DSM Flashcards
1
Q
• 0-5 y/o • Social reciprocity • Babies • not making eye sustained contact • Not accepting a toy • No back and forth play • 3-4 • Doesn't play at all or limited in play • Stereotyped repetitive behaviors • Repetitive speech • Repetitive behaviors (e.g. hand flapping) Hyper/hypo sensitivity to sensory input
A
Autism Spectrum Disorder
2
Q
Impaired social communication AND THAT’S IT!
A
Social (Pragmatic) Communication Disorder
3
Q
- Could be related to math, reading, writing skills
* Learning basic academic skills based on age
A
Specific Learning Disorder
4
Q
• Make sure you’re ruling out a specific learning disorder
• Need to be present before 12
• Need 2 or more contexts (e.g. school, work, home)
• Adults that are diagnosed may have compensated with high intelligence
• Inattention
• Someone who cannot sustain attention
• Frequently interrupt others
• Difficulty organizing
• Hard time doing tasks
• Hyperactivity
Fidgeting and needing to move around a lot
A
Attention Deficit Hyperactivity Disorder
5
Q
Persistent eating of nonfood substances
A
Pica
6
Q
Repeated regurgitation of food
A
Rumination Disorder
7
Q
- Hard time building vocabulary
- Mainly children
- Very simple sentences
- Limited sentence structures
A
Language Disorder
8
Q
- Stuttering
- Words repeated
- Broken words
A
Child Onset Fluency Disorder
9
Q
When someone has both motor and vocal tics
A
Tourette’s Disorder
10
Q
Would have motor or vocal tic
A
Persistent Motor/Vocal Tic Disorder
11
Q
• Soiling of pants > 4 year old
This has a “P”, think of poop
A
Encopresis
12
Q
- Urination of bed or clothes > 5 or older
- This has a “U”, think of urine
- Could be a sign of trauma
A
Enuresis
13
Q
- Has to do with anxiety with separating with attachment figure or spouse
- Could be diagnosed in adults
- Children 4 weeks
- Adult 6 months
A
Separation Anxiety Disorder
14
Q
- Worrying about a number of things
- Across multiple domains
- Physical symptoms (e.g. trouble sleeping)
- Have to be present for > 6 months for both adults and children
A
Generalized Anxiety Disorder
15
Q
Fails to speak in specific situations
A
Selective Mutism
16
Q
- Fear of social situations
- Fear of being observed, rejected
- Around people that they know or don’t know
A
Social Anxiety Disorder (Social Phobia)
17
Q
- Early age. Range 9 months to 5 years of age.
- Result of neglect or abuse or changing of caregivers (e.g. foster)
- Sometimes called a failure to thrive
- Very withdrawn
- Don’t seek comfort or respond to comfort
- Sit in corner, don’t engage
- Show little excitement
- Fly under the radar because they don’t act out
- They’ve given up that anyone would care for them
A
Reactive Attachment Disorder
18
Q
- Early age. Range 9 months to 5 years of age.
- Result of neglect or abuse or changing of caregivers (e.g. foster)
- Overly comfortable with strangers
- Appear to attach really easily with people
A
Disinhibited Social Engagement Disorder
19
Q
- Overly defiant
- Problems with authority
- Argumentative
A
Oppositional Defiant Disorder
20
Q
- Violation the rights of others
- Lack of remorse
- Law breaking
- Initiate fights
- Destroying property
- Feeds into Antisocial personality disorder as an adult
- ASPD - criteria is that they had conduct disorder as a child
A
Conduct Disorder
21
Q
- What people use to call bipolar in children
- Usually diagnosed at 6-10 y/o but up to age 17
- Chronically irritable or moody
- Reoccurring temper tantrums
- Outbursts need to happen 3 times/week to qualify
- Mood is negative even when they aren’t having the outbursts
A
Disruptive Mood Disregulation Disorder
22
Q
Up to a month
- Delusions
a. Belief that is false - Hallucination
a. Visual/auditory - Disorganized speech
- Disorganized behaviors
a. Could be a related to hallucinations - Negative symptoms
a. People having a very flat affect (quiet, don’t respond to any type of interactions)
A
Brief Psychotic Disorder
23
Q
1-6 months
- Delusions
a. Belief that is false - Hallucination
a. Visual/auditory - Disorganized speech
- Disorganized behaviors
a. Could be a related to hallucinations - Negative symptoms
a. People having a very flat affect (quiet, don’t respond to any type of interactions)
A
Schizophreniform Disorder
24
Q
Over 6months
- Delusions
a. Belief that is false - Hallucination
a. Visual/auditory - Disorganized speech
- Disorganized behaviors
a. Could be a related to hallucinations - Negative symptoms
a. People having a very flat affect (quiet, don’t respond to any type of interactions)
A
Schizophrenia
25
```
• At least 2 weeks
• Dark or black mood
• Can't enjoy things they use to (Anhedonia)
• Lack motivation
• Changes in functioning (sleeping little or oversleeping)
• Changes in appetite
• Suicidal ideation
Worthlessness
```
Major Depressive Disorder
26
* Don't not meet full criteria of MDD
* They are functioning BUT they do feel
* They have some signs of milder disturbances in functioning
* May don't report that they have suicidal ideation
