Jacob, age 14, is being seen by a school clinician for repeated angry outbursts at school. He is persistently irritable, constantly argues with adults, has a history of behavioral referrals, and recently changed schools after being expelled for threatening a teacher. Jacob is failing in school, and his parents are thinking of sending him to a wilderness camp where he can "get some sense knocked into him." These symptoms suggest which DSM-5 diagnosis?

Marilyn, age 15, comes to therapy with her family because the school nurse recommended it after catching her vomiting in the bathroom at school. Marilyn has lost a great deal of weight recently and is now extremely thin. Her mother, who is mildly overweight, expresses concern, but her father says he "likes them skinny." In addition to an eating disorder, Marilyn is most likely to receive a diagnosis of which of the following?

As described in the DSM-5, the characteristic symptoms of substance use disorder can be categorized in terms of which of the following?

Kelly, a 24-year-old flight attendant, presents with dysfunction in her romantic relationships. She says that she grew up in foster care most of her life. She longs for a romantic relationship, but she says they often fizzle out fairly quickly and has been told that she is "cold and too controlling." She admits that she tries to hold onto a new relationship too tightly. What is Kelly's diagnosis?

Faith, age 26, initially presents with PTSD resulting from childhood sexual abuse. During the second session, she says, 'Faith is not here. I'm Hope.' Faith's sudden switch can be attributed to__________ and is best treated using_______

Based on the initial evaluation of a 15-year-old boy, a clinician believes the nature and number of his symptoms suggest a DSM-5 diagnosis of attention-deficit or hyperactivity disorder, predominantly inattentive presentation. Before assigning the diagnosis, the clinician will want to confirm that some symptoms were present before the boy was years of age and that he exhibits them in at least settings.

An individual experiences hallucinations while intoxicated. This symptom suggests that this individual is LEAST likely to be intoxicated with which of the following?

Your new client is a 13-year-old boy who has been having trouble concentrating at school, spends most of the weekend sleeping, has been eating more than usual, and has put on 20 pounds in the last few months. The boy's parents tell you that he "used to be a good student" but "simply doesn't focus anymore" and has become irritable and hard to get along with. They also say that this change started over a year ago. The boy says he just feels miserable most of the time. What DSM-5 diagnosis best explains this boy's symptoms?

A woman brings her 32-year-old son to therapy. He says that he feels very little connection to anyone. He does not feel bad that he has no friends or social life and says that he's always been 'a loner.' During the session, he seems uninvolved and is not very communicative. The best provisional diagnosis is:

The core feature of the DSM-5 diagnosis of gender dysphoria is which of the following?

Your new client is a 31-year-old man who has just learned that he is HIV positive. He says that, since learning of his HIV status, he has been feeling depressed, confused, and alone. Based on this information, the most likely diagnosis is which of the following?

The Green family consists of a stepfather, age 50, a mother, age 35, and daughter Susie, age 10. Mr. and Mrs. Green have been a couple for about a year and married two months ago. They recently moved into a new house, and Susie is in a new school. The family has no contact with Susie's biological father, an alcoholic who left the mother when Susie was age two. The presenting problem is that Susie has recently started setting small fires in the trash bins at her school. When asked why, she appears confused and does not acknowledge what she did. Mr. and Mrs. Green report that, at home, Susie seems 'a bit out of it' these days. They describe her as a usually quiet and well-behaved child. Based solely on the information given, which of the following would be the most likely diagnosis for Susie?

Regular use of morphine or other opioid can quickly result in the development of tolerance and dependence. When this occurs, abrupt cessation of the drug produces a withdrawal syndrome that is characterized by

Ella was involved in a serious car accident three weeks ago in which her best friend was killed. Since the accident, Ella has experienced a loss of positive feelings toward friends and family members, increased irritability, flashbacks of the accident, an inability to remember what happened in the days following the accident, nightmares about the accident, and derealization. She has also been avoiding the intersection where the accident occurred, doesn't like to talk about the accident, and has been having trouble concentrating and sleeping. Based on these symptoms, the most likely diagnosis for Ella is which of the following?

Hank, age 25, is a new client who tells you he has been feeling depressed because he recently got fired from his second job in less than a year and does not understand why. Hank is sweating, is disheveled and unshaven, seems restless, and complains of a "tight feeling" in his chest. When you conduct a mental status exam, Hank exhibits symptoms of irritability, agitation, and tangential thinking. What is the most likely cause?

Which of the following assessment tool would be most useful for determining whether or not a DSM-5 diagnosis of intellectual disability is the appropriate diagnosis for a client?

Mary Ann, age 29, seems very nervous during her first therapy session. When she speaks, her hands shake and she blushes. She tells you that, while she isn’t afraid to be around people, she gets anxious and flustered whenever she has to speak to people she doesn’t know. Mary Ann also says she has trouble talking to her supervisor at work because he’s condescending and critical. Based on these symptoms, the diagnosis for Mary Ann is which of the following?

Which of the following questions would be LEAST useful to ask a client after determining that he or she has an alcohol addiction?

