Midterm Flashcards
Separation Anxiety
A Excessive fear (inappropriate developmentally) about separation from attachment figure. 3 of 8 Sx: DULRBRN 1. distress when separating 2. worry about losing 3. untoward event 4. refusal to go out 5.being alone 6. refusal to sleep away 7. nightmares 8. physical symptoms B. 4 weeks in kids, 6 mos in adults. C. ClinSig D. NBE Mental
Selective Mutism
A. failure to speak (when expected) B. Interferes C. 1 month (not first month of school) D. Not a language issue E. NBE another disorder (communication/neuro)
Specific Phobia
A. fear- specific object B. object always provokes immediate fear or anxiety. C. actively avoided D. out of proportion E. persistent, typically lasting for 6 months or more. F. ClinSig G. NBE Mental Spec: BANSO Animal/Natural/Blood/Situational/Other
Social Anxiety Disorder
A. Fear of scrutiny by others in social situation
B. fear of acting in a way that results in criticism/offense
C. must almost always cause anxiety
D. avoided or endured with intense fear or anxiety.
E. out of proportion
F. persistent, typically lasting for 6 months or more.
G. ClinSig
H. NBE substance/medical.
I. NBE mental
J. Medical exemption- excessive
Spec:
Performance only
Panic Disorder
A. Recurrent unexpected panic attacks. 1. Palpitations. 2. Sweating. 3. Trembling 4. shortness of breath 5. choking. 6. Chest pain 7. Nausea 8. dizzy 9. Chills or heat sensations. 10. Paresthesias 11. Derealization or depersonalization 12. Fear of losing control or “going crazy.” B. 1 month (or more) of 1. Persistent concern or worry about additional panic attacks or their consequences 2. A significant maladaptive change in behavior related to the attacks C. NBE medical D. NBE mental
Agoraphobia
A. Marked fear or anxiety about two (or more) of the following five situations: 1. public transportation 2. open spaces 3. enclosed places 4. Standing in line or being in a crowd. 5. Being outside B. fears or avoids these situations, escape might be difficult or help might not be available C. almost always provoke fear or anxiety. D. actively avoided E. out of proportion F. 6 months or more. G. clinsig H. medical exemption I. NBE mental
GAD
A. Excessive anxiety and worry, more days than not for at least 6 months, about a number of events or activities B. difficult to control C 3 of 6, more days than not, for at least 6 months 1. Restlessness 2. fatigued. 3. Difficulty concentrating 4. Irritability. 5. Muscle tension. 6. Sleep disturbance D. clinsig E. NBE medical F. NBE mental
OCD
A. obsessions, compulsions, or both:
Obsessions are defined by (1) and (2):
1. Recurrent and persistent thoughts, intrusive
cause marked anxiety or distress.
2. The individual attempts to ignore or to
neutralize them with compulsion.
Compulsions are defined by (1) and (2):
1. Repetitive behaviors or mental acts
2. aimed at preventing or reducing anxiety
B. time-consuming or clinsig
C. NBE substance/medical condition
D. NBE mental disorder
Specify if:
Good/Fair/Poor/Absent/Delusional Insight
Tic-related
Body Dysmorphic Disorder
A. Preoccupation with perceived defects/ not noticeable
B.repetitive behaviors in response to concern
C. clinsig
D. NBE mental (eating disorder)
Spec:
Muscle dysmorphia
Insight- good/poor/absent delusional
Hoarding
A. difficulty discarding, regardless of value. B. perceived need to save the items C. accumulation of possessions D. clinsig E. NBE medical F. NBE mental Spec: excessive acquisition Insight- good/poor/absent delusional
Trichotillomania
A. recurrent hair pulling, resulting in loss B. Repeated attempts to stop C. ClinSig D. NBE Medical E. NBE Mental
Excoriation (NOS)
A B C D E
PTSD
A. Exposure actual/threatened- direct/witness/learning/repeated exposure B. Intrusion sx C. Avoidant sx D. Mood sx E. Arousal sx F. 1 month G. ClinSig H. NBE Substance/Medical Spec: Dissociative sx Delayed expression
PTSD (Kids)
A. In children 6 years and younger, exposure- direct/learning-witness B. Intrusion sx C. Avoidance + mood sx D Arousal E. 1 month F. ClinSig G. NBE substance/medical Spec: Dissociative sx Delayed expression (6mo)
Acute Stress Disorder
A exposure
B 9 sx from 5 categories
avoidance
dissociative
intrusive
mood
arousal
C 3 days-1 month
D ClinSig
E NBE Medical/SubstanceAdjustment Disorders
A. development of emotional/behavioral sx in response to stressor in last 3 months
B ClinSig in 1 of following
1. Out of Proportion
2. Impairment
C. Does not meet criteria for other disorder, not an exacerbation of preexisting mental disorder
D. Not normal bereavement
E. Once the stressor or its consequences have terminated, the symptoms do not persist for more than an additional 6 months.
Spec:
depressed mood/anxiety/mixed
conduct/conduct & emotions
Unspecified
Dissociative Identity Disorder
A. two or more distinct personality states, discontinuity in sense of self/behaviors/cognitions
B. Recurrent gaps in memory
C. ClinSig
D. not a normal part of a cultural practice.
Note: In children, the symptoms are not better explained by imaginary playmates
E. NBE medical/substance
Dissociative Amnesia
A. inability to recall (stress), inconsistent with forgetting B. ClinSig C. NBE Substance/Medical D. NBE Mental Spec: dissociative fugue
Depersonalization/Dereallzation Disorder
A. presence of depersonalization/derealization/both B. reality testing remains intact C. ClinSig D. NBE Substance E. NBE Mental
Manic Episode
A. elevated, expansive, or irritable mood, increased goal-directed activity, 1 week (unless hospitalization)
B. three (or more) of the following symptoms (four if the mood is only irritable) SSPF DGR
1. Inflated self-esteem or grandiosity.
2. Decreased need for sleep
3. pressured speech
4. Flight of ideas
5. Distractibility
6. goal-directed activity or psychomotor agitation
7. Risky Behavior
C. ClinSig or psychotic features
D. NBE Substance/Medical Condition
Hypomanic Episode
A. elevated mood/activity- 4 days
B. 3+ sx
1. Inflated self-esteem or grandiosity.
2. Decreased need for sleep
3. pressured speech
4. Flight of ideas
5. Distractibility
6. Increase in goal-directed activity
7. Risky Behaviors
C. associated with change in functioning
D. observable by others.
E. The episode is not severe enough to cause marked impairment in social or occupa-
tional functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic.
F. NBE substance.
Major Depressive Episode
A. 5+ sx in 2 week period; at least one of the symptoms is depressed mood/loss of interest 1. Depressed 2. Markedly diminished interest or pleasure 3. weight 4. sleep 5. speed 6. tired 7. worthless 8. think 9. death B. ClinSig C. NBE medical
Bipolar I Disorder
A. one manic episode
B. NBE psychotic
Bipolar II Disorder
A. 1 hypomanic & 1 depressive episode B. There has never been a manic episode. C. NBE mental D. ClinSig Spec: Most recent episode type Features (anxious/mixed/rapid cycling) psychotic/catatonic features peripartum/seasonal patterns partial/full remission mild/moderate/severe
Cyclothymic Disorder
A. For at least 2 years (at least 1 year in children and adolescents)numerous periods with hypomanic/depressed symptoms that do not meet criteria
B. present for at least half the time; has not been without the symptoms for more than 2 months at a time.
C. Criteria for a major depressive, manic, or hypomanie episode have never been met.
D. NBE mental disorder
E. NBE medical/substance
F. ClinSig
Spec:
With anxious distress
Disruptive Mood Dysregulation Disorder
A. Severe recurrent temper outbursts
B. inconsistent with developmental level.
C. three or more times per week.
D. persistently irritable or angry
E. 12 or more months. has not had a period lasting 3 or more consecutive months without
F. at least two settings
G. should not be made for the first time before age 6 years or after age 18
H. age at onset is before 10 years.
I. NBE hypomanic episode
J. NBE major depressive disorder
K. NBE substance/medical condition.
Major Depressive Disorder
A. A. 5+ sx in 2 week period; at least one of the symptoms is depressed mood/loss of interest
1. Depressed mood most of the day, nearly every day
2. Markedly diminished interest or pleasure
3. Significant weight loss
4. Insomnia or hypersomnia nearly every day.
5. Psychomotor agitation or retardation
6. Fatigue or loss of energy nearly every day.
7. Feelings of worthlessness/guilt
8. Diminished ability to think or concentrate
9. Recurrent thoughts of death
B. ClinSig
C. NBE medical
D. NBE mental
E. No history of mania/hypermania
Spec:
anxious distress
mixed/melancholic/atypical features
psychotic/catatonic features
peripartum/seasonal pattern
Persistent Depressive Disorder (Dysthymia)
A. Depressed mood for most days, 2 years B. Presence, while depressed, of two (or more) 1. Poor appetite or overeating. 2. Insomnia or hypersomnia. 3. Low energy or fatigue. 4. Low self-esteem. 5. Poor concentration or difficulty making decisions. 6. Feelings of hopelessness. C. Not without sx more than 2 months D. Criteria for a major depressive disorder may be continuously present for 2 years. E. No mania, no cyclothymia F. NBE mental G. NBE substance/medical H. ClinSig Specify if: anxious/mixed/melancholic/atypical psychotic peripartum partial/full remission early/late onset current severity- mild/moderate/severe
Premenstrual Dysphoric Disorder
A. 5+sx week before menses, gone 1 week after B. One (or more) of the following symptoms must be present: MAAD 1. Mood swings 2. Anger 3. Marked depressed mood 4. Marked anxiety C. One (or more) of the following symptoms must additionally be present, to reach a total of five symptoms when combined with symptoms from Criterion B above. IC LASO P 1. Decreased interest 2. concentration difficulty 3. Lethargy 4. Marked change in appetite 5. Hypersomnia or insomnia. 6. overwhelmed 7. Physical symptoms D. ClinSig E. NBE mental F. Criterion A should be confirmed by prospective daily ratings during at least two symptom- atic cycles G. NBE medical
Oppositional Defiant Disorder
A. angry/irritable mood, argumentative/defiant behavior, or vindictiveness, 6months, 4 Sx Angry/Irritable Mood Argumentative/Defiant Behavior Vindictiveness 5= 6 months, 1 day/week B. ClinSig C. NBE another Disorder Specify: Mild/Moderate/Severe
Intermittent Explosive Disorder
A. Recurrent behavioral outbursts manifested by either of the following;
1. Verbal aggression or physical aggression occurring 2x week, 3 months
2. Three behavioral outbursts involving damage or destruction of property and/or
physical assault occurring within a 12-month
B. magnitude of aggressiveness
C. not premeditated
D. ClinSig or financially sig.
E. Chronological age is at least 6 years
F. NBE medical/mental/Adjustment Disorder
Conduct Disorder
A. pattern of behavior in which the basic rights of others are violated, 3 of 15- 1 w/in last 6 months Aggression to People and Animals Destruction of Property Deceitfulness or Theft Serious Violations of Rules B. ClinSig C. If 18+, not ASPD Specify: Childhood/Adolescent/Unspecified Onset With limited prosocial emotions Lack of remorse or guilt Callous Unconcerned about performance Shallow or deficient affect Specify current severity: Mild/Moderate/Severe
Pyromania
A. fire setting on more than one occasion.
B. Tension or affective arousal before the act.
C. Fascination with fire
D. Pleasure, gratification, or relief
E. not done for monetary gain, revenge, etc
F. NBE mental
Kleptomania
A. Recurrent failure to resist impulses to steal
B. Increasing sense of tension immediately before committing the theft.
C. Pleasure, gratification, or relief
D. not committed to express anger or vengeance and is not in response to a delusion or a hallucination.
E. NBE mental
Unspecified
Symptoms:
ClinSig
Used when clinician does not specify reasons criteria is not met
Includes situations when there is not enough info
MSE
1 appearance 2 behavior 3 speech 4 mood & affect 5 thoughts/cognition
