Disorders Flashcards by Maria Serpas

Symptoms are present for at least 2 weeks, for most of the day, nearly every day

Represent a change from previous functioning

At least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure

Depressed mood - (e.g., feels sad, empty, hopeless, or appears tearful)

In children and adolescents, can be irritable mood

Diminished interest or pleasure in all, or almost all, activities

Significant weight loss/weight gain, or decrease/increase in appetite

Insomnia or hypersomnia

Psychomotor agitation or retardation

Fatigue or loss of energy

Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional)

Diminished ability to think or concentrate, or indecisiveness

Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt, or a specific plan for committing suicide

Major Depressive Disorder

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Symptoms are present for at 2 years, for most of the day, for more days than not

Criteria for major depressive disorder may be continuously present for 2 years

There has never been a manic episode or a hypomanic episode

Depressed mood (sadness, anger, discontent, irritability)

Lost interest or pleasure in most activities

Children and adolescents: mood can be irritable, for at least 1 year

Poor appetite or overeating (increased/decreased appetite)

Insomnia or hypersomnia (sleep changes)

Low energy or fatigue

Low self-esteem

Poor concentration or difficulty making decisions

Feelings of hopelessness

During the 2 years, the individual has never been without the symptoms for more than 2 months at a time

Early-onset: before age 21
Late-onset: at age 21 or older

Persistent Depressive Disorder (Dysthymia)

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Symptoms are present for most menstrual cycles in the previous year

Symptoms must be present in the final week before the onset of menses, start to improve within a few days after the onset of menses, and become minimal or absent in the week post menses

Affect lability (mood swings, sadness, anxiety, or tearful, and sensitivity to rejection)

Irritability or anger or increased interpersonal conflicts

Depressed mood, feelings of hopelessness, or self-deprecating thoughts

Anxiety, tension, and/or feelings of being on edge

Decreased interest in usual activities

Difficulty concentrating

Lethargy, easy fatigability, lack of energy

Change in appetite, overacting; food craving

Insomnia or hypersomnia

Feeling overwhelmed or out of control

Physical symptoms: breast sensitivity or swelling, joint or muscle pain, the sensation of “bloating” or weight gain

Premenstrual Dysphoric Disorder

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Recurrent temper outbursts: verbally (verbal rages) and/or behaviorally (physical aggression toward people or property)

Temper outbursts are out of proportion in intensity or duration to the situation or provocation

Temper outbursts are inconsistent with developmental level

Temper outbursts occur, on average, three or more times a week

Disruptive Mood Dysregulation Disorder

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Abnormal and persistent elevated, expansive, or irritable mood

Increased activity or energy

Lasting at least 1 week

Inflated self-esteem or grandiosity

Decreased need for sleep

Talkative

Flight of ideas and racing thoughts

Distractability

Increase in goal-directed activity

Psychomotor agitation or retardation

Excessive involvement in risky behavior (buying sprees, sexual indiscretions, foolish business investment)

Manic Episode: Bipolar I Disorder

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Abnormal and persistent elevated, expansive, or irritable mood

Increased activity or energy

Lasting at least 4 consecutive days

Inflated self-esteem or grandiosity

Decreased need for sleep

Talkative

Flight of ideas and racing thoughts

Distractability

Increase in goal-directed activity

Psychomotor agitation or retardation

Excessive involvement in risky behavior (buying sprees, sexual indiscretions, foolish business investment)

Hypomanic Episode: Bipolar I Disorder

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**Abnormal and persistent elevated, expansive, or irritable mood

Increased activity or energy

Lasting at least 4 consecutive days

Inflated self-esteem or grandiosity

Decreased need for sleep

Talkative

Flight of ideas and racing thoughts

Distractability

Increase in goal-directed activity

Psychomotor agitation or retardation

Excessive involvement in risky behavior (buying sprees, sexual indiscretions, foolish business investment)

**Symptoms are present for at least 2 weeks, for most of the day, nearly every day

Depressed mood - (e.g., feels sad, empty, hopeless, or appears tearful)

