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NCMHCE > DSM > Flashcards

DSM Flashcards

1
Q

Intellectual Development Disorder

A
  1. Deficits in intellectual functions
  2. Deficits in adaptive functioning
  3. Onset during developmental period
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2
Q

Autism Spectrum Disorder

A
  1. Deficits in social-emotional reciprocity
  2. Deficits in nonverbal communicative behaviors
  3. Deficits in developing/maintaining relationships

At least two:

  1. Repetitive behaviors
  2. Inflexibility in routines
  3. Fixated interests
  4. Sensitivity to sensory input
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3
Q

ADHD

A
  1. Six or more:
    a. Careless mistakes
    b. difficulty sustaining attention
    c. Does not seem to listen
    d. Does not follow through
    e. Difficulty organizing
    f. Avoids difficult tasks
    g. Loses things
    h. Often distracted
    i. forgetful
  2. six or more:
    a. fidgets
    b. leaves seat
    c. runs or climbs in appropriate situations
    d. unable to play quietly
    e. often “on the go”
    f. often talks excessively
    g. blurts out answers
    h. difficulty waiting for a turn
    i. interrupts or intrudes on others
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4
Q

Delusional Disorder

A

A. Presence of one or more delusions for one month or longer.
B. Criterion A for schizophrenia has never been met
C. Functioning is not markedly impaired
D. Manic or major depressive episodes have been brief relative to the duration of the delusional episodes
E. Not attributable substance/other medical condition

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5
Q

Delusional Disorder Specifiers

A
  1. Erotomanic type: Someone is in love with them
  2. Grandiose type: Having some great insight or discovery
  3. Jealous type: Partner is unfaithful
  4. Persecutory type: Believing she is being conspired against
    Somatic: Body functions or sensations.
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6
Q

Brief Psychotic Disorder

A

A. Presence of 1 or more. At least one must be 1, 2 or 3.
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Disorganized or catatonic behavior.
B. 1 day to 1 month
C. Not better explained by another disorder

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7
Q

Schizophreniform Disorder

A

A. Two or more, at least one must be 1, 2, or 3.
1. Delusions
2. Hallucinations
3. Disorganized speech
4. Disorganized or catatonic behavior
5. Negative symptoms
B. Episode lasts at least one month but less than 6.

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8
Q

Schizophrenia

A 
A. Two or more, at least one of 1, 2, or 3. 
1. Delusions
2. Hallucinations 
3. Disorganized speech
4. Grossly disorganized or catatonic behavior
5. Negative symptoms 
B. Level of functioning is decreased 
C. At least six months
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9
Q

Schizoaffective Disorder

A

A. An uninterrupted period of illness during which there is a major mood episode concurrent with criterion A of Schizophrenia.
B. Delusions or hallucinations for 2+ weeks in the absence of a major mood episode during the lifetime duration
C. Symptoms that meet criteria for major mood episode are present majority of the time

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10
Q

Bipolar 1 Disorder Manic Episode

A 
A. A distinct period of mood disturbance that lasts at least one week. 
B: during that period, 3 or more: 
1. Inflated self-esteem
2. Decreased sleep
3. More talkative
4. Racing thoughts
5. Distractibility 
6. Increase in activity
7. Risk taking 
C. Causes significant impairment and may lead to hospitalization, or have psychotic features

Hypomanic episode is all the same criteria except it does not lead to significant impairment, hospitalization or psychotic symptoms.

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11
Q

Bipolar 1 Major Depressive Episode

A

A. 5 or more, present during the same two week period, at least one is 1 or 2.

  1. Depressed mood most of the day, nearly every day
  2. Marked diminished interest or pleasure in activities
  3. Weight loss or gain, or decreased or increased appetite.
  4. Insomnia or hypersomnia
  5. Feeling restless or slowed down
  6. Fatigue or loss of energy
  7. Feelings of worthlessness
  8. Diminished ability to concentrate
  9. Recurrent thoughts of death

Major depressive episode is NOT required to diagnose Bipolar 1

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12
Q

Bipolar 2 disorder

A

To meet criteria, must have experienced a hypomanic episode and a major depressive episode.

