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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
Q

Personality Disorders (10 specific)

A

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
Q

Adjustment Disorders (with various combinations of emotional reactions, ie anxiety, depression, etc.

A

Acute and chronic stressors, parenting a child with special needs

27
Q

Other things to know-

A

Take race, culture out and diagnose. Then put it back in . If different, why?

28
Q

Axis I

A

Clinical disorders and other conditions not coded on Axis II

29
Q

Axis II

A

Personality Disorders, Mental Retardation

30
Q

Axis III

A

Medical conditions not classified elsewhere

31
Q

Axis IV

A

Psychosocial and environmental problems

32
Q

Axis V

A

Global Assessment of Functioning

33
Q

DSM is a multiaxial classification system

A

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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