LCSW Exam Prep

Termination Process

Is most associated with evaluating goals and accomplishments

Community Organizer

Developing and working with groups from a community to improve relationships among the residents

DSM-IV-TR

Most helpful with assessment interpretation

Borderline Intellectual Functioning

IQ 71-84

Borderline Intellectual Functioning

Code on Axis II

Mild MR

55-70, considered educable, minimal assistance, may need some supervision and guidance, live in community or in supervised settings

Moderate MR

35-55, considered trainable, able to preform at 2nd grade level, moderate supervision, can attend to their own personal care, can perform unskilled or semi-skilled work, can live in the community

Severe MR

20-35, considered trainable, generally institutionalize, have little or no communicative speech, possible group home.

Profound MR

IQ below 20, generally total care

Mental Retardation

Deficits in adaptive and social functioning, an IQ of 70 or less, onset prior to age 18.

Pervasive Mental Disorders

Involves multiple functions and behaviors are not considered normal at any age. Impairment in reciprocal interaction, verbal and nonverbal skills, imaginative activity, and intellectual skills

Autistic Disorder

Age of onset requirement is age 3, self-stimulating, self injuring behaviors often present, such as, rocking, spinning, head banging.

Rett's Disorder

Only in females, deceleration of head growth, start out normal and 5 to 24 months problems develop, loss of previously acquired hand skills, loss of social engagement, appearance of stereotyped movements, impaired language functioning generally associated with severe or profound mental retardation

Childhood Disintegrative Disorder

Normal development for two years then a drastic decline followed by a loss of previously acquired skills, and development of autistic like symptoms

Asperger's Disorder

Autistic like symptoms without language impairment, severely impaired social interaction, these children often have normal to above normal intelligence

ADHD

symptoms must persist for atleast 6 months, predominately inattentive, hyperactivity-impulsivity, combined. Generally before age 7.

Conduct Disorder

Pattern of behavior that violates rights of others, aggression to people and animale, deceitfulness or theft, destruction of property, serious violations of rules

Tourette's Disorder

vocal and motor tics, onset before age 18, symptoms must last for a at least a year.

Enuresis

Elimination or urine during day or night, must be age 5 before it can be diagnosed

Encopresis

Elimination of feces or soiling in inappropriate places; occurs one time a month for 3 months, must be at least 4 years of age to diagnose

Seperation Anxiety Disorder

Excessive anxiety over separation from home or whom attached, must last 4 weeks and begin before age 18.

Stranger Anxiety

A normal reaction experienced by an infant when startled or feeling threatened.

Separation Anxiety

Feelings of anxiety and fear that result after being separated from a significant other, such as, parent or partner.

Selective Mutism

At least 1 month in duration, an inability to speak or understand spoken language

Delirium

Clouded sensorium, brief duration, can happen in young and old

Dementia

No clouded sensorium, long duration, must have disturbance in occupational and social functioning, characterized by multiple cognitive deficits.

Substance Abuse

Continue use knowing it is causing harm

Substance Dependence

Needs to take larger amounts with unsuccessful attempts to quit

Substance Intoxication

Recent ingestion of psychoactive substance

Substance Withdrawal

Maladaptive cognitive and behavioral declines due to reduction of a substance

Substance abuse is considered to be in remission

12 months

Schizophrenic, Disorganized Type

Marked incoherence, lack of systematized delusions, silly affect

Schizophrenic, Catatonic Type

Stupor, rigidity, bizarre posturing, waxy flexibility and excessive motor activity

Schizophrenic, Paranoid Type

One or more systemized delusions, or auditory hallucinations with a similar theme

Schizophrenic, Undifferentiated Type

"Garbage can" bits of other types

Schizophrenic, Resifual Type

Not currently displaying symptoms displayed in the past

Mood

The general feeling (e.g. depressed)

Affect

How you show it (e.g. flat or blunted)

Brief Psychotic Disorder

AKA 3 day schizophrenia, symptoms have existed no longer than a month with a sudden onset linked to a psychosocial stressor

Schizophreniform Disorder

Episode is less than six months

Schizoaffective Disorder

Having a mixture of symptoms suggestive of both an affective (mood) disorder and schizophrenia

Shared Psychotic Disorder

Folie a Deux, two people share and create a delusional system

Positive symptoms

refers to hallucinations and/or delusions

Delusions

Strong beliefs held against strong contrary evidence

Hallucinations

Inaccurate perceptions where inaccurate auditory stimuli is the most common

Negative symptoms

Refers to lack of movement (avolition) or speech (alogia)

Old or Typical Antipsychotic Medications

Chlorpromazine/Thorazine, Thioridazine/Mellaril, Trifluoperazine/Stelazine, Phenazine/Prolixin, Haloperidol/Haldol

General side effects with Antipsychotic medications

Drowsiness or Sleepiness

Dystonia

Acute contractions of the tongue (stiff or thick tongue)

Akathisia

Most common form of EPS

Anti-Parkinsonian Medications used to decrease EPS side effects

Cogentin/benzotrpine, Artane/trihexxyphenidyl, Benadryl/diphenhydramine

Tardive Dyskinesia

Permanent neurological condition that can result from using the older antipsychotic medications and not taking anything to help control the EPS side effects