Unspecified Depressive Disorder
27
* At least 2 years in adults
* At least 1 year in children
* Not as severe as MDD
Persistent Depressive Disorder (dysthymia)
28
• Manic phase
• Elevate mood that leads to significant impairment for at least 1 week
• Feelings of positive or irritability
• Grandiose thoughts
• Lack of need of sleep or excessive energy
• Experiences it as euphoria
Often in denial that they are in a manic phase
Bipolar I Disorder
29
• Hypomanic phase and MDE
• Only 4 days
• Does not lead to same impairment as manic phase
○ (not as much damage to relationships)
Bipolar II Disorder
30
* 2 years
| * Hypomanic phase that alternates with a low level depressive episode
Cyclothymic Disorder
31
have psychotic features with a mood disorder
• Psychotic features are present all the time
• Mood disorder is what comes in and out
Schizoaffective Disorder
32
have psychotic features with a mood disorder
• Mood disorder is constant
• Psychotic features come in and out
Bipolar I Disorder with Psychotic Features
33
* Recurrent panic attacks
* Fear that it will happen again
* Change life to avoid these panic attacks
Panic Disorder
34
* Fear of going out in public
| * At least 2 situations (crowds, public transportation, standing in line or open spaces)
Agoraphobia
35
* BOTH obsessive thoughts and compulsive behaviors
* Obsessive thoughts
* Intrusive thoughts or ideas that run a person's life
* Compulsive actions
* Usually done to control thoughts
Obsessive-Compulsive Disorder
36
* Perfectionist
| * Don't have any awareness that this is an issue
Obsessive-Compulsive Personality Disorder
37
• Symptoms present after month since incident
• Life threatening or witness someone killed or beaten up
• 4 categories of symptoms
• Intrusive elements: thoughts or memories (flashbacks)
• Negative moods
• Behavioral - avoid situations that remind them of incident
• Arousal
○ Startle response
○ Easily agitated
Posttraumatic Stress Disorder (PTSD)
38
• Symptoms present within a month of incident
• Life threatening or witness someone killed or beaten up
• 4 categories of symptoms
• Intrusive elements: thoughts or memories (flashbacks)
• Negative moods
• Behavioral - avoid situations that remind them of incident
• Arousal
○ Startle response
○ Easily agitated
Acute Stress Disorder
39
* Less than 6 months
* Or more than 6 months but not as severe
* Or don't fit full diagnosis of anxiety
Anxiety Disorder Unspecified
40
* Does have a somatic issue (e.g. pain or other illness)
| * Have severe related anxiety
Somatic Symptom Disorder
41
* Don't have a documented medical condition
* Rarely have somatic symptoms
* Fear they may have an illness
* AKA hypochondriac
Illness Anxiety Disorder
42
* Psychological condition converts to a somatic one
| * e.g. Someone is so angry that they actually go blind
Conversion Disorder
43
• Really likes attention of being sick (aka Munchausen)
Factitious Disorder
44
* Actually a vcode now
| * When someone is faking an illness to avoid something (e.g. work)
Malingering
45
* Restricts their dietary intake that doesn't meet their physical needs
* Intense fear of gaining weight or getting fat
* Distorted body image
* Should be seen by a medical disorder
Anorexia Nervosa
46
* Should have
* Binge eating (feeling out of control while eating)
* Recurrent purging (excessive exercise, vomiting)
* Feeling of disgust and shame when consumed food
Bulimia Nervosa
47
* Only diagnosed when person is NOT purging
| * Feeling of disgust and shame when consumed food
Binge Eating Disorder
48
* Have not met criteria of anorexia nor bulimia
* Ex. Purging without binging
* Ex. Normal weight but obsession or anxiety about body image
Unspecified Eating Disorder
49
* Cannot be about weight, about distinct displeasure with body part
* Ex. Displeasure with nose, people that get obsessive plastic surgery
Body Dysmorphic Disorder
50
* Experiences reality
* Feel outside of body
* Feeling like in dreamlike state
* World feels surreal
Depersonalization/Derealization Disorder
51
* Sudden forgetting about personal information (e.g. address, phone number)
* Usually occurs with extreme shock (e.g. natural disaster, war zone)
Dissociative Amnesia
52
* Popularly called multiple personality disorder
* Relatively uncommon
* 2 or more distinct personality states
* Can't remember other states when in a certain state
* Usually occurs with people with severe trauma
Dissociative Identity Disorder
53
* Problems controlling aggressive impulses
* Disproportionate to stressor in situation
* Can't be accounted for by any other disorder (e.g. ASPD,ODD)
Intermittent Explosive Disorder
54
* Compulsive stealing
* Not for a purpose (e.g. stealing to feed family)
* Doing for fun or rush
Kleptomania
55
* Compulsion to pull out hair (e.g. eye brows, eye lashes)
| * Happens when someone has experienced abuse or trauma
Trichotillomania
56
Symptoms are a part of view of themselves. They don't see their behaviors as a problem.
