Exam 1

Question 1

Disruptive Mood D/o

Answer 1

• recurrent aggressive verbal/physical episodes, inconsistent w/ dvlpmntl stage
• onset b/t 6-18 yo
• ~3+ episodes weekly
• irritable mood b/t episodes
• present for 12+ mos w/o more than a 3mo lapse
• happens in 2/3: home, school, peers
• not related to meds or substance abuse
• not explained by another d/o
• no manic episodes >1 day

Question 2

Major Depressive Episode

Answer 2

5+ of the following:
Sleep change
Interest - lack of it/depressed mood*
Guilt/worthless
Energy lacking
Concentration difficulty
Appetite change/wt change
Psychomotor change
Suicidal ideation
-impairs functioning/not medically induced

Question 3

Persistent Depressive D/o

Answer 3

• depressed mood for 2+ years
• presence of 2+ SIGECAPS during dpn
• no lapse for >2 mo in last 2y
• no manic episodes
• not drug/hypothyroid induced
• impairs functioning

Question 4

PMDD

Answer 4

5+ following in the wk before menses, gets better w/in 1-2 days of menses, gone after. 2 cycles to confirm…

• laibility, anger/intrapersonal conflicts, dpn, anxiety
• –
• sleep, interest, energy, concentrate, appetite
• ovewhelmed
• bloating etc
• no drug/impairs functioning

Question 5

Delusional d/o

Answer 5

• 1+ delusion lasting 1+ mo
• not sz
• NOT functionally impaired, seems NL
• not med related

Question 6

Brief psychotic d/o

Answer 6

• Lasts >1d, <1 mo
• sz-like sx: hallucination, delusion, disorganized speech, inappropriate behavior
• types: w/ stressor, w/o stressor, postpartum, catatonia

Question 7

Schizophreniform d/o

Answer 7

• Some schizo sx for <6 mo, but >1 mo
• Eg) hallucinations, delusions, disorganized speech
• not med/substance related
• not meeting schizoaffective d/o

If >6 mo, it’s schizo

Question 8

Schizophrenia

Answer 8

• 2/3: delu, hallu, disorg. speech
• maybe these too: disorganized speech, catatonic, avolution, emotionless
• –
• decreased functioning in work, relations, self-care (compared to before onset)
• persists at least 6 mo
• not schizoaffective/bipolar d/o
• not med/substance related

Question 9

Schizoaffective d/o

Answer 9

- 2/3: delu, hallu, disorg speech
AND
- major manic or dpn episode together
---
lasts 2+ weeks

Question 10

Separation Anxiety d/o

Answer 10

3+ (lasts 4 wk in kid, 6 mo adult)
- distressed when anticipated seperation
- worry about figures dying, etc
- worry about kidnap, lost= away from figures
- reluctance/refusal to go out d/t fear
- fear of being alone
- fear of sleeping away
- nightmares involve sep
- h/a, n/v/d when sep anticipated 
---
leads to impairment, not otherwise explained

Question 11

GAD

Answer 11

> 6mo uncontrolled gen worry most days
- not med/substance induced
- not panic, social, OCD, sep, anorexia, PTSD related
—-
-1+ (kids), 3+ (adults)
restless, fatigued, conc, irritable, muscle tension, sleep disturbance (not hypersom)

Question 12

Specific phobia

Answer 12

• 6+ mo
• unproportional fear of specific thing
• thing causes immediate fear
• actively avoid it/endure with intense fear
• not med/substance
• not agoraphobia, ocd, etc

Question 13

Social Anxiety D/o

Answer 13

• 6+ mo fear scrutiny in social situations (can be performance)
• think they’ll be neg evaluated
• out of proportion
• not substance related, not panic, autismn

Question 14

Agoraphobia

Answer 14

• 6+ mo of 2 of the following:

- public transport, open spaces, enclosed spaces, being in crowd/in line, outside of home alone