Differential Diagnosis Flashcards
Definitions of Psychopathology
(Maddux & Winstead 2008)
- Statistically different/infrequent
- Maladaptive behavior
- Distress and Disability
- Social Deviance
- Harmful dysfunction
- DSM
DSM Definition of Mental Disorder
(DSM-5 2013)
- Clinically significant disturbance in cognition, emotion regulation, or behavior
- Dysfunction in psychological, biological, or developmental processes
- Usually associated with significant distress or disability
- Expected or culturally approved response to stress, socially deviant behavior, conflicts between individual and society NOT a disorder
Cultural definitions of pathology
(Nevid 1994)
-Definitions are different in various cultures
Basic Criteria for PD (DSM)
(DSM-5 2013)
- Enduring pattern of inner experience that deviates from culture (cognition, affect, interpersonal, impulse control)
- enduring pattern is inflexible and pervasive across range of situations
- enduring pattern leads to distress or impairment in social, work, or other areas
- enduring pattern is stable and of long duration beginning in adolescence or adulthood
- not better explained by another disorder
- not attributable to substance use or medical condition
Personality Clusters in DSM
(DSM-5 2013)
Cluster A: Odd or Eccentric, including Paranoid, Schizoid and Schizotypal
Cluster B: Dramatic/Emotional, including Antisocial, Borderline, Histrionic, Narcissistic
Cluster C: Anxious, including Avoidant, Dependent, Obsessive compulsive
Summary of pathology causes in Drive Model
(Pine 1990)
-Overwhelming drives or weak defenses cause illness
-Compromise formation is based on drive vs. defense and can cause neurotic symptoms
-Failure of compromise formation leads to neurosis
Guilt through internalized authority figures and aggressive drives causes neurosis
Cognitive model of pathology
- maladaptive/unrealistic beliefs can negatively impact behavior and emotions
- cognition and behaviors are the problem, not the cause of symptoms
- cognitions are learned and genetic, and continued through reinforcement
Difference between mood and affect
(Maddux & Winstead, 2008)
Mood is stable, pervasive, sustained emotion which colors experiences and perceptions
Affect is the fluctuating change in emotion moment to moment, a pattern of observable behaviors
Psychodynamic conceptualization of depression
Two types:
Introjective (Freud 1917) concerned with securing a positive self
Anaclitic (Spitz 1945) concerned with obtaining and maintaining close relationships
Diagnostic Criteria for Depressive Episode
(DSM-5, APA 2013)
- Depressed mood or anhedonia >2 weeks must be present
- 4 other symptoms from I’M SAD, WEPT:
- Inadequate self-esteem
- Mood, depressed
- Sleep
- Anhedonia
- Death thoughts/suicidal
- Weight change
- Energy loss/fatigue
- Psychomotor
- Thinking/concentration or indecisiveness
Diagnostic Criteria for Persistent Depressive Disorder
(DSM-5, APA 2013)
- Depressed mood >2 years
- Two or more symptoms of a depressive episode
- No remission in >2 months
Diagnostic Criteria for Disruptive Mood Dysregulation Disorder
(DMS-5, APA 2013)
- severe temper
- inconsistent for developmental level
- outbursts averaging 3+ times per week
- mood is persistently irritable/angry
- Present in at least 2 settings (home, school, or peers)
- diagnosis made between age 6 and 18
- onset before age 10
Prevalence rates for depressive disorders
(DSM-5, APA 2013)
- 20-25% lifetime prevalence for women. 9-13% for men
- Age of first episode usually 15-29 years old
Diagnostic Criteria for Generalized Anxiety Disorder
(DSM-5, APA 2013)
- excessive anxiety and worry for >6 months about a number of things
- difficult to control the worry
- three or more from Indiana (Jones) Fights Monsters, Rattlesnakes, Communists, and Swastikas:
- Irritability
- Fatigue
- Muscle tension
- Restlessness
- Concentration/mind blank
- Sleep disturbance
Diagnostic Criteria for Panic Disorder
(DSM-5, APA 2013) -four or more from Puh Panic Study Skills A B CCC DD FF -Palpitations -Paresthesias -Sweating -Shaking or trembling -Abdominal distress -Breath is short -Choking feeling -Chest pain -Chills or hot flushes -Dizzy -Derealization/depersonalization -Fear of losing control -Fear of dying Also with worry about additional attacks and/or significant behavior change