DSM Criteria Flashcards
What are the:
Characteristics for Adjustment Disorder
Term
1. Emotional or behavioral symptoms caused by identifiable Stressor(s) within 3 months of Stressor onset.
2. Either of the Following: Marked diStress beyond expectations.
Significant impairment in social, occupational, or academic functioning.
3. Not a exacerbation of preexisting Axis I or Axis II Disorder.
4. Not Bereavement.
5.Symptoms disappear within 6 months of the end of the Stressor.
Note: Adjustment Disorder alone is not a diagnosis.
Definition
What are the:
Characteristics for Bulimia nervosa
Term
1. Repeated binge eating involving excess food and lack of control.
2. Inappropriate compensatory behavior to prevent weight gain.
3. Episodes in items A and B average at least twice a week for 3 months.
4. Excess bias of body weight or shape on self evaluation.
5. Not exclusively during Anorexia Nervosa.
Definition
Describe the symptoms of aggression to people and animals for conduct Disorder
Term Bullies, threatens, or intimidates. Starts physical fights. Has used a dangerous weapon. Has been physically cruel to people. Has been physically cruel to animals. Has stolen from a victim. Has forced sex on others. Definition
What are the criteria for:
Major Depressive Disorder, recurrent
Term
1. Presence of at least two Major Depressive Episodes.
2. The Episode is not better accounted for by Schizoaffective Disorder, and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
3. No Manic Episode, Mixed Episode, or Hypomanic Episode has ever occurred.
Definition
What are the:
Item “A” symptoms for major Depressive Episode
Term
Depressed mood.
Decreased interest or pleasure in activities.
Significant variations in weight or appetite.
Insomnia or hypersomnia.
Psychomotor agitation or retardation.
Daily fatigue or energy loss.
Feelings of worthlessness or guilt.
Difficulties in concentration or decisiveness.
Recurrent thoughts of death or suicidal ideation, plan or attempt.
Definition
What are the:
Item “B” symptoms for dysthymic Disorder
Term Overeating or poor appetite. Hypersomnia or insomnia. Fatigue or low energy. Low self-esteem. Difficulties with concentration or making decisions. Feelings of hopelessness. Definition
What are the criteria for:
Oppositional Defiant Disorder
Term
1. Pattern of hostile and Defiant behavior for at least 6 months, during which at least four symptoms were present.
2. Impairment in social, academic, or occupational functioning.
3. Not exclusively during Psychotic or Mood Disorders.
4. Criteria not met for Conduct Disorder, and, if age 18 years or older, criteria not met for Antisocial Personality Disorder.
Definition
What are the criteria for:
Dysthymic Disorder
Term
1. Depressed mood throughout more days than not for at least 2 years.
2. At least two symptoms.
3. Symptoms in Items A and B never disappear for more than 2 months at a time.
4. No Major Depressive Episode has been present during the first two years.
5. Has never been a Manic, Mixed or Hypomanic Episode, or a Cyclothymic Disorder.
6. Not solely during a chronic Psychotic Disorder.
7. Not due to a substance or a General Medical Condition.
8. DiStress or impairment in social, occupational, or other important functioning.
Definition
What are the criteria for:
Borderline Personality Disorder
Term
Pervasive pattern of unstable interpersonal relationships, self-image, affects, and impulsivity as indicated by at least five of the Following: Frenzied efforts to avoid abandonment.
Vacillating intense interpersonal relationships.
Identity disturbance.
Impulsiveness in two self-damaging areas.
Repeated suicidal behavior.
Affective instability.
Chronic feelings of emptiness
Inappropriate and intense anger.
Paranoid ideation or dissociation.
Definition
What are the:
Item “B” symptoms for hypomanic Episode
Term Inflated self-esteem. Reduced need for sleep. Unusually talkative. Racing thoughts or flight of ideas. Distractibility. Psychomotor agitation or increase in goal-oriented activities. Involvement in activities that give pleasure but are also likely to bring pain. Definition
What are the:
Characteristics for Agoraphobia
Term
1. Anxiety about being in a location or situation:
from which it would be difficult or embarrassing to escape, or
where help may not be available in the event of an unexpected Panic Attack or panic-like symptoms.
2. The person avoids the places or situations, or endures them with marked diStress or Anxiety, or the person requires a companion.
Note: Agoraphobia alone is not a diagnosis.
Definition
What are the:
Relational Problems
Term
Relational Problem Related to a Mental Disorder or General Medical Condition
Parent-Child Relational Problem
Partner Relational Problem
Sibling Relational Problem
Relational Problem Not Otherwise Specified
Definition
What are the criteria for:
Schizophreniform Disorder
Term
1. Items A, D, and E of Schizophrenia are met.
2. An Episode (including prodromal, active, and residual phases) lasts at least one month but less than six months.
Definition
What are the:
Delirium Disorders
Term Delirium Due to a General Medical Condition Substance-Induced Delirium Delirium Due to Multiple Etiologies Delirium Not Otherwise Specified Definition
What are the: Characteristics for (general) pain Disorder
Term
1. Severe pain is paramount and calls for clinical attention.
2. DiStress or impairment in social, occupational, or other important functioning.
3. Psychological factors play a key role in all aspects of the pain.
4. Symptom or deficit not faked or purposefully produced.
5. Neither Dyspareunia, nor any Mood, Anxiety, or Psychotic Disorder can explain the pain.
Note: Pain Disorder alone is not a diagnosis.
Definition
What are the:
Cluster C Personality Disorders and state their commonalities
Term
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder
Personality Disorder not otherwise specified.
These individuals often appear anxious or fearful.
Definition
What are the:
Characteristics for Undifferentiated somatoform Disorder
Term
At least one physical complaint.
2. Either of the Following: Symptoms in “A” are not explained by a General Medical Condition or a substance.
When a General Medical Condition does exist. the complaints or impairment are beyond expectations.
3. DiStress or impairment in social, occupational, or other important functioning.
4. The disturbance lasts at least six months.
5. Symptoms are not faked or purposefully produced.
Definition
What are the:
Characteristics for Somatization Disorder
Term
1. Frequent physical complaints before age 30 that either lead to treatment being sought or notable impairment in functioning.
2. History of each of the Following: Four pain symptoms.
Two gastrointestinal symptoms.