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13
Q

Cyclothymic Disorder

A

A. For at least 2 years (1 in children), numerous periods with hypomanic symptoms that do not meet full criteria and depressive symptoms that do not meet full criteria.
B. During the 2 year period, symptoms have been present at least half the time and not gone for longer than two months.

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14
Q

Disruptive Mood Dysregulation Disorder

A

A. Severe temper outbursts that manifest verbally or behaviorally
B. Temper outbursts are inconsistent with developmental level
C. Occur 3 or more times a week
D. Mood is irritable or angry nearly every day, most of the day
E. Symptoms have been present at least 12 months, with no period longer than 3 months without symptoms
F. Symptoms present in at least 2 settings
G. Cannot diagnose before 6 or after 18
H. Age of onset is before 10
I. Never met criteria for manic or hypomanic episode
Cannot coexist with ODD, intermittent explosive, or bipolar disorder

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15
Q

Major Depressive Disorder

A

A. 5 or more, present during the same two week period, at least one is 1 or 2.
1. Depressed mood most of the day, nearly every day
2. Marked diminished interest or pleasure in activities
3. Weight loss or gain, or decreased or increased appetite.
4. Insomnia or hypersomnia
5. Feeling restless or slowed down
6. Fatigue or loss of energy
7. Feelings of worthlessness
8. Diminished ability to concentrate
9. Recurrent thoughts of death
No manic or hypomanic episodes.

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16
Q

Dysthymia

A

A. Depressed mood for most of the day, more days than not, for at least 2 years.
B. Presence, while depressed, of two or more:
1. Poor appetite or overeating
2. Insomnia or hypersomnia
3. Low energy or fatigue
4. Low self-esteem
5. Poor concentration
6. Feelings of hopelessness
C. Never without symptoms for more than two months
D. Criteria for MDD may be present for 2 years
E. No manic, hypomanic episodes

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17
Q

Separation Anxiety disorder

A

A. At least three of the following:

  1. Excessive distress when separating from attachment figures
  2. Persistent worry about losing attachment figures
  3. Persistent worry about being separated from attachment figures
  4. Persistent reluctance or refusal to go out for fear of separation
  5. Persistent fear about being alone at home without attachment figures
  6. Persistent refusal to sleep away from home
  7. Repeated nightmares involving the theme of separation
  8. Repeated complaints of physical ailments when separation is approaching.
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18
Q

Social Anxiety Disorder

A

A. Marked fear or anxiety about one or more social situations where the individual might be judged by others.
B. The individual fear that they will act in a way that will be judged.
C. The social situations almost always provoke anxiety.
D. Social situations are avoided or endured with intense anxiety
E. The anxiety is out of proportion
F. Typically lasts six months or more

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19
Q

Selective Mutism

A

A. Consistent failure to speak in specific social situations despite speaking in other situations
B. Interferes with functioning
C. At least one month
D. Not due to lack of knowledge of language
E. Not better explained by communication disorder

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20
Q

Specific Phobia

A

A. Marked fear or anxiety about a specific object or situation
B. The phobic object or situation almost always provokes immediate fear or anxiety
C. The phobia is avoided or endured with intense anxiety
D. The fear is out of proportion
E. The fear is persistent, usually six months+

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21
Q

Phobia Specifiers

A 
Animal
Natural Environment
Blood-injection-injury
Situational
Other
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22
Q

Panic Disorder

A

A. Recurrent unexpected panic attacks with four or more:

  1. Palpitations, pounding heart
  2. Sweating
  3. Trembling
  4. Sensations of shortness of breath
  5. Feelings of choking
  6. Chest pain or discomfort
  7. Nausea or abdominal distress
  8. Feeling dizzy
  9. Chills
  10. Numbness or tingling
  11. Derealization
  12. Fear of going crazy
  13. Fear of dying

B. At least one attack has been followed by at least one month of one or both:

  1. Persistent concern or worry about having panic attacks
  2. Significant change in behavior due to the attacks
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23
Q

Agoraphobia

A

A. Marked fear or anxiety about two or more of the following situations:

  1. Using public transport
  2. Being in open spaces
  3. Being in enclosed spaces
  4. Standing in line or being in a crowd
  5. Being outside of home alone

