LPC Psychopathology and Diagnosis 4

Question 1

A client alternates between believing she is a famous celebrity (lasting 4 days) and having normal mood. Which diagnosis best fits?

Accepted Answer

Bipolar II Disorder

Answer

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?

Accepted Answer

Dissociative Disorders

Answer

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:

Accepted Answer

Major Neurocognitive Disorder

Answer

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?

Accepted Answer

OCD involves true obsessions and compulsions; OCPD is a pervasive character style

Answer

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?

Accepted Answer

Residual phase with negative symptoms

Answer

DSM-5 eliminated subtypes but recognizes a residual phase characterized by ongoing negative symptoms after positive symptoms have resolved.

LPC - Licensed Professional Counselor Practice Test

LPC - Licensed Professional Counselor Practice Test

LPC Psychopathology and Diagnosis 4