Review of DSM5 Mental Disorders for NCMHCE Study

Pervasive patterns of thinking, moods and actions Relative to self perception, distressing or exciting

circumstances, personal impulses and urges, other people

Begun in youth, consistent and inflexible in many personal and social situations and stable over time

Causes problems

S2. Assess Testing Personality Disorders

Questionnaire- 4 MCMI3 (Millon) MMPI Structured Clinical

Interview CATI (Coolidge ) Dimensional

Assessment of Personality Pathology—Basic Questionnaire

International Personality Disorder Examination

NEO Five-Factor Inventory Thematic Apperception

Test Global Assessment of

Functioning scale Adult Attachment

Interview

S4. TreatmentTherapy Psychodynamic Therapy CBT CBT Schema Therapy DBT Mindfulness Therapy Mentalization Focused Therapy

1. Paranoid2. Schizoid3. Schizotypal

Cluster A disorders are not as treatable as other personality disorders

Schizoid Detachment and

restricted range of emotion

Logical thinking, not irrational

Schizotypal Discomfort in close

relationships Distorted thinking

and perceptions, and eccentric behavior

Closer to schizophrenia

Paranoid Suspiciousness is

motive to avoid people

Diagnosis IMistrust and suspiciousness of othersRequires at least four of following:1) Suspects exploitation, deception or harm2) Preoccupied with doubts of others’ loyalty and trustworthiness3) Reluctance to confide4) Reads hidden meanings

5) Persistently bears grudges

6) Perceives character attacks

7) Suspects infidelity

Diagnosis IICo-occurring: Delusional disorder Schizophreniform

disorders Schizophrenia

Rule out: Disturbance is only part of

psychosis in psychotic disorder

Bipolar or depressive disorder with psychotic features

Result of medical problem

S1. Find Out S2. Assess & Refer MCMI3 (Millon) MMPI Structured Clinical

Interview

S4. Treatments I Very challenging since clients deny

symptoms and avoid confronting their irrational beliefs

Non-critical, non-judgmental stance Supportive client centered approach Medications arouse suspicions, so

any necessary ones should be prescribed briefly

Therapy Individual Cognitive

Diagnosis IIDetachment and restricted range of emotionRequires at least four of following:1) Neither wants or enjoys close

relationships2) Chooses solitary activities3) Little interest in sex or romance4) Takes pleasure in few activities

5) Lacks close friends and confidants

6) Indifferent to praise or criticism

7) Shows emotional coldness or detachment

Diagnosis IICo-occurring: Delusional disorder Schizophreniform

disorders Schizophrenia

Rule out: Autism Spectrum Disorder Disturbance is only part of

psychosis in psychotic disorder

Bipolar or depressive disorder with psychotic features

Result of medical problem

S1. Find Out S2. Assess & Refer MCMI3 (Millon) MMPI Structured Clinical

Interview

S4. Treatments Very challenging since

clients deny symptoms and avoid confronting their irrational beliefs

Non-critical, non-judgemental stance

Possible treatments:1. Brief, Solution Based

Therapy2. Schema Therapy3. Social skills training4. Coping strategies in

social situations

Diagnosis IIKey: Discomfort in close relationships, distorted thinking and perceptions, and eccentric behavior

Requires at least 5:1) Senses others are thinking of them2) Belief in superstitions and magical thinking and powers3) Odd perceptions4) Odd thinking and speech5) Suspiciousness and paranoia6) Constricted, inappropriate affect7) Odd behavior8) Lacks close friends9) Social anxiety related to paranoia

Diagnosis IICo-occurring: Delusional disorder Schizophreniform disorders Schizophrenia

Rule out: Autism Spectrum Disorder Disturbance is only part of a

psychotic disorder Bipolar or depressive

disorder with psychotic features

Result of medical problem

S1. Find Out S2. Assess & Refer MCMI3 (Millon) MMPI Structured Clinical

Interview

S4. Treatments Very challenging since clients deny symptoms and avoid confronting their irrational beliefs Non-critical, non-

judgemental stance

Therapy1. Supportive, client

centered therapy2. Speech and social

skills training3. Cognitive TherapyMedications During psychotic

episodes