In children and adolescents, can be irritable mood

Diminished interest or pleasure in all, or almost all, activities

Significant weight loss/weight gain, or decrease/increase in appetite

Insomnia or hypersomnia

Psychomotor agitation or retardation

Fatigue or loss of energy

Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional)

Diminished ability to think or concentrate, or indecisiveness

Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt, or a specific plan for committing suicide

Hypomanic Episode and Major Depressive Episode: Bipolar II Disorder

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Lasting for at least 2 years (at least 1 year in children)

Multiple periods of hypomanic or depressive symptoms but do not meet the full criteria of either episodes during at least two years

Cyclothymic Disorder

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Manifestations of fear, acute and debilitating anxiety, sweating, chills, weakness or dizziness, racing heart, chest pain, trembling, nausea, derealization, depersonalization, and fear of dying or losing self-control. Individuals may experience unexpected, expected, or nocturnal panic attacks. Can be a specifier for anxiety disorders or other disorders.

Panic Attacks

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Lasting 1 month

Recurrent unpredictable panic attacks with intense fear or discomfort

racing heart, sweating, trembling, shortness of breath, sensation of choking, chest pain, nausea, weakness or dizziness, feelings of chills or heat, numbness, feelings of unreality, and fear of dying or losing control

The attacks may be followed by at least 1 month of persistent worrying about future attacks or maladaptive behaviors in response to the attacks

The individual may avoid settings they believe could trigger an attac

Panic Disorder

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Developmental inappropriate and excessive fear of being separated from those they’re attached to

Individuals may experience distress when anticipating or experiencing separation from their house or a specific person
Fear and worry about losing those they’re attached to due to illness, injury or death and may not want to be away from their attachment figures therefore, will refuse to leave their home, go to school or work to avoid separation

May not want to sleep alone as they might experience dreams of separation and may indicate complaints of headaches, stomachaches, and nausea when experiencing separation

Typically, symptoms in children are present for at least 4 weeks and 6 or more months for adults.

Separation Anxiety Disorder

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At least one month

Consistent failure to start or engage in conversations in social situations such as school or work where speaking is expected

This disturbance may interfere with educational or occupational accomplishments or social communication

The individual will speak with close relatives, but will not when in different social settings or with other people such as in front of friends or distant relatives

The individual’s failure to speak is not a result of a lack of knowledge or familiarity with the language spoken

Selective Mutism

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Excessive anxiety or fear of a specific object or situation (phobic stimulus)

Flying, animals, receiving an injection, and the natural environment

The phobic object or situation provokes fear or anxiety most of the time therefore, the individual may avoid it

The fear and anxiety triggered by the phobic stimulus is greater than the danger of the phobic object or situation

The symptoms of fear, anxiety and avoidance usually last for 6 or more months

Specific Phobia

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Lasting at least 4 weeks in children and 6 months in adults

Anxiety and fear of embarrassment in multiple social situations in which they could be examined or scrutinized by others

E.g., social situations include, having a conversation, meeting new people, a party, and giving a speech or presentation

Fear showing signs of anxiety that could lead to humiliation, embarrassment, or rejection

Avoid these social situations as fear and anxiety are almost always triggered

Performance only applies when the fear or anxiety is only present when an individual is speaking or performing in public

In children, anxiety is present in interactions with peers and adults.

Social Anxiety Disorder (Social Phobia)

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Anxiety or fear of developing a panic attack without the possibility of assistance in public settings such as buses, parking lots, theaters, crowds, or when out in public alone

The symptoms of fear, anxiety, and avoidance usually last for 6 months or more

Agoraphobia

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Anxiety and worry about various events or activities such as work or school performance

Difficulty in controlling their excessive worrying and physical symptoms such as, restlessness, fatigue, difficulty concentrating, muscle tension, and sleep problems

Least for six months

Generalized Anxiety Disorder

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Presence of both obsessions or compulsions

Obsessions - has recurrent and persistent unwanted thoughts, urges, or images that lead to anxiety or distress

Attempt to ignore or suppress the thoughts, urges, or images or to counteract them with another thought or action which is seen through compulsion

Compulsions - may perform repetitive behaviors such as washing their hands, or mental acts such as counting, in response to their obsessions

