Psychiatric Diagnosis using the DSM5 Flashcards by Megan Miller

key concepts for behavioral health questions: rule out what conditions first

medical/physical health conditions that can cause behavioral health symptoms

How well did you know this?

Not at all

Perfectly

key concepts for behavioral health questions: prioritize what

safety for self/others

How well did you know this?

Not at all

Perfectly

key concepts for behavioral health questions: for diagnosing, look for ___ of behavior

patterns, changes, loss of functioning

How well did you know this?

Not at all

Perfectly

key concepts for behavioral health questions: does age matter for diagnosing

yes, same symptoms could be a different diagnosis based on age

How well did you know this?

Not at all

Perfectly

key concepts for behavioral health questions: make sure treatment is ____ restrictive

least restrictive possible for safety and appropriateness

How well did you know this?

Not at all

Perfectly

definition of a mental disorder

clinically significant disturbance in cognition emotion regulation, behavior that reflects dysfunction in psychological, biological or developmental processes underlying mental function; usually associated with significant distress/disability in social, occupational, other important activities

How well did you know this?

Not at all

Perfectly

things that AREN’T a mental disorder

-expectable/culturally approved response to common stressor/loss
-socially deviant behavior and conflict between individual and society UNLESS deviance/conflict is from dysfunction in individual

How well did you know this?

Not at all

Perfectly

for exam questions on diagnosis; concentrate on essential ____

features/primary symptoms of the primary diagnoses and on the glossary of technical terms in DSM

How well did you know this?

Not at all

Perfectly

ADHD
Autism Spectrum
Communication Disorder
Intellectual Disabilities
Motor Disorder
Specific Learning Disorder

neurodevelopmental disorders

How well did you know this?

Not at all

Perfectly

Major Depressive Disorder
Disruptive Mood Dysregulation Disorder
Persistent Depressive Disorder (PDD)
Premenstrual Dysphoric Disorder
Substance/medication Induced Depressive Disorder
Depressive Disorder due to other medical condition

Depressive Disorders

How well did you know this?

Not at all

Perfectly

Schizotypal (Personality) Disorder
Delusional Disorder
Brief Psychotic Disorder
Schizophreniform Disorder
Schizophrenia
Schizoaffective Disorder
Substance/medication induced psychotic Disorder
Psychotic disorder due to another medical condition
Catatonia Associated with another mental Disorder
catatonic Disorder due to another medical condition
Unspecified catatonia
Other specified schizophrenia spectrum and other psychotic disorder
Unspecified schizophrenia spectrum and other psychotic Disorder

Schizophrenia Spectrum and Other Psychotic Disorders

How well did you know this?

Not at all

Perfectly

Bipolar I and II Disorder
Cyclothymic Disorder
Substance/medication induced bipolar and related Disorder
Bipolar and Related Disorder due to another medical condition
Other Specified Bipolar and Related Disorder
Unspecified Bipolar and Related Disorder

Bipolar and Related Disorders

How well did you know this?

Not at all

Perfectly

Separation Anxiety Disorder
Selective Mutism
Specific Phobia
Social Anxiety Disorder
Panic Disorder
Panic Attack specifier
Agoraphobia
Generalize Anxiety Disorder
Substance/medication induced anxiety Disorder
Anxiety Disorder due to another medical condition
Unspecified Anxiety Disorder

Anxiety Disorders

How well did you know this?

Not at all

Perfectly

Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomnia (hair pulling)
Excoriation (skin picking) Disorder
Obsessive-Compulsive and Related Disorder due to another medical condition
Unspecified obsessive-compulsive and related Disorder

obsessive-compulsive and related Disorders

How well did you know this?

Not at all

Perfectly

Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
PTSD
Acute Stress Disorder
Adjustment Disorder
Other specified trauma and stressor related Disorder
unspecified trauma and stressor related

Trauma and stressor related Disorder

How well did you know this?

Not at all

Perfectly

Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder

Dissociative Disorders

How well did you know this?

Not at all

Perfectly

Somatic Symptom Disorder
Illness Anxiety Disorder
Conversion Disorder
Psychological Factors Affecting other medical conditions
Factitious Disorder (imposed on self or another)
Other specified somatic symptom and related disorder
Unspecified Somatic symptom and related Disorder

Somatic Symptom and Related Disorders

How well did you know this?

