DSM (lec 1) Flashcards Preview

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Flashcards in DSM (lec 1) Deck (38):
1

DSM Axis I?

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

2

DSM Axis II?

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

that may cause or exacerbate Axis I

3

DSM Axis III?

general medical conditions

4

DSM Axis IV?

psychosocial and environment disorders/stressors

5

DSM Axis V?

global assessment of fxning (GAF scale)

6

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

7

Axis V details?

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

8

GAF used for?

planning tx
predicting outcome
tracking progress

9

What is NOT part of determining GAF?

physical limitations

10

Mental Status Eval: General includes?

overall appearance
posture
grooming/dress

11

Mental Status Eval: Alertness/Orientation includes?

awareness of environment
oriented person/place/time

12

Mental Status Eval: Speech includes?

ability to express, receive and comprehend words

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

13

Mental Status Eval: Motor includes?

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

14

Mental Status Eval: Mood definition?

sustained emotion affecting view of world,

subjective description of own emotional state in own words

15

Mental Status Eval: Affect definition?

Descriptors?

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

blunted
exaggerated
flat
constricted
labile (quickly changing)

16

Mental Status Eval: Attention definition?

ability to focus/concentrate on one task over time

17

Mental Status Eval: Memory definition?

process of registering/recording info

18

Categories of Memory? (4)

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

19

Mental Status Eval: Perception definition?

sensory awareness of objects and their interrelationships,
or relating to internal stimuli

20

Types of Perception? (5)

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

21

Hallucinations are?

false sensory perception not a/w real external stim

22

Illusions are?

misperception/interpretation of real external stim

23

Depersonalization is?

subjective sense of being unreal, strange, unfamiliar

24

Derealization is?

subjective sense of environment being unreal, strange

25

Formication is?

feeling of bugs crawling on/under skin

26

Mental Status Eval: Insight definition?

awareness of sxs/behaviors normalcy or abnormalcy

awareness/understanding of own illness

27

Mental Status Eval: Judgement definition?

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

28

Mental Status Eval: Thought Content includes?

delusions
obsessions
compulsions
phobias

29

Delusions are?

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

30

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)

31

Obsessions are?

recurrent, uncontrollable thoughts/images/impulses

32

Compulsions are?

repetitive behaviors or mental acts

33

Phobias are?

persistent, irrational, exaggerated fear of specific stim or situation

accompanies by need to avoid the stim/situation

34

Mental Status Eval: Thought Processes definition?

logic, coherence, relevance of thoughts related to goals

35

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

36

What are Clang Associations?

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

37

What is Neologism?

making up words

38

What is perserveration?

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