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Psychiatry > DSM criteria > Flashcards

DSM criteria Flashcards

1
Q

DSM Schizophrenia

A

A: 2+ Sx over a one month period
B: Dysfunction in work, relationships or self care
C: Duration of 6 months
D: Not attributable to other psych, substance or medical condition

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2
Q

Schizophrenia criteria A symptoms

A
  • Delusions
  • Hallucination
  • Disorganised speech
  • Grossly disorganised / catatonic behaviour
  • Negative symptoms (flattening, alogia, avolution)
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3
Q

What is brief psychotic disorder?

A

Sudden onset of psychotic symptoms without prodrome duration of less than a month and full recovery

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4
Q

DSM brief psychotic disorder

A

A: 2+ Sx
B: Duration less than one month
C: Not attributable to other psych, substance or medical condition

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5
Q

Brief psychotic disorder criteria A symptoms

A
  • Delusions
  • Hallucination
  • Disorganised speech
  • Grossly disorganised / catatonic behaviour
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6
Q

DSM schizoaffective disorder

A
  • A period of illness with a major mood disorder concurrent with schizophrenia criteria A symptoms
    + more
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7
Q

DSM delusional disorder

A

A: Presence of 1+ delusions for duration of a month ot more
B: Criterion A for schizophrenia have never been met
C: Other than related to delusion, functioning is not impaired and behaviour is not obviously bizarre
D: If there’s been mood issues, they’re brief relative to the duration of the delusional period
E: Not attributable to other psych, substance or medical condition

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8
Q

DSM Major depressive disorder

A

A: 5+ Sx
B: Significant distress or impairment
C & D: Not attributable to other psych, substance or medical condition
E: There has never been any hypo/manic episode

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9
Q

MDD criteria A symptoms

A
  1. Depressed mood most the day nearly every day
  2. Anhedonia
  3. Change in weight
  4. Change in sleep
  5. Psychomotor change
  6. Fatigue or low energy
  7. Worthlessness/guilt
  8. Impaired concentraion
  9. Reccurent thoughts of death/suicide
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10
Q

DSM BPAD 1

A

A: At least one manic episode
B: Not better explained by another psych disorder

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11
Q

DSM Manic episode

A

A. 1 week or more of elevated, expansive or irritable mood
B. 3+ Sx
C. Marked impairment, or requiring admission
D. Not attributable to effects of substance or medical condition

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12
Q

Manic/Hypomanic episode citeria B symptoms

A
  1. Inflated self esteem or grandiosity
  2. Decreased need for sleep
  3. Talkative
  4. Racing thoughts
  5. Distractability
  6. Goal-oriented activity
  7. Risky behaviour
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13
Q

DSM Hypomanic episode

A

A. 4 days or more of elevated, expansive or irritable mood
B. 3+ Sx
C. Change in functioning
D. But not severe enough to cause marked impairment
E. Not attributable to effects of substance or medical condition

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14
Q

DSM BPAD II

A
  • Current or past hypomanic episode

- Current or past major depressive episode

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15
Q

DSM GAD

A 
A: Anxiety for 6 months +
B: Hard to control
C: 3+ Sx
D: Distress or impairment
E: Not attributable to other psych, substance or medical condition
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16
Q

GAD criteria C Symptoms

A
  1. Restlessness
  2. Fatigued
  3. Difficulty concentrating
  4. Irritability
  5. Muscle tension
  6. Sleep disturbance
17
Q

PSTD DSM

A 
A. Trauma
B. Reliving Sx
C. Avoidance of stimuli
D. Change in mood or cognition
E. Arousability
F. Duration over one month
G. Distress or impairment in functioning
H. Not attributable to effects of substance or medical condition

“TRAUMA”: Traumatic event, reliving, avoidance, unable to function, mood change & month, arousability.

18
Q

DSM panic disorder

A

A. Panic attack, with 4+ Sx
B. Worry about more panic attacks OR their consequences OR avoidance behaviour
C. + D. Not attributable to other psych, substance or medical condition

“PANIC”: Palpitations + other Sx, avoidance, not due to others, implications (concerns about), concern about recurrence

19
Q

Panic attack Sx

A
  1. Palpitations
  2. Sweating
  3. Shaking
  4. SOB
  5. Feeling of choking
  6. CP
  7. N or abdo disress
  8. Dizzy/lightheaded
  9. Chills/heat sensation
  10. Paresthiesas
  11. Derealisation or depersonalisation
  12. Fear of losing control
  13. Fear of dying
20
Q

OCD DSM

A

A. Obsessions or compulsions
B. Time consuming or cause distress or impairment in functioning
C & D. Not attributable to other psych, substance or medical condition

21
Q

Define obsessions:

A

Recurrent, intrusive thoughts causing distress which the individual attempts to ignore, suppress or neutralise

22
Q

Define compulsitons

A

Repetitive behaviours or mental acts aimed at reducing anxiety or preventing some event, but are not realistically connected or are clearly excessive.

23
Q

Anorexia DSM

A

A. Restriction of energy intake leading to significantly low BW
B. Intense fear of gaining weight, or behaviour that interferes with weight gain
C. Disturbance experience of body weight OR undue influence of BW on self-evaluations OR lack of recognition of seriousness

24
Q

Bulemia DSM

A

A. Recurrent episodes of binge eating
B. Recurrent inappropriate compensatory behaviour
C. Binging + compensation at least weekly for 3 months
D. Not occurring exclusively during episodes of anorecia

25
Q

DSM Alcohol dependence

A

More than 2 of

This is too much:

  • More or longer than intended
  • Wants to or can’t cut back
  • Tolerance

Want/need

  • Time spent obtaining/using/recovering
  • Cravings
  • Withdrawal

Consequences be damned:

  • Failure to meet obligations
  • Important activities given up.
  • Use despite social or interpersonal problems
  • Used despite physical or psych problems
  • Using where it’s physically hazardous
26
Q

Alcohol withdrawal Sx

A
  1. Autonomic (sweating, tachycardia)
  2. Hand tremor
  3. Insomnia
  4. N/V
  5. Transient hallucinations
  6. Psychomotor agitation
  7. Anxiety
  8. Generalised tonic-clonic seizures
27
Q

DSM BPD

A

5+ of:

  • Identity disturbance
  • Dysregulated mood
  • Emptiness
  • Suicidal or self-mutilating behaviour
  • Paranoid ideation
  • Abandonment (frantic efforts to avoid)
  • Impulsivity
  • Relationships (unstable & intense)
  • Rage

Psychiatry (2 decks)

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