B. Fear of these situations due to thoughts that escape might be difficult or help unavailable if they start to panic
C. Situations almost always provoke anxiety
D. Situations are avoided or endured with intense anxiety
E. Fear is out of proportion
F. Usually 6+ months

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24
Q

GAD

A 
A. Excessive anxiety and worry more days than not for at least six months, about multiple situations
B. Difficult to control the worry
C. Anxiety is associated with 3+
1. Restlessness or feeling on edge.
2. Being easily fatigued
3. Difficulty concentrating or blank mind
4. Irritability 
5. Muscle tension
6. Sleep disturbance
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25
Q

OCD

A

A. Presence of obsessions, compulsions, or both:
Obsessions are:
1. Recurrent and persistent thoughts, urges, or images that are unwanted and intrusive and cause distress
2. Attempts to ignore or suppress such thoughts
Compulsions are:
1. Repetitive behaviors
2. Behaviors are aimed at preventing or reducing anxiety
B. The obsessions or compulsions are time-consuming or cause clinically significant distress

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26
Q

OCD specifiers

A

With good or fair insight
With poor insight
With absent insight/delusional beliefs
Tic-related

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27
Q

Body Dysmorphic Disorder

A

A. Preoccupation with 1+ perceived defects in physical appearance that others don’t see.
B. The individual has performed repetitive behaviors or mental acts in response to the concerns.

Specify: 
With muscle dysmorphia 
With good or fair insight
With poor insight
With absent insight/delusional beliefs
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28
Q

Hoarding Disorder

A

A. Persistent difficulty discarding or parting with possessions
B. Due to need to save the items and distress discarding them
C. Collection of items causes clutter and difficulty living

Specify:
With excessive acquisition 
With good or fair insight
With poor insight
With absent insight/delusional beliefs
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29
Q

Trichotillomania

A

A. Recurrent pulling out of one’s hair

B. Repeated attempts to decrease or stop hair pulling

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30
Q

Excoriation Disorder

A

A. Recurrent skin picking resulting in skin lesions.

B. Repeated attempts to decrease or stop skin picking.

31
Q

Reactive Attachment disorder

A

A. A consistent pattern of inhibited, emotionally withdrawn behavior towards adult caregivers manifested by both:
1. The child rarely or minimally seeks comfort when distressed.
2. The child rarely or minimally responds to comfort when distressed.
B. Persistent social and emotional disturbance by at least two:
1. Minimal social and emotional responsiveness to others.
2. Limited positive affect.
3. Episodes of unexplained irritability, sadness, fearfulness during nonthreatening interactions with adults.
C. The child has experienced a pattern of extremes of insufficient care as evidenced by at least one:
1. Social neglect or deprivation
2. Repeated changes of primary caregivers
3. Rearing in usual settings
D. The care in criterion c is presumed to have caused the behaviors
E. Not autism
F. Before age 5
G. Has to be at least 9 months

32
Q

Disinhibited Social Engagement Disorder

A

A. A pattern of behavior in which a child actively approaches and interacts with unfamiliar adults and has at least two:
1. Reduced or absent reluctance to approach unfamiliar adults.
2. Acting overly familiar
3. Diminished or absent checking back with adult caregiver
4. Willingness to go off with strange adults
B. The behaviors are not due to impulsivity
C. The child has experienced insufficient care aeb at least one:
1. Social neglect by not having emotional needs met
2. Repeated changes of primary caregivers
3. Rearing in usual settings
D. Criterion C has caused the behaviors
E. The child is at least 9 months

33
Q

Posttraumatic Stress Disorder criterion A-C

A

A. Exposure to actual or threatened death, injury or sexual violence in one or more:
1. Directly experiencing the event
2. Witnessing in person the event
3. Learning that the event happened to a close family member or friend.
4. Experiencing repeated or extreme exposure to aversive details of the traumatic events
B. Presence of 1+ of the following intrusion symptoms associated with the event:
1. Recurrent, involuntary, intrusive memories
2. Recurrent distressing dreams about the event
3. Dissociative reactions, flashbacks
4. Intense or prolonged distress at exposure to cues
5. Marked physiological reactions to cues
C. Persistent avoidance of stimuli associated with traumatic events aeb 1+:
1. Avoidance of or efforts to avoid distressing memories, thoughts, feelings
2. Avoidance of or efforts to avoid external reminders

