Exam 1 DSM-V

Question 1

MDD criteria

Answer 1

5 or more of the following sx for at least 2 weeks:

depressed mood
loss of interest
weight loss or gain
insomnia or hypersomnia
psychomotor agitation or retardation
loss of energy
decreased concentration
inappropriate guilt or worthlessness
recurrent thoughts of death or suicide

Question 2

MDD with anxious distress criteria

Answer 2

at least 2

keyed up or rense
unusually restless
difficulty concentration due to worry
feeling something awful will happen
loss of control

Question 3

MDD with mixed features criteria

Answer 3

at least 3

elevated/expanded mood
grandiosity
pressured speech
flight of ideas
increased energy
decreased need for sleep (but not bipolar)

Question 4

MDD with melancholic features criteria

Answer 4

loss of pleasure
lack of reactivity
worse in AM
early morning awakening
weight loss
psychomotor abnormalities
guilt

Question 5

MDD with atypical features criteria

Answer 5

mood reactivity

increased appetite

Question 6

What are advantages of DSM 5?

Answer 6

improve diagnostic and tx approach
improve hx taking
dimensional approach
organizational structure
address cultural issues

Question 7

What are disadvantages of DSM5?

Answer 7

may pathologize normal cognitive age related changes, behavioral changes or other issues

Question 8

Dysthymia criteria

Answer 8

depressed mood plus at least 2 other depressive symptoms for at least 2 years

Question 9

Disruptive mood dysregulation disorder (DMDD) criteria

Answer 9

btwn ages of 6-10 with severe temper outbursts with underlying persistent angry or irritable mood 3 or more times/week in 2 settings for the last year

Question 10

Bereavement/grief

Answer 10

emptiness and loss
dysphoria
can have positive emotional experiences
self-esteem is preserved
fleeting thoughts of joining deceased

Question 11

Premenstrual dysphoric disorder criteria

Answer 11

sx in week before menses in at least 2 cycles:
affect lability
irritability
depressed mood
anxiety/tension
decreased interest in activities
lethargy
hypersomnia or insomnia

Question 12

Mania/hypomania

Answer 12

persistently elevated, expansive or irritable mood with increased activity or energy lasting at least 1 wk (4 days for hypo)

Question 13

Characteristics of mania

Answer 13

3 or more of the following:
grandiosity
decreasde need for sleep
talkative/pressured
flight of ideas
distractibillity
increasde activity
excessive involvement in consequential behavior

Question 14

Schizophrenia criteria

Answer 14

Two or more of the following sx (at least one +) for significant portion of time during 1 mo period with signs of disturbance for at least 6 mo

delusions*
hallucinations*
disorganized speech*
grossly disorganized or catatonic behavior
negative sx

Question 15

brief psychotic disorder criteria

Answer 15

same as schizo but only lasting 1 day to 1 month

Question 16

schizophreniform disorder criteria

Answer 16

same as schizophrenia but lasts 1-6 months

Question 17

delusional disorder criteria

Answer 17

bizarre or non-bizarre delusions >1 month
thought and behavior intact

(erotomatic, grandiose, jealous, somatic, mixed, persecutory)

Question 18

schizoaffective disorder criteria

Answer 18

schizophrenia and distorted thinking with mood component such as depression or mania sx and presence of psychotic sx during two week period or longer in absence of mood sx

Question 19

schizoid criteria

Answer 19

excessive detachment from social relationships and restricted range of expression of emotions in interpersonal settings

Question 20

schizotypal criteria

Answer 20

acute discomfort with and reduced capacity for close relationships as well as cognitive or perceptual distortions and eccentricities of behavior

Question 21

criteria for substance use disorder

Answer 21

loss of control
adverse consequences
physiological dependence

Question 22

Loss of control sx

Answer 22

larger amts or longer time
unsuccessful attempts to control
great deal of time spent anticipating recovery
important alternative activities reduced

Question 23

adverse consequences

Answer 23

persistent phys or psych problem caused by substance
social or interpersonal problems
failure to fulfill major roles
recurrent use in physically hazardous situations

Question 24

physiological dependence sx

Answer 24

tolerance, withdrawal, cravings

Question 25

Anxiety sx

Answer 25

Dizziness
Dissociation
Dying (feat or)
Palpitations
Abdominal distress
Numbness
Intense fear of losing control
Chills
Chest pain
Choking
Sweating
Shaking
SOB

Question 26

phases of schizophrenia

Answer 26

prodromal
active
residual

Question 27

prodromal phase

Answer 27

subtle behavior changes include social withdrawal, work impairment, blunting of emotion, odd ideas and behavior

Question 28

active phase

Answer 28

hallucinations, delusions, disorganized speech and behavior

Question 29

residual phase

Answer 29

active phase sx absent but negative sx may be present

Question 30

separation anxiety criteria

Answer 30

3 of the following sx lasting 6 mo in adults:

excessive distress about losing figure, harm, injury, illness
persistent worry about kidnapping, getting lost etc.
persistent reluctance to go out or away from house
fear to be alone
nightmares of separation
HA, nausea, vomiting when figure gone

Question 31

GAD criteria

Answer 31

excessive anxiety and worry lasting 6 mo with 3 of the following sx:
restlessness
easily fatigued
irritability
muscle tension
sleep disturbance
difficulty concentrating

Question 32

Specific phobia criteria

Answer 32

lasting 6 mo or more:
fear about specific object or situation
object provokes fear/anxiety
causes impairment in social, occupational or other important areas of fn

Question 33

social phobia criteria

Answer 33

lasting 6 mo or more:
fear about social situations
avoidance of social situations

Question 34

Panic attack criteria

Answer 34

abrupt onset peak within minutes with 4 of the following:

palpitations, sweating, trembling, shaking, SOB, nausea, chest pain, chills, parethesis, fear of dying

Question 35

Panic disorder criteria

Answer 35

recurrent panic attacks followed by 1 month of persistent concern about additional panic attacks

Question 36

agoraphobia criteria

Answer 36

marked fear or anxiety about 2 of the following lasting 6 mo or more:

public transportation, open spaces, enclosed spaces, standing in line, being outside home

Question 37

PTSD criteria

Answer 37

exposure to actual or threatened death, injury or sexual violence
with one of the following lasting for 1 mo or more:
distressing memories, dreams, disociative reactions, avoidance of stimuli
sleep disturbance, rdestructive behavior

Question 38

acute stress disorder criteria

Answer 38

exposure to threatened death, injury or sexual violence PLUS presence of 9 or more of the following sx lasting 3 days up to a month after trauma:
intrusion sx, neagtive mood, disocciative sx, avoidance sx, arousal sx

Question 39

adjustment disorder criteria

Answer 39

development of emotional or behavioral sx in response to ID stressor within 3 mo of onset of stressors:
marked distress, impairment in social, ocupational or toerh areas of fn
sx do not persist longer than 6 mo once stressor is removed

Question 40

alcohol use disorder criteria

Answer 40

2 of the following within 12 mo period:

taken in larger amts
persistent desire
craving or desire
failure to fuilfill major role
tolerance
withdrawal