Abbreviated DSM5 Flashcards
(222 cards)
1
Q
how long do symptoms have to be present for disruptive mood dysregulation disorder
A
12 months with no period of 3+ months where all criteria are not met
2
Q
what are the two main criteria for disruptive mood dysregulation disorder
A
developmentally inappropriate anger outbursts at least three times weekly and persistent irritable mood between outbursts
3
Q
age range to diagnose disruptive mood dysregulation disorder
A
6-18
4
Q
Required age at onset for disruptive mood dysregulation disorder
A
must be before age 10
5
Q
how many setting must symptoms be present in for disruptive mood dysregulation disorder
A
present in at least 2 settings and severe in at least 1
6
Q
2 main differential dx to disruptive mood dysregulation disorder
A
pediatric bipolar
ODD
7
Q
what 2 disorders can not be diagnosed as comorbid with disruptive mood dysregulation disorder
A
ODD
intermittent explosive disorder
8
Q
9 possible diagnostic symptoms for MDD
A
depressed mood
loss of interest
weight/appetite change
insomnia/hypersomnia
psychomotor agitation/retardation
fatigue/loss of energy
feeling worthless/inappropriate guilt
decreased concentration
recurrent thoughts of death
9
Q
how many symptoms must be present for MDD dx
A
5 in the same 2 week time period
10
Q
what type of depression is associated with HPA axis hyperactivity
A
melancholia
11
Q
how long must symptoms be present for persistent depressive disorder
A
2 years with no time of 2+ months where criteria is not met
12
Q
how many symptoms must be present for persistent depressive disorder
A
2
13
Q
when would MDD be comorbid with persistent depressive disorder
A
anytime full criteria is met for MDD, include specifier
14
Q
how many symptoms must be present for premenstrual dysphoric disorder
A
At least 1 from each category with a total of 5
15
Q
4 PMDD symptoms from 1st category
A
affective lability
irritability
depressed mood
anxiety/tension
16
Q
7 PMDD symptoms from second category
A
loss of interest
trouble concentrating
lack of energy
change in appetite
sleep disturbance
feeling overwhelmed
physical symptoms
17
Q
how long to confirm dx of PMDD
A
at least 2 cycles (provisional until then)
18
Q
Medications likely to cause depressive symptoms
A
steroids
antihypertensives
interferon
L-dopa
19
Q
how many anxiety symptoms must be present for specifier ‘with anxious distress’
A
2
20
Q
severity specifiers for anxious distress specifier for MDD
A
mild - 2 symptoms
mod - 3 symptoms
severe - 4-5 symptoms
21
Q
How many manic-type symptoms must be present for ‘mixed features’ specifier for MDD
A
3
22
Q
How many symptoms have to be present for specifier of ‘melancholic features’
A
1 from category 1 and 3 from category 2
23
Q
category 1 of symptoms for melancholic specifier
A
loss of pleasure
lack of reactivity to + stimuli
24
Q
6 possible symptoms from category 2 for melancholic specifier
A
profound despair
depression worse in am
early morning waking
psychomotor changes
anorexia/weight loss
guilt
25
How many symptoms must be present for specifier MDD w/ atypical features
mood reactivity and 2+ other symptoms
26
what are the 4 possible symptoms for MDD w/ atypical features
weight gain/increased appetite
hypersomnia
leaden paralysis
interpersonal rejection sensitivity
27
how long must patient be symptom free for MDD in full remission
2+ months
28
difference between fear and anxiety
fear is a response to an actual threat and anxiety is the anticipation of a future threat
29
How many criteria must be present for dx of separation anxiety disorder
3 out of 8
30
what are the 7 possible symptoms for separation anxiety disorder
-distress when anticipating separation
-worry harm will come to attachment figure
-worry harm will come to them
-refusal to go out w/o attachment figure
-refusal to sleep away from home
-nightmares
-somatic complaints w/ separation
31
how long must symptoms be present for dx of separation anxiety disorder
4 weeks in children, 6 months in adults
32
diagnostic criteria for selective mutism
refusal to speak in certain situations which causes functional impairment and is not d/t language barrier or communication disorder
33
how long must symptoms be present for selective mutism diagnosis
at least 1 month (not limited to the first month of school)
34
6 diagnostic criteria for specific phobia
-phobic object/situation
-almost always causes fear
-actively avoided or endured with distress
-out of proportion with actual danger
-causes clinically significant distress
-present for 6+ months
35
typical age for development of specific phobia
typically before 10
36
