Psychopathology Exam 2

In somatic symptom disorder, the somatic symptoms themselves are the main cause for concern. Of less importance is the manner in which the individual perceives or interprets his/her symptoms

In obsessive-compulsive disorder, compulsions are

Bdul presents as a handsome, neatly groomed, average-built, 32-year-old male who gravely states, “I just keep thinking that I am too small for a man and that I don’t have enough muscles. He states that “most people” in my village back home are built like me but I think mine is the worst body shape I’ve ever seen even back home, and, I believe I am the hairiest man in this country! I have had my back waxed and have had my arms shaved, but I still look like an ape! My neighbors are nice, and several colleagues have invited me to parties, but I stay at home. I buy crates of Maker’s Mark whiskey and console myself with the thought that at least I can afford some good liquor!” Abdul is likely suffering from:

Individuals with excoriation disorder often invest significant amounts of time on their picking behavior, sometimes several hours per day, and such skin picking may endure for months or years; however, as soon as they have completed their excoriating rituals, these individuals typically go out of their way to display the lesions that are a consequence of their skin picking.

Among somatic symptoms and related disorders, pseudocyesis refers to:

Hyperemesis of pregnancy, a sexual symptom of Somatic Symptom/ Related disorders, refers to:

Sleep terrors/ night terrors or sleepwalking are part of Criterion A for NREM sleep arousal disorders. NREM sleep arousal disorders are classified as parasomnias

Self-reported excessive sleepiness despite at least 7 hours sleep, PLUS recurrent periods of sleep or lapses into sleep within the same day, nonrestorative sleep even after 9 hours of sleep and difficulty being fully awake after abrupt awakening best describes:

Irma, a 32-year-old biological and cisgender female, reports worrying about multiple events and situations, only one of which involves her health. She denies fear of illness as main focus or of her somatic symptoms as the focus of her complaints. Irma is most likely suffering from:

Among the origins of somatic symptom and related disorders is/are:

A loss of or a change in body function resulting from a psychological conflict, in which the physical symptoms cannot be explained by any known medical disorder or pathophysiological mechanism defines

Fabricating / Faking signs or symptoms of illness or injury in order to obtain an external incentive or to avoid a painful or legal consequence best describes:

Sixteen-year old Austin is referred to you by his biological father who is concerned that for the past two months, Austin has been consuming red nail polish for dessert. Austin’s appetite, eating habits and body mass index (BMI) are otherwise unremarkable. Austin tells you that he has lost a lot of friends because they call him “Barbie wanna be” and “Cutex breath.” The most likely diagnosis for Austin is:

Thirty-two year-old Lunise reports recurring episodes of eating significantly more food in a short and discrete period of time (e.g., within any 2-hour period) than most people would eat under similar circumstances, at least once a week over the previous three months; these episodes are reportedly accompanied by feelings of lack of control, guilt, embarrassment, or self-disgust; She often eats alone to hide her “shameful” behavior, eats too quickly, eats “junk food that I would never choose regularly”, and endures excruciating joint pain as a result of massive weight gain associated with her eating habits. She also reports feeling depressed and isolated. Lunise is likely experiencing:

According to the DSM-5, when differentiating somatic symptom disorder from conversion disorder, we understand that:

Harold, 30 years old, is not able to control his aggressive impulses. He is likely to be diagnosed with:

A person who is extensively worried and preoccupied about his or her health but who experiences minimal or no somatic distress may be diagnosed with:

Which of the following statements is true about dissociative identity disorder

The main difference between stress and anxiety is:

Sleep and wakefulness are two mutually exclusive and discrete states of being

Which of the following can contribute to sleep disorders:

A young woman has been hospitalized for gall bladder surgery. When the hospital social worker stops by to visit, she notices that there are strands of hair on the woman's pillow and noticeable balding spots. When asked, the woman replies that she has been having a difficult time refraining from pulling strands of her hair out since the death of her father three months ago. She states that she feels it relieves her stress. Most likely the woman is suffering from

