Counselor Preparation Comprehensive Exam Diagnosis and Psychopathology 3

Question 1

In DSM-5, how did the conceptualization of Substance Use Disorders change from DSM-IV?

Accepted Answer

DSM-5 combined abuse and dependence into a single Substance Use Disorder on a severity continuum

Answer

DSM-5 added a new category called substance intoxication

Answer

DSM-5 removed tolerance and withdrawal as diagnostic criteria

Answer

DSM-5 eliminated all substance disorder diagnoses

Question 2

Which ADHD presentation in DSM-5 is characterized primarily by inattentive symptoms with few hyperactive-impulsive symptoms?

Accepted Answer

ADHD, Predominantly Inattentive Presentation

Answer

ADHD, Combined Presentation

Answer

ADHD, Predominantly Hyperactive-Impulsive Presentation

Answer

ADHD, Unspecified Presentation

Question 3

Persistent Depressive Disorder (Dysthymia) differs from Major Depressive Disorder primarily in:

Accepted Answer

Longer duration (at least 2 years) with typically less severe symptoms

Answer

Greater severity of depressive symptoms

Answer

The presence of psychotic features

Answer

Occurring only in response to a stressor

Question 4

The diathesis-stress model of psychopathology proposes that mental disorders develop when:

Accepted Answer

A biological or psychological vulnerability is triggered by environmental stressors

Answer

Neurobiological abnormalities override coping skills

Answer

Social factors alone cause psychological symptoms

Answer

Cognitive distortions remain uncorrected over time

Question 5

Intellectual Disability (Intellectual Developmental Disorder) in DSM-5 is diagnosed based on:

Accepted Answer

Deficits in intellectual and adaptive functioning with onset during the developmental period

Answer

IQ score below 70 alone

Answer

School performance below grade level for at least one year

Answer

Neuroimaging evidence of brain abnormality

Question 6

Dissociative Identity Disorder (DID) is characterized by the presence of two or more distinct:

Accepted Answer

Personality states or identities with recurrent amnesia

Answer

Mood states alternating with psychosis

Answer

Somatic complaints with no medical explanation

Answer

Phobic responses to specific triggers