diagnostic criteria for social anxiety disorder
-anxiety r/t social situations d/t fear of being judged
-fear they will embarrass themselves
-social situations almost always cause anxiety
-anxiety out of proportion with threat
-causes clinically significant distress
37
what must you specify with social anxiety disorder
if it is performance only
38
Taijin Kyofusho
fear that the person makes other people uncomfortable (may be with delusional intensity)
39
how many symptoms must be present for a full symptom panic attack
4+
40
criteria for panic disorder
panic attacks are unexpected
there is worry about additional panic attacks or maladaptive behaviors to avoid them for at least one month after the initial attack
41
How many panic attacks are required for dx of panic disorder
at least 2 full symptom attacks
42
what are the 5 main fears that characterize agoraphobia and how many have to be present for diagnosis
2/5
public transportation
open spaces
enclosed spaces
standing in line/crowds
going out alone
43
what is the fear in agoraphobia related to
fear that escape/help will not be possible in the event of a panic attack
44
how long must symptoms be present for dx agoraphobia
6+ months
45
what are the 3 other typical symptoms of panic disorder related to the situations that cause fear
-situations almost always cause fear
-situations are actively avoided or endured with distress
-fear out of proportion with threat
46
diagnostic criteria for GAD
excessive worry occuring most days that is difficult to control and causes clinically significant distress along with 3/6 symptoms (only 1 for children)
47
6 possible symptoms of GAD
-restlessness
-easily fatigued
-difficulty concentrating
-irritability
-muscle tension
-sleep disturbance -
48
how long must symptoms be present for dx GAD
6+ months
49
diagnostic criteria for bipolar 1
must meet criteria for at least 1 manic episode (not necessarily depressive)
50
elevated mood in bipolar 1
persistent and present most of the day nearly every day
51
what if hospitalization is required for mania
it is bipolar 1 by definition
52
how many manic symptoms must be present to qualify for full mania
3/7
53
7 possible symptoms of mania
-grandiosity
-decreased need for sleep
-pressured speech
-flight of ideas
-distractibility
-increased activity/psychomotor agitation
-reckless behavior
54
how serious do symptoms have to be to qualify for a manic episode
must cause significant functional impairment
55
how long must symptoms last for full manic episode
at least 1 week
56
how long must symptoms last for hypomanic episode
at least 4 days
57
how many other manic symptoms must be present to qualify for hypomanic episode
3+
58
how severe do symptoms have to be for hypomania
does not necessarily cause functional impairment
59
what type of bipolar is it if there are psychotic features
1
60
what if manic mood is irritable rather than expansive
must have 4 other symptoms present
61
diagnostic criteria for bipolar 2
must meet criteria for at least one hypomanic episode and at least one depressive episode
62
criteria for cyclothymic disorder
multiple episodes that don't quite meet criteria for hypomania and multiple episodes that don't quite meet criteria for depressive disorder
63
how long must symptoms be present for cyclothymic disorder
at least 2 years (1 in pediatric) w/ no sx free periods lasting longer than 2 months
64
9 specifiers for bipolar disorder
-with anxious distress
-with mixed features
-with rapid cycling
-with melancholic features
-w/ atypical features
-with psychotic features
- with catatonia
-with peripartum onset
-with seasonal pattern
65
how many anxiety symptoms for bipolar w/ anxious distress
2+
66
how may of the opposite pole symptoms must be present in bipolar episodes for mixed features specifier
3+
67
what constitutes with rapid cycling specifier
at least 4 episodes in the past year
68
how many melancholic symptoms must be present for bipolar with melancholic features specifier
must have loss of pleasure or lack of reactivity to pleasure and 3+ other melancholy symptoms
69
what is required for bipolar with atypical features
mood reactivity
70
how many symptoms must be present for bipolar w/ atypical features
2+
71
4 possible symptoms for atypical specifier for bipolar
-weight gain/increased appetite
-hypersomnia
-leaden paralysis
interpersonal rejection sensitivity
72
3 categories of symptoms for schizophrenia spectrum disorders
positive symptoms
negative symptoms
cognitive symptoms
73
6 types of delusions
-persecutory
-referential
-grandiose
-erotomanic
-nihilistic
-somatic
74
bizarre delusions
