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deck_4926991 Flashcards

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1
Q

Separation Anxiety

A

A Excessive fear (inappropriate developmentally) about separation from attachment figure. 3 of 8 Sx: DULRBRN 1. distress when separating 2. worry about losing 3. untoward event 4. refusal to go out 5.being alone 6. refusal to sleep away 7. nightmares 8. physical symptoms B. 4 weeks in kids, 6 mos in adults.C. ClinSigD. NBE Mental

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2
Q

Selective Mutism

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A. failure to speak (when expected)B. InterferesC. 1 month (not first month of school)D. Not a language issueE. NBE another disorder (communication/neuro)

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3
Q

Specific Phobia

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A. fear- specific objectB. object always provokes immediate fear or anxiety.C. actively avoidedD. out of proportion E. persistent, typically lasting for 6 months or more.F. ClinSigG. NBE MentalSpec: BANSOAnimal/Natural/Blood/Situational/Other

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4
Q

Social Anxiety Disorder

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A. Fear of scrutiny by others in social situationB. fear of acting in a way that results in criticism/offenseC. must almost always cause anxietyD. avoided or endured with intense fear or anxiety.E. out of proportionF. persistent, typically lasting for 6 months or more.G. ClinSigH. NBE substance/medical.I. NBE mentalJ. Medical exemption- excessiveSpec: Performance only

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5
Q

Panic Disorder

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A. Recurrent unexpected panic attacks. 1. Palpitations. 2. Sweating. 3. Trembling 4. shortness of breath 5. choking. 6. Chest pain 7. Nausea 8. dizzy 9. Chills or heat sensations. 10. Paresthesias 11. Derealization or depersonalization 12. Fear of losing control or “going crazy.” B. 1 month (or more) of 1. Persistent concern or worry about additional panic attacks or their consequences 2. A significant maladaptive change in behavior related to the attacks C. NBE medicalD. NBE mental

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6
Q

Agoraphobia

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A. Marked fear or anxiety about two (or more) of the following five situations:1. public transportation2. open spaces3. enclosed places4. Standing in line or being in a crowd.5. Being outsideB. fears or avoids these situations, escape might be difficult or help might not be availableC. almost always provoke fear or anxiety.D. actively avoidedE. out of proportionF. 6 months or more.G. clinsigH. medical exemptionI. NBE mental

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7
Q

GAD

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A. Excessive anxiety and worry, more days than not for at least 6 months, about a number of events or activities B. difficult to control C 3 of 6, more days than not, for at least 6 months1. Restlessness2. fatigued.3. Difficulty concentrating 4. Irritability.5. Muscle tension.6. Sleep disturbance D. clinsigE. NBE medicalF. NBE mental

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8
Q

OCD

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A. obsessions, compulsions, or both:Obsessions are defined by (1) and (2): 1. Recurrent and persistent thoughts, intrusive cause marked anxiety or distress. 2. The individual attempts to ignore or to neutralize them with compulsion.Compulsions are defined by (1) and (2): 1. Repetitive behaviors or mental acts 2. aimed at preventing or reducing anxiety B. time-consuming or clinsigC. NBE substance/medical conditionD. NBE mental disorderSpecify if:Good/Fair/Poor/Absent/Delusional InsightTic-related

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9
Q

Body Dysmorphic Disorder

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A. Preoccupation with perceived defects/ not noticeableB.repetitive behaviors in response to concernC. clinsigD. NBE mental (eating disorder)Spec:Muscle dysmorphiaInsight- good/poor/absent delusional

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10
Q

Hoarding

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A. difficulty discarding, regardless of value.B. perceived need to save the itemsC. accumulation of possessionsD. clinsigE. NBE medicalF. NBE mentalSpec:excessive acquisitionInsight- good/poor/absent delusional

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11
Q

Trichotillomania

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A. recurrent hair pulling, resulting in lossB. Repeated attempts to stopC. ClinSigD. NBE MedicalE. NBE Mental

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12
Q

Excoriation (NOS)

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ABCDE

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13
Q

PTSD

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A. Exposure actual/threatened- direct/witness/learning/repeated exposureB. Intrusion sxC. Avoidant sxD. Mood sxE. Arousal sxF. 1 monthG. ClinSigH. NBE Substance/MedicalSpec:Dissociative sxDelayed expression

