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LCSW Prep > DSM Diagnosis > Flashcards

DSM Diagnosis Flashcards

1
Q

0-5 y/o onset

  1. deficiency in communication and social interaction (infant not making eye contact with CG, not accepting toy, or having back/forth play) older child (3-4) no companion play, not playing with peers, limited in play
  2. stereotype repetitive behaviors (speech - says thing over and over again, hand flapping),
  3. difficulties with transitions, fixated on certain interests, hyper or hypo sensitivity to sensory input
A

Autism Spectrum Disorder

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2
Q

Impaired social communication only (no stereotype repetitive bx)

A

Social (Pragmatic) Communication Disorder

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3
Q

Difficulty learning basic academic skills, different than way most people learn (e.g. processing disorder, dyslexia) - rule out learning dx before ADHD

A

Specific Learning Disorder

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4
Q
  1. Sxs need to be present prior to 12 y/o in two settings (school and home)
  2. Attention issues and hyperactivity - looking for those who can’t sustain attention, bx issues (talking out of turn, difficulty organizing, and staying on task) - fidgeting, hard time sitting still
  3. Adults can be diagnosed with ADHD (learn how to compensate growing up)
A

Attention Deficit Hyperactivity Disorder (ADHD)

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5
Q

Compulsive eating disorder in which people eat nonfood items

A

Pica

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6
Q

Repeated regurgitation of food (reflux disorder) - not related to any other disorder

A

Rumination Disorder

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7
Q
  1. Onset from 0-5 y/o
  2. Children have hard time building vocabulary
  3. Delayed with learning words, will use simple sentences, hard time with anything longer than 5 word sentences, limited sentence structure
A

Language Disorder

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8
Q
  1. Onset from 0-5 y/o

2. Stuttering, broken word, pause between multi-syllable words

A

Child Onset Fluency Disorder

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9
Q

When someone has both motor/vocal tics

A

Tourette’s Disorder

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10
Q

Only one either motor or vocal tic

A

Persistent Motor/Vocal Tic Disorder

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11
Q

Pattern of soiling pants when older than 4 y/o

A

Encopresis

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12
Q

5 y/o or older - Urination in bed or clothes intentional or unintentional (pattern overtime, more than 1x)

A

Enuresis

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13
Q

Anxiety specific to separating from significant attachment figures - can be diagnosed in adulthood (dx after 6 mos), with kids (dx present after 4 weeks)

A

Separation Anxiety Disorder

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14
Q

Worrying about variety of things (across multiple domains), physical sxs (tension, trouble sleeping, etc), sxs have to be present for 6 mos for diagnosis

A

Generalized Anxiety Disorder

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15
Q

Fails to speak in particular situation (ex. usually seen with kids a school, but fine at home)

A

Selective Mutism

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16
Q

Similar to separation anxiety, anxiety associated with particular context - social situations, concerns about being observed, judged - stick with people they’re comfortable with

A

Social Anxiety Disorder (Social Phobia)

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17
Q
  1. See at early age (9mo-5 y/o)
  2. Result of persistent neglect/abuse, or multiple caregivers
  3. Sometimes called failure to thrive, child withdrawn/don’t seek comfort or respond to comfort, limited positive affect, sit in corner/don’t look for attention, fall under radar because they don’t act out
A

Reactive Attachment Disorder

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18
Q
  1. See at early age (9mo-5 y/o)
  2. Result of persistent neglect/abuse, or multiple caregivers
  3. Overly comfortable with strangers, more “out there,” attach over-easily, no boundaries.
A

Disinhibited Social Engagement Disorder

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19
Q

Defiant, problems with authority, argumentative, don’t want to follow rules

A

Oppositional Defiant Disorder

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20
Q

Violation of rights of others, law breaking activity, people who start fights, destroy property, lack of remorse - feed into antisocial personality as adult

A

Conduct Disorder

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21
Q
  1. Usually diagnosed between 6-10 y/o and up to 17 y/o
  2. Chronically irritable/moody, temper tantrums (at least 3x/wk), negative mood even without outbursts (used to call bipolar in children)
A

Disruptive Mood Dysregulation Disorder

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22
Q
  1. Sxs up to 1 month
  2. Sxs include: delusions (belief that is false, bizarre/non-bizarre), hallucinations (visual, auditory, tactile), disorganized speech, disorganized bxs (gestures that don’t make sense, reactions to hallucinations), negative sxs (flat affect, don’t respond to discussion, lost in own world)
A

Brief Psychotic Disorder

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23
Q
  1. Sxs from 1-6 months
  2. Sxs include: delusions (belief that is false, bizarre/non-bizarre), hallucinations (visual, auditory, tactile), disorganized speech, disorganized bxs (gestures that don’t make sense, reactions to hallucinations), negative sxs (flat affect, don’t respond to discussion, lost in own world)
A

