DSM V Criterions Flashcards
3 diagnostic criteria for intellectual disability?
- deficits in intellectual function: abstract thinking, reasoning, problem solving
- deficits in adaptive functioning: no sociocultural standards
- onset during developmental period
what are the key features of psychotic disorders?
- Delusions
- Hallucinations
- disorganized thinking(speech)
- disorganized motor behaviour (catatonia)
- negative symptoms
definition of hallucinations?
perception-like experience that occur without an external stimulus
what are the two prominent negative symptoms in schizophrenia?
- Diminished emotional expression
2. Avolition
diagnostic criteria for schizophrenia?
A. two or more during a 1/12 time:
- delusions
- hallucinations
- disordered thinking/speech
- disordered motor behaviour/catatonia
- negative symptoms
B. disruption at work, relations, self care
C. disturbance for 6/12
D.schizoaffective and bipolar ruled out
E. not due to a substance
F. If autism in childhood, schizo only if prominent delusions/hallucinations
what is diagnostic criteria of schizoaffective disorder?
- uninterrupted period of mania/depression concurrent with schizo
- delusions or hallucinations for >2/52 in absence of depression/mania
- not due to a drug
- symptoms of major mood episodes are present for majority of time.
what is bipolar I?
mania 7 days
major depressive episode
what is bipolar II?
hypomania: 4 consecutive days
major depressive episode
diagnostic criteria for mania?
7 days 3 of: -inflated self-esteem/grandiosity -no need for sleep -more talkative- flight of -ideas -distractibility -increase goal-directed activity -excessive high risk involvement
diagnostic criteria for major depressive episode?
A. 14 days of
5 or more of:
1.depressed mood (must) or 2. anhedonia (must) 3. weight loss 4. insomnia psychomotor agitation/retardation 6. fatigue/loss of energy 7. worthlessness/guilt 8. diminished ability to think/concentrate 9. thoughts of death
B. distress in social/work etc.
C. not from drug
do you need depression for bipolar I?
Nope, just mania is enough
diagnostic criteria for major depression?
A. 14 days of
5 or more of:
1.depressed mood (must) or 2. anhedonia (must) 3. weight loss 4. insomnia psychomotor agitation/retardation 6. fatigue/loss of energy 7. worthlessness/guilt 8. diminished ability to think/concentrate 9. thoughts of death
B. distress in social/work etc.
C. not from drug
D. Not schizoaffective
E. never been a manic episode
difference between fear and anxiety?
Fear: emotional response to real or perceived IMMINENT threats
Anxiety: anticipation of future threat
diagnostic criteria panic attack?
A. RECURRENT with 4 or more of:
palpitations wearing trembling dyspnoea chest pain nausea dizzy chills or heat sense of impending doom
diagnostic criteria of OCD?
A. presence of obsessions and/or compulsions
B. time consuming (>1hour/day)
C. not a drug
D. Not another mental disorder like generalized anxiety
what is obsession? 2 things
- persistent thought/urges, intrusive/unwanted, causes anxiety/distress
- attempts to ignore or suppress urges
what is a compulsion? 2 things
- repetitive behaviours/mental acts, feel driven to do
2. the behaviours are to prevent anxiety of a threat but not connected realistically
diagnostic criteria for anorexia nervosa?
- Persistent restriction of energy intake
- fear of gaining weight
- disturbance in body experience, little insight
diagnostic criteria for bulimia nervosa?
A.
- eating in discrete period more than what most ppl would eat
- lack of control over eating during episode
B. compensatory behaviours: vomiting, laxatives, diuretics, exercise
C. at least 1/7 for 3/12
D. self-evaluation influenced by body shape and weight
E. does not occur during episodes of anorexia nervosa
Criteria to consider for CAT team?
- Appears to have severe mental disorder
- In a crisis
- Acute stage?
- Risk to the individual
- Risk to CAT service members: violence, agitation, children,
mood disorders and substance abuse, 5 things:
- Disorder fostering disorder
- Self medicate
- Confounding Dx
- Drug-drug interaction
- Overlapping Neuro-biological pathways