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14
Q

PTSD (Kids)

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A. In children 6 years and younger, exposure- direct/learning-witnessB. Intrusion sx C. Avoidance + mood sxD ArousalE. 1 monthF. ClinSigG. NBE substance/medicalSpec:Dissociative sxDelayed expression (6mo)

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15
Q

Acute Stress Disorder

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A exposureB 9 sx from 5 categories avoidance dissociative intrusive mood arousalC 3 days-1 monthD ClinSigE NBE Medical/Substance

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16
Q

Adjustment Disorders

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A. development of emotional/behavioral sx in response to stressor in last 3 monthsB ClinSig in 1 of following 1. Out of Proportion 2. ImpairmentC. Does not meet criteria for other disorder, not an exacerbation of preexisting mental disorderD. Not normal bereavementE. Once the stressor or its consequences have terminated, the symptoms do not persist for more than an additional 6 months.Spec:depressed mood/anxiety/mixedconduct/conduct & emotionsUnspecified

17
Q

Dissociative Identity Disorder

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A

A. two or more distinct personality states, discontinuity in sense of self/behaviors/cognitionsB. Recurrent gaps in memoryC. ClinSigD. not a normal part of a cultural practice.Note: In children, the symptoms are not better explained by imaginary playmates E. NBE medical/substance

18
Q

Dissociative Amnesia

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A

A. inability to recall (stress), inconsistent with forgettingB. ClinSigC. NBE Substance/MedicalD. NBE MentalSpec: dissociative fugue

19
Q

Depersonalization/Dereallzation Disorder

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A

A. presence of depersonalization/derealization/bothB. reality testing remains intactC. ClinSigD. NBE SubstanceE. NBE Mental

20
Q

Manic Episode

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A

A. elevated, expansive, or irritable mood, increased goal-directed activity, 1 week (unless hospitalization)B. three (or more) of the following symptoms (four if the mood is only irritable) SSPF DGR 1. Inflated self-esteem or grandiosity. 2. Decreased need for sleep 3. pressured speech 4. Flight of ideas 5. Distractibility 6. goal-directed activity or psychomotor agitation 7. Risky BehaviorC. ClinSig or psychotic featuresD. NBE Substance/Medical Condition

21
Q

Hypomanic Episode

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A

A. elevated mood/activity- 4 daysB. 3+ sx 1. Inflated self-esteem or grandiosity. 2. Decreased need for sleep 3. pressured speech 4. Flight of ideas 5. Distractibility 6. Increase in goal-directed activity 7. Risky BehaviorsC. associated with change in functioningD. observable by others.E. The episode is not severe enough to cause marked impairment in social or occupa-tional functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic.F. NBE substance.

22
Q

Major Depressive Episode

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A

A. 5+ sx in 2 week period; at least one of the symptoms is depressed mood/loss of interest 1. Depressed 2. Markedly diminished interest or pleasure 3. weight 4. sleep 5. speed 6. tired 7. worthless 8. think 9. death B. ClinSigC. NBE medical

23
Q

Bipolar I Disorder

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A

A. one manic episode B. NBE psychotic

24
Q

Bipolar II Disorder

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A

A. 1 hypomanic & 1 depressive episodeB. There has never been a manic episode.C. NBE mentalD. ClinSigSpec: Most recent episode typeFeatures (anxious/mixed/rapid cycling)psychotic/catatonic featuresperipartum/seasonal patternspartial/full remissionmild/moderate/severe

