DSM5 Criteria Flashcards
Major Depressive Episode mnemonic
How long does it need to occur
SIGECAPS (Two of Six Stared Symptoms)
Sleep*
Interest Deficit (anhedonia)
Guilt (worthlessness, hopelessness, regret)
Energy Deficit*
Concentration Deficit*
Appetite Disorder*
Psychomotor Retardation or agitation
Suicidality
Almost every day for the last two weeks
Persistent Depressive Disorder (Dysthymia) mnemonic
How long does it need to occur
ACHEWS (Two of Six Symptoms)
Appetite Disorder
Concentration Deficit
Hopelessness
Energy deficit
Worthlessness
Sleep disorder
Two or more years of symptoms
Bipolar Disorder Criteria and Mnemonic
Criteria for hypomania
- A distinct period of abnormally persistently elevated, expansive, or irritable mood, lasting one week, or such a mood of any duration if hospitalization is necessary.
- Persistence of three or more of the following symptoms during the period of mood disturbance. DIGFAST
Distractibility
Indiscretion (excessive involvement in pleasurable activities that have a high potential for painful consequence)
Grandiosity or inflated self-esteem
Flight of ideas or racing thoughts
Activity increase (goal directed activity or psychomotor agitation)
Sleep deficit
Talkativeness (pressured speech)
Hypomania
1. The period of expansive or irritable mood needs to last only 4 d rather than a full week.
2. The episode is not severe enough to cause “marked impairment in social or occupational functioning.”
Panic Disorder Criteria and Mnemonic
- Recurrent unexpected panic attacks (must have 4 of 13 symptoms): mnemonic for panic attack: heart, breathlessness, fear
Heart: Palpitations, chest pain, nausea
Breathlessness cluster: SOB, choking sensation, dizziness, paresthesia, hot/cold waves
Fear cluster: fear of dying, fear of going crazy, sweating, shaking, derealization/depersonalization
- At least one of the attacks has been followed by 1 mo (or more) of at lease of of the following three:
Fear of another attack occurring
Persistent worry about the implications or consequences of the attack
A significant change in behavior because of the attacks
Agoraphobia DSM-5 criteria
- Anxiety about being in places or situations from which escape might be difficult or embarrassing.
- Situations are avoided or endured with marked distress.
Agoraphobia often develops as a complication of a panic disorder, thought it can be a free-standing disorder. Usually the patient has a few panic attacks and gradually beings to avoid situations that he associates with those attacks, a process termed phobic avoidance. The agoraphobic avoids situations in which a quick escape would be difficult. Typical examples include crowded places and driving a car.
Generalized Anxiety Disorder Criteria and Mnemonic
- Excessive anxiety and worry, occurring more days than not for at least 6 mo, about a number of events or activities.
- Difficulty controlling the worry
- Anxiety associated with at least three of the following six symptoms: Macbeth Frets Constantly Regarding Illicit Sins
Muscle Tension
Fatigue
Concentration Difficulty
Restlessness or feeling on edge
Irritability
Sleep Disturbance
Social Anxiety Disorder Critera
- A fear of social performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others.
- Exposure to the feared situation almost invariably provokes anxiety, which may take the form of a panic attack.
Specific phobia Critera
- Excessive and unreasonable fear of a specific object or situation
- Exposure to the phobic stimulus causes intense anxiety
OCD Criteria and Mnemonic
Difference between Obsession and Compulsion
Mnemonic: Washing and Straightening Make Clean Houses
Washing
Straightening
Mental Rituals
Checking
Hoarding
Most have either obsessions or compulsions
Obsessions:
Recurrent intrusive thoughts
Impulses
Images that cause anxiety and that the person tries to ignore or suppress
Compulsions
Repeated behaviors or mental acts that the person feels driven to perform in response to an obsession
Behaviors or acts aimed at preventing or reducing distress.
PTSD Criteria or Mnemonic
Remembers Atrocious Nuclear Attacks
- The person has experienced a traumatic event that involved actual or threatened death or a threat to the physical integrity of self or others.
- The traumatic event is persistently REEXPERIENCED via memories, dreams, flashbacks, or intense distress when the person is exposed to events that are symbolic of the original event.
- Stimuli associated with the event are persistently AVOIDED, for example, avoiding certain activities or thoughts, amnesia for the event.
- The person experiences NEGATIVE cognitions and feelings, as in negative beliefs about oneself or the world, inability to have positive emotions, diminished interest in various activities, or a sense of foreshortened future.
- Increased AROUSAL occurs: sleep disturbance, irritability, difficult concentrating, hypervigilance, exaggerated startle response.
- Disturbance lasts at least one month.
Alcohol Use Disorder CAGE and Criteria
Cut down
Annoyed
Guilty
Eye-Opener
The following refers to the mnemonic: Tempted With Cognac. For the diagnosis of alcohol use disorder, the patient must meet at least two of the following eleven criteria.
- Tolerance
- Withdrawal Syndrome
- Loss of Control of Alcohol Use (nine of criteria follow)
-More alcohol ingested than the patient intended
-Unsuccessful attempts to cut down
-Much time spent in activities related to obtaining or recovering from the effects of alcohol
-Craving alcohol
-Alcohol use continued despite the patient’s knowledge of significant physical or psychological problems caused by its use.
-Important social, occupational, or recreational activities given up or reduced because of use
-Failure to fulfil major roe obligations at work, school or home.
