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Flashcards in Disorders Deck (81)
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1

DEPRESSIVE DISORDERS

Major Depressive Disorder

5 “SIG E CAPSS” symptoms for at least 2 weeks [Sadness, Interest loss, Guilt or worthlessness, Energy loss, Concentration loss, Appetite change, Psychomotor agitation or retardation, Sleep change, Suicidal thoughts]

2

Persistent Depressive Disorder (Dysthymia)

- Sad most days for 2 years
– 2 or more of: sleep change, hopelessness, appetite change, low self-esteem, concentration loss
– Never 2 months symptom free in first 2 years – Significant distress or impairment

3

Disruptive Mood Dysregulation Disorder

– Severe recurrent temper outbursts (verbal or physical)
– Out of proportion to context
– 3 or more per week; persists more than a year; began as child (6-18)
– Persistent irritability
– (not better explained by mania, depression, autism, substance abuse, etc)

4

Premenstrual Dysphoric Disorder

– Symptoms present one week prior to menses – At least 1 of the 4 following: mood swings, irritability/ anger, sadness, anxiety/ tension
– At least 5 total: mood swings, irritability/ anger, sadness, anxiety/ tension, loss of interest, poor concentration, fatigue, appetite change, sleep change, overwhelmed, physical symptoms (breast tenderness, bloating, pain, weight gain)
– Significant distress or impairment

5

BIPOLAR DISORDERS

Bipolar I Disorder

– Euphoric or irritable mood and increased energy or activity for 1 week
– 3 out of 7: grandiose, decreased sleep, talkative, racing thoughts, distractibility, increased goal-directed activity, impulsive)
– Social or work impairment

6

Bipolar II Disorder

– At least 1 Hypomanic episode and at least 1 Major Depressive episode
– No full Manic episodes

7

Hypomanic Episode

– Same as Bipolar I Manic episode except: at least 4 days duration (instead of 7)
– And NO marked impairment in social or occupational functioning

8

Cyclothymic Disorder

– Numerous hypomania and depression symptoms for most of the time for 2 years – Never reaches full diagnosis for either hypomanic, manic or depressive episodes – Not without symptoms for 2 months in 1st 2 years. – Clinically significant distress or impairment

9

May Add Specifiers:

with Anxious Distress with Mixed Features (mania and depression) with Rapid Cycling (for Bipolar I and II: > 4 episodes per year) with Melancholic Features (loss of pleasure, lack of reactivity, despair, worse in a.m., early morning awakening) with Atypical Features (weight gain, increased sleep, leaden paralysis, interpersonal rejection sensitivity, mood reactivity) with Psychotic Features, with Catatonia, with Peripartum Onset, with Seasonal Pattern

10

PSYCHOTIC DISORDERS

Schizophrenia

– Must have 1 positive symptom (hallucinations, delusions or disorganized speech) for 1 month – 2 of the following: hallucinations, delusions, disorganized speech, disorganized behavior, or negative symptoms (low emotion, low motivation)
– Prior or residual poor functioning for at least 6 months
– Social or work impairment

11

Schizophreniform Disorder

– Schizophrenic symptoms between 1-6 months duration

12

Schizoaffective Disorder, Bipolar type

– Schizophrenic symptoms and Bipolar I symptoms present most of the time.
– At least 2 weeks of delusions or hallucinations without Bipolar symptoms – Must have Bipolar symptoms for the majority of time.

13

Schizoaffective Disorder, Depressive type

– Schizophrenic symptoms and Depression symptoms present most of the time.
– At least 2 weeks of delusions or hallucinations without Depression symptoms – Must have Depression symptoms for the majority of time.

14

Delusional Disorder

– Moderate delusions at least 1 month, not Schizophrenic level
– Otherwise good functioning; no bizarre behavior
• Erotomanic type
• Grandiose type
• Jealous type
• Persecutory type
• Somatic type
• Mixed type
• Unspecified type

15

Brief Psychotic Disorder

– Schizophrenic symptoms for less than 1 month
– Full return to premorbid level.
• with marked stressors
• without marked stressors • with postpartum onset
• with Catatonia

16

ANXIETY DISORDERS

Panic Disorder

– Recurrent, abrupt, unexpected intense fear or discomfort
– Persistent worry of additional attacks for 1 month
– 4 out of 13 symptoms: (palpitations, sweating, trembling, shortness of breath, choking, chest pain, nausea, dizziness, derealization, fear of “going crazy”, fear of dying, numbness/ tingling, hot/ cold flashes)
– “Panic Attack” can also be a specifier for other diagnoses (i.e. “PTSD with Panic Attacks”)
- When accompanied by agoraphobia, this diagnosis is manifested by a fear of having panic attacks when leaving home, particularly when having to be in crowded places.

17

Agoraphobia

– Intense fear of 2 or more of: public transportation, open spaces (markets, bridges), enclosed spaced (theaters, shops), crowds, being away from home.
– Avoids these areas
– Greater than 6 months; interferes with

18

Generalized Anxiety Disorder

– Excessive worry most days for 6 months
– 3 out of 6: (restless, fatigue, decreased concentration, irritability, tense, insomnia)
– Interferes with work / social functioning

19

Specific Phobia

– Intense unreasonable fear
– Interferes with work / social functioning

20

Social Anxiety Disorder

– Formerly “Social Phobia”
– Persistent fear of social interaction or performance
– Interferes with work / social functioning

21

Separation Anxiety Disorder

– Excessive anxiety over separation from home or parents

22

Selective Mutism

– Mute in some settings but not others

23

OBSESSIVE-COMPULSIVE DISORDERS

Obsessive-Compulsive Disorder

– Obsessions: persistent intrusive, inappropriate non-psychotic thoughts
– Compulsions: repetitive behaviors compelled to reduce distress
– Patient sees as excessive / unreasonable
– Marked distress / interference

24

Body Dysmorphic Disorder

– Preoccupation with imagined defect in physical appearance
– Repetitive checking, grooming, picking, comparing, or reassurance seeking
– Work / social impairment

25

Trichotillomania

– Recurrent hair pulling and hair loss
– Failed attempts to stop hair pulling
– Marked distress or impairment

26

Hoarding Disorder

– Can’t discard possessions regardless of value
– Possessions accumulate, cluttering living space
– Marked distress or impairment

27

Excoriation (Skin-Picking) Disorder

– Persistent skin picking causing lesions or infections
– Failed attempts to stop skin picking
– Marked distress or impairment

28

SUBSTANCE ABUSE DISORDERS

Alcohol Use Disorder

Alcohol Use Disorder MILD = 2-3 symptoms MOD = 4-5 symptoms SEV = 6 or more symptoms

29

Symptom List:

– Uses more than intended
– Failed attempts to cut back
– Excessive time spent in obtaining, using, or recovering from substance
– Cravings for substance
– Substance use leads to problems at work, school or home
– Important work, social or recreational activities are given up due to substance use
– Uses in dangerous situations
– Persistent use despite awareness of problem – Tolerance (needs more substance for same effect)
– Withdrawals school or home

30

Gambling Disorder

– Continued gambling despite distress or impairment
– 4 of the following: increasing amounts of money gambled, irritable when cuts back on gambling, failed attempts to cut back, preoccupied with gambling, gambles to feel better, “chases their losses” (gambles later to make their money back), lies about gambling, relationship / work / or school problems, others give them money to help desperate need caused by losses.