thought withdrawal
thought insertion
delusions of control
75
4 types of catatonic behavior
negativism
stupor
mutism
catatonic excitement
76
negativism
resistance to instruction
77
stupor
maintaining rigid/bizarre posture
78
mutism
complete lack of verbal/motor response
79
catatonic excitement
purposeless and excessive motor activity with no apparent cause
80
5 examples of negative symptoms
-diminished emotional expression
-avolition
-alogia
-anhedonia
-asociality
81
avolition
decrease in self-motivated purposeful activity
82
alogia
diminished speech output
83
anhedonia
decreased ability to experience pleasure
84
asociality
lack of interest in social situations
85
diagnostic criteria for schizotypal personality disorder
-pattern of deficits marked by reduced capacity for close relationships
-cognitive/perceptual distortions or eccentricities in behavior
-at least 5 other symptoms
86
what are the 9 additional possible symptoms of schizotypal personality disorder (must have 5)
-ideas of reference
-magical thinking
-unusual perceptual experiences/bodily illusions
-paranoia
-constricted affect
-odd/eccentric behavior
-lack of close relationships
-excessive social anxiety
87
diagnostic criteria for delusional disorder
1+ delusions
function not markedly impaired
88
how long must delusions be present for dx delusional disorder
at least 1 month
89
types of delusional disorders
-erotomanic
-grandiose
-jealous
-persecutory
-somatic
-mixed
-unspecified
90
diagnostic criteria for brief psychotic disorder
at least 1: delusions, hallucinations, disorganized speech
91
duration for dx of brief psychotic disorder
1 day - 1 month with complete return to baseline
92
duration for schizophreniform disorder
1 month - 6 months
93
How many schizophrenic symptoms must be present for schizophreniform disorder
2
94
what constitutes "with good prognostic features" for schizophreniform disorder
at least 2:
-sx onset w/i 4 weeks of change in behavior
-confusion
-good premorbid funcitoning
-absence of blunted affect
95
diagnostic criteria for schizophrenia
2+ symptoms for at least 6 months. One has to be delusions or hallucinations with functional impairment
96
mood episodes in schizophrenia
must have positive symptoms in the absence of mood symptoms or mood symptoms must be present only a minority of the time, otherwise schizoaffective
97
diagnostic criteria for schizoaffective disorder
mood episode concurrent with positive symptoms of schizophrenia. Mood symptoms are present most of the time but there is at least one period of at least 2 weeks of positive symptoms with no mood symptoms
98
difference between schizophrenia and schizoaffective
schizoaffective mood symptoms present most of the time, schizophrenia mood symptoms present minority of the time
99
how many catatonic symptoms are required for catatonia specifier
at least 3
100
catalepsy
passive induction of posture held against gravity
101
waxy flexibility
resistance to posturing
102
negativism
opposition or lack of response to instruction
103
posturing
spontaneous posture held against gravity
104
mannerism
caricature of normal movement
105
6 neurocognitive domains
-complex attention
-executive function
-learning and memory
-language
-perceptual motor
-social cognition
106
diagnostic criteria for delirium
disturbance of attention, reduced environmental awareness and an additional disturbance in cognition
107
what must be present for diagnosis of delirium
evidence of another medical condition, substance, intoxication, or withdrawal
108
hyperactive delirium
motor activity with mood lability, agitation, or refusal to cooperate
109
hypoactive delirium
psychomotor activity with lethargy or sluggishness
110
mixed delirium
normal psychomotor activity with disturbed attention/awareness or activity rapidly fluctuates
111
diagnostic criteria for major neurocognitive disorder
significant cognitive decline in at least one neurocognitive domain that interferes with independence
112
severity levels for major neurocognitive disorder
mild - difficultly with instrumental ADLS
moderate - difficulty with basic ADLs
severe - fully dependent on
113
diagnostic criteria for mild neurocognitive disorder
modest cognitive decline in at least domain that does not interfere with everyday activity
114
diagnostic criteria for neurocognitive disorder d/t Alzheimers
-criteria met for neurocognitive disorder
-insidious onset with gradual progression of impairment in 1+ cognitive domains (2 for major)
115
criteria for frontotemporal neurocognitive disorder
-criteria met for neurocognitive disorder
-insidius onset with gradual decline
