Diagnostic Criteria

Question 1

Disruptive Mood Dysregulation Disorder (DMDD)

Answer 1

• Symptoms must have started before 10, but can be dx between 6-18 years old.
• Symptoms in at LEAST 2 settings.
• Outbursts => 3 per week and inconsistent with developmental level.
• Symptoms => 1 year with no more than 3 months without symptoms.

NO episodes meeting full criteria for manic/hypomanic episode lasting longer than a day.
Behavior does NOT occur during MDD.

Question 2

Manic vs. hypomanic episode

Answer 2

Manic

• 1 week unless hospitalized
• Marked impairment in social or occupational functioning or hospitalization necessary
• May have PSYCHOTIC features –> manic by definition

Hypomanic

• => 4 consecutive days
• Symptoms not severe enough to caused marked impairment or necessitate hospitalization
• NO psychotic features

Question 3

Signs of PCP intoxication?

Answer 3

A dissociative anesthetic that causes:

• Hallucinations
• Dissociative feelings,
• Agitation, many cases can lead to psychotic/violent behavior
• Confusion
• Tachycardia
• Nystagmus (horizontal, vertical, rotary)
• High doses can cause HTN, seizures, rigidity, life-threatening hyperthermia

TREAT WITH BENZOS FOR SEVERE PSYCHOMOTOR AGITATION

Question 4

Signs of MDMA intoxication?

Answer 4

• Euphoria
• Increased energy
• +/- bruxism, hyperthermia

VIOLENT AGITATION NOT COMMONLY SEEN.

Question 5

Signs of LSD and psilocybin intoxication?

Answer 5

Hallucinogens that cause:

• VH and illusions
• Euphoria or dysphoria
• Depersonalization

Question 6

PTSD vs. ASD

Answer 6

PTSD:

• Trauma occurred at any time in past
• Symptoms > 1 month

ASD:

• Trauma within 1 month of symptoms
• Symptoms < 1 month

Question 7

Separation Anxiety Disorder timeline for diagnosis

Answer 7

Symptoms => 1 month in children
Symptoms => 6 months in adults

During normal development:

• Stranger anxiety begins ~ 6 months with peak at 9 months
• Separation anxiety begins ~ 1 year with peak at 1.5 years

Question 8

Persistent complex bereavement disorder (complicated grief)

Answer 8

Persistent yearning for deceased and prolonged emotional pain related to the loss, accompanied by maladaptive ruminative thoughts and dysfunctional behaviors.

Question 9

REM sleep behavior disorder?

Answer 9

Violent movements during sleep in response to dreams, often of fighting. PRONOUNCED anti-psychotic sensitivity.