changes in DSM 5


Cluster A- Personality Disorders (Paranoid, Schizoid, Schizotypal)

schiziod personality disorder

odd-eccentric personality disorder characterized
- introverted, withdrawn, emotionally cold and distant, absorbed with own thoughts and feelings, and fearful of getting close with someone

Paranoid Personality Disorder (Cluster A)

odd and eccentric personality disorder that- untrusting, unforgiving, prone to angry outbursts, interpreting the actions of others as threatening

schizotypal personality disorder

Cluster A (odd or eccentric) personality disorder involving a pattern of peculiarities-- odd or eccentric manners of speaking or dressing strange, outlandish, or paranoid beliefs displays "magical thinking

antisocial personality disorder

Cluster B (dramatic, emotional, or erratic) personality disorder involving impulsive behavior, aggressive and even violent relationships; no respect for others, legal history of difficulties

borderline personality disorder

Cluster B (dramatic, emotional, or erratic) personality disorder involving a pervasive pattern of instability of interpersonal relationships, self-image, affects, and control over impulses.
- self destructive impulses
- extreme mood changes

narcissistic personality disorder

Cluster B (dramatic, emotional, or erratic) personality disorder i
-exaggerated sense of self-importance
-absorbed by fantasies of unlimited success
- seek constant attention
-oversensitive to failure

histrionic personality disorder

Cluster B (dramatic, emotional, or erratic) personality disorder i
- behave melodramatically or "over the top" , constantly displaying an excessive level of emotionality; attention seeking,

avoidant personality disorder

Cluster C (anxious or fearful) personality disorder
- hypersensitive to rejection and unwilling to become involved with others unless sure of being lived
- avoidance of social events or work that involved interpersonal contact

dependent personality disorder

Cluster C (anxious or fearful) personality disorder -
- pattern of dependent and submissive behavior of replying on others to make personal decisions
-require excessive reassurance and advice

obsessive-compulsive personality disorder

Cluster C personality disorder featuring - being conscientious, with high levels of aspiration, strive for perfection, never satisfied with achievements

Other Personality Disorders

-personality change due to another medical condition
-other specified personality disorder
-unspecified personality disorder

subjective information

Information from the patient's point of view.
"I feel dizzy."
S in SOAP note

objective information

O in SOAP note
- in healthcare this can be pulse, BP, temp, lab tests
- in SW this can be legal issues, failing school, disorientation

pre-experimental research

this type of research contain intervention groups only and lack comparison/control groups making them the weakest


a type of research design where a comparison is made, as in an experiment, but is a NON RANDOM assignment of participants to groups occurs

Interrater or interobserver reliability

Assesses the degree to which different raters/observers give consistent estimates of the same phenomenon

internal validity

extent to which casual inferences can be made about the intervention and the targeted behavior

external validity

extent to which we can generalize findings to real-world settings (general population)

test-retest reliability

ass the consistency of a measure from one time to another

parallel forms reliability

assesses the consistency of the results of two tests constructed in the same way from the same content domain

descriptive statistics

numerical data used to measure and describe characteristics of groups. Includes measures of central tendency and measures of variation.

inferential statistics

used to answer research questions or test models or hypotheses
- determine the probability that an observed difference between groups is dependable or happened by chance

internal consistency reliability

assess the consistency of results across items within a test

face validity

examines whether the assessments " on their face" measure the constructs

content validity

the extent to which a test samples the behavior that is of interest
- examines whether all of the relevant content domains are covered

Dialectal Behavior Therapy (DBT)

Promising treatment for borderline personality disorder that involves exposing the client to stressors in a controlled situation, as well as helping the client regulate emotions and cope with stressors that might trigger suicidal behavior.
- a client unde


true or false: social workers in fee-for-serivce settings may terminate services to clients who are not paying an overdue balance if the financial contractual arrangements have made to be clear to a client and other consequences of the current non-payment


true or false: social workers are mandated to make reasonable efforts to ensure continuity of services in the event that services are interrupted by factors such as unavailability , relocation, illness or death