-sparing of learning, memory, and perceptual motor skills
116
5 possible symptoms of behavioral variant of frontotemporal neurocognitive disorder
-behavior disinhibition
-apathy or inertia
-loss of sympathy/empathy
-perservative, stereotyped, or compulsive behavior
-hyperorality and dietary changes -
117
language variant of frontotemporal neurocognitive disorder
prominent decline in language
118
criteria for probable neurocognitive disorder with lewy bodies
-criteria met for neurocognitive disorder
-insidius onset with gradual decline
-2 core diagnostic features or one suggestive and one core feature
119
core diagnostic features of neurocognitive disorder with lewy bodies
-fluctuating cognition w/ variations in attention and alertness
-recurrent visual hallucinations
-spontaneous Parkinson features w/ onset after cognitive decline
120
suggestive diagnostic features of neurocognitive disorder with lewy bodies
-meets criteria for REM sleep behavior disorder
- severe neuroleptic activity
121
diagnostic criteria for vascular neurocognitive disorder
-criteria met for neurocognitive disorder
-features consistent with vascular etiology
-evidence of cerebrovascular disease
122
clinical features that are consistent with vascular etiology include
-onset of symptoms temporarlily r/t cerebrovascular event (CVA)
-decline prominent in complex attention and frontal executive functioning
-evidence of cerebrovascular disease
123
3 main criteria for reactive attachment disorder
-rarely seeks comfort
-rarely responds to comfort when received
-social/emotional disturbance
-have experienced extremes of insufficient care
124
what constitutes social/emotional disturbance in reactive attachment disorder
at least 3:
-minimal responsiveness to others
-limited positive affect
-episodes of unexplained emotions during normal interactions with caregivers
125
when must symptoms present to qualify for reactive attachment disorder
before age 5
126
developmental age required for dx of reactive attachment disorder
at least 9 months
127
3 main criteria for disinhibited social engagement disorder
-at least 2 types of odd interactions with unfamiliar adults
-behaviors not limited to impulsivity
-child has experienced extremely insufficient care which caused symptoms
128
what are the 4 possible ways a child with disinhibited social engagement disorder may inappropriately interact with adults (need 2)
-no restraint
-overly familiar verbal/physical behavior
-not checking back with caregivers when wandering away
-willing to go with unfamiliar adults
129
developmental age required for dx of disinhibited social engagement disorder
at least 9 months
130
5 main criteria for PTSD in patients older than 6
-exposure to trauma
-1+ intrusion symptoms
- 1+ avoidance symptoms
- 2+ negative/mood symptoms
-1 arousal/reactivity symptom
131
4 ways in which exposure to trauma may occur
-Direct experience
-witnessing event
-learning trauma happened to someone close
-repeated exposure to traumatic details of event
132
5 possible intrusion symptoms for PTSD
-intrusive memories
-recurrent nightmares
-flashbacks
-prolonged distress when exposed to reminders of trauma
-prolonged physical distress when exposed to reminders of trauma
133
2 types of avoidance symptoms associated with PTSD
-avoiding distressing thoughts/feelings
-avoiding external reminders
134
7 possible negative mood/cognition symptoms associated with PTSD (need 2 for adults)
-inability to remember all of event
-persistent/exaggerated negative beliefs
-persistent negative emotions
-loss of interest in significant activities
-feeling detached/deranged
-persistent inability to be positive
135
6 possible arousal/reactivity symptoms for PTSD (need 2 for adults)
-irritable behavior/outbursts
-reckless/self-destructive
-hypervigilance
-exaggerated startle response
-inability to concentrate
-sleep disturbance
136
duration of symptoms for dx of PTSD
at least 1 month
137
differences in PTSD criteria for those over and those under 6
avoidance and negative mood symptoms lumped into same category for younger than 6 and only 1 is needed
138
when do PTSD symptoms begin
within 3 months of trauma (delayed if after 6 months)
139
main criteria for acute stress disorder
-exposure to trauma
-9 other symptoms across all PTSD categories
140
duration of symptoms for acute stress disorder
3 days to 1 month
141
diagnostic criteria for adjustment disorders
-development of sx within 3 months of stressor onset and do not continue longer than 6 months after stressor removal
-symptoms are clinically significant (distress out of proportion with stressor OR significant functional impairment)
