DSM-V Criteria

Question 1

ADHD

+ Subtypes

Answer 1

A) Persistent pattern on inattention and/or hyperactivity, that interferes with functioning or development
-> Inattention: 6 of the 9 symptoms have to be present for 6 months (5 in adults)
-> Hyperactivity: 6/9 symptoms have to be present for 6 months (5 in adults)
B) Several Symptoms are present before the age of 12
C) Has to affect more than one setting
Subtypes:
1) Inattentive
2) Hyperactive
3) Combined

Question 2

PTSD

Answer 2

A) Exposure to (or threat of) violence to yourself or a significant other, or repeatedly experiencing traumatic events. (Only counts if exposure is repeated, work related, or involuntary.)
B) At least one intrusive symptom post-event, which is spontaneous, or induced by associated stimuli
-> Nightmares, dissociations, flashbacks etc.
C) Persistent avoidance of associated stimuli
D) Negative alteration in cognition and/or mood (Includes dissociative amnesia)
E) High arousal or irritability
F) Duration is longer than 1 Month

Question 3

Social Anxiety Disorder

Answer 3

A) Fear or Anxiety of certain social situations where negative experiences like embarrassment are possible
B) Fear of being negatively evaluated
C) Social situations consistently provoke fear/anxiety
D) Social situations are endured under great discomfort, or avoided
E) Fear is disproportionate to objective threat
F) At least 6 months
Specific Type: Performance only

Question 4

Panic Disorder

Answer 4

A) Recurrent and sudden panic attacks defined by many physiological and psychological symptoms
B) Minimum one attack has been followed by either:
1. Persistent concern about future attacks
2. Maladaptive change in behavior to compensate for the feared attack

Question 5

Generalized Anxiety Disorder

Answer 5

A) Excessive Anxiety and worry occurring the majority of the time for 6 months
B) Difficulties controlling the concerns
C) At least 3 have been present during the past 6 months:
Restlessness, Fatigue, problems concentrating, irritability, muscle tension, sleep disturbances

Question 6

OCD

Answer 6

A) Presence of compulsions (behaviors) or obsessions (thoughts)
B) Obsessions or compulsions are time-consuming or otherwise cause distress/impairment

Question 7

Hoarding Disorder

Answer 7

A) Persistent difficulties parting with belongings
B) Is due to perceived need to save the items and distress by the thought of discarding them
C) Cluttering affects use of living space; cleaning is only done due to third party involvement
Specific Cases: Excessive Acquisition; Good Insight; poor Insight; Absent insight/Delusional Beliefs

Question 8

General Definition of Personality Disorder

Answer 8

• Personality pattern must deviate substantially from expectations based on environment, age, etc.
• pattern must be enduring and present by adulthood
• For under 18-year-olds, the pattern must have been stable for one year

Question 9

Major Depressive Disorder

Answer 9

A) 5 or more during 2-week period:
-> depressed mood; anhedonia; weight or appetite fluctuations; sleeping problems; psychomotor agitation or retardation; fatigue; feelings of worthlessness or guilt; decreased concentration or decisiveness; thoughts of death and/or suicide
E) There has never been a manic or hypomanic episode

Question 10

Manic Episode

Answer 10

A) Distinct period of abnormally elevated or irritable mood and increased energy, lasting at least one week
B) During the episode, at least 3 are present:
-> inflated self-esteem; decreased need for sleep; talkativeness; flight of ideas; distractibility; increased goal-directed energy or psychomotor agitation; high-risk behavior

Question 11

Bipolar II

Answer 11

• Major Depressive Episode was or is present
• Hypomanic Episode was or is present
• No manic Episodes

Question 12

Anorexia Nervosa

Answer 12

A) Restriction of calorie intake leading to significantly reduced body weight
B) Intense fear of gaining weight and behavior that prevents this from happening
C) Disturbance in the way one’s own weight and/or shape is perceived and underestimation of seriousness of low BMI
- Subtypes:
1. Restricting Type
2. Binge-eating/Purging Type
3. Severity according to BMI

Question 13

Bulimia Nervosa

Answer 13

A) Recurrent Episodes of bingeing characterized by:
- eating unusually large amounts of food in a short time
- sense of lack of control over eating behavior
B) Recurrent inappropriate compensatory behaviors
C) Bingeing and purging occur at least once per week on average for 3 months.
D) Self-evaluation is heavily influenced by body weight and shape
E) Disturbance does not exclusively occur during episodes of anorexia