Such behaviors or mental acts are performed to prevent or reduce the individual’s anxiety or distress, although in an unrealistic manner which could worsen the individual’s condition and make it difficult to break the cycle

Either obsessions or compulsions are time-consuming (at least 1 hour a day)

Obsessive-Compulsive Disorder

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Fixation with perceived defeats or flaws in their physical appearance that may not be noticeable to others

Repetitive behaviors such as excessive grooming and mental acts such as comparing themselves to others as a response to their perceived appearance

Body Dysmorphic Disorder

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Persistent difficulty with letting go of possessions, as they wish to save them or due to the distress that is accompanied with the act of discarding them

Persistent challenge of letting go results in the accumulation of possessions that affects their living areas such as a cluttered bedroom or bathroom, which are not used as intended

The removal of clutter will be done due to the interventions of others such as family members, friends, cleaners or authority figures

Shame or embarrassment therefore, will refrain from inviting loved ones to their home

Hoarding not only can be seen inside the home but also outside the home and in the home of relatives or friends

Hoarding Disorder

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Hair loss as a result of the compulsion of hair-pulling

May pull their hair in private as they are ashamed of their behavior and will consistently attempt to reduce their behavior of hair-pulling

Hair-pulling can be a result of boredom or anxiety, which may give the individual a sense of relief once the individual has performed the act of pulling their hair

Trichotillomania (Hair-Pulling Disorder)

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Repeatedly picking at the skin which may result in skin lesions

Spend several hours a day picking, thinking about or attempting to decrease skin picking

May experience scarring or infection that could be like-threatening due to the skin-picking

Excoriation (Skin-Picking Disorder)

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Traumatic events, witnessed a tragic event/s, learned traumatic events happened to their loves ones such as an accident or death, or constant exposure to details of traumatic events

Distressing memories, dreams, dissociative reactions such as flashbacks, and internal and external cues of or related to the traumatic event

Negative emotions, which influence their perception of self and the world, self-blame of the traumatic event, and many may self-isolate

May be verbally or physically aggressive and hypervigilant, and will avoid stimuli associated with the traumatic event such as thoughts, memories, people, and locations

Symptoms should be present for at least one month.

Posttraumatic Stress Disorder

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Traumatic events, witnessed a tragic event/s, learned traumatic events happened to their loves ones such as an accident or death, or constant exposure to details of traumatic events

Distressing memories, dreams, dissociative reactions such as flashbacks, and internal and external cues of or related to the traumatic event

Symptoms are present for at least 3 days to 1 month after the traumatic event

Acute Stress Disorder

Emotional or behavioral symptoms within 3 months as a result of an identifiable stressor

Symptoms of distress that are unexpected of the given situation or that interferes with their social functioning such as a divorce or financial concerns

Adjustment Disorders

Emotionally detached from adult caregivers in which the individual (child) may be fearful or hypervigilant, and rarely seek comfort when experiencing distress or minimally responds to comfort during moments of distress May present minimal social or emotional response to others, lack of positive affect, and irritability, sadness, and aggression toward others Disturbances may appear before the child is 5 years old, in which they seem shy or withdrawn

Reactive Attachment Disorder

Individuals may approach and interact with unfamiliar adults with excessive familiarity or attention seeking behavior, and a limited concern for the absence of their caregiver even in unfamiliar settings. The individual may not have any concerns or hesitation with going off with an unknown adult.

Disinhibited Social Engagement Disorder

Mild: 2-3 symptoms Moderate 4-5 symptoms Severe: 6+ symptoms

Substance Use Disorders: Severity

A problematic pattern of alcohol use leading to impairment or distress At least two symptoms of the 11 diagnostic criteria are met Occurs within 12 months Alcohol is taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control alcohol use A lot of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects Craving, or a strong desire or urge to use alcohol Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused by the effects of alcohol Important social, occupational, or recreational activities are given up or reduced because of alcohol use Recurrent alcohol use in situations in which it is physically dangerous Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem caused by alcohol Tolerance: A. a need for increased amounts of alcohol to achieve intoxication or desired effect; or B. diminished effect with continued use of the same amount of alcohol Withdrawal

