DSM criteria Flashcards
(69 cards)
crit A: excessive anxiety about multiple things occurring more days than not for at least 6 months
crit B: difficulty controlling the worry
crit C: anxiety and worry associated with at least 3 other symptoms - restlessness …
Generalised Anxiety Disorder (GAD)
crit A: 4+ of the following coming on within 20mins: palpitations, sweating, trembling, feeling of choking, chest pain, nausea, dizzy, chills or heat sensation
crit B: Recurrent unexpected panic attacks
crit C: Anxiety, worry or fear of another attack AND/OR significant change in behaviour related to the attacks
crit D: persists for 1 month or more
Panic disorder
crit A: Marked fear/anxiety for two or more: public transportation, open spaces, enclosed spaces, standing in line, being outside the home alone
crit B: Concern about being unable to escape or get help in the event of panic symptoms or other unpleasant physical symptoms
Crit C: These situations always provoke fear
Crit D: Avoid these situations, brings companion or suffers through with dread
Crit E: Anxiety not proportional to real danger
Crit F: Distress persists for 6 months+
Crit G: Distress is excessive and causes impairment
Agoraphobia
crit A: Marked fear/anxiety about a social situation involving possible scrutiny by others
crit B: Fears will be negatively evaluated due to how they act
crit C: Social situations almost always provoke fear/anxiety
crit D: Social situations are avoided with intense fear/anxiety
crit E: Fear disproportionate to actual threat
crit F: Lasts more than 6 months
social anxiety disorder
crit A: Developmentally inappropriate and excessive dear or anxiety concerning separation from attachment figures
- Worry about harm occurring to them or their attachment figures and that it will lead to separation
- Experiences distress anticipating or experiencing separation
- Refusal to do things that cause separation
- Lasts more than 4 weeks in children and 6 months for adults
- Causes significant distress
- Not better accounted for by another disorder
separation anxiety disorder
crit A: Consistent failure to speak in social situations in which there is an expectation for speaking despite speaking in other situations
crit B: Interferes with educational or occupational achievement or with social communication
crit C: Lasts at least one month
crit D: Not attributable to a lack of knowledge or of comfort with the spoken language
crit E: Not better explained by a communication disorder
selective mutism
crit A: Exposure to actual/threatened death, serious injury or sexual violence
crit B: at least 1 intrusion symptom
crit C: at least 1 avoidance symptom
crit D: 2 or more signs of negative alterations in cognitions or mood
crit E: 2 or more symptoms in physiological arousal
crit F: Symptoms must have started/worsened after the trauma
crit G: Symptoms must be present for at least 1 month
crit H: Symptoms must cause distress or functional impairment
Post Traumatic Stress Disorder (PTSD)
crit A: Exposure to actual/threatened death, serious injury or sexual violence
crit B: presence of 9 more more symptoms from categories of intrusions, negative mood, dissociation, avoidance and arousal
crit C: minimum 3 days and max 4 weeks of disturbance
Acute Stress Disorder
crit A: Development of emotional or behavioural symptoms in response to an identifiable stressor within 3 months of the onset of the stressor
crit B: Symptoms are clinically significant
crit C: The stress-related disturbance does not meet criteria for another mental disorder and is not merely the exacerbation of another disorder
crit D: Symptoms do not represent normal bereavement
crit E: Once the stressor and its consequences have terminated, the symptoms do not persist for more than 6 months
adjustment disorder
crit A: Consistent pattern of inhibited, emotionally withdrawn behaviour toward adult caregivers, manifested by both:
- Child rarely seeks comfort when distressed
- Child rarely responds to comfort when distressed
crit B: A persistent social and emotion disturbance
crit C: Child has experience extreme insufficient care and this insufficient care is thought to be responsible for the child’s symptoms
crit D: Cannot meet criteria for autism
crit E: Must be at least 9 months old and needs to occur before 5
reactive attachment disorder
crit A: Pattern of behaviour in which a child actively approaches and interacts with unfamiliar adults in uncharacteristic ways
crit B: Not limited to acts of impulsivity (ADHD)
crit C: Child has experienced extreme insufficient care and this is thought to be responsible for the child’s symptoms
crit D: Must be at least 9 months old
disinhibited social engagement disorder
crit A: Death of a close person at least 12 months ago
crit B: Since death, persistent grief has been present most days for at least one month
