DSM-5-TR Flashcards

Question

Reactive attachment disorder

Answer 1

Failure to thrive 9 months to 5 yo Result from persistent neglect or abuse OR change in caregivers Withdrawn Do not seek comfort and do not respond to comfort Sadness, fear Hard to engage Do not act out, sit by them selves, gave up

Answer 2

ODD: defiant, problems with authority, do not want to do what is told

Answer 3

Attach too easily 9 months to 5 yo Result from persistent neglect or abuse OR change in caregivers No boundaries (sit on new person’s lap and saying “take me home”) Easily interact with others

Answer 4

CD: law breaking activity, destroying property, no remorse, fights (violations of others) Feeds into antisocial personality disorder:

Answer 5

DMDD: used to be called bipolar in children Dx between 6-10 (17) yo Chronical irritability, or moody Frequent temper tantrums (at least 3 times per week)

Answer 6

0-1 month Delusion: belief that is false Hallucinations (auditory or visual) Disorganized speech (rambling or not making sense) Disorganized behaviors (gestures that make no sense) Negative Sx (flat affect, lost in thought)

Answer 7

1-6 months Delusion: belief that is false Hallucinations (auditory or visual) Disorganized speech (rambling or not making sense) Disorganized behaviors (gestures that make no sense) Negative Sx (flat affect, lost in thought)

Answer 8

6 months or more Delusion: belief that is false Hallucinations (auditory or visual) Disorganized speech (rambling or not making sense) Disorganized behaviors (gestures that make no sense) Negative Sx (flat affect, lost in thought) Has had a psychotic episode

Answer 9

MDD: depression Sx present for at least 2 weeks Anhedonia, lack of motivation, change in Bio-functioning (sleep, change in appetite), SI, worthlessness

Answer 10

Depression without meeting criteria for MDD Mild bio-functioning impairment No SI

Answer 11

Chronically and mildly depressed (like Unspecified for 2 years) Kids: depressed mood for at least **1 year Adults: Depressed mood for at least ** 2 years

Answer 12

Needs to have manic phase (elevated mood for at least 1 week) Grandiosity, risky behavior, lack of need for sleep, excessive energy, euphoria In denial that they are in a manic phase Usually followed by depressive phase (but not required for bipolar 1)

Answer 13

Needs to have a hypomanic phase and major depressive episode Hypomania: like lesser than mania for 4 days Elevated mood but not impaired

Answer 14

Sx present for 2 years Hypomanic state alternates with low level mild depressive episode

Answer 15

Mood disorder significant, but does not meet criteria for other mood disorder not met

Answer 16

Does not meet the criteria for bipolar I, II or cyclothymia but has still experienced periods of clinically significant abnormal mood elevation.

Answer 17

Psychotic Sx present all of the time Mood Sx come and go

Answer 18

Mood disorder is constant Psychotic features come and go

Answer 19

Grieving the lost of loved one (person or pet) loss/anger in response to the death of a loved one

Answer 20

Can be present with bereavement if ALSO having problems with bio functioning, worthlessness, self harm or SI

Answer 21

NOT diagnosed with bereavement COMORBID with depression or anxiety Reaction to something that happens with the persons environment Recent life stressor: Divorce, move, losing a job Sx have to be present WITHIN 3 months of the stressor Acute -3mo to 6mo Persistant +6mo

Answer 22

Adults: +12 mo Children: +6mo Duration and Severity : need to excede social, religious, and cultural norms

Answer 23

Reoccurring unexpected panic attacks AND fear they will happen again Avoidance

Answer 24

Fear of going out in public in at least 2 situations (large crowds, crowded spaces)

Answer 25

obsessive thoughts AND compulsive behaviors, ego dystonic

Answer 26

Perfectionist, controlling, very rigid people, not seen as an issue to the person, ego syntonic

Answer 27

Sx: Incident or witnessed incident that is life threatening Intrusive elements (flashbacks, Nightmares, Negative mood, Shame) Behavioral: Avoid situations that remind them of incident Arousal: Hypervigilance **Diagnosed only AFTER 1 month after the incident

Answer 28

Same Sx as PTSD Sx present WITHIN 1 month of incident

Answer 29

Sx of anxiety linked to event that is NOT life threatening NO hypervigilance NO flashbacks

Answer 30

sx present for at least 6 months Impact bio-functioning

Answer 31

Sx present for -6 months Sx over 6 months that are not that severe

Answer 32

Marked shift in someone’s **awareness** process Comes on quickly, lasts a few hours to a day Seen in hospital setting Impairments: memory, language, executive functioning Symptoms: delusions or hallucinations

Answer 33

AKA “dementia” Loses ability to function independently Serious issues with attention, executive functioning, attention Seen in nursing home or skilled nursing facility Make sure to rule out depression (typically depressed people are aware of their memory lapses).