Alcohol Use Disorder

Withdrawal: A. cessation of (or reduction in) alcohol use that has been heavy and prolonged Two (or more) of the following symptoms, developing within several hours to a few days after the cessation or reduction in alcohol use: Autonomic hyperactivity (sweating, accelerated heartbeat Increased hand tremor Insomnia Nausea or vomiting Transient visual, tactile, or auditory hallucinations or illusions Psychomotor agitation Anxiety Generalized tonic-clonic seizures Withdrawal: B. alcohol or related substances (benzodiazepine) are taken to relieve or avoid withdrawal symptoms

Alcohol Withdrawal

Recent ingestion of alcohol Problematic behavioral or psychological changes (inappropriate sexual or aggressive behavior, mood lability, impaired judgment) develops during, or after alcohol ingestion Slurred speech Incoordination Unsteady gait Nystagmus (uncontrollable or repetitive eye movement) Impairment in attention or memory Stupor or coma Amnesia (blackouts)

Alcohol Intoxication

Recurrent comsumption of caffeine (high dose) 5 (or more) symptoms of the criteria are present for diagnosis ``` Restlessness Nervousness Excitement Insomnia Flushed face Diuresis Gastrointenstinal distrubance (increase urine) Muslce twitching Ramblimg flow of thought or speech Tachycardia or cardiac arrhythmia Period of inexhaustibility Psychomotor agitation ```

Caffeine Intoxication

Prolonged daily use of caffeine Abrupt cessation of or reduction in caffeine use, followed with 24 hours by three or more symptoms Heachaches Fatigue or drowsiness Dysphoric mood, depressed mood, or irritability Difficulty concentrating Flu-like symptoms (nausea, vomiting, or muscle pain/stiffness)

Caffeine Withdrawal

Problematic pattern of cannabis use At least two symptoms from 11 criteria met Occurring within a 12-month period Cannabis is usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control cannabis use A lot of time is spent in activities necessary to obtain cannabis, use cannabis, or recover from the use of cannabis Craving, or a strong urge to use cannabis Recurrent cannabis use resulting in a failure to fulfill major role obligations at work, school, or home Continued cannabis use despite having persistent or recurrent social or interpersonal problems caused by the use of cannabis Important social, occupational, or recreational activities are given up or reduced due to the use of cannabis Recurrent cannabis use in situations that are physically dangerous Cannabis use is continued despite knowlode of having a persistent or recurrent physical or psychological problem most likely caused of cannabis use Tolerance: a need for an increased amount of cannabis to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of cannabis Withdrawal

Cannabis Use Disorder

Recent use of cannabis Problematic behavioral or psychological changes (e.g., impaired motor coordination, euphoria, anxiety, feelings of slowed time, impairment judgment, social withdrawal) develops during, or after cannabis use Symptoms develop within 2 hours of cannabis use ``` Conjunctival injection Increased appetite Dry mouth Tachycardia Anxiety Red eyes Increased heart rate ```

Cannabis Intoxication

Cessation of cannabis use Symptoms develop within 1 week of cessation Irritability, anger, or aggression Nervousness or anxiety Sleep difficulty (e.g., insomnia, disturbing dreams) ``` Decreased appetite or weight loss Restlessness Depressed mood Discomfort Abdominal pain Shakiness/tremors Sweating Fever Chills Headache ```