Schizophreniform Disorder

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24
Q
  1. Sxs for 6 months or longer
  2. Sxs include: delusions (belief that is false, bizarre/non-bizarre), hallucinations (visual, auditory, tactile), disorganized speech, disorganized bxs (gestures that don’t make sense, reactions to hallucinations), negative sxs (flat affect, don’t respond to discussion, lost in own world)
A

Schizophrenia

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25
Q
  1. Sxs need to be present for at least 2 weeks
  2. Sxs include: depressed mood, anhedonia (lack of interest in things), lack of motivation, changes in bio-functioning (sleeping issues, appetite), SI
A

Major Depressive Disorder

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26
Q

Does’t meet full criteria for MDD, person reporting functioning but some mild disturbances in mood/biological functioning

A

Unspecified Depressive Disorder

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27
Q
  1. Depressed mood for at least 2 years in adults and 1 year in child
  2. Depressed mood not as intense as in MDD, more so chronically mildly depressed
A

Persistent Depressive Disorder

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28
Q
  1. Need manic phase present (elevated mood that leads to significant impairments for at least 1 week)
  2. Sxs include: irritability, elation/euphoria, higher risk activities, lack of need for sleep, excessive energy
  3. Often people in denial they’re in manic phase, usually followed by depressive episode (but don’t need depressive episodes for dx bipolar I)
A

Bipolar I Disorder

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29
Q
  1. Need hypomanic phase (only needs to last 4 days) and major depressive episode
  2. Hypomania usually doesn’t cause significant impairments in relationships compared to manic episode
A

Bipolar II Disorder

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30
Q
  1. Sxs need to be present for at least 2 years

2. Hypomanic state alternating with low level depressive episode (mood disturbances go up and down)

A

Cyclothymic Disorder

31
Q

Psychotic features present all of the time + mood disorder comes in/out (core of disorder is psychosis)

A

Schizoaffective Disorder

32
Q

Core of disorder is mood disorder, psychotic features come in/out

A

Bipolar w/ Psychotic Features

33
Q

Core of disorder is mood disorder, psychotic features come in/out

A

Major Depression w/ Psychotic Features

34
Q
  1. Only diagnosed after losing someone significant
  2. Grief/loss, responding to death/loss, sadness, anger, depression
  3. Depression can be diagnosed with bereavement if loss influences biological functioning issues (sleep/appetite), feelings of worthless/guilt/self-blame, SI and self-harm
A

Bereavement

35
Q
  1. Sxs have to be present within 3 months of stressor and not last longer than 6 months (if sxs present longer than 6 months look for other dx)
  2. Dx is in reaction to something in environment (looking for recent life stressor)
  3. Not diagnosed with bereavement
A

Adjustment Disorder w/ Depressed Mood

36
Q

Recurrent, unexpected panic attack and fear of them happening again, feels like you’re dying/going crazy, room spinning, disconnected from reality, shape life around avoiding situations that may trigger panic

A

Panic Disorder

37
Q
  1. Fear of going out in public in at least 2 different situations (crowds, transportation, etc.)
  2. Fear is excessive and impacts functioning
A

Agoraphobia

38
Q

Both obsessive thoughts and compulsive bxs, intrusive thoughts that involve bxs used to soothe

A

Obsessive-Compulsive Disorder

39
Q
  1. Diagnosis after 1 month after incident, life threatening incident or witness to life threatening incident
  2. Four categories of sxs (intrusive memories/flashbacks/nightmares, negative mood, avoidance bxs, arousal - hypervigilance/easily agitated/startle response, negative beliefs of self/others/world)
A

Post Traumatic Stress Disorder (PTSD)

40
Q
  1. Sxs present within 1 month of incident

2. Same sxs of PTSD just shorter timeline, life threatening incident or witness to life threatening incident

A

Acute Stress Disorder

41
Q
  1. Sxs have to be present within 3 months of stressor and not last longer than 6 months
  2. Sxs of anxiety linked to event but event was not life threatening (e.g. moving, job loss, etc.) not going to have flashbacks/nightmares, hypervigilance, time-limited
A

Adjustment Disorder w/ Anxiety

42
Q

If sxs are less than 6 months or severity of sxs are not as significant to meet full criteria for specific anxiety disorder

A

Unspecified Anxiety Disorder

43
Q
  1. Comes on quickly, marked shift in awareness process, seen in hospital settings, usually associated with medical problem, memory impairment, executive functioning impairments
  2. Usually last few hours to 1 day
A

Delirium

44
Q

Issues with cognition, memory, executive functioning, perceptual motor skills, requires accommodation, loses ability to care for self independently

A

Major Neurocognitive Disorder (Dementia)

