DSM-5-TR Flashcards
Does the DSM-5-TR use Categorical Classification or Dimensional Classification?
Categorical Classification
In Major Depressive Disorder, Criterion A states that at least Five listed symptoms must present during the same 2-week period and represent a change from previous functioning. It also states that at least one of the symptoms must be either __________ or _________.
- depressed mood
- loss of interest or pleasure
In general, the DSM-5-TR uses Letters when listing ____________ and Arabic numerals when listing _____________.
- Diagnostic Criteria
- Symptoms
It has been said that the most commonly missed symptom in Major Depressive Disorder’s Criterion A is __________.
- Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).
Major Depressive Disorder’s Criterion B is __________.
B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Major Depressive Disorder’s Criterion C is __________.
C. The episode is not attributable to the physiological effects of a substance or another medical condition.
Major Depressive Disorder’s Criteria A–C represent _____________.
A major depressive episode.
Mood disorders require that a patient’s presentation is not better explained by a __________ disorder.
psychotic
Major Depressive Disorder’s Criterion
E states that there must never have been a __________ episode or a __________ episode.
- manic
- hypomanic
Persistent Depressive Disorder Criterion A is _________.
A. Depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for at least 2 years.
In Persistent Depressive Disorder in children and adolescents, mood can be __________ and duration must be _________.
- irritable
- at least 1 year
__________ Disorder requires a manic episode but does not require a depressive episode.
Bipolar I
__________ Episodes do not have severity specifiers because their criteria preclude different levels of severity.
Hypomanic
__________ Disorder requires one hypomanic episode and one major depressive episode and no history of manic episodes.
Bipolar II
In __________________ , hypomanic symptoms do not meet criteria for a hypomanic episode and depressive symptoms do not meet criteria for a major depressive episode, but the distress that they cause impair functioning.
Cyclothymic Disorder
______________ was explicitly created to address the overdiagnosis of Bipolar I in children.
Disruptive Mood Dysregulation Disorder
There is a lot of overlap of specifiers between Bipolar & Related Disorders and Depressive Disorders. One specifier that only applies to Bipolar I & II is __________.
With rapid cycling
Mood Disorders are broken down into two sections in the DSM 5-TR:
- Bipolar and Related Disorders and
- Depressive Disorders
A patient must meet criteria for a manic episode in order to meet criteria for __________.
Bipolar I
Meeting criteria for a major depressive episode in addition to meeting criteria for hypomanic episode is necessary to meet criteria for _________________.
Bipolar II
The 7 symptoms enumerated in criterion B. for a Manic or a Hypomanic Episode include:
- Inflated self-esteem or grandiosity.
- Decreased need for sleep […]
- More talkative than usual or pressure to keep talking.
- Flight of ideas or subjective experience that thoughts are racing.
- Distractibility […] as reported or observed.
- Increase in goal-directed activity […] or psychomotor agitation[…].
- Excessive involvement in activities that have a high potential for painful consequences […].
The 9 symptoms enumerated in criterion A. for a Major Depressive Episode include:
- Depressed mood most of the day, nearly every day, …
- Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day […]
- Significant weight loss […] or decrease or increase in appetite nearly every day.[…]
- Insomnia or hypersomnia nearly every day.
- Psychomotor agitation or retardation nearly every day […]
- Fatigue or loss of energy nearly every day.
- Feelings of worthlessness or excessive or inappropriate guilt […] nearly every day […]
- Diminished ability to think or concentrate, or indecisiveness, nearly every day […]
- Recurrent thoughts of death […], recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
The 5 symptoms enumerated in criterion A. for a Schizophrenia include:
- Delusions.
- Hallucinations.
- Disorganized speech (e.g., frequent derailment or incoherence).
- Grossly disorganized or catatonic behavior.
- Negative symptoms (i.e., diminished emotional expression or avolition).
In order to meet criteria for Schizophrenia, one of the two qualifying symptoms exhibited must be 1.__________, 2.____________, or 3._____________.
- Delusions.
- Hallucinations.
- Disorganized speech (e.g., frequent derailment or incoherence).
__________ symptoms are characteristic of Schizophrenia, but are characteristic of other disorders as well.
Negative
i.e., diminished emotional expression or avolition
A ______ is an error of thought, whereas a ________ is an erroneous sensory experience.
