DSM V Criteria Flashcards
GAD
- excessive multifocal worries
- > = 6 months
- cause distress
- not due to anything else
- 3/6 CRIMES (concentration, restlessness, muscle tension, energy, sleep)
tx: CBT + SSRI (or SNRI)
subtype of social anxiety disorder?
performance only!
tx: B-blocker (or benzo)
borderline personality disorder
pattern of impulsivity, unstable relationships, self-image/behavior present by early adulthood at least 5 of IMPULSIVE - impulsive (in at least 2 ways) - moody (unstable mood) - paranoid under stress (or dissociative) - unstable self image - labile, intense relationships - suicidal (recurrent/self harm) - inappropriate anger - vulnerable to abandonment - emptiness
tx of choice: psychotherapy
normal bereavement
- normal rxn to loss
- feelings of loss/emptiness
- symptoms/sad feelings revolve around deceased; thoughts of dying involve joining deceased
- waves of grief at reminders
- intensity decreases over time (weeks/months; gen by 6 months)
less common: worthlessness, self loathing, guilt, suicide; fxnl decline less severe
adjustment disorder
- w/in 3 months of identifiable stressful event
- causes marked distress greater than expected or impaired fxn
- not due to normal bereavement
- resolve within 6 months of stressor termination
- doesn’t meet criteria for another disorder
tx of choice: psychotherapy
postpartum blues
prev: 40-80%
onset: 2-3 days
resolution: by 2 weeks
symp: mild depression, (tearfulness, irritability, insomnia, anxiety, decreased concentration)
tx: reassure and monitor
postpartum depression
prev: 8-15%
onset: w/in 4 weeks
symp: moderate to severe depression
tx: antidepressants, psychotherapy
postpartum psychosis
prev: 0.1-0.2%
onset: variable (days to weeks)
symp: delusions, halluc, disorg thought, bizarre behavior
tx: hospitalize (don’t leave mom alone w/ baby) and meds: antipsychotics, antidepressants, mood stabilizers
somatic symptom disorder
excessive anxiety and preoccupation w/ >=1 unexplained symptom(s)
- lasts at least 6 months
tx: regularly scheduled visits w/ pcp
illness anxiety disorder
fear of having a serious illness despite few/no symptoms and consistently negative evaluations
- at least 6 months
tx: regularly scheduled pcp physician, CBT (most useful psychotherapy)
conversion disorder
(aka functional neurologic symptom disorder)
- neuro symptom incompatible w/ any known neurologic dz
- often acute onset assoc w/ stress
tx of choice: education about illness (if not effective, try CBT +/- PT)
factitious disorder
- intentional falsification or inducement of sx with goal to assume sick role
malingering
- falsification or exaggeration of symptoms to obtain external incentives (secondary gain)
panic attacks
symptoms: Da PANICS
Dizzy, disconnected, derealization (unreality), depersonalization (detached from self)
Palpitations, paresthesia Abdominal distress Numb, nausea Intense fear of dying, losing control or going crazy Chills, chest pain Sweating, shaking, SOB
panic disorder
> = 1 month of worry about having another panic attack and/or maladaptive behavior change
tx: immediate (benzo)
long term: SSRI or CBT