Not at all

Perfectly

Pica
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder
Anorexia Nervosa
Bulimia Nervosa
Binge-Eating Disorder
Other specified feeding or eating disorder
unspecified feeding or eating disorder

Feeding and Eating Disorders

How well did you know this?

Not at all

Perfectly

enuresis
encopresis
other specified elimination Disorder
unspecified elimination disorders

Elimination Disorders

How well did you know this?

Not at all

Perfectly

insomnia disorder
hypersomnolence disorder
narcolepsy
breathing related (sleep apnea, hypoventilation, circadian rhythm sleep-wake disorder)
parasomnias (non REM sleep arousal disorder, nightmare disorder, REM sleep behavior disorder, restless legs syndrome)

sleep-wake Disorders

How well did you know this?

Not at all

Perfectly

delayed ejaculation
erectile disorder
female orgasmic disorder
female sexual interest/arousal disorder
genito-pelvic pain/penetration disorder
male hypoactive sexual desire disorder
premature ejaculation

sexual dysfunctions

How well did you know this?

Not at all

Perfectly

gender dysphoria (in adults or children)
other specified gender dysphoria
unspecified gender dysphoria

gender dysphoria

How well did you know this?

Not at all

Perfectly

oppositional defiant disorder
intermittent explosive disorder
conduct disorder
antisocial personality disorder
pyromania
kleptomania
other specified/unspecified

disruptive, impulse-control, and conduct disorders

How well did you know this?

Not at all

Perfectly

alcohol use disorder; intoxication; withdrawal; other/unspecified
caffeine intoxication; withdrawal; other/specified
cannabis use disorder; intoxication; withdrawal; other/unspecified
phencyclidine use disorder; intoxication; other/unspecified
other hallucinogen use disorder; intoxication; persisting perception disorder; other/unspecified
inhalant use disorder; intoxication; other/unspecified
opioid use disorder; intoxication; withdrawal; other/unspecified
sedative, hypnotic, or anxiolytic use disorder; intoxication; withdrawal; other/unspecified
stimulant use disorder; intoxication; withdrawal; other/unspecified
tobacco use disorder; withdrawal; other/unspecified
gambling disorder

substance related and addictive disorders

How well did you know this?

Not at all

Perfectly

delirium Alzheimer's frontotemporal neurocognitive disorder neurocognitive disorder with lewy bodies vascular neurocognitive disorder neurocognitive disorder due to TBI substance/med induced due to HIV infection due to prion disease due to Parkinson's disease due to Huntington's disease due to another medical condition due to multiple etiologies

neurocognitive disorders

Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder

Cluster A Personality Disorders

Antisocial Personality Disorder Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder

Cluster B Personality Disorders

Avoidant Personality Disorder Dependent Personality Disorder Obsessive-Compulsive Personality Disorder

Cluster C Personality Disorders

personality change due to another medical condition other specified Personality Disorder unspecified Personality Disorder

other Personality Disorders

Voyeuristic Disorder Exhibitionist Disorder Frotteuristic Disorder Sexual Sadism Disorder Pedophilic Disorder Fetishistic Disorder Transvestic Disorder other specified/unspecified

paraphillic disorders

neuroleptic-induced parkinsonism other med-induced parkinsonism neuroleptic malignant syndrome med-induced acute dystonia med-induced acute akathisia tardive dyskinesia tardive dystonia med-induced postural tremor other med induced movement disorder antidepressant discontinuation syndrome other adverse effect of meds

medication-induced movement disorders and other adverse effects of medications

relational problems (related to family upbringing, support group) abuse and neglect education and occupational problems problems related to crime or interaction with legal system other problems related to social environment other health service encounters with counseling and medical advice problems related to other psychosocial/personal/environmental circumstances other circumstances of personal history

other conditions that may be a focus of clinical attention

do psychotic symptoms automatically indicate schizophrenia or mental illness

-no; could be in a mood disorder, substance use related, or Borderline Personality, could also be from fever, allergic reactions, lack of sleep -other mental health symptoms could also be from physical health disorders

in assessment for diagnosis, always rule out what first

physical health disorders with mental health symptoms

watch for term contraindicated on exam questions, means that

something is not recommended or safe to use

IDD requires deficits in what assessments

adaptive function and cognitive capacity (IQ); onset in developmental years, IQ of 70 or less; severity in mild, moderate, severe, profound

