DSM - V Disorders (Mental Health) Flashcards Preview

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Flashcards in DSM - V Disorders (Mental Health) Deck (37)
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What are the 3 Domains of Intellectual Disability/Intellectual Developmental Disorders?

(Previously called mental retardation)

In order to properly diagnose, assessment of BOTH cognitive capacity (IQ) and adaptive functioning is needed

Adaptive functioning deficits include 3 domains:

1) conceptual (learning)
2) Social
3) Practical (personal care)

SPECIFY SEVERITY: mild, moderate, severe, or profound

SEVERITY is based on adaptive functioning, not on IQ


What is Autism Spectrum Disorder? (ASD)
(Combination of autism/Asperger's from DSM 4)

What are the 2 core domains?

What are the 3 severity levels?

**Must be present since early childhood**

1) Deficits in social communication and social interaction

- Failure to hold convo, reduced sharing of interest, failure to initiate social interactions, lack of eye contact/facial expressions, maintaining and understanding relationships, absence of interest in peers

2) Restrictive repetitive patterns of behaviors, interest or activities

-Motor Stereotypes, lining up toys, inflexible routines, distress at small changes, strong attachment, hyper/hypo reactivity such as smelling or touching objects every day

1) Level 1 (requiring support)
2) Level 2 (requring substantial support)
3) Level 3 (requiring very substantial support)

This is based on the amount of support needed due to ASD challenges


Attention-Deficit/Hyperactivity Disorder (ADHD)

(Who does it apply to?)

Criteria includes various age groups

1) Inattentive Symptoms - Failure to pay attention or misses details related to school, work, activities. Difficulty sustaining attention in tasks. Difficulty staying organized. Forgetful.

2) Hyperactivity symptoms - fidgets, taps hands, squirms in seat. Leaves classroom or workplace. Often runs or climbs in situations where inappropriate. Talks excessively. Difficulty waiting his/her turn.


What is Schizophrenia?

How long does the disturbance need to last?

How many symptoms are always needed to diagnose/ how many total symptoms are there?

(Schizophrenia Spectrum)

**Disturbance persists for AT LEAST 6 MONTHS or greater**

**TWO symptoms are always needed**

1) Hallucinations
2) Disorganized thinking (speech)
3) Disorganized or catatonic behavior (muscular rigidity)
4) Mental Stupor (NO psychomotor activity)
5) Not speaking
6) Echolalia (repeating another's words)
7) Echopraxia (repeating another's movements)


What is Schizophreniform?

How long does the duration need to be? (Minimum/Maximum)

(Schizophrenia Spectrum)

**Same symptoms as Schizophrenia but is AT LEAST 1 MONTH and LESS THAN 6 MONTHS**

Triggered by turmoil or high stress in several areas of daily functioning


What is Schizoaffective Disorder?

(Schizophrenia Spectrum)

Same symptoms as Schizophrenia WITH any of the following:

1) Major Depression
2) Mania
3) Mixed Episode


What is a Brief Psychotic Disorder?

How long does the duration need to be? (Minimum/Maximum)

(Schizophrenia Spectrum)


Same symptoms as schizophrenia.


What is a Delusional Disorder?

What are the 4 Types of Delusional Disorders?

How long does the duration need to be? (Minimum/Maximum)

**The presence of 1 OR MORE Delusions for 1 MONTH OR GREATER**

Irrational Beliefs.

1) Persecutory - Being maliciously treated
2) Grandiose - false belief that one is a genius. Has special powers (delusion of grandeur)


What is Bipolar 1?

How many episodes necessary for diagnosis?

** Manic depression - 1 OR MORE manic episodes**

- Abnormally elevated, irritable mood
- Pressured speech
- Excessive pleasurable/high-risk activity
- Cycling between mania and depression


What is Hypomania?

Less manic episode


What is Bipolar 2?

How many episodes necessary for diagnosis?

** Major Depressive episodes with AT LEAST 1 HYPOMANIC EPISODE**

Hypomanic --> Less manic


What is Cyclothymic Disorder?