34
Q

PTSD criterion D-F

A

D. Negative alterations in cognitions and mood associated with the traumatic events aeb 2+:
1. Inability to remember aspects of the event
2. Persistent negative beliefs about self and the world
3. Distorted thoughts about the cause/consequences of the event
4. Feeling negative
5. Diminished interest in activites
6. Feeling detached/estranged
7. Inability to experience positive emotions
E. Marked alterations in arousal and reactivity aeb 2+:
1. Irritable behavior and angry outbursts
2. Recklessness
3. Hyperviligence
4. Exaggerated startle
5. Problems with concentration
6. Sleep disturbance
F. More than one month

35
Q

Acute Stress Disorder

A

Same criterion A as PTSD
B. Presence of 9 or more:
1. Recurrent intrusive memories
2. Recurrent dreams
3. Dissociative reactions, flashbacks
4. Physiological reactions in response to cues
5. Inability to experience positive emotions
6. Altered sense of reality
7. Inability to remember aspects of the trauma
8. Efforts to avoid distressing thoughts and memories
9. Efforts to avoid external reminders
10. Sleep disturbance
11. Irritable behavior and angry outbursts
12. Hyperviligence
13. Problems with concentration
14. Exaggerated startle response
C. 3 days to 1 month since trauma

36
Q

Adjustment Disorders

A

A. The development of emotional or behavioral symptoms in response to an identifiable stressor occurring within three months
B. Clinically significant aeb 1 or both:
1. Marked distress that is out of proportion
2. Impairment in functioning

Specifiers: 
With depressed mood
With anxiety
With mixed anxiety and depressed mood 
With disturbance of conduct
With mixed disturbance of emotions and conduct
Unspecified
37
Q

DID

A

A. Disruption of identity characterized by two or more personalities.
B. Recurrent gaps in the recall of everyday events

38
Q

Dissociative Amnesia

A

A. An inability to recall important autobiographical information usually to do with trauma
Specify:
With dissociative fugue: Traveling to a place without knowing why

39
Q

Depersonalization/Derealization Disorder

A

A. The presence of persistent or recurrent experiences of denationalization, derealization, or both
B. During the experiences, reality testing remains intact

40
Q

Somatic Symptom Disorder

A

One or more somatic symptoms that are distressing or result in significant disruption of daily life.
B. Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns aeb at least one:
1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms
2. Persistently high level of anxiety about health or symptoms
3. Excessive time and energy devoted to these symptoms
C. Having symptoms is persistent, usually six months

41
Q

Illness Anxiety Disorder

A

A. Preoccupation with having or acquiring a serious illness
B. Somatic symptoms are not present or only mild
C. High level of anxiety about health in general
D. The individual performs excessive health-related behaviors
E. At least six months

Specify:
Care-seeking
Care-avoidant

42
Q

Conversion Disorder

A

A. One or more symptoms of altered voluntary motor or sensory function
B. Clinical findings provide evidence of incompatibility between the symptom and medical conditions

Specify: 
With weakness or paralysis 
With abnormal movement
With swallowing symptoms 
With speech symptom
With attacks or seizures 
With anesthesia or sensory loss
With special sensory symptom 
With mixed symptoms
43
Q

Factitious Disorder

A

A. Falsification of physical or psychological signs or symptoms
B. The individual presents to others as ill
C. The deceptive behavior continues without obvious rewards

There is also Factitious disorder imposed on another, different from malingering in that malingering looks for personal gain while factitious disorder does not.