The DSM-5 deleted a separate section for "disorders usually first diagnosed in infancy, childhood, and adolescence

other specified disorder or unspecified disorder

the DSM 5 replaces "not otherwise specified" (NOS) with

other specified disorder

allows SW to specify reason that criteria for a specific disorder is not met

Unspecified Disorder

allows SW option to forgo (refrain from) specification

speech sound disorder

term used to refer to an individual with a phonological or articulation disorder

Social (Pragmatic) Communication Disorder

New addition to DSM-5
-has implied social, verbal, and non verbal communication

has to appear by age 12

changes to ADHD age

neurodevelopmental disorders

new chapter in DSM5

all subtypes of schizophrenia were deleted

changes made to Schizophrenia spectrum and other psychotic disorder in dim-5

requires a major mood episode

new change to schizoaffective disorder

Recurrent legal problems" criterion for substance abuse has been deleted from DSM-5
A new criterion has been added: craving or a strong desire or urge to use a substance

There are two major changes to the new DSM-5 criteria for substance use disorder:

now it is broken into 4 clusters

changes for PTSD in the DSM5

The largest change for these three disorders is that a person no longer has to recognize that their anxiety is excessive or unreasonable in order to receive one of these diagnoses.

biggest change in DSM-5 : Anxiety Disorders & Phobias

Amenorrhea � the absence of a menstrual cycle in a woman � has been removed as a requirement for anorexia to be diagnosed in women
-bulimia changed from" at least twice weekly for 6 months" to "at least once weekly over the last 3 months
-binge eating dis

biggest changes to DSM-5 Changes: Feeding & Eating Disorders

- "sleep disorders related to another mental disorder" and "sleep disorder related to a general medical condition" were deleted
- insomnia disorder ( previously primary insomnia disorder)
new disorders include:
-- obstructive seep area hypopnea
-- central

bigest changes to sleep wake disorders in dsm5

Enuresis Disorder

Repeated urination into bed or clothes, whether involuntary or intentional, at least 2x/week for 3 months OR in the presence of clinically significant distress or impairment, after age 5 years
- passage of feces in inappropriate places causing embarrassme

caffeine withdrawal disorder and cannabis withdrawal disorder

2 new disorders under substance related and additive disorder

A major change from DSM-IV to DSM-5 is the combination of substance abuse disorder and substance dependence disorder into a single SUD

biggest change in substance related disorder


a long term or chronic impairment in memory function, awareness, motor behavior, attention, and memory seeking


a temporary impairment in memory function, awareness, motor behavior, attention, and thinking


the response person has when they experience an extremely negative event


when a client experiences neurological distress and it does not go away or they are unable to return to their state of neurological equilibrium after a horrible event

Typical Antipsychotics

Haloperidol (Haldol)
Loxitane (loxapine)
Prolixin (fluphenazine)
Thorazine (chlorpromazine)
Mellaril (thioridazine)
Moban ( molindone)
navane ( thiothixene)
serentil ( mesoridazine)
stelazine ( trifluoperazine)
*** zine and Haladol

atypical antipsychotics

Abilify (Aripiprazole),
Clozaril (Clozapine)
Seroquel (Quetiapine)
Respirdal (Risperidone)
Geodon (Ziprasidone)
Zyprexa ( olanzapine)

Clorazil (clozapine)

Antipsychotic drug has an increased risk of agranulocytosis that requires blood monitoring

Stanford-Binet Intelligence Scale

a scale used to assess cognitive abilities in children and adults

Wechsler Intelligence Scale

a scale used to test cognitive ability in 4 indexes

Aptitude tests

tests that assess how well a person can learn or acquire skills and abilities

achievement test

measures how much a person has learned in a given subject or area

previous attempts

the best predictor of future suicide attempts

miracle question

A solution-focused technique that asks clients to imagine how their life would be different if they woke up tomorrow and they no longer had their problem.

scaling problem

Asking the client to rate the severity of the problem.

scaling motivation

asking clients to estimate the degree to which they feel hopeful about resolution, or perhaps the degree to which they have given up hope


the tendency of group members to conform, resulting in a narrow view of some issue--- bad

group polarization

tendency of group members to move to an extreme position after discussing an issue as a group ---good

Intellectual Disability disorder

The newer term for "mental retardation"; a disability in intelligence and adaptive behavior.

