DSM-5 Criteria for Each disorder Flashcards
for depressive disorder how many of the symptoms have to be present during the same 2 week period?
5
What are the two symptoms for depressive disorder that are an either/or?
Depressed mood, loss of interest or pleasure
What are the first 4 symptoms in depressive disorder?
depressed mood most of the day, nearly every day
diminished pleasure and interest in activities
Significant weight loss/gain
insomnia or hypersomnia
What are symptoms 5-7 of depressive disordeR?
psychomotor agitation or retardation nearly every day
fatigue or loss of energy
feelings of worthlessness or excessive guilt
What are symptoms 8-9 of depressive disorder?
diminished concentration, indecisiveness
recurrent thoughts of death or suicidal actions
What must the symptoms of depressive disorder cause.
clinically significant distress or impairment in social, work, or other areas of functioning
What must the depressive disorder episode not be attributed to?
physiological effects of substance or medical condition
What must the depressive disorder episode not be explained by?
schizoaffective disorder, schizophrenia, or other psychotic disorder
what must there have never been for a depressive disorder?
never been a manic or hypomanic episode
What is the timeframe for persistent depressive disorder?
depressed mood for most of the day, more days than not, at least 2 years
how many symptoms do you need for persistant depressive disorder?
2
What are symptoms 1-3 of persistent depressive disorder?
Poor appetite/overeating
insomnia/hypersomnia
low energy/fatigue
What are symptoms 4-6 of persistent depressive disorder?
low self-esteem
poor concentration or difficulty making decisions
feelings of hopelessness
What is the period of time for children or adolescents for persistent depressive disorder?
1
How long can the subject not be without symptoms for persistent depressive disorder?
2 months
How long for the criteria of a major depressive disorder be present for?
2 years q
What must there have never been for persistent depressive disorder?
manic or hypomanic episode
What is mania in its DSM-5 ?
period of abnormally and elevated expansive or irritable mood, persistently increased goal-directed activity of energy
What is the time frame for mania?
at least 1 week and present most of the day, nearly every day
What is the duration if hospitalization for mania is needed?
any duration
How many symptoms need to be present for mania?
3
How many symptoms need to be present if mood is only irritable?
4
What are symptoms 1-3 of maniA?
inflated self-esteem/grandiosity
decreased need for sleep
more talkative than usual or pressure to keep talking
What are symptoms 4-7 of mania?
Flight of ideas or subjective experience that thought are racing
Distractability
increase in goal-directed activity or psychomotor activity
excessive involvement in activities that have a high potential for painful consequences
In mania what must the mood disturbance be?
sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization
What must the episode of mania not be attributable to?
physiological effects of a substance or to another medical condition
For cyclotomic disorder what criteria must never have been met?
major depressive, manic, or hypomanic episodes
What is the timeframe for cyclothymic disorder?
2 years
What does the first criteria for cyclothymic disorder state?
numerous periods with hypomanic symptoms, numerous periods with depressive symptoms
How long must the depressive and hypomanic periods have been present for in cyclothymic disorder?
half the time
What is the timeframe without symptoms for cyclothymic disorder?
2 months
What are symptoms A-C for specific phobia?
Marked fear or anxiety about a specific object or situation
Phobic object/situation almost always provokes immediate fear/anxiety
Phobic object/situation actively avoided or endured with intense fear/anxiety
What are symptoms D-F for specific phobia?
out of proportion to the actual danger posed by object/situation to sociocultural context
Fear, anxiety, avoidance persistent (6 months or more)
causes clinically significant distress or impairment in social, occupational or other areas of functioning
How many situations must be present for agoraphobia?
2 or more
What are situations 1-3 of agoraphobia?
Public transportation
Open spaces
Enclosed spacesW
What are situations 4-5 of agoraphobia?
Standing in line or being in a crowd
Being outside of the home alone
In agoraphobia why do individuals avoid the situations.
thoughts that escape might be difficult or help might not be available in the event of developing panic attack symptoms
What do agoraphobic situations almost always provoke?
