DSM criteria Flashcards

(69 cards)

1
Q

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 …

A

Generalised Anxiety Disorder (GAD)

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2
Q

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

A

Panic disorder

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3
Q

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

A

Agoraphobia

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4
Q

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

A

social anxiety disorder

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5
Q

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

A

separation anxiety disorder

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6
Q

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

A

selective mutism

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7
Q

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

A

Post Traumatic Stress Disorder (PTSD)

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8
Q

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

A

Acute Stress Disorder

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9
Q

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

A

adjustment disorder

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10
Q

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

A

reactive attachment disorder

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11
Q

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

A

disinhibited social engagement disorder

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12
Q

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

A

prolonged grief disorder

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13
Q

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

A

Obsessive compulsive disorder

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14
Q

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

A

body dysmorphic disorder

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15
Q

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

A

hoarding disorder

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16
Q

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

A

trichotillomania

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17
Q

crit A: Recurrent skin picking resulting in lesions
crit B: Repeated attempts to decrease or stop skin picking

A

skin picking disorder/excoriation

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18
Q

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

A

major depressive disorder

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19
Q

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

A

manic episode

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20
Q

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

A

hypomanic episode

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21
Q

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)

A

major depressive disorder

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22
Q

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

A

persistent depressive disorder

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23
Q

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

A

premenstrual dysphoric disorder

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24
Q

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

A

bipolar 1

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25
a- Criteria has been met for as least one hypomanic and at least one major depressive episode b- there has never been a manic episode c- at least one hypomanic episode and major depressive episode is not better explained by a psychotic disorder
bipolar 2
26
a- For at least 2 years there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode b- During the above 2 year period the hypomanic and depressive periods have been present for at least half the time and the individual has not been without the symptoms for more than 2 months at a time c- Criteria for MDD, manic or hypomanic have not been met
cyclothymic disorder (chronic version of bipolar that alternates between mild depression and mild hypomania)
27
a- Restriction of energy intake resulting in weight that is less than minimally normal or expected in the context of age, sex, developmental trajectory and physical health b- Intense fear of weight gain or becoming fat or behaviour that interferes with weight gain c- Disturbance in how weight/shape is experienced, undue influence of weight/shape in self-evaluation, or denial of seriousness of low weight
anorexia nervosa
28
- Eating disorder symptoms cause distress or impairment but don’t meet full criteria for anorexia nervosa - Despite significant weight loss, the individual remains within or above a normal weight range
atypical anorexia nervosa
29
A- Recurrent episodes of binge eating. An episode is characterised by 1. Eating, in a discrete period of time, more food than most other individuals who eat in a similar period of time under similar episodes 2. A sense of lack of control over eating during the episode B- Recurrent inappropriate compensatory behaviour to prevent weight gain C- Happening at least once a week for 3 months D- Self-evaluation is unduly influenced by body shape and weight E- Disturbance does not occur exclusively during anorexia
bulimia nervosa
30
A- Recurrent episodes of binge eating. An episode is characterised by: 1. Eating, in a discrete period of time, an amount of food that is definitely larger than what others would 2. Sense of lack of control over eating during the episode B- Binge eating is associated with 3 or more 1. Rapid eating, eating until uncomfortably full, eating when not physically hungry, eating alone due to embarrassment, feeling of guilt after C- Marked distress regarding the binge eating D- Binge eating occurs on average at least 1 day/week for 3 months E- No AN or BN or inappropriate compensatory behaviour
binge eating disorder
31
A - Persistently or recurrently deficient or absent sexual/erotic thoughts or fantasies and desire for sexual activity B - Symptoms have persisted for a minimum duration of approx. 6 months
male hypoactive sexual desire disorder
32
A - Lack of or significantly reduced sexual interest/arousal as manifested by 3+ of the following: 1 -Absent/reduced sexual activity 2 - Absent/reduced sexual/erotic thoughts or fantasies 3 - No/reduced initiation of sexual activity and typically unreceptive to a partners attempt to initate 4 - Absent/reduced sexual excitement/pleasure during sexual activity in 75-100% of encounters 5 - Absent/reduced sexual interest/arousal in response to any internal or external sexual/erotic cues 6 - Absent/reduced gential or non genetial sensations during sexual activity in 75-100% B - Minimum 6 months
female sexual interest/arousal disorder
33
A - At least one of the following must be experience 75-100% of sexual activity occasions 1 - Marked difficulty in obtaining an erection during sexual activity 2 - Marked difficulty in maintaining an erection until completion 3 - Marked decreased in rigidity B - Minimum 6 months
erectile disorder
34
A - One of the following during 75-100% of sexual activity occasions 1 - Delay in, marked frequency of or absence of orgasm 2 - Reduced intensity of orgasmic sensations B - Minimum 6 months
female orgasmic disorder
35
A - Persistently or recurrent pattern of ejaculation occurring during partnered sexual activity within 1 minute following vaginal penetration and before the individual wishes it B - Systems have persisted for 6 months and must be experienced on 75-100% of sexual activity occasions
premature ejaculation disorder
36
A - One must be experienced 75-100% of the time 1 - Marked delay in ejaculation 2 - Infrequency in ejaculation B - Symptoms have persisted for minimum 6 months
delayed ejaculation disorder
37
A - Persistent or recurrent difficulties with one or more of: 1 - Vaginal penetration during intercourse 2 - Vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts 3 - Fear or anxiety about vaginal or pelvic pain in anticipation of during or as a result of penetration 4 - Tensing or tightening of the pelvic floor muscles during attempted penetration B -Minimum 6 months
genito-pelvic pain/penetration disorder
38
Recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges or behaviours
frotteuristic disorder
39
Recurrent and intense sexual arousal from either the use of nonliving objects or a highly specific focus on non-genital body parts, as manifested by fantasies, urges or behaviours
fetishistic disorder
40
A - Sexual arousal from observing an unsuspecting person who is naked, in the process of de-robing or engaging in sexual activity, as manifesting by fantasies, urges or behaviours B - Must be 18 or older
voyeuristic disorder
41
Exposure of one’s genitals to an unsuspecting person
exhibitionistic disorder
42
Sexual arousal from cross-dressing
transvestic disorder
43
Sexual arousal from the act of being humiliated, beaten, bound or otherwise made to suffer as manifested by fantasies, urges or behaviours
sexual masochism disorder
44
Arousal from the physical or psychological suffering of another person as manifested by fantasies, urges or behaviours
sexual sadism disorder
45
Arousal involving sexual activity with a prepubescent child or children (13 or younger), and who is at least 5 years younger than the individual
paedophilic disorder
46
A – marked incongruence between ones experience/expressed gender and assigned gender, of at least 6 months duration as manifested by at least two of the following: 1 - Marked incongruence between ones experienced/expressed gender and primary and/or secondary sex characteristics (or anticipated secondary sex characteristics in adolescents) 2 - A strong desire to be rod of ones primary and or secondary sex characteristics because of a marked incongruence with ones experienced/expressed gender 3 - A strong desire for the primary and/or secondary sex characteristics of the other gender 4 - A strong desire to be of the other gender (or some alternative) 5 - A strong desire to be treated as the other gender 6 - A strong conviction that one has the typical feelings and reactions of the other gender
Gender dysphoria (adolescents and adults)
47
A – Marked incongruence between ones experienced/expressed gender and assigned gender, of at least 6 months duration, as manifested by at least six of the following (one of which must be A1) 1 - A strong desire to be of the other gender or an insistence that one is the other gender 2 - In boys, a strong preference for cross-dressing or simulating female attire; or in girls (assigned gender), a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing 3 - A strong preference for cross-gender roles in make-believe play or fantasy play 4 - A strong preference for the toys, games or activities stereotypically used or engaged in by the other gender 5 - A strong preference for playmates of the other gender 6 - In boys, a strong rejection of typically masculine toys, games and activities and a strong avoidance of rough and tumble play; or in girls, a strong rejection of typically feminine toys, games and activities 7 - A strong dislike of ones sexual anatomy 8 - A strong desire for the primary and or secondary sex characteristics that match ones experienced gender
gender dysphoria (children)
48
- Take in larger amounts or for longer than intended - Unsuccessful efforts to reduce or quit - Spending a lot of time getting, using or recovering - Cravings and urges to use - Role disruption at work, home or school - Continued use despite social/interpersonal problems - Reduction in social, occupational or recreational activities - Using in physically hazardous situations - Continued use despite physical or psychological problems - Tolerance - Withdrawal
substance use disorder
49
- Need to gamble with increasingly amounts of money to achieve excitement - Restless or irritable when attempting to cut down/stop - Unsuccessful efforts to cut down/stop - Often preoccupied with gambling thoughts - Often gambles when distressed - After losing money, returns to get even - Lies to conceal the extent of gambling involvement - Has jeopardised relationships, educational or career opportunities - Relies on others for money to relieve desperate financial situation - Rule out: mania - Indicate if mild (4-5), moderate (6-7) or severe (7+)
gambling disorder
50
A - Pervasive and unjustified mistrust and suspicion (4+) 1 - Suspects without sufficient basis 2 - Preoccupied with unjustified doubts about the loyalty/trustworthiness of friends/colleagues 3 - Reluctant to confide in others because others may use it against them 4 - Reads hidden, threatening meaning into benign events 5 - Persistently bears grudges 6 - Perceives attacks on their character/reputation that are not apparent to others and quick to counterattack 7 - Has recurrent suspicions regarding fidelity of spouse
paranoid personality disorder
51
A - Pervasive pattern of detachment from social relationships AND very limited range of emotions interpersonal situations (4+) 1 - Neither desired not enjoys close relationships 2 - Almost always chooses solitary activities 3 - Has little interest in sex 4 - Takes pleasure in few activities 5 - Lacks close friends 6 - Appears indifferent to praise to criticism 7 - Shows emotional coldness, detachment or flat affect
schizoid personality disorder
52
A - Pervasive pattern of social and interpersonal deficits marked by acute discomfort with close relationships AND cognitive/perceptual distortions AND eccentricities in behaviour (5+) 1 - Ideas of reference 2 - Odd beliefs or magical thinking 3 - Usual perceptual experiences 4 - Odd thinking and speech 5 - Suspiciousness or paranoid ideation 6 - Inappropriate or constricted affect 7 - Odd or eccentric behaviour or appearance 8 - Lack of close friends 9 - Excessive social anxiety that does not diminish with familiarity B - Does not occur exclusively during the course of schizophrenia, bipolar disorder, depressive disorder with psychotic features or autism
schizotypal personality disorder
53
A - Pervasive pattern of disregard for and violation of the rights of others by age 15 (3+) 1 - Failure to conform to social norms with respect to the law 2 - Deceitfulness – repeated lying, use of aliases 3 - Impulsivity or failure to plan ahead 4 - Irritability and aggressiveness, repeated assaults 5 - Reckless disregard for the safety of self and others 6 - Consistent irresponsibility – repeated failure to sustain consistent work behaviour or honour financial obligations 7 - Lack of remorse B - At least 18yo, conduct dx before 15yrs and doesn’t only occur during a course of schizophrenia or bipolar disorder
antisocial personality disorder
54
A - Pervasive pattern of instability of interpersonal relationships, self-image and affect and marked impulsivity (5+) 1 - Frantic efforts to avoid real or imagined abandonment 2 - A pattern of unstable, intense relationships marked by alternating between idealisation and devaluation identity disturbance 3 - Impulsivity in at least two areas that are potentially self-damaging 4 - Recurrent suicidal behaviour, gestures, threats or self-mutilating 5 - Affective instability due a marked reactivity of mood 6 - Chronic feelings of emptiness 7 - Intense anger 8 - Stress-related paranoid ideation or severe dissociative symptoms
borderline personality disorder
55
A - Pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of settings (5+) 1 - Uncomfortable in situations where they are not the focus on attention 2 - Interactions are often characterised by inappropriate sexually seductive or provocative behaviour 3 - Displays rapidly shifting and shallow expression of emotions 4 - Consistently uses physical appearance to draw attention to self 5 - Has a style of speech that is excessively impressionistic and lacking in detail 6 - Shows self-dramatization, theatricality and exaggerated expression of emotion 7 - Is easily influenced by others 8 - Considers relationships more intimate than they actually are
histrionic personality disorder
56
A - Pervasive pattern of grandiosity, need for admiration and lack of empathy, beginning by early adulthood and present in a variety of contexts (5+) 1 - Grandiose sense of self-importance 2 - Preoccupied with fantasies of unlimited success 3 - Believe they are unique and special and can only be understood by other special people 4 - Require excessive admiration 5 - High sense of entitlement 6 - Takes advantage of others to get their way 7 - Lack empathy 8 - Envious of others or believe others envy them 9 - Arrogant
narcissistic personality disorder
57
A - Pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation, beginning by early adulthood and present in a variety of contexts (4+) 1 - Avoids occupational activities that involve significant interpersonal contact because of fears of criticism, disapproval and rejection 2 - Unwilling to get involved with people unless certain of being liked 3 - Shows restraint within intimate relationships because of fear of being shamed or ridiculed 4 - Preoccupied with being criticised or rejected in social situations 5 - Inhibited in new social situations 6 - Views self as socially inept, personally unappealing or inferior to others 7 - Usually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing
avoidant personality disorder
58
A - Pervasive and excessive need to be taken care of that leads to submissive and clingy behaviour and fears of separation present in a variety of contexts (5+) 1 - Difficulty making everyday decisions 2 - Needs others to assume responsibility in most areas of their life 3 - Difficulty expressing disagreement with others for fear of loss of support 4 - Difficulty initiating projects or doing things on their own 5 - Goes to excessive lengths to obtain nurturance and support from others, to the point of volunteering to do unpleasant things 6 - Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for themselves 7 - Urgently seeks another relationship as a source of care/support when a close relationship ends 8 - Unrealistically preoccupied with fears of being left to take care of themselves
dependent personality disorder
59
A - Pervasive pattern of preoccupation with orderliness, perfectionism and mental and interpersonal control at the expense of flexibility, openness and efficiency (4+) – like the behaviours 1 - Preoccupied with details, lists, order, organisation or schedules to the extent that the major point of the activity is lost 2 - Perfectionism interferes with task completion 3 - Excessively devoted to work and productivity to the exclusion of leisure activity and friendships 4 - Overconscientious and inflexible about matters of morality, ethics 5 - Unable to discard worn-out or worthless objects that have no sentimental value 6 - Reluctant to delegate work to others unless they submit to exactly his or her way of doing things 7 - Adopts a miserly spending style; money should be hoarded for future catastrophes 8 - Shows rigidity and stubbornness
obsessive-compulsive personality disorder
60
a- two+ present for a significant amount of time during a 1 month period at least one must be 1, 2 or 3 1 - delusions 2 - hallucinations 3 - disorganised speech 4 - grossly disorganised or catatonic behaviour 5 - negative symptoms b- since onset, level of functioning in work, interpersonal functioning or self-care is markedly below level achieved prior to onset c- persistence for at least 6 months which includes at least one month of criterion A symptoms and may include prodromal or residual periods, in which only 1 negative symptoms or two criterion A symptoms are present in an attenuated form d- schizoaffective and depressive or bipolar disorder with psychotic features have been ruled out e- symptoms are not attributable to the physiological effects of a substance or another medical condition f- if a history of autism or communication disorder, a schizophrenia diagnosis can only be made if prominent hallucinations and delusions and other sxs are present from 1month+
schizophrenia
61
- schizophrenia that lasts between 1-6 months - associated with relatively good functioning - most patients resume normal lives
schizophreniform disorder
62
- positive symptoms of schizophrenia and or disorganised speech/behaviour - lasts at least one day but less than one month - briefest duration of all psychotic disorders - typically precipitated by trauma or stress
brief psychotic disorder
63
- schizophrenia plus a major mood episode - psychotic symptoms must also occur outside the mood disturbance for at least two weeks - mood disorder symptoms are present for the majority of the active and residual phases - prognosis is similar for people with schizophrenia - such persons do not tend to get better on their own
schizoaffective disorder
64
- does not include other positive symptoms or negative or disorganised symptoms - functioning is generally not impaired beyond the impact of believing the delusion - prognosis is better than with schizophrenia
delusional disorder
65
A – a persistent pattern of inattention and/or hyperactivity that interferes with functioning or development, as characterised by 1 and or 2: 1 – inattention (6+ sxs that have persisted for at least 6 months and are inconsistent with development period and significantly impact social/academic/work functioning) - Often fails to give close attention to details or makes careless mistakes - Often has difficulty sustaining attention - Often does not seem to listen when spoken to directly - Often does not follow through on instructions and fails to finish schoolwork, chores or duties - Difficulty organising tasks and activities - Often avoids, dislikes or is reluctant to engage in tasks requiring sustained mental effort - Often loses necessary items - Is often easily distracted by extraneous stimuli - Often forgetful in daily activities 2 – hyperactivity and impulsivity (6+ if child, 5+ if adult) - Often fidgets with or taps hands, feet or squirms - Often leaves seat in situations when remaining seated is expected - Often runs about or climbs in situations where it is inappropriate - Often unable to play or engage in leisure activities quietly - Often on the go, acts as if driven by a motor - Talks excessively - Blurts out answers before a question is completed - Difficulty waiting their turn - Interrupts or intrudes - B – several inattention or hyperactive impulsive sxs were present prior to age 12 - C – several inattentive or hyperactive sxs present in 2+ setting
ADHD
66
A - persistent deficits in social communication and social interaction across multiple contexts, as manifested by: 1 - Deficits in social-emotional reciprocity 2 - Deficits in nonverbal communicative behaviour used for social interactions 3 - Deficits in developing, maintaining and understanding relationships B – restricted, repetitive patterns of behaviour, interests or activities, as manifested by: 1 - Stereotyped or repetitive motor movements, use of objects or speech 2 - Insistence on sameness, inflexible adherence to routines, or ritualised patterns of verbal or nonverbal behaviour 3 - Highly restricted, fixated interested that are abnormal in intensity or focus 4 - Hyper- or hypo-reactivity to sensory input or unusual interest in sensory aspects of the environment C - Sxs must be present in early developmental period
austism
67
cluster a
odd/eccentric
68
cluster b
dramatic/emotional
69
cluster c
fearful/anxious