DSM 5 Flashcards
Neurodevelopmental Disorders
Includes: Intellectual Disabilities, Communication Disorders, ASD, ADHD, SLD, Motor Disorders, Tic Disorders, Other Neurodevelopmental Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Includes: Schizotypal Personality Disorder, Delusional Disorder, Brief Psychotic Disorder, Schizophreniform Disorder, Schizophrenia, Schizoaffective Disorder, Substance/Medication-Induced Psychotic Disorder, Catatonia
Delusional Disorder
- enduring delusions, may be accompanied by non-promiment hallucinations
- functioning not significantly affected
- behavior generally not odd or peculiar
- delusions can be: erotomania, grandiose, persecutory, jealous, somatic, mixed, or unspecified
Brief Psychotic Disorder
- hallucinations, dellusions, disorganized or incoherent speech, or grossly disorganized or catatonic behavior
- duration: between 1 day and 1 month
Schizophreniform Disorder
- hallucinations, dellusions, disorganized or incoherent speech, or grossly disorganized or catatonic behavior, or negative symptoms (reduced emotional expressiveness or avolition)
- duration: between 1-6 months
Schizophrenia
- At least two symptoms: hallucinations, dellusions, disorganized or incoherent speech, grossly disorganized or catatonic behavior, negative symptoms (reduced emotional expressiveness or avolition)
- significant negative impact on occupational, academic, interpersonal, or self-care functioning
- duration: at least 6 months
Schizoaffective Disorder
-continuous period where major symptoms of schizophrenia are present AND for the majority of the duration of the condition major mood (depressive or manic) episodes are present
Substance/Medication-Induced Psychotic Disorder
symptoms of psychotic disorder during or soon after exposure to a substance/medication or withdrawal from
Catatnonia
Presence of 3 or more: stupor, catalepsy, waxy flexibility, mutism, negativism, posturing, mannerism, stereotypy, agitation, grimacing, echolalia, echopraxia
Bipolar and Related Disorders
Includes:
- Bipolar I Disorder
- Bipolar II Disorder
- Cyclothymic Disorder
Bipolar I Disorder
Characterized by the following episodes:
- Manic episode- lasting at least a week
- Hypomanic episode - lasting 4 consecutive days
- Major depressive episode
Manic episode
- lasting at least a week
- 3 or more: grandiosity, insomnia, garrulousness, incoherent disconnected rapid successions of thought, difficulty paying attention/focusing, agitation, restlessness, increase in goal-directed activity, excessive engagement in unrestrained behaviors with high likelihood of negative outcomes (ex: compulsive shopping, gambling, high-risk business ventures).
Major depressive episode
- sustained during a 2 week period
- 5 or more: persistent negative mood, diminished satisfaction or pleasure from engaging in nearly all activities, significant weight loss, chronic insomnia or hypersomnia, agitation, fatigue, feelings of worthlessness, difficulty concentrating and focusing, suicidal ideation
Bipolar II Disorder
includes hypomanic episode and major depressive episode; no manic episode
Cyclothymic Disorder
- symptoms of hypomania and depression have appeared numerous times, but correct criteria for episodes have not been met
- duration: at least 2 years
- hypomanic and depressive intervals have occurred at least half the time and patient not symptom-free for more than 2 months at a time
Depressive Disorders
Includes:
- Disruptive Mood Dysregulation Disorder
- Major Depressive Disorder
- Persistent Depressive Disorder (previously Dysthymia)
Disruptive Mood Dysregulation Disorder
- frequent outbursts of temper (avg is 3+ times weekly)
- chronic mood of irritability and anger
- duration at least 1 year with no more than a 3-month period without outbursts
- diagnosed between ages 6-18
Major Depressive Disorder
-characterized by symptoms of major depressive episode
Persistent Depressive Disorder (previously Dysthymia)
- amalgamation of symptoms of chronic major depressive disorder and dysthymic disorder
- chronic depressed mood
- while depressed at least 2 conditions present: lac of appetite or overeating, insomnia or hypersomnia, fatigue, low self-esteem, difficulty concentrating and indecisiveness, hopelessness
- duration: at least 2 years
Premenstrual Dysphoric Disorder
Must meet 3 conditions:
- symptoms present during majority of menstrual cycles, at least 5 of symptoms must manifest during final week BEFORE onset of period, improvement noticeable within a few days after beginning period, symptoms minimal or gone week after period
