LMSW Clinical Assessment and Diagnosis 5

Question 1

A client is diagnosed with Major Depressive Disorder with Peripartum Onset. According to DSM-5, when must symptoms begin for this specifier to apply?

Accepted Answer

During pregnancy or within 4 weeks of delivery

Answer

DSM-5's peripartum onset specifier applies when a major depressive episode begins during pregnancy or within 4 weeks after delivery.

Question 2

Which of the following best differentiates Social Anxiety Disorder from Avoidant Personality Disorder in assessment?

Accepted Answer

Social Anxiety Disorder may be situationally triggered while AvPD is ego-syntonic and pervasive

Answer

Social Anxiety Disorder is often situational (e.g., public speaking) while Avoidant Personality Disorder involves a pervasive, ego-syntonic pattern of social inhibition and feelings of inadequacy across contexts.

Question 3

A social worker is reviewing a client's history and notes repeated episodes of elevated mood, decreased need for sleep, and grandiosity lasting 4 days, not requiring hospitalization. These episodes alternate with depression. The most likely diagnosis is:

Accepted Answer

Bipolar II Disorder

Answer

Bipolar II Disorder is characterized by at least one hypomanic episode (4+ days, not requiring hospitalization) and at least one major depressive episode.

Question 4

An adolescent client avoids school due to fear of embarrassment but has no difficulty with other social or performance situations. This pattern most closely aligns with:

Accepted Answer

Social Anxiety Disorder, performance only specifier

Answer

When social anxiety is confined to performance situations like speaking or performing in front of others, DSM-5 allows for a 'performance only' specifier.

Question 5

A client with ADHD reports that symptoms have been present since childhood but were not formally diagnosed. For a DSM-5 ADHD diagnosis in adults, symptoms must have been present before what age?

Accepted Answer

Age 12

Answer

DSM-5 raised the age of onset criterion for ADHD from age 7 (DSM-IV) to age 12, requiring that several inattentive or hyperactive symptoms were present before that age.

LMSW - Licensed Master Social Worker Practice Test

LMSW - Licensed Master Social Worker Practice Test

LMSW Clinical Assessment and Diagnosis 5