New or Ayypical Anti-psychotic Medications

Clozapine/Clozaril, Risperdone/Risperdal, Olanzapine/Zyprexa

Manic Episode

Presenting mood is persistently elevated. Must have at least 3 of these symptoms: increased psychomotor agitation, flight of ideas, decreased need for sleep, grandiosity, sexual preoccupation, positive symptoms, episodes last approximately 1 week

Hypomanic Episode

Symptoms not severe enough to interfere with functioning, expansive, irritable and elevated mood that lasts at least 4 days

Major Depressive Episode

Depressed mood lasting approximately 2 weeks; changes in sleeping or eating (increase or decrease) appetite disturbance, gatigue, reduced ability to concentrate, delusions are possible

Mixed Episode

Alternating moods lasting approximately 1 week, must meet criteria for both manic and depressive

Bipolar I Disorder

One or more manic episodes, usually with a history of depressive episodes, can have psychotic aspects

Bipolar II Disorder

One or more depressive with at least one hypomanic episodes, no psychosis

Cyclothymic Disorder

Persistant mood disturbance lasting at least two years, must not be without for two months

Dysthymia

Two year history of depressed mood, must not be without for two months

Lithium

Used to treat Bipolar disorder, Need routine lithuim levels

Side effects of Lithium

Drowsiness, weakness, nausea and vomiting, fatigue and hand tremor

Medications for Schizoaffective disorders or agitated depression of a cyclic nature (Mood Stabilizers)

Depakote (Valproic acid), Depakene, Clonzapepam

Medications for Depression

Tricyclics: Tofranil generic name Imipramine (grandfather of depressants), Elavil/Amitriptyline

MAO Inhibitors

Eldepryl (Selegiline)

SSRI's (Second generation anti-depressants)

Prozac/Fluoxetine, Paxil, Paroxetine hydrochloride, Zoloft

Side effects of SSRI's

Sexual disinterest and orgasmic delay

Panic Disorder with or without Agoraphobia

Attacks involving intense fear and apprehension lasting several minutes

Agoraphobia with History of Panic Disorder

Fear of being in places where escape may be difficult

Social Phobia

Persistent fear of one of more social situations in which person may come in contact with

Specific Phobia

Fear to a object or stimulus not generally fear, easiest to treat

Obsessive Compulsive Disorder

Reoccurring obsessions (thoughts) and compulsions (behaviors) severe enough to affect social/occupational functioning. Defense mechanism often exhibited is reaction formation. Will likely display; Singiness, Indecision, and Perfectionism

Post-Traumatic Stress Disorder

Symptoms must last at least 1 month, must be outside of range of usual experience, often relive situation

Generalized Anxiety Disorder

Undue persistent worry for at least six months about at least two or more life circumstances

Acute Stress Disorder

Reaction to extreme stress, occurs within four weeks of the stressor and last from two days to 4 weeks.

Anti-Anxiety Medications

Buspar, Alprazolam/Xanax, Diazepam/Valium--Potentially addictive

Somatization Disorder

Recurrent and multiple somatic complaints (at least 13) begins in teens, onset before age 30

Conversion Disorder

A change or loss in physical functioning and not related to a physical condition, individual does not have voluntary control of symptoms

Hypochondriasis

Unrealistic interpretation of physical symptoms as an abnormal, preoccupation with the fear of being seriously ill. They can acknowledge that there are no grounds for fear.

Body Dysmorphic Disorder

Preoccupation with an imagined body flaw

Factitous Disorder

Person creating physical symptoms for attention

Depersonalization Disorder

Causing significant distress for the individual, during episodes reality testing remains intact

Fetishism

strong sexual fantasy or urges involving use of non-living objects

Transvestitism

strong sexual fantasy or urges involving cross dressing

Pedophilia

strong sexual fantasy or urges involving interest in prepubertal children, to be considered a perpetrator you must be five years older than the victim, and the perpetrator must be at least 16 years of age

Exhibitionism

strong sexual fantasy or urges involving exposing genitals

Voyeurism

strong sexual fantasy or urges involving observing others engaging in sex

Sexual Masochism

strong sexual fantasy or urges involving sexual excitement through pain infliction

Frotteurism

strong sexual fantasy or urges involving touching/rubbing against a nonconsenting person

Male Erectile Disorder

Failure to obtain/maintain erection

Premature Ejaculation

Does so with minimal simulation after insertion into vagina

Dysparenuria

Genital pain in male/female during/after sex

Vaginismus

Recurrent or persistent involuntary spasm of muscalature that interferes with sex

Anorexia Nervosa

Intense fear of gaining weight, usually underweight

Bulimia Nervosa

Episodes of binge eating, self induced vomiting

Schizoid Personality Disorder

Very detached with a pattern of indifference, lack of desire for intimacy

Schizotypal Personality Disorder

More typical of shizophrenia, numerous social and interpersonal problems--Ideas of Reference found here

Ideas of Reference

Incorrect interpretation of a causal incident as having a particular or unusual meaning to a person

Borderline Personality Disorder

Instability of self, Needs clear boundaries, Defuse crisis formulation in treatment, DBT