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Social Work Licensing Exam > DSM Diagnosing > Flashcards

DSM Diagnosing Flashcards

1
Q

Obsessive Compulsive Disorder

A

A. Presence of obsessions, compulsions, or both.
B. Obsessions/compulsions are time consuming (more than 1 hour per day) or cause distress/impairment in functioning.
**Obsessions: unwanted, intrusive thoughts/images experienced repeatedly, person tries to counteract with with other thoughts or actions
**Compulsions: repetitive behaviors or mental acts that are aimed to reduce the distress from obsessions.

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2
Q

Body Dysmorphic Disorder

A

A. Preoccupation with perceived defect that others cannot observe.
B. Performs repetitive behaviors or mental acts in response to the concern

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3
Q

Trichotillomania

A

A. Repetitive pulling out one’s own hair, resulting in hair loss.
B. The person has made repeated attempts to stop

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4
Q

Excoriation

A

A. Repetitive skin picking resulting in skin lesions.

B. The person has made repeated attempts to stop

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5
Q

Treatment of OCD

A

High dose SSRI and Therapy (exposure/response prevention)

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6
Q

Somatic Symptom Disorder

A

A. One or more Somatic Sx
B. Excessive thoughts/feelings/behaviors related to the somatic Sx, including one of the following: 1. disproportionate belief about he seriousness of Sx, 2. persistently high levels of anxiety about Sx, 3. excessive time and energy devoted to these health concerns.
C. State of being symptomatic lasts more than 6 months

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7
Q

Illness Anxiety Disorder

A

A. Preoccupation with having a serious illness
B. Somatic Sx are not present or are mild
C. High level of anxiety about health
D. Performs excessive health related behaviors or exhibits maladaptive avoidance
E. Lasts for at least 6 months

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8
Q

Conversion Disorder

A

A. Symptom(s) of altered voluntary motor or sensory function

B. No medical explanation

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9
Q

Factitious Disorder

A

A. Falsification of physical or psychological symptoms
B. Presents themselves as ill, impaired or injured.
C. Behavior is evident in the absence of obvious rewards
*** can also present as “imposed by another” if you present another individual as ill.

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10
Q

Disruptive Mood Dysregulation Disorder

A

A. Frequent outbursts verbally or behaviorally that are out of proportion
B. Occurs 3 or more times per week
C. Mood in between outbursts is irritable/angry
D. Lasts 12 months with no more than a 3 month period without outbursts
E. Diagnosed between age 6 and 18, with onset before age 10

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11
Q

Major Depression

A

A. Five (or more) of the following symptoms present for a 2 week period: Depressed/irritable mood, no interest or pleasure in activities, weight changes, sleep changes, agitation, fatigue, worthlessness, difficulty concentrating, suicidal ideation
B. never been manic or hypomanic episode

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12
Q

Dysthymia (Persistent Depressive Disorder)

A

A. Depressed mood for 2 years (one year in children)
B. While depressed, two (or more) of the following are present: appetite changes, sleep changes, low energy, low self-esteem, poor concentration, feelings of hopelessness
C. not without symptoms for more than 2 months

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13
Q

Premenstrual Dysphoric Disorder

A

A. Symptoms present for majority of menstrual cycles, at least 5 Sx manifest during final week before menses, Sx minimal the week after menses.
B. At least one of the symptoms: mood swings, emotional sensitivity, irritability, interpersonal friction, depressed mood, anxiety, emotional agitation
C. at least one of the symptoms (totaling 5): decreased interest in activities, difficulty focusing, lethargy, changes in eating, changes in sleeping, overwhelmed

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14
Q

Adjustment Disorder

A

A. Symptoms develop within 3 months of identified stressor
B. Symptoms create marked distress or impairment
C. Not normal bereavement
D. Symptoms endure no more than 6 months

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15
Q

Reactive Attachment Disorder

A

Before age 5 and after 9 months:
A. pattern of emotionally withdrawn behavior towards caregivers manifested by (does not seek or respond to comfort when distressed)
B. Two of the following: minimal social responsiveness, minimal positive affect, periods of sadness/irritability/fear during interaction with caregivers
C. Child has experienced patterns of insufficient care by neglect of emotional care, frequent changes in caregivers, raised in settings that limit attachment to caretakers.

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16
Q

PTSD

A 
A. Exposure to actual or threatened death, injury or sexual violence by either directly experiencing it, witnessing it, becoming aware of close friends or family experiencing it, or repeated exposure to details.
B. At least one intrusion symptom
C. Avoidance of stimuli
D. two Negative alterations in cognition
E. two arousal/reactivity symptoms
F. Sx last over one month
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17
Q

Acute Stress Disorder

A

Same criteria as PTSD, except symptoms present for 3 days to one month. Must have 9 of the criteria met.

