DSM

Question 1

Personality disorder

Answer 1

Pattern of inner experience and behaviour that deviates from expectation of one’s culture, manifested in two of the following areas: cognition, affect, interpersonal functioning, impulse control

Pattern is inflexible and pervasive across personal and social situations

Pattern lead to clinically significant distress and impairments in function

Pattern onset can be trans back to early childhood or adolescence

Pattern is not better explained by another mental disorder

Pattern is not attributed to physiological effects of substance or medical condition 

Question 2

Cluster A

Answer 2

Paranoid personality disorder: preoccupation with unjust, doubt, and suspicion in others

Schizoid personality disorder: detachment from social relationships, and restricted emotional range

Schizo, hypo, personality disorder: pattern off discomfort and close relationships, cognitive, or perceptual distortions, eccentricities

Question 3

Cluster B

Answer 3

Antisocial personality disorder: in an individual over the age of 18, evidence of conduct disorder before age 15, failure to conform to societal norms with respect to lawful behavior, disregard for safety of others, lack of remorse

Borderline personality disorder: instability from interpersonal relationships, self image, impulsivity, affect

Histrionic personality disorder: pattern of excessive emotionality, and attention behaviour

Narcissistic personality disorder: pattern of grandiosity, need for admiration, lack of empathy

Question 4

Cluster C

Answer 4

Avoid and personality disorder: pattern of social inhibition, feeling of inadequacy, hypersensitivity to negative evaluation

Dependent personality disorder: pattern of submission and clinging behaviour related to excess need to be taken care of

Obsessive compulsive personality disorder: preoccupation with orderliness, perfection, control

Question 5

Panic disorder

Answer 5

Recurrent unexpected panic attacks, surge of intense fear that peaks with the minutes, four of the following, including: sweating, trembling, shaking, feeling of choking, nausea, chest discomfort, feeling of losing control

At least one of the attack has been followed by one month of either: persistent worry about additional attacks, maladaptive behaviour related to attack

Not due to physiological effect of substance or mental disorder

Question 6

Agoraphobia

Answer 6

Marked fear or anxiety, in two of the following: public transportation, open spaces, enclosed spaces, being in a crowd or line, being outside of home alone

Situation always provokes fearing anxiety

Fear related to lack of escape

Fear out of proportion from

Fear, persistent, lasting for six months

Question 7

Specific phobia

Answer 7

Fear out of proportion last team for six months or more

Question 8

Social anxiety disorder

Answer 8

Fear, anxiety about social situation were individual is exposed to possible scrutiny, including social interactions, being observed, performing in front of others

Individual, fierce that they will act in the way to be negatively evaluated

Social situation almost always provoked, fear, anxiety

Avoidance of social situations out of intense fear

Out of proportion of social context

Present for more than six months

Impairment and function

Not due to medical condition or substance, or other mental health condition

Question 9

Generalized anxiety disorder

Answer 9

Excessive fear, or worry occurring for more days than not for at least six months

Difficult to control worry

Worry associated with three of: restlessness or beyond edge, easily fatigue, mind going blank or difficulty concentrating, irritability, muscle tension, sleep disturbance

Clinically significant distress or impairment, his social, occupational, other areas of functioning

Not due to substance or another mental disorder

Question 10

Major depressive disorder

Answer 10

Depression, or decreased interest for more than two weeks with change in function, +3 of: Sleep, guilt, energy, concentration, appetite, suicidal ideation, psychomotor agitation or retardation

Question 11

Persistent depressive disorder

Answer 11

Greater than two years of depressive symptoms

Question 12

Adjustment disorder of depressed mood

Answer 12

In response to stress or less than three months ago and resolves within six months

Question 13

Grief

Answer 13

Depressive symptoms pertaining to the source of grief, lasting less than three months

Question 14

Bipolar one

Answer 14

More than when week of increase, energy and activities, with three of:

Distractibility, irresponsibility, grandiosity, flight of ideas, activity, decrease sleep, talkativeness

Question 15

Psychiatric diagnostic pyramid

Answer 15

Organic disease
Medication
Psychosis
Mood disorder
Anxiety
Personality disorder

Question 16

Autism spectrum disorder

Answer 16

Persistent deficits in social context: social emotional reciprocity, nonverbal communication, relationships

Restricted, repetitive patterns of behaviour

Symptoms must be present in early developmental period

Significant impairment in social, occupational, or other areas of function

Question 17

ODD

Answer 17

Six months of at least four of category of:
Angry mood, argumentative/defiance behavior, vindictiveness

