DSM 5 Diagnoses COPY Flashcards

1
Q

Histrionic Personality Disorder

A

pervasive need for attention - seductive bx/dress
rapid shifts shallow expression of emotions
physical appearance is very important (vain)
dramatic/exaggerated expression of emotion

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2
Q

Borderline Personality Disorder

A

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

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3
Q

Antisocial Personality Disorder

A

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

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4
Q

Avoidant Personality Disorder

A

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

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5
Q

Dependent Personality Disorder

A

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

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6
Q

Obsessive-Compulsive Personality Disorder

A
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
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7
Q

Schizotypal Personality Disorder

A
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
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8
Q

Delusional Disorder

A
ONLY delusions
bizarre: no possible
or
non-bizarre: possible, but not plausible
personality disorder has been ruled out first
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9
Q

Ego-syntonic

A

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

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11
Q

Ego-dystonic

A

Aware of & problematic
they do not like it
want to change

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12
Q

Schizoid Personality Disorder

A

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

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13
Q

Substance Use Disorder

A

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

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14
Q

Narcissistic Personality Disorder

A
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
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16
Q

Gambling Disorder

A

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

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17
Q

Substance Intoxication

A

different symptoms depending on

SUBSTANCE & INTOXICATION

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18
Q

Female Sexual Interest/Arousal Disorder

A

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

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19
Q

Paranoid Personality Disorder

A

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

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20
Q

Intermittent Explosive Disorder

A

problems controlling aggressive impulses
assaultive behavior
destructive
verbally abusive
outbursts are disproportionate to stressor
R/O: Other personality Disorder or Substance Use

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21
Q

Narcolepsy

A

sudden attack of sleep
sudden loss of muscle tone
possible hallucinations while going & in out of sleep
daytime fatigue

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22
Q

Nightmare Disorder

A

wakes up nightmare

quickly oriented & can recall contents of nightmare

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23
Q

Schizophrenia

A

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

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24
Q

Primary Insomnia Disorder

A

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

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25
Q

Dissociative Amnesia

A

sudden forgetting of pertinent personal info
usually occurs in time of extreme stress & shock
impulsively wandering away from home
inability to recall past events,