One sexual symptom.
One pseudo-neurological symptom.
3. Either of the Following: Symptoms in “B” are not explained by General Medical Condition or substance.
When General Medical Condition does exist, the complaints or impairment are beyond expectations.
4. Symptoms are not faked or purposefully produced.
Definition
What are the:
(general) diagnostic categories for schizophrenia
Term
1. Characteristic (Active-Phase) Symptoms
2. Social and/or Occupational Dysfunction
3. Duration Requirement
4. Schizoaffective and Mood Disorder Exclusion
5. Substance or General Medical Condition Exclusion
6. Conditions Regarding Relationship to a Pervasive DevelopMental Disorder
Note: Schizophrenia alone is not a diagnosis.
Definition
Describe the diagnostic for schizophrenia, undifferentiated type
Term
Item “A” symptoms are present.
Not Paranoid, Disorganized, or Catatonic Type.
Definition
What are the criteria for:
Attention-deficit/hyperactivity Disorder
Term
1. Either Inattention or Hyperactivity-impulsivity.
2. Some impairment from item A symptoms appeared before age 7.
3. Some symptomatic impairment appears in at least two settings.
4. Obvious impairment in social, occupational, or academic functioning.
5. Not solely during Pervasive DevelopMental Disorder, Schizophrenia, or other Psychotic Disorder.
Note: Attention-Deficit/Hyperactivity Disorder alone is not a diagnosis.
Definition
What are the criteria for:
Schizoid Personality Disorder
Term
1. Detachment from relationships, and a limited range of emotional expression as indicated by at least four of the Following: Doesn’t desire or enjoy close relationships.
Often selects solitary activities.
Little interest in sex with others.
Few activities give pleasure.
Doesn’t have close friends or confidants.
Apathetic to praise or criticism.
Demonstrates coolness or flattened affectivity.
2. Not solely during Schizophrenia, a Mood Disorder With Psychotic Features, another Psychotic Disorder or a Pervasive DevelopMental Disorder. Also not due to a General Medical Condition.
Definition
What are the:
Attention-deficit and disruptive behavior Disorders
Term
Attention-Deficit/Hyperactivity Disorder
Combined Type
Predominantly Inattentive Type
Predominantly Hyperactive-Impulsive Type
Not Otherwise Specified
Conduct Disorder
Oppositional Defiant Disorder
Disruptive Behavior Disorder Not Otherwise Specified
Definition
What are the criteria for:
Separation Anxiety Disorder
Term
1. Excessive and developMentally inappropriate Anxiety concerning separation from home or those whom the person is attached, as evidenced by at least three symptoms.
2. At least 4 weeks in duration.
3. Onset precedes age 18.
4. DiStress or impairment in social, occupational, or other important functioning.
5. Not solely during Pervasive DevelopMental Disorder, Schizophrenia, or other Psychotic Disorder. In adolescents and adults, is not better described by Panic Disorder With Agoraphobia.
Definition
What are the:
Characteristics for Dissociative identity Disorder
Term
At least two distinct identities or personalities.
2. At least two of these identities or personalities repeatedly assume control of the person’s behavior.
3. Can not remember, to an extent beyond ordinary forgetfulness, important personal information.
4. Not due to substance or General Medical Condition.
Definition
What are the:
Other mood Disorders
Term Mood Disorder Due to a General Medical Condition Substance-Induced Mood Disorder Mood Disorder Not Otherwise Specified Definition
What are the:
Mental Disorders due to a General Medical Condition
Term Delirium Dementia Amnestic Disorder Psychotic Disorder Mood Disorder Anxiety Disorder Sexual Dysfunction Sleep Disorder Catatonic Disorder Personality Change Mental Disorder Not Otherwise Specified Note: All of the above "due to a General Medical Condition". Definition
What are the:
Characteristics for Intermittent explosive Disorder
Term
1. Failure (several Episodes) to resist aggressive impulses resulting in assaults or property destruction.
2. The aggressive behavior is disproportionate to precipitating psychosocial Stressors.
3. Not due to a substance or a General Medical Condition.
Definition
What are the:
Characteristics for Paranoid Personality Disorder
Term
1. Pervasive distrust of others indicated by four or more of the Following: Suspects others of exploitation or deception.
Doubts trustworthiness of friends.
Hesitant to confide in others.
Sees hidden negative meanings.
Constantly bears grudges.
Sees character attacks and reacts angrily.
Suspects sex partner of infidelity.
2. Not solely during Schizophrenia, a Mood Disorder With Psychotic Features, or another Psychotic Disorder. Not due to General Medical Condition.
Definition
What are the:
Anxiety Disorders
Term Panic Disorder Without Agoraphobia Panic Disorder With Agoraphobia Agoraphobia Without History of Panic Disorder Specific Phobia Social Phobia Obsessive-Compulsive Disorder Posttraumatic Stress Disorder Acute Stress Disorder Generalized Anxiety Disorder Anxiety Disorder Due to a General Medical Condition Substance-Induced Anxiety Disorder Anxiety Disorder Not Otherwise Specified Definition
What are the criteria for:
Anxiety Disorder due to a General Medical Condition
Term
1. Obsessions or compulsions, prominent Anxiety, or Panic Attacks.
2. A General Medical Condition directly causes the disturbance.
3. Not exclusively during delirium.
4. DiStress or impairment in social, occupational, or other important functioning
Definition
What are the:
Substance categories for substance-related Disorders
Term Alcohol Amphetamine Caffeine Cannabis Cocaine Hallucinogen Inhalants Nicotine Opioid Phencyclidine Sedatives, Hypnotics, or Anxiolytics Polysubstance Other Substance Definition
What are the criteria for:
Bipolar I Disorder, single manic Episode
Term
1. One Manic Episode and no previous Major Depressive Episodes.
2. The is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder. or Psychotic Disorder Not Otherwise Specified.
Definition
What are the criteria for:
Histrionic Personality Disorder
Term
Pattern of seeking attention and extreme emotionality as indicated by at least five of the Following: Uncomfortable if not the center of attention.
Acts provocatively or sexually seductively.
Shifting and shallow expression of emotions.
Attracts attention with physical appearance.
Uses impressionistic, undetailed speaking style.
Uses theatrical expressions of emotion.