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Cyclothymic Disorder
A. For at least 2 years (at least 1 year in children and adolescents)numerous periods with hypomanic/depressed symptoms that do not meet criteria B. present for at least half the time; has not been without the symptoms for more than 2 months at a time.C. Criteria for a major depressive, manic, or hypomanie episode have never been met.D. NBE mental disorderE. NBE medical/substanceF. ClinSigSpec:With anxious distress
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Disruptive Mood Dysregulation Disorder
A. Severe recurrent temper outbursts B. inconsistent with developmental level.C. three or more times per week.D. persistently irritable or angry E. 12 or more months. has not had a period lasting 3 or more consecutive months without F. at least two settings G. should not be made for the first time before age 6 years or after age 18H. age at onset is before 10 years.I. NBE hypomanic episodeJ. NBE major depressive disorderK. NBE substance/medical condition.
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Major Depressive Disorder
A. A. 5+ sx in 2 week period; at least one of the symptoms is depressed mood/loss of interest 1. Depressed mood most of the day, nearly every day 2. Markedly diminished interest or pleasure 3. Significant weight loss 4. Insomnia or hypersomnia nearly every day. 5. Psychomotor agitation or retardation 6. Fatigue or loss of energy nearly every day. 7. Feelings of worthlessness/guilt 8. Diminished ability to think or concentrate 9. Recurrent thoughts of death B. ClinSigC. NBE medicalD. NBE mentalE. No history of mania/hypermaniaSpec:anxious distressmixed/melancholic/atypical featurespsychotic/catatonic featuresperipartum/seasonal pattern
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Persistent Depressive Disorder (Dysthymia)
A. Depressed mood for most days, 2 years B. Presence, while depressed, of two (or more) 1. Poor appetite or overeating. 2. Insomnia or hypersomnia. 3. Low energy or fatigue. 4. Low self-esteem. 5. Poor concentration or difficulty making decisions. 6. Feelings of hopelessness.C. Not without sx more than 2 monthsD. Criteria for a major depressive disorder may be continuously present for 2 years.E. No mania, no cyclothymiaF. NBE mentalG. NBE substance/medicalH. ClinSigSpecify if:anxious/mixed/melancholic/atypicalpsychoticperipartumpartial/full remissionearly/late onsetcurrent severity- mild/moderate/severe
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Premenstrual Dysphoric Disorder
A. 5+sx week before menses, gone 1 week afterB. One (or more) of the following symptoms must be present: MAAD 1. Mood swings 2. Anger 3. Marked depressed mood 4. Marked anxietyC. One (or more) of the following symptoms must additionally be present, to reach a totalof five symptoms when combined with symptoms from Criterion B above. IC LASO P 1. Decreased interest 2. concentration difficulty 3. Lethargy 4. Marked change in appetite 5. Hypersomnia or insomnia. 6. overwhelmed 7. Physical symptoms D. ClinSigE. NBE mentalF. Criterion A should be confirmed by prospective daily ratings during at least two symptom-atic cyclesG. NBE medical
30
Oppositional Defiant Disorder
A. angry/irritable mood, argumentative/defiant behavior, or vindictiveness, 6months, 4 SxAngry/Irritable MoodArgumentative/Defiant BehaviorVindictiveness5= 6 months, 1 day/weekB. ClinSigC. NBE another DisorderSpecify: Mild/Moderate/Severe
31
Intermittent Explosive Disorder
A. Recurrent behavioral outbursts manifested by either of the following; 1. Verbal aggression or physical aggression occurring 2x week, 3 months 2. Three behavioral outbursts involving damage or destruction of property and/orphysical assault occurring within a 12-monthB. magnitude of aggressiveness C. not premeditated D. ClinSig or financially sig.E. Chronological age is at least 6 years F. NBE medical/mental/Adjustment Disorder
32
Conduct Disorder
A. pattern of behavior in which the basic rights of others are violated, 3 of 15- 1 w/in last 6 monthsAggression to People and AnimalsDestruction of PropertyDeceitfulness or TheftSerious Violations of RulesB. ClinSigC. If 18+, not ASPDSpecify:Childhood/Adolescent/Unspecified OnsetWith limited prosocial emotionsLack of remorse or guiltCallousUnconcerned about performanceShallow or deficient affectSpecify current severity: Mild/Moderate/Severe
33
Pyromania
A. fire setting on more than one occasion.B. Tension or affective arousal before the act.C. Fascination with fireD. Pleasure, gratification, or relief E. not done for monetary gain, revenge, etcF. NBE mental
34
Kleptomania
A. Recurrent failure to resist impulses to steal B. Increasing sense of tension immediately before committing the theft.C. Pleasure, gratification, or relief D. not committed to express anger or vengeance and is not in response to a delusion or a hallucination.E. NBE mental
35
Unspecified
Symptoms:ClinSigUsed when clinician does not specify reasons criteria is not metIncludes situations when there is not enough info
36
MSE
1 appearance2 behavior3 speech4 mood & affect5 thoughts/cognition

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