DSM IV 3 Flashcards
Priority 1
Describe the key diagnostic criteria and onset specifiers for Conduct Disorder.
At least three examples of misconduct for at least 12 months, with at least one present in the last 6:
- aggression to people and animals
- destruction of property
- deceitfulness or theft
- serious rule violations
If before age 10, Childhood Onset; if after age 10, Adolescent Onset.
Describe the key diagnostic criteria for Oppositional Defiant Disorder.
At least four Sx persisting at least six months:
- negativism, irritability, argumentativeness, vindictiveness, defiance to adults
- does not result in conflict with law
Sx occur considerably more frequently than normal for age and do not meet criteria for Conduct Disorder.
What are the key criteria for Pica?
- persistent ingestion of non-nutritive substances, inappropriate to developmental level
- not culturally sanctioned
- at least one month
What are the key criteria for Rumination Disorder?
- repeated regurgitation and rechewing of food for one month (previously normal functioning)
DiffDx: Anorexia Nervosa, Bulimia Nervosa
What are the major criteria for Feeding Disorder of Infancy or Early Childhood?
- persistent failure to eat, leading to weight loss or failure to gain weight for at least one month
Describe the key criteria for Tourette’s Disorder.
A. multiple motor and at least one vocal tics
B. tics occur daily, frequently, and nearly every day or intermittently for more than one year, with no tic-free period greater than three consecutive months
C. onset before age 18
Describe the key criteria for Chronic Motor or Vocal Tic Disorder.
A. motor or vocal tics, but not both
B. tics occur daily, frequently, and nearly every day or intermittently for more than one year, with no tic-free period greater than three consecutive months
C. onset before age 18
(i.e., like Tourette’s, but only one kind of tic instead of both)
Describe key criteria for Encopresis.
A. repeated voluntary or involuntary inappropriate passage of feces (into clothing, onto floor)
B. at least one event per month for three months
C. chronological or developmental age at least four
Describe the key criteria of Enuresis.
A. Repeated inappropriate voiding of urine (into clothes or bed).
B. Frequency of either at least twice per week for three consecutive months or presence of clinically significant distress or dysfunction
C. Chronological or developmental age of at least five years.
Describe the key criteria of Separation Anxiety Disorder.
A. Developmentally inappropriate and excessive anxiety at separation from home or attachment figures as evidenced in at least three distinct behaviors (see DSM for list).
B. Duration at least four weeks.
C. Onset is before age 18.
Describe key criteria for Selective Mutism.
- failure to speak in specific circumstances when person able to speak otherwise for at least one month
- not due to ignorance of spoken language
Describe the key criteria of Reactive Attachment Disorder of Infancy or Early Childhood.
A. Before age 5, either
- persistent failure to respond socially in developmentally appropriate manner (e.g., excessive inhibition, hypervigilance, strong ambivalence, contradiction)
- diffuse, indiscriminate attachment behaviors
C. Presence of pathogenic care (persistent disregard of child’s emotional and/or physical needs, repeated changes of caregiver preventing stable attachment)
D. Presumption that care in C results in Sx in A.
(B. DiffDx: Mental Retardation, Pervasive Developmental Disorder)
Describe the key criteria for Stereotypic Movement Disorder.
- clinically significant, repetitive, seemingly driven, nonfunctional motor behaviors occurring for at least four weeks
DiffDx: OCD, tics, Pervasive Developmental Disorder, Trichotillomania (also, if MR present movement clinically sufficient to warrant separate focus)
What are the key criteria for Mental Disorders Due to A General Medical Condition?
- evidence that disorder is direct physiological consequence of medical (Axis III) condition
- occur closely in time
- representative of primary disorder or are atypical
- medical condition is known to produce mental symptoms
- mental disorder DGMC not better explained by primary (Axis I) mental disorder
- symptoms do not occur solely during delirium (except for Delirium DGMC)
NOTE: Personality Change DGMC and Catatonic Disorder DGMC vary from the above organization.
What are the key criteria for Personality Change Due to A General Medical Condition?
A. Persistent and marked change in behavior patterns
B. Evidence of concurrent medical condition producing these patterns
NOTE: Multiple types, e.g., Labile, Disinhibited, Aggressive, etc.
