Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation

1. Review of DSM5 Mental Disorders for NCMHCE Study

2.  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

3. 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

4. S4.Treatment
Therapy
 PsychodynamicTherapy
 CBT
 CBT SchemaTherapy
 DBT
 MindfulnessTherapy
 Mentalization FocusedTherapy

5. 1. Paranoid
2. Schizoid
3. Schizotypal
 Cluster A disorders are
not as treatable as
other personality
disorders

6. 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

8. Diagnosis I
Mistrust and suspiciousness of others
Requires at least four of following:
1) Suspects exploitation, deception
or harm
2) Preoccupied with doubts of
others’ loyalty and trustworthiness
3) Reluctance to confide
4) Reads hidden meanings
5) Persistently
bears grudges
6) Perceives
character attacks
7) Suspects
infidelity

9. Diagnosis II
Co-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

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

11. 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

13. Diagnosis II
Detachment and restricted range
of emotion
Requires at least four of following:
1) Neither wants or enjoys close
relationships
2) Chooses solitary activities
3) Little interest in sex or romance
4)Takes pleasure in few activities
5) Lacks close friends
and confidants
6) Indifferent to
praise or criticism
7) Shows emotional
coldness or
detachment

14. Diagnosis II
Co-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

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

16. 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
Therapy
2. SchemaTherapy
3. Social skills training
4. Coping strategies in
social situations

18. Diagnosis II
Key: Discomfort in
close relationships,
distorted thinking
and perceptions, and
eccentric behavior
Requires at least 5:
1) Senses others are thinking of them
2) Belief in superstitions and magical
thinking and powers
3) Odd perceptions
4) Odd thinking and speech
5) Suspiciousness and paranoia
6) Constricted, inappropriate affect
7) Odd behavior
8) Lacks close friends
9) Social anxiety related to paranoia

19. Diagnosis II
Co-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

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

21. S4.Treatments
Very challenging since clients
deny symptoms and avoid
confronting their irrational
beliefs
 Non-critical, non-
judgemental stance
Therapy
1. Supportive, client
centered therapy
2. Speech and social
skills training
3. CognitiveTherapy
Medications
 During psychotic
episodes