- Delusion
- Hallucination
Often thought of as “stupor”, the __________ specifier requires 3 or more qualifying symptoms.
Catatonia
In terms of duration, a Manic Episode requires that symptoms last at least __________, whereas a Hypomanic Episode requires least ____________.
- 1 week
- 4 consecutive days
The __________ phase of symptoms in Schizophrenia can be thought of as the “ramp-up” to active phase symptoms.
Prodromal
A __________ phase of symptoms in Schizophrenia may follow the active phase, and often includes a decrease of positive symptoms but may include a continuation of negative symptoms.
Residual
Criterion A. in Schizoaffective Disorder requires a ____________ concurrent with criterion A of Schizophrenia.
Major Depressive or Manic Episode
Criterion A of Schizophrenia is the list of symptoms.
Criterion B. in Schizoaffective Disorder requires at least 2 weeks of delusions or hallucinations without ___________.
prominent mood symptoms
Criterion D. of Schizophrenia requires that __________ and ____________ have been ruled out
- Schizoaffective disorder
- depressive or bipolar disorder with psychotic features
__________________ can be thought of as a “place-holder” diagnosis when symptoms of Schizophrenia have only occurred for 1-6 moths.
Schizophreniform Disorder
Although they share the same list of symptoms, Schizophrenia requires a decline in functioning while __________________ does not.
Schizophreniform Disorder
While similar to Schizophreniform Disorder, Brief Psychotic Disorder requires that the episodes duration be less than ______.
a month
While similar to Schizophreniform Disorder, Brief Psychotic Disorder requires an eventual ______.
Full return to premorbid level of functioning
Both Schizophreniform Disorder and Brief Psychotic Disorder require at least one symptom from 1-3, however they differ in that:
Schizophreniform Disorder requires two or more symptoms and Brief Psychotic Disorder requires one.
Delusional Disorder’s Criterion B. states that __________ must never have been met.
B. Criterion A for schizophrenia
Severity Specifiers for Depressive Disorders include:
- Mild: Few, if any, symptoms
- Moderate: between “mild” and “severe.”
- Severe: Symptoms substantially in excess of that required to make the diagnosis
______________ has been called the deadliest diagnosis in the DSM.
Anorexia Nervosa
Recurrent inappropriate compensatory behaviors in order to prevent weight gain is critirian B in __________.
Bulimia Nervosa
Criterion E in Bulimia Nervosa states that he disturbance does not occur exclusively during episodes of ____________.
Anorexia Nervosa
The critical difference between Anorexia Nervosa and Bulimia Nervosa is ___________.
Significantly Low Weight
The key difference between Binge-Eating Disorder and Bulimia Nervosa is that Binge-Eating Disorder does not have ________________.
Inappropriate Compensatory Behaviors
In general, the presentation of a pediatric elimination disorder should cue the clinician to __________.
Ask what else is going on.
The only non-substance-related disorder to be categorized as an addictive disorder is _______________.
Gambling Disorder
The Panic Attack Specifier includes many _______ symptoms and a few _____ symptoms.
- Somatic
- Mental
Panic Disorder requires panic attack followed by 1 month (or more) of one or both of the following:
- Worry about additional panic attacks
- A maladaptive change in behavior
Agoraphobia requires at least ____ of the agoraphobia situations.
2
What distinguishes the anxiety disorders from one another is:
What the actual focus of the anxiety is.
While traditionally associated with children, __________ can apply across the lifespan and can be associated with any attachment figure.
Separation anxiety
Paranoid personality disorder is a pattern of______________ such that others’ motives are interpreted as ____________.
- distrust and suspiciousness
- malevolent
Schizoid personality disorder is a pattern of ______________ and a restricted range of ____________.
- detachment from social relationships
- emotional expression
- Schizotypal personality disorder is a pattern of ____________, __________________, and ____________.
- acute discomfort in close relationships,
- cognitive or perceptual distortions,
- eccentricities of behavior.
Antisocial personality disorder is a pattern of __________________ and ________.
- disregard for, and violation of, the rights of others, criminality, impulsivity,
- a failure to learn from experience.
Borderline personality disorder is a pattern of ______________, and ______.
- instability in interpersonal relationships, self-image, and affects,
- marked impulsivity.
Histrionic personality disorder is a pattern of __________ and _________.