Ego syntonic
57
Disorder is something that ct is aware of and does not like. Ex, depression, anxiety, panic disorder. "D" doesn’t like
Ego dystonic
58
* Irrational suspicions of others
* Preoccupied of suspicious
* Read into messages and remarks
* Hold on to grudges
Paranoid Personality Disorder
59
• Someone experiences JUST delusions (bizarre and non-bizarre)
Delusional Disorder
60
* Ego syntonic
* Loners
* Lack an interest in relationships
* Withdrawn
* No longing to connect
* No belief or trust in others
* Some flavors of depressions
* Pervasive over the course of someone's life
Schizoid Personality Disorder
61
* Ego syntonic
* Lonely
* Want to connect with others
* Very sensitive, fear that others are not going to like them
* Avoid social interactions for fear of rejections
Avoidant Personality Disorder
62
* Precursor to schizophrenia
* Haven't crossed over into a psychotic episode
* A little off
* Idea of reference
* Read an article, they think the article is about or directed to them
* Watch the news, they think the news is about or directed to them
* Magical thinking
* Feel that they have a sixth sense
* Bizarre fantasies
* Some paranoid ideation
* Lack close friends
* May dress bizarrely
Schizotypal Personality Disorder
63
* Must be at least 18
* Must have been diagnosed with conduct disorder before 15 y/o
* Pervasive pattern of disregard or violation of others
* Law breaking
* Deception or lying
* Impulsive
* Aggressive
* Lack of remorse, indifference or rationalization
Antisocial Personality Disorder
64
* Pervasive pattern of grandiosity
* Need for admiration
* Lack of empathy
* Not understanding what another person would think or feel
* Rude or snotty to people.
* Exaggerate achievements
* Often see themselves as superior
* Have fantasies of unlimited success and power, brilliance
* Feeling that they are unique
* Sense of entitlement
* Envious of others
* May go into a rage if they are challenged or put down
* Common diagnosis for perpetrators of domestic violence
Narcissistic Personality Disorder
65
* Known for instability in relationships
* One minute they like/hate you
* Black and white thinking
* Frantic fear of real or imagined abandonment
* They don't want to be rejected and may go to extremes
* Suicidal gestures
* Idealize therapist
* Sense of self fluctuates
* Extremes moods
* Difficulty controlling rage
Borderline Personality Disorder
66
* Pervasive attention seeking behavior
* Wants to be center of attention
* Seductive behavior/dress
* Rapid shifting and shallow expression of emotion
* Very vain
* Very dramatic
Histrionic Personality Disorder
67
* Ridged conforming to rules, moral codes, and excessive orderliness
* Perfectionists
* Hard time delegating
* Workaholics
* Need to have things in a certain way
Obsessive-Compulsive Personality Disorder
68
* Difficulty making decisions without advice or reassurance from people
* Defer life/decision making to others
* Need others to take responsibility for their life
* Difficulty disagreeing with others out of a fear of loss of support or approval
* Fear of rejection
* They will take on tasks that are unpleasant to get others to like them
* Whey they are alone they are uncomfortable and helpless
* If one relationship ends they are quick to get into another
Dependent Personality Disorder
69
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