44
Q

Pica

A

A. Persistent eating of nonfood substances over at least 1 month
B. Inappropriate developmentally

45
Q

Anorexia Nervosa

A

A. Restriction of food that leads to a significantly low body weight
B. Intense fear of gaining weight or becoming fat
C. Disturbance in the way one’s body weight or shape is experienced

Specify:
Restricting type
Binge-eating/purging type

46
Q

Bulimia Nervosa

A

A. Recurrent episodes of binge eating aeb both:
1. Eating in a 2 hour period an amount of food that is definitely larger than what most individuals would eat
2. A sense of lack of control over eating during the episode
B. Recurrent behaviors to lose weight such as vomiting, laxatives, fasting or excessive exercise.
C. Binge eating and purging occur at least 1x a week for 3 months
D. Self-evaluation is overly focused on body shape and weight
E. Does not occur exclusively during episodes of anorexia

Specify: 
Mild: 1-3 episodes a week
Moderate: 4-7 episodes a week
Severe: 8-13 episodes a week
Extreme: 14+ a week
47
Q

Binge-Eating Disorder

A

A. Recurrent episodes of binge eating aeb:
1. Eating within 2 hours an amount of food that is definitely larger than what most people would eat
2. A sense of lack of control over eating during the episode
B. The binge-eating episodes are associated with 3+:
1. Eating more rapidly
2. Eating until uncomfortably full
3. Eating large amounts of food when not hungry
4. Eating alone because of being embaressed
5. Feeling disgusted with oneself, depressed or guilty
D. At least once a week for three months
E. No compensating behavior ie purging

48
Q

Insomnia Disorder

A

A. A predominant complaint of dissatisfaction with sleep quality of quantity, aeb 1+:
1. Difficulty falling alseep
2. Difficulty maintaining sleep
3. Early-morning awakening without being able to fall back asleep
C. Occurs at least 3 nights per week
D. At least three months
E. Occurs despite good opportunity for sleep

49
Q

ODD

A

A. A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months aeb at least four symptoms and exhibited during interaction with at least one individual who is not a sibling:

  1. Often loses temper
  2. Is often touchy or easily annoyed
  3. Is often angry and resentful
  4. Often argues with authority figures
  5. Often actively defies or refuses to comply with requests
  6. Often deliberately annoys others
  7. Often blames others for his or her mistakes or misbehavior
  8. Has been spiteful or vindictive at least twice within the past six months
50
Q

Intermittent explosive disorder

A

A. Recurrent behavioral outbursts representing a failure to control aggressive impulses as manifested by either:
1. Verbal aggression or physical aggression, twice weekly for three months that does not cause damage.
2. 3 outbursts involving damage or destruction of property occurring within 12 months
B. Aggression expressed is out of proportion
C. The recurrent aggressive outbursts are not premeditated
E. At least 6yo

51
Q

Conduct disorder

A

A. A repetitive and persistent pattern of behavior in which the basic rights of others or societal norms are violated, aeb at least 3 symptoms in the last 12 months, and at least one in the last six months:

  1. Often bullies, threatens, intimidates
  2. Often initiates physical fights
  3. Has used a weapon that can cause serious physical harm to others
  4. Has been physically cruel to people
  5. Has been physically cruel to animals
  6. Has stolen while confronting a victim
  7. Has sexually assaulted someone
  8. Has deliberately engaged in fire setting
  9. Has deliberately destroyed others property
  10. Has broken into someone else’s property
  11. Often lies to obtain goods
  12. Has stolen items of nontrivial value
  13. Often stays out at night despite parent rules, beginning before age 13
  14. Has run away from home overnight at least twice, or once without returning for a long time
  15. Is often truant from school, beginning before 13
52
Q

Alcohol Use Disorder

A

A. A problematic pattern of alcohol use leading to clinically significant impairment aeb at least 2 in 12 months:

  1. Alcohol is often drank in larger amounts in a longer period then was intended.
  2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
  3. A great deal of times is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
  4. Craving, or a strong desire to use alcohol.
  5. Recurrent alcohol use resulting in a failure to fulfill major role obligations
  6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or made worse by alcohol.
  7. Giving up activities because of alcohol
  8. Using alcohol in hazardous situations
  9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or mental problem that is likely to have been caused by alcohol.
  10. Tolerance increasing
  11. Withdrawal

Specify
Mild 2-3 symptoms
Moderate 4-5 symptoms
Severe 6+

53
Q

Alcohol Withdrawal

A 
A. Ceasing drinking alcohol 
B. 2 or more symptoms developing within hours to days of stopping drinking 
1. Sweating, increased heart rate
2. Increased hand tremor
3. Insomnia
4. Nausea or vomiting
5. Hallucinations or illusions
6. Psychomotor agitation
7. Anxiety 
8. Generalized tonic-clonic seizures
54
Q

