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Flashcards in DSM Deck (33):

Mild MR

55 - 69/70


Moderate MR



Severe MR



Profound MR

Below 20


Learning Disorders

Neurological reading, math


Pervasive developmental disorders (PDD)

Autism/Aspergers (Treatment of choice is behavior modification)


Attention Deficit & Disruptive Behavior Disorders

Conduct Disorder(Juvenile deliquent, mean to kids and animals, no empathy)
Oppositional Defiant Disorder- lesser of 2, have an authority problem, pitch a fit but not mean to others)


Feeding or Eating Disorders

anorexia, bulimia, pica (mostly female, 1 in 10 men)


Elimination Disorders

enuresis- urine accidents, previous continent, must occur 2x a week for 3 months or more, factor in genetics

encopresis- repeated passage of bowel, authority and control problem, at least 4 years of age, 1st rule out medical


Other disorders of childhood

Separation Anxiety Disorder- diagnosed up to age 18, can't diagnose if during normal developmental stages, starting school

Selective Mutism- in frequent, not associated with performance anxiety


Delirium, dementia, and amnestic and other cognitive disorders

Dementia - memory deficits related to medical conditions


Substance related disorder

Alcohol, caffeine, amphetamine, other drugs (herion is polysubstance),
12 step programs of choice, must be dealt with before other problems - marital, etc.


Schizophrenia and other psychotic disorders - Schizophrenia

Before age 45
Schizophrenia- Symptoms w/in last month, must exist for 6 months, premorbid slide
1. Paranoid, 2. Disorganized (no productive behavior), 3. Catatonic (immobile), 4. Undifferentiated, 5. Residual
Symptoms: delusions, disorganized behavior, non productive speech or thought


Schizophrenia and other psychotic disorders- Shizophreniform

Equivalent to schizophrenia but less severe and lasts a shorter period of time


Schizophrenia and other psychotic disorders- Schizoaffective

Primary disturbance in mood. Will still have symptomology


Schizophrenia and other psychotic disorders- Delusional Disorder/Paranoia

Less likely to be in treatment, 1 month of delusions usually the persecutory type


Schizophrenia and other psychotic disorders- Brief psychotic disorder

Rapid onset of psychosis - 2 weeks - month
Prominent to people with Borderline Disorder.


Schizophrenia and other psychotic disorders- Folie-a-deux
Treatment of choice for all is Anti-psychotics

Shared psychotic disorder - one is actively psychotic, the other one begins to believe or buy into the delusion.


Mood Disorders - mood prominent feature
Treatment - medication and psychotherapy

Depressive Disorders:
1. Major depressive disorder- single or recurrent. (Big) 2 weeks of very depressed in bed, not working, not eating etc.
2. Dysthymia- (little) depressed mood (blue) for 2 years but they function, feel crummy

Bipolar Disorders:
1. Bipolar I- more fun, more manic, (big) elevated mood
2. Bipolar 2 - more blue, (big) depressed more
3. Cyclothymia - (little) not so high, not so low, over 2 years time at least


Anxiety Disorders - symptom as well as disorder, treatment of choice is medication and psychotherapy

*a. Panic Disorder w/ or w/out agoraphobia - sudden onset of dread, terror, heart attack
b. Specific Phobia- elevators, dogs, snakes
c. Social Phobia
d. Obsessive compulsive disorder- OCD
e. Post traumatic stress disorder - PTSD- acute or chronic, (war, battered wife)
f. Acute Stress disorder - before 30 days
g. Generalized anxiety disorder


Somatoform Disorders

a. Somatization
b. Conversion- somebody for no medical reason can't walk, its psychological
c. pain disorder
d. Hypochondriasis
e. Body dysmorphic disorder


Dissociative Disorders- dissociation is a defense mechanism

a. Amnesia, fugue, depersonalization
b. Dissociative Identity Disorder - used to be multiple personality disorder (MPD),


Sexual Disorders- rule out medical

a. Sexual dysfunctions
b. Paraphilias: Pedophilia, fetish, etc.
c. Gender Identity disorders
d. Sexual Pain disorders (dyspariunia & vaginismus)


Sexual Disorders - sexual response cycles

1- Desire- hypoactive sexual desire disorders
2. excitement
3. orgasm- premature ejactulation, orgasmic disorder
4. resolution


Personality Disorders (10 specific)

Most probable are:
a. Borderline PD- absolute fear of abandonment, primary defense is splitting, chaotic life, *object relations
b. Narcissistic- grandiosity, need for recognition, gain sense of ______, use devaluation to make themselves feel better
c. Histrionic- Flamboyant, victim
d. Antisocial- precursor of conduct disorder is necessary, no sense of morality, expect others to live by rules but not them.
e. Others: paranoid, schizoid, schizotypal, avoidant, dependent, and obsessive


Adjustment Disorders (with various combinations of emotional reactions, ie anxiety, depression, etc.

Acute and chronic stressors, parenting a child with special needs


Other things to know-

Take race, culture out and diagnose. Then put it back in . If different, why?


Axis I

Clinical disorders and other conditions not coded on Axis II


Axis II

Personality Disorders, Mental Retardation


Axis III

Medical conditions not classified elsewhere


Axis IV

Psychosocial and environmental problems


Axis V

Global Assessment of Functioning


DSM is a multiaxial classification system

a. Each major disorder also includes a NOS designation. Means it doesnt meet the criteria for any other disorder.
b. There is a section for disorders "due to General Medical Conditions" (ie delirium related to gen. med condition, etc)
c. Child Abuse is a V-code
d. Other V-Codes include: relational problems, malingering, religious or spiritual problems, etc.