-Persistent social and interpersonal problems caused by alcohol
-Recurrent alcohol use in situations in which it is physically hazardous.
Schizophrenia Criteria and Mnemonic
Delusions Herald Schizophrenic’s Bad News
Requires two symptoms for 1 mo, plus 5 mo prodromal or residual symptoms. At least one symptom must be one of three highlighted core symptoms (delusions, hallucinations, speech disorganization)
Delusions
Hallucinations
Speech/thought disorganization
Behavior Disorganization
Negative symptoms
Anorexia Nervosa Mnemonic
Weight Fear Bothers Anorexics
Weight significantly low
Intense Fear of gaining weight or becoming fat
Distorted body image
Bulimia Nervosa Criteria and Mnemonic
Recurrent episodes of Binge eating (at least once a week for 3 mo) that feel out of control
Bulimics Over-Consume Pastries
Excessive CONCERN with body shape and weight
PURGING behaviors, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medication; fasting; or excessive exercise
Binge Eating Disorder Criteria
Recurrent episodes of binge eating (at least once a week for 3 mo) that feel out of control (required)
One or more of the following must be associated with the binge eating episodes:
Eating very quickly, eating to the point of feeling painfully full, eating when not really hungry, eating alone because of feeling embarrassed about behavior, feeling disgusted with oneself afterward.
Somatic Symptom Disorder Criteria
There is one or more somatic symptom that has been persistent for at least 6 mo and that may or may not have an established medical origin.
The patient has been overly focused on the symptom(s) as defined by one or more of the following:
Excessive thoughts about the seriousness of the symptom
High levels of anxiety about the symptom
Too much time devoted to thinking about or responding to the symptom
Illness Anxiety Disorder Criteria
The patient believes he or she has a serious illness but it has not been diagnosed and there are no accompanying symptoms (or they are milder then what you would expect for the illness)
For at least six months the patient has been highly anxious about the illness and has spent excessive amounts of time or energy focusing on it.
ADHD Mneumonic
MOAT
Movement excess (hyperactivity)
Organization problems (difficulty finishing tasks)
Attention problems
Talking impulsively
Organization
cant organize things
loses things needed for tasks
has problems finishing tasks
Attention Problems
Poor focus
easily distracted
doesn’t listen
forgets easily
makes careless mistakes
avoids tasks requiring concentration
Impulsivity/hyperactivity
talks too much
blurts out answers
interrupts others
can’t play quietly
Movement excess
fidgets and squirms
leaves seat
Borderline Personality Disorder Mnemonic
I DISPAIRR
Identity Disturbance
DISORDERED, unstable affect owing to marked reactivity of mood
Recurrent SUICIDAL behavior, gestures, or threats, or self-mutilating behavior
Transient, stress related PARANOID ideation or severe dissociative symptoms
Frantic efforts to avoid real or imagined ABANDONMENT
IMPULSIVITY in at least two areas that is potentially self-damaging
Inappropriate, intense Rage or difficulty controlling anger
A pattern of unstable and intense interpersonal RELATIONSHIPS characterized by alternating extremes of idealization and devaluation
Cluster A
ODD
Paranoid
Schizoid
Schizotypal
Cluster B
Dramatic
Borderline
Antisocial
Histrionic
Narcissistic
Cluster C
Anxious
Avoidant
Dependent
Obsessive-Compulsive
Schizoid Mnemonic
DISTANT
Detached or flattened
Indifferent to criticism or praise
Sexual experiences of little interest
Tasks performed solitarily
Absense of close friends
Neither desires nor enjoys close relationships
Takes pleasure in few activities
Schizotypal Mnemonic
ME PECULIAR
Magical thinking or odd beliefs
Experiences unusual perceptions
Paranoid ideation
Eccentric behavior or appearance
Constricted affect
Unusual thinking and speech
Lacks close friends
Ideas of reference
Anxiety in social situations
Rule out psychotic disorder and autistic disorder
Antisocial Mnemonic
CORRUPT
Conformity to law lacking
Obligations ignored
Reckless disregard for safety or self or others
Remorse lacking
Underhanded (deceitful, lies, cons, others)
Planning insufficient
Temper
Histrionic Mnemonic
PRAISE ME
Provocative behavior
Relationships (considered more intimate then they are)
Attention (Uncomfortable when not center of attention)
Influenced easily
Style of speech (impressionistic, lacks detail)
Emotions (rapidly shifting and shallow)
Made up (physical appearance used to draw attention to self)
Emotions exaggerated (theatrical)
Narcissistic Mneumonic
SPEECIAL
Special
Preoccupied with fantasies
Envious
Entitlement
Excessive admiration required
Conceited
Interpersonal exploitation
Arrogant
Lacks empathy
Avoidant Mneumonic
CRINGES
Certainty of being liked required before willing to risk involvement
Rejection possibility preoccupies his thoughts
Intimate relationships avoided
New relationships avoided
Gets around occupational activities that involve interpersonal contact
Embarrassment potential prevents new activities
Self viewed as unappealing, inept, inferior
Dependent Mneumonic
Reliance
Reassurance required for decisions
Expressing disagreement difficult
Life responsibilities assumed by others
Initiating projects difficult
Alone
Nurturance
Companionship sought urgently when close relationships ends exaggerated fears of being left to care for self