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26
Q

Substance Withdrawal

A

different symptoms depending on

SUBSTANCE & WITHDRAWAL

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27
Genito-Pelvic Pain/Penetration Disorder
pain or fear of pain during intercourse pelvic floor muscles tense during vaginal intercourse great displeasure at thought of sex result of sexual trauma (active or history)
28
Depersonalization/Derealization Disorder
present in reality but report feeling outside of body dream like state do not feel connected to reality world feels surreal
29
Hypersomnolence Disorder
sleeping more than 7 hours & wanting to sleep more difficulty being fully awake (groggy, sluggish) could be result of overweight, substance R/O: Major Depressive Disorder
30
Dissociative Identity Disorder
2 or more distinct personality states one state cannot remember stuff from another state occurs result of early trauma experiences
31
Unspecified Eating Disorder
not met the criteria of other eating disorders could be purging w/o binging normal weight obsession/anxiety body image
32
Body Dysmorphic Disorder
cannot be about weight dissatisfied w specific body part intrusive or preoccupying thoughts regarding an imagined or slight defect on the body
33
Major Neurocognitive Disorder
serious decline in functioning that requires accommodations impacts attention, executive functioning, language, memory, cognition, social skills, motor skills looses independence NOT aware of memory loss
34
Bulimia Nervosa
binge eating & purging fear of weight gain use vomiting/laxatives/other means to get ride of weight excessive exercise
35
Binge Eating Disorder
ONLY binge eating | shame & disgust after eating
36
Factitious Disorder
likes to get attention of being sick | act like they are sick in order to go to MD & get attention of being patient
37
Malingering
V Code | faking illness in order to gain/avoid
38
Non-Rapid Eye Movement Sleep Disorder
recurrent episodes of incomplete waking can't recall dreams/nightmare content sleep walking don't remember waking up
39
Delirium
rapid onset usually in hospital setting marked shift in someone's awareness process impairs: memory, executive functioning, language mumbling, illusions, hallucinations lasts a few hours or up to 24 hours biochemical change due to meds/drugs/med condition
40
Obsessive Compulsive Disorder
obsessive thoughts & compulsive behaviors thoughts are intrusive that run a person's life behaviors excessive, debilitating & noticeable (counting, checking) treatment needed due to impairment
41
Mild Neurocognitive Disorder
*pre-cursor to major neurocognitive disorder* noticeable decline in functioning but still able to keep independence pay bills on time & make it to appointments people being to notice forgetfulness may need increase in support
42
Generalized Anxiety Disorder
symptoms must be present for AT LEAST 6 mo. biological problems present (sleep, diet) worried about numerous things across multiple domains affects attention
43
Anxiety Disorder Unspecified
symptoms present for LESS than 6 mo. (regardless of severity) symptoms present for MORE than 6 mo. but symptoms NOT SEVERE some elements of anxiety but does not meet full criteria
44
Post Traumatic Stress Disorder
MORE THAN 1 MO. *symptoms are the same: timeline defines diagnosis* experience or witness event experienced to be life threatening intrusive thoughts memories flashbacks nightmares not trying to think about it negative mood: frequent shame, survivor's guilt hyper-arousal (startle response) : jumpy & tense easily agitated avoid situations/places may be triggering
45
Acute Stress Disorder
LESS THAN 1 MO *symptoms are the same: timeline defines diagnosis* experience or witness event experienced to be life threatening intrusive thoughts memories flashbacks nightmares not trying to think about it negative mood: frequent shame, survivor's guilt hyper-arousal (startle response) : jumpy & tense easily agitated avoid situations/places may be triggering
46
Anxiety Disorder Unspecified
symptoms of anxiety are linked to even but it was not life threatening
47
Brief Psychotic Disorder
UP TO 1 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
48
Bereavement
grieving the death significant loved one/pet feelings of loss, anger, despair, self-blame can be a trigger of major depressive disorder
49
Adjustment Disorder w Depressed Mood
not diagnosed w Bereavement (pick bereavement over this) reaction to something that happens in environment - recent life stressor timeline: symptoms present WITHIN 3 mo of the stressor & cannot go BEYOND 6 mo
50
Agoraphobia
fear of leaving the house fear of going out in public must be in at least 2 different situations fear is excessive to the point of impaired functioning avoids situations in public places or areas where an immediate escape might be difficult
51
Munchausen Syndrome by Proxy
make seomeon else appear sick or actually make them sick to get the attention of being the caregiver
52
Bipolar I Disorder w Psychotic Features
Mood disorder (primary) w psychotic features (secondary)
53
Panic Disorder
reoccurring unexpected panic attacks live in constant fear of the recurrence panic attack feels like they are going to die - very unpleasant & overwhelming experience shape life around trying to avoid panic attack - impairs functioning
54
Separation Anxiety Disorder
specific anxiety separating attachment figures/caregiver in children: at least 4 weeks in adults: at least 6 mo anticipatory anxiety & constant worrying about caregiver
55
Oppositional Defiant Disorder