Delirium

A

A. A disturbance in attention and awareness
B. The disturbance develops over a short period of time and tends to fluctuate in severity over the course of the day
C. An additional disturbance in cognition
D. Not better explained by another preexisting condition
E. The disturbance is a result from another medical condition, substance use, or exposure to a toxin

55
Q

Major and Mild Neurocognitive Disorder

A

A. Evidence of a significant cognitive decline from previous functioning aeb:
1. Concern of the individual or others that there has been a decline in cognitive functioning
2. A substantial impairment in cognitive performance
B. The cognitive deficits interfere with independence in everyday activities
C. Does not occur exclusively during episodes of delirium

56
Q

Nuercognitive Disorder specifiers

A 
Alzheimer's 
Frontotemporal lobar degeneration
Lewy body disease 
Vascular disease
TBI 
Substance/medication use
HIV
Prion Disease
Parkinson's disease
Huntington's disease
Another medical condition
Multiple etiologies 
unspecified
57
Q

General Personality Disorder

A

A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture aeb 2+
1. Cognition
2. Affectivity
3. Interpersonal functioning
4. Impulse control
B. The pattern is inflexible and pervasive across a broad range of personal and social situations
C. Leads to clinically significant distress
D. Stable and long in duration, onset adolescence or early adulthood

58
Q

Paranoid Personality Disorder

A

A. A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts aeb 4+
1. Suspects, without sufficient basis, that others are exploiting, harming, or deceiving them
2. Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates
3. Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against them.
4. Reads hidden demeaning or threatening meanings into benign remarks or events
5. Persistently bears grudges
6. Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack.
7. Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner.
B. Not due to another condition

59
Q

Schizoid Personality Disorder

A

A. A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts aeb 4+

  1. Neither desires nor enjoys close relationships, including being part of a family.
  2. Almost always chooses solitary activities.
  3. Has little, if any, interested in sex
  4. Takes pleasure in few, if any, activities
  5. Lacks close friends or confidants other than relatives
  6. Appears indifferent to the praise or criticism of others
  7. Shows emotional coldness, detachment, or flattened affectivity
60
Q

Schizotypal Personality disorder

A

A. A pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior, beginning by early adulthood and present in a variety of contexts aeb 5+

  1. Ideas of reference
  2. Odd beliefs or magical thinking
  3. Unusual perceptual experiences, including body illusions
  4. Odd thinking and speech
  5. Suspicious or paranoid ideation
  6. Inappropriate or constricted affect
  7. Behavior or appearance that is odd, eccentric, or peculiar
  8. Lack of close friends or confidants other than relatives
  9. Excessive social anxiety that does not diminish with familiarity and is usually due to paranoid fears
61
Q

Antisocial Personality Disorder

A

A. A pervasive pattern of disregard for and violation of the rights of others, occurring since 15 aeb 3+
1. Failure to conform to social norms with respect to lawful behaviors, aeb repeatedly performing acts that are grounds for arrest
2. Deceitfulness, aeb repeated lying, use of aliases, or conning others
3. Impulsivity or failure to plan ahead
4. Irritability and aggressiveness, aeb repeated physical fights or assaults
5. Reckless disregard for safety of self or others
6. Consistent irresponsibility, aeb repeated failure to sustain consistent work or honor financial obligations
7. Lack of remorse, aeb being indifferent to or rationalizing having hurt, mistreated or stolen from another
B. At least 18
C. Evidence of conduct disorder before 15

62
Q

Borderline Personality disorder

A

A. A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning by early adulthood and present in a variety of contexts, aeb 5+

  1. Frantic efforts to avoid real or imagined abandonment
  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
  3. Identity disturbance: Markedly and persistently unstable self-image or sense of self
  4. Impulsivity in at least 2 areas that are potentially self-damaging (reckless behavior)
  5. Recurrent suicidal behavior, gestures, threats, self-mutilating behavior
  6. Affective instability due to a marked reactivity of mood
  7. Chronic feelings of emptiness
  8. Inappropriate, intense anger or difficulty controlling anger
  9. Transient, stress-related paranoid ideation of severe dissociative symptoms.
63
Q

