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Human Behavior > Exam 1 DSM-V > Flashcards

Exam 1 DSM-V Flashcards

1
Q

MDD criteria

A

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
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2
Q

MDD with anxious distress criteria

A

at least 2

keyed up or rense
unusually restless
difficulty concentration due to worry
feeling something awful will happen
loss of control
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3
Q

MDD with mixed features criteria

A

at least 3

elevated/expanded mood
grandiosity
pressured speech
flight of ideas
increased energy
decreased need for sleep (but not bipolar)
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4
Q

MDD with melancholic features criteria

A 
loss of pleasure
lack of reactivity
worse in AM
early morning awakening
weight loss
psychomotor abnormalities
guilt
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5
Q

MDD with atypical features criteria

A

mood reactivity

increased appetite

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6
Q

What are advantages of DSM 5?

A 
improve diagnostic and tx approach
improve hx taking
dimensional approach
organizational structure
address cultural issues
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7
Q

What are disadvantages of DSM5?

A

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

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8
Q

Dysthymia criteria

A

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

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9
Q

Disruptive mood dysregulation disorder (DMDD) criteria

A

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

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10
Q

Bereavement/grief

A 
emptiness and loss
dysphoria
can have positive emotional experiences
self-esteem is preserved
fleeting thoughts of joining deceased
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11
Q

Premenstrual dysphoric disorder criteria

A 
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
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12
Q

Mania/hypomania

A

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

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13
Q

Characteristics of mania

A 
3 or more of the following:
grandiosity
decreasde need for sleep
talkative/pressured
flight of ideas
distractibillity
increasde activity
excessive involvement in consequential behavior
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14
Q

Schizophrenia criteria

A

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
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15
Q

brief psychotic disorder criteria

A

same as schizo but only lasting 1 day to 1 month

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16
Q

schizophreniform disorder criteria

A

same as schizophrenia but lasts 1-6 months

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17
Q

delusional disorder criteria

A

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

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

18
Q

schizoaffective disorder criteria

A

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

19
Q

schizoid criteria

A

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

20
Q

schizotypal criteria

A

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

21
Q

criteria for substance use disorder

A

loss of control
adverse consequences
physiological dependence

22
Q

Loss of control sx

A

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

23
Q

adverse consequences

A

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

24
Q

physiological dependence sx

A

tolerance, withdrawal, cravings

25
Q

Anxiety sx

A 
Dizziness
Dissociation
Dying (feat or)
Palpitations
Abdominal distress
Numbness
Intense fear of losing control
Chills
Chest pain
Choking
Sweating
Shaking
SOB
26
Q

phases of schizophrenia

A

prodromal
active
residual

27
Q

prodromal phase

A

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

28
Q

active phase

A

hallucinations, delusions, disorganized speech and behavior

29
Q

residual phase

A

active phase sx absent but negative sx may be present

30
Q

separation anxiety criteria

A

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

31
Q

GAD criteria

A 
excessive anxiety and worry lasting 6 mo with 3 of the following sx:
restlessness
easily fatigued
irritability
muscle tension
sleep disturbance
difficulty concentrating
32
Q

Specific phobia criteria

A

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

33
Q

social phobia criteria

A

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

34
Q

Panic attack criteria

A

abrupt onset peak within minutes with 4 of the following:

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

35
Q

Panic disorder criteria

A

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

36
Q

agoraphobia criteria

A

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

37
Q

PTSD criteria

A

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

38
Q

acute stress disorder criteria

A

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

39
Q

adjustment disorder criteria

A

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

40
Q

alcohol use disorder criteria

A

2 of the following within 12 mo period:

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

Human Behavior (5 decks)

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