defiant argumentative problems w authority refuse to comply w any kind of directives don't want to do anything anyone tells them problematic - impairs function
56
Conduct Disorder
violation or rights of others law breaking activity - stealing, vandalism, property destruction violent behavior lack of remorse *this is a criteria to diagnose anti-social personality disorder as an adult**
57
Disruptive Mood Disregulation Disorder
used to be known as "bipolar in children" diagnosed usually 6-10 but up to 17 chronically irritable/moody re-occuring temper tantrums outbursts happen at least 3x/week generally negative mood even w/o outbursts
58
Schizoaffective Disorder
psychotic features present at all times | mood disorder comes & goes (experiencing depressive or manic symptoms)
59
Disinhibited Social Engagement Disorder
``` *shows up early 9mo-5yrs - result of pervasive neglect/abuse/change in caregivers* no boundaries overly comfortable w strangers attach easily w strangers behaviors stand out not the normal interactions w strangers ```
60
Schizophreniform
1 MO - 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
61
Social Anxiety Disorder (Social Phobia)
specific context of being w group of people fear social situations concerns of being judged, rejected, observed withdrawn keep to people they are comfortable w can be w strangers or people you know (there is a range) self-conscious and anxious in front of others to the point that it gets in the way of doing things
62
Language Disorder
0-5 difficulty building vocabulary reduced vocabulary significantly below normal uses simple sentences & difficulty w anything longer than a 5 word sentence impairs ability to communicate but can produce sounds and speech is understandable
63
Reactive Attachment Disorder
``` *shows up early 9mo-5yrs - result of pervasive neglect/abuse/change in caregivers* must have an onset before age 5 have given up that anyone cares about them withdrawn do not seek comfort don't respond irritable limited range of affect often sad & fearful little excitement focused on themselves don't act out difficulty engaging w others bc focused on themselves ```
64
Anorexia Nervosa
restricts dietary intake to the point of not meeting their needed intake less than minimal weight intense fear of weight gain/fat distorted body image compensate; excessive exercise coordination w MD necessary for treatment
65
Enuresis
Pee at least five years old and is unintentionally urinating twice a week, generally for about 3 months Trauma
66
Tourette's Disorder
BOTH motor & vocal tics | uncontrollable
67
Selective Mutism
individual fails to speak in particular situations (usually w kids at school but fine at home) impairment of ability to participate
68
Social (Pragmatic) Communication Disorder
impaired social communication
69
Encopresis
Poop Above Age 4 Trauma Pattern of soiling themselves
70
Rumination Disorder
repeated involuntary regurgitation of food that's not related to any other food disorder reflux disorder eat food & regurgitate it
71
Pica Disorder
persistent eating of non-food substances
72
Persistent Motor/Vocal Tic Disorder
EITHER motor or vocal tic
73
Attention Deficit Hyperactivity Disorder
``` symptoms present before age 12 2 or more contexts (home/school/work) inattention procrastination cannot sustain attention interrupts hyperactive restless hard time doing mental tasks moves often hard time staying still fidgets seeks stimulation frequently hard time organized unable to complete tasks/follow directions ```
74
Child Onset Fluency Disorder
0-5 stuttering sound or syllable repeated broken words (long pause between two syllable words)
75
Autism Spectrum Disorder
``` shows up young 0-5 deficiencies in social communication & interaction poor eye contact lack social reciprocity poor non-verbal communication limited or no play stereotyped behaviors & speech hard time transitions hyper/hypo sensitivity to inputs ```
76
Cyclothymic Disorder
symptoms present for AT LEAST 2 years | hypomanic symptoms/state and milder depressive symptoms (unspecified depressive disorder)
77
ADHD can be diagnosed only if the symptoms were present before age of ____
12 years old
78
Stereotypic Movement Disorder
repetitive movements generally start at a younger age (than compared to Tourette's disorder) and the movements last longer than tics would
79
Male Hypoactive Sexual Desire Disorder
persistent or recurrently deficient sexual or erotic thoughts, fantasies, and desire for sexual activity. These symptoms must have persisted for a minimum of six months, and they must cause clinically significant distress. The disorder is specified by severity level and subtyped into lifelong versus acquired, generalized versus situational.
80
What psychotropic medication is commonly used to treat Bipolar Disorder?
Lithium
81
Unspecified Depressive Disorder
Doesn't meet the full criteria of Major Depressive Disorder individual is still functioning mild disturbances of biological functioning
82
Secondary Insomnia Disorder
symptoms of insomnia arise from a primary medical illness, mental disorders or other sleep disorders
83
Illness Anxiety Disorder
"Hypochondriac" preoccupation with having or acquiring a serious illness No or very MILD somatic symptoms high level of anxiety about health & easily alarmed about personal health status performs excessive health related behaviors failure to have actual medical condition diagnosed intense fear that they have serious issue despite MD reassurance they don't shop around MD & do a lot of research present for AT LEAST 6 mo. A willingness to consider the possibility that no serious disease actually exists
