DSM-5 Flashcards
DSM-5 diagnosis of OCD
A) Presence of obsessions, compulsions or both
Obsessions are defined by:
1) recurrent or persistent thoughts, urges or images which are intrusive and unwanted and cause anxiety or distress
2) the individual attempts to ignore or suppress these eg. through compulsions
Compulsions are defined by:
1) repetitive behaviour or mental acts that the person feels compelled to perform in response to an obsession
2) these behaviours reduce anxiety or stress, or prevent some dreaded situation. However, these behaviours are not connected in a realistic way
B) the obsessions are time consuming or cause significant impairment in social or occupational functioning
C) not attributable to physiological symptoms of a substance or other medical conditions
D) not better explained by another mental disorder
DSM-5 diagnosis of ASD
A. Persistent deficits in social communication and interaction, characterised by the following:
1) deficits in social-emotional reciprocity
2) deficits in non-verbal communicative behaviours used in social interaction
3) deficits in developing, maintaining and understanding relationships
B. Restricted, repetitive patterns of behaviour:
1) stereotyped or repetitive movements, use of objects or speech
2) insistence on sameness, inflexible adherence
3) highly restricted, fixated interests that are abnormal in intensity or focus
4) hyper or hyporeactivity to sensory input or unusual interest in the sensory aspects of the environment
C. Symptoms must be present in early developmental period
D. Symptoms cause clinically significant impairment in social, occupational or other important areas of current functioning
DSM-5 diagnosis of Social Phobia
1) Fear triggered by being exposed to unfamiliar or social scrutiny
2) when exposed to the trigger: intense anxiety of being humiliated or embarrassed
3) trigger either avoided or endured with intense anxiety
4) persists for 6 months
DSM-5 diagnosis of manic/hypo manic episodes
Elevated or irritable mood
In addition, three additional symptoms (four if the mood is irritable)
- increased activity level (work, social, sexual)
- talkative, rapid speech
- thoughts are racing
- decreased need for sleep
- inflated self esteem, belief that one has special talents or abilities
- attention easily distracted
- involvement in pleasurable activities with undesirable consequences
Manic episode - >1 week or psychosis. Clear impairment in functioning
Hypomanic episode- >4 days, no psychosis. Clear changes but no impairment
DSM-5 diagnosis of phobias
1) excessive, unreasonable, persistent fear triggered by situations or objects
2) exposure to trigger = anxiety
3) object/situation is avoided
4) persists for at least 6 months
DSM-5 diagnosis of schizophrenia
At least two of these symptoms should be present for at least one month and at least one symptom should be 1, 2 or 3
1) delusions
2) hallucinations
3) disorganised speech
4) disorganised behaviour
5) negative symptoms
There should have been signs of the disorder for at least 6 months
DSM-5 diagnosis of depression
A) Must show 5 symptoms for at least two weeks. One must be 1 or 2.
- depressed mood for most of the day
- diminished/loss of interest/pleasure
- weight loss or gain
- insomnia or hypersomnia
- shift in activity level
- loss of energy, fatigue
- negative self concept
- difficulty in concentrating and decision making
- suicidal thoughts
- recurrent thoughts of death, suicidal ideation
B) clear impairment in functioning
C) not due to substances or medical conditions
D) not due to any psychological conditions
E) no manic/hypo manic episodes