Intellectual Disabilities

a classification in the DSM that has intellectual disability disorder and global development disorder

childhood onset fluency disorder

stuttering in the DSM

Autism Spectrum Disorder

DSM-5 category that includes autistic spectrum disorder and Asperger's disorder, pervasive development disorder not otherwise specified, and childhood disintegrative disorder

Motor Disorders

new subtype in the DSM that has developmental coordination disorder ad stereotypic movement disorder

Tic Disorders

a classification int he DSM 5 that includes Tourette's disorder, persistent (chronic) motor or vocal tic disorder, provisional tic disorder

schizophrenia spectrum and other psychotic disorders

classification in the DSM 5 that has schizotypal personality disorder, delusional disorder, brief psychotic disorder, schizophreniform disorders, schizoaffective disorder, catatonia , schizopreia

Feeding and Eating Disorders

a chapter in the DSM that has Pica, Rumination disorder, avoidant/ restrictive disorder, anorexia nervosa, bulimia nervosa, binger eating disorder,

trauma and stress related disorders

a group of mental disorders distinguished by their origin in stressful events
- ex: reactive attachment disorder, disinhibited social engagement disorder, PTSD ( NOT HAS 4 CLSUTERS), acute stress disorder

dissociative disorders

a class of disorders in the DSM 5 which people lose contact with portions of their consciousness or memory, resulting in disruptions in their sense of identity
ex: dissociate identity disorder, amnesia,

Somatic Symptom and Related Disorders

Category of disorders involving physical symptoms that have psychological causes. Includes: conversion disorder, somatic symptom disorder, illness anxiety disorder, factitious disorder

obsessive-compulsive and relative disorders

chapter in the DSM that has OCD, body dysmorphic disorder, hoarding disorder, trichotillomania (hair pulling disorder), excoriation (skin picking),

body dysmorphic disorder

involves excessive preoccupation with an imagined defect in physical appearance
-- new criteria were added that describes repetitive behaviors or mental acts that may arise with perceived defects or flaws in physical apperareacne

Hoarding Disorder

disorder characterized by persistent difficulty in parting with possessions, regardless of their actual value or usefulness

anxiety disorders

A class of disorders marked by feelings of excessive apprehension and anxiety.
-- ex: separation anxiety, selective mutism, specific phobia, social anxiety agoraphobia , panic disorder

Elimination Disorders

disorders characterized by age-inappropriate incontinence, beginning in childhood
-- enuresis ( bed wetting) and encopresis ( passage of feces in appopriate places)

Disruptive, Impulse-Control, and Conduct Disorders

in the dam 5 category: These are conditions involving problems controlling emotions and behaviors, such as conduct disorder, intermittent explosive disorder, and kleptomania.oppositional defiance disorder

substance-related and addictive disorders

chapter in the DSM :Range of problems associated with the use and abuse of drugs such as alcohol, cocaine, heroin, and other substances people use to alter the way they think, feel, and behave. These are extremely costly in human and financial terms
- gam

neurocognitive disorders

A category of psychological disorders in which the primary symptom is significantly reduced cognitive abilities, relative to a prior level of functioning.
ex: delirium, major or mild neurocognitive disorder

paraphilic disorders

A category of disorders characterized by paraphilias that lead to distress, impaired functioning, or harm�or risk of harm�to the person or to others.
ex: exhibitioisitc disorder, sexual sodium disorder, pedopjilic disorder


a comprehensive attempt to distinguish normality from abnormality

single subject research

Research aimed at studying a single individual (or very small group) to learn more about relationships between variables