DSM V Differences II Flashcards
Delirium v Major Neurocognitive Disorder v Mild Neurocognitive Disorder
Delirium Comes on quickly and usually in a hospital Shift in someone’s process Sometimes after drugs/medications or medical problem Memory impairment, language impairment Talk nonsense Lasts a day or a few hours Major Neurocognitive Disorder (Dementia) Unable and completion loses functions Before the major one Having serious issues with their attention and executive function, memory, cognition Challenges with motor skills Mild Neurocognitive Disorder Forgetting names etc Still functioning need some support Family may start to help more Note: Severe depression may be due to memory issues. With neurocognitive disorder may not have an awareness of any mental issues.
Somatic SX disorder v Illness Anxiety Disorder v Conversion Disorder
Somatic SX disorder (at least 6 months)
Actually has something
CX does has a somatic issue, such as pain or illness that can be documented by a doctor.
Anxiety over and a persistent concern over their sx which can impede their daily function
Illness Anxiety Disorder
Rarely have SX, or very mild SX, but a fear that they an illness
Have concern they have an illness, but have no true or very mild health issue
Hypochondriac
Conversion Disorder
Psychological issue converts into physical – like someone who gets so mad they go blind
Trauma issue, then lose use of a body part
Factitious Disorder v Malingering v Factitious Disorder by Proxy
Factitious Disorder
Likes attention of being sick. Act like they’re sick to go to the doctor.
Malingering
Someone fakes illness to get out of something. Trying to claim mental illness to get on disability or something they don’t want to do like get out of court.
Factitious Disorder by Proxy
Likes the attention of someone else being sick, like a mom who takes the child to the doctor or gives the child something to make them sick
Anorexia Nervosa v Bulimia Nervosa v Binge Eating Disorder v Unspecified Eating Disorder v Body Dysmorphic Disorder
Anorexia Nervosa
Someone restricts diet intake to the point that does not meet dietary means, starve themselves, intense fear of getting fat.
Distorted body imagine.
Excessive fear of getting fat, and excessive exercise.
FIRST: make sure they are seeing a medical doctor.
Bulimia Nervosa
2 things: Binge eating, and vomiting
Feel a sense of being out of control in the binge. Then vomit to prevent weight gain.
Binge Eating Disorder
Only engages in binge and not vomiting. Feels out of control, massive amount of food.
Feeling of disgust and shame afterward
Unspecified Eating Disorder
Not met criteria for the Anorexia or bulimia
Could have normal weight but obsessed with body image
Body Dysmorphic Disorder
Not about weight, but a displeasure with a body part. Example: They hate the way their ears/nose looks.
Depersonalization/Derealization Disorder v Dissociative Amnesia v Dissociate Identify Disorder
Depersonalization/Derealization Disorder
Feels reality intact, but feel outside of their body in a dream like state, not connected to reality.
Dissociative Amnesia
Forgetting of pertinent information during extreme stress or shock. Like war zone, after a natural disaster. They could not remember personal info like SS number, address, etc.
Dissociate Identify Disorder
2 or more distinct personality states, diff names and personalities. Cannot remember the other state when in one state.
Extreme trauma causes it
Genito-Pelvic Pain/Penetration Disorder v Female Sexual interest/Arousal Disorder
Genito-Pelvic Pain/Penetration Disorder
Someone reports pain during intercourse, or fear of pain during intercourse
Displeasure at the thought of having sex (like in a DV relationship) or sexually abused people
Female Sexual interest/Arousal Disorder
Lack of sexual interest or arousal
No fantasies or intimacy
Could be whole life or temporary state
Insomnia Disorder v Hypersomnolence Disorder
Insomnia Disorder
Hard time sleeping, at least 3 nights per week for 3 months
Getting to, staying asleep
Rule out the manic stage and anxiety and major depressive disorder
Hypersomnolence Disorder
Excessive sleepiness (exceeds 7 hours)
Feels groggy tired, sluggish – don’t feel fully awake
Could be with those who are overweight
Rule out major depressive disorder or abusing drugs that make you tired
Nightmare Disorder v Non-Rapid Movement sleep Disorder
Nightmare Disorder
Wakes up with a nightmare, when wake up they recall and wake realize it was a nightmare
Recurrent of
Non-Rapid Movement sleep Disorder (sleep terror disorder)
Recurrent incomplete memory of a nightmare
Sleepwalking
Don’t fully wake up and don’t remember it happening.
Central Sleep Apnea v Narcolepsy
Central Sleep Apnea
Stops breathing with they sleep
Loud snort or gasp for air when they start breathing.
Tired in the morning, don’t enter REM sleep due to stop breathing
Narcolepsy Sudden attack of sleep Anytime Loss of muscle tone Daytime fatigue
Intermittent Explosive Disorder v Kleptomania v Trichotillomania
Intermittent Explosive Disorder
Has problems controlling aggressive impulses
Can be destructive
Outbursts that don’t match the stressor
Rule Out: Cannot be explained by any other disorder or on drugs or alcohol
Kleptomania
Compulsive stealing, don’t need to do it
It is a compulsion and a rush from doing it.
Trichotillomania
Compulsion to pull out hair, could be hair, eye lashes, arm hair etc
Happens from trauma or feels shame
Substance Use Disorder v Substance Induced Disorders
Substance Use Disorder Continuum of mild to severe SX Failure to perform major roles at home and work Impacts social interactions Can’t stop use Increased tolerance Withdrawal SX when not using
Substance Induced Disorders Overarching issues for #13 2 Types see #13 Using the substance Withdrawals, depending on the SX of withdrawals
Substance Intoxication
Substance Withdrawal
Gambling Disorder (describe SX)
Gambling Disorder
Compulsive gambling even when financial devastating to their life
Preoccupation with gambling
Gamble higher amounts of money
Gamble when stressed to avoid the stress feelings
Rule out: Not in a manic episode as in going on a spry.