Answer 34

Precursor to major Noticeable decline in functioning, but can still function independependently

Answer 35

The individual has excessive thoughts, feelings and behaviors relating to the physical symptoms. The physical symptoms may or may not be associated with a diagnosed medical condition, but the person is experiencing symptoms and believes they are sick (that is, not faking the illness). The emphasis is on the extent to which the thoughts, feelings and behaviors related to the illness are excessive or out of proportion. Client has a somatic symptoms from an actual health illness (i.e. pain) & anxiety. Persistent concern about the medical symptoms of their issue

Answer 36

Client does not have somatic symptoms, or if they do, then they are very mild Exaggerated fear of getting an illness despite a doctor reassuring them they won’t R/o: make sure they do not have a documented health condition.

Answer 37

When a psych issue turns into a physical issue. A psych stressor converts to a somatic condition. i.e. “bilnd rage” and they actually go blind i.e. trauma in the body, and it feels like you no long have functioning in the limb.

Answer 38

(Formally known as Münchausen Syndrome) person likes the attention from being sick

Answer 39

faking an illness to get out of something; not sick but looking to get out of responsibility's i.e. claim mental illness to get insurance money

Answer 40

(Formally known as Münchausen Syndrome by Proxy): parent likes the attention given to them if their child is sick…but, child is not actually sick.

Answer 41

Person feels disconnected to reality…feel like a dreamlike state The world feels surreal

Answer 42

Sudden forgetting of their pertinent personal information Occurs post shocking event (i.e. natural disaster)

Answer 43

Formally known as multiple personality disorder When a person has 2 or more distinct personality states They cannot remember the other personalities Comes from extreme abuse Rare disorder

Answer 44

Females report pain or fear of pain during intercourse Great displeasure at thought of having sex

Answer 45

Lack of sexual interest or arrousal

Answer 46

Difficulties sleeping for 3 nights per week for 3 months Difficulties falling asleep, staking asleep, or messed up sleep cycle Rule out mania, MDD, or anxiety disorder

Answer 47

Someone has excessive sleepiness more that 7 hrs (up to 9hrs) R/o MDD

Answer 48

When someone wakes up with a nightmare, can recall the nightmare upon waking up

Answer 49

(aka sleep terror disorder) Recurrent episodes of incomplete waking Cannot remember what they were dreaming about and do not fully wake up Seen in people who sleep walk

Answer 50

Client is aware of and they do not want it there i.e. depression, anxiety, OCD

Answer 51

this is the client’s view of themselves They do not see these personality characteristics are a problem i.e. someone with a PD, usually do not see it is a problem (others see it is a problem

Answer 52

Irrational suspicions and distrust of others Pervasive across all domains Others are out to get them World is hostile, and out to get them.

Answer 53

When someone experiences delusions (bizzare or non-bizzare) Only delusions (no other schizophrenia symptoms)

Answer 54

“LONERS” Ego-syntonic Lack interest in social relationships No interest in wanting to change pervasive over time

Answer 55

LONELY people Ego syntonic They WANT to connect to others, but they are socially inhibited. Think people will not like them, so they avoid social interactions for fear they will be evaluated negatively

Answer 56

Viewed as a precurser to schizophrenia Odd behavior or thinking i.e. conspiracy theorists magical thinking bizarre fantasies Lack close friends Can dress weird DD: Have NOT had a psychotic episode

Answer 57

Must be 18 or over to be diagnosed Has to have history of conduct disorder (at least by the age of 15) Pervasive pattern and disregard for the rights of others i.e. law breaking behavior, lying, impulsive, aggressive, irresponsible, lack of remorse (after they did something harmful, they do not feel bad)

Answer 58

Pervasive pattern of GRANDIOUSITY Lack of empathy (not at all understanding what another person can think or feel) Exaggerate achievements Fantasies that they are special, unique, are entitled. Can fly into a rage if they are put down Common diagnosis for DV perpetrators

Answer 59

Instability in relationships** Suicidal Gestures Black and white thinking They love you, then they hate you Frantic fear of real or imagined abandonment If they feel like they are being abandoned, they can engage in self harm. Can idealize the therapist, and devalue others Sense of self fluctuates in relation to others Feelings of emptiness and intense rage

Answer 60

Pervasive attention seeking behavior Needs to be in the center of the attention Seductive behavior (dress in a way to be seen) Rapid shifting and shallow expression of emotion Can be dramatic

Answer 61

Difficulty making decisions without the reassurance from others Need others to take control of their lives (basically a big baby) Difficulty disagreeing with others, because they can loose support Going along with the program without question Hard time initiating problems or doing things on their own Will take on unpleasant tasks to get people to like them When alone, they are uncomfortable and helpless Seek relationship for support (cannot be single at all)

Answer 62

less than 1 month 1–6 months over 6 months a period of at least 2 weeks in which there are depressive or manic symptoms