Cannabis Withdrawal

Problematic pattern of sedative, hypnotic, or anxiolytic use At least two symptoms from 11 criteria met Occurring within a 12-month period Sedatives, hypnotic, or anxiolytics are usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control sedatives, hypnotic, or anxiolytics use A lot of time is spent in activities necessary to obtain sedatives, hypnotic, or anxiolytics, use sedatives, hypnotic, or anxiolytics, or recover from the use of sedatives, hypnotic, or anxiolytics Craving, or a strong urge to use sedatives, hypnotic, or anxiolytics Recurrent sedatives, hypnotic, or anxiolytics use resulting in a failure to fulfill major role obligations at work, school, or home Continued sedatives, hypnotic, or anxiolytics use despite having persistent or recurrent social or interpersonal problems caused by the use of sedatives, hypnotic, or anxiolytics Important social, occupational, or recreational activities are given up or reduced due to the use of sedatives, hypnotic, or anxiolytics Recurrent sedatives, hypnotic, or anxiolytics use in situations that are physically dangerous sedatives, hypnotic, or anxiolytics use is continued despite knowlode of having a persistent or recurrent physical or psychological problem most likely caused of sedatives, hypnotic, or anxiolytics use Tolerance: a need for an increased amount of sedatives, hypnotic, or anxiolytics to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of sedatives, hypnotic, or anxiolytics Withdrawal *Sedatives are any substance that produces a calm mood of reduced excitement. A hypnotic is used to help an individual sleep. An anxiolytic is a drug that reduces anxiety*

Sedative, Hypnotic, or Anxiolytic Use Disorder

Recent use of sedatives, hypnotic, or anxiolytics Maladptive behavioral or psychological changes (e.g., inappropriate sexual or aggressive behavior, mood lability, impaired judgment) develops during, or after sedatives, hypnotic, or anxiolytics use Slurred speech Incoordination Unsteady gait Nystagmus (uncontrollable or repetitive eye movement) Impairment in cognition (e.g., attention, memory) Stupor or coma

Sedative, Hypnotic, or Anxiolytic Intoxication

Cessation of sedatives, hypnotic, or anxiolytics use Symptoms develop within several hours to a few days of cessation ``` Autonomic hyperactivity (e.g., sweating or high pulse rate) Hand tremor Insomnia Nausea or vomiting Transient visual, tactile, or auditory hallucinations or illusions Psychomotor agitation Anxiety Grand mal seizures Irritability, anger, or aggression Nervousness or anxiety Sleep difficulty (e.g., insomnia, disturbing dreams) Decreased appetite or weight loss Restlessness Depressed mood Discomfort Abdominal pain Shakiness/tremors Sweating Fever Chills Headache ```

Sedative, Hypnotic, or Anxiolytic Withdrawal

PCP, Angel Dust, Ketamine, Mescaline, Psilocybin, LSD, MDMA, Ecstacy, DMT, morning glory seeds A problematic pattern of phencyclidine use At least two symptoms from 11 criteria met Occurring within a 12-month period phencyclidine is usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control phencyclidine use A lot of time is spent in activities necessary to obtain phencyclidine, use phencyclidine, or recover from the use of phencyclidine Craving, or a strong urge to use phencyclidine Recurrent phencyclidine use resulting in a failure to fulfill major role obligations at work, school, or home Continued phencyclidine use despite having persistent or recurrent social or interpersonal problems caused by the use of phencyclidine Important social, occupational, or recreational activities are given up or reduced due to the use of phencyclidine Recurrent phencyclidine use in situations that are physically dangerous Phencyclidine use is continued despite knowlode of having a persistent or recurrent physical or psychological problem most likely caused of phencyclidine use Tolerance: a need for an increased amount of phencyclidine to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of phencyclidine *Withdrawal symptoms or signs are not established for phencyclidine, and so this criterion does not apply

Phencyclidine Use Disorder (Hallucigen-Related Disorders)

Recent use of phencyclidine Problematic behavioral or psychological changes (e.g., belligerence, assualtiveness, impulsiveness, unpredictability, psychomotor agitation, impaired judgement) develops during, or after phencyclidine use Within 1 hour after use, could be quicker due to the method of ingestion - smoked, snorted, intravenously ``` Vertical or horizontal nystagmus Hypertension or tachycardia Numbness or diminished responsiveness to pain Ataxia Dysarthria Muscle rigidity Seizures or coma Hyperacusis Depression Anxiety Paranoid ideas Fear of going crazy Rapid heart rate Sweating Tremors Incoordination Unclear vision ```

Phencyclidine Intoxication

Following cessation of hallucinogen, the reexperiencing of one or more of the perceptual symptoms that were experienced while intoxicated with the hallucinogen (e.g., geometrical hallucinations, false perceptions of movement in the peripheral visual fields, flashes of color, intensified colors, trails of images of moving objects, positive afterimages, halos around objects, macropsia and micropsia)