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18
Q

Schizoid Personality Disorder

A

A. pattern of detachment from social relationships and restricted range of emotions in interpersonal settings
B. Four or more of the following: does not desire close relationships, choses solitary activities, little interest in sex, no pleasure in activities, lacks close friends, indifferent to opinions of others, flat affect

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19
Q

Paranoid Personality Disorder

A

A. Pervasive distrust and suspiciousness of others, their motives are malevolent.
B. Four or more of the following: suspects that others of harming or deceiving, preoccupied by doubts of loyalty, reluctant to confide in others, interprets hidden meanings in people’s remarks, bears grudges, perceives attacks on their character, suspicious about fidelity

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20
Q

Schizotypal Personality Disorder

A

A. Repeated instances of lacking social or interpersonal skills and inability to maintain close relationships.
B. Five or more perceptual distortions: Ideas of reference, odd beliefs/magical thinking, bodily illusions, odd thinking and speech, paranoid ideation, constricted affect, appearance that is odd, lack close friends, social anxiety.

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21
Q

Antisocial Personality Disorder

A

A. Pattern of disregard for and violation of the rights of others since age 15.
B. Three or more of the following: unlawful behaviors, deceitfulness, Impulsivity, irritability and aggressiveness, disregard for safety of self and others, irresponsibility, lack of remorse.
C. Diagnosed only at 18 years or older
D. Meet criteria for conduct disorder

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22
Q

Borderline Personality Disorder

A

A. Pattern of instability in interpersonal relationships, self-image, affects.
B. Marked impulsivity with 5 or more: Frantically avoid real or imagined abandonment, alternating between extreames of idealization and devaluation, unstable self-image, impulsive in areas that are self damaging, suicidal behaviors or gestures, reactivity of mood, feelings of emptiness, difficultly controlling anger, dissociative or stress related paranoia,

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23
Q

Narcissistic Personality Disorder

A

A. Pattern of grandiosity, need for admiration, and lack of empathy
B. 5 or more: grandiose sense of self-importance, preoccupied with fantasies of unlimited power, beauty, or ideal love, belief that you are unique and can only be understood by special people, requires excessive admiration, sense of entitlement, interpersonally exploitative, lacks empathy, often envious of others or believes other are envious of them, arrogant behaviors or attitudes

24
Q

Histrionic Personality Disorder

A

A. A pattern of excessive emotionality and attention seeking behaviors
B. 5 or more: uncomfortable when not the center of attention, interactions are sexually seductive or provocative, rapidly shifting shallow expression of emotions, uses physical appearance to draw attention to self, speech is impressionistic, shows self-dramatization, is suggestible, considers relationships more intimate than they are.

25
Q

Avoidant Personality Disorder

A

A. pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
B. 4 of the following: Avoid activities with interpersonal contact for fear of criticism, Unwilling to get involved with people unless sure of being liked, restraint in interpersonal relationships, preoccupied with being rejected in social situations, etc..

26
Q

Dependent Personality Disorder

A

A. Excessive need to be taken care of that leads to submissive and clinging behaviors and fears of separation.

27
Q

Obsessive - Compulsive Personality Disorder

A

A. patter of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficacy,

28
Q

Panic Disorder

A

A. Recurrent unexpected panic attacks. A panic attack is a surge of intense fear or discomfort that reaches a peak within minutes, with 4 or more symptoms of palpitations, sweating, shaking, shortness of breath, choking, chest pain, nausea, dizziness, chills, depersonalization, fear of dying, fear of going crazy
B. At least one panic attach is followed by one month of persistent worry about additional panic attacks OR maladaptive changes in behavior to avoid the attacks

29
Q

Agoraphobia

A

A. Marked fear about two or more of the following: using public transportation, being in open spaces, being in enclosed spaces, standing in line or being in a crowd, being outside of the home alone.
B. Avoids these situations due to thoughts that escape might be difficult or help might not be available in the event of panic symptoms.
C. The situations almost always provoke fear or anxiety
D. situations are actively avoided, with the presence of a companion, or endured with intense fear
E. Fear is out of proportion to the actual danger
F. Fear lasts for 6 months or longer

30
Q

Generalized Anxiety Disorder

A

A. Excessive anxiety or worry that occurs more days than not for at least 6 months, about a number of events or activities.
B. It is difficult to control the worry
C. Three or more of the following: Restlessness, easily fatigued, difficulty concentrating/mind going blank, irritability, muscle tension, sleep disturbances

31
Q

Specific Phobia

A

A. Fear or anxiety about a specific object or situation
B. The phobic situation almost always evokes immediate fear
C. The situation is avoided or endured with intense fear
D. The fear is out of proportion to the actual danger
E. Lasts 6 months or more

32
Q

Social Anxiety Disorder

A

A. fear of social scenarios in which you will be exposed to scrutiny by others.
B. Fear that you will act in a way that shows anxiety symptoms that will be negatively evaluated
C. Situations are avoided or endured with distress
D. lasts 6 months or more

33
Q

Separation Anxiety Disorder

A

A. anxiety upon separation from those attached to.
B. Three of the following: repeated anxiety when anticipating or experiencing separation, incessant rumination over the prospect of harm coming to attachment figures, refusal or unwillingness to venture away from home, anxiety about being left alone, refusal to sleep away from home, nightmares about separation, recurring physical problems

34
Q

Selective Mutism

A

A. Reticence in situations where speaking is expected
B. condition interferes with aspects of life
C. Lasts at least one month and is not due to language difficulties.

