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Flashcards in Diagnosis of psychiatric disorders Deck (21):
1

ICD

International Classification of Diseases
for WHO for all diseases
ICD 9 diagnostic codes used in Canada

2

DSM

Diagnostic and Statistical Manual for the APA
diagnosing psychiatric illness in Canada and US

3

Mental Status Examination components

Orientation
General presentation
State of consciousness
Attention
Speech
Mood
Affect
Form of thought
Thought content
Perceptions
Judgment
Insight
Memory
Intellectual functioning

4

DSM IV axes

I: major psychiatric disorders
II: personality disorders, mental retardation
III: medical problems
IV: psychosocial/environmental problems (stressors)
V: global assessment of functioning

5

Axis I diagnoses

Must meet A criteria
with a certain numbero f other criteria

6

Axis II clusters

A: paranoid, schizoid, schizotypal
B: histrionic, borderline, narcissistic, antisocial
C: avoidant, dependent, obsessive-compulsive

7

DSM V changes

Axis I, II, III together
IV no longer present but discuss stressors
V: no longer present but assess sicidal/homicidal risk, assess symptom and diagnostic severity, assess disability using rating scales
comment on functioning

8

Psychiatric disorder case formulation

bio-psycho-social model and 4Ps
predisposing, precipitating, perpetuating, protective factors

9

Biological predisposing factors

genetic
environmental toxins
fetal alcohol

10

Biological precipitating factors

medical illness
substance intoxication/withdrawal
recent childbirth

11

Biological perpetuating factors

ongoing medical illness
chronic substance use

12

Biological protective factors

intelligence

13

Psychological predisposing factors

chaotic family of origin
alcohol
abuse
untreated mental illness

14

Psychological precipitating factors

marital discord
financial difficulties
death of a loved one

15

Psychological perpetuating factors

poor psychological mindedness
blaming
world-judging

16

Psychological protective factors

psychological mindedness
resilience

17

SOciological predisposing factors

low SES
poor access to health care
homelessness
no social supports

18

Sociological precipitating factors

sudden loss of supports
sudden homelessness
loss of job
marital/relationship breakdown

19

Sociological perpetuating factors

unemployment
single
no social supports

20

Sociological protective factors

good support system
feeling of contribution to society

21

Order of psychiatric evaluation

Collateral information
Diagnostic interview
MSE
More collateral information
Multi-axial diagnosis
Formulation
Physical examination
The Plan