You have been treating a family for the past year. The parents have been separated for eight months, and the father has had sole custody of his youngest son since the separation. Two months ago, the boy developed several symptoms. He starts crying when he has to go to school and whenever he has to leave his dad. He's also isolative at school; his grades have dropped; and he has been having nightmares about being unable to be with his father. What is the most likely diagnosis?

A 10-year-old boy has a behavior problem at home, at school, and in the community. When taking a history from the boy's parents, the therapist decides to rule out oppositional defiant disorder as the appropriate diagnosis when she discovers that the boy:

John is a 35-year-old graphic designer who is seeking help for his fear of public speaking. Due to a recent promotion, he is now required to make regular "pitches" to prospective clients. Previously, his work was mostly "behind the scenes," and he's afraid that he will "blow it" when making presentations and look incompetent and silly to his co-workers and clients. John is considering asking to be demoted so that he won't have to make presentations. He states that public speaking has been a problem for him since high school, and that he feels like he's having a panic attack whenever he has to speak in front of a group.

Your new client, a 28-year-old man, is highly agitated; his speech is somewhat rambling and incoherent; he has experienced auditory hallucinations; and he says that he thinks he is being followed and that his neighbor is spying on him. What would be one of the first things you would want to rule out when determining a diagnosis for this man?

A person who is experiencing alcohol withdrawal would most likely exhibit which of the following symptoms?

Your new client was referred to you by a psychiatrist, who will be working conjointly with you on the case. The psychiatrist tells you that the client recently had a hypomanic episode. Most likely the client displayed which of the following symptoms during this episode?

Your new client is a 26-year-old man who was brought to therapy by his parents. He expresses no anger at their insistence that he come to see you. He says he's employed but has no friends, is not dating, and isn't really interested in doing so. During the interview he seems cold and aloof. What is your provisional diagnosis?

Your client is convinced that, for the past three months, the government has been tapping his phone, reading his emails, and having someone follow him. He states that he believes that, at one point, he was drugged by "an agent" and was "out for a day or two." The client works as a computer programmer for a medical records company, has been married for three years, and has one child. He says that, despite the government's interference in his life, everything else seems to be okay. What is the DSM-5 diagnosis for this client?

A 19-year-old has been in trouble since junior high school for stealing, vandalism, and starting fires. He is now also dealing marijuana, using cocaine a few days a week, and getting into brawls. The explanation he gives for his behavior is, "I'm just lookin' out for number one." What is your primary diagnosis?

Your new client, a college freshman, says she sometimes has an 'out of body' experience in which she is watching what she is doing from outside herself. She describes a recent experience in which she was in her dorm room writing a paper when she realized she couldn't feel her fingers on the computer keyboard or her feet on the floor and then suddenly felt like she was watching herself from the ceiling. The client says that these episodes make her feel like she's 'going crazy' and are interfering with her ability to attend class and complete course assignments. The client's symptoms are most suggestive of a DSM-5 diagnosis of

Jacob just came out of a 30-day court-mandated inpatient rehabilitation facility for alcoholism and is now seeing you as part of his intensive outpatient treatment (IOT) for his aftercare and as part of his probation requirements. He is supposed to be taking Antabuse (disulfiram) as part of his treatment. Jacob comes to the first session obviously impaired. What first step should the therapist take in the course of treatment?

A three-year old child does not connect with her caregivers. She rarely seeks comfort from them when she's distressed and doesn't express positive emotions when interacting with them. She also has a history of neglect and multiple caregivers. Which is the MOST likely diagnosis?

A therapist on the staff of a community clinic evaluates a patient brought in by the police. The patient is a 75-year-old Navajo Native American who was found sleeping on top of a hill in a park. He told the police that he had been in the park for two days, and that he was speaking to spirits in preparation for his death. The MOST appropriate diagnosis for this patient is probably

For the past year, a middle-aged woman has had several episodes during which she is irritable and restless, has little energy, is unable to concentrate at work, has trouble falling asleep, and loses interest in her hobbies and in spending time with friends. Between these episodes, she says she feels good and, in fact, is quite productive at work and socially active. These symptoms are most suggestive of which DSM-5 diagnosis?

A DSM-5 diagnosis of acute stress disorder requires what duration of symptoms?

The DSM-5 requires that which of the following be ruled out as the cause of an individual's symptoms before assigning a diagnosis of a sexual dysfunction?

Agnes, age 23, is brought to therapy by her mother who says that her daughter is frequently "down in the dumps," seems chronically tired, and has developed a pessimistic attitude about her future. Although Agnes has been able to continue working, she has lost interest in spending time with friends. Her symptoms began nearly three years ago, and neither Agnes nor her mother can remember anything that could have precipitated the change in Agnes's mood and behavior. What is the most likely DSM-5 diagnosis?

Your client is an 11-year-old boy who has a history of behavioral problems. At school, the boy disturbs his classmates whenever the teacher asks the students to work independently on assignments in the classroom. He talks, makes noises, and throws paper wads and pencils to disrupt the other students and avoid doing his own work. He is easily annoyed and often loses his temper. The DSM-5 diagnosis that best meets the criteria for this boy's behavior is

A 31-year old male client presents with delusions and auditory hallucinations. His wife says that his symptoms began soon after the sudden death of his mother nearly three weeks ago. What is the best tentative diagnosis?