LMHC Psychopathology and Diagnosis

Question 1

According to the DSM-5, which criterion differentiates Major Depressive Disorder (MDD) from Persistent Depressive Disorder (Dysthymia)?

Accepted Answer

MDD requires at least 5 symptoms for 2+ weeks; Persistent Depressive Disorder requires at least 2 symptoms for 2+ years

Answer

MDD requires at least 5 depressive symptoms for at least 2 weeks. Persistent Depressive Disorder requires depressed mood for at least 2 years with at least 2 additional symptoms.

Question 2

A client presents with episodes of elevated mood, decreased need for sleep, grandiosity, and increased goal-directed activity lasting 4 days, without significant functional impairment. The MOST appropriate DSM-5 diagnosis to consider is:

Accepted Answer

Bipolar II Disorder

Answer

Bipolar II Disorder requires at least one hypomanic episode (4+ days, not causing marked impairment) and at least one major depressive episode.

Question 3

Which of the following is NOT a DSM-5 diagnostic criterion for Generalized Anxiety Disorder (GAD)?

Accepted Answer

Presence of panic attacks with somatic symptoms

Answer

Panic attacks are characteristic of Panic Disorder, not GAD. GAD is characterized by pervasive, uncontrollable worry with somatic symptoms like fatigue and muscle tension.

Question 4

The 'negative symptoms' of schizophrenia include all of the following EXCEPT:

Accepted Answer

Auditory hallucinations

Answer

Auditory hallucinations are a 'positive' symptom of schizophrenia — an addition to normal experience. Negative symptoms reflect diminutions in normal functioning.

Question 5

A client reports a persistent, irrational fear of spiders that causes them to avoid outdoor activities. They recognize the fear is excessive. The MOST appropriate DSM-5 diagnosis is:

Accepted Answer

Specific Phobia, animal type

Answer

Specific Phobia involves marked fear or anxiety about a specific object or situation — in this case, spiders (animal type) — leading to avoidance and distress.

(LMHC) Licensed Mental Health Counselor Certification Practice Test

(LMHC) Licensed Mental Health Counselor Certification Practice Test

LMHC Psychopathology and Diagnosis