DSM part 2 (oral prep) Flashcards
(21 cards)
Adjustment disorder
Adjustment disorder
A : within 3 months
B : distress and or impair
With depressed mood , with anxiety , with dist of conduct
Prolonged grief
A : death more than 12 mo
B : most days , nearly every day for last month : yearn long , and or thoughts memories of deceased
C : 3 of 8 :
Life is meaningless ,
Disbelief about death ,
Identity disruption
Emotional pain ,
Emotional numbness
Loneliness ,
Difficulty reintegrating
Avoidance of reminders
“Guilt of commission, more pathological than of omission”
PTSD
A : Exposure , actual or threatened death , serious injury or sexual violence , 1 of 4 ways :
Directly exp ,
Witnessing in person
Learning trauma occurred
Repeated or extreme exposure to aversive details
B : Intrusion , 1 of 5 :
Recurrent , invol , intrusive distressing memories
Flashbacks , dissociative react
Nightmares
Distress , intense or prolonged , at exposure to int or ext cues
Physiological reactions , marked , to int or ext cues
C : Avoidance , 1 of 2 :
Avoid or efforts to avoid distressing memories , thoughts , feelings about trauma
External reminders
D : Neg alt in cognitions and mood , 2 of 7 :
Inability to remember aspect of trauma
Persistent distorted cognition about cause consequence of trauma , lead to blame
Persistent exaggerated negative beliefs , oneself , others or world
Persistent negative emotional state
Persistent inability to exp positive emotions
Markedly diminished interest or participations
Feelings of detachment or estrangement
E : Arousal : 2 of 6 :
Sleep dist
Problems with concentration
Irritable behavior angry outburst
Reckless or self-destructive
Hypervigilance
Exaggerated startle response
F : 1 month
Specify with dissociative symptoms , delayed expression
Gender dysphoria
Gender dysphoria
Adolescents , adults : 6 months, 2 of 6:
Children : 6 months , 6 of 8 …
A : 6 months , 2 of 6 :
Incongruence between experienced expressed gender , and sex characteristics
Desire to rid of one’s sex characteristics
Desire for sex characteristics of other gender
Desire to be of gender other than assigned
Desire to be treated as other gender
Conviction of having typical feelings reactions of other gender
B : distress , impairment
Specify if : with disorder difference of sex development
Specify if : post transition
MDD
2 week , change from functioning , with 5 of 9 : of which at least 1 of :
Mood depressed , most of the day , nearly every day subj or obj
Interest or pleasure diminished in all or almost all things , most of the day , nearly every day subj or obj
Insomnia or hypersomnia nearly every day
Energy dec , fatigue , nearly every day
Psychomotor agit or retard , nearly every day , obj not just subj
Conc dim , or indecisiveness , nearly ever day , subj or obj
Appetite , nearly every day , or weight 5% bw , 1 mo
Worthlessness , or excessive or inapprop guilt , which may be delu , not just self reproach or guilt about being sick , nearly every day
Suicide or death , recurrent ideations of , or plan or attempt
MDD specifiers
Partial remission : some symptoms , or no symptoms for less than 2 months (early)
Full remission : no symptoms 2 months
Mild , mod , sev : number of symptoms , intensity , and impact on f
PDD (dysthymia)
A : for 2 years (1 if child) :
mood depressed , most of the day , more days than not , subj or obj
.
B : 2 of 6 :
Sleep dec or inc
Energy low or fatigue
.
Conc poor , diff making decisions
Appetite poor , or overeats
Self-esteem is low
Hopelessness
(i. e. no anhedonia , psychomotor changes , or suicide ; worthlessness differently expressed)
C : during 2 years , never without symptoms for more than 2 months at a time
D : could be MDE for 2 years
Specify if pure dysthymic syndrome , or MDE(s) …
Early onset , age 21
Anxious distress specifier
Majority of days , 2 of 5 :
Fear something awful might happen
Might lose control
Difficult concentrate
Tense , keyed up
Restless
(Hint : no mood symptoms)
Mixed features specifier
Psychotic feat
Mood congruent delu or hallu
Mood incongruent delu or hallu
Catatonia
Catatonia
Mental disorder , medical condition , or unspecified
3 of 12 :
Less (6) :
Posturing (on their own), spontaneous and active maintenance against grav
catalepsy , passive induction of posture held against grav (fixed regardless of ext stim)
waxy flex , slight even res to examiner (like wax)
Weirdly more (6) :
echolalia,
echopraxia,
grimacing , abnormally fixed facial expression
Stupor , no psychomotor , not actively rel to environ
Mustim , no or very little verbal response
Negativism , opposition or no response to instructions or ext stim (behavioral res)
(whereas more related to physical response : gegenhalten inc with force applied unlike rigid ; not mitgehen or anglepoise , which is exaggerated compliance with passive movement)
stereotypy , repetitive , abnormally freq , non-goal-directed (repetition),
mannerisms odd , circumstantial version of normal (caricature)
agit not influenced by ext stim
Manic with mixed features
Manic with mixed feat .
