dsm 5 criteria Flashcards
What are the DSM-V symptoms for social anxiety disorder?
A. Fear or anxiety about social situations in which the individual is exposed to scrutiny by others
B. Fear that actions or symptoms will be negatively evaluated
C. Fear or anxiety from social situations is out of proportion and almost always provoked
D. Typically lasting min. 6 months and causes clinically significant distress or impairment
Specifier: performance only: restricted to speaking or performing in public
What are the two specifiers for children in the DSM-V criteria for social anxiety disorder?
Experience of symptoms must be related to peers, not just with adults or within a power differential
Fear or anxiety can be expressed by crying, tantrums, freezing, clinging, shrinking, or failing to speak in social situations
The DSM-V criteria for generalised anxiety disorder state that worry is accompanied by at least three of which symptoms?
- Restlessness or feeling on edge/jittery
- Being easily fatigued
- Difficulty concentrating/mind going blank
- Irritability
- Muscle tension
- Sleep disturbance
Describe specific phobia disorder
Disproportionate fear of an object or situation, typically last 6 months of more. The person mostly recognises that the fear is excessive but still goes to great lengths to avoid it.
Describe social anxiety disorder
Persistent, unrealistically intense fear of social situations that might involve being scrutinised by, or even just being exposed to others. Chronic and intense feelings of shame and humiliation.
Typical onset in adolescence
Describe panic disorder
Recurrent panic attacks that are unrelated to specific situations, but by worry about having more panic attacks
Describe ‘kayak-angst’ cultural presentations of anxiety disorders?
Disorder similar to panic disorder within the Inuit people of Greenland related to intense fear, disorientation and concerns about drowning
Describe agoraphobia
Anxiety or fear about situations from which it would be embarrassing or difficult to escape from if anxiety symptoms occurred.
Fear situations consistently provoke fear or anxiety, with symptoms typically lasting 6 months or more
Describe Taijin Kyofusho
Fear of displeasing or embarrassing others, specific to parts of South Asia
What are the nine symptoms of major depressive disorder in the DSM-V?
- Depressed or irritable mood
- Anhedonia
- Appetite/weight disturbances
- Sleep disturbances
- Psychomotor disturbances
- Fatigue
- Feelings of guilt of worthlessness
- Concentration and memory impairments
- Suicidal ideation
What are the requirements for a diagnosis of MDD in the DSM-V?
Five or more symptoms within a two-week period, one of which must be depressed mood or anhedonia.
- Clinically significant impairment
- Not better explained by something else
- Never been a manic or hypomanic episode
Describe the Melancholic depressogenic subtype in the DSM-V
- 67%; more males than females
- Characterised by non-reactive mood; pervasive anhedonia; blunted affect; appetite/weight loss; insomnia; loss of libido
Unique features: - Diurnal (more severe in morning) mood variations
- Higher completion rates
- Higher comorbidity with psychosis
- Overactive HPA axis
Describe the Atypical depressogenic subtype in the DSM-V
- 15-50%; more females than males
- Characterised by low mood reactivity, appetite/weight gain, hypersomnia, leaden paralysis, sensitivity to interpersonal rejection
Unique features: - underactive HPA axis
- increased risk of chronic health conditions
What are the specifiers in the DSM-V for ADHD?
- Inattentive presentation
- Hyperactive-impulsive presentation
- Combined presentation
Describe the criteria for conduct disorder
At least three of the 15 listed behaviours in the last 12 months, with one occurring in the last 6 months.
A. Aggression towards people and animals
B. Destruction of property
C. Deceitfulness or theft
D. Serious violations of rules
What are the symptoms for ASD?
Significant problems in social communication and interactions:
- other’s emotions, turn-taking, eye-contact, forming/keeping peer relationships
Repeated ritualistic behaviour patterns, interests or activities:
- same speech, movement or use of objects, desire to maintain routines, preoccupation with specific interests, sensitivity to sensory input
What are the DSM-V diagnostic criteria for schizophrenia?
A. Two + symptoms, each present for a significant portion of a month. At least one being 1,2 or 3.
1. Delusions
2. Hallucinations
3. Disorganised speech
4. Grossly disorganised or catatonic behaviour
5. Negative symptoms
B. Social or occupational dysfunction or decline in one or more areas
C. Continuous signs of disturbance for at least 6 months
What are the specifiers for schizophrenia?
First episode/multiple episode: acute, partial or full remission
Continuous: relevant symptoms remain
Unspecified: individuals that don’t fit
Catatonia: psychomotor dysfunction
Severity: rated 0-4
What is delusional disorder?
Delusions for 1 month or more with few or no negative symptoms
What are the DSM-V diagnostic criteria for Bipolar I disorder?
A. Criteria met for at least one manic episode
B. Not better explained by another psychotic spectrum disorder
Specifiers: anxious distress, rapid cycling, mixed features, melancholic features, atypical features, mood-congruent psychotic features, mood-incongruent psychotic features, catatonia, peripartum onset, seasonal pattern
What are the DSM-V diagnostic criteria for Bipolar II disorder?
A. Criteria met for at least one hypomanic or at least one major depressive episode
B. No manic episodes
C. Not better explained by another psychotic spectrum disorder
D. Clinically significant distress or impairment
Specifiers: hypomanic or depressed, partial or full remission, severity
Same others
What are the symptoms for a manic episode?
At least one week of abnormally or persistently evalated, expansive or irritable mood, present most of the day nearly everyday.
Three or more symptoms:
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- Talkative af
- Flight of ideas/racing thoughts
- Distractibility
- Increase in goal-directed activity or psychomotor agitation
- Excessive involvement in activities with high potential for harm
What are the symptoms for a hypomanic episode?
At least four days of abnormally or persistently elevated, expansive or irritable mood, present most of the day nearly everyday day.
Same symptoms as manic episode but not severe enough to cause marked impairment in functioning, necessitate hospitalisation or have psychotic features
What are the diagnostic criteria for cyclothymic disorder?
A. At least two years with numerous periods of hypomanic symptoms or depressive symptoms that do not meet the criteria for episodes
B. symptoms have been present at least half the time, and have not been without for more than a month
C. criteria for major depressive, manic or hypomanic episode have not been met
What are the diagnostic criteria for substance use disorder?
Problematic pattern of use which impairs functioning, including two or more symptoms within a one-year period
1. Consuming more than originally planned
2. Worrying about stopping/failed efforts to control use
3. Large amount of time using/ obtaining however
4. Failure to fulfil obligations
5. Cravings
6. Continuing despite health problems
7. Continued despite negative effects on relationships
8. Repeated use in a dangerous situation
9. Giving up or reducing activities
10. Tolerence: need for increased amounts/diminished effect
11. Withdrawal