84
According to the DSM-V, for Substance Use Disorder to be in Sustained Full Remission, the length of the absence of the symptoms must be
One Year
85
Korsakoff Syndrome
generally the result of chronic alcohol abuse
86
Symptoms of Schizophrenia most commonly occur within the age range of?
17-45
87
What is the biggest differential between Avoidant Personality Disorder & Schizoid Personality Disorder?
Avoidant Personality Disorder: WANT to connect but fear to do so Schizoid Personality Disorder: prefer to be ALONE, social connection is not needed
88
What is the difference between Schizoid Personality Disorder & Autism Spectrum Disorder?
1.Cold, unresponsive, or neglectful parents increase the risk of schizoid personality. Autism begins in utero and is never caused by bad parenting 2. Schizoid people are aloof and do not care much about others. Autistic people often care deeply, but show it differently, and may withdraw because it is overwhelming 3. Some autistic people want close relationships, but do not know how to obtain them. 4. People with schizoid PD have little or no desire to find love and marry. Many autistic people enjoy romantic relationships and may get married. While autistic people may have unique body language, they will almost always react. People with schizoid personality disorder will appear indifferent. 5. Most autistic people have or want close relationships with a few loved ones, such as family or friends. People with schizoid PD will remain indifferent. An autistic person may not pick up on subtle social cues like body language. A person who has schizoid personality disorder might over-interpret these things, often in a suspicious way 6.Social differences in schizoid PD are caused mainly by a lack of interest, while in autism, they are caused by confusion and lack of skills. 7. Autistic children develop at their own pace, meeting milestones more slowly, more quickly, or out of order. Unless another disability is present, people with schizoid traits will follow the expected timeline 8.Someone with schizoid PD shows little interest in hobbies and other activities, having no or very few activities they enjoy. Autistic people typically have a few "special interests," which are narrow, intense, and extremely passionate 9. Autism becomes visible in childhood, while schizoid PD usually begins around early adulthood.
89
Conversion Disorder
Psychological issue converts into somatic have actual physical symptoms such as blindness or paralysis that have no medical explanation ex: "blind rage" or if there is trauma then they loose function or paralyze limb
90
Trichotillomania
characterized by a compulsive urge to pull out one’s own hair especially when stressed
91
Major Symptoms of Amphetamine Intoxication
may experience psychosis, particularly in individuals who are heavy users may also experience palpitations, disorientation, and rapid/tangential speech
92
Gender Dysphoria
reporting conflict between physical gender and identified gender
93
Excoriation Disorder
(skin picking) will pick or scratch at their skin to the point where damage is caused often done when the individual is feeling anxious or stressed
94
Premenstrual Dysphoric Disorder
symptoms occur within the week before menstrual cycle and then disappear. experience depressive symptoms within 5-11 days before their menstrual cycle These symptoms then lessen or disappear completely once it has started.
95
Restless Leg Syndrome
reporting sensations and discomfort in legs during times when trying to rest. Moving the legs helps for a little bit, but does not always fully relieve the discomfort
96
Major Depressive Disorder
``` at least 2 weeks negative mood lack of enjoyment & motivation changes in biological functioning suicidal ideation hopelessness/worthlessness, feelings of burden can be w bereavement ```
97
Persistent Depressive Disorder
depressed mood at least 2 years for adults ( 1 yr for youth) not as severe as major depressive disorder on & off symptoms basically unspecified but chronic condition
98
Bipolar I Disorder
``` MANIA: evalated mood that leads to significant impairment for at least 1 week - feeling positive, grandiose thoughts, risky behaviors) unusual for the person to behave like this - excessive energy/lack of sleep, euphoria denial of manic episode damage done to relationships usually followed by depressive episode a lot of exercise ```
99
Bipolar II Disorder
milder form of mood elevation (hypomania) hypomania state alternates with severe depression hypomania not as impaired as mania & not as severe problems are caused
100
Somatic Symptom Disorder
somatic issue present & documented by MD severe health related anxiety devote time & energy to symptoms which decrease functioning present for at least 6 months
101
Central Sleep Apnea
stops breathing while asleep when they resume breathing : loud snore/gasp disrupt quality of sleep - really tired
102
Kleptomania
compulsive stealing NOT for need but for fun
103
Specific Learning Disorder
related to math/reading/writing skills - specify based on presentation difficulty learning basic academic skills that should be able to be learned based on age & IQ (unable to learn the way most do) need to get info. in a diff. way - auditory, visual, repetition (explained differently) not processing information in meaning way - cause disruption behaviors issues important to rule out when considering ADHD
104
Schizoid Personality Disorder
Ego-syntonic lack of interest in social relationships withdrawn - do not want to connect pervasive over lifetime