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DSM 5 Flashcards

(75 cards)

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1
Q

Social (pragmatic) communication d/o

A

Marked deficits in communication for social purposes

  • diff with verbal cues
  • diff following rules
  • can’t make inferences or take setting into account
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2
Q

Specific learning d/o

A
  • onset early childhood
  • unable to learn in a typical manner
  • issue with processing
  • problems with phonetics
  • Inability to match words with sounds
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3
Q

ADHD

A
  • must be dx by age 12
  • inattention
  • hyperactivity
  • impulsivity
  • needs to exist in two settings - one had to be school or work
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4
Q

Pica

A

Persistent eating of non-nutritive substances for at least a month

Consider developmental age

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5
Q

Rumination d/o

A

Regurgitation or reviewing of food

Happens after a normal period of functioning

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6
Q

Language d/o

A

Difficulties in the acquisition and use of language

  • reduced vocabulary
  • limited sentence structure
  • limits ability to have conversation
  • leads to impairment in discourse
  • not enough words
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7
Q

Child onset fluency d/o

A

Stuttering

Sound prolongation
Sound and syllable repetition
Holds onto words for a long time

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8
Q

Speech sound d/o

A

Cannot form words correctly
Cannot articulate words correctly
Limited pronunciation
Deals with sound and production of speech

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9
Q

Tourette’s d/o

A

1) multiple motor tics
And
2) at least one or more vocal tics

Symptoms must be present for at least 1 year

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10
Q

Encopresis

A

Passing feces in inappropriate places

Usually involuntary but can be voluntary

Must be at least 4 yrs old and potty trained

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11
Q

Enuresis

A

Urination in bed or clothes
Can be voluntary or involuntary
Must be 5 urs old and potty trained

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12
Q

Separation anxiety d/o

A

1) excessive anxiety concerning separation from attachment figure
And

2) persistent excessive worry that something will happen to caregiver i.e. Kidnapped or child will have nightmares or fake sick symptoms

Symptoms must be present for 4 weeks

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13
Q

Generalized anxiety d/o

A

Anxiety about multiple issues

Symptoms must be present for 6 months (children and adults)

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14
Q

Selective mutism

A

Persistent failure to speak in specific social situations

Rare anxiety d/o

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15
Q

Social anxiety d/o (social phobia)

A

Fear of being in social settings

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16
Q

Reactive attachment d/o

A
  • lack of connection with people
  • withdrawn
  • no help seeking bx
  • flat affect
  • not upset to be by themselves

-requires a disruption in caregiving before age 5

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17
Q

Disinhibited social engagement d/o

A
  • will attach to anyone
  • will stand out to teachers
  • problematic bx
  • requires disruption in caregiving before she 5

Often moves to odd, disruptive d/o, adhd, conduct d/o

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18
Q

Oppositional defiance d/o

A 
Problem with authority
Argumentative
Defiant
Negative
Hostile bx towards adults and authority figures 
Blaming others

Need to r/o depression

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19
Q

Conduct d/o

A

Violation of basic rights of others
Law breaking bx
Vandalism, stealing
Aggressive conduct

Precursor to antisocial personality d/o

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20
Q

Disruptive mood regulation d/o

A

Several temper outbursts 3 or more times a week

Consistent angry, irritable mood

Must be between 6-18 yrs old to dx
R/o bipolar in kids

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21
Q

Autism spectrum d/o

A

1) Persistent deficiency in communication - abnormal social engagement, lack eye contact, inability to make friends
2) restrictive, repetitive patterns of bx- echolalia, clapping, inflexible functioning, hypo or hyper reactive

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22
Q

Brief psychotic d/o

A

Symptoms up to 1 month

-delusions, hallucinations, disorganized thinking, agitation

Affect flattening, diminished emotional expression, poor eye contact, reduced body language, poverty of speech, avolition

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23
Q

Schizophreniform

A

Symptoms 1 - 6 months

-delusions, hallucinations, disorganized thinking, agitation

Affect flattening, diminished emotional expression, poor eye contact, reduced body language, poverty of speech, avolition

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24
Q

Schizophrenia

A

Symptoms over 6 months

-delusions, hallucinations, disorganized thinking, agitation

Affect flattening, diminished emotional expression, poor eye contact, reduced body language, poverty of speech, avolition

