DSM-5 Diagnosis Flashcards
1
Q
- recurrent unexpected panic attacks
- 4 or more must occur: palpitations or pounding heart, sweating, trembling, sensations of shortness of breath, feelings of choking, chest pain, nausea or abdominal distress, feeling dizzy, chills or heat sensations, paresthesias(numbness or tingling), derealization or depersonalization, fear of losing control, fear or dying
- At least one of the attacks has been followed by 1 month or more of at least 1 of the following:
- 1.) Persistent concern about having additional attacks or their consequences
- 2.) Significant maladaptive behavioral change related to the attacks
A
Panic Disorder
2
Q
- Marked fear or anxiety about two or more of the following 5 situations:
1. ) Using public transportation
2. ) Being in open spaces (parking lots, bridges)
3. ) Being in enclosed places (Shops, theaters)
4. ) Standing in line or being in a crowd
5. ) Being outside of the home alone - The individual dears or avoids these situations because of thoughts that escape might be difficult or help might not be available in the event of developing panic-like symptoms
- Exposure provokes fear or anxiety
- exposure avoided, requires a companion or is endured with intense fear or anxiety
- Typically lasting 6 months or more
A
Agoraphobia
3
Q
- Excessive anxiety and worry, occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance)
- Trouble controlling the worry
- Included 3 or more of the following (1 for children): restlessness, easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, sleep disturbance
- Clinically significant distress or impairment
A
General Anxiety Disorder
4
Q
- Presence of obsessions, compulsions, or both
- Obsessions are defined by 1 and 2: 1.)Recurrent, persistent thoughts, urges or images that are intrusive and unwanted,
2. ) Attempts to ignore, suppress thoughts, urges, or images to neutralize them with some other thoughts or actions - Compulsions are defined by 1 and 2: 1.)Repetitive behaviors or mental acts that a person feels driven to perform. 2.)Unrealistically aimed at preventing or reducing anxiety or distress or preventing a dreaded event.
- The obsessions or compulsions are time-consuming
A
Obsessive-Compulsive Disorder
5
Q
- Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others
- At some point, the individual has performed repetitive behaviors (mirror checking, excessive grooming, skin picking, etc.) in response
- Causes significant distress or impairment
A
Body Dysmorphic Disorder
6
Q
- Difficulty discarding or parting with possessions, regardless or their actual value
- Perceived need to save the item and to distress associated with discarding
- Congested living area (unless others discard)
- Significant distress or impairment
A
Hoarding Disorder
7
Q
- Recurrent pulling out of one’s hair, resulting in hair loss
- repeated attempts to decrease or stop hair pulling
- Hair pulling causes clinically significant distress or impairment
A
Trichotillomania
8
Q
- Recurrent skin picking resulting in skin lesions
- Repeated attempts to decrease or stop
- Causes significant distress or impairment
A
Excoriation Disorder
9
Q
- A consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers marked by both: 1.) Child rarely seeks comfort when distressed 2.) Child rarely responds to comfort when distressed
- A persistent social and emotional disturbance characterized by at least two: 1.) Minimal social and emotional responsiveness to others 2.) Limited positive affect 3.)Episodes of unexplained irritability, sadness, of fearfulness that are evident during nonthreatening interactions with adult caregivers
- The child has experienced patterns of extremes of insufficient care: social neglect or deprivation, repeated changes of primary caregivers that limit opportunities to form attachments, unusual rearing settings that prevent attachment
A
Reactive Attachment Disorder
10
Q
- Overly familiar behavior with strangers
- Exhibits at least 2 of the following:
1. ) Reduced or absent reticence in approaching and interacting with unfamiliar adults
2. ) Overly familiar verbal or physical behavior
3. ) Diminished or absent checking back with an adult caregiver after venturing away
4. ) Willingness to go off with a stranger - Child is experiencing social neglect or repeated changes or primary caregiver, or unusual rearing settings.
- Child has a development age of at least 9 months, present for 12 months
A
Disinhibited Social Engagement Disorder
11
Q
- Exposure to actual or threatened death, serious injury, or sexual violence in one or more of the following ways:
1. ) Direct experiencing the trauma
2. ) Witnessing, in person, the event as it occurred to others
3. ) Learning that the traumatic event occurred to a close family member or close friend.
4. ) Experiencing repeated or extreme exposure to aversive details of the traumatic event - Intrusion symptoms (memories, dreams, flashbacks, physical and emotional distress)
- Avoidance of associated stimuli
- Negative changes in cognitions and mood
- Alterations in arousal and reactivity
- Duration over 1 month
A
Posttraumatic Stress Disorder
12
Q
- The development of characteristic anxiety, dissociative, and other symptoms that occur within 1 month after exposure to an extreme traumatic stressor
- A traumatic event is persistently reexperienced
- Avoidance of associated stimuli and numbing of responsiveness
- increased arousal
- Basically the same criteria as PTSD but the duration is between 3 days- 1 month.
