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LCSW > DSM > Flashcards

DSM Flashcards

1
Q

Mild MR

A

55 - 69/70

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2
Q

Moderate MR

A

35-55

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3
Q

Severe MR

A

20-40

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4
Q

Profound MR

A

Below 20

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5
Q

Learning Disorders

A

Neurological reading, math

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6
Q

Pervasive developmental disorders (PDD)

A

Autism/Aspergers (Treatment of choice is behavior modification)

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7
Q

Attention Deficit & Disruptive Behavior Disorders

A

ADHD
Conduct Disorder(Juvenile deliquent, mean to kids and animals, no empathy)
Oppositional Defiant Disorder- lesser of 2, have an authority problem, pitch a fit but not mean to others)

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8
Q

Feeding or Eating Disorders

A

anorexia, bulimia, pica (mostly female, 1 in 10 men)

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9
Q

Elimination Disorders

A

enuresis- urine accidents, previous continent, must occur 2x a week for 3 months or more, factor in genetics

encopresis- repeated passage of bowel, authority and control problem, at least 4 years of age, 1st rule out medical

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10
Q

Other disorders of childhood

A

Separation Anxiety Disorder- diagnosed up to age 18, can’t diagnose if during normal developmental stages, starting school

Selective Mutism- in frequent, not associated with performance anxiety

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11
Q

Delirium, dementia, and amnestic and other cognitive disorders

A

Dementia - memory deficits related to medical conditions

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12
Q

Substance related disorder

A

Alcohol, caffeine, amphetamine, other drugs (herion is polysubstance),
12 step programs of choice, must be dealt with before other problems - marital, etc.

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13
Q

Schizophrenia and other psychotic disorders - Schizophrenia

A

Before age 45
Schizophrenia- Symptoms w/in last month, must exist for 6 months, premorbid slide
1. Paranoid, 2. Disorganized (no productive behavior), 3. Catatonic (immobile), 4. Undifferentiated, 5. Residual
Symptoms: delusions, disorganized behavior, non productive speech or thought

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14
Q

Schizophrenia and other psychotic disorders- Shizophreniform

A

Equivalent to schizophrenia but less severe and lasts a shorter period of time

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15
Q

Schizophrenia and other psychotic disorders- Schizoaffective

A

Primary disturbance in mood. Will still have symptomology

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16
Q

Schizophrenia and other psychotic disorders- Delusional Disorder/Paranoia

A

Less likely to be in treatment, 1 month of delusions usually the persecutory type

17
Q

Schizophrenia and other psychotic disorders- Brief psychotic disorder

A

Rapid onset of psychosis - 2 weeks - month

Prominent to people with Borderline Disorder.

18
Q

Schizophrenia and other psychotic disorders- Folie-a-deux

Treatment of choice for all is Anti-psychotics

A

Shared psychotic disorder - one is actively psychotic, the other one begins to believe or buy into the delusion.

19
Q

Mood Disorders - mood prominent feature

Treatment - medication and psychotherapy

A

Depressive Disorders:

  1. Major depressive disorder- single or recurrent. (Big) 2 weeks of very depressed in bed, not working, not eating etc.
  2. Dysthymia- (little) depressed mood (blue) for 2 years but they function, feel crummy

Bipolar Disorders:

  1. Bipolar I- more fun, more manic, (big) elevated mood
  2. Bipolar 2 - more blue, (big) depressed more
  3. Cyclothymia - (little) not so high, not so low, over 2 years time at least
20
Q

Anxiety Disorders - symptom as well as disorder, treatment of choice is medication and psychotherapy

A
  • a. Panic Disorder w/ or w/out agoraphobia - sudden onset of dread, terror, heart attack
    b. Specific Phobia- elevators, dogs, snakes
    c. Social Phobia
    d. Obsessive compulsive disorder- OCD
    e. Post traumatic stress disorder - PTSD- acute or chronic, (war, battered wife)
    f. Acute Stress disorder - before 30 days
    g. Generalized anxiety disorder
21
Q

Somatoform Disorders

A

a. Somatization
b. Conversion- somebody for no medical reason can’t walk, its psychological
c. pain disorder
d. Hypochondriasis
e. Body dysmorphic disorder

22
Q

Dissociative Disorders- dissociation is a defense mechanism

A

a. Amnesia, fugue, depersonalization

b. Dissociative Identity Disorder - used to be multiple personality disorder (MPD),

23
Q

Sexual Disorders- rule out medical

A

a. Sexual dysfunctions
b. Paraphilias: Pedophilia, fetish, etc.
c. Gender Identity disorders
d. Sexual Pain disorders (dyspariunia & vaginismus)

24
Q

Sexual Disorders - sexual response cycles

A

1- Desire- hypoactive sexual desire disorders

  1. excitement
  2. orgasm- premature ejactulation, orgasmic disorder
  3. resolution
25
Personality Disorders (10 specific)
Most probable are: a. Borderline PD- absolute fear of abandonment, primary defense is splitting, chaotic life, *object relations b. Narcissistic- grandiosity, need for recognition, gain sense of ______, use devaluation to make themselves feel better c. Histrionic- Flamboyant, victim d. Antisocial- precursor of conduct disorder is necessary, no sense of morality, expect others to live by rules but not them. e. Others: paranoid, schizoid, schizotypal, avoidant, dependent, and obsessive compulsive
26
Adjustment Disorders (with various combinations of emotional reactions, ie anxiety, depression, etc.
Acute and chronic stressors, parenting a child with special needs
27
Other things to know-
Take race, culture out and diagnose. Then put it back in . If different, why?
28
Axis I
Clinical disorders and other conditions not coded on Axis II
29
Axis II
Personality Disorders, Mental Retardation
30
Axis III
Medical conditions not classified elsewhere
31
Axis IV
Psychosocial and environmental problems
32
Axis V
Global Assessment of Functioning
33
DSM is a multiaxial classification system
a. Each major disorder also includes a NOS designation. Means it doesnt meet the criteria for any other disorder. b. There is a section for disorders "due to General Medical Conditions" (ie delirium related to gen. med condition, etc) c. Child Abuse is a V-code d. Other V-Codes include: relational problems, malingering, religious or spiritual problems, etc.

LCSW (10 decks)

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