DSM 5 Flashcards

1
Q

Social (pragmatic) communication d/o

A

Marked deficits in communication for social purposes

  • diff with verbal cues
  • diff following rules
  • can’t make inferences or take setting into account
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2
Q

Specific learning d/o

A
  • onset early childhood
  • unable to learn in a typical manner
  • issue with processing
  • problems with phonetics
  • Inability to match words with sounds
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3
Q

ADHD

A
  • must be dx by age 12
  • inattention
  • hyperactivity
  • impulsivity
  • needs to exist in two settings - one had to be school or work
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4
Q

Pica

A

Persistent eating of non-nutritive substances for at least a month

Consider developmental age

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5
Q

Rumination d/o

A

Regurgitation or reviewing of food

Happens after a normal period of functioning

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6
Q

Language d/o

A

Difficulties in the acquisition and use of language

  • reduced vocabulary
  • limited sentence structure
  • limits ability to have conversation
  • leads to impairment in discourse
  • not enough words
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7
Q

Child onset fluency d/o

A

Stuttering

Sound prolongation
Sound and syllable repetition
Holds onto words for a long time

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8
Q

Speech sound d/o

A

Cannot form words correctly
Cannot articulate words correctly
Limited pronunciation
Deals with sound and production of speech

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9
Q

Tourette’s d/o

A

1) multiple motor tics
And
2) at least one or more vocal tics

Symptoms must be present for at least 1 year

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10
Q

Encopresis

A

Passing feces in inappropriate places

Usually involuntary but can be voluntary

Must be at least 4 yrs old and potty trained

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11
Q

Enuresis

A

Urination in bed or clothes
Can be voluntary or involuntary
Must be 5 urs old and potty trained

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12
Q

Separation anxiety d/o

A

1) excessive anxiety concerning separation from attachment figure
And

2) persistent excessive worry that something will happen to caregiver i.e. Kidnapped or child will have nightmares or fake sick symptoms

Symptoms must be present for 4 weeks

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13
Q

Generalized anxiety d/o

A

Anxiety about multiple issues

Symptoms must be present for 6 months (children and adults)

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14
Q

Selective mutism

A

Persistent failure to speak in specific social situations

Rare anxiety d/o

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15
Q

Social anxiety d/o (social phobia)

A

Fear of being in social settings

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16
Q

Reactive attachment d/o

A
  • lack of connection with people
  • withdrawn
  • no help seeking bx
  • flat affect
  • not upset to be by themselves

-requires a disruption in caregiving before age 5

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17
Q

Disinhibited social engagement d/o

A
  • will attach to anyone
  • will stand out to teachers
  • problematic bx
  • requires disruption in caregiving before she 5

Often moves to odd, disruptive d/o, adhd, conduct d/o

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18
Q

Oppositional defiance d/o

A
Problem with authority
Argumentative
Defiant
Negative
Hostile bx towards adults and authority figures 
Blaming others

Need to r/o depression

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19
Q

Conduct d/o

A

Violation of basic rights of others
Law breaking bx
Vandalism, stealing
Aggressive conduct

Precursor to antisocial personality d/o

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20
Q

Disruptive mood regulation d/o

A

Several temper outbursts 3 or more times a week

Consistent angry, irritable mood

Must be between 6-18 yrs old to dx
R/o bipolar in kids

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21
Q

Autism spectrum d/o

A

1) Persistent deficiency in communication - abnormal social engagement, lack eye contact, inability to make friends
2) restrictive, repetitive patterns of bx- echolalia, clapping, inflexible functioning, hypo or hyper reactive

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22
Q

Brief psychotic d/o

A

Symptoms up to 1 month

-delusions, hallucinations, disorganized thinking, agitation

Affect flattening, diminished emotional expression, poor eye contact, reduced body language, poverty of speech, avolition

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23
Q

Schizophreniform

A

Symptoms 1 - 6 months

-delusions, hallucinations, disorganized thinking, agitation

Affect flattening, diminished emotional expression, poor eye contact, reduced body language, poverty of speech, avolition

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24
Q

Schizophrenia

A

Symptoms over 6 months

-delusions, hallucinations, disorganized thinking, agitation

Affect flattening, diminished emotional expression, poor eye contact, reduced body language, poverty of speech, avolition

