DSM Review Flashcards
Enuresis
Urination in their bed or clothes, could be intentional or not, for kids 5 or older
Timelines:
Brief Psychotic Disorder
vs.
Schizophreniform Disorder
vs.
Schizophrenia
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
Timelines:
PTSD
vs.
Acute Stress Disorder
PTSD: Symptoms must be present for AT LEAST one month
Acute Stress Disorder: Symptoms must be present WITHIN a month of the incident
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:
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.
Persistent Depressive Disorder
- Depressed mood for at least 2 years for adults, and at least 1 year for children
- Not as deep of a depressed mood as MDD
- Chronically mildly depressed
Delirium
Delirium generally includes symptoms such as increasing confusion that occurs in the onset of hours or days, and a change in cognition and behaviors.
When do ADHD symptoms need to be present by in order to qualify for the diagnosis?
Before the age of 12.
Timelines:
MDD
vs.
Persistent Depressive Disorder
MDD: Symptoms must be present for AT LEAST 2 weeks
Persistent Depressive Disorder: 2 years for adults, 1 year for children
Ego Syntonic
vs.
Ego Dystonic
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.
Signs of Intoxication: Opioid
Initial euphoria followed by apathy or dysphoria; pupillary constriction;
drowsiness or coma; slurred speech; impairment in attention and memory.
Signs of Intoxication and Withdrawal: Alcohol
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).
Schizoaffective Disorder
The psychotic features are present all the time, and it’s the mood disorder that comes in and out.
Female Sexual Interest/Arousal Disorder
- Lack of sexual interest or arousal
- Decline or lack of intimacy
- Explore this when working with couples if problems with sex are reported with their partner.
Insomnia Disorder
- When someone reports difficulty sleeping,
- 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
Hypersomnolence Disorder
- Excessive sleepiness
- Exceed 7 hours, but can be up to 9.5 hours
- Difficulty staying awake
Nightmare Disorder
- When somebody wakes up with a nightmare, they are quickly oriented, they realize that they were asleep and now they are awake
- They can recall the content of the nightmare
Non-Rapid Eye Movement Sleep Disorder
- Recurrent episodes of incomplete waking, can’t remember what they were dreaming about
- Don’t fully wake up
- Could be someone who sleepwalks
Cyclothymic Disorder (Symptoms+Timeline)
- These symptoms need to be present for at least 2 years.
- Hypomanic state alternating with a low level mild depressive episode
Bipolar I Disorder
- You need to have a manic phase that leads to significant impairment for at least 1 week.
- Manic mood can be feelings of positivity or irritability
- Lack of need for sleep, and having excessive energy
Bipolar II Disorder
- Someone who has a Hypomanic phase, and at least one episode of major depression
- Hypomania – Only needs to last for 4 days, elevated mood that does not cause impairment
Excoriation Disorder
Skin picking
Language Disorder
- These children have a hard time building a vocabulary.
- Drop words out, limited sentence structure
- Why use lot word when few word do trick?
Childhood-Onset Fluency Disorder
Stuttering
Disruptive Mood Dysregulation Disorder
- Usually diagnosed between ages 6-10, but up to age 17
- Someone who is chronically irritable or moody, have reoccurring temper tantrums.
- Outbursts need to be occurring at least two times a week.
- In general, mood is negative even when not having the outbursts.
Prolonged Grief Disorder
- Adult client experiences severe impairment lasting for 12 months or more following the death of a loved one.
- Children/Adolescent: 6 months or more
Amphetamine Use Disorder
Staying up all night
Bizarre behavior
Grinding teeth
By what age does someone need to have had a diagnosis of conduct disorder, in order to qualify for antisocial personality disorder in adulthood?
By age 15
Stereotypic Movement Disorder
a condition in which a person makes repetitive, purposeless movements.
Tourette’s Syndrome
Both multiple motor and 1 or more vocal tics have been present at some time during the illness, though not necessarily concurrently
