DSM V: Diagnostic Criteria

Question 1

Criterion A

Answer 1

A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting
at least 6 months as evidenced by at least four symptoms from any of the following categories, and exhibited during interaction with at least one individual who is not a sibling.

Angry/Irritable Mood

1. Often loses temper.
2. Is often touchy or easily annoyed.
3. Is often angry and resentful.
   Argumentative/Defiant Behavior
4. Often argues with authority figures or, for children and adolescents, with adults.
5. Often actively defies or refuses to comply with requests from authority figures or
   with rules.
6. Often deliberately annoys others.
7. Often blames others for his or her mistakes or
   misbehavior.

Vindictiveness

8. Has been spiteful or vindictive at least twice within the past 6 months.

Question 2

Note

Answer 2

The persistence and frequency of these behaviors should be used to distinguish
a behavior that is within normal limits from a behavior that is symptomatic. For children
younger than 5 years, the behavior should occur on most days for a period of at least
6 months unless otherwise noted (Criterion AB). For individuals 5 years or older, the
behavior should occur at least once per week for at least 6 months, unless otherwise
noted (Criterion AB). While these frequency criteria provide guidance on a minimal level of frequency to define symptoms, other factors should also be considered, such as
whether the frequency and intensity of the behaviors are outside a range that is normative for the individual’s developmental level, gender, and culture

Question 3

Criterion B

Answer 3

The disturbance in behavior is associated with distress in the individual or others in his or
her immediate social context (e.g., family, peer group, work colleagues), or it impacts negatively on social, educational, occupational, or other important areas of functioning

Question 4

Criterion C

Answer 4

The behaviors do not occur exclusively during the course of a psychotic, substance
use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood
dysregulation disorder

Question 5

Severity

Answer 5

Mild: Symptoms are confined to only one setting (e.g., at home, at school, at work, with
peers).
Moderate: Some symptoms are present in at least two settings.
Severe: Some symptoms are present in three or more settings.

Question 6

Card 4`

Answer 6

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