa in adults is based mainly on:
- Frequency of purging
- Duration of illness
- Current body mass index (Correct answer)
- Number of medical complications
Correct answer: Current body mass index
Adult severity is graded by BMI, with extreme severity defined as a BMI below 15 kg/m².
Question 4: Which feature best distinguishes binge-eating disorder from bulimia nervosa?
- Loss of control while eating
- Eating large amounts in a short period
- Distress about bingeing
- No recurrent inappropriate compensatory behaviors (Correct answer)
Correct answer: No recurrent inappropriate compensatory behaviors
Both disorders involve binges with loss of control, but binge-eating disorder does not include regular purging, fasting, or excessive exercise.
Question 5: In which DSM-5-TR chapter is hoarding disorder classified?
- Anxiety disorders
- Obsessive-compulsive and related disorders (Correct answer)
- Impulse-control disorders
- Personality disorders
Correct answer: Obsessive-compulsive and related disorders
Hoarding disorder is grouped with OCD, body dysmorphic disorder, trichotillomania, and excoriation disorder.
Question 6: A male client is preoccupied with the belief that his body is too small and not muscular enough. Which specifier applies to his body dysmorphic disorder?
- With muscle dysmorphia (Correct answer)
- With poor insight
- With delusional beliefs
- With panic attacks
Correct answer: With muscle dysmorphia
The 'with muscle dysmorphia' specifier is used when the preoccupation is that one's build is too small or insufficiently muscular.
Question 7: Reactive attachment disorder requires the child to have a developmental age of at least:
- 6 months
- 9 months (Correct answer)
- 18 months
- 3 years
Correct answer: 9 months
The child must have a developmental age of at least 9 months, so that selective attachment would normally be expected.