-
142
specifiers for adjustment disorders
- w/ depressed mood
-with anxiety
-with anxiety and depressed mood
-with conduct disturbance
-with mixed disturbance of conduct and emotions
-unspecified
143
what constitutes acute v. persistent adjustment disorders
acute <6 months
persistent >6 months
144
diagnostic criteria for prolonged grief disorder
-death at least 12 months ago (6 months for adolescents/children)
-grief response characterized by either intense yearning or preoccupation with memories
-3 miscellaneous symptoms
145
8 possible miscellaneous symptoms for prolonged grief disorder
-identity disruption
-marked disbelief
-avoidance of reminders that person is dead
-intense emotional pain
-difficulty reintegrating
-emotional numbness
-intense lonliness
146
diagnostic criteria for OCD
-obsessions, compulsions or both
-they are time consuming (>1 hr) or cause significant distress
147
what are the 4 most common OCD themes
-contamination
-symmetry
-forbidden thoughts
-harm (to self or others)
148
diagnostic criteria for body dysmorphic disorder
-preoccupation with at least 1 physical flaw not noticed by others
-repetitive behavior/acts r/t appearance concerns
-causes clinically significant distress/functional impairment
149
diagnostic criteria for hoarding disorder
-difficulty discarding items regardless of worth
-causes clinically significant distress or functional impairment
-not better explained by another mental disorder
150
diagnostic criteria for trichotillomania
-hair pulling resulting in hair loss
-repeated attempts to stop
-causes clinically significant distress or functional impairment
151
diagnostic criteria for excoriation disorder
-skin picking resulting in lesions
-repeated failed attempts to stop
-causes clinically significant distress/functional impairment
152
diagnostic criteria for insomnia disorder
-c/o trouble sleeping
-causes clinically significant distress/functional impairment
-at least 3 nights/wk for at least 3 months
153
types of sleep complaints associated with insomnia disorder (must have 1)
-difficulty falling asleep
-trouble staying asleep
-waking too early
154
what constitutes episodic, persistent, and recurrent insomnia disorders
-episodic - sx 1-3 months
-persistent - sx 3+ months
-episodic - at least 2 episodes in a year
155
diagnostic criteria for hypersomnolence disorder
-excessive sleepiness despite sleep >7 hours w/ 1 of the following
-recurrent sleeping during day
- nonrestorative sleep >9 hours
- difficulty being fully awake after abrupt awakening
156
duration of sx for hypersomnolence disorder
3x/wk for:
-<1 month - acute
-1-3 months - subacute
-3+ months - persistent
157
diagnostic criteria for narcolepsy
recurrent episodes of sleep in same day with either:
-cataplexy
-hypocretin deficiency
-polysomnographic changes
158
cataplexy
brief sudden loss of muscle tone w/ maintained consciousness precipitated by laughter or strong emotion
159
polysomnographic changes indicative of narcolepsy
-REM latency 15min or less
-Mean sleep latency <8 minutes on multiple tests
-2+ sleep onset REM episodes
160
narcolepsy type 1
with cataplexy or hypocretin deficiency
161
narcolepsy type 2
no cataplexy or hypocretin deficiency (or hypocretin not measured)
162
mild narcolepsy
- 1-2 naps daily
-mild sleep disturbance
-cataplexy absent or infrequent
163
moderate narcolepsy
-multiple naps daily
-moderately disturbed sleep
-cataplexy daily to every few days
164
severe narcolepsy
-almost constant sleepiness
-highly disturbed sleep
-cataplexy drug resistant with multiple daily attacks
165
3 breathing-related sleep disorders
-obstructive sleep apnea
-central sleep apnea
-sleep-related hypoventilation
166
diagnostic criteria for OSA
-5+ apneas/hr with either nocturnal breathing disturbance or daytime sleepiness
-15+ apneas regardless of other symptoms
167
severity specifiers for OSA
mild - apneas >15
moderate - apneas 15-30
severe - apneas >30
168
diagnostic criteria for central sleep apnea (CSA)
-5+ central apneas/hr
-specify if idiopathic, cheyne-stokes, or comorbid with opioid use
169
diagnostic criteria for sleep-related hypoventilation
-episodes of decreased respirations w/ elevated CO2 levels
-specify if idiopathic, congenital central alveolar, or comorbid (d/t meds or med dx)
170
what are the 6 circadian rhythm sleep-wake disorder
-delayed sleep phase
-advanced sleep phase
-irregular
-non 24-hour
-shift work
-unspecified
171
delayed sleep onset type
sleep onset delayed by about 2 hours with inability to get up on time
172
advanced sleep onset type