Histrionic Personality Disorder

A

A. A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, aeb 5+

  1. Is uncomfortable in situations in which he or she is not the center of attention
  2. Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior
  3. Displays rapidly shifting and shallow expression of emotions
  4. Consistently uses physical appearance to draw attention to self
  5. Has a style of speech that is excessively impressionistic and lacking in detail
  6. Shows self-dramatization, theatricality and exaggerated expression of emotion
  7. Is suggestible
  8. Considers relationships to be more intimate than they actually are
64
Q

Narcissistic Personality Disorder

A

A pervasive pattern of grandiosity, need for admiration, and lack of empathy beginning by early adulthood and present in a variety of contexts aeb 5+

  1. Has a grandiose sense of self-importance
  2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love
  3. Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special people
  4. Requires excessive admiration
  5. Has a sense of entitlement
  6. Is interpersonally exploitative
  7. Lacks empathy
  8. Is often envious of others or believes that others are envious of them
  9. Shows arrogant, haughty behaviors
65
Q

Avoidant Personality Disorder

A

A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation beginning by early adulthood and present in a variety of contexts aeb 4+

  1. Avoids occupational activities that involve significant inerpersonal contact because of fears of criticism, disapproval, or rejection
  2. Is unwilling to get involved with people unless certain of being liked
  3. Shows restraint within intimate relationships because of the fear of being shamed or ridiculed
  4. Is preoccupied with being criticized or rejected in social situations
  5. Is inhibited in new interpersonal situations because of feelings of inadequacy
  6. Views self as socially inept, personally unappealing, or inferior to others
  7. Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing
66
Q

Dependent Personality Disorder

A

A pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears or separation, beginning by early adulthood and present in a variety of contexts aeb 5+

  1. Has difficulty making everyday decisions without an excessive amount of advice and reassurance from others
  2. Needs others to assume responsibility for most major areas of their life
  3. Has difficulty expressing disagreement with others because of fear of loss of support or approval
  4. Has difficulty initiating projects or doing things on their own
  5. Goes to excessive lengths to obtain nurturance and support from others, to the point of volunteering to do things that are unpleasant
  6. Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for themselves
  7. Urgently seeks another relationship as a source of care and support when a close relationship ends
  8. Is unrealistically preoccupied with fears of being left to take care of himself or herself
67
Q

Obsessive-compulsive personality disorder

A

A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood aeb 4+

  1. Is preoccupied with details, rules, lists, order, organization or schedules to the extent that the major point of activity is lost.
  2. Shows perfectionism that interferes with task completion
  3. Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships
  4. Is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values
  5. Is unable to discard wornout or worthless objects even they have no sentimental value
  6. Is reluctant to delegate tasks or to work with others unless they submit to exactly their way of doing things
  7. Adopts a miserly spending style toward both self and others
  8. Shows rigidity and stubbornness.
68
Q

Voyeuristic Disorder

A

A. Over a period of at least six months, sexual arousal from observing an unsuspecting person who is naked, having sex, getting undressed
B. The individual has acted on these urges with a nonconsenting person, or the sexual urges cause clinically significant distress
C. At least 18

69
Q

Exhibitionistic Disorder

A

A. Over a period of six months, recurrent and intense sexual arousal from exposing oneself to an unsuspecting person
B. The individual has acted on these sexual urges with a nonconsenting person or it is causing clinically significant distress

Specify
Adults
Children
Children and adults

70
Q

Frotteuristic Disorder

A

A. Over a period of at least 6 months, recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person
B. Has acted on urges or causes clinically significant distress

71
Q

Sexual Masochism Disorder

A

A. At least six months, recurrent sexual pleasure from the act of being humiliated, beaten, bound
B. Causes distress

72
Q

Sexual Sadism Disorder

A

A. At least six months, recurrent sexual arousal from the physical or psychological suffering of another person
B. Acted on it or clinical distress

73
Q

Pedophilic disorder

A

A. Period of six months, sexual arousal about sex with kids
B. Acted on or causes distress
C. At least 16, child is at least 5 years younger

NCMHCE (4 decks)

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