DSM Review

Question 1

Enuresis

Answer 1

Urination in their bed or clothes, could be intentional or not, for kids 5 or older

Question 2

Timelines:
Brief Psychotic Disorder
vs.
Schizophreniform Disorder
vs.
Schizophrenia

Answer 2

Brief Psychotic Disorder: Symptoms need to be present for up to a month

Schizophreniform Disorder: Symptoms need to be present for 1 month – 6 months

Schizophrenia: Symptoms need to be present for over 6 months

Question 3

Timelines:
PTSD
vs.
Acute Stress Disorder

Answer 3

PTSD: Symptoms must be present for AT LEAST one month

Acute Stress Disorder: Symptoms must be present WITHIN a month of the incident

Question 4

According to the DSM-V, for Substance Use Disorder to be in Sustained Full Remission, the length of the absence of the symptoms must be:

Answer 4

For an individual to be diagnosed with a Substance Use Disorder in Sustained Full Remission, all symptom must be absent for at least one year.

Question 5

Persistent Depressive Disorder

Answer 5

1. Depressed mood for at least 2 years for adults, and at least 1 year for children
2. Not as deep of a depressed mood as MDD
3. Chronically mildly depressed

Question 6

Delirium

Answer 6

Delirium generally includes symptoms such as increasing confusion that occurs in the onset of hours or days, and a change in cognition and behaviors.

Question 7

When do ADHD symptoms need to be present by in order to qualify for the diagnosis?

Answer 7

Before the age of 12.

Question 8

Timelines:
MDD
vs.
Persistent Depressive Disorder

Answer 8

MDD: Symptoms must be present for AT LEAST 2 weeks

Persistent Depressive Disorder: 2 years for adults, 1 year for children

Question 9

Ego Syntonic
vs.
Ego Dystonic

Answer 9

Ego Syntonic: It’s a view of their self, they don’t see it as an issue, these are processes that people develop growing up, it becomes the norm for them.

Ego Dystonic: Something that the client is aware of and does not like, and does not fit in their perception of their self.

Question 10

Signs of Intoxication: Opioid

Answer 10

Initial euphoria followed by apathy or dysphoria; pupillary constriction;
drowsiness or coma; slurred speech; impairment in attention and memory.

Question 11

Signs of Intoxication and Withdrawal: Alcohol

Answer 11

Signs of Intoxication: Inappropriate sexual or aggressive behaviors; impaired judgment; slurred speech; emotional lability; incoordination; unsteady gait; involuntary, rhythmic movement of the eyes; impaired attention or memory; stupor; coma.

Signs of Withdrawal: Sweating; tachycardia (rapid heart beat); hand tremor; insomnia; nausea or vomiting; transient illusions or hallucinations; anxiety; psychomotor agitation; grand mal seizures; delirium tremens (DTs).

Question 12

Schizoaffective Disorder

Answer 12

The psychotic features are present all the time, and it’s the mood disorder that comes in and out.

Question 13

Female Sexual Interest/Arousal Disorder

Answer 13

1. Lack of sexual interest or arousal
2. Decline or lack of intimacy
3. Explore this when working with couples if problems with sex are reported with their partner.

Question 14

Insomnia Disorder

Answer 14

1. When someone reports difficulty sleeping,
2. Must be present 3 Nights a week for 3 months

Difficulties are either: Falling Asleep, Staying Asleep, Early Morning Wakings, Multiple Wakings during the evening

Question 15

Hypersomnolence Disorder

Answer 15

1. Excessive sleepiness
2. Exceed 7 hours, but can be up to 9.5 hours
3. Difficulty staying awake

Question 16

Nightmare Disorder

Answer 16

1. When somebody wakes up with a nightmare, they are quickly oriented, they realize that they were asleep and now they are awake
2. They can recall the content of the nightmare

Question 17

Non-Rapid Eye Movement Sleep Disorder

Answer 17

1. Recurrent episodes of incomplete waking, can’t remember what they were dreaming about
2. Don’t fully wake up
3. Could be someone who sleepwalks

Question 18

Cyclothymic Disorder (Symptoms+Timeline)

Answer 18

1. These symptoms need to be present for at least 2 years.
2. Hypomanic state alternating with a low level mild depressive episode

Question 19

Bipolar I Disorder

Answer 19

1. You need to have a manic phase that leads to significant impairment for at least 1 week.
2. Manic mood can be feelings of positivity or irritability
3. Lack of need for sleep, and having excessive energy

Question 20

Bipolar II Disorder

Answer 20

1. Someone who has a Hypomanic phase, and at least one episode of major depression
2. Hypomania – Only needs to last for 4 days, elevated mood that does not cause impairment

Question 21

Excoriation Disorder

Answer 21

Skin picking

Question 22

Language Disorder

Answer 22

1. These children have a hard time building a vocabulary.
2. Drop words out, limited sentence structure
3. Why use lot word when few word do trick?

Question 23

Childhood-Onset Fluency Disorder

Answer 23

Stuttering

Question 24

Disruptive Mood Dysregulation Disorder

Answer 24

1. Usually diagnosed between ages 6-10, but up to age 17
2. Someone who is chronically irritable or moody, have reoccurring temper tantrums.
3. Outbursts need to be occurring at least two times a week.
4. In general, mood is negative even when not having the outbursts.

Question 25

Prolonged Grief Disorder

Answer 25

1. Adult client experiences severe impairment lasting for 12 months or more following the death of a loved one.
2. Children/Adolescent: 6 months or more

Question 26

Amphetamine Use Disorder

Answer 26

Staying up all night
Bizarre behavior
Grinding teeth

Question 27

By what age does someone need to have had a diagnosis of conduct disorder, in order to qualify for antisocial personality disorder in adulthood?

Answer 27

By age 15

Question 28

Stereotypic Movement Disorder

Answer 28

a condition in which a person makes repetitive, purposeless movements.

Question 29

Tourette’s Syndrome

Answer 29

Both multiple motor and 1 or more vocal tics have been present at some time during the illness, though not necessarily concurrently