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25
Major depressive d/o
Impact on functioning including biological Sadness. Hopelessness, difficulty concentrating, diff with eating and sleeping, irritable, anger, guilt, worthlessness Symptoms for at least two weeks
26
Unspecified depressive d/o
Mild depression | Lighter versions of depression that doesn't meet full criteria of depression
27
Persistent depressive d/o
Formally dysthymia Mild depression Adults - 2 years Children - 1 year
28
Bipolar I d/o
Needs only 1 full manic episode present for 1 week Manic episode- extreme happiness, hyperactivity, little need for sleep, racing thoughts, rapid speech, grandiosity Causes impairment in social, occupational, and other functioning
29
Bipolar II d/o
1) hypo mania (4 days) No psychotic features Not enough to cause problems And 2) an episode of major depression
30
Cyclothymic d/o
1) hypomania And 2) milder depression Mild ups and downs, milder versions of both
31
Schizoaffective d/o
Predominant features are psychotic with a mood d/o that comes in and out
32
Bipolar I with psychotic features
Predominant feature is mood d/o (with full manic episode for at least a week) and psychotic features come in and out
33
Bereavement
Occurs after a death Two weeks following death Similar to depressive features
34
Major depressive d/o and bereavement
Can dx both is symptoms after two weeks and meets both criteria
35
Adjustment d/o with depressed mood
Occurs 3 months after stressor Cannot dx after death of someone Symptoms cannot exceed 6 months
36
Panic d/o
1) panic attacks And 2) ongoing fear of having panic attacks Recurrent panic attacks with at least 1 month of fear
37
Agoraphobia
Fear of at least 2 of 5 social situations Fear of spaces Fear of going out in public, shopping, crowds, bus Symptoms at least 6 months
38
Obsessive compulsive d/o
Has obsessions -recurrent persistent thoughts/images that are disturbing/inappropriate and cause distress And/or Compulsions -repetitive bx in response to obsession aimed at reducing stress They recognize they are unreasonable
39
Obsessive compulsive personality d/o
- Preoccupied with orderliness, perfection, and control - workaholic - diff delegating - detail oriented - wants organization - inflexible Has no awareness it is a problem
40
PTSD
Symptoms over 1 month 1) traumatic or life threatening event and 2) stress as a result - nightmares - hyper vigilance - startle response - numbing, avoiding - reliving event - reckless, destructive bx - anger outbursts
41
Acute stress d/o
Symptoms less than 1 month Symptoms less than 1 month 1) traumatic or life threatening event and 2) stress as a result - nightmares - hyper vigilance - startle response - numbing, avoiding - reliving event - reckless, destructive bx - anger outbursts
42
Adjustment d/o with anxiety
Stressor is not life threatening -symptoms within 3 months of stressor
43
Generalized anxiety d/o
Symptoms for at least 6 months Excessive anxiety and worry Diff controlling worry Children- restlessness, feeling in edge, easily fatigued, diff concentrating, irritability, waking up prematurely
44
Anxiety d/o unspecified
Symptoms less than 6 months Excessive anxiety and worry Diff controlling worry Children- restlessness, feeling in edge, easily fatigued, diff concentrating, irritability, waking up prematurely
45
Delirium
``` Rapid onset Usually in hospital setting or with mess Marked shift in awareness Memory impairment Diff functioning ```
46
Major neurocognitive d/o
"Dementia" Problem with executive functioning Decline in previous level of functioning Lose ability to function independently
47
Mild neurocognitive d/o
Decline in functions but still able to maintain independence with support Have some awareness
48
Somatic symptom d/o
1) 1 or more somatic symptoms (serious bodily health symptoms) 2) either health related anxiety or persistent concern of symptom Have a symptom and spends disproportionate time worried about it Symptoms for 6 months
49
Illness anxiety d/o
"Hypochondria" - symptoms are mild and negligible - fear they will have disease despite reassurances from MD - repeatedly checks body - MD shopping - Internet research - avoids hospitals and sick symptoms Symptoms for 6 months
50
Conversion d/o
Psychological issue converts to somatic one Ex: blind rage
51
Factitious d/o
Makes up being sick to get attention
52
Malingering
Makes up being sick to get out of something
53
Münchausen syndrome by proxy
Second party indices symptoms because they like playing the patent of a sick child
54
Anorexia nervous
Restricts dietary intake to the point where it doesn't meet their physical needs 1) significant low body weight and 2) intense fear of gaining weight or becoming fat
55
Bulimia nervous
1) binge eating (lack of control over episode) and 2) recurrent purging to prevent weight gain -compensatory bx that happens in reaction to binge eating
56
Binge eating d/o
Just binge eating Lack of control over episode and feel disgusted afterwards, shame
57
Unspecified eating d/o
When haven't met criteria for other eating d/o's Ex: just purging
58
Body dysmorphic d/o
- can't be related to weight gain - distinct displeasure of part of body - usually normal in appearance but person imagines it as a defect
59
Depersonalization/derealization d/o
``` Dreamlike distorted state World feels surreal Time moving slowly Out of body experience Don't feel connected Feels surroundings are unreal ```
60
Dissociative amnesia
Sudden forgetting of personal info Occurs in extreme stress Can't remember specific events or things
61
Dissociative identity d/o
Multiple personality d/o Two or more distinct personalities Unable to recall personal info Can't recall what other person knew Common with bx of trauma or severe abuse
62
Genito pelvic pain/penetration d/o
Pain during intercourse Fear of having pain Tense or tightening of pelvic muscles
63
Female sexual interest arousal d/o
lack of sexual interest or arousal Severe decline in fantasies or initiation of sex Symptoms for at least 6 months
64
Insomnia d/o
Diff sleeping at least 3 nights a week for 3 months | Diff maintaining, falling asleep or early awakening
65
Hyper somnolence d/o
Excessive sleepiness -has to exceed 7 hrs | Diff staying awake or sleeping throughout day
66
Nightmare d/o
Wakes up from nightmares and becomes quickly oriented Can recall content of dream Distress over nightmare Wakes fully from it
67
Non rapid eye movement sleep d/o
"Sleep terror" "sleep walking" Recurrent episodes of incomplete awakening from sleep Can't remember what they were doing or dreaming Diff to wake up
68
Central sleep apnea
Stops breathing whole asleep Snorts Disrupts ability to get good sleep
69
Narcolepsy
Falls asleep during day or in middle of things unexpectedly
70
Intermittent explosive d/o
Failure to resist aggressive impulses - results in serious destructive acts or of property - verbal abuse disproportionate to what is going on - can't be better accounted for by another mental d/o
71
Kleptomania
Failure to resist impulses to steal | Objects not needed for personal use or monetary gain
72
Trichotillomania
Hair pulling, picking Pulls out eyebrows, hair in head or arms Anxiety d/o Noticeable and excessive
73
Substance use d/o
Using substance that results in failure to fulfill major obligations Unsuccessful efforts to cut down Cravings Using when dangerous
74
Substance withdrawal
Body trying to get back to its normal state when stop using
75
Gambling d/o
``` Spend more money than they have Think about gambling excessively Interfere with their life Lying to conceal bx Irritable when trying to cut down Can be concurring ```

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