DSM V Criterions Flashcards Preview

Jason's MD3 Psychiatry Rot > DSM V Criterions > Flashcards

Flashcards in DSM V Criterions Deck (21):
1

3 diagnostic criteria for intellectual disability?

1. deficits in intellectual function: abstract thinking, reasoning, problem solving
2. deficits in adaptive functioning: no sociocultural standards
3. onset during developmental period

2

what are the key features of psychotic disorders?

1. Delusions
2. Hallucinations
3. disorganized thinking(speech)
4. disorganized motor behaviour (catatonia)
5. negative symptoms

3

definition of hallucinations?

perception-like experience that occur without an external stimulus

4

what are the two prominent negative symptoms in schizophrenia?

1. Diminished emotional expression
2. Avolition

5

diagnostic criteria for schizophrenia?

A. two or more during a 1/12 time:
1. delusions
2. hallucinations
3.disordered thinking/speech
4. disordered motor behaviour/catatonia
5. negative symptoms

B. disruption at work, relations, self care
C. disturbance for 6/12
D.schizoaffective and bipolar ruled out
E. not due to a substance
F. If autism in childhood, schizo only if prominent delusions/hallucinations

6

what is diagnostic criteria of schizoaffective disorder?

1. uninterrupted period of mania/depression concurrent with schizo
2. delusions or hallucinations for >2/52 in absence of depression/mania
3. not due to a drug
4. symptoms of major mood episodes are present for majority of time.

7

what is bipolar I?

mania 7 days
major depressive episode

8

what is bipolar II?

hypomania: 4 consecutive days
major depressive episode

9

diagnostic criteria for mania?

7 days
3 of:
-inflated self-esteem/grandiosity
-no need for sleep
-more talkative-
flight of -ideas
-distractibility
-increase goal-directed activity
-excessive high risk involvement

10

diagnostic criteria for major depressive episode?

A. 14 days of
5 or more of:

1.depressed mood (must)
or
2. anhedonia (must)
3. weight loss
4. insomnia
psychomotor agitation/retardation
6. fatigue/loss of energy
7. worthlessness/guilt
8. diminished ability to think/concentrate
9. thoughts of death

B. distress in social/work etc.

C. not from drug

11

do you need depression for bipolar I?

Nope, just mania is enough

12

diagnostic criteria for major depression?

A. 14 days of
5 or more of:

1.depressed mood (must)
or
2. anhedonia (must)
3. weight loss
4. insomnia
psychomotor agitation/retardation
6. fatigue/loss of energy
7. worthlessness/guilt
8. diminished ability to think/concentrate
9. thoughts of death

B. distress in social/work etc.

C. not from drug

D. Not schizoaffective

E. never been a manic episode

13

difference between fear and anxiety?

Fear: emotional response to real or perceived IMMINENT threats

Anxiety: anticipation of future threat

14

diagnostic criteria panic attack?

A. RECURRENT with 4 or more of:

palpitations
wearing
trembling
dyspnoea
chest pain
nausea
dizzy
chills or heat
sense of impending doom

15

diagnostic criteria of OCD?

A. presence of obsessions and/or compulsions
B. time consuming (>1hour/day)
C. not a drug
D. Not another mental disorder like generalized anxiety

16

what is obsession? 2 things

1. persistent thought/urges, intrusive/unwanted, causes anxiety/distress
2. attempts to ignore or suppress urges

17

what is a compulsion? 2 things

1. repetitive behaviours/mental acts, feel driven to do
2. the behaviours are to prevent anxiety of a threat but not connected realistically

18

diagnostic criteria for anorexia nervosa?

1. Persistent restriction of energy intake
2. fear of gaining weight
3. disturbance in body experience, little insight

19

diagnostic criteria for bulimia nervosa?

A.
1. eating in discrete period more than what most ppl would eat
2. lack of control over eating during episode

B. compensatory behaviours: vomiting, laxatives, diuretics, exercise

C. at least 1/7 for 3/12

D. self-evaluation influenced by body shape and weight

E. does not occur during episodes of anorexia nervosa

20

Criteria to consider for CAT team?

1. Appears to have severe mental disorder
2. In a crisis
3. Acute stage?
4. Risk to the individual
5. Risk to CAT service members: violence, agitation, children,

21

mood disorders and substance abuse, 5 things:

1. Disorder fostering disorder
2. Self medicate
3. Confounding Dx
4. Drug-drug interaction
5. Overlapping Neuro-biological pathways