A
Acute Stress Disorder
13
Q
- The development of emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of the onset of the stressor.
- Identifiable by one or both:
1. ) Marked distress that is out of proportion to the severity or intensity of the stressors, taking into account the external context and the cultural factors that might influence symptom severity and presentation
2. ) Significant impairment in social, occupation, or other important areas of functioning - Symptoms must develop w/in 3 months
- Symptoms do not represent normal bereavement
- Resolves w/in 6 months from the end of stressors (Otherwise use Other Specified Trauma and Stressor Related Disorder)
A
Adjustment Disorders
14
Q
- 2 or more identities or personality states
- Recurrent gaps in the recall of everyday events, important personal information, and or traumatic events that are inconsistent with ordinary forgetting
- The disturbance is not normal to culture
A
Dissociative Identity Disorder
15
Q
- Inability to recall important autobiographical information, usually of a traumatic or stressful nature
- Dissociative fugue is now a specifier instead of a separate diagnosis
A
Dissociative Amnesia
16
Q
- Depersonalization, Derealization or both
- Depersonalization: Persistent feelings of being detached from one’s thoughts, feelings, sensations, body or actions (distorted self, perceptual alterations, distorted sense of time, unreal of absent self)
- Derealization: Experiences of unreality or detachment with respect to surroundings (dream-like, individuals or objects are experienced as unreal)
- Intact reality testing
A
Depersonalization/Derealization Disorder
17
Q
- One or more somatic symptoms that are distressing or result in significant disruption of daily life
- Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least one of the following:
1. ) Disproportionate and persistent thoughts about the seriousness of one’s symptoms
2. ) Persistently high level of anxiety about health or symptoms
3. ) Excessive time and energy devoted to these symptoms or health concerns - Although any one somatic symptom may not be continuously present, the state of being symptomatic us persistent ( typically more than 6 months)
A
Somatic Symptom Disorder
18
Q
- Preoccupation with having or acquiring a serious illness
- Somatic symptoms are not present or, if present, are only mild in intensity.
- High level of anxiety
- The individual performs excessive health-related behaviors
- Illness preoccupation for at least 6 months
A
Illness Anxiety Disorder
19
Q
- One or more symptoms of altered voluntary motor or sensory function
- Psychological component
- example: being blind and there are no medical explanations
A
Conversion Disorder (Functional Neurological Symptom Disorder)
20
Q
- Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception
- Individual presents himself or herself to others as ill, impaired, or injured
- Deceptive behavior is evident even in the absence of obvious external rewards
A
Factitious Disorder
21
Q
- Eating of nonnutritive, nonfood substances
- At least 1 month
- Not related to the individual’s culture or developmental state
A
Pica
22
Q
- Repeated regurgitation of food
- Maybe re-chewed, re-swallowed or spit out
- At least 1 month
A
Rumination Disorder
23
Q
- An eating or feeding disturbance (lack of interest, avoidance based on sensory characteristics of food, concerns of consequences of eating) as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one or more:
- significant weight loss
- significant nutritional deficiency
- dependence on feeding supplements
- interference with psychosocial functioning
A
Avoidant/Restrictive Food Intake Disorder
24
Q
- Refusal to maintain minimally normal body weight, not meeting appropriate body weight criteria
- Intense fear of weight gain
- Disturbance in body perception
- Specify subtype: restricting type, binge/purge type
A
Anorexia Nervosa
25
Q
- Binge eatings (excessive amount w/sense of lack of control)
- Compensatory behaviors can include self-induced vomiting, misuse of laxatives, diuretics, fasting, excessive exercise
- Over-emphasis on body shape and weight
- Duration: at least once a week for 3 months
A
Bulimia Nervosa
26
Q
-Recurrent episodes of binge eating (excessive amount w/sense of lack of control)
- Binge-eating episodes feature with 3 or more:
eating too fast, eating until uncomfortably full, eating lots when not hungry, eating alone due to embarrassment, feeling self disgust/guilty/depressed after
-Marked distress regarding binge eating is present
-Binge eating is occurs on average at least once a week for 3 weeks
A
Binge-Eating Disorder
27
Q
- Repeated voided of urine into bed or clothes, whether involuntary or intentional.
- happening either twice a week for 3 weeks or is occurring during time of significant distress
- At least 5 years of age
A
Enuresis