35
Q

Disinhibited Social Engagement Disorder

A

A. Child’s pattern of seeking out unfamiliar adults
B. Two of the following: lack of reticence with interacting with unfamiliar adults, overly familiar physical or verbal behavior with unfamiliar adults, little regard for reconnecting with adult caretakers, unhesitatingly accompanying unfamiliar adults

36
Q

Schizophrenia

A

For a period lasting 6 months,
A. At least two of the following: Delusions, Hallucinations, Disorganized Speech, Disorganized or catatonic behavior, negative symptoms,

37
Q

Schizophreniform Disorder

A

For a period between 1 month and 6 months, two of the schizophrenia symptoms are met. Does not need to show decline in functioning

38
Q

Brief Psychotic Disorder

A

Duration of less than one month, same symptoms as schizophrenia

39
Q

Delusional Disorder

A

A. Presence of delusions for at least one month

B. functioning is not markedly impaired and behavior is not add, unless related to the delusions.

40
Q

Schizoaffective Disorder

A

A. an uninterrupted period of illness during which there is a major mood episode (depression or mania) at the same time as schizophrenia symptoms
B. delusions or hallucinations are present for 2 or more weeks in the absence of the mood episode

41
Q

Delirium

A

A. Disturbance in attention and awareness
B. Develops over a short period of time
C. An additional disturbance in cognition

42
Q

Dementia

A

Umbrella term for symptoms of Major Neurocognitive Disorder: memory loss, loss of language abilities, disorientation, ability to make calculations, confusion with familiar tasks, decreased judgement, problems with abstract thinking, changes in personality. Dementia refers to several deficits present.

43
Q

Major Neurocognitive Disorder

A

Serious cognitive impairment in at least one area of cognitive functioning. Includes Alzheimer’s, Lewy Body, TBI, Parkinsons, Etc

44
Q

Minor Neurocognitive Disorder

A

Moderate decrease in cognitive functioning that does not disrupt the performance of daily activities.

45
Q

Bipolar I Disorder

A

A. Manic Episode:
Abnormally elevated mood for one week with 3 of the following symptoms: inflated self esteem, decreased need for sleep, more talkative, flight of ideas/racing thoughts, distractibility, increase in goal directed activity, high risk activities

46
Q

Bipolar II Disorder

A

A. Hypomanic episode and Major Depressive Episode

Hypomanic is same as manic, but lasts only 4 days and doesn’t require hospitalization.

47
Q

Cyclothymic disorder

A

For a period of 2 years, symptoms of hypomania and depression have appeared several times, without meeting criteria for a full depressive episode or hypomanic episode. Have not been symptom free for more than 2 months at a time.

48
Q

Rumination Disorder

A

Repeated regurgitation of food for a period lasting at least 1 month

49
Q

Avoidant/Restrictive Food Intake Disorder

A

Chronic avoidance or lack of interest in eating, due to the sensory attributes of food, to a degree having weight loss or nutritional deficiency.

50
Q

Anorexia

A

Refusal to maintain minimal normal body weight, intense fear of gaining weight, and distorted perception of body size and shape

51
Q

Bulimia

A

Binge eating with compensatory methods to prevent weight gain. distorted perception of body size and shape

52
Q

Binge Eating Disorder

A

periods of binge eating averaging once per week for at least 3 months. Unable to control the eating behavior while eating

53
Q

Pica

A

eating of non-nutritive, nonfood substances for a period of at least one month.

54
Q

Autism Spectrum Disorder

A

Problems with social interaction and communication across a wide range of activities including reduced ability to share emotions and interests, poor ability to understand both verbal and non verbal cues, repetition behaviors, insistence in sameness of routine, sensitivity to stimuli

55
Q

ADHD

A

chronic inability to pay attention and impulsivity/hyperactivity that impairs functioning. unable to sustain interest in an activity or maintain mental focus required by a task. Easily distracted and forgetful of routine activities.

56
Q

Oppositional Defiant Disorder

A

Repeated displays of angry/irritable mood, argumentative, defiant, vindictive behaviors, for a period of at least 6 months with at least one person who is not a sibling

57
Q

Conduct Disorder

A

Repeated instances of activity within a one year period where the person displays aggression towards people and animals, destruction of property, deceitfulness or theft, or serious transgression of rules.

Social Work Licensing Exam (5 decks)

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