Question 14

Schizophrenia

Answer 14

A) At least 2, present for 1 Month:
- Delusions; Hallucinations; Disorganized Speech; Grossly disorganized or catatonic behavior; negative symptoms
B) Since the onset, the level of functioning has gone down
C) Continuous signs of disturbance for 6 months
D) No major depressive or manic episode has occurred in active-phase and if so, only for a short time

Question 15

Delusional Disorder

Answer 15

A) Presence of 1 or more delusions over 1 month
B) No criterion A of schizophrenia
C) Apart from delusions, functioning is not impaired and behavior is not obviously odd
D) If mood disturbances occur, they are short

Question 16

Schizotypal Personality Disorder

Answer 16

A) Pervasive pattern of social deficits, cognitive or perceptual distortions and eccentricities of behavior, beginning in early adulthood with 5 or more of:
-> Ideas of reference; Odd beliefs/magical thinking; Unusual perceptual experiences including tactile illusions; Odd thinking and speech; Paranoia; Inappropriate or constricted affect; Odd behavior or appearance; Lack of social relationships; Excessive social anxiety independent from level of familiarity
B) Does not exclusively appear during course of schizophrenia, or another psychotic or autistic disorder

Question 17

General Substance Use Disorder

Answer 17

A) Clinical significance of disorder
B) There is evidence for:
- Disorder developed within 1 month of an intoxication or withdrawal
- Substance is capable of producing a mental disorder
D) does not only occur during the course of a delirium
E) Significant impairment or distress

Question 18

Alcohol Use Disorder

Answer 18

A) Problematic pattern of alcohol use leading to clinically significant impairment or distress; At least 2, within a 12 month period:

• > ….
• >
  10. Tolerance as defined by either a need for increased amounts of alcohol for desired effect, or a markedly diminished effect with continued use of the same amount.
• >
  11. Withdrawal symptoms, or using alcohol to avoid these symptoms.

Question 19

Name some examples of negative alterations of cognition and mood, that are present in PTSD.

Answer 19

• Dissociative Amnesia
• Negative beliefs about oneself and others due to distorted cognitions about cause of traumatic event
• Low interest in otherwise liked activities like hobbies
• Feelings of social detachment
• Anhedonia

Question 20

What can be symptoms of a panic attack as reported by criterion A in the DSM?

Answer 20

• Increased heart rate - feeling hot or cold
• sweating - dissociations
• trembling/shaking - fear of losing control or dying
• breathing problems - light-headedness
• nausea - dizziness
• chest pain

Question 21

According to the DSM, under which age can antisocial personality disorder not be diagnosed?

Answer 21

18

Question 22

Name some examples of DSM subtypes of Depressive Disorder.

Answer 22

• Depression with anxious distress
• depression with mixed features
• Depression with psychotic features
• depression with catatonic features
• seasonal affective disorder
• depression with peripartum onset
• premenstrual dysphoric disorder

Question 23

What is Cyclothymic Disorder?

Answer 23

Less severe but more chronic form of Bipolar

Question 24

In which BMI range is Anorexia considered “severe”?

Answer 24

15 - 16

Question 25

According to criterion B of Binge-eating disorder, binges have to be accompanied by at least 3 of which symptoms?

Answer 25

• Eating rapidly
• Eating until discomfort
• Eating large quantities despite not hungry
• Eating isolated because of feelings of shame
• Disgust with oneself / Depression / Guilt

Question 26

How is someone classified as having Atypical Anorexia Nervosa?

Answer 26

Every criterion is met except for low weight.

Question 27

What are some attributes of delusions occurring in Schizophrenia?

Answer 27

• They are nearly impossible
• Preoccupation with delusions and seeking evidence
• Individual is convinced that delusions reflect the truth

Question 28

Schizoaffective Disorder

Answer 28

A) Period of illness during which there is a major mood episode and criterion A of Schizophrenia
B) Delusions or Hallucinations for 2 or more weeks in absence of mood episode
C) Mood episode Symptoms are present most of the time

Question 29

Which criteria of Schizophrenia have to be fulfilled in order to diagnose someone with Schizophreniform Disorder?

Answer 29

A, D, E

Question 30

What are some of the symptoms of alcohol use disorder mentioned under criterion A in the DSM?

Answer 30

• Alcohol is taken in larger amounts and over a longer period of time than intended
• Persistent desire or unsuccessful efforts to cut down or control alcohol use
• Recurrent alcohol use impairing major role obligations
• Continued alcohol use despite persistent social or interpersonal problems because of it
• Alcohol use in situations where it is physically dangerous