45
Q
  1. Precursor to major neurocognitive disorder
  2. Noticeable decline in functioning, still able to maintain independence (can pay bills, make appointments, etc)
  3. People around them may notice person become more forgetful
A

Mild Neurocognitive Disorder (Dementia)

46
Q
  1. Somatic issue present (illness) + health related anxiety, devotes lots of time/energy to sxs
  2. Needs to be present for 6 months for dx
A

Somatic Symptom Disorder

47
Q
  1. Intense fear around having illness/disease, limited somatic sxs present, anxiety persists even when cleared by MD, hypochondriac
  2. Needs to be present for 6 months for dx
A

Illness Anxiety Disorder

48
Q

Psychological issue converts into somatic one (e.g. “blind rage” someone gets so angry they go temporarily blind OR paralyzed by trauma - limb goes numb/paralyzed)

A

Conversion Disorder

49
Q

Wants attention that comes from being sick

A

Factitious Disorder (Munchausen Syndrome)

50
Q

Faking an illness in order to get out of something (e.g. claim mental illness to get disability, for gain, or some kind of avoidance)

A

Malingering

51
Q

Other person makes someone sick for attention

A

Factitious Disorder by Proxy (Munchausen Syndrome by Proxy)

52
Q

Restricts diet to point it does not meet physical needs, intense fear of gaining weight, distorted body image (always coordinate with MD)

A

Anorexia Nervosa

53
Q
  1. Binge eating and purging

2. Sense of out of control, autopilot putting food into body

A

Bulimia Nervosa

54
Q

Only engages in binge eating, no purging, usual feelings of disgust/shame

A

Binge Eating Disorder

55
Q

Does not meet criteria of AN, Bulimia (e.g. purging w/o binging, normal body weight with other ED bxs)

A

Unspecified Eating Disorder

56
Q

Distinct displeasure with body part (not about weight)

A

Body Dysmorphic Disorder

57
Q

Feeling outside of body, world feels surreal

A

Depersonalization/Derealization Disorder

58
Q

Sudden forgetting of personal information, occurs during shock or times of intense stress (war, natural disaster, etc)

A

Dissociative Amnesia

59
Q

2 or more distinct personality states, can’t remember the other state when in different state, result of extreme trauma

A

Dissociative Identity Disorder

60
Q

Pain during intercourse or fear of pain during intercourse, great displeasure of thought of having sex

A

Genito-Pelvic Pain/Penetration Disorder

61
Q

Lack of sexual interest/arousal, no sexual thoughts or fantasy, temporary state or pattern over lifetime

A

Female Sexual Interest/Arousal Disorder

62
Q
  1. Difficulty sleeping at least 3 nights/week for 3 months

2. Difficulties falling asleep and staying asleep, need to rule out mania, MDD, and anxiety

A

Insomnia Disorder

63
Q

Excessive sleepiness, difficulty being fully awake, sleeping excessively, rule out MDD and substance use

A

Hypersomnia Disorder

64
Q

Wakes up with nightmare, quickly oriented/realize had nightmare, can recall content of nightmare

A

Nightmare Disorder

65
Q
  1. Recurrent episode of incomplete waking
  2. Can’t remember nightmare/waking up
  3. Don’t fully wake up can engage in sleep walking
A

Non-Rapid Eye Movement Sleep Disorder

66
Q

Stop breathing during sleep for up to 1 min, prevents REM sleep, fatigue

A

Sleep Apnea

67
Q

Sudden attack of sleep, sudden loss of muscle tone, some possible hallucinations during in/out of sleep, reports fatigue during day

A

Narcolepsy

68
Q
  1. Problems with controlling aggressive impulses, destructive, verbal outburst disproportionate to situation
  2. Can’t be explained by other dx (e.g. personality disorder, ODD, substance use)
A

Intermittent Explosive Disorder

69
Q

Compulsive stealing for unnecessary purpose (don’t need what they’re stealing), do it for the rush

A

Kleptomania

70
Q
  1. Compulsion to pull out hair (eyebrows, eyelash, hair, arm hair)
  2. Often abuse/trauma reaction, self-inflicted punishment at times
A

Trichotillomania

71
Q

Mild to severe depending on sxs present, failure to perform major obligations, impact social relationships, previous attempts to stop usage

A

Substance Use Disorder

72
Q

When someone experiences ONLY delusions (bizarre/non-bizarre) no other sxs associated with schizophrenia

A

Delusional Disorder

73
Q
  1. Thoughts, impulses, and behaviors that are felt to be repugnant, distressing, unacceptable or inconsistent with one’s self-concept.
  2. Person is aware of disorder and does not like/fit in with sense of self (e.g. depression/anxiety)
A

Ego Dystonic

74
Q

Compatible with the ego or conscious view of self - bxs not problems to person (personality disorders)

A

Ego Syntonic

LCSW Prep (11 decks)

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