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CCFP > DSM > Flashcards

DSM Flashcards

1
Q

Personality disorder

A

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 

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2
Q

Cluster A

A

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

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3
Q

Cluster B

A

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

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4
Q

Cluster C

A

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

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5
Q

Panic disorder

A

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

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6
Q

Agoraphobia

A

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

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7
Q

Specific phobia

A

Fear out of proportion last team for six months or more

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8
Q

Social anxiety disorder

A

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

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9
Q

Generalized anxiety disorder

A

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

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10
Q

Major depressive disorder

A

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

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11
Q

Persistent depressive disorder

A

Greater than two years of depressive symptoms

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12
Q

Adjustment disorder of depressed mood

A

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

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13
Q

Grief

A

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

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14
Q

Bipolar one

A

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

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

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15
Q

Psychiatric diagnostic pyramid

A

Organic disease
Medication
Psychosis
Mood disorder
Anxiety
Personality disorder

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16
Q

Autism spectrum disorder

A

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

17
Q

ODD

A

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

Impact negatively in areas of function

18
Q

Conduct disorder

A

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

19
Q

ADHD

A

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
20
Q

Insomnia

A

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

Acute and chronic differentiated at the three month mark

21
Q

Acute stress reaction

A

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

22
Q

PTSD

A

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

23
Q

Adjustment disorder

A

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

24
Q

Schizophrenia

A

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

25
Q

Brief psychotic disorder

A

Ranging from one day to one month

26
Q

Schizophreniform

A

Ranging from one month to six months

27
Q

Schizoaffective disorder

A

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

major mood episode

28
Q

Somatic symptom disorder

A

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

29
Q

Illness, anxiety disorder 

A

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

30
Q

Conversion disorder (functional neurological symptom disorder)

A

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

31
Q

Substance use disorder

A

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)

32
Q

Criteria for form 1

A
  • 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

33
Q

OCPD

A

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

34
Q

ASPD

A

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

35
Q

BPD

A

Unstable self image

Liable relationships

Labile emotions

Feeling of emptiness

Self harm and suicidal ideation

Self-destructive tendencies

Impulsivity

Fear of abandonment

Dissociation

CCFP (25 decks)

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