DSM (lec 1) Flashcards
DSM Axis I?
psych clinical disorders/conditions, focus of clinical attention
(e.g. depression, anxiety)
DSM Axis II?
personality disorders (e.g. paranoid personality disorder) or developmental disorders (e.g. mental retardation)
that may cause or exacerbate Axis I
DSM Axis III?
general medical conditions
DSM Axis IV?
psychosocial and environment disorders/stressors
DSM Axis V?
global assessment of fxning (GAF scale)
Axis IV details?
psychosocial and environment PROBLEMS that affect diagnosis/tx/prognosis of Axis I/II:
primary support group social environment education occupational economic access to healthcare legal/criminal
Axis V details?
Global Assess of Fxning (GAF) scale measures provider’s overall judgement of pt’s level of fxn
GAF used for?
planning tx
predicting outcome
tracking progress
What is NOT part of determining GAF?
physical limitations
Mental Status Eval: General includes?
overall appearance
posture
grooming/dress
Mental Status Eval: Alertness/Orientation includes?
awareness of environment
oriented person/place/time
Mental Status Eval: Speech includes?
ability to express, receive and comprehend words
Eval: Rate Volume Quantity Type (e.g. slurred, dramatic, etc)
Mental Status Eval: Motor includes?
hyper/hypoactive rigid combative tics restless/akathisia (have to move, involuntary)
Mental Status Eval: Mood definition?
sustained emotion affecting view of world,
subjective description of own emotional state in own words
Mental Status Eval: Affect definition?
Descriptors?
observable feeling/tone/responsiveness seen in face, voice, demeanor
blunted exaggerated flat constricted labile (quickly changing)
Mental Status Eval: Attention definition?
ability to focus/concentrate on one task over time
Mental Status Eval: Memory definition?
process of registering/recording info
Categories of Memory? (4)
1) remote (childhood)
2) recent remote (w/i past few months)
3) recent (same day)
4) immediate retention/recall
Mental Status Eval: Perception definition?
sensory awareness of objects and their interrelationships,
or relating to internal stimuli
Types of Perception? (5)
1) hallucination
2) illusions
3) depersonalization
4) derealization
5) formication
Hallucinations are?
false sensory perception not a/w real external stim
Illusions are?
misperception/interpretation of real external stim
Depersonalization is?
subjective sense of being unreal, strange, unfamiliar
Derealization is?
subjective sense of environment being unreal, strange
Formication is?
feeling of bugs crawling on/under skin
Mental Status Eval: Insight definition?
awareness of sxs/behaviors normalcy or abnormalcy
awareness/understanding of own illness
Mental Status Eval: Judgement definition?
process of comparing/eval alternatives when deciding a course of action
Mental Status Eval: Thought Content includes?
delusions
obsessions
compulsions
phobias
Delusions are?
fixed, false personal beliefs not shared by others in same culture and cannot be corrected by reasoning
Types of delusions?
paranoid grandeur nihilistic (reject all morals/religions) ideas of reference (TV talking directly to me) ideas of influence (I can control minds)
Obsessions are?
recurrent, uncontrollable thoughts/images/impulses
Compulsions are?
repetitive behaviors or mental acts
Phobias are?
persistent, irrational, exaggerated fear of specific stim or situation
accompanies by need to avoid the stim/situation
Mental Status Eval: Thought Processes definition?
logic, coherence, relevance of thoughts related to goals
Components of Mental Status Eval? (13)
1) General
2) Alert/orient
3) Speech
4) Motor
5) Mood
6) Affect
7) Attention
8) Memory
9) Perception
10) Insight
11) Judgement
12) Thought content
13) Thought processes
What are Clang Associations?
pattern of speech where words are put together based on rhyme instead of concepts
What is Neologism?
making up words
What is perserveration?
a thought process of fixation on particular word, phrase, action