James has been having recurrent and persistent sexual thoughts and images that are experienced as intrusive and inappropriate and that cause him marked anxiety or distress. He knows that they are unreasonable, and that he is not being influenced by others. He tries to suppress the thoughts and to combat them by alternately counting down the numbers on the calendar and saying “Hail Mary’s.” However, he finds himself washing his hands with caustic soap each time he has one of these intrusive thoughts, to the point that his hands are chapped and bloody. Lately, the frequency of his intrusive thoughts has increased and the accompanying hand-washing has caused him to be late to work and his boss is starting to “write me up.” James is physically fit and healthy and he has “never had a drink or used drugs” in his life. The most likely diagnosis for James, given the information that you have is:

An 18-year-old man has been referred to a mental health agency for services. He reports serving time in a detention center when he was 14 years old, a history of lying because it "makes him feel good" and "annoys others", incidents of losing his temper, which have resulted in physical assaults; and deliberate destruction to others' property. He reports never feeling sorry for his actions and delights in his ability to manipulate “suckers out there”. According to the DSM-5 which of the following diagnoses BEST describes the client?

Enoch, a 72 year old male, reports that he has increased in frailty as he gets older. He states that he both fears and avoids social situations that he used to enjoy because of the thoughts that escape might be difficult or help might not be available in the event he develops panic-like symptoms or other incapacitating or embarrassing symptoms such falling or incontinence. He is most likely suffering from

Among the functions of sleep is to reduce body and brain metabolism while permitting high level of responsiveness to the environment. One illustration of this function of sleep is:

Eight year-old girl Sheena presents for counseling at a school-based family counseling center, having been referred by the school intervention team for failing to eat either breakfast or lunch (even what she brings from home). She appears as thin for her age and height. Sheena’s father tells Dr. Rahill that at home, Sheena she not eat unless he takes a bite of the food first. The school reports that she seems sad and minimally interacts with her peers. The family and the school denies a history of trauma. Sheen whispers to Dr. Rahill that she does not eat unless her father tastes the food because “I am afraid of being poisoned”.

The most common type of insomnia is

At a restaurant, a woman begins to experience a feeling of foreboding, followed by heart palpitations and trouble breathing. Without additional information, we can say that the woman is MOST LIKELY, suffering from

A main difference between REM sleep disorder and other parasomnias is that:

According to the DSM-5, ____________________________ is found as a co-morbidity in 58% of individuals diagnosed with Factitious disorder

A distinguishing factor between a somatic symptom disorder and a depressive disorder with somatic symptoms is that in depressive disorder with somatic symptoms, the core symptoms of dysphoric mood and anhedonia must be evident:

Acute and short-term insomnia (i.e., symptoms lasting less than 3 months but otherwise meeting all criteria with regard to frequency, intensity, distress, and/or impairment) should be coded as an other specified insomnia disorder

Kleinman’s explanatory Model of Illness indicates that the presentation, recognition, and management of somatic presentations are impacted by cultural differences in response to somatic complaints and differences in health care practices. Therefore, competent clinicians are informed by clients’ contextually grounded beliefs about origins, causes, course and treatment of disease.

Medications used in the treatment of Body Dysmorphic Disorder are:

Hoarding is classified as:

A loss of continuity or disruption in the usually integrated functions of consciousness, memory, identity, or perception defines:

Six year-old Jerome is described by his mother as often touchy, angry/irritable, argumentative or vindictiveness for over 6 months as evidenced by at least four symptoms from any of the following categories, in interaction with at least one individual who is not a sibling. His kindergarten teacher notices no such mood or behavior concerns. Jerome is most likely suffering from

The criteria for diagnosis of oppositional defiant disorder include a more even distribution of emotions and behaviors than the diagnosis for Intermittent explosive disorder, wherein the focus is largely outbursts of anger that are disproportionate to the interpersonal or other provocation or to other psychosocial stressors.

A key similarity between kleptomania and pyromania is that both reflect poor impulse control related to specific behaviors that relieve internal tension.