Is unduly suggestible.
Perceives more intimacy in relationships than actually exists.
Definition
What are the:
Factitious Disorders
Term
Factitious Disorder With Predominately Psychological Signs and Symptoms
Factitious Disorder With Predominately Physical Signs and Symptoms
Factitious Disorder With Combined Psychological and Physical Signs and Symptoms
Factitious Disorder Not Otherwise Specified
Note: Factitious Disorder alone is not a diagnosis.
Definition
What are the:
Characteristics for Hypomanic Episode
Term
At least four days of persistently expansive or irritable mood.
2. At least three (four if only irritable) symptoms persist.
3. Uncharacteristic change in functioning.
4. Disturbance in mood and the change in functioning are observable by others.
5. No marked impairment in social or occupational functioning. Does not require hospitalization. No Psychotic features.
6. Not due to a substance or a General Medical Condition.
Definition
Name schizophrenia and other Psychotic Disorders
Term Schizophrenia Schizophreniform Disorder Schizoaffective Disorder Delusional Disorder Brief Psychotic Disorder Shared Psychotic Disorder Psychotic Disorder Due to a General Medical Condition Substance-Induced Psychotic Disorder Psychotic Disorder Not Otherwise Specified Definition
What are the:
Depressive Disorders
Term
Major Depressive Disorder, Single Episode
Major Depressive Disorder, Recurrent
Dysthymic Disorder
Depressive Disorder Not Otherwise Specified
Definition
What are the:
Characteristics for Panic Disorder with Agoraphobia
Term
1. Both of the Following: Recurrent and unexpected Panic Attacks.
One or more of these symptoms follows the attacks for at least one month:
a persistent concern about more attacks
worry about implications or consequences of the attack
significant change in behavior resulting from the attacks
2. Agoraphobia is present.
3. Neither a substance nor a General Medical Condition accounts for the Panic Attacks.
Definition
What are the:
Characteristics for Major Depressive Episode
Term
At least five symptoms, differing from previous functioning, present during a two week period. One of the symptoms must be either depressed mood or loss of interest or pleasure.
2. Not a Mixed Episode.
3. The symptoms cause diStress or impairment in social, occupational, or other important functioning.
4. Not due to a substance or a General Medical Condition.
5. Not Bereavement.
Definition
What are the:
Characteristics for Bipolar I Disorder, most recent Episode unspecified
Term
1. Other than duration, a Manic, Hypomanic, Mixed, or Major Depressive Episode is current and most recent.
2. At least one previous Manic Episode or Mixed Episode.
3. DiStress or impairment in social, occupational, or other important functioning.
4. Symptoms in A and B above are not better accounted for by Schizoaffective Disorder. Neither are they superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
5. Symptoms in A and B are not due to a substance or a General Medical Condition.
Definition
What are the criteria for:
Schizoaffective Disorder
Term
1. Uninterrupted period of illness that concurrently includes:
Symptoms meeting Item “A” for Schizophrenia, and either a Major Depressive Episode, a Manic Episode, or a Mixed Episode.
2. Delusions or hallucinations for at least 2 weeks with no prominent mood symptoms.
3. Mood Episode symptoms present for large portion of the entire duration of the Disorder’s active and residual periods.
4. Not caused by a substance or General Medical Condition.
Definition
What are the:
Dementia Disorders
Term Dementia of the Alzheimer's type Vascular Dementia Dementia Due to: HIV Disease Head Trauma Parkinson's Disease Huntington's Disease Pick's Disease Creutzfeldt-Jakob Disease Dementia Due to Other General Medical Conditions Substance-Induced Persisting Dementia Dementia Due to Multiple Etiologies Dementia Not Otherwise Specified Definition
What are the:
Impulse-control Disorders not elsewhere classified
Term Intermittent Explosive Disorder Kleptomania Pyromania Pathological Gambling Trichotillomania Impulse-Control Disorder Not Otherwise Specified Definition
What are the:
Cluster B Personality Disorders and state their commonalities
Term Antisocial Personality Disorder Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder These individuals often appear dramatic, emotional, or erratic. Definition
What are the:
Somatoform Disorders
Term Somatization Disorder Undifferentiated Somatoform Disorder Conversion Disorder Pain Disorder Hypochondriasis Body Dysmorphic Disorder Somatoform Disorder Not Otherwise Specified Definition
Name and describe the sleep Disorders
Term
Primary Sleep Disorders
Dyssomnias: Disturbance in amount, quality, or timing of sleep.
Parasomnias: Abnormal event during sleep.
Sleep Disorder Related to Another Mental Disorder
Sleep Disorder Due to a General Medical Condition
Substance-Induced Sleep Disorder
Definition
What are the:
Characteristics for Breathing-related Disorders
Term
1. Extraordinary sleepiness or insomnia caused by a sleep-related breathing Condition.
2. Not caused by another Mental Disorder, or a substance, or a general non-breathing-related Medical Condition.
Definition
What are the:
Medication-induced movement Disorders, and the other medication-induced Disorder
Term Medication-Induced Movement Disorders: Neuroleptic-Induced Parkinsonism Neuroleptic Malignant Syndrome Neuroleptic-Induced Acute Dystonia Neuroleptic-Induced Acute Akathisia Neuroleptic-Induced Tardive Dyskinesia Medication-Induced Postural Tremor Medication-Induced Movement Disorder Not Otherwise Specified Other Medication-Induced Disorder: Adverse Effects of Medication Not Otherwise Specified Definition
What are the:
Characteristics for Hypochondriasis
Term
1. Misinterpreting physical symptoms as being caused by a serious disease.
2. Medical reassurances do not allay the preoccupation.
3. Neither delusional nor simply concern about appearance.
4. DiStress or impairment in social, occupational, or other important functioning.
5. Lasts at least 6 months.
6. Not better explained by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or any other Somatoform Disorder.
Definition
What are the:
Characteristics for Depersonalization Disorder
Term
1. Persistent or repeated feelings of being detached from one’s self.
2. Reality testing is intact.
3. DiStress or impairment in social, occupational, or other important functioning.
4. Not solely during another Mental Disorder. Also not due to substance or a General Medical Condition.
Definition
What are the:
Characteristics for Bipolar I Disorder, most recent Episode depressed
Term
1. Major Depressive Episode is current or most recent.
2. At least one previous Manic Episode or Mixed Episode.
3. Episodes in A and B are not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
Definition
What are the:
Characteristics for Mood Disorder due to General Medical Condition
Term
1. Prominent and persistent mood disturbance that includes either or both:
Depressed mood or decreased interest or pleasure in activities.
