DSM Flashcards
Autism
18mos-4 years
Referr first
Apply behavioral analysis and skills training
Poor social , stays to self, repetitive behaviors, wringing of hands
ADHD
Must have behaviors in 2 settings
Referr to social training
Difficulty focus- interrupts- not finishing tasks, keeps losing things, lots of energy, running, excessive talking
Specific learning disorder
Referr to psychological testing
Difficulty learning languages math acedemic skills
Pica
Rumination disorder
Eating non food- chalk, bark, rock,
Regurgitation of food
Enuesis
Urinating in bed or clothing at inappropriate age
Referr to physician
Encopresis
Bowel movement in bed or clothing
At inappropriate age
Referr to physician
Communication disorder
Language disorder- hard time with language after developmentally appropriate age
Speech sound disorder: difficulty in sounds
Selective mutism
Not speaking during specific times/ events- but speaks at home
Separation anxiety
10-18 mos
Distress in knowing separation is coming up - worrying that something bad is going to happen to self or parent
Resistant to leave home
Nightmares
Motor disorder:
Developmental coordination
Stereotypic movement
Tic disorder: 1: Tourette’s
2: persistent Movement
Under 18 yrs, having a hard time holding things, dropping, coordination is off
Repetitive movements: hand waving body rocking, hitting own body
Tourette’s : must have motor and vocal tics
Persistent: motor OR vocal - not both
Intellectual disability
Deficit in OQ, intellect or adapting socially
Happens in child hood to adolescence
Reactive attachment disorder
Found in children with many moves, families,
Distance, flat affect, rarely responds to attention for comfort and does not seek it .
Disinhibited attachment
Willingness to go with strangers - overly verbal or physical behaviors , does not check in with care giver
Oppositional disorder
Under 18 yrs
Challenges authority
Aggressive, spiteful, no comply,
But does not hurt others or property or illegal behavior
Conduct disorder
Aggression, bully, IS hurt to others, violates others rights, property, rules
Criminal behavior
Intermittent explosive disorder
Severe temper outbursts
3 or more times per week
Mood between outbursts is persistently irritable or angry
Major depressive disorder
Two weeks duration hopelessness emptiness sad tearful worthlessness loss of interest or pleasure weight loss trouble concentrating insomnia suicidal thoughts fatigue
Persistent depressive disorder
Two years for adults one year for children
Bipolar I
Most severe -extreme has mania inflated self esteem feel good with little sleep flight of ideas hyperactivity grandiose identification
Bipolar II
Must have hypo mania and major depressive disorder
Cyclothymic disorder
Two years for adults when years for children hypo maniac and depressive periods are present for at least half of the time they are not without symptoms for at least two months
Anxiety disorders
General anxiety disorder six months excessive worrying about everything muscle tension fatigue difficulty concentrating irritable
Social anxiety disorder is basically a social phobia mark by fear or anxiety about being in social situations we are being judged humiliated or embarrassed by others
Argo phobia - fear of leaving home
Panic disorder -palpitations,Pounding heart sweating trembling shortness of breath choking chest pain nausea dizzy lightheaded fear of dying
Adjustment disorder
Caused by a recent stressors or significant life events happened within the last six months of that event individual experiences depressed mood anxious or a mixture of both
Post traumatic stress disorder
One month or more after the event to trauma near death experience serious and injury sexual assault replay traumatic events reoccurring nightmares flashbacks inability to experience positive emotions disassociative symptoms avoidance symptoms
Acute stress disorder
This is less than one month from the event exhibiting the same symptoms of posttraumatic stress
Disassociative disorders
Disassociative identity disorder used to be multiple personalities
loss of self
altered in affect behavior
gaps in a recall forgets every day even important personal information
picks up different identities all together without a sense of connection
Disassociative amnesia not able to recall important autobiography information and not able to recall specific events travels away from home which is fugue
Obsessive compulsive disorder
This is egodystonic “person does not like the feeling Obsessive thoughts, anxiety, urges, Repetitive behaviors May count to 8 before doing something, Need to wash the dishes three times
Obsessive compulsive personality disorder
Egosyntonic- means they do not see anything wrong with their behaviors and won’t try to stop them
depersonalization
experience detachment from self, body- being outside of body
Derealization
experience detachment from surroundings, like a dream
Obsessive Compulsive related disorders
Body Dysmorphic disorder- not liking a certain part of self
Hoarding- cant dicard or part with items, keeps them
Trichotillomania- hair pulling
Excoriation- skin picking
Pyromania - fires
Kleptomania- to steal
Schizophrenia
6 months or more
delusions, hallucinations, paranoid, disorganized speech, grossly disorganized or catatonic behaviors
Brief psychotic disorder
Less than 1 month
delusions, hallucination, paranoid, disorganized speech, grossly disorganized or catatonic behaviors
Schizophreniform
1-6 moths
delusion, hallucination, paranoid, disorganized speech, grossly disorganized or catatonic behaviors
Schizotypal
Cluster A
No Delusions,
This is a personality type
distorted perspective of self,, ideal of reference, beliefs, magical thinking, they have “gifts” to read peoples minds, or know things others do not. Odd, eccentric
Schizoid
Cluster A
No Delusions, this is a Personality Disorder
Loner, likes to be alone, no desire to be with others , never dates, no close friends, indifferent attitude, flat affect, cold, odd eccentric
Paranoid Personality disorder
Cluster A
distrusting, worried of people out to get them, exploit
odd, eccentric,
Antisocial Personality disorder
Cluster B adult version of Conduct Disorder Criminal acts, violating of others rights/ property harm to animals/ humans lies, lack remorse, no empathy
Borderline Personality Disorder
Cluster B
Instability of interpersonal relationships, impulsivity, afraid of abandonment, emptiness, inappropriate anger, splitting
Use Dialectic Behavior Therapy DBT
Histrionic Personality Disorder
Cluster B
Grandiose sense of self, seductive, provocative dressing, drama, self absorb
Narcissistic Personality Disorder
Cluster B
Grandiose sense of self, larger than life, big accomplishments, focuses on self, not others, not empathetic to others
Avoidant personality disorder
Cluster C
social inhibitions, wants others, but fears rejection, judgement, humiliation of others
Dependent disorder
Cluster C
Difficulty making decisions, has to have others involved and give opinions , helpless when alone
Obsessive Compulsive Personality Disorder
Egosyntonic- believe they are not wrong in their thoughts, practices, in fact they can’t see why others do not do the same. Often impose their own standards on to others
Personality disorders
are all Egosyntonic: they do not believe there is anything wrong in their thought process and do not have distress about it.
Somatic Symptom disorder
person has a significant focus on physical symptoms, such as pain, weakness, or shortness of breath, that results in major distress/ and or problems functioning
the symptoms may or may not be associated with a diagnosed medical condition, but the person is experiencing symptoms and believes they are sick.
excessive thoughts, feelings, behaviors, out of proportion .
Illness Anxiety disorder
Hypochondriac
Conversion Disorder
part of the body doesn’t work, related to emotional incident, anxiety,
factitious disorder
convinced that there is something wrong, even when no diagnosis supports it, person deceives others that there is an illness, to get attention, Munchausen disorders)
Malinger
fake an illness so that you get to not do something- court , work, ect.
Major Neurocognitive disorder
significant decline, impairs decision making/ judgement/ and needs help with daily activity.
Refer to physician
Mild Neurocognitive disorder
moderately declines, impaired decision making/ judgement, need help with SOME help with daily functions and activities.
Refer to physician
Delirium
temporary loss of awareness, concept of time, reality. usually medical
anorexia Nervosa
restriction of energy/food intake, significant low body weight, intense fear of gain weight, lack of recognition of the seriousness of the problem.
Restrictive type: dieting, fasting, exercising excessively
Binge-eating/purging type: self induced vomiting, misuse of laxatives, etc.
Bulimia Nervosa
Binge eating, large amount of food , lack of control over eating during this episode. induces vomiting, exercise, misuse of laxatives
Phases of Change
Per-contemplation
no intention of change, not aware they have a
problem
Contemplation
aware of the problem.
thinking of stopping problem, but not yet dedicated
to change
Preparation
small changes in prep for the big change
Action
behavior, experiential, and environmental
modification. Ready to change those aspect of life
that are contributing to undesired situation.
Maintenance
carry out with adaptive bb
