DSM Criteria & Symptoms Flashcards
What are the diagnostic criteria for ADHD?
A. Persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development
B. Several inattentive or hyperactive-impulsive symptoms were present before age 12 years
C. Several inattentive or hyperactive–impulse symptoms are present in 2 or more settings (ex: at home, school, or work, with friends or relatives)
D. Must be clear evidence that the symptoms interfere with, or reduce the quality of, social academic, or occupational functioning
E. The symptoms don’t occur exclusively during the course of schizophrenia or other psychotic disorders and are not better explained by another mental disorder (ex: mood disorder, anxiety disorder, dissociative disorder, personality disorder, substance intoxication or withdrawal)
What are the symptoms that characterize inattention in ADHD?
a) Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or during other activities
b) Often has difficulty sustaining attention in tasks or play activities
c) Often does not seem to listen when spoken to directly
d) Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace
e) Often has difficulty organizing tasks and activities
f) Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort
g) Often loses things necessary for tasks or activities
h) Is often easily distracted by extraneous stimuli
i) Is often forgetful in daily activities
What are the symptoms that characterize hyperactivity and impulsivity in ADHD?
a) Often fidgets with or taps hands or feet or squirms in seat
b) Often leaves seat in situations when remaining seated is expected
c) Often runs about or climbs in situations where it is inappropriate
* In adolescents or adults, may be limited to feeling restless
d) Often unable to play or engage in leisure activities quietly
e) Often “on the go,” acting as if “driven by a motor” (ex: is unable to be or is uncomfortable being still for extended time)
f) Often talks excessively
g) Often blurts out answers before a question has been completed
h) Often has difficulty waiting their turn
i) Often interrupts or intrudes on others
What are the diagnostic criteria for ODD?
A. Pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least 4 symptoms from any of the Angry/Irritable Mood, Argumentative/Defiant Behavior, Vindictiveness categories, and exhibited during interaction with a least one individual who isn’t a sibling
B. Disturbance in behavior is associated with distress in the individual or others in their immediate social context (e.g., family peer group, work colleagues), or it impacts negatively on social, educational, occupational, or other important areas of functioning
(C) Behaviors don’t occur exclusively during the course of a psychotic, substance-use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood disorder
What are the symptoms that characterize ODD?
Angry/Irritable Mood
○ Often loses temper
○ Is often touchy or easily annoyed
○ Is often angry or resentful
Argumentative/Defiant Behavior
○ Often argues with authority figures or, for children and adolescents, with adults
○ Often actively defies or refuses to comply with requests from authority figures or with rules
○ Often deliberately annoys others
○ (7) Often blames others for his or her mistakes or misbehavior
Vindictiveness
○ Has been spiteful or vindictive at least twice within the past 6 months
What are the diagnostic criteria for CD?
A. Repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least 3 of the 15 symptoms in the past 12 months, with at least one criterion present in the past 6 months
B. Disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
C. If the individual is 18 yrs or older, criteria are not met for Antisocial Personality Disorder
What are the symptom categories that characterize CD?
- Aggression to People and Animals
- Destruction of Property
- Deceitfulness or Theft
- Serious Violations of Rules
What are the symptoms that characterize Aggression to People and Animals in CD?
○ Often bullies, threatens, or intimidates others
○ Often initiates physical fights
○ Has used a weapon that can cause serious physical harm to others
○ Has been physically cruel to people
○ Has been physically cruel to animals
○ Has stolen while confronting a victim
○ Has forced someone into sexual activity
What are the symptoms that characterize Destruction of Property in CD?
○ Has deliberately engaged in fire setting, with the intention of causing serious damage
○ Has deliberately destroyed others’ property (other than by fire setting)
What are the symptoms that characterize Deceitfulness or Theft in CD?
○ Has broken into someone else’s house, building, or car
○ Often lies to obtain goods or favors or to avoid obligations (i.e., “cons” others)
○ Has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery)
What are the symptoms that characterize Serious Violations of Rules in CD?
○ Often stays out at night despite parental prohibitions, beginning before age 13 years.
○ Has run away from home overnight at least twice while living in parental or parental surrogate home, or once without returning for a lengthy period.
- Is often truant from school, beginning before age 13 years
What are the onset specifiers for CD?
- Childhood-onset type: Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years
- Adolescent-onset type: Individuals show no symptom characteristic of conduct disorder prior to age 10 years
- Unspecified onset: Criteria for a diagnosis of conduct disorder are met, but there is not enough information available to determine whether the onset of the first symptom was before or after age 10 years