Fear or anxiety
Are the agoraphobic situations actively avoided?
Yes
What do agoraphobic situations require
presence of a companion or endured with intense fear or anxiety q
What is out of proportion in agoraphobia?
fear or anxiety to actual threat posed by situation and to sociocultural context
What is persistent in agoraphobia?
fear and anxietyHow
How long does the fear and anxiety in agoraphobia last?
6 months or more
What does the fear, anxiety, and avoidance in agoraphobia cause?
clinically significant distress or impairment in social, occupational, or other important areas of functioning
What is the definition of social anxiety in the DSM-5 context?
marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others
What are examples of situations in social anxiety?
social interactions, being observed, performing in front of others
What does an individual fear with social anxiety
Acting in a way or showing negative anxiety symptoms in a way that will be negatively evaluated
What Do the social situations involved with social anxiety almost always provoke?
fear or anxiety
What are the social situations involved in social anxiety always done?
endured or avoided with severe fear or anxiety
What is out of proportion in social anxiety?
fear or anxiety to the actual threat proposed by the situation
What is persistent in social anxiety disorder?
fear, anxiety, avoidance,
How long does social anxiety disorder symptoms typically last?
6 months or more
What does the fear, anxiety, and avoidance with social anxiety cause?
significant distress or impairment in social, work, or other areas of functioning
What is a panic attack in regard to panic disorder?
abrupt surge of intense fear or intense discomfort
When do panic attacks associated with panic disorder peak?
within minutes
What is the criteria of panic disorder?
recurrent unexpected panic attacks
How many symptoms must occur with panic disorder?
4
What are symptoms 1-3 of panic disorder?
palpitations, pounding heart, accelerated heart rate
sweating
trembling, shaking
What are symptoms 4-6 of panic disorder?
sensations of shortness of breath/smothering
feelings of choking
chest pain or discomfort
What are symptoms 7-9 of panic disordeR?
nausea or abdominal distress
feeling dizzy, unsteady, lightheaded or faint
chills or heat sensations
What are symptoms 10-13 of panic disorder?
paresthesias
derealization or depersonalization
fear of losing control/going crazy
fear of dying
What must one of the attacks in panic disorder be followed by?
1 month or more of
Persistent concern/worry about additional panic attacks and consequences
Significant maladaptive change in behavior related to the attacks
What must the disturbance in panic disorder not be attributable to?
physiological effects of substance or other medical condition
What must the disturbance in panic disorder not be better explained by?
another mental disorder
What is the definition in the DSM-5 for general anxiety disorder?
Excessive anxiety/worry about a number of events or activities
What is the time frame for GAD?
occurring more days than not for at least 6 months
What does the individual with GAD find it difficult to control?
worry
How many of the 6 symptoms of Gad does an individual need to have?
3
What must some of the symptoms with GAD be present t for?
more days than not for 6 months
What are symptoms 1-3 of GAD?
restlessness or feeling keyed up or on edge
being easily fatigued
difficulty concentrating or mind going blank
What are symptoms 4-6 of GAD?
irritability
muscle tension
sleep disturbance (falling/staying/restless sleep)
What do the anxiety and worry/physical symptoms with GAD cause?
significant distress or impairment in social, work or other areas of functionign
What must the disturbance of GAD not be attributed to ?
Effects of a substance or other medical condition
What must the disorder of GAD not be better explained by?
another mental disorder
What is OCD in DSM-5?
presence of obsessions, compulsions, or both
What is the first thing obsessions are defined by?
recurrent and persistent thoughts, urges, or images that are experienced, art some point during the disturbance as intrusive or unwanted and that in most individuals cause marked anxiety or distress
What is the second thing obsessions are defined by?
attempts to ignore or suppress such thoughts, urges or images, or to neutralize them with some other thought or action
What is the first thing that compulsions are defined by?
repetitive behaviors, mental acts, that the individual feels driven to perform in response to an obsession or according to rules that must be applied
What is the second definition of compulsion?
behaviors/mental acts aimed at preventing/reducing anxiety or distress by preventing some dreaded event or situation, these behaviors and mental acts are not connected in a realistic way with what they are designed to prevent, are excessive
Are the obsessions or compulsions time consuming?
Yes
What must the obsessions or compulsions cause?
clinically significant stress, impaired social, work or other areas of functioning
What must the OCD symptoms not be attributed to?
physiological effects of a substance or other medical condition
What most the OCD disturbance not be better explained by?
symptoms of another mental disorder
What is the DSM-5 definition for body dysmorphic disorder?
preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others
At some point during BDD what must the individual having performed?
repetitive behaviors or mental acts in response to appearance concern
What must the preoccupation for BDD cause?
Clinically significant distress impairment in social, work, or other areas of functioning
What must the preoccupation not be better explained by? BDD
Concerns with body fat or weight in an individual whose symptoms meet symptoms meet diagnostic criteria for an eating disorder `
What are 1-2 ways in PTSD with exposure to actual or threatened death, injury, sec violence?
Directly experiencing traumatic event
witnessing, in person, event as occurred to others
What are 3-4 ways in PTSD with exposure to actual or threatened death, injury, sec violence?
Learning traumatic event occurred to close family member/friend
In cases of threatened/actual death of family/friend event must have been violent or accidental
Experiencing repeated or extreme exposure to aversive details of the traumatic event
How many of the intriusion symptoms must be present for PTSD?
one or more
What are 1-3 of the intrusion symptoms with traumatic events in PTSD>
recurrent, involuntary, intrusive distressing memories of event
recurrent distressing dreams in which content or effect of dream is related to event
dissociative reactions in which individual feels or acts as if traumatic event is recurring
What are 4-5 of the intrusion symptoms with traumatic events in PTSD>
Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble aspect of event
physiological reactions to internal or external cues that symbolize or resemble aspect of event
What is C for PTSD? avoidance
persistent avoidance of stimuli associated with the traumatic event beginning after the event occurred evidenced by one or both of the conditions
What is occuranced one of PTSD in stimuli? avoidance
Avoidance of efforts to avoid distressing memories thoughts or feelings about or closely associated with event
What is occurrence two of stimuli with PTSD? avoidance
avoidance of efforts to avoid external reminders that arouse distressing memories, thoughts or feelings about or closely associated with traumatic events
What is the duration of the disturbance for PTSD?
more than 1 month
What must the disturbance not be attributed to PTSD?
Physiological effects of a substance or another medical condition
What must the disturbance of PTSD be caused by?
Significant distress or impairment in social, work, or other areas of functioning
What is E in the DSM-5 PTSD category?
marked alterations in arousal and reactivity associated with the traumatic event, beginning or worsening after the traumatic event occurred
For section E with PTSD how many of the symptoms must be present?
2 or more
What are symptoms with arousal and reactivity with DSM-5? 1-3 arousal and reactivity
Irritable behavior and angry outbursts expressed by verbal or physical aggression toward people or objects \
Reckless or self-destructive behavior
hyper vigilance
What are symptoms with arousal and reactivity with DSM-5? 4-6 arousal and activity
exaggerated startle response
problems with concentration
sleep disturbances `
What is the D criteria for PTSD?
negative alterations in cognitions and mood associated with the traumatic event, beginning or worsening after the traumatic event occurred
for the cognitive symptoms how many have to be present in PTSA?
2 or more
What are symptoms 1-3 of PTSD cognitive? alterations and mood
inability to remember an important aspect of the traumatic event
persistent and exaggerated negative beliefs/expectations about oneself, others or world
Persistent, distorted conditions about the cause or consequence of the traumatic event that lead individual to blame self/others
What are symptoms 4-7 of PTSD cognitive? alterations and mood
Negative emotional state persists
diminished interest in activities
feelings of detachment/estrangement
persistent inability to experience positive emotions
