LPC Psychopathology and Diagnosis 4 — Questions and Answers
Question 1: A client alternates between believing she is a famous celebrity (lasting 4 days) and having normal mood. Which diagnosis best fits?
- Bipolar I Disorder
- Bipolar II Disorder (Correct answer)
- Cyclothymic Disorder
- Hypomanic Episode, unspecified
Correct answer: Bipolar II Disorder
Bipolar II Disorder requires at least one hypomanic episode (lasting at least 4 days) and one major depressive episode, with no full manic episodes.
Question 2: Depersonalization/Derealization Disorder is categorized in DSM-5 under which chapter?
- Trauma and Stressor-Related Disorders
- Somatic Symptom and Related Disorders
- Dissociative Disorders (Correct answer)
- Anxiety Disorders
Correct answer: Dissociative Disorders
Depersonalization/Derealization Disorder is classified under Dissociative Disorders in DSM-5.
Question 3: A 70-year-old client shows significant memory decline affecting daily functioning that represents a change from prior baseline. Neuropsychological testing confirms deficits in learning and memory. The DSM-5 diagnosis is:
- Mild Neurocognitive Disorder
- Major Neurocognitive Disorder (Correct answer)
- Amnestic Disorder
- Delirium
Correct answer: Major Neurocognitive Disorder
Major Neurocognitive Disorder (formerly Dementia) requires significant cognitive decline in one or more domains that interferes with daily independence.
Question 4: Which of the following best distinguishes Obsessive-Compulsive Disorder from Obsessive-Compulsive Personality Disorder?
- OCD involves ego-syntonic obsessions; OCPD involves ego-dystonic ones
- OCD involves true obsessions and compulsions; OCPD is a pervasive character style (Correct answer)
- OCPD requires symmetry rituals; OCD does not
- OCD is a Cluster A personality disorder; OCPD is not
Correct answer: OCD involves true obsessions and compulsions; OCPD is a pervasive character style
OCD involves specific ego-dystonic obsessions and compulsions; OCPD is a pervasive, ego-syntonic personality style of perfectionism and rigidity without true obsessions.
Question 5: A client with Schizophrenia shows flat affect, alogia, and avolition with no positive symptoms for 6 months. The counselor should document which subtype of symptom presentation?
- Paranoid type
- Residual phase with negative symptoms (Correct answer)
- Catatonic subtype
- Undifferentiated type
Correct answer: Residual phase with negative symptoms
DSM-5 eliminated subtypes but recognizes a residual phase characterized by ongoing negative symptoms after positive symptoms have resolved.
Question 6: Which DSM-5 disorder is characterized by a child's persistent refusal to speak in specific social situations despite speaking in others, lasting at least one month?
- Social Anxiety Disorder
- Selective Mutism (Correct answer)
- Separation Anxiety Disorder
- Specific Phobia, situational type
Correct answer: Selective Mutism
Selective Mutism involves consistent failure to speak in specific social situations where speech is expected, despite speaking in other settings.
Question 7: A client exhibits two or more distinct personality states, reports gaps in memory for everyday events, and experiences distress. DSM-5 diagnosis is:
- Depersonalization/Derealization Disorder
- Dissociative Amnesia with Fugue
- Dissociative Identity Disorder (Correct answer)
- Borderline Personality Disorder
Correct answer: Dissociative Identity Disorder
Dissociative Identity Disorder requires two or more distinct personality states, recurrent amnesia, and significant distress or impairment.
LPC Psychopathology and Diagnosis 4
A client alternates between believing she is a famous celebrity (lasting 4 days) and having normal mood.
Which diagnosis best fits?