Psychiatric Diagnoses (DSM-5 Criteria)

Question 1

Major depressive disorder

Answer 1

5 + SIGECAPS symptoms for at least 2 weeks:

Sleep (insomnia or hypersomnia)
Interest (loss of interest)
Guilt
Energy
Concentration
Appetite (loss of)
Psychomotor retardation (feeling stuck in the mud)
Suicidal ideation

Question 2

What is encopresis? What are the diagnostic criteria?

Answer 2

involuntary or intentionally shitting in inappropriate places

Must be 4 or older and symptoms must persist >3 months

Question 3

Persistent depressive disorder

Answer 3

SIGECA for 2+ years:

Sleep
Interest
Guilt
Energy
Concentration
Appetite

Question 4

What is Enuresis? What are the diagnostic criteria?

Answer 4

Bed-wetting

Must be 5 or older and symptoms must persist >3 months

Question 5

What is specific learning disorder?

Answer 5

When a kid has trouble with a specific in school

Question 6

What is Tourette’s syndrome? What are the diagnostic criteria?

Answer 6

tic disorder that involves both vocal and motor tics

symptoms must persist >3 months

Question 7

What is PTSD? What are its symptoms?

Answer 7

traumatic stress syndrome that often results from abuse (or war)

manifests as repetitive play, nightmares, flashbacks, intrusive thoughts, avoidance, and/or increased arousal (irritability or aggression)

Question 8

What is intellectual disability?

Answer 8

defined as an IQ <70

Question 9

Premenstrual dysphoric disorder

Answer 9

!CASIE. during menstrual cycles over the past year

! = Emotional symptoms
Concentration
Appetite
Sleep
Interest
Energy
. = Physical symptoms (breast tenderness, bloating, joint pain)

Question 10

What is autism spectrum disorder? Can autism develop later in life?

Answer 10

Characterized by poor social interactions, social communication deficits, repetitive/ritualized behaviors, restricted interests.

No. To be autism, symptoms must be present in early developmental period

Question 11

What