fall asleep fast and unable to stay asleep until desired wake time
173
irregular sleep-wake type
temporarily disorgaized sleep-wake pattern (timing of episodes variable)
174
non-24 hour sleep-wake type
-sleep-wake cycle not synced with 24 hour environment (usually sight impaired)
175
3 types of parasomnias
NREM sleep arousal disorder
REM sleep behavior disorder
nightmare disorder
176
Diagnostic criteria for NREM sleep arousal disorder
-incomplete waking w/ either sleepwalking and/or sleep terrors
-little to no memory of dream
-amnesia for incident
-clinically significant distress or functional impairment
177
diagnostic criteria for nightmare disorder
-repeated nightmares
-rapid waking/orientation after dream
-clinically significant distress/functional impairment
178
diagnostic criteria for REM sleep-behavior disorder
-repeated arousals w/ vocalization or complex behaviors
-Arise during REM sleep
179
major concern with REM sleep behavior disorder
significant injury
180
diagnostic criteria for RLS
-uncomfortable sensation in legs w/ urge to move them
-urges are worse during periods of rest, relieved by movement, worse at night
181
duration of symptoms for diagnosis of RLS
3x/wk for at least 3 months
182
4 symptom categories evaluated in personality disorders
-cognitive
-affective
-interpersonal functioning
-impulse control
183
cluster A personality disorders
-paranoid
-schizoid
-schizotypal
184
diagnostic criteria for paranoid personality disorder
-distrust of others and 4 other symptoms
185
7 possible symptoms for paranoid personality disorder (must have 4)
-suspects others are deceiving/harming them
-preoccupied with doubts of loyalty
-reluctant to confide in others
-reads negative meaning into benign remarks
-holds grudges
-perceives attacks not apparent to others
-recurrent suspicion regarding spousal fidelity
186
diagnostic criteria for schizoid personality disorder
-socially detached w/ restricted emotional expression manifested by 4 symptoms
187
7 possible symptoms for schizoid personality disorder
-doesn't want close relationships
-doesn't have close relationships
-chooses solitary activities
-little to no sexual interest
-pleasure in few to no activities
-indifferent to praise/criticism
-emotional coldness/detachment or flat affect
188
diagnostic criteria for schizotypal personality disorder
-doesn't have/want close relationships
-5 perceptual distortions and eccentric behavior
189
9 possible cognitive/perceptual distortions for schizotypal personality disorder (must have 5)
-ideas of reference
-odd beliefs/magical thinking
-unusual perceptual experiences
-odd thinking/speech
-suspicious/paranoid
-cold/eccentric behavior
-lack of close relationships
excessive social anxiety
190
what is the difference between social anxiety disorder and social anxiety in schizotypal personality disorder
schizotypal is associated with paranoid fears rather than negative self-judgment
191
cluster B personality disorders
-antisocial
-borderline
-histrionic
-narcissistic
192
diagnostic criteria for antisocial personality disorder
-3 symptoms of violating others rights since age 15
-evidence of conduct disorder prior to age 15
-must be at least 18
193
7 possible symptoms of antisocial personality disorder (must have 3)
-failure to follow law
-deceitfulness
-irritability/aggression
-impulsivity
-disregard for safety of self/others
-irresponsibility
-lack of remorse
194
diagnostic criteria for borderline personality disorder
-instability of relationships. self-image, and affect manifested by 5 symptoms
195
9 possible symptoms of borderline personality disorder
-tries to avoid abandonment
-unstable/intense relationships
-unstable self-image
-impulsivity is at least 2 damaging areas
-recurrent SI/self-harm
-affective instability with mood reactivity
-chronic feelings of emptiness
-inappropriate anger that is hard to control
-stress related paranoia
196
diagnostic criteria for histrionic personality disorder
-excessive emotionality and attention-seeking manifested by 5 symptoms
197
8 possible symptoms of histrionic personality disorder
-must be center of attention
-inappropriate seductive/provocative behavior
-rapidly shifting shallow emotions
-uses appearance to draw attention
-impressionistic speech
-self-dramatization and exaggerated expression of emotions
-suggestible
-thinks relationships are more serious than they are
198
diagnostic criteria for narcissistic personality disorder
-grandiosity, need for admiration, and lack of empathy manifested by 5 symptoms
199
9 possible symptoms of narcissistic personality disorder
-inflated self-importance