Impact negatively in areas of function

Question 18

Conduct disorder

Answer 18

Six months of three of the following criteria, including categories of: aggression to animals and people, destruction of property, deceitfulness or theft, serious violation of rules

Functionally impairing

If individual is over the age of 18, criteria not met for antisocial personality disorder

Question 19

ADHD

Answer 19

Child >6yo for >6mo with symptoms out of keeping with developmental level that negatively impacts activities
- several symptoms onset <12yo
- in >2 settings
- clear interference with function
- not part of psychotic disorder

• symptoms of inattention (adults >17yo need >5 symptoms)
• symptoms of hyperactivity and impulsivity

Question 20

Insomnia

Answer 20

Difficulty, initiating, sleep, maintaining sleep, or non-restorative sleep, causing distress and impairment in function

Acute and chronic differentiated at the three month mark

Question 21

Acute stress reaction

Answer 21

Exposure to actual/threatened death injury or violation

Three of the following symptoms: negative mood, dissociation, intrusion, avoidance, hyperarousal

Lasting for three days to one month after exposure

Functional impairment

Question 22

PTSD

Answer 22

trauma exposure
Reexperiencing
Avoidance of stimuli
Unable to function
Mood and one month duration
Arousal and reactivity

Question 23

Adjustment disorder

Answer 23

Emotional or behavioural response should identifiable trigger within three months of onset

Not lasting for more than six months

Not including bereavement

Does not mean criteria for other diagnosis of mental disorder

Question 24

Schizophrenia

Answer 24

Symptoms lasting greater than six months

More than two of most of the month with: delusions, hallucinations, disorganized speech, grossly disorganized/catatonic behavior, negative symptoms (evolution, diminish, emotional expressiveness)

Notes must have one of the first three

Rule out, schizoaffective, depression, bipolar

Question 25

Brief psychotic disorder

Answer 25

Ranging from one day to one month

Question 26

Schizophreniform

Answer 26

Ranging from one month to six months

Question 27

Schizoaffective disorder

Answer 27

Greater than two weeks of delusions/hallucination in absence of mood, major mood episode

Question 28

Somatic symptom disorder

Answer 28

More than six months of persistent symptoms, does not have to be one specific somatic symptom One or more somatic symptoms that are distressing to daily life Excessive thoughts, feelings, behaviors, related to symptoms, or associated health concerns with: – Disproportionate and persistent thoughts about seriousness of symptoms – Persistent high-level of anxiety about health – Excessive time and energy devoted to symptoms

Question 29

Illness, anxiety disorder 

Answer 29

Preoccupation with having or acquiring a serious illness Somatic symptoms either not presents or present and minor intensity High level of anxiety about health Excessive health related behaviours or maladaptive avoidances Illness preoccupation lasting greater than six months, specific illness feared can change

Question 30

Conversion disorder (functional neurological symptom disorder)

Answer 30

One or more symptoms of altered voluntary motor or sensory function Clinical finding provides evidence of incompatibility between symptom and recognized medical disorder Symptom is not better explained by other illness or mental disorder Symptoms causes significant stress and impairment

Question 31

Substance use disorder

Answer 31

Problematic use the results and significant impairments, classified by more than two of the following within 12 months: – Impaired control – Social impairment – Risky use – Pharmacological indicators (tolerance and withdrawal)

Question 32

Criteria for form 1

Answer 32

- patient has diagnosed MH concerns - likely to benefit from admission - not appropriate for other forms of admission besides formal - likely to cause harm to self/others or decline physically MD or NP First form holds for 24 hrs, second 1 month Form 8 similar process ordered by provincial judge Form 10 similar process ordered by peace officer

Question 33

OCPD

Answer 33

Preoccupied with details, rules lists organization Shows perfectionism that interferes with task completion Is excessively devoted to work in productivity to the exclusion of leisure and friendship Is conscientious and flexible about morality and ethics Is unable to discard, worn out or useless objects, even when they have no sentimental value Reluctant to delegate task to others Shows rigidity and stubbornness Overly frugal

Question 34

ASPD

Answer 34

Failure to conform to societal norms and laws Deceitful behaviour Impulsivity Irritability and aggressiveness Irresponsibility Lack of remorse Disregard for safety of self and others

Question 35

BPD

Answer 35

Unstable self image Liable relationships Labile emotions Feeling of emptiness Self harm and suicidal ideation Self-destructive tendencies Impulsivity Fear of abandonment Dissociation