Elevated, expansive, or irritable mood.
2. Physiological result of a General Medical Condition.
3. Not solely during delirium.
4. DiStress or impairment in social, occupational, or other important functioning.
Definition
What are the:
Characteristics for Bipolar I Disorder, most recent Episode mixed
Term
1. Mixed Episode is current or most recent.
2. At least one previous Major Depressive Episode, Manic Episode, or Mixed Episode.
3. Episodes in A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
Definition
What are the:
Types of personality change due to a General Medical Condition
Term Labile Type: Affective lability. Disinhibited Type: Poor impulse control. Aggressive Type: Aggressive behavior. Apathetic Type: Apathy and indifference. Paranoid Type: Suspiciousness Other Type. Combined Type. Unspecified Type. Definition
Describe how traumatic events are reexperienced in posttraumatic Stress Disorder
Term
At least one of the Following: DiStressing recollections of the event that both recur and intrude.
DiStressing and recurring dreams of the event.
Acting or feeling as if the event were recurring.
Intense diStress when exposed to cues that symbolize or are similar to the event.
Physiological reactivity when exposed to cues that symbolize or are similar to the event.
Definition
What are the:
Delusional Disorder types
Term Erotomanic Grandiose Jealous Persecutory Somatic Mixed Unspecified Definition
What are the:
Characteristics for Body dysmorphic Disorder
Term
1. Excessive concern for imaginary appearance defects or minor anomalies.
2. DiStress or impairment in social, occupational, or other important functioning.
Definition
What are the:
Cluster A Personality Disorders and state their commonalities
Term Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder These individuals often appear odd or eccentric. Definition
What are the:
Additional codes
Term
Unspecified Mental Disorder (nonPsychotic)
No Diagnosis or Condition on Axis I.
Diagnosis or Condition Deferred on Axis I
No Diagnosis on Axis II
Diagnosis Deferred on Axis II
Definition
What are the criteria for:
Substance or General Medical Condition exclusion for schizophrenia
Term
Disturbance not due to a substance or General Medical Condition.
Definition
Describe the criteria for schizoaffective and mood Disorder exclusion for schizophrenia
Term
Schizoaffective Disorder and Mood Disorder With Psychotic Features are ruled out because of either:
No Major Depressive, Manic, or Mixed Episodes have occurred in tandem with active-phase symptoms.
Total duration of any mood symptoms is shorter than the active and residual periods.
Definition
What are the:
Communication Disorders
Term
Expressive language Disorder
Mixed Receptive-Expressive Language Disorder
Phonological Disorder
Stuttering
Communication Disorder Not Otherwise Specified
Definition
What are the:
Schizophrenic subtypes
Term Paranoid Type Disorganized Type Catatonic Type Undifferentiated Type Residual Type Definition
What are the:
Characteristics for Substance-induced Anxiety Disorder
Term
1. Obsessions or compulsions, prominent Anxiety, or panic attacks.
2. Either:
Symptoms in Item A developed during or within 1 month of substance intoxication/withdrawal or medication use relates to the disturbance.
3. The disturbance cannot be better accounted for by an Anxiety Disorder that is not substance induced.
4. Not exclusively during delirium.
5. DiStress or impairment in social, occupational, or other important functioning.
Definition
What are the:
Psychological factors affecting Medical Condition
Term Mental Disorder Psychological Symptoms Personality Traits or Coping Style Maladaptive Health Behaviors Stress-Related Physiological Response Other or Unspecified psychological or behavioral factors Definition
What are the:
Characteristics for Social phobia
Term
1. Marked and persistent fear of situations involving unfamiliar or scrutiny by others, with a fear of humiliation or embarrassment.
2. The feared social situation causes Anxiety.
3. The individual realizes that the fear is extreme.
4. The feared social or performance situations are either endured with intense Anxiety, or avoided.
5. Phobic response interferes with the person’s normal routine, activities, functioning, or relationships; or there is diStress.
6. If the person is under age 18 years, the Disorder last 6 months or more.
7. Not due to a General Medical Condition or a substance.
8. The fear in Item A is not related to a General Medical Condition or a substance.
9. The fear in Item A is not related to a General Medical Condition or other Mental Disorder.
Definition
Describe symptoms of increased arousal in posttraumatic Stress Disorder
Term At least two of the Following: Getting to or staying asleep is difficult. Testiness or outbursts of anger. Concentration becomes difficult. Excessive vigilance. Startle response is exaggerated. Definition
What are the: Characteristics for (general) factitious Disorder
Term
1. Purposeful creation or feigning of signs or symptoms (physical or psychological).
2. Assuming the sick role is the motivation.
3. External incentives are not present.
Definition
What are the:
Adjustment Disorder subtypes
Term
Adjustment Disorder With Depressed Mood
Adjustment Disorder With Anxiety
Adjustment Disorder With Mixed Anxiety and Depressed Mood
Adjustment Disorder With Disturbance Of Conduct
Adjustment Disorder With Mixed Disturbance of Emotions and Conduct
Adjustment Disorder Unspecified
Definition
What are the criteria for:
A Personality Disorder
(There are six criteria.)
Term
1. Pattern of inner behavior and experience that distinctly deviates from cultural expectations in at least two of the following ways:
Cognition
Affectivity
Interpersonal functioning
Impulse control
2. The pattern is inflexible and pervasive.
3. DiStress or impairment in social, occupational, or other important functioning.
4. The pattern began in adolescence or early adulthood and is both stable and enduring.
5. Not better accounted for as a result of another Mental Disorder.
6. Not caused by a substance or a General Medical Condition.
Definition
What are the criteria for:
Substance dependence
Term
Substance abuse with at least three of the following within a 12-month period.:
Tolerance.
Withdrawal.
Increased substance consumption.
Wish to reduce or limit substance use.
Obtaining, using, or recovering from the substance consumes considerable time.
Elimination or reduction of social, occupational, or recreational activities.