-preoccupied with fantasies of success/power
-think they are special and can only be understood by special people
-needs excessive admiration
-entitled
-interpersonally exploitative
-lacks empathy
-envies others and thinks others envy them
-arrogant
200
cluster C personality disorders
-avoidant
-obsessive/compulsive
-dependent
201
diagnostic criteria for avoidant personality disorder
-pattern of social inhibition, feelings of inadequacy, and hypersensitivity manifested by 4 symptoms
202
7 possible symptoms of avoidant personality disorder
-avoids interpersonal work activities
-unwilling to start relationship unless certain of acceptance
-restraint in intimate relationships
-preoccupied with being criticized in social situations
-inhibited in interpersonal situations d/t feeling inadequate
-views self as unappealing/socially inept
-reluctant to take risks d/t fear of embarrassment
203
diagnostic criteria for dependent personality disorder
-pervasive need to be taken care of leading to clingy behavior evidenced by 5 symptoms
204
8 possible symptoms of dependent personality disorder
-difficulty with everyday decisions w/o help
-others must be responsible for major areas of life
-difficulty with disagreement
-difficulty doing things independently
-excessively tries to obtain support from others
-uncomfortable alone
-quickly finds new relationship when one ends
-unrealistically preoccupied with fear of being left
205
diagnostic criteria for obsessive-compulsive personality disorder
-preoccupied with orderliness, perfectionism, inflexible manifested by 4 symptoms
206
8 possible symptoms of obsessive-compulsive personality disorder
-preoccupied w/lists, rules, details, organization, etc.
-perfectionism interfered with task completion
-devoted to productivity to the exclusion of leisure
-inflexible regarding morality/ethics
-unable to discard items regardless of value
-reluctance to delegate
-miserly spending
-rigid and stubborn
207
diagnostic criteria for delayed ejaculation
-marked delay or infrequency of ejaculation for at least 6 months
208
what is common with delayed ejaculation
ability to ejaculate with self-stimulation
209
diagnostic criteria for erectile disorder
-difficulty getting/maintaining erection or decrease in rigidity
-for at least 6 months
210
diagnostic criteria for female orgasmic disorder
-either marked delay/infrequency or intensity of orgasm
-for at least 6 months
211
diagnostic criteria for female sexual interest/arousal disorder
-lack of sexual arousal/interest manifested by at least 3 symptoms
212
6 possible symptoms of female sexual interest/arousal disorder
-absent/reduced interest
-absent/reduced fantasies
-reduced initiation
-reduced excitement/pleasure in encounters
-reduced interest/arousal w/ sexual cues
-reduced genital sensations
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diagnostic criteria for genito-pelvic pain/penetration disorder
persistent difficulty w/ at least 1:
-vaginal penetration
-pain during intercourse/penetration attempts
-anxiety about pain r/t penetration
-tensing of pelvic floor during penetration attempts
214
how long must symptoms last for genito-pelvic pain/penetration disorder
at least 6 months
215
vaginismus
involuntary muscle contraction of pelvic floor during penetration attempt
216
diagnostic criteria for male hypoactive sexual desire
-persistent lack of erotic thoughts/fantasies
-lasts at least 6 months
217
diagnostic criteria for premature ejaculation
-persistent ejaculation within 1 minute of penetration for at least 6 months
218
diagnostic criteria for gender dysphoria in children
-incongruence with assigned and experienced gender x6 months manifested by 6 symptoms
219
8 possible symptoms of gender dysphoria in children
-desire to be other gender
-desire for cross-dressing
-preference for cross-gender roles during play
-preference for toys of opposite sex
-preference for playmates of opposite gender
-rejection of toys typically associated with gender
-dislike of own sexual anatomy
-desire for sex characteristics of opposite gender
220
diagnostic criteria for gender dysphoria in adults
-incongruence between assigned and experienced gender lasting at least 6 months manifested by 2 symptoms
221
6 possible symptoms of gender dysphoria in adults
-incongruence between desired gender and secondary sex characteristics
-desire to be rid of sex characteristics
-desire to have sex characteristics of opposite gender
-desire to be other gender
-desire to be treated as other gender
-conviction that they have thoughts/feelings of opposite gender
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