Disorders Flashcards
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
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)
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
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
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
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
**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
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
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
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
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
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
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
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)
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
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
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
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
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
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)
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)
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
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