Substance use continues despite awareness of consequent problems.
Note: Substance Dependence alone is not a diagnosis. See each substance.
Definition
What are the:
Amnestic Disorders
Term
Amnestic Disorder Due to a General Medical Condition.
Substance-Induced Persisting Amnestic Disorder
Amnestic Disorder Not Otherwise Specified
Definition
What are the criteria for:
Substance intoxication
Term
1. A reversible substance-specific syndrome develops due to ingestion of or exposure to a substance.
2. Maladaptive psychological or behavioral changes caused by the substance during or shortly after use.
3. Symptoms not due to a General Medical Condition.
Note: Substance Intoxication alone is not a diagnosis. See each substance.
Definition
What are the:
Characteristics for Manic Episode
Term
At least one week of unusually and persistently expansive or irritable mood.
2. At least three symptoms (4 if only irritable) have persisted during the disturbance,
3. Not a Mixed Episode.
4. Impairs occupational functioning, social activities or relationships. May require hospitalization to prevent injury to self or others. May include Psychotic features.
5. Not due to substance or a General Medical Condition.
Definition
What are the:
Characteristics for Factitious Disorder with combined psychological and physical signs and symptoms
Term
1. Meets criteria for (General) Factitious Disorder.
2. Psychological and physical symptoms and signs are present but neither predominates.
Definition
What are the:
Characteristics for Schizotypal Personality Disorder
Term 1. Pattern of interpersonal and social deficiencies indicated by at least five of the Following: Ideas (excluding delusions) of reference. Odd beliefs or magical thinking. Unusual perceptions. Odd speech or thought patterns. Suspiciousness. Inappropriate or limited affect. Peculiar behavior or appearance. No close friends Extreme social Anxiety. 2. Not solely during schizophrenia, a Mood Disorder With Psychotic Features, another Psychotic Disorder, or a Persuasive DevelopMental Disorder. Definition
What are the criteria for:
Schizophrenia, disorganized type
Term 1. All of the following are manifest: Disorganized speech. Disorganized behavior. Flat or inappropriate affect. 2. Not Catatonic Type. Definition
What are the:
Characteristics for Hypersomnia related to another Medical Disorder
Term
1. For at least 1 month, excessive sleepiness manifested by either daytime sleep or long sleep Episodes.
2. DiStress or impairment in social, occupational, or other important functioning.
3. The hypersomnia relates to another Axis I or Axis II Disorder yet requires independent clinical attention for its severity.
4. Not due to insufficient sleep.
5. Not caused by a substance or a General Medical Condition
Definition
What are the:
Characteristics for Sleep Disorder due to a General Medical Condition
Term
1. A severe sleep disturbance that calls for independent clinical attention.
2. Caused by a General Medical Condition.
3. Not solely during delirium.
4. Not Breathing-Related Sleep Disorder or Narcolepsy.
5. DiStress or impairment in social, occupational, or other important functioning.
Definition
What are the criteria for:
Substance-induced Psychotic Disorder
Term
1. Conspicuous hallucinations or delusions.
2. Either of these:
Criterion 1 symptoms developed during a within a month of Substance Intoxication or Withdrawal.
Medication use directly relates to the disturbance.
3. Not better described by a Psychotic Disorder that is not substance induced.
4. Not solely during delirium.
Definition
What are the:
Characteristics for Catatonic Disorder due to a General Medical Condition
Term
1. Motoric immobility, excess motor activity, extreme negativism, voluntary movement peculiarities, echolalia or echopraxia.
2. The disturbance is the direct consequence of a General Medical Condition.
3. Not exclusively during delirium.
Definition
Describe the symptoms of destruction to property, and deceitfulness or theft, for conduct Disorder
Term
Destruction of Property:
Deliberate fire setting.
Deliberate destruction of others’ property.
Deceitfulness or theft:
Breaking into someone else’s house, building, or car.
Lying to obtain goods or favors, or to avoid obligations.
Has stolen nontrivial but valuable items without confronting the victim.
Definition
Describe delirium, dementia, amnestic and other cognitive Disorders
Term
Delirium: consciousness disturbances and cognitive changes that develop in a brief period.
Dementia: a set of cognitive deficiencies that include memory impairment.
Amnestic Disorder: memory impairment without other cognitive impairment.
Cognitive Disorder Not Otherwise Specified
Definition
What are the:
Dissociative Disorders
Term Dissociative Amnesia Dissociative Fugue Dissociative Identity Disorder Depersonalization Disorder Dissociative Disorder Not Otherwise Specified Definition
What are the:
Characteristics for Cyclothymic Disorder
Term
1. Many periods over 2+ years with hypomanic symptoms (but not a Major Depressive Disorder Episode).
2. During the 2 year period, symptoms do not disappear for more than 2 months at a time.
3. No Major Depressive Episode, Manic Episode, or Mixed Episode appears during the first two years of the disturbance.
4. Symptoms not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
5. Not due to a substance or a General Medical Condition.
6. DiStress or impairment in social, occupational, or other important functioning.
Definition
What are the criteria for:
Generalized Anxiety Disorder
Term
1. Excess Anxiety and worry about a number of events for more days than not for at least six months.
2. Difficulty in controlling the worry.
3. Three or more specific symptoms.
4. Anxiety and worry not confined to aspects of an Axis 1 Disorder and not limited to Posttraumatic Stress Disorder.
5. Impairment in social, occupational, or other important functioning.
6. Not due to a substance or a General Medical Condition. Not limited to Mood, Psychotic, or Pervasive DevelopMental Disorders.
Definition
What are the criteria for:
Schizophrenia, paranoid type
Term 1. One or more prominent delusions or repeated auditory hallucinations. 2. None of these is prominent: Disorganized speech Disorganized behavior Catatonic behavior Flat or inappropriate affect. Definition
What are the:
Mood Episodes
Term Major Depressive Episode Manic Episode Mixed Episode Hypomanic Episode Note: Mood Episodes is not codable. See specific Mood Disorders. Definition
Name other Disorders of infancy, childhood, or adolescence
Term
Separation Anxiety Disorder
Selective Mutism
Reactive Attachment Disorder of Infancy or Early Childhood
Stereotypic Movement Disorder
Disorder of Infancy, Childhood, or Adolescence Not Otherwise Specified
Definition
What are the:
Problems related to abuse or neglect
Term Physical Abuse of Child Sexual Abuse of Child Neglect of Child Physical Abuse of Adult Sexual Abuse of Adult Definition
What are the criteria for:
Antisocial Personality Disorder
Term
1. Since age 15, a disregard for and violation of others’ rights as indicated by at least three of the Following: Illegal Behavior.