Majority of days , 3 of 6 dep symptoms :
Prominent dysphoria or depressed mood , subj or obj
Interest or pleasure diminished in all or almost all things
.
Energy loss , fatigue
Psychomotor retardation , not agit , nearly every day , obj not just subj
.
.
Worthlessness , or excessive or inapprop guilt
Suicide or death , recurrent ideations of , or plan or attempt
(i. e. no sleep , no conc ,
no app ;
Only psychomotor retard)
PMDD
PMDD
A : majority of cycles , 5 symptoms of B and C , final week before onset of menses , improve after menses , become minimal or absent
B : at least 1 of 4 :
Mood Dep , anx , labile or irritable
C : at least 1 of 7 :
Decreased interest in usual acts
Insomnia or
hypersomnia
Lethargy easily fatigued ,
lack energy
.
Subjective difficulties in concentration
Change in appetite ,
food cravings
Overwhelmed or out of control
Physical symptoms (breast , joint , muscle , bloating)
D , E : distress , impairment , not exacerbation of another
F : prospective daily ratings during 2 cycles
Manic episode
A : 1 week , Most of the day , nearly every day , (or any duration if hospit)
Mood abnormally and persistently elevated , expansive meaning unrestrained emotional express , (or irritable)
And energy or activity abnormally and persistently increased ,
B : 3 of 7 , 4 if mood irritable :
Grandiose , inflated self-est
Dec need for sleep (e. g. rested after 3 hours)
Distractible , subj or obj
Flight of ideas , or subj exp of thoughts racing
More talkative than usual , or pressure to talk
Goal-directed activities (socially , work school , sex) , or psychomotor agitation (purposeless non-goal-directed activity)
Excessive involvement in activities that have a high potential for painful consequences (e. g. buy motorcycles , sex , invest in crypto)
C : marked impairment
or hospit or psychotic feat
Hypomanic episode
A : 4 days
B : same
C : unequivocal change in f uncharacteristic of individual
D : mood and change in f observable by others
E : not severe enough to cause marked impairment , or to necessitate hospit
Specify :
With anxious distress
With mixed feat
With rapid cycling
With peripartum onset
With seasonal pattern
Depression with mixed features
Dep with mixed feat.
Majority of days , 3 of 7 manic symptoms :
Elevated expansive mood
Grandiose , infl self-est
Dec need for sleep , contrasted with insomnia
.
Flight of ideas , or subj exp of thoughts racing motorcycles
More talkative than usual , or pressure to talk
Increased energy , or goal-directed activity
Excessive involvement in activities that have a high potential for painful consequences
(i. e. no distractibility)
Bipolar 1
bipolar 2
Cyclothymia
Bipolar 1 disorder
1 manic episode
Bipolar 2 disorder
1 hypomanic and 1 MDE , without ever manic …
With rapid cycling , course
4 mood episodes in the last 12 mo , demarcated by remission of 2 months , or switch to episode of opposite pole
Cyclothymia
A : for 2 years (1 if child) :
Many periods with hypomanic symptoms , and dep , not meeting criteria for episode ;
B : during 2 years , symptoms at least half the time , not without symptoms for more than 2 months at a time
DMDD
DMDD 3%
A : severe recurrent temper outbursts , verbal or behavioral , disprop and B : inconsistent with dev
C : 3 outbursts per week
D : mood persistently irritable or angry most of the day nearly every day , observable
E : 12 or more months , no period lasting 3 months without symptoms
F : 2 settings G : ages 6 to 18 , H : onset before 10
Melancholic features specifier
Melancholic feat
A : 1 of 2 :
Lack of reac
Loss of pleasure in all
B : 3 of 6 :
Excessive inapprop guilt
Distinct qual of dep mood , profound despondency , despair , moroseness , empty mood
Worse in morning
Early morning awakening
Marked psychomotor agitation or retardation
Significant anorexia or weight loss
Atypical features specifier
Atypical feat
A :
Mood reactivity
B : 2 of 4 :
Longstanding pattern of interpersonal rej sens
Hypersomnia
Leaden paralysis
Sig weight gain or app
Seasonal pattern specifier
Seasonal pattern
A , B : onset a particular time of the year , not obvious psychosocial stressors ; remission at characteristic time of year
C : in the last 2 years , 2 episodes demonstrating A , B , no non-seasonal episodes
D : seasonal substantially outnumber non-seasonal over personès lifetime
Peripartum onset specifier
Peripartum onset
During preg or 4 weeks following deliv
Not maternity blues
Sudden changes in mood , not impaired ,
Temporary , self-limited
