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Flashcards in DSM Deck (33):
1

Mild MR

55 - 69/70

2

Moderate MR

35-55

3

Severe MR

20-40

4

Profound MR

Below 20

5

Learning Disorders

Neurological reading, math

6

Pervasive developmental disorders (PDD)

Autism/Aspergers (Treatment of choice is behavior modification)

7

Attention Deficit & Disruptive Behavior Disorders

ADHD
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)

8

Feeding or Eating Disorders

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

9

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

10

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

11

Delirium, dementia, and amnestic and other cognitive disorders

Dementia - memory deficits related to medical conditions

12

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.

13

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

14

Schizophrenia and other psychotic disorders- Shizophreniform

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

15

Schizophrenia and other psychotic disorders- Schizoaffective

Primary disturbance in mood. Will still have symptomology

16

Schizophrenia and other psychotic disorders- Delusional Disorder/Paranoia

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

17

Schizophrenia and other psychotic disorders- Brief psychotic disorder

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

18

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.

19

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

20

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

21

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

22

Dissociative Disorders- dissociation is a defense mechanism

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

23

Sexual Disorders- rule out medical

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

24

Sexual Disorders - sexual response cycles

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

25

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
compulsive

26

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

Acute and chronic stressors, parenting a child with special needs

27

Other things to know-

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

28

Axis I

Clinical disorders and other conditions not coded on Axis II

29

Axis II

Personality Disorders, Mental Retardation

30

Axis III

Medical conditions not classified elsewhere

31

Axis IV

Psychosocial and environmental problems

32

Axis V

Global Assessment of Functioning

33

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.