- excessive emotionality
- attention seeking
Narcissistic personality disorder is a pattern of _____, _______, and _________.
- grandiosity
- need for admiration
- lack of empathy
Avoidant personality disorder is a pattern of _____, _______, and _________.
- social inhibition
- feelings of inadequacy
- hypersensitivity to negative evaluation
Dependent personality disorder is a pattern of ____________.
submissive and clinging behavior related to an excessive need to be taken care of
Obsessive-compulsive personality disorder is a pattern of preoccupation with _____, _______, and _________.
- orderliness
- perfectionism
- control
General Personality Disorder’s critirian A. speaks to an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. This pattern is manifested in two (or more) of the following areas:
- Cognition (i.e., ways of perceiving and interpreting self, other people, and events).
- Affectivity (i.e., the range, intensity, lability, and appropriateness of emotional response).
- Interpersonal functioning.
- Impulse control.
Critiria B-F state that the enduring pattern in a personality disorder is:
B. inflexible
C. leads to distress
D. is stable
E. is not better explained by another mental disorder
F. is not attributable to the physiological effects of a substanceor another medical condition
Cluster A personality disorders often appear ______ or _______.
odd or eccentric
Cluster B personality disorders often appear ______, ________ or _______.
dramatic, emotional, or erratic
Cluster C personality disorders often appear ______ or _______.
anxious or fearful
Cluster A Personality Disorders includes:
- paranoid
- schizoid
- schizotypal
Cluster B Personality Disorders includes:
- antisocial
- borderline
- histrionic
- narcissistic
Cluster C Personality Disorders includes:
- avoidant
- dependent
- obsessive-compulsive
Specific substance use disorders include:
- Alcohol
- Cannabis
- Phencyclidine
- Other Hallucinogen
- Inhalant
- Opioid
- Sedative, Hypnotic, or Anxiolytic
- Stimulant
- Tobacco
Specific substance intoxications are similar to substance use disorders, but includes
__________ while excluding __________.
- caffeine
- tobacco
Specific substance withdrawal are similar to substance use disorders, but includes ______ while excluding ________, ____________, and _________.
includes caffeine while excluding Phencyclidine, Other Hallucinogen, and Inhalants.
______ Disorder is characterized by emotionally withdrawn behavior towards adult caregivers whereas ________ is characterized by actively approaching and interacting with unfamiliar adults.
- Reactive Attachment Disorder
- Disinhibited Social Engagement Disorder
*
Intellectual Developmental Disorder reqires deficits in both ______ and _________.
- Intellectual Functions
- Adaptive Functioning
Global Developmental Delay (F88) is reserved for individuals under the age of ______ when the clinical severity level cannot be reliably assessed during early childhood.
5 years
Per criterion C. Onset of intellectual and adaptive deficits in Intellectual Developmental Disorder must occure during ________________.
The developmental period.
The severity of Intellectual Developmental Disorder must be specified as:
- F70 Mild
- F71 Moderate
- F72 Severe
- F73 Profound
Autism Spectrum Disorder’s criterion A. includes persistent deficits in social communication and social interaction as manifested by:
- Deficits in social-emotional reciprocity
- Deficits in nonverbal communicative behaviors used for social interaction
- Deficits in developing, maintaining, and understanding relationships
(“And”, not “or”)
Autism Spectrum Disorder’s criterion B. includes restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following:
- Stereotyped or repetitive motor movements, use of objects, or speech
- Insistence on sameness
- Highly restricted, fixated interests that are abnormal in intensity or focus
- Hyper- or hyporeactivity to sensory input
Forced choice specifiers in Autism Spectrum Disorder include:
- Severity (need for support)
- With or without accompanying intellectual impairment
- With or without accompanying language impairment
While ADHD can be diagnosed throughout the lifespan, criterion B of the disorder requires that several inattentive or hyperactive-impulsive symptoms were present before the age of ____.
12
For Combined Presentation to be specified in ADHD, ________.
Both criterion A1 (inattention) and criterion A2 (hyperactivity-impulsivity) are met for the past 6 months.
A learning disorder is a discrepancy between ______________ and ___________ .
- presumed capacity
- actual performance
Sexual Masochism Disorder
Diagnostic Criteria (F65.51):
A. Over a period of at least 6 months, recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviors.
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify if:
* With asphyxiophilia
* In a controlled environment
* In full remission
