Exam 2 DSMV Flashcards
What is the criteria for short duration hypomania/major depressive episode?
never met full criteria have experienced two or more episodes of short-duration that only last for 2–3 days
What is criteria for short duration cyclothymia?
Multiple episodes of hypomanic and major depressive episode symptoms that do not meet criteria that persist over a period of less than 24 months (less than 12 months for children or adolescents) and has not been without the sx for more than 2 months during this time
What is criteria for bipolar I?
one manic episode (don’t need depression) present for at least 1 week
What is criteria for bipolar II?
one hypomanic plus one major depressive episode present for at least 4 days
What is classification of brief somatic system disorder?
duration is less than 6 mo
What is classification of brief illness anxiety disorder
duration is less than 6 mo
What classifies a minor neurocognitive disorder?
same as major except they DO NOT have interference with ADL
What are sx of delirium?
reduced awareness, drowsy, lethargic, distractable, new memory impairment, hallucinations, delusions, sleep-wake reversal, sx wax and wane through the day
What is atypical anorexia nervosa?
normal weight range with anorexia sx
‘Picky eater’ criteria
0-4 yrs nay be developmentally nrml & resolves by 6 yrs
Paranoid personality disorder: SUSPECT (four criteria)
Spouse fidelity suspected
Unforgiving (bears grudges)
Suspicious of others
Perceives attacks (and reacts
“Enemy or friend” (suspects associates and friends)
Confiding in others feared
Threats perceived in benign events
Schizoid personality disorder: DISTANT(four criteria)
D Detached (or flattened) affect I Indifferent to criticism and praise S Sexual experiences ofhittle interest T Tasks (activities) done solitarily A Absence ofclose friends N Neither desires nor enjoys close relations T Takes pleasure in few activities
Schizotypal personality disorder: ME PECULIAR (five criteria)
M Magical thinking or odd beliefs
E Experiences unusual perceptions
P Paranoid ideation E Eccentric behavior or appearance C Constricted (or inappropriate) affect U Unusual (odd) thinking and speech L Lacks close friends I Ideas of reference A Anxiety in social situations R Rule out psychotic disorders
Antisocial personality disorder: CORRUPT (three
criteria)
C Conformity to law lacking
O Obhigations ignored
R Reckless disregard for safety of self or others
R Remorse hacking
U Underhanded (deceitful, lies, cons others)
P Planning insufficient (impulsive)
T Temper (irritable and aggressive)
Borderline personality disorder: A.M. SUICIDE (five criteria)
A Abandonment
M Mood instability (marked reactivity of mood)
S Suicidal (or self-mutilating) behavior
U Unstable and intense relationships
I Impulsivity (in two potentially self-damaging areas)
C Control of anger
I Identity disturbance
D Dissociative (or paranoid) symptoms that are transient
and stress related
E Emptiness (chronic feelings of)
Histrionic personality disorder: PRAISE ME (five criteria)
P Provocative (or sexually seductive) behavior
R Relationships (considered more intimate
A Attention (uncomfortable when not the center of attention)
I Influenced easily
S Style of speech (impressionistic, lacks detail)
E Emotions (rapidly shifting and shallow)
M Made up (physical appearance used to draw attention to self)
E Emotions
(exaggerated)
Narcissistic personality disorder: SPE(3)CIAL (five criteria)
S Special (believes he or she is special and unique)
P Preoccupied with fantasies (of unlimited success, power, brilliance, beauty or ideal love)
E Envious (of others, or believes others are envious of
him or her)
E Entitlement
E Excess admiration required
C Conceited (grandiose sense of self importance)
I Interpersonal exploitation
A Arrogant (haughty)
L Lacks empathy
Avoidant personality disorder CRINGES (four criteria)
C Certainty (of being liked required before willing to get involved with others)
R Rejection (or criticism) preoccupies ones’ thoughts in social situations
I Intimate relationships (restraint in intimate relation- ships due to fear of being shamed)
N New interpersonal relationships (inhibited in)
G Gets around occupational activity involving significant interpersonal contact
Embarrassment (potential) prevents new activity
S Selfviewed as unappealing, inept, or
inferior
Dependent personality disorder RELIANCE (five criteria)
R Reassurance required for recisions
E Expressing disagreement difficult due to fear or loss of support or approval
L Life responsibilities (needs to have these assumed by
others)
I Initiating projects difficult (due to lack of self-confidence)
A Alone (feels helpless and discomfort when alone)
N Nurturance (goes to excessive lengths to obtain nurturance and support)
C Companionship (another relationship) sought urgently when close relationship ends
E Exaggerated fears of being left to care for self
OCD Criteria
Pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood as indicated by
at least of the following:
- Is preoccupied with details
- Shows perfectionism
- Is excessively devoted to work
- Is overconscientious and inflexible
- Is unable to discard worn-out or worthless objects
- Is reluctant to delegate tasks to otherw
- Money is viewed as something to be hoarded for future catastrophes.
- Shows rigidity and stubbornness
DSMV for manic episode
Abnormally and persistently elevated, expansive, or irritable mood and activity
At least 3 of the following sx
- Inflated self-esteem or grandiosity.
- Decreased need for sleep
- More talkative than usual or pressure to keep talking.
- Flight of ideas
- Distractibility
- Increase in goal-directed activity
- Excessive involvement in activities that have a high potential for painful consequences
Length of time to dx manic episode
at least 1 week
Length of time to dx hypomania
lasts at least 4 days but less than 1 week
DSMV for major depressive episode
At least 5 of the following symptoms
- Depressed mood most of the day
- Markedly diminished interest or pleasure in activities
- Significant weight loss when not dieting
- Insomnia or hypersomnia nearly every day.
- Psychomotor agitation or retardation
- Fatigue or loss of energy nearly every day.
- Feelings of worthlessness
- Diminished ability to think or concentrate
- Recurrent thoughts of death
Length of time to dx major depressive episode
at least 2 week period
DSMV for cyclothymic
For at least 2 years (at least 1 year in children and adolescents) do not meet criteria for a hypomanic or a major depressive episode.
Has not been without the symptoms for more than 2 months at a time.
DSMV for Substance/medication induced Bipolar
disturbance in mood that is characterized by elevated, expansive, or irritable mood, with or without depressed mood
sx developed during or soon after substance intoxication or withdrawal
DSMV for Bipolar due to another medical condition
Prominent and persistent period of abnormally elevated, expansive, or irritable mood and abnormally increased energy
evidence that the disturbance is the direct pathophysiological consequence of another medical condition
DSMV for excoriation
Recurrent skin picking resulting in skin lesions.
Repeated attempts to stop
DSMV for trichotillomania
Recurrent pulling out of one’s hair, resulting in hair loss.
Repeated attempts to stop.
Specifiers for body dysmorphia
With muscle dysmorphia
With good or fair insight
With poor insight
DSMV for body dysmorphic d/o
Preoccupation with physical appearance
has performed repetitive behaviors in response to the appearance concerns.
not better explained by concerns with body weight
OCD specifiers
With good or fair insight
With poor insight
With absent insight/delusional beliefs
Tic-related
DSMV for OCD
Presence of obsessions, compulsions, or both:
Obsessions
- Recurrent and persistent thoughts/urges
- attempts to ignore or suppress
Compulsions
- Repetitive behaviors or mental acts
- The behaviors aimed at preventing or reducing anxiety
DSMV for factitious d/o
Falsification of physical or psychological signs or sx
presents himself or herself to others as ill, impaired, or injured
deceptive behavior is evident
DSMV for conversion d/o
One or more symptoms of altered voluntary motor or sensory function.
Clinical findings do not support
MC in children
DSMV for illness anxiety d/o
Preoccupation with having or acquiring a serious illness for at least 6 mo
high level of anxiety about health
Performs excessive health-related behaviors
DSMV for somatic system d/o
At least 1 somatic symptom distressing
at least 1 of the following:
- Disproportionate and persistent thoughts about the seriousness of sx
- High level of anxiety about health or sx
- Excessive time and energy devoted to these sx
Time course for OCD
takes more than 1 hr per day
Time course for illness anxiety d/o
at least 6 mo
Time course for somatic system d/o
at least 6 mo
DSMV for AN
Restriction of energy intake relative to requirements due to intense fear of gaining weight
Disturbance in the way in which one views selt
Mild: BMI ≥ 17 kg/m2
Moderate: BMI 16–16.99 kg/m2
Severe: BMI 15–15.99 kg/m2
Extreme: BMI < 15 kg/m2
Specifiers for AN
Restricting type
Binge-eating/purging type
DSMV for BN
episodes of binge eating characterized by both of the following:
- Eating an amount of food that is definitely larger than most individuals would
- lack of control
inappropriate compensatory behaviors
Severity:
Mild: 1-3 episodes/wk
Moderate: 4-7 episodes/wk
Severe: 8-13 episodes/wk”
Time course for BN
at least 1/wk for 3 mo
DSMV for binge eating
The binge-eating episodes are associated with at least 3 of the following:
- Eating more rapidly than normal
- Eating until feeling uncomfortably full.
- Eating large amounts of food when not hungry.
- Eating alone
- Feeling disgusted with oneself
DSMV for Avoidant/Restrictive Food Intake Disorder
lack of interest in eating or food associated with at least 1 of the following:
- Significant weight loss
- Significant nutritional deficiency.
- Dependence on enteral feeding or oral nutritional supplements.
- Marked interference with psychosocial functioning.”
Time course for Pica
Sx for at least 1 mo
Must be at least 2 years old”
DSMV for pica
Persistent eating of nonnutritive, nonfood substances that is inappropriate to the developmental level of the individual
DSMV for Rumination disorder
Repeated regurgitation of food not attributable to an associated gastrointestinal or other medical condition”
Time course for Rumination disorder
at lest 1 mo
DSMV for delirium
disturbance in attention and awareness that develops over a short period of time, change from baseline and tends to fluctuates during the course of a day + disturbance in cognition
evidence that disturbance is direct consequence of another medical condition, substance intoxication or withdrawal
DSMV for major neurocognitive disorder (dementia)
significant cognitive decline from a previous level of performance
A substantial impairment in cognitive performance that interfere with independence in ADL
DSMV for neurocog d/o due to alzheimers
The criteria are met for major (at least 2) or mild (at least 1) neurocognitive disorder.
Plus all three of the following
- evidence of decline in memory
- gradual decline in cognition
- No evidence of mixed etiology
Clinical presentation of alcohol intoxication
Smell EtOH, slurred speech, ataxia, confusion, inappropriate behavior, LOC
Clinical presentation of opiate intoxication
pinpoint pupils, slurred speech, ataxia, confusion, somnolence, respiratory depression, LOC
Clinical presentation of cocaine intoxication
Chest pain, stroke, spontaneous abortion, asthma sx
Clinical presentation of meth intoxication
HTN, tachycardia, severe agitation, meth mouth, skin excoriations, chest pain, seizures, psychosis/paranoia
