DSM 5: What's the difference Part II

Question 1

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)

Answer 1

Delirium

Question 2

Difference between Major and Mild Neurocognitive Disorder

Answer 2

Mild: cognitive deficits do NOT interfere with capacity for independent living

Question 3

When a patient has an actual somatic issues (most commonly pain) AND persistent health related anxiety

Answer 3

Somatic Symptom Disorder

Question 4

Illness Anxiety Disorder’s diagnostic features:

1. Preoccupation with having or acquiring ?
2. ? are not present or if any, only mild in intensity
3. The preoccupation with the idea that she is sick is accompanied by ? about health and disease.

Answer 4

1. a serious, undiagnosed medical illness
2. somatic symptoms
3. substantial anxiety

Question 5

3 diagnostic features of Illness Anxiety Disorder

Answer 5

1. Preoccupation with having or acquiring a serious illness
2. Somatic symptoms are not present or only mild
3. High level of anxiety about health

Question 6

When a psychological issue/stress confers into a somatic symptom.

Answer 6

Conversion Disorder (e.g. so angry that they go blind; so traumatized that lose leg function)

Question 7

Patient wants to get ATTENTION by being or acting being sick.

Answer 7

Factitious Disorder

Question 8

Munchausen Syndrome DSM-5 term

Answer 8

Factitious Disorder Imposed on Another

Question 9

The difference between Malingering and Factitious Disorder

Answer 9

Malingering is to receive personal gain (money, time off work). Factitious Disorder diagnosis requires the absence of obvious rewards.

Question 10

Anorexia Nervosa’s 3 essential diagnostic features

Answer 10

1. Restriction of energy intake
2. intense fear of gaining weight
3. distorted body image

Question 11

Bulimia Nervosa’s 3 essential diagnostic features

Answer 11

1. Binge eating
2. Recurrent purging
3. Self-evaluation is unduly influenced by body shape and weight

Question 12

Binge eating Disorder and Bulimia Nervosa: how often, for how long for DX?

Answer 12

At least once a week for 3 months

Question 13

Patient is pre-occupied with one or more perceived defects in their physical appearance and have excessive repetitive behavior due to the preoccupation.

Answer 13

Body Dysmorphic Disorder

-the preoccupation is NOT about weight

Question 14

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

Answer 14

Depersonalization/Derealization Disorder

Question 15

Cannot recall important personal information; cannot recall traumatic events; cannot recall own life history

Answer 15

Dissociative Amnesia

Question 16

Two or more distinct personality states or an experience of possession.

Answer 16

Dissociative Identity Disorder

Question 17

Insomnia Disorder : frequency and duration of DX criteria

Answer 17

3 nights/week for 3 months

Question 18

When diagnosing Insomnia Disorder, rule out ?3

Answer 18

manic phase
depressive disorder
anxiety disorder

Question 19

Excessive sleepiness and still tired despite sleeping 7 hrs or more

Answer 19

Hypersomnolence Disorder

Question 20

When diagnosing Hypersomnolence Disorder, rule out 2?

Answer 20

Major depressive disorder

Substance use

Question 21

Recurrent episodes of sleepwalking or sleep terrors, and the person doesn’t remember what they dreamt about.

Answer 21

Non-Rapid Eye Movement Sleep Arousal Disorders

Question 22

Repeated occurrence of long, very scary, and well-remembered dreams.

Answer 22

Nightmare Disorder

Question 23

Repeated episodes of arousal often with screaming and/or motion from REM sleep. Often remembers the dream.

Answer 23

Rapid Eye Movement Sleep Behavior Disorder

Question 24

Narcolepsy is diagnosed when it happens ? times/week for how long?

Answer 24

3 times/week over the past 3 months

Question 25

Recurrent aggressive outbursts in response to a minor provocation. have problems with impulses.

Answer 25

Intermittent Explosive Disorder

Question 26

Recurrent failure to resist impulses to steal things that are not needed.

Answer 26

Kleptomania

Question 27

Recurrent, compulsive hair pulling

Answer 27

Trichotillomania

Question 28

Sedating drugs and alcohol can produce prominent and clinical significant ? disorders during intoxication, and ? conditions during withdrawal.

Answer 28

During intoxication: depressive disorders

During Withdrawal: anxiety conditions

Question 29

Stimulating drugs (amphetamines and cocaine) are likely to produce substance-induced ? disorders and ? disorders during intoxication; 
substance-induced ? episodes during withdrawal.

Answer 29

During Intoxication:
substance-induced psychotic disorders
substance-induced anxiety disorders 
During Withdrawal:
substance-induced major depressive episodes

Question 30

When diagnosing Gambling Disorder, rule out ?

Answer 30

manic episode

Question 31

Skin picking disorder

Answer 31

Excoriation Disorder