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25
Q

Major depressive d/o

A

Impact on functioning including biological

Sadness. Hopelessness, difficulty concentrating, diff with eating and sleeping, irritable, anger, guilt, worthlessness

Symptoms for at least two weeks

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26
Q

Unspecified depressive d/o

A

Mild depression

Lighter versions of depression that doesn’t meet full criteria of depression

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27
Q

Persistent depressive d/o

A

Formally dysthymia

Mild depression

Adults - 2 years
Children - 1 year

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28
Q

Bipolar I d/o

A

Needs only 1 full manic episode present for 1 week

Manic episode- extreme happiness, hyperactivity, little need for sleep, racing thoughts, rapid speech, grandiosity

Causes impairment in social, occupational, and other functioning

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29
Q

Bipolar II d/o

A

1) hypo mania (4 days)
No psychotic features
Not enough to cause problems

And

2) an episode of major depression

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30
Q

Cyclothymic d/o

A

1) hypomania
And
2) milder depression

Mild ups and downs, milder versions of both

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31
Q

Schizoaffective d/o

A

Predominant features are psychotic with a mood d/o that comes in and out

32
Q

Bipolar I with psychotic features

A

Predominant feature is mood d/o (with full manic episode for at least a week) and psychotic features come in and out

33
Q

Bereavement

A

Occurs after a death
Two weeks following death
Similar to depressive features

34
Q

Major depressive d/o and bereavement

A

Can dx both is symptoms after two weeks and meets both criteria

35
Q

Adjustment d/o with depressed mood

A

Occurs 3 months after stressor
Cannot dx after death of someone
Symptoms cannot exceed 6 months

36
Q

Panic d/o

A

1) panic attacks

And

2) ongoing fear of having panic attacks

Recurrent panic attacks with at least 1 month of fear

37
Q

Agoraphobia

A

Fear of at least 2 of 5 social situations

Fear of spaces

Fear of going out in public, shopping, crowds, bus

Symptoms at least 6 months

38
Q

Obsessive compulsive d/o

A

Has obsessions
-recurrent persistent thoughts/images that are disturbing/inappropriate and cause distress

And/or

Compulsions
-repetitive bx in response to obsession aimed at reducing stress

They recognize they are unreasonable

39
Q

Obsessive compulsive personality d/o

A
  • Preoccupied with orderliness, perfection, and control
  • workaholic
  • diff delegating
  • detail oriented
  • wants organization
  • inflexible

Has no awareness it is a problem

40
Q

PTSD

A

Symptoms over 1 month

1) traumatic or life threatening event and 2) stress as a result

  • nightmares
  • hyper vigilance
  • startle response
  • numbing, avoiding
  • reliving event
  • reckless, destructive bx
  • anger outbursts
41
Q

Acute stress d/o

A

Symptoms less than 1 month

Symptoms less than 1 month

1) traumatic or life threatening event and 2) stress as a result

  • nightmares
  • hyper vigilance
  • startle response
  • numbing, avoiding
  • reliving event
  • reckless, destructive bx
  • anger outbursts
42
Q

Adjustment d/o with anxiety

A

Stressor is not life threatening

-symptoms within 3 months of stressor

43
Q

Generalized anxiety d/o

A

Symptoms for at least 6 months

Excessive anxiety and worry
Diff controlling worry

Children- restlessness, feeling in edge, easily fatigued, diff concentrating, irritability, waking up prematurely

44
Q

Anxiety d/o unspecified

A

Symptoms less than 6 months

Excessive anxiety and worry
Diff controlling worry

Children- restlessness, feeling in edge, easily fatigued, diff concentrating, irritability, waking up prematurely

45
Q

Delirium

A
Rapid onset
Usually in hospital setting or with mess
Marked shift in awareness
Memory impairment 
Diff functioning
46
Q

Major neurocognitive d/o

A

“Dementia”

Problem with executive functioning
Decline in previous level of functioning

Lose ability to function independently

47
Q

Mild neurocognitive d/o

A

Decline in functions but still able to maintain independence with support

Have some awareness

48
Q

Somatic symptom d/o

A

1) 1 or more somatic symptoms (serious bodily health symptoms)
2) either health related anxiety or persistent concern of symptom

