DSM5-TR #2 Flashcards
Disorder where the child doesn’t seek or respond to comfort when distressed, with unexplained sadness or limited positive affect and has experienced extremely insufficient care
Reactive attachment disorder
Disorder where a child actively approaches and interacts with adult strangers with a lack of hesitation, overly familiar behaviours, lack of checking back with caregiver & will go off with an unfamiliar adult without hesitation
Disinhibited social engagement disorder
Is psychological debriefing effective for PTSD?
most studies have found is an ineffective and possibly harmful - some studies found it increased the risk of PTSD
What’s the difference between acute stress disorder and PTSD
Acute stress disorder: 3 days to 1 month
PTSD: more than 1 month
Adjustment disorder is the presence of emotional and behavioural symptoms in response to a psychosocial stressor that develop within ___ months of the onset of the stressor & remits within ____ months of the stressor terminating
develops within 3 months
remits within 6 months
Prolonged grief disorder can be diagnosed within what period of time? adults vs children
If it’s been at least 12 months (adults) & 6 months (children) have passed since the death of someone close to the bereaved
What’s dissociative fugue within dissociative amnesia?
purposeful travel or bewildered wandering with an inability to remember one’s past
What’s the disorder when you are preoccupied with having or developing a serious illness?
Illness anxiety disorder
What disorder involves one or more symptoms or deficits affecting voluntary motor or sensory function? They aren’t intentionally produced & incompatible with recognized neurological or medical conditions.
Conversion disorder (AKA Functional neurological symptom disorder)
What disorder is the intentional falsification of physical or psychological symptoms or the creation of injury or disease - presenting themselves or others as ill, impaired, or injured?
Factitious disorder
- Factitious disorder by proxy - doing it to others
What does malingering mean in terms of somatic symptom disorders?
they are falsifying their symptoms FOR EXTERNAL GAIN - like time off work or disability status
What disorder is the persistent eating of non-nutritive non food substances
Pica
What disorder involves the repeated regurgitation of food for at least 1 month
Rumination disorder
What disorder is characterized by a failure to eat adequately with significant weight loss or failure to achieve expected weight gain
Avoidant/restrictive food intake disorder
What disorder is characterized by a restriction of food intake leading to low body weight with an intense fear of gaining weight or behaviour that interferes with weight gain
Anorexia Nervosa
What disorder is characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviour to prevent weight gain?
Bulimia Nervosa
What’s the difference between binge eating disorder & bulimia nervosa?
In binge eating disorder, there aren’t any compensatory behaviours following the binge
Difference between enuresis and encopresis? and how old/how many incidents need to happen in what period of time?
Enuresis: voiding of urine into bed or clothes intentionally or unintentionally
- after age 5 and twice a week for 3 months
Encopresis: passage of feces into inappropriate places, intentionally or unintentionally
- after age 4 and needs to happen once a month for 3 months
What’s hypersomnolence disorder?
excessive sleepiness in spite of sleeping 7 hours
What disorder involves cataplexy (muscle weakness or paralysis, typically precipitated by laughter), hypocretin deficiency or REM indicators - REM sleep latency?
Narcolepsy - recurrent periods of irresistible need to sleep
During which stage of sleep do sleep terrors or sleepwalking occur?
the first third of the night - beginning of the night during non-rapid eye movement
During which stage of sleep do nightmares occur?
second half of the night, the final stages of sleep/morning during REM sleep
With sexual dysfunctions, how long do the symptoms have to persist?
a minimum of 6 months
What’s the disorder with a marked incongruence between one’s assigned gender and the gender experienced or expressed?
Gender dysphoria
Are males at birth or females at birth more commonly diagnosed for gender dysphoria?
Male at birth
How is severity measured in terms of oppositional defiant disorder?
By how many settings the symptoms occur, mild = one setting while severe is its presence in three or more settings
What disorder is recurrent outbursts from a failure to control verbal or physical aggressive impulses?
Intermittent explosive disorder
What disorder is the persistent pattern of behaviour in which basic rights of others or major age-appropriate societal norms or rules are violated, within the categories of aggression to people/animals, destruction of property, theft or serious violation of rules?
Conduct disorder
Conduct disorder can result in what disorder into adulthood if symptoms continue?
Antisocial personality disorder
What is the difference between pyromania and kleptomania?
