DSM 5 Flashcards
To Master the Main DSM 5 subjects
What are the criteria for Delusional D/O diagnosis?
A. One or more delusions with a duration of 1 month or longer.
B. Criterion A for Schizophrenia never been met. Hallucinations if present should be related to the delusional theme and not prominent.
C. Apart from impact of the delusion, functioning is not markedly impaired and behavior is not obviously bizarre or odd.
D. Manic or MDD if present are brief relative to the duration of the delusional periods.
E. Not attributable to substance abuse, another mental disorder or medical condition.
What are the subtypes of Delusional D/O?
Erotomaniac: Another person is in love with the individual.
Grandiose: Having great but unrecognized talent or insight or made an important discovery.
Jealous: His or her spouse is unfaithful
Persecutory: The individual believes that he/she is a subject of conspiracy, cheating, spying, poisoning, obstruction in following a long term goal.
Somatic: Involves bodily functions or sensations.
Mixed: no one theme predominates.
Uspecified: The dominant delusional belief cannot be clearly determined or is not described the specific types (e.g. referential delusions without a prominent persecutory or grandiose component).
When is a delusion considered bizarre?
if they are clearly implausible, not understandable or not derived from ordinary life experience.
What are the criteria of brief psychotic D/O?
A. Presence of 1 or more of the following symptoms , at least one of these must be 1,2,or 3.
- Delusions.
- Hallucinations.
- Disorganized speech (derailement, incoherence)
- Grossly disorganized or catatonic behavior.
B. Duration of an episode is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.
C. The disorder is not better explained by other another psychiatric disorder, and not attributed to the physiological effects of a substance.
What are the types of brief psychotic D/O
With stressor(s) (brief reactive psychosis), without marked stressor(s), with postpartum onset, with catatonia.
How to diagnose schizophreniform D/O?
Two or more of the following, each present for a significant portion of time during a 1 month period (or less if successfully treated). At least one of these must be 1,2, or 3.
A.
1. Delusions 2. hallucinations 3. disorganized speech 4. grossly disorganized or catatonic behavior 5. negative symptoms.
B. An episode of the disorder lasts at least 1 month but less than six months.
C. ruling out other associated psychiatric disorders or
D. medical conditions or substance abuse.
What are the good prognostic features of schizophreniform D/O?
Presence of at least of two of the following: Onset of psychotic symptoms within 4 weeks of the first noticeable change in usual behavior or functioning. Confusion or perplexity. good premorbid social and occupational functioning, and absence of flat or blunted affect.
What are the criteria of schizophrenia DX?
Two or more of the following, each present for a significant portion of time during a 1 month period (or less if successfully treated). At least one of these must be 1,2, or 3.
A.
1. Delusions 2. hallucinations 3. disorganized speech 4. grossly disorganized or catatonic behavior 5. negative symptoms.
B. Level of functioning is markedly below the levels achieved before onset of disturbance for a significant portion of time.
C. Continuous signs of the disturbance persist for at least 6 months. This 6 months period must include at least 1 month of symptoms (or less if successfully treated) that meet criterion A. and may include periods of prodromal or residual symptoms during which the signs of the disturbance many be manifested by only negative symptoms or by two or more symptoms listed in A present in an attenuated form (e.g. odd beliefs, unusual perceptual experiences.
D. ruling out other associated psychiatric disorders medical conditions or substance abuse.
What are the criteria for schizoaffective D/O?
A. An interrupted period of illness during which there is a major mood episode concurrent with criterion A of schizophrenia.
B. Delusions or hallucinations for two or more weeks in the absence of major mood episode during the lifetime duration of the illness.
C. Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illness.
D. The disturbance is not attributable to the effects of a substance or another medical condition.
What are the subtypes of schizoaffective D/O?
Bipolar and Depressive. With Catatonia.
The criteria for substance/medication induced psychotic D/O. What are the specifiers?
A. Delusions, Hallucination or both
B. Evidence that symptoms in criterion A were caused by the substance in terms of timing and effect.
C. Not better explained by another psychotic D/O.
D. Disturbance doesn’t occur exclusively during the course of a delirium.
E. Causes clinically significant distress or impairment in social, occupational or other important areas of functioning.
Specify if associated with intoxication or withdrawal.
How to diagnose catatonia associated with another mental disorder or catatonic D/O due to another medical condition?
- Stupor 2. Catalepsy 3. Waxy Flexibility 4. Mutism
5. Negativism 6. Posturing 7. Mannerism 8. Stereotypy 9. Agitation 10. Grimacing 11. Echolalia 12. Echopraxia
What is attenuated psychosis syndrome?
This syndrome is characterized by psychotic-like symptoms that are below a threshold for full psychosis (e.g. the symptoms are less severe and more transient and insight is relatively maintained.
What are the criteria for manic episode diagnosis?
A. Distinct period of abnormally and persistently elevated, expansive or irritable mood and persistently increased goal directed activity or energy lasting at least 1 week and present most of the day, nearly every day (or any period if hospitalization is necessary.)
B. During this period three or more of the following should be present in a significant degree with a noticeable change from usual behavior : 1. inflated self esteem or grandiosity 2. Decreased need to sleep 3. Pressure speech (talkative) 4. flight of ideas (or subjective racing thoughts) 5. Distractibility. 6. Increased in goal directed activity or psychomotor agitation (non goal directed) 7. Excessive involvement in activities with painful consequences
C. Mood disturbance is causing impairment of social and occupational functioning, or necessitates hospitalization or psychotic features.
D. Not attributable to the physiological effects of substances.
Criteria for diagnosis of hipomanic episode.
A. Distinct period of abnormally and persistently elevated, expansive or irritable mood and persistently increased goal directed activity or energy lasting at least 4 days and present most of the day, nearly every day (or any period if hospitalization is necessary.)
B. During this period three or more of the following should be present in a significant degree with a noticeable change from usual behavior : 1. inflated self esteem or grandiosity 2. Decreased need to sleep 3. Pressure speech (talkative) 4. flight of ideas (or subjective racing thoughts) 5. Distractibility. 6. Increased in goal directed activity or psychomotor agitation (non goal directed) 7. Excessive involvement in activities with painful consequences
C. Episode is associated with unequivocal change of functioning.
D. No impairment of social or occupational functioning.
E. Not attributable to substance effect.
