DSM 5: What's the difference Part II Flashcards
Disturbance in attention, cognition, and awareness; develops over a short period of time (hours to a few days) (i.e. progression of symptoms is acute)
Delirium
Difference between Major and Mild Neurocognitive Disorder
Mild: cognitive deficits do NOT interfere with capacity for independent living
When a patient has an actual somatic issues (most commonly pain) AND persistent health related anxiety
Somatic Symptom Disorder
Illness Anxiety Disorder’s diagnostic features:
- Preoccupation with having or acquiring ?
- ? are not present or if any, only mild in intensity
- The preoccupation with the idea that she is sick is accompanied by ? about health and disease.
- a serious, undiagnosed medical illness
- somatic symptoms
- substantial anxiety
3 diagnostic features of Illness Anxiety Disorder
- Preoccupation with having or acquiring a serious illness
- Somatic symptoms are not present or only mild
- High level of anxiety about health
When a psychological issue/stress confers into a somatic symptom.
Conversion Disorder (e.g. so angry that they go blind; so traumatized that lose leg function)
Patient wants to get ATTENTION by being or acting being sick.
Factitious Disorder
Munchausen Syndrome DSM-5 term
Factitious Disorder Imposed on Another
The difference between Malingering and Factitious Disorder
Malingering is to receive personal gain (money, time off work). Factitious Disorder diagnosis requires the absence of obvious rewards.
Anorexia Nervosa’s 3 essential diagnostic features
- Restriction of energy intake
- intense fear of gaining weight
- distorted body image
Bulimia Nervosa’s 3 essential diagnostic features
- Binge eating
- Recurrent purging
- Self-evaluation is unduly influenced by body shape and weight
Binge eating Disorder and Bulimia Nervosa: how often, for how long for DX?
At least once a week for 3 months
Patient is pre-occupied with one or more perceived defects in their physical appearance and have excessive repetitive behavior due to the preoccupation.
Body Dysmorphic Disorder
-the preoccupation is NOT about weight
Patient feels detached from his entire being (I’m no one; I have no self); feel detached from self/feelings (I know I have feelings but I don’t feel them; My thoughts don’t feel like my own); Out-of-Body experience
Depersonalization/Derealization Disorder
Cannot recall important personal information; cannot recall traumatic events; cannot recall own life history
Dissociative Amnesia
Two or more distinct personality states or an experience of possession.
Dissociative Identity Disorder
Insomnia Disorder : frequency and duration of DX criteria
3 nights/week for 3 months
When diagnosing Insomnia Disorder, rule out ?3
manic phase
depressive disorder
anxiety disorder
Excessive sleepiness and still tired despite sleeping 7 hrs or more
Hypersomnolence Disorder
When diagnosing Hypersomnolence Disorder, rule out 2?
Major depressive disorder
Substance use
Recurrent episodes of sleepwalking or sleep terrors, and the person doesn’t remember what they dreamt about.
Non-Rapid Eye Movement Sleep Arousal Disorders
Repeated occurrence of long, very scary, and well-remembered dreams.
Nightmare Disorder
Repeated episodes of arousal often with screaming and/or motion from REM sleep. Often remembers the dream.
Rapid Eye Movement Sleep Behavior Disorder
Narcolepsy is diagnosed when it happens ? times/week for how long?
3 times/week over the past 3 months
