Pepperdine University Bipolar and Personality Disorders Discussion DSM-5: Bipolar and Related Disorders
1.For a manic episode, describe the quality of mood and energy, 3 other symptoms, the duration and impairment. What are the issues related to manic-like symptoms triggered by a substance, antidepressant treatment, or a medical condition? (p. 124)
2.How is a hypomanic episode different from a manic episode (consider intensity of symptoms, level of impairment, presence of psychotic features)? (p.124-5; Criterion A, C, D, E).
3.Differentiate Bipolar I Disorder and Bipolar II Disorder? Can BP I include a hypomanic episode? (p. 126-7) Can BP II include a manic episode? (p. 135)
4.When do individuals with Bipolar II disorder typically present to clinicians? Why is this the case? Why is it helpful to get information from other informants? (p. 135)
5.What kinds of symptoms are involved in the mood swings for Cyclothymic Disorder? Duration for adults? Children? (p. 139). What is the essential feature of cyclothymic disorder? What if someone with cyclothymic disorder subsequently experiences a major depressive, manic, or hypomanic episode? (p. 141) Differentiate Cyclothymic Disorder and Bipolar I and II with rapid cycling. (p.141)
6.Note the diagnoses of substance/medication-induced bipolar and related disorder as well as bipolar and related disorder due to another medical condition. (142-145)
7.What is meant by rapid cycling for Bipolar I & II Disorders? (p. 150-1)
Reichenberg Chapter 4: Bipolar and Related Disorders
1.What are common lengths of time for the depressed phase? Manic phase? (p. 109)
2.How often is bipolar disorder comorbid with at least one other disorder? What is the most prevalent co-occurring disorder? (Pg. 110)
3.What is the role of mood stabilizing medication vs. psychotherapy? What phase of the disorder does each of these treatments target? Which works best? (Pg. 114-115)
4.What is considered to be the foundation of treatment of bipolar disorders? Who is the treatment most effective for? Are people compliant with this treatment? Why or why not? (Pgs. 115-116)
5.What are 3 psychotherapies that have empirical support as adjuncts to medication in treating those with bipolar disorder? (p. 116) Also see: http://tinyurl.com/zguq4ne
6.What is the focus of social rhythm therapy? (p. 116)
7.In FFT, what education is provided to the family and client? How can this information affect the prognosis of a bipolar disorder? (Pg. 117 – 118)
8.Of those diagnosed with depression, what percent are later found to have a bipolar disorder? (Pg. 120)
9.Of those treated for bipolar, which is the more common subtype? When do those with bipolar II seek treatment? Why is bipolar II underreported and misdiagnosed? (Pg. 123)
10.What are 2 hindrances to the diagnosis of cyclothymia? (Pg. 130)
DSM-5: Personality Disorders
1.At what point do personality traits become disorders? (Pg. 647)
2.What is the essential feature of paranoid personality disorder (i.e., Letter A of the criteria)? How does this distrust impact what is shared with others and how remarks from others are interpreted? (Pg. 649)
3.How is paranoid personality disorder (PPD) different from delusional disorder, persecutory type or schizophrenia? (Pg.652)
4.What is the essential feature of schizoid personality disorder? How does this impact the persons interest in social or sexual relationships, response to remarks from others, and emotional state? (Pg.652-653)
5.What types of ideas/thinking and behavior/appearance do those with schizotypal personality demonstrate? (Pg. 656)
6.What are 3 symptoms (since 15) of those with antisocial personality disorder? (Pg. 659)
7.How old does one have to be for the diagnosis? What diagnosis must have been present prior to age 15 for APD? (Pg. 659)
8.As you go through the remaining readings, highlight 2 DSM symptoms in the criteria for each of the following FIVE personality disorders: borderline, histrionic, avoidant, dependent, obsessive-compulsive.
9.How do the terms instability, impulsivity, and emptiness apply to borderline personality disorder? (Pg. 663)
10.What are 2 ways that the terms excessive emotionality and attention-seeking apply to histrionic personality disorder? (Pg. 667)
11.What is the essential feature of narcissistic personality disorder? How do the terms entitlement and interpersonally-exploitative apply to NPD? (Pg. 669-670)
12.How is avoidant PD different from schizoid PD? Why do people with avoidant personality disorder withdraw and become socially isolated? (Pg. 675)
13.What does a person with dependent personality disorder seek when making decisions? What about fears related to being alone and being able to take care of himself or herself? (Pg. 675-676)
14.How do the terms orderliness, perfection, productivity, control, and rigidity pertain to obsessive compulsive personality disorder? (Pg. 678-679)
Reichenberg, Chapter 19, Personality Disorders
1.What is the most important goal when treating people with paranoid personality disorder? What are a couple of steps for therapists to take to achieve it? (Pg. 483)
2.What are the main reasons that people with antisocial personality disorder are in therapy? (Pg. 494) Is there a treatment that has a high level of effectiveness in treating APD? (Pg. 496)
3.What are a couple of challenges in working with a client with histrionic personality? What are some suggestions regarding setting limits and maintaining appropriate distance? (Pg. 499)
4.What should therapist do first with clients with borderline personality disorder (BPD)? What are some ways to continue working with these clients after addressing immediate concerns? (Note the 2 opposing mistakes therapists can make). (Pg. 505-506)
5.What are 2 supported treatments for BPD? (Pg. 507) Also see: http://www.div12.org/psychological-treatments/disorders/borderline-personality-disorder/
6.What are a couple of steps to take when terminating therapy with clients who have avoidant personality disorder? (Pg. 517-518)
7.How does a client with dependent personality disorder view the therapist? What are two ideas about how the therapist can manage these dynamics? (Pg. 519)
8.What is the overall goal in treatment for a person with dependent personality disorder? (Pg. 519)
9.How can establishing rapport and engaging in productive therapy be challenging when working with obsessive compulsive personality disorders? (Pg. 522)
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