DSM V

Question 1

3 Neurodevelopmental Disorders

Answer 1

1) autism
2) social communication disorder
3) attention-deficit/hyperactivity disorder

also *Intellectual Disability, *stuttering, *Global Developmental Delay (under 5yrs.), *specific learning disorder, *Tics, *Stereotypical Movement Disorder

Question 2

What are differences between autism and social communication disorder?

Answer 2

Individuals with Social (pragmatic) communication disorder do not otherwise meet the thresh hold criteria for autism including presence of

a) repetitive motor movements,
b) insistence on sameness
c) fixated interests

Question 3

Name the diagnoses that are under Schizophrenia spectrum and related disorders (6):

Answer 3

1) Schizotypal Personality Disorder

2) Brief Psychotic Disorder (1 day to one month)
3) Delusional Disorder (More than a month)
4) Schizophreniform Disorder (More than a month, less than 6 months)
5) Schizophrenia (more than a month w/ impairment in functioning)
6) Schizoaffective Disorder - Schizophrenia with a major mood episode (depressive or manic)

Question 4

What must be present for a Schizophrenia diagnosis?

Answer 4

2 or more/ 1 from first 3

1) Delusions* (and/or)
2) Hallucinations* (and/or)
3) Disorganized Speech* (and/or)

4) Negative Symptoms
5) Grossly disorganized or catatonic behavior

Question 5

Catatonia can be a symptom of what three disorders?

Answer 5

1) schizophrenia (disorganized motor behavior)
2) depression
3) bi-polar

Question 6

Negative symptoms include:

Answer 6

• diminished emotional expression
• avolition - decrease in purposeful activities
• alogia - diminished speech output
• anhedonia - decreased ability to experience
  pleasure
• asociality - lack of interest in social interactions.

Question 7

Schizophreniform Disorder

Answer 7

(symptoms equivalent to schizophrenia) Lasts more than a month but remits by 6 months. Symptoms may or may not cause a significant decline in functioning.

Question 8

Delusional Disorder, how is it distinct from schizophrenia?

Answer 8

1) criterion for schizophrenia is not met - hallucinations not present
2) functioning not significantly impaired
also
3) no significant manic or depressive episodes - which distinguishes it from schizoaffective disorder

Question 9

Bi-polar I

Answer 9

Manic behavior / mood disturbance lasting at least one week. This means that mania symptoms were present for 7 days in a row for most of each day. At least one lifetime episode.

Must have experienced marked impairment in functioning.

Question 10

7 possible symptoms of bi-polar:

Answer 10

inflated self-esteem
decreased need for sleep
talkative
flight of ideas
distractibility
increase in goal-directed activity/or purposeless psychomotor agitation.
Excessive involvement in activities that have a high potential for harmful consequences

Question 11

Bi-polar II

Answer 11

+ Hypomanic episode (current or past)
+ Major depressive Episode (current or past) lasting 2 or more weeks.
+ There has never been a manic episode

+ depression episodes cause impairment in functioning.

Question 12

Cyclothymic Disorder

Answer 12

• in adults 2 years of periods of hypomanic symptoms with no returns to functioning lasting for more than 2mo.
• Depression or hypomania present at least half of the time.

no mania or major depressive episodes

Question 13

Depressive Disorders - disorders in this category are:

Answer 13

1) Disruptive Mood Dysregulation Disorder
2) Major Depressive Disorder
3) Persistent Depressive Disorder (Dysthymia)
4) Premenstrual Dysphoric Disorder

Question 14

Disruptive Mood Dysregulation Disorder

Answer 14

1) burst of temper - verbal and/or phyisical out of proportion to stimulus.
2) 3 - or more times a week
3) irritable most of the day otherwise
4) 12 or more months without symptom relief from more than three consecutive months.
Made after 6 and before 18. Symptoms present by 10

Question 15

what are the diagnosis criteria for Disruptive Mood Dysregulation Disorder (DMDD)?

Answer 15

Child is older than 6 and has the symptoms before age 10. Diagnosis is not made after the age of 18.

Severe and persistent irritability/ if ODD criteria are present they are considered to be addressed under the DMDD diagnosis and ODD is not given.

Question 16

Major Depressive Disorder

Answer 16

I.
Depressed mood most of the day every day for at least 14 days (2 weeks). (may look like
irritability in children and teens)
change of weight
diminished pleasure
change in sleep
psychomotor agitation or retardation -
observable
feelings of fatigue
feelings of worthlessness or guilt (could be
delusional)
Diminished ability to think or concentrate or decide.
recurrent thoughts of death
II. functional impairment

Question 17

Persistent Depressive Disorder (Dysthymia)

Answer 17

1) depressed mood for most of day more days than not for 2 years
2) while depressed have 2 more symptoms
3) never go for two or more months without symptoms
4) May have symptoms of major depressive disorder criteria
5) functional impairment
* ***but if full symptoms of Major Depressive Disorder are present then diagnose as major depressive disorder.

Question 18

Name the diagnoses available under Anxiety Disorders:

Answer 18

Generalized Anxiety Disorder
Separation Anxiety disorder
Selective Mutism
Social Anxiety Disorder
Agoraphobia
Specific phobia
Panic Disorder