Hallucinogen Persisting Perception Disorder (Flashbacks)

Problematic pattern of hydrocarbon-based inhalant use At least two symptoms from 11 criteria met Occurring within a 12-month period inhalant is usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control inhalant use A lot of time is spent in activities necessary to obtain inhalant, use inhalant, or recover from the use of inhalant Craving, or a strong urge to use inhalant Recurrent inhalant use resulting in a failure to fulfill major role obligations at work, school, or home Continued inhalant use despite having persistent or recurrent social or interpersonal problems caused by the use of inhalant substance Important social, occupational, or recreational activities are given up or reduced due to the use of inhalant Recurrent inhalant use in situations that are physically dangerous inhalant use is continued despite knowlode of having a persistent or recurrent physical or psychological problem most likely caused of inhalant use Tolerance: a need for an increased amount of inhalant to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of inhalant

Inhalant Use Disorder

Recent intended or unintended short-term, high-dose exposure to an inhalant substance Problematic behavioral and psychological changes Developed during or after exposure to inhalants ``` Dizziness Nystagmus Incoordination Slurred speech Unsteady gait Lethargy Depressed reflexes Psychomotor agiation Tremor Generalized muscle weakness Blurred vision or diplopia Stupor or coma Euphoria Impaired judgment Aggressivenss Assaultiveness Apathy ```

Inhalant Intoxication

Problematic pattern of opioid use At least two symptoms from 11 criteria met Occurring within a 12-month period Opioids is usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control opioid use A lot of time is spent in activities necessary to obtain opioids, use opioids, or recover from the use of opioids Craving, or a strong urge to use opioids Recurrent opioid use resulting in a failure to fulfill major role obligations at work, school, or home Continued opioid use despite having persistent or recurrent social or interpersonal problems caused by the use of opioids Important social, occupational, or recreational activities are given up or reduced due to the use of opioid Recurrent opioid use in situations that are physically dangerous opioid use is continued despite knowlode of having a persistent or recurrent physical or psychological problem most likely caused of opioid use Tolerance: a need for an increased amount of opioid to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of opioid *hydrocodone, oxycodone and morphine*

Opioid Use Disorder

Recent use of opioids Problematic behavioral or psychological changes (e.g., initial euphoria followed by apathy, dysphoria, psychomotor agitation or retardation, impaired judgment) develops during, or after opioid use Pupillary constriction Drowsiness or coma Slurred speech Impairment in attention or memory

Opioid Intoxication

Cessation of opioid use Administration of an opioid antagonist after a period of opioid use Within minutes or several days after cessation ``` Dysphoric mood Nausea or vomiting Muscle aches Lacrimation or rhinorrhea Pupillary dilation Sweating Fever Yawning Insomnia ```

Opioid Withdrawal

A pattern of an amphetamine-type substance, cocaine, or other stimulants At least two symptoms from 11 criteria met Occurring within a 12-month period Stimulant is usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control stimulant use A lot of time is spent in activities necessary to obtain stimulants, use stimulants, or recover from the use of stimulant Craving, or a strong urge to use stimulant Recurrent stimulant use resulting in a failure to fulfill major role obligations at work, school, or home Continued stimulant use despite having persistent or recurrent social or interpersonal problems caused by the use of stimulant Important social, occupational, or recreational activities are given up or reduced due to the use of stimulant Recurrent stimulant use in situations that are physically dangerous stimulant use is continued despite knowledge of having a persistent or recurrent physical or psychological problem most likely caused by stimulant use Tolerance: a need for an increased amount of stimulant to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of stimulant Withdrawal *amphetamine-type substance, cocaine and other or unspecified stimulant: Methylphenidate, Ritalin or Amphetamine combinations, Adderall, cocaine

