Final Exam Flashcards
(51 cards)
Somatic Symptom Disorder
A. 1+ somatic sx that disrupt fx
B. excessive thoughts/feelings/behaviors with 1+
1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms.
2. Persistently high level of anxiety about health or symptoms.
3. Excessive time and energy
C. Any one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months).
● Specify:
With predominant pain
Persistent (more than 6 months).
Mild/Moderate/Severe
Illness Anxiety Disorder
A. Preoccupation with having or acquiring a serious illness.
B. Somatic symptoms are not present or, if present, are only mild in intensity.
C. There is a high level of anxiety about health
D. performs excessive health-related behaviors or avoids
E. 6 months, specific illness may change
F. NBE Medical/Mental
● Specify:
Care-seeking/Care-avoidant
Conversion Disorder
A.1(+) sx of altered voluntary motor or sensory function.
B. sx incompatible with clinical test results
C. NBE Medical/Mental
D. ClinSig
● Specify:
Acute episode/Persistent
With psychological stressor (specify stressor)
Without psychoiogical stressor
Factitious Disorder
On Self/Other:
A. Falsification of physical or psychological signs
B. presents self/Other to others as ill, impaired, or injured.
C. evident in the absence of obvious external rewards.
D. NBE Mental
● Specify:
Single/Recurrent Episodes
Voyeuristic Disorder
A. 6(+) months, recurrent intense arousal from observing unsuspecting person who is naked/sexual, manifested by fantasies/urges/behaviors
B. Has acted on urges/ClinSig
C. At least 18yo
● Specify
In a controlled environment
In full remission (5yrs, uncontrolled env)
Exhibitionistic Disorder
A. A. 6(+) months, recurrent intense arousal from exposure of genitals to an unsuspecting person, manifested by fantasies/urges/behaviors
B. Has acted on urges/ClinSig
● Specify:
Prepubertal children/adults/both
In a controlled environment
In full remission (5yrs, uncontrolled env)
Frotteuristic Disorder
A. 6(+) months, recurrent intense arousal from touching
or rubbing against a nonconsenting person, manifested by fantasies/urges/behaviors
B. Has acted on urges/ClinSig
● Specify:
In a controlled environment
In full remission (5yrs, uncontrolled env)
Sexual Masochism Disorder
A. 6(+) months, recurrent intense arousal from being humiliated, beaten, bound, or othenwise made to suffer, manifested by fantasies/urges/behaviors
B. Has acted on urges/ClinSig
● Specify:
With asphyxiophilia
In a controlled environment
In full remission (5yrs, uncontrolled env)
Sexual Sadism Disorder
A. 6(+) months, recurrent intense arousal from the phys-
ical or psychological suffering of another person, manifested by fantasies/urges/behaviors
B. Has acted on urges with non-consenting person/ClinSig
● Specify:
In a controlled environment
In full remission (5yrs, uncontrolled env)
Pedophilic Disorder
A. 6(+) months, recurrent intense arousal from sexual activity with a prepubescent child or children, manifested by fantasies/urges/behaviors
B. Has acted on urges with non-consenting person/ClinSig
Specify:
In a controlled environment
In full remission (5yrs, uncontrolled env)
C. at least age 16 years and at least 5 years older than the child
● Specify whether:
Exclusive/Nonexclusive type (attracted only to children)
Attracted to males/females/both
Limited to incest
Fetishistic Disorder
A. 6(+) months, recurrent intense arousal from use of nonliving objects or a highly specific focus on nongenital body part(s), manifested by fantasies/urges/behaviors
B. ClinSig
C. Fetish objects not clothing or sexual devices
● Specify:
Body Parts
Non living objects
In a controlled environment
In full remission (5yrs, uncontrolled env)
Transvestic Disorder
A. 6(+) months, recurrent intense arousal from cross-dressing, manifested by fantasies/urges/behaviors
B. ClinSig
● Specify:
With Fetishism
With autogynephilia (aroused by thoughts of self as female)
In a controlled environment
In full remission (5yrs, uncontrolled env)
Delusional Disorder
A. 1(+) delusions for 1(+) months
B. Criterion A for schizophrenia never met
(Hallucinations if present are only related to delusion)
C. Functioning not drastically impaired
D. Manic/Depressive episodes if present are secondary to delusions
E. NBE Medical
● Spec:
Types- Erotomanic, Grandiose, Jealous, Persecutory, Somatic, Mixed, Unspecified, Bizarre
Duration (Used only after 1 yr of delusions)- First/Multiple episodes, currently in acute, partial/full remission; Continuous
Severity
Brief Psychotic Disorder
A. 1 (+) sx, must be 1, 2 or 3 1. Delusions. 2. Hallucinations. 3. Disorganized speech 4. Grossly disorganized or catatonic behavior. B. at least 1 day, less than 1 month, eventually returns to full function C. NBE Mental ● Specify if: With/Without marked stressor(s). Postpartum Onset Catatonia Severity
Schizophreniform Disorder
A. 2 (+) sx, significant portion of time for 1 month, must be 1, 2 or 3 1. Delusions. 2. Hallucinations. 3. Disorganized speech 4. Grossly disorganized or catatonic behavior. 5. Negative symptoms B. An episode of the disorder lasts at least 1 month but less than 6 months. C. NBE Mental D. NBE Medical ● Specify if: Good/Without Prognostic Features With Catatonia Severity