- 1+ symptoms: severe mood swings and emotional sensitivity, irritability and interpersonal friction, significantly depressed mood, considerable anxiety ad emotional agitation
- 1+ symptom for cumulative total of 5 (from above): decreased interest in daily activities, difficulty with focus and concentration, significant lethargy, marked changes in eating habits (overeating or fixating on certain foods), insomnia or hypersomnia, feelins of being overwhelmed, noticeable physical changes such as bloating, weight gain, swelling of joints, or muscle pain
Obsessive-Compulsive and Related Disorders
Includes:
- Obsessive-Compulsive Disorder
- Body Dysmorphic Disorder
- Hoarding Disorder
- Trichotillomania (hair pulling) Disorder
- Excoriation (skin picking) Disorder
- Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
Obsessive-Compulsive Disorder
- presence of obsessions (unwanted, intrusive thoughts or images that are experienced repeatedly and bring about distress; person tries to alleviate with other thoughts and actions) and/or compulsions (repetitive, ritualized actions that the individual feels compelled to perform in order to alleviate distress from obsessions
- obsessions and/or compulsions last at least 1 hour per day
Body Dysmorphic Disorder
- inordinate attention to at least one perceived flaw in physical appearance that is unnoticeable or appears slight to observers
- engaging in repetitive behaviors as a means of obtaining reassurance about appearance concerns
Hoarding Disorder
- Chronic difficulty in getting rid of possessions regardless of value
- distress when without items
- habit so excessive and hard to maintain habitable living areas
Trichotillomania
- repetitive hair pulling; results in hair loss
- unsuccessful repeated attempts to stop behavior
Excoriation Disorder
- repetitive skin picking resulting in skin lesions
- unsuccessful repeated attempts to stop behavior
Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
- symptoms of OCD transpire concurrently with or following substance intoxication, withdrawal, or exposure to med
- substance/medication capable of bringing about severe anxiety
Anxiety Disorders
Last at least 6 months, involve disproportionate fear response, involve maladaptive behaviors by individual to avoid anxiety-provoking situation Includes: -Separation Anxiety Disorder -Selective Mutism -Specific Phobia -Social Anxiety Disorder -Panic Disorder -Agoraphobia -Generalized Anxiety Disorder -Substance/Medication-Induced Anxiety Disorder
Separation Anxiety Disorder
- anxiety from separation
- 3 or more conditions: repeated anxiety when anticipating/experiencing separation from home/others, incessant rumination over prospect of harm toward significant attachments, chronic refusal or unwillingness to venture way from home, chronic and significant anxiety about being left alone/separated from attachment figures, refusal/unwillingness to sleep away from home, recurring nightmares about separation, recurring physical problems (headaches, nausea, GI distress) when anticipating separation
Selective Mutism
- lasts at least 1 month
- reticence when speaking expected
- affects social, educational, vocational aspects of life
Social Anxiety Disorder
- inordinate fear of situations where individual may be subject to evaluation by others (ex: meetings, conversations with unfamiliar people, being observed, giving speeches/presentations)
- fear of rejection, embarrassment, ridicule, being offended
- avoidance of social situations
Panic Disorder
- repeated panic attacks and at least 4 symptoms: rapid heartbeat, sweating, shaking, shortness of breath, choking sensation, chest pain/discomfort, nausea or GI distress, vertigo or sensation of loss of balance or feeling faint and lightheaded, sensations of heat or cold, paresthesias, derealization, fear of losing emotional control, fear of dying
- at least 1 panic attach followed by one month of 1 or both of following: chronic worry about panic attacks or a marked effort to engage in behaviors to avoid panic attacks
Agoraphobia
- includes significant anxiety about 2 of following: using public transportation, being in open spaces, being in enclosed spaces, being in a crowd, being alone outside one’s home
- scenarios avoided due to fear of being trapped or experiencing panic attacks
- fear responses typically last 6+ months
Generalized Anxiety Disorder
- inordinate worry about a variety of scenarios
- occurs more days than not and lasting at least 6 months
