dsm 5 criteria

Question 1

What are the DSM-V symptoms for social anxiety disorder?

Answer 1

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

Question 2

What are the two specifiers for children in the DSM-V criteria for social anxiety disorder?

Answer 2

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

Question 3

The DSM-V criteria for generalised anxiety disorder state that worry is accompanied by at least three of which symptoms?

Answer 3

• Restlessness or feeling on edge/jittery
• Being easily fatigued
• Difficulty concentrating/mind going blank
• Irritability
• Muscle tension
• Sleep disturbance

Question 4

Describe specific phobia disorder

Answer 4

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.

Question 5

Describe social anxiety disorder

Answer 5

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

Question 6

Describe panic disorder

Answer 6

Recurrent panic attacks that are unrelated to specific situations, but by worry about having more panic attacks

Question 7

Describe ‘kayak-angst’ cultural presentations of anxiety disorders?

Answer 7

Disorder similar to panic disorder within the Inuit people of Greenland related to intense fear, disorientation and concerns about drowning

Question 8

Describe agoraphobia

Answer 8

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

Question 9

Describe Taijin Kyofusho

Answer 9

Fear of displeasing or embarrassing others, specific to parts of South Asia

Question 10

What are the nine symptoms of major depressive disorder in the DSM-V?

Answer 10

1. Depressed or irritable mood
2. Anhedonia
3. Appetite/weight disturbances
4. Sleep disturbances
5. Psychomotor disturbances
6. Fatigue
7. Feelings of guilt of worthlessness
8. Concentration and memory impairments
9. Suicidal ideation

Question 11

What are the requirements for a diagnosis of MDD in the DSM-V?

Answer 11

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

Question 12

Describe the Melancholic depressogenic subtype in the DSM-V

Answer 12

• 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

Question 13

Describe the Atypical depressogenic subtype in the DSM-V

Answer 13

• 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

Question 14

What are the specifiers in the DSM-V for ADHD?

Answer 14

1. Inattentive presentation
2. Hyperactive-impulsive presentation
3. Combined presentation

Question 15

Describe the criteria for conduct disorder

Answer 15

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

Question 16

What are the symptoms for ASD?

Answer 16

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

Question 17

What are the DSM-V diagnostic criteria for schizophrenia?

Answer 17

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

Question 18

What are the specifiers for schizophrenia?

Answer 18

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

Question 19

What is delusional disorder?

Answer 19

Delusions for 1 month or more with few or no negative symptoms

Question 20

What are the DSM-V diagnostic criteria for Bipolar I disorder?

Answer 20

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

Question 21

What are the DSM-V diagnostic criteria for Bipolar II disorder?

Answer 21

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

Question 22

What are the symptoms for a manic episode?

Answer 22

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

Question 23

What are the symptoms for a hypomanic episode?

Answer 23

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

Question 24

What are the diagnostic criteria for cyclothymic disorder?

Answer 24

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

Question 25

What are the diagnostic criteria for substance use disorder?

Answer 25

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