Dx Criteria

Question 1

ADHD

Answer 1

<12 YO
Persistent
Pervasive
Interferes
Symptoms present in more than one environment

Question 2

Substance Use Disorder

Answer 2

2+ DSM symptoms:

2-3 = mild
4-5 = moderate
6+ = severe

Question 3

States of remission

Answer 3

Early full remission: no use for 3 months
Full sustained remission: no use for 12+ months

Qualifiers:
Partial remission: may have been a relapse in there
Controlled environment: ex hospital, incarceration

Question 4

OCD

Answer 4

Features of obsession:
Recurrent/persistent; inappropriate, unwanted, intrusive thoughts or images, often not in line with patient’s beliefs

Compulsions: Patient feels obligated to perform activities

Compulsions must consume > 1 hr per day for dx

Question 5

PTSD

Answer 5

Must have one symptom from each category (RAMA):

• Re-experiencing
• Avoidance
• Mood/cognition
• Arousal

for at least 1 month.
Traumatic experience may have been any time in past.

Question 6

Bipolar I (DSM-IV)

Answer 6

1+ week of mania (less if hospitalization required)

2+ weeks of depression

Question 7

Bipolar II

Answer 7

< 1 week of hypomania
2+ weeks of depression

Any history of mania (as opposed to hypomania) = bipolar I dx

Question 8

Schizophrenia

Answer 8

2+ of following for 6+ months:

• Hallucinations
• Delusions
• Disorganized speech/behavior
• Catatonia or other negative symptoms

Plus exclusion of other causes

Question 9

Major depressive disorder

Answer 9

2+ weeks of 5+ symptoms

Question 10

Persistent depressive disorder

Answer 10

2+ years of 2+ symptoms; no reprieve for period longer than 2 months.

No mania/hypomania history.

Question 11

Premenstrual dysphoric disorder

Answer 11

5+ symptoms beginning week 3, resolving week 1, occurring for most cycles for past year:

1+ of following must be present:
Emotional lability; irritability or prone to conflict; depression; anxiety

4+ of following must be present:
Diminished interest; trouble concentrating; fatigue; changes in appetite/cravings; hypersomnia; insomnia; feelings of being overwhelmed; physical symptoms

Question 12

Severity rating: anorexia (by BMI)

Answer 12

> 17: mild
16-16.99: moderate
15-15.99: severe
<15: extreme

Question 13

Bulimia

Answer 13

Recurrent binge eating +
Use of compensatory behaviors

At least once weekly for 3+ months

Question 14

Binge eating disorder

Answer 14

3+ symptoms, once per week for 3 months

No compensatory behaviors

Question 15

Prolonged grief disorder

Answer 15

Intense yearning, preoccupation, and avoidance lasting for >1 year

Question 16

Malingering

Answer 16

Lying for external reward ($$, Rx)

Question 17

Factitious disorder

Answer 17

Lying for idiosyncratic gain (ex: “stumping” medical professionals)

Question 18

Somatic symptom disorder

Answer 18

Honest belief: “I need to be in contact with medical professional to be reassured I’m ok”

Question 19

Functional neurological disorder

Answer 19

Formerly conversion disorder

Emotion is “converted” into physical symptom (apple orchard lady); often symbolic

Question 20

Illness anxiety disorder

Answer 20

Fear of dying after ruling out patient’s suspicion and persistent need for more tests/reassurance, etc

Question 21

Generalized anxiety disorder

Answer 21

Anxiety about all sorts of things

3+ symptoms for 6+ months

Question 22

Panic disorder

Answer 22

Recurrent (2+) panic attacks plus 1+ month of any of following:

• maladaptive behavior
• concern about more attacks
• concern about consequences of attacks

Question 23

Agoraphobia

Answer 23

2+ symptoms + avoidance for 6+ months