Pyromania: deliberate fire-setting on more than one occasion
Kleptomania: failure to resist impulses to steal objects that aren’t needed for personal use or monetary value
What’s the definition of early vs sustained remission?
early: not meeting any criteria, except cravings for at least 3 months but less than 12 months
sustained: not meeting any criteria, except cravings for 12 months or longer
If a person had two or more symptoms of: autonomic hyperactivity, hand tremor, insomnia, nausea or vomiting, transient hallucinations, anxiety, agitation & seizures, what could they be experiencing?
Alchohol withdrawal
What differentiates symptoms of anxiety vs caffeine intoxication?
Caffeine intoxication includes diuresis (excessive urination)
If a person had three or more symptoms of: headache, fatigue/drowsiness, dysphoric mood, irritability, difficulty concentrating or flu-like symptoms (nausea, vomiting or muscle pain), what could they be experiencing?
Caffeine withdrawal
What’s hallucinogen persisting perception disorder?
Re-experiencing perceptual symptoms that were experienced while intoxicated which can happen for weeks, months or years
What intoxication includes belligerence/assaultiveness, nystagmus, depressed reflexes, blurred vision, psychomotor retardation, euphoria and coma?
Inhalent intoxication
Do inhalent-related disorders have withdrawal symptoms?
No
If a person is experiencing dysphoric mood, nausea or vomiting, muscle aches, diarrea, fever, yawning, insomnia, pupillary dilation, sweaing or runny nose they may be withdrawing from what?
Opioids
What could you be withdrawing from if you have depressed mood, insomnia, irritability, anger, anxiety, difficulty concentrating, restlessness or increased appetite?
Tobacco
What are you withdrawing from if you have symptoms like gastrointestinal disturbance, muscle twitching, diuresis or tachycardia
Caffeine intoxication
A disturbance in attention accompanied by reduced awareness of the environment/reduced orientation is a hallmark of what?
Delirium
What disorder is diagnosed when there is a significant cognitive decline from prior functioning levels in one or more domains, and it interferes with independent functioning?
Major neurocognitive disorder
What disorder is diagnosed when there is modest cognitive decline but the cognitive deficits are not severe enough to interfere with independent functioning in everyday activities?
Mild neurocognitive disorder
What subtype of NCD involves a prominent decline in complex attention and frontal executive functions?
Subtype due to vascular disease
What subtype of NCD involves visual hallucinations, parkinsonism, REM sleep behaviour disorder and severe neuroleptic sensitivity?
Subtype with Lewy bodies
What subtype of NCD involves behavioural and language variants, but memory, learning, and perceptual motor function stay intact
Subtype due to frontotemporal disorder
What are the 3 clusters of personality disorders?
- Cluster A: odd & eccentric
- Cluster B: dramatic, emotional & erratic
- Cluster C: anxious or fearful
What personality disorder is pervasive distrust and suspiciousness and a tendency to interpret actions of others as deliberately malevolent
Paranoid personality disorder
What personality disorder is a pattern of detachment from and indifference to social relationships and a restricted range of emotions - is cold, detached or affectively flat
Schizoid personality disorder
What personality disorder is a pattern of deficits in social and interpersonal functioning with reduced capacity for close relationships, as well as peculiarities in cognition, perception, ideation, appearance and behaviour?
Schizotypal personality disorder
What personality disorder is a pattern of disregard for and violation of rights of others since at least 15 years of age
Antisocial personality disorder
What personality disorder has a pattern of instability in mood, interpersonal relationships, self-image as well as impulsivity
Borderline personality disorder
What personality disorder has excessive emotionality and attention-seeking
histrionic personality disorder
What personality disorder involves grandiosity,a need for admiration and a lack of empathy
Narcissistic personality disorder
What personality disorder includes a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
Avoidant personality disorder
What personality disorder has pervasive and exessive need to be taken care of that results in submissive and clinging behaviours, difficulties making decisions, and fears of separation?
Dependent personality disorder
What personality disorder has a preoccupation with orderliness, perfectionism and control
obsessive-compulsive personality disorder
What’s voyeuristic disorder?
Fantasies, urges or behaviour with observing an unsuspected person who is naked, disrobing or engaging in sexual activity
What’s exhibitionistic disorder?
fantasies urges or behaviours that involve exposing one’s genitals to strangers
What’s frotteuristic disorder?
fantasies urges or behaviours that involve rubbing or touching a non-consenting person
What’s sexual masochism disorder?
fantasies urges or behaviours involving the act of being humiliated, beaten, bound or made to suffer
What is sexual sadism disorder?
fantasies urges or behaviours involving sexual excitement resulting from the physical or psychological suffering of another person
What’s fetishistic disorder?
sexual fantasies urges or behaviours involving either the use of non-living objects or highly specific focus on a non-genital body part