- at least 3 symptoms present (with at least one lasting 6+ months): agitation, loss of energy, difficulty focusing, irritability, muscular tension, difficulty sleeping
Substance/Medication-Induced Anxiety
- panic attacks that transpire concurrently with or following substance intoxication, withdrawal, exposure to med
- substance under consideration capable of bringing about severe anxiety
Trauma and Stressor-Related Disorders
Includes:
- Reactive Attachment Disorder
- Disinhibited Social Engagement Disorder
- PTSD
Reactive Attachment Disorder
- chronic pattern of emotionally withdrawn behavior with adult caretakers
- diagnosed between 9 months and 5 years
- presence of both: child rarely seeks comfort when distressed, child minimally responsive to comfort when distressed
- at least 2 of following: minimal social responsiveness, minimal positive affect, periods of inexplicable irritability, fear, or sadness during periods of nonthreatening interaction with adult caretakers
- child has received insufficient care due to severe neglect due to lack of emotional care by adult caretakers, instability of frequent changes of caretakers, being raised in settings that limit attachments to adult caretakers
Disinhibited Social Engagement Disorder
- manifested by child’s pattern of seeking out and interacting with unfamiliar adults
- 2 of following must be present: lack of reticence when interacting with unfamiliar adults, overly familiar physical or verbal behavior with unfamiliar adults, little regard for reconnecting with adult caretakers even in unfamiliar environments, unhesitatingly accompanying unfamiliar adults
PTSD
- diagnosis 6 months after traumatic event
- duration at least 1 month - resulting from experiencing actual or threatened death, serious injury, or sexual violence
- includes at least one of the following: directly experiencing or witnessing a traumatic event
- becoming aware of close friends or family members suffering a traumatic event
- repeated exposure to aversive aspects of traumatic events
- at least one intrusion symptom, one avoidance symptom, and 2 symptoms of negative mood, 2 arousal symptoms
- can include dissociative symptoms
intrusion symptoms
- symptoms of PTSD
- include: recurring distressing memories of event, frequent nightmares about event, flashbacks that can include dissociative reactions as if re-living event, intense reactive distress when in presence of cues/reminders about event
- severe physiological reactions upon exposure to cues resembling aspects of the event
avoidance symptoms
- symptoms of PTSD
- chronic avoidance behaviors
- include: attempts to avoid distressing thoughts, feelings, or memories reminiscent of traumatic event; avoidance of external stimuli that may serve as reminders of the traumatic event
negative mood
- symptom of PTSD
- negative transformation of mood or thought related to traumatic event
- includes: dissociative amnesia, chronic and exceedingly negative attitudes and expectations about oneself, others or surroundings, self-blame, chronic negative affect, loss of interest in significant activities, alienation from others, chronic inability to experience positive affect
arousal symptoms
- symptom of PTSD
- significant changes in sensitivity to traumatic events starting or worsening after event
- includes 2 of following: unprovoked irritability and temper tantrums, irresponsible self-destructive activities, hypervigilance, heightened startle reaction, difficulty in focusing and concentrating, disrupted sleep patterns
Acute Stress Disorder
- diagnosed 3 days to 1 month after trauma
- need at least 9 symptoms similar to PTSD
Adjustment Disorder
-appearance of emotional or behavioral symptoms as reaction to definitive stress-inducing events
-symptoms appear within 3 months of event
include one or both: severe distress that is disproportionate to intensity of event, significant deterioration in key areas of functioning
-symptoms endure for no more than 6 months
Dissociative Disorders
- disruption in integration of consciousness as it relates to memory, identity, and perception of environment.
- can be gradual, transient, or chronic
- Includes: dissociative identity disorder, dissociative amnesia, depersonalization/derealization
Dissociative Identity Disorder
-include 2 or more distinct personality states or identities that recurrently assume control of individual’s behavior, accompanied with inability to recall important personal info that is too extensive to be accounted for by forgetfulness