Lecture 4

Question 1

 Group of psychiatric disorders is based upon a pathological set of behaviors related to an substance or behavior.

These pathological behaviors typically fall into four main categories: 
• Impaired control 
• Social impairment 
• Risky use 
• Tolerance and/or withdrawal

Answer 1

SUBSTANCE-RELATED AND ADDICTIVE DISORDERS

Question 2

Substance-related and addictive disorders that are characteristically combine substance abuse and substance dependence single disorders measured on a continuum from mild to severe

Answer 2

SUBSTANCE-RELATED DISORDERS

Question 3

Substance-related and addictive disorders that are distinct from independent co-occurring mental disorders in that all or most of the psychiatric symptoms are the direct result of substance use, substance abuse, substance intoxication, or substance withdrawal.  This is not to state that substance-induced disorders preclude cooccurring mental disorders, only that the specific symptom at a specific point in time is more likely the result of substance use, abuse, intoxication, or withdrawal rather than that of an underlying mental illness.

Answer 3

SUBSTANCE-INDUCED DISORDERS

Question 4

Substance-Related and Addictive Disorder in which there is a characteristic development of a reversible substance-specific syndrome due to the recent ingestion of a substance

Answer 4

Substance Intoxication

Question 5

The development of a substance-specific problematic behavioral change, with physiological and cognitive concomitants, that is due to the cessation of, or reduction in, heavy and prolonged specific substance use

Answer 5

substance withdrawal

Question 6

Substance-related and addictive disorders that do not involve the ingestion of substances but have similar cognitive, social, and physiological symptoms indicating the continued use of the specific behavior despite significant related problems related to it.

Answer 6

NON-SUBSTANCE-RELATED DISORDERS

Question 7

is persistent and recurrent maladaptive gambling behavior that disrupts personal, family, and/or vocational pursuits

Answer 7

Gambling Disorder

Question 8

Includes delirium, followed by the syndromes of major neurocognitive (NCD), mild neurocognitive (NCD), and their etiological subtypes.

Answer 8

NEUROCOGNITIVE DISORDER: GENERAL CLASSIFICATION

Question 9

NCD with characteristic disturbance in attention and awareness  The disturbance develops over a short period of time (usually hours to a few days), represents a change from baseline attention and awareness, and tends to fluctuate in severity during the course of a day.  There is evidence from the history, physical examination, or laboratory findings that the disturbance is a direct physiological consequence of another medical condition, substance intoxication or withdrawal, or exposure to a toxin, or is due to multiple etiologies.

Answer 9

Delerium

Question 10

Evidence of significant cognitive decline from a previous level of performance in one or more cognitive domains based on:
• Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and
• A substantial impairment in cognitive performance, preferably documented by standardized neuropsychological testing or, in its absence, another quantified clinical assessment.

 The cognitive deficits interfere with independence in everyday activities.

 The cognitive deficits do not occur exclusively in the context of a delirium

Answer 10

MAJOR NCD

Question 11

Neurocognitive disorder demonstrating evidence of modest cognitive decline from a previous level of performance in one or more cognitive domains based on: • Concern of the individual, a knowledgeable informant, or the clinician that there has been a mild decline in cognitive function; and • A modest impairment in cognitive performance, preferably documented by standardized neuropsychological testing or, in its absence, another quantified clinical assessment.  The cognitive deficits do not interfere with capacity for independence in everyday activities.  The cognitive deficits do not occur exclusively in the context of a delirium

Answer 11

Mild NCD