Have a symptom and spends disproportionate time worried about it

Symptoms for 6 months

49
Q

Illness anxiety d/o

A

“Hypochondria”

  • symptoms are mild and negligible
  • fear they will have disease despite reassurances from MD
  • repeatedly checks body
  • MD shopping
  • Internet research
  • avoids hospitals and sick symptoms

Symptoms for 6 months

50
Q

Conversion d/o

A

Psychological issue converts to somatic one

Ex: blind rage

51
Q

Factitious d/o

A

Makes up being sick to get attention

52
Q

Malingering

A

Makes up being sick to get out of something

53
Q

Münchausen syndrome by proxy

A

Second party indices symptoms because they like playing the patent of a sick child

54
Q

Anorexia nervous

A

Restricts dietary intake to the point where it doesn’t meet their physical needs

1) significant low body weight
and
2) intense fear of gaining weight or becoming fat

55
Q

Bulimia nervous

A

1) binge eating (lack of control over episode)
and
2) recurrent purging to prevent weight gain
-compensatory bx that happens in reaction to binge eating

56
Q

Binge eating d/o

A

Just binge eating

Lack of control over episode and feel disgusted afterwards, shame

57
Q

Unspecified eating d/o

A

When haven’t met criteria for other eating d/o’s

Ex: just purging

58
Q

Body dysmorphic d/o

A
  • can’t be related to weight gain
  • distinct displeasure of part of body
  • usually normal in appearance but person imagines it as a defect
59
Q

Depersonalization/derealization d/o

A
Dreamlike distorted state
World feels surreal
Time moving slowly 
Out of body experience 
Don't feel connected
Feels surroundings are unreal
60
Q

Dissociative amnesia

A

Sudden forgetting of personal info
Occurs in extreme stress
Can’t remember specific events or things

61
Q

Dissociative identity d/o

A

Multiple personality d/o
Two or more distinct personalities
Unable to recall personal info
Can’t recall what other person knew

Common with bx of trauma or severe abuse

62
Q

Genito pelvic pain/penetration d/o

A

Pain during intercourse
Fear of having pain
Tense or tightening of pelvic muscles

63
Q

Female sexual interest arousal d/o

A

lack of sexual interest or arousal
Severe decline in fantasies or initiation of sex
Symptoms for at least 6 months

64
Q

Insomnia d/o

A

Diff sleeping at least 3 nights a week for 3 months

Diff maintaining, falling asleep or early awakening

65
Q

Hyper somnolence d/o

A

Excessive sleepiness -has to exceed 7 hrs

Diff staying awake or sleeping throughout day

66
Q

Nightmare d/o

A

Wakes up from nightmares and becomes quickly oriented
Can recall content of dream
Distress over nightmare
Wakes fully from it

67
Q

Non rapid eye movement sleep d/o

A

“Sleep terror” “sleep walking”

Recurrent episodes of incomplete awakening from sleep
Can’t remember what they were doing or dreaming
Diff to wake up

68
Q

Central sleep apnea

A

Stops breathing whole asleep
Snorts
Disrupts ability to get good sleep

69
Q

Narcolepsy

A

Falls asleep during day or in middle of things unexpectedly

70
Q

Intermittent explosive d/o

A

Failure to resist aggressive impulses

  • results in serious destructive acts or of property
  • verbal abuse disproportionate to what is going on
  • can’t be better accounted for by another mental d/o
71
Q

Kleptomania

A

Failure to resist impulses to steal

Objects not needed for personal use or monetary gain

72
Q

Trichotillomania

A

Hair pulling, picking
Pulls out eyebrows, hair in head or arms
Anxiety d/o
Noticeable and excessive

73
Q

Substance use d/o

A

Using substance that results in failure to fulfill major obligations
Unsuccessful efforts to cut down
Cravings
Using when dangerous

74
Q

Substance withdrawal

A

Body trying to get back to its normal state when stop using

75
Q

Gambling d/o

A
Spend more money than they have
Think about gambling excessively
Interfere with their life
Lying to conceal bx
Irritable when trying to cut down 
Can be concurring