Deceitfulness.
Impulsiveness.
Irritable and aggressive conduct.
Disregard for safety of others and self.
Irresponsible behavior.
Lack of remorse.
2. The person is at least age 18 years.
3. Conduct Disorder with onset prior to age 1
5.
4. Not solely during the course of Schizophrenia or a Manic Episode.
Definition
What are the:
Characteristics for Mixed Episode
Term
1. Qualifies as both a Manic Episode and a Major Depressive Episode (excepting duration) nearly every day for a week or more.
2. Impairs occupational functioning, social activities or relationships. May require hospitalization to prevent injury to self or others. May include Psychotic features.
3. Not due to a substance or a General Medical Condition.
Definition
What are the criteria for:
Conditions regarding relationship to a pervasive developMental Disorder for schizophrenia
Term
If there is any history of Autistic Disorder (or some other Pervasive DevelopMental Disorder), make additional diagnosis of Schizophrenia only if:
Conspicuous delusions or hallucinations are present.
Duration is at least one month.
Duration is less than one month.
Duration is less than one month if successfully treated.
Definition
What are the:
Bipolar Disorders
Term Bipolar I Disorder Single Manic Episode Most Recent Episode Hypomanic Most Recent Episode Manic Most Recent Episode Mixed Most Recent Episode Depressed Most Recent Episode Unspecified Bipolar II Disorder Cyclothymia Bipolar Disorder Not Otherwise Specified * Definition
What are the criteria for:
Autistic Disorder
Term
1. A total of six or more of the following items, at least two of each which come from group 1, with one each from groups 2 and 3:
At least two symptoms of qualitative impairment in social interaction.
At least one symptom of qualitative impairment in communication. At least one symptom of restricted repetitive and stereotyped patterns of behavior, interests, and activities.
2. Delays or abnormalities in at least one of the following areas with onset prior to age 3:
Social Interaction.
Social Language communication.
Symbolic or imaginative play.
3. Not better accounted for by Rett’s Disorder or Childhood Disintegrative Disorder.
Definition
What are the:
Characteristics for Pain Disorder associated with psychological factors
Term
1. Meets the criteria for (General) Pain Disorder.
2. Psychological factors account for pain.
3. Any General Medical Condition that exists is secondary.
4. Do not diagnose if Somatization Disorder is present.
Definition
What are the criteria for:
Major Depressive Disorder, single Episode
Term
1. Presence of one Major Depressive Episode.
2. The Episode is not better accounted for by Schizoaffective Disorder, and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
3. No Manic Episode, Mixed Episode, Hypomanic Episode has ever occurred.
Definition
What are the criteria for:
Acute Stress Disorder
Term
1. The individual experiences a traumatic event that includes both:
Participating, witnessing, or confronting an event that involves actual or threatened death or serious injury.
Intense fear, helplessness, or horror.
2. During or afterwards, the person has at least three dissociative symptoms.
3. Persistent reexperiencing of the event in at least one way.
Avoiding stimuli that recall the trauma.
Marked symptoms of Anxiety or increased arousal.
DiStress or impairment in social, occupational or other important functioning.
Occurs within four weeks of the trauma. Lasts at least 2 days and at most four weeks.
Not caused by a substance or a General Medical Condition.
Not simply a worsening of a preexisting Axis I or Axis II Disorder.
Definition
What are the criteria for:
Conduct Disorder
Term
1. A repetitive and persistent pattern of violating major age-appropriate societal norms or the rights of others. Requires at least three symptoms in the past 12 months (at least one in the past 6 months):
Aggression to people and animals.
Destruction of property.
Deceitfulness or theft.
Serious violation of the rules.
2. Impairment in social, academic, or occupational functioning.
3. For individuals 18 years or older, criteria not met for Antisocial Personality Disorder.
Definition
What are the criteria for:
Delusional Disorder
Term
1. Nonbizarre delusions lasting at least one month.
2. Item “A” for Schizophrenia never met.
3. Functioning not impaired and behavior not odd or bizarre.
4. If mood Episodes occur with delusions, they have been brief relative to the delusional periods.
5. Not caused by a substance or a General Medical Condition.
Definition
What are the:
Characteristics for Factitious Disorder with predominantly psychological signs and symptoms
Term
1. Meets criteria for (General) Factitious Disorder.
2. Psychological signs and symptoms predominate.
Definition
What are the:
Eating Disorders
Term Anorexia Nervosa Bulimia Nervosa Eating Disorder Not Otherwise Specified Definition
What are the:
Categories of other Conditions that may be a focus of clinical attention
Term Psychological Factors Affecting Medical Condition Medication-Induced Movement Disorders Other Medication-Induced Disorders Relational Problems Problems Related to Abuse or Neglect Additional Conditions that May Be a Focus of Clinical Attention. Definition
Describe the symptoms of negativistic, hostile, and Defiant behavior for Oppositional Defiant Disorder
Term Loses temper. Argues with adults. Does not comply with adults' requests or rules. Purposefully annoys people. Blames others for their mistakes or misbehavior. Readily annoyed by others. Angry and resentful. Spiteful and vindictive. Definition
What are the:
Characteristics for Pathological gambling
Term
1. Involves at least five of the Following: Preoccupation with gambling.
Using larger amounts of money.
Repeated attempts to cut back and stop.
Irritable when trying to cut back or stop.
Gambles to escape problems or to relieve a dysphoric mood.
Keeps gambling after losing.
Lies to conceal the gambling.
Commits illegal acts to obtain funds.
A significant relationship, job, or career opportunity is lost or jeopardized.
Turns to others for relief money.