onset for autism spectrum disorder (ASD), deficits in what

early childhood; social communication and interaction, and restricted, repetitive activities, behaviors, interests; more common in boys than girls

domains of ADHD, onset prior to what age

inattention and hyperactivity/impulsivity onset prior to age 12 evidenced in multiple domains

tic disorders (like Tourettes) may come and go but must be present for how long

1 year

schizoaffective disorder requires what type of mood episode lasting throughout most of the episode

bipolar or depressive

bipolar disorder includes mood fluctuations as well as changes in

activity and energy

persistent depressive disorder (PDD) new diagnosis in DSM5 that covers

major depression and dysthymic disorder

disruptive mood dysregulation disorder used for what group instead of bipolar

kids/teens under age 18

separation anxiety onset

at any age, symptoms present for at least 6 months; most common disorder for kids with school refusal

panic disorder and agoraphobia: same or different?

separate and distinct disorders with unique criteria

obsessive compulsive and related disorders share what, and specifier

repetitive behaviors and drive to perform them; specifier for insight (good, fair, poor, absent) and for delusional beliefs

adjustment disorder includes what specifier and used for what age

specifiers-depressed mood, anxiety, disturbance of conduct; used for individuals of any age following a stressful life event

acute stress disorder qualifiers

witnessed event or experienced it directly; categories to meet include arousal, avoidance, intrusion, dissociation, negative mood

PTSD 4 clusters

arousal avoidance persistent negative changes in mood/cognition re-experiencing

reactive attachment disorder (RAD) comes from

neglect; results in emotionally and/or socially disengaged individual who have difficulty forming attachments to caregiving adults

dissociative identity disorder requires

2+ distinct personality states and observable or self-reported identity transitions along with gaps in memory of daily events; cannot be attributed to medical condition, substance use, or broadly accepted cultural/religious practice

somatic symptom and related disorders can be diagnosed along with medical conditions and ___ or ____ not be associated with the other conditions

may or may not be

factitious disorder can be

imposed on self or imposed on another (by proxy); medical providers become suspicious when kid has repeated, unexplained illness (form of child abuse)

anorexia nervosa criteria focus on behaviors that include what

low caloric intake and significantly low weight; may include openly expressed fear of weight gain/engaging in behaviors that inhibit chance to gain weight

bulimia nervosa involves what and how often

binge eating and compensatory behaviors at least once per week over 3 months

binge eating disorder involves what

overeating and distress at least once a week over 3 months without compensatory behaviors

conduct disorder can be onset when

childhood onset type, adolescent onset type, or unspecified; may be a precursor to diagnosis of antisocial personality disorder

age to be diagnosed with antisocial personality disorder

18+

can personality disorders be diagnosed under age 18

all except for antisocial if symptoms present for at least 1 year

schizoid personality disorder characterized by

detachment from social relationships and restricted range of emotions, activities, interests

schizotypal personality disorder characterized by

compromised social relationships, also associated with odd beliefs, magical thinking, suspiciousness, paranoia

enuresis can be ____ or ___

diurnal or nocturnal, or both

encopresis can be with or without ___ and _____

constipation, overflow inconvenience

Rett syndrome

rare genetic disorder involving persistent and progressive developmental regression after a period of normal development; onset before age 4 (usually between 1 and 2); sterotypic hand movements, problems with coordination of gait and trunk movement, profound mental retardation, severe expressive and receptive language development; only in females

fragile X syndrome

genetic abnormality on X chromosome which leads to intellectual disability and behavioral problems

Cluster A personality disorders

Odd and eccentric Paranoid, schizotypal, schizoid

Cluster B personality disorders

Dramatic, emotional, erratic Antisocial, borderline, histrionic, narcissistic

Cluster C personality disorders

Anxious and fearful Avoidant, dependent, obsessive compulsive

Delirium symptoms

Changes in level of consciousness and orientation, changes in cognition or perceptions, difficulty shifting and maintaining attention, delirious

Delirium cause

General medical condition or substance use, combo of both; usually a medical emergency

Delirium: duration

Rapid, acute onset of symptoms which can fluctuate over time

Dementia symptoms

Disturbance involving memory impairment and other cognitive impairment Dementia/Alzheimer’s

Dementia causes

Usually by general medical condition, can be from series of strokes (vascular dementia) with patchy cognitive symptoms

Dementia duration

Progressively worse over time

Psychiatric Diagnosis using the DSM5 Flashcards

(74 cards)