Stimulant Use Disorder

Recent use of amphetamine-type substance, cocaine, or other stimulants Problematic behavioral or psychological changes (e.g., euphoria or affective blunting; changes in sociability; hypervigilance; interpersonal sensitivity; anxiety, tension, or anger; impaired judgment) develops during, or after stimulant use ``` Tachycardia or bradycardia Pupillary dilation Elevated or lowered blood pressure Nausea or vomiting Weight loss Psychomotor agitation or retardation Muscular weakness, respiratory depression, chest pain Confusion, seizures, coma ```

Stimulant Intoxication

Cessation of stimulant use Developing within hours or several days after cessation ``` Fatigue Unpleasant dreams Insomnia or hypersomnia Increase appetite Psychomotor agitation or retardation ```

Stimulant Withdrawal

A problematic pattern of tobacco use At least two symptoms from 11 criteria met Occurring within a 12-month period Tobacco is usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control tobacco use A lot of time is spent in activities necessary to obtain tobacco, use tobacco, or recover from the use of tobacco Craving, or a strong urge to use tobacco Recurrent tobacco use resulting in a failure to fulfill major role obligations at work, school, or home Continued tobacco use despite having persistent or recurrent social or interpersonal problems caused by the use of tobacco Important social, occupational, or recreational activities are given up or reduced due to the use of tobacco Recurrent tobacco use in situations that are physically dangerous tobacco use is continued despite knowledge of having a persistent or recurrent physical or psychological problem most likely caused by tobacco use Tolerance: a need for an increased amount of tobacco to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of tobacco Withdrawal

Tobacco Use Disorder

``` Daily use of tobacco for at least several weeks Abrupt cessation of tobacco or reduction of amount of tobacco Within 24 hours of cessation Irritability, frustration, or anger Anxiety Difficulty concentrating Increase appetite Restlessness Depressed mood Insomnia ```

Tobacco Withdrawal

Problematic pattern of an intoxciating substance At least two symptoms from 11 criteria met Occurring within a 12-month period The substance is usually taken in larger amounts or over a longer period than intended Persistent desire or unsuccessful efforts to cut down or control the substance use A lot of time is spent in activities necessary to obtain the substance, use the substance, or recover from the use of the substance Craving, or a strong urge to use the substance Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home Continued substance use despite having persistent or recurrent social or interpersonal problems caused by the use of the substance Important social, occupational, or recreational activities are given up or reduced due to the use of the substance Recurrent substance use in situations that are physically dangerous the substance use is continued despite knowlode of having a persistent or recurrent physical or psychological problem most likely caused of the substance use Tolerance: a need for an increased amount of the substance to achieve intoxication or desired effect; or diminished effect with continued use of the same amount of the substance Withdrawal

Other (or Unknown) Substance Use Disorder

Problematic behavioral or psychological changes by the substance on the central nervous system (e.g., impaired motor coordination, psychomotor agitation, euphoria, anxiety, cognitive impairment, impaired judgement, social withdrawal) Developed during or after use of the substance

Other (or Unknown) Substance Intoxication

Cessation of the use of a substance | Development of a substance-specific syndrome after the cessation of a substance

Other (or Unknown) Substance Withdrawal

Persistent and recurrent problematic gambling behavior Within 12-month period Needs to gamble with increasing amounts of money in order to achieve the desired excitement Restless or irritable when attempting to cut down or stop gambling Repeated unsuccessful efforts to control, cut back, or stop gambling Preoccupied with gambling Gambles when feeling distressed After losing money gambling, may return another day to get even Lies to conceal the extent of involvement with gambling Jeopardized or lost a significant relationship, job, or educational or career opportunity due to gambling Relies on others to provide money to relieve desperate financial situations caused by gambling The gambling behavior is not better explained by a manic episode

Gambling Disorder

Incongruence between one's experienced/expressed gender and assigned gender At least 6 months' duration Strong desire to be of the other gender or an insistence that one is the other gender A strong preference for cross-gender roles in make-believe play or fantasy play A strong preference for the toys, games or activities stereotypically used or engaged in by the other gender Preference for playmates of the other gender Strong dislike of one's sexual autonomy Desire to be treated as the other gender strong conviction that one has the typical feelings and reactions of the other gender Desire for the primary and/or secondary sex characteristics that match one's experienced gender

Gender Dysphoria Disorder