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Assessing and Diagnosing Mental Illness

Assessing and Diagnosing Mental Illness. Don’t worry, I’ve already diagnosed everyone in this class... . Does your neighbour have Major Depressive Disorder?. You can pick a different disorder if you want... Write down 10 questions you would want to know before diagnosing them

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Assessing and Diagnosing Mental Illness

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  1. Assessing and Diagnosing Mental Illness Don’t worry, I’ve already diagnosed everyone in this class... 

  2. Does your neighbour have Major Depressive Disorder? • You can pick a different disorder if you want... • Write down 10 questions you would want to know before diagnosing them • We will see if your questions include everything that we are going to talk about today!

  3. Frank Has Problems • Frank is young, serious, and anxious • Lets clinically assess him: a clinical assessment is the systematic evaluation and measurement of psychological, biological, and social factors in an individual presenting with a possible psychological disorder • We will start with a clinical interview

  4. Mental Status Exam • This is a preliminary test of a client’s judgement, orientation to time and place, and emotional and mental state. Often it is conducted in the initial interview. • Want to know their: • 1.Appearance and behavior • 2. Thought processes and speech • 3. Mood and affect • 4. Intellectual functioning • 5. Sensorium

  5. Physical Exam • Many problems presenting as disorders of behavior, cognition, or mood, can have a relationship to a toxic state • This toxic state could be caused by bad food, the wrong medicine, drugs, or the onset of a serious medical condition (such as a brain tumor)

  6. Behavioral Assessment • Directly observe an individual’s behavior and ask them about their thoughts and feelings • Target Behaviors are identified, and the goal is to determine what is causing or influencing them • Uses the ABC’s of Observation • Antecedents • Behavior • Consequences

  7. Psychological Testing • Must be reliable and valid. What does this mean? • Includes: • Intelligence testing • Neuropsychological testing • Neurobiological procedures • Personality inventories • Projective Tests

  8. Projective Testing • Using psychoanalysis, these test give ambiguous stimuli to clients in belief that their responses will reveal their unconcsious conflicts • Examples include the Rorschach Ink Blot Test and the Thematic Apperception Test • Are these tests reliable?

  9. Rorschach Ink Blot Test

  10. Thematic Apperception Test

  11. Personality Inventories • These are self-report questionnaires that assess personal traits • Example: NEO-PI-R, which measures the Big 5 personality traits: • Openness to experience – (inventive/curious vs. consistent/cautious). • Conscientiousness – (efficient/organized vs. easy-going/careless). • Extraversion – (outgoing/energetic vs. solitary/reserved). • Agreeableness – (friendly/compassionate vs. cold/unkind). • Neuroticism – (sensitive/nervous vs. secure/confident).

  12. Personality Inventories • Example: Minnesota Multiphasic Personality Inventory II (MMPI-2) • Measures your degree of anxiety, fears, obsessiveness, depression, health concerns, hallucinations and delusions, anger, cynicism, antisocial practices, Type A vs. B, self-esteerm, social discomfort, family problems, work interference, and negative treatment indicators • The test is almost 600 questions, many of them repetitive

  13. Intelligence Testing • They can predict your academic success • Your IQ is not your intelligence! • Your IQ is your score, or intelligence quotient on one test-the Stanford-Binet Test • There is also the Wechsler Intelligence Test • Verbal scales • Performance scales

  14. Intelligence Tests • What kinds of intelligence are there? • What kinds of things should intelligence be measuring? • Attention span • Perception • Memory • Reasoning • Verbal comprehension

  15. Neuropsychological Tests • Done when there is expected brain damage • Take a long time to complete • Measure language, attention and concentration, memory, motor skills, perceptual abilities, and abstraction • Ex. Tactile Performance Test-the test taker places wooden blocks in a certain form while blindfolded (this tests learning and memory skills)

  16. Neuroimaging • Pictures of the brain using CAT scans or MRI-these show us structures • If you want to know about the function, you use a PET scan. This measures activity of the brain

  17. Homework • Complete a personality test similar to one developed by Jung and Briggs. • This test will measure you on 4 different things. You will get a 4 letter score. • Mine is ENFJ • You can click on further links to learn about yourself, and what kinds of careers will be best for you! • Personality Test Link • Write your 4 letter score in your journal and answer 3 questions: • 1. What does your 4 letters mean? • 2. Read the description about yourself. What parts do you agree with? What parts do you disagree with? • 3. Do you think this is a phony test or a reliable test? Why?

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