-Chronic/Fluctuating mood with MANY Hypomanic episodes
- Mild Depressive Symptoms


What is Disruptive Mood Dysregulation Disorder?

Up to what age can it be diagnosed?

(Depressive Disorders)

**Can be diagnosed up to the age of 18**

-Persistent irritability and anger
-Frequent SEVERE temper outbursts (3 or more times a week and occurs in at least 2/3 settings)


What is Major Depressive Disorder?

How long do symptoms need to last?

Feelings of:

1) Feeling sad, empty, worthlessness

2) Significant weight loss/grain

3) Insomnia/excessive sleep, loss of interest

4) Thoughts of suicide *Duration of symptoms 2 WEEKS OR MORE*


What is Persistent Depressive Disorder?

How long do symptoms need to last?

(Dysthymia) Chronic Depression

- Symptoms are LESS SEVERE than Major Depression but last longer

***2 Years or More***


What is Separation Anxiety?

How long must symptoms be present in children/adults?

-Persistent and EXCESSIVE distress when SEPARATED from HOME or ATTACHMENT FIGURES

Children Criteria: Clinging, school refusal, sleep refusal (unless that person is nearby)

Children & Adolescents - At least 4 weeks
Adults - at least 6 months

Could be any significant relationships; siblings, spouse, adult child.

Persistent worry about major attachment figures


What is Agoraphobia?

(anxiety disorder)

Fear of being in public spaces, enclosed spaces, standing in a crowd, outside of the home


What is a Panic Disorder?

(anxiety disorder)

**Brief/recurrent intense Fear**
-Panic Attacks

Treatment- Relaxation Techniques


What is Generalized Anxiety Disorder? (GAD)

How long must symptoms last?


-Sweating, nausea, agitation, headache, stomachache

Symptoms must last 6 MONTHS OR GREATER


What is Obsessive-Compulsive Disorder?

Intrusive RECURRENT thoughts or COMPULSIVE behaviors

Ex: Hand washing, ordering, mental (counting, repeating words), time-consuming tasks


What is Trichotillomania?

Obsessive Compulsive Disorder

Compulsive urge to pull out one's own hair leading to noticeable hair loss


What is Reactive Attachment?

(Trauma & Stress-Related Disorder)

Lack of attachment to caregiver

Ex: Foster Children


What is PTSD?

How long do you need to have symptoms and when do they typically start?


-Symptoms must last 1 or more months
-Symptoms start within 3 months of incident


What is Acute Stress Disorder?

When does it occur?

Occurs within 1 months of experiencing a trauma

-Severe anxiety
-Dissociative symptoms

May include directly experiencing, witnessing or learning about an event


What is Adjustment Disorders?

(Trauma & Stress-Related Disorder)

Emotional or behavioral symptoms responding to a SUDDEN stressor

Occurs within 3 MONTHS of stressors

Specify: With depressed mood with anxiety, mixed anxiety and depressed mood


What is Illness Anxiety Disorder?

(Somatic Disorder)

Preoccupation with having or acquiring a serious illness.

Repeatedly checks for signs of illness

No physical symptoms required.

Specify: whether client seeks medical attention or avoids doctors


What is Somatic Symptom Disorder?

1 or more somatic symptoms that cause distress and disrupt daily activities

Persistent thoughts, feelings and behaviors in relation to somatic complaints

Specify: Mild, Moderate, Severe


What is Conversion Disorder?

Physical pain/symptoms with no medical cause due to Stress/Emotional CONFLICTS

Alters motor or sensory functions

Symptoms: Numbness, paralysis loss of sensation


What is Factitious Disorder Imposed on Another?

(previously by proxy)

Abuse of another/falsification of physical/psychological symptoms in another (Typically a child) in order to seek attention or sympathy for the abuser


What is Malingering?

An Illness for personal gain or purpose (condition associated with factitious disorder)

EX: Faking an injury to collect disability payment