DSM-5 Diagnoses & Criteria

Question 1

Mania/Hypomania (sxs, qty)

Answer 1

3 out of 7

1. grandiosity
2. distractibility
3. racing thoughts
4. pressured speech
5. decreased need for sleep
6. increased goal oriented activity
7. risky bx

Question 2

Bipolar 1

Answer 2

Mania or hospitalization
May have hypomania and depressive episodes but not necessary

Question 3

Bipolar II

Answer 3

Hypomania + depression
Never has had a manic episode

Question 4

Cyclothymia

Answer 4

subclinical hypomania and depression

Question 5

Generalized Anxiety

Answer 5

3+ of 6 (1+ for children)

1. restlessness/feeling on edge
2. irritability
3. difficulty concentration/mind going blank
4. muscle tension
5. difficulty sleeping
6. easily fatigued

Duration: 6 months for anxiety disorders

Question 6

Substance use disorders

Answer 6

12 months
consuming more of the substance than intended
inability to stop

Question 7

Sleep wake disorders

Answer 7

Insomnia: dissatisfaction with sleep qty/qlty. hard to fall asleep, stay asleep, or waking up early and not able to fall back asleep. At least 3 nights/week for 3 months.

Hypersomnolence: excessive sleepiness when sleeping at least 7 hours. At least 3 nights/week for 3 months.

Narcolepsy: episodes of falling asleep. 3 times/week for 3 months.

Sleep apnea: sleep study. stops breathing while sleeping, snoring, gasping. daytime fatigue.

Question 8

Eating disorders

Answer 8

Anorexia: restriction, low weight. intense fear of gaining weight. body checking. No time duration.

Bulimia: binge eating + compensatory bx. at least once/week for 3 months.

Binge eating: recurrent binge eating episodes. lack of control during episodes. once/week for 3 months.

PICA: persistent eating non-nutritious foods over 1 month.

ARFID: nutritional deficiency due to eating disturbance (sensory, lack of interest, worries about consequences - choking)

Rumination: regurgitation of food over 1 month. regurtitated food may be re-chewed, re-swallowed or spit out.

Question 9

Trauma Disorders: PTSD

Answer 9

PTSD: exposure to traumatic event, witness. Duration: 1+ month

1 + intrusion symptoms (memories, dreams, dissociation, distress at reminders)

Avoidance of reminders or efforts to avoid intrusive sxs

2+ Negative cognitions (inability to remember event); negative beliefs “i’m bad/no one can be trusted”; blames self or others not involved; persistent negative emotional state like shame, horror, fear; loss of interest; detachment; inability to experience positive emotions

2+ changes in arousal: irritability, recklessness/self-destructive bx, hypervigilance, easily startled, concentration problems, sleep issues

children: reenactment play may occur. 1 sx for children except changes in arousal (2+)

Question 10

OCD

Answer 10

OCD: obsessions (thoughts, urges, images), compulsions (repetitive bxs). 1+ hour/day.

Body dysmorphic

Hoarding

Trichotillomania

Excoriation

Question 11

Dissociative Disorders

Answer 11

DID: 2+ distinct personalities. gaps in recall. clinical distress (some cultures: possession, not dx).

Dissociative amnesia: inability to recall autobiographical information, typically after traumatic event

DPDR
Depersonalization: out of body
Derealization: detached from surroundings
Reality testing remains intact

Question 12

Psychotic disorders

Answer 12

Schizophrenia (6+ months, 2+ hallucinations or delusion or disorganized speech, catatonic bx)

Schizophreniform (1-6 months) 2+ hallucinations or delusion or disorganized speech, catatonic bx

Brief Psychotic (less than 1 month, return to premorbid fx) 2+ hallucinations or delusion or disorganized speech, catatonic bx

Schizoaffective: schizophrenia + concurrent mood disorder (depression or bipolar)

Delusional (1 month; 1 delusion, otherwise fx is not impaired)

Schizotypal (see PD section)

Question 13

Neurological/childhood

Answer 13

Autism: impairments to social communication functioning; repetitive patterns of bx

ADHD: 6 months
6+ Inattention and 6+ hyperactivity/impulsivity sxs inconsistent with developmental age

Question 14

Personality Disorders (eccentric)

Answer 14

Schizoid

Schizotypal

Paranoid

Question 15

Personality disorders (anxious)

Answer 15

Avoidant

Dependent

OCDPD

Question 16

Personality disorders (dramatic)

Answer 16

BPD: instability in relationships, self-image, affect. impulsivity. 5+ of the following (frantic efforts to avoid real or imaginary abandonment, alt extremes of idealizing/devaluing others, unstable self-image/sense of self, risky impulsivity, recurrent suicidal bx/threats/self-harm, instability due to reactive mood, feelings of emptiness, inappropriate anger, paranoid ideation or severe dissociation).

Histrionic

Narcissistic

Antisocial

Question 17

Trauma Disorders: Acute Stress

Answer 17

Exposure to trauma (actual or threatened death, serious injury, sexual violence), personal experience, witnessing event, knowing it happened to a loved one.

9+ PTSD symptoms

3 days to 1 month, typically immediately after traumatic event

Question 18

Trauma Disorders: Adjustment Disorder

Answer 18

Emotional or bx symptoms in response to a stressor within 3 months of onset of stressor

Distress is out of proportion to stressor OR impaired functioning

Not grief/bereavement

Once stressor ends, sxs end within 6 months