crit C: At least three of the following have been present most days
- Identity disruption, disbelief, avoidance, emotional pain, difficulty reintegrating, emotional numbness, feelings of meaninglessness, intense loneliness
prolonged grief disorder
crit A: Presence of obsessions, compulsions or both
crit B: Time consuming
crit C: Not due to substance abuse
crit D: Not better explained by another mental health disorder
specifier: Insight (good/fair; poor; absent/delusional)
specifier: If tic-related
Obsessive compulsive disorder
crit A: Preoccupation with perceived flaws in appearance, unnoticeable or slight to others
crit B: Repetitive behaviours or mental acts are performed in response to appearance concerns
crit C: The preoccupation causes clinically significant distress or impairment
crit D: Appearance preoccupation isn’t due to body fat or weight concerns in someone meeting eating disorder criteria
-Specify with muscle dysmorphia if appropriate
body dysmorphic disorder
crit A: Persistent difficulty discarding or parting with possessions, regardless of actual value
crit B: Difficulty is due a perceived need to save the items and to distress associated with discarding them
crit C: The difficulty discarding possessions results in accumulation of possessions that congest and clutter active living areas and substantially compromises their intended use
hoarding disorder
crit A: Recurrent hair pulling, resulting in hair loss
crit B: Repeated attempts to stop
crit C: Urges to pull hair are precipitations by tension
- Pleasure associated
trichotillomania
crit A: Recurrent skin picking resulting in lesions
crit B: Repeated attempts to decrease or stop skin picking
skin picking disorder/excoriation
A – extremely depressed mood and/or loss of pleasure most of the day, nearly everyday for at least 2 weeks, plus 4+ more related symptoms
1. Change in weight/appetite
2. Sleep disturbance (trouble going to sleep/staying asleep/getting up early)
3. Restlessness or feeling slowed down
4. Fatigue
5. Feelings of worthlessness or guilt
6. Indecisiveness, difficulty concentrating
7. Suicidal ideation
major depressive disorder
A – elevated, expansive or irritable mood and abnormally persisted increased goal-directed activity or energy, lasting at least 1 week, present most of the day, nearly every day
B – plus 3+ more related symptoms (4 if the mood is only irritable)
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep
3. More talkative or pressure to keep talking
4. Racing thoughts
5. Distractibility
6. Excessive involvement in risky, pleasurable activities
C – severe enough to cause marked impairment in functioning or to necessitate hospitalisation to prevent harm or there are psychotic features
manic episode
A - Less severe version of a manic episode
- 3 or 4 (irritable mood only) symptoms are still required but milder symptoms
B - Lasts at least four days
C - Associated with less impairment than a manic episode
hypomanic episode
a- At least one major depressive episode
b- The occurrence of the major depressive episode is not better explained by a psychotic disorder
c- There has never been a manic episode or hypomanic episode
specifier: single or recurrent
specifier: mild, moderate or severe
specifier: with psychotic features
specifier: partial remission or full remission
specifier: with anxious distress, with mixed features, with melancholic features, with atypical features, with mood-congruent psychotic features, with mood-incongruent psychotic features, with catatonia, with peripartum onset, with seasonal patten (recurrent episode only)
major depressive disorder
a- Depressed mood most of the day, more days than not – at least 2 years
b- Two or more of:
1- Poor appetite or overeating
2- Fatigue or loss of energy
3- Low self esteem
4- Poor concentration or indecisiveness
5- Feelings of hopelessness
c- <2 months without symptoms
d- May have MDD at same time
e- No manic or hypomanic episode ever
f- Not better explained by a psychotic disorder
persistent depressive disorder
A- 5+ symptoms (at least 1 from B and 1 from C); occur week before menses; majority of cycles; improve with menses; almost disappear after menses
B- One or more of:
1. Marked affective lability (mood swings, crying)
2. Marked irritability or anger
3. Marked depressed mood, hopelessness
4. Marked anxiety, tension
C- One or more of:
1. Decreased interest
2. Difficulty concentrating
3. Lethargy, lack of energy
4. Marked change in appetite
5. Hypersomnia or insomnia
6. Feeling overwhelmed or out of control
7. Physical symptoms (breast tenderness, muscle pain, weight gain)
D - must keep a diary
premenstrual dysphoric disorder
a- Criteria have been met for at least one manic episode
b- Occurrence of the manic and major depressive episode is not better explained by schizoaffective disorder or psychotic disorder
bipolar 1