Lecture 2 Flashcards
Psychiatric disorders that share features of excessive fear and anxiety and related behavioral disturbances.
Anxiety Disorder
the emotional response to real or perceived imminent threat
Fear
anticipation of future threat
Anxiety
An anxiety disorder characterized by excessive fear or anxiety concerning separation from home or
attachment figures that exceeds what may be expected given the person’s developmental level ,
lasting at least 4 weeks in children and adolescents and typically 6 months or more in adults.
Must meet at least 3 of the persistent fear, anxiety, or avoidance DSM V criteria
Separation Anxiety Disorder
An anxiety disorder characterized by consistent failure to speak in specific social situations in
which there is an expectation for speaking despite speaking in other situations for at least 1 month
that also interferes with educational or occupational achievement or with social communication.
Selective Mutism
An anxiety disorder characterized by marked/out of proportionate and persistent fear, anxiety, or
avoidance about a specific object or situation, typically lasting for 6 months or more.
Specific Phobia (s)
An anxiety disorder characterized by a marked/out of proportionate/intense fear or
anxiety of social situations in which the individual may be scrutinized by others,
typically lasting for 6 months or more.
Social Anxiety Disorder (Social Phobia)
An anxiety disorder characterized by recurrent unexpected panic attacks
Panic Disorder
A panic attack is not classified as a psychiatric disorder, but refers to an
abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and
during which time 4 or more of a 13 physical and cognitive symptoms of panic occur
Panic Attack Specifier
An anxiety disorder characterized by marked/out of proportion/intense fear or anxiety triggered by
the real or anticipated exposure to a wide range of situations, typically lasting for 6 months or
more
The diagnosis requires endorsement of symptoms occurring in at least two of the following five
situations: 1) using public transportation , such as automobiles, buses, trains, ships, or planes; 2)
being in open spaces, such as parking lots, marketplaces, or bridges; 3) being in enclosed spaces,
such as shops, theaters, or cinemas; 4) standing in line or being in a crowd; or 5) being outside of
the home alone.
Agoraphobia
An anxiety disorder characterized by excessive anxiety and worry, occurring more days than not for
at least 6 months, about a number of events or activities, which causes 1 or more of the following
symptoms in children and 5 or more of the following symptoms in adults: restlessness, fatigue,
difficulty concentrating, irritability, muscle tension, or sleep disturbance
Generalized Anxiety Disorder
An obsessive compulsive or related disorder characterized by the presence of
obsessions, compulsions, or both, that are time-consuming (taking more than 1 hour
per day) or cause clinically significant distress or impairment in social, occupational, or
other important areas of functioning
OBSESSIVE COMPULSIVE DISORDER
recurrent and persistent thoughts, urges, or images that are
experienced as intrusive and unwanted.
obsessions
repetitive behaviors or mental acts that an individual feels
driven to perform in response to an obsession or according to rules that must
be applied rigidly.
compulsions
An obsessive compulsive or related disorder characterized by the preoccupation with
one or more perceived defects or flaws in physical appearance that are not observable
or appear slight to others, that at some point during the course of the disorder, the
individual has performed repetitive behaviors or mental acts in response to the
appearance concerns
Body Dysmorphic Disorder
An obsessive compulsive or related disorder characterized by persistent difficulty discarding
or parting with possessions, regardless of their actual value due to a perceived need to save
the items and to distress associated with discarding them, resulting in the accumulation of
possessions that congest and clutter active living areas and substantially compromises their
intended use
Hoarding Disorder
An obsessive compulsive or related disorder characterized by recurrent pulling out of one’s
hair that results in hair loss, with repeated attempts to decrease or stop hair pulling
Trichotillomania (Hair-Pulling Disorder)
An obsessive compulsive or related disorder characterized by recurrent skin picking resulting
in skin lesions, with repeated attempts to decrease or stop skin picking
Excoriation (Skin-Picking) Disorder
A group of psychiatric disorders that are caused by exposure to a
stressful or traumatic event.
Common characteristics of these disorders are the absence or ability to experience pleasure, an emotional state of anxiety, depression, or unease, outbursts of anger or aggression, or removal from association in relation to and following exposure to a stressful or
traumatic event.
TRAUMA AND STRESSOR RELATED DISORDERS
A trauma and stressor related disorder in children before 5 years of age that is characterized by a pattern of markedly disturbed and developmentally
inappropriate attachment behaviors, in which a child rarely or minimally turns preferentially to an attachment figure for comfort, support, protection, and
nurturance.
The essential feature is absent or grossly underdeveloped attachment between
the child and presumed caregivers.
Reactive Attachment Disorder
A trauma and stressor related disorder in patients over the age of 9 that is characterized by a pattern of behavior that involves culturally inappropriate,
overly familiar behavior with relative strangers in at least 2 distinctive manners
The patient must have also experienced a pattern of extremely
insufficient/inappropriate care or neglect
Disinhibited Social Engagement Disorder
A trauma and stressor related disorder characterized the development of one (or more) intrusion
symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred for
more than 1 month
Marked alterations in arousal and reactivity associated with the traumatic event(s) must be evident in two
(or more) of the following: irritable behavior/angry outbursts, reckless/self-destructive behavior,
hypervigilance, exaggerated startle response, problems with concentration, sleep disturbance
Posttraumatic Stress Disorder
A trauma and stressor related disorder characterized by the development of 9 or more distinctive
symptoms (which include negative mood, intrusion symptoms, dissociative symptoms, avoidance
symptoms, or arousal symptoms), lasting from 3 days to 1 month following exposure to one or more
traumatic events
Acute Stress Disorder
A trauma and stressor related disorder characterized by the development of emotional or behavioral
symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s)
Adjustment Disorders
A group of psychiatric disorder that are characterized by a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior.
DISSOCIATIVE DISORDERS
A dissociative disorder characterized by the presence of two or more distinct personality states
or an experience of possession, in which the disruption in identity involves marked discontinuity in
sense of self and sense of agency, accompanied by related alterations in affect, behavior,
consciousness, memory, perception, cognition, and/or sensory-motor functioning.
Recurrent gaps in the recall of everyday events, important personal information, and/or
traumatic events that are inconsistent with ordinary forgetting are present
Dissociative Identity Disorder
A dissociative disorder characterized by the presence of persistent or recurrent experiences of
depersonalization, derealization, or both, during which reality remains intact.
Depersonalization / Derealization Disorder
experiences of unreality, detachment, or being an outside observer with respect
to one’s thoughts, feelings, sensations, body, or actions
Depersonalization
experiences of unreality or detachment with respect to surroundings
Derealization
A dissociative disorder characterized by an inability to recall important
autobiographical information, usually of a traumatic or stressful nature,
that is inconsistent with ordinary forgetting.
Dissociative Amnesia
Apparently purposeful travel or bewildered
wandering that is associated with amnesia for identity or for other important
autobiographical information.
Dissociative Fugue Specifier:
