DSM (lec 1) Flashcards by Wendy Pitts

DSM Axis I?

psych clinical disorders/conditions, focus of clinical attention
(e.g. depression, anxiety)

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DSM Axis II?

personality disorders (e.g. paranoid personality disorder)
or developmental disorders (e.g. mental retardation)

that may cause or exacerbate Axis I

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DSM Axis III?

general medical conditions

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DSM Axis IV?

psychosocial and environment disorders/stressors

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DSM Axis V?

global assessment of fxning (GAF scale)

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Axis IV details?

psychosocial and environment PROBLEMS that affect diagnosis/tx/prognosis of Axis I/II:

primary support group
social environment
education
occupational
economic
access to healthcare
legal/criminal

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Axis V details?

Global Assess of Fxning (GAF) scale measures provider’s overall judgement of pt’s level of fxn

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GAF used for?

planning tx
predicting outcome
tracking progress

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What is NOT part of determining GAF?

physical limitations

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Mental Status Eval: General includes?

overall appearance
posture
grooming/dress

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Mental Status Eval: Alertness/Orientation includes?

awareness of environment

oriented person/place/time

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Mental Status Eval: Speech includes?

ability to express, receive and comprehend words

Eval:
Rate
Volume
Quantity
Type (e.g. slurred, dramatic, etc)

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Mental Status Eval: Motor includes?

hyper/hypoactive
rigid
combative
tics
restless/akathisia (have to move, involuntary)

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Mental Status Eval: Mood definition?

sustained emotion affecting view of world,

subjective description of own emotional state in own words

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Mental Status Eval: Affect definition?

Descriptors?

observable feeling/tone/responsiveness seen in face, voice, demeanor

blunted
exaggerated
flat
constricted
labile (quickly changing)

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Mental Status Eval: Attention definition?

ability to focus/concentrate on one task over time

Mental Status Eval: Memory definition?

process of registering/recording info

Categories of Memory? (4)

1) remote (childhood)
2) recent remote (w/i past few months)
3) recent (same day)
4) immediate retention/recall

Mental Status Eval: Perception definition?

sensory awareness of objects and their interrelationships,

or relating to internal stimuli

Types of Perception? (5)

1) hallucination
2) illusions
3) depersonalization
4) derealization
5) formication

Hallucinations are?

false sensory perception not a/w real external stim

Illusions are?

misperception/interpretation of real external stim

Depersonalization is?

subjective sense of being unreal, strange, unfamiliar

Derealization is?

subjective sense of environment being unreal, strange

Formication is?

feeling of bugs crawling on/under skin

Mental Status Eval: Insight definition?

awareness of sxs/behaviors normalcy or abnormalcy awareness/understanding of own illness

Mental Status Eval: Judgement definition?

process of comparing/eval alternatives when deciding a course of action

Mental Status Eval: Thought Content includes?

delusions obsessions compulsions phobias

Delusions are?

fixed, false personal beliefs not shared by others in same culture and cannot be corrected by reasoning

Types of delusions?

``` paranoid grandeur nihilistic (reject all morals/religions) ideas of reference (TV talking directly to me) ideas of influence (I can control minds) ```

Obsessions are?

recurrent, uncontrollable thoughts/images/impulses

Compulsions are?

repetitive behaviors or mental acts

Phobias are?

persistent, irrational, exaggerated fear of specific stim or situation accompanies by need to avoid the stim/situation

Mental Status Eval: Thought Processes definition?

logic, coherence, relevance of thoughts related to goals

Components of Mental Status Eval? (13)

1) General 2) Alert/orient 3) Speech 4) Motor 5) Mood 6) Affect 7) Attention 8) Memory 9) Perception 10) Insight 11) Judgement 12) Thought content 13) Thought processes

What are Clang Associations?

pattern of speech where words are put together based on rhyme instead of concepts

What is Neologism?

making up words

What is perserveration?

a thought process of fixation on particular word, phrase, action