DSM 5 Diagnoses COPY Flashcards
Histrionic Personality Disorder
pervasive need for attention - seductive bx/dress
rapid shifts shallow expression of emotions
physical appearance is very important (vain)
dramatic/exaggerated expression of emotion
Borderline Personality Disorder
instability in their relationships due to:
black and white thinking
mood instability
feelings of empty-ness
rage & lack of ability to control emotions
recurrent suicidal attempts/gestures
self-mutilating behaviors
fear of abandonment & identity disturbances
Antisocial Personality Disorder
must be 18 & over & conduct disorder before age 15
pervasive pattern disregard & violation of others
deception repeatedly for profit &/or pleasure
indifferent or rationalize hurting others or mistreating them
lack of remorse
law breaking
aggressive
impulsive
Avoidant Personality Disorder
Ego-syntonic
lack of relationships
fears being around others or interacting with them
express a fear of being ridiculed, poor self-image, a preoccupation with being criticized, loneliness, and social isolation.
Despite this, they have a strong desire for social relationships, but find it difficult to take that personal risk
feelings of inadequacy
Dependent Personality Disorder
difficulty making decisions w/o reassurance from others
need others to take responsibility
difficulty disagreeing for fear of loss/disappointment
easy going - don’t speak up, don’t argue
lack confidence in their judgement
excessive lengths to gain approval of others
feel scared & helpless when alone
preoccupied by fear of unable to care for themselves
lack self-confidence
Obsessive-Compulsive Personality Disorder
rigid conformity to rules/moral codes excessive orderliness perfectionist hard time delegating workaholic anal controlling things lined up/orderly no awareness that this is an issue (ego-syntonic) can be functioning normal people
Schizotypal Personality Disorder
Pre-cursor to Schizophrenia NO psychotic episode bizarre fantasies irrational beliefs extreme social anxiety lack of close friends odd behavior & thinking & speaking idea of reference: think magazines/newspapers have a message directly for them magical thinking: feeling sixth sense some suspicion/paranoid thinking may dress kind of bizarre
Delusional Disorder
ONLY delusions bizarre: no possible or non-bizarre: possible, but not plausible personality disorder has been ruled out first
Ego-syntonic
No issue seen
behavior is not seen problematic
part of themselves
usually result of early life neglect/trauma/abuse
they believe their values and behaviors are acceptable and consistent with their self-concept
*usually seen with Personality Disorders
Ego-dystonic
Aware of & problematic
they do not like it
want to change
Schizoid Personality Disorder
Ego-syntonic
lack of interest in social relationships
withdrawn - do not want to connect
pervasive over lifetime
they don’t have a desire for relationships
Loners
Substance Use Disorder
continuum of mild to severe
more severe: increased tolerance
depends on how many of criteria they meet
failure to perform obligations (work/home/school)
impacts social interactions
efforts to stop & can’t stop
dependence
use becomes excessive & problematic & inferences with functioning
Narcissistic Personality Disorder
pervasive pattern of grandiosity of self need admiration & lack of empathy rude exaggerate achievements & arrogant expect to be treated as superior fantasies of unlimited success & power
Gambling Disorder
compulsive gambling even when they are having financial damage
increased amounts of money that they are spending towards it
pre-occupation w idea of gambling
even after loosing they will continue to gamble
gamble when distressed to avoid negative emotions
lie about gambling
jeopardize personal relationships
borrow to gamble &/or extreme debt
R/O: Manic Phase - cannot be explained by manic episode
Substance Intoxication
different symptoms depending on
SUBSTANCE & INTOXICATION
Female Sexual Interest/Arousal Disorder
lack of sexual interest/arousal
decline or lack of intimacy
may be temporary, but not permanent
mood disorders would need to be ruled out first
Paranoid Personality Disorder
irrational suspicions & distrust of others
pervasive across all different domains
w/o basis & experiences the world as hostile
constantly worried & holds grudges
read into messages & remarks
Intermittent Explosive Disorder
problems controlling aggressive impulses
assaultive behavior
destructive
verbally abusive
outbursts are disproportionate to stressor
R/O: Other personality Disorder or Substance Use
Narcolepsy
sudden attack of sleep
sudden loss of muscle tone
possible hallucinations while going & in out of sleep
daytime fatigue
Nightmare Disorder
wakes up nightmare
quickly oriented & can recall contents of nightmare
Schizophrenia
MORE THAN 6 MO
all same symptoms timeline determines diagnosis
5 Categories
1. Delusions - belief that is false - a) Non-Bizarre Delusion: possible, but not probable b) Bizarre Delusion - not possible
2.Hallucinations - visual & auditory
3. Disorganized Speech - rambling, incoherent
4. Disorganized Behaviors - moving, gestures, impulsive reactions (usually reacting to hallucinations)
5. Negative Symptoms - flat affect, quiet, problems w movement/stiff
Primary Insomnia Disorder
sleeplessness that cannot be attributed to an existing medial, psychiatric or environmental cause (such as drug abuse or medications)
difficulty sleeping at least 3 nights a week for 3 mo
difficulty falling asleep, staying asleep, early morning wakings & multiple wakes during night
feeling tired
R/O: manic phase, major depressive, anxiety
Dissociative Amnesia
sudden forgetting of pertinent personal info
usually occurs in time of extreme stress & shock
impulsively wandering away from home
inability to recall past events,
Substance Withdrawal
different symptoms depending on
SUBSTANCE & WITHDRAWAL