2. A Manic Episode doesn’t better account for the gambling.
Definition
What are the:
Characteristics for A Panic attack
Term Period of intense of fear or discomfort with at least four of the following systems developed abruptly and peaked within 10 minutes: Palpitations or accelerated heart rate Sweating Trembling Shortness of breath Sensation of choking Chest pain Nausea or abdominal upset Feeling dizzy, lightheaded, or faint. Depersonalization or feelings of unreality Fear of losing control Fear of dying Numbness or tingling (Paresthesias) Chills or hot flushes. Note: Panic Attack is not a diagnosis. Definition
Describe how stimuli are avoided in posttraumatic Stress Disorder
Term
At least three or more of the Following: Efforts to avoid associated thoughts, feelings, or conversations.
Efforts to avoid people, places, or activities that stimulate recollections of the trauma.
Failure to recollect some important aspect of the trauma.
Markedly reduced interest or participation in important activities.
A sense of detachment or alienation from others.
Restricted affective range.
Sense of future life constrictions.
Definition
Describe the diagnostic criteria for Psychotic Disorder due to a General Medical Condition
Term
1. Manifest hallucinations or delusions.
2. Direct result of a General Medical Condition.
3. Not solely during delirium.
Definition
What are the:
Additional Conditions that may be a focus of clinical attention
Term Noncompliance With Treatment Malingering Adult Antisocial Behavior Child or Adolescent Antisocial Behavior Borderline Intellectual Functioning Age-Related Cognitive Decline Bereavement Academic Problem Occupational Problem Identity Problem Religious or Spiritual Problem Acculturation Problem Phase of Life Problem Definition
What are the criteria for:
Duration requirements for schizophrenia
Term
Continuous signs for at least 6 months.
At least 1 month meets item “A” active-phase symptoms.
May include periods of promodal or residual symptoms.
During promodal or residual signs may include only negative symptoms or at least two item “A” active-phase symptoms (in attenuated form).
Definition
What are the:
Categories of Disorders usually first diagnosed in infancy, childhood, or adolescence
Term Mental Retardation Learning Disorders Motor Skills Disorders Communication Disorders Pervasive DevelopMental Disorders Attention-Deficit and Disruptive Behavior Disorders Feeding and Eating Disorders of Infancy and Early Childhood Tic Disorders Elimination Disorders Other Disorders of Infancy, Childhood, or Adolescence Definition
What are the:
Characteristics for Substance-induced mood Disorder
Term
1. Prominent and persistent mood disturbance that includes either or both:
Depressed mood or markedly diminished interest or pleasure in activities.
Elevated, expansive or irritable mood.
2. Either:
Symptoms in A above develop during or within one month of Substance Intoxication or Withdrawal.
Medication use relates etiologically to the disturbance.
3. The disturbance cannot be better accounted for by a Mood Disorder not substance induced.
4. Not solely during delirium.
5. DiStress or impairment in social, occupational, or other important functioning.
Definition
What are the:
Characteristics for Specific phobia
Term
1. Existence or anticipation of specific objects or situations triggers excessive fear that is both marked and persistent.
2. Exposure to the object or situation causes an Anxiety response.
3. The individual realizes that the fear is unreasonable.
4. The object or situation is either endured with intense Anxiety or diStress or avoided.
5. The phobic response significantly interferes with the person’s normal routine, activities, functioning, or relationships.
6. If the person is under age 18 years, the Disorder lasts 6 months or more.
Definition
What are the criteria for:
Dependent Personality Disorder
Term
Extreme need to be taken care of as indicated by at least five of the Following: Difficulty in decision-making.
Requires others to bear responsibility in major areas of his or her life.
Has difficulty disagreeing with others.
Difficulties in initiating projects.
Goes to lengths to obtain support of others.
Uncomfortable or helpless when alone.
Urgently needs care and support from a new relationship when a close bond ends.
Unrealistic fears about taking care of himself or herself.
Definition
What are the:
Characteristics for Bipolar I Disorder, most recent Episode manic
Term
1. Manic Episode is current or most recent.
2. At least one previous Major Depressive Episode, Manic Episode, or Mixed Episode.
3. Episodes in A and B are not better accounted for by Schizoaffective Disorder. Neither are they superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified
Definition
What are the:
Characteristics for Personality change due to a General Medical Condition
Term
1. Persistent personality disturbance that differs from a previous personality.
2. Results from a General Medical Condition.
3. Not solely during delirium.
4. DiStress or impairment in social, occupational, or other important functioning.
Definition
Describe the symptoms of inappropriate and excessive Anxiety, for separation Anxiety Disorder
Term
Excessive diStress at separation from home or from major attachment figures.
Excessive concern for major attachment figures.
Excessive worry that an unfavorable event will cause separation from a major attachment figure.
Fear of separation accounts for reluctance or refusal to go somewhere.
Extreme fear of being alone.- Reluctance or refusal to go to sleep when not near a major attachment figure.
Nightmares about separation.
Actual or anticipated separation from major attachment figures causes complaints of physical ailments.
Definition
What are the criteria for:
Shared Psychotic Disorder
Term
1. Delusion develops in a person who is in a relationship with another person who already has a delusion.
2. Delusion is similar to the pre-established delusion of the other person.’
3. Not better described by another Psychotic Disorder or a Mood Disorder with Psychotic features. Neither is caused by a substance or a General Medical Condition.
Definition
What are the criteria for:
Schizophrenia, catatonic type
Term
At least two of the Following: Motoric immobility.
Purposeless or excessive motor activity.
Extreme negativism or mutism.
Odd voluntary movements or mannerisms.
Echolalia or echopraxia.
Definition
What are the criteria for:
Social and/or occupational dysfunction for schizophrenia
Term For a significant portion of time since disturbance onset, at least one of the following major functioning areas is (are) markedly below pre-onset level: Work. Interpersonal relations. Self-care. Definition
What are the criteria for:
Narcissistic Personality Disorder
Term
Pervasive pattern of admiration seeking, grandiosity, and lack of empathy, that includes at least five of the Following: Grandiose feeling of self-importance.
Fantasizes success, power, brilliance, beauty, or love.
Sees self as special and unique.
Demands inordinate admiration.
Believes in self entitlement.
Exploits others.
Not empathic.
Envies others or thinks they envy him or her.
Is arrogant and haughty.
Definition
What are the:
Characteristics for Factitious Disorder with predominantly physical signs and symptoms
Term
1. Meets criteria for (General) Factitious Disorder.
2. Physical signs and symptoms predominate.
Definition
Describe the symptoms of serious violations of rules for conduct Disorder
Term
Beginning before age 13, ignores parental prohibitions regarding staying out at night
Has run away from home, overnight at least twice or for a long duration once.
Beginning before age 13, skips school.
Definition
What are the criteria for:
Characteristic (active-phase) symptoms for schizophrenia
Term At least two (only one under certain Conditions) of the following symptoms appear for a significant portion of a one month period (less if successfully treated): Delusions. Hallucinations. Disorganized speech. Grossly disorganized or catatonic behavior. Negative symptoms. Definition
What are the:
Characteristics for Obsessive-compulsive Disorder
Term
1. Either obsessions or compulsions.
2. The individual realizes that the obsessions or compulsions are extreme.
3. Obsessions or compulsions cause marked diStress, consume more than one hour per day, or interfere considerably with normal functioning, activities and relationships.
4. The obsessions or compulsions are not limited to any other Axis I Disorder that may not be present.
5. Not due to a substance or General Medical Condition.
Definition
What are the criteria for:
Substance withdrawal
Term
1. Substance-specific syndrome development caused by reducing or ceasing substance use.
2. The substance-specific syndrome causes diStress or impairment in social, occupational, or other important functioning.
3. A General Medical Condition does not cause the symptoms.
Note: Substance Withdrawal alone is not a diagnosis. See each substance.
Definition
What are the:
Characteristics for Panic Disorder without Agoraphobia
Term
1. Both of the Following: Recurrent and unexpected Panic Attacks.
One or more of these symptoms follows the attacks for at last one month:
persistent concern about more attacks
worry about implications or consequences of the attack
significant change in behavior resulting from the attacks
2. No Agoraphobia is present.
3. Neither a substance nor a General Medical Condition accounts for the Panic Attacks.
Definition
Describe how traumatic event is reexperienced in acute Stress Disorder
Term Recurrence of at least one of the Following: Images Thoughts Dreams Illusions Flashbacks A sense of reliving the experience. DiStress when reminded of the event. Definition
What are the criteria for:
Substance abuse
Term
1. Substance abuse with at least one of the following within a 12-month period:
Failure in work, school, home, or other major obligations.
Use of substance in physically dangerous situations.
Legal related to substance use.
Continued use despite consequent social and interpersonal problems.
2. Symptoms never met for Substance Dependence for given substance class.
Definition
What are the:
Symptoms for generalized Anxiety Disorder
Term At least three of the following symptoms, experienced for more days than not during the preceding 6 months: Restlessness Fatigue Problems with concentration Irritability Muscle tension Sleep disturbance. Definition
What are the:
Characteristics for Posttraumatic Stress Disorder
Term
1. The individual experiences a traumatic event that includes both:
Participating, witnessing, or confronting and event that involves actual or threatened death or injury.
Intense fear, helplessness or horror.
2. The individual persistently reexperiences the traumatic event in at least one way.
3. The individual persistently avoids stimuli associated with the trauma and experiences numbing of general responsiveness in at last three ways.
4. The person experiences persistent symptoms of increased arousal in at least two ways.
5. The symptoms in Items B, C, and D last more than one month.
6. Impairment in important functioning.
Definition
What are the:
Item “B” symptoms for manic Episode
Term Inflated self-esteem. Reduced need for sleep. Unusually talkative. Racing thoughts or flight of ideas. Distractibility. Psychomotor agitation or increase in goal-oriented activities. Involvement in activities that give pleasure but are likely to bring pain. Definition
What are the criteria for:
Obsessive-compulsive Personality Disorder
Term
Pervasive pattern of perfectionism, control and orderliness as indicated by four or more of the Following: Preoccupation with details and order.
Perfectionism interferes with getting work done.
Work supersedes leisure activities.
Inflexible in moral and ethical matters.
Difficulty in discarding worthless objects.
Hesitates to delegate tasks or work with others.
Stingy spending habits.
Stubborn and rigid.
Definition
What are the:
Characteristics for Conversion Disorder
Term
At least one voluntary motor or sensory function deficit.
2. Psychological factors are associated.
3. Symptom or deficit is not purposely faked or produced.
4. Symptom or deficit is not due to General Medical Condition, a substance, or a culturally-approved behavior or experience.
5. DiStress or impairment in social, occupational, or other important functioning, or calls for Medical evaluation.
6. Symptom or deficit not restricted to pain or sexual dysfunction. Not occurring solely during Somatization Disorder.
Definition
What are the criteria for:
Avoidant Personality Disorder
Term
A pervasive pattern of inadequacy, insensitivity, and inhibition, indicated by at least four of the Following: Avoids occupational activities involving interpersonal contact.
Shuns involvement with unless sure of being liked.
Restrained in intimate relationships.
Preoccupied by criticism or social rejection.
Inhibition and feelings of inadequacy in new situations.
Feels inept, unappealing, inferior.
Avoids personal risks or potentially embarrassing activities.
Definition
Describe the dissociative symptoms of acute Stress Disorder
Term
At least three of the Following: Numbing, detachment, or lack of emotional responsiveness.
Reduced awareness of the individual’s surroundings.
Derealization.
Depersonalization.
Dissociative amnesia.
Definition
What are the criteria for:
Brief Psychotic Disorder
Term
At least one of these symptoms:
Delusions
Hallucinations
Disorganized speech
Behavior that is grossly disorganized or catatonic
2. Disturbance lasts from 1 day to less than 1 month with return to premorbid levels.
3. Not better described by Mood Disorder With Psychotic Features, Schizoaffective Disorder, or Schizophrenia. Also not due to a substance or a General Medical Condition.
Definition
What are the:
Characteristics for Agoraphobia without history of panic Disorder
Term
1. Agoraphobia connected to fear of developing panic-like symptoms.
2. Criteria not met for Panic Disorder.
3. Not caused by a substance or a general medica Condition.
4. If a General Medical Condition is present, the fear noted in Item A clearly exceeds expectations for the Condition.
Definition
What are the:
Characteristics for Bipolar II Disorder
Term
1. One or more Major Depressive Episodes.
2. At least one Hypomanic Episode.
3. Never a Manic or Mixed Episode.
4. Items A and B are not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
5. DiStress or impairment in social, occupational, or other important functioning.
Definition