Schizophrenia
A. 2 (+), sig time, 1 month, must be 1, 2, or 3
1. Delusions.
2. Hallucinations.
3. Disorganized speech
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms
B. Sig Impairment in Functioning
C. Continuous Signs of Disturbance for at least 6 mos
D. NBE Mental
E. NBE Medical
F. If ASD, at least 1 month of hallucinations
● Specify if: (after 1 year)
First/Multiple episodes/- acute/partial remission/full remission. Continuous
Unspecified
With Catatonia
Severity
Schizoaffective Disorder
A. Uninterrupted illness, mood episode + A of schizophrenia
B. Delusions or hallucinations for 2 or more weeks w/out mood episode
C. SX of Mood episode present most of the time
D. NBE Medical/Substance
● Specify whether:
Bipolar/Depressive type
With catatonia
First/Multiple episodes- acute/partial/full remission
Continuous
Unspecified
Severity
Catatonia Specifier
A. 3(+) Sx
- Stupor
- Catalepsy
- Waxy flexibility
- Mutism
- Negativism
- Posturing
- Mannerism
- Stereotypy
- Agitation, not influenced by external stimuli.
- Grimacing.
- Echolalia (i.e., mimicking another’s speech).
- Echopraxia (i.e., mimicking another’s movements).
Pica
A. 1 month (+) Persistent eating of nonnutritive, nonfood substances B. developmentally inappropriate C. NBE Culture D. NBE Medical/Mental ● Specify: In remission
Rumination Disorder
A. 1 month(+) Repeated regurgitation of food B. NBE Medical C. NBE eating disorder D. NBE mental ● Specify if: In remission
Avoidant/Restrictive Food Intake Disorder
A. An eating or feeding disturbance- 1 or more of following
1. Significant weight loss (or failure to achieve expected weight gain)
2. Significant nutritional deficiency.
3. Dependence on enteral feeding or oral nutritional supplements.
4. Marked interference with psychosocial functioning.
B. NBE culture/lack of food
C. NBE eating disorder
D. NBE Medical
● Specify if:
In remission
Anorexia Nervosa
A. Restriction of energy intalke relative to requirements, leading to a significantly low body weight
B. Intense fear of gaining weight or of becoming fat
C. Disturbance in the way in which one’s body weight or shape is experienced, low self-evaluation, no insight
● Specify whether:
Restricting type
Binge-eating/purging type
In partial/full remission
Bulimia Nervosa
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
1. Eating, in a 2-hour period, a large amount of food
2. A sense of lack of control over eating during the episode
B. inappropriate compensatory behaviors to prevent gain
C. 1(+) per week, at least 3 months
D. Self-evaluation is unduly influenced
E. NBE Anorexia
● Specify if:
In partial remission
In full remission
Binge Eating Disorder
A. Recurrent episodes of binge eating by both of the following:
1. Eating, within any 2-hour period, a lot of food
2. A sense of lack of control over eating during the episode
B. The binge-eating episodes are associated with three (or more) of the following:
1. Eating much more rapidly than normal.
2. Eating until feeling uncomfortably full.
3. Eating large amounts of food when not feeling physically hungry.
4. Eating alone because of feeling embarrassed by how much one is eating.
5. Feeling disgusted with oneself, depressed, or very guilty afterward.
C. Marked distress regarding binge eating is present.
D. The binge eating occurs, on average, at least once a week for 3 months.
E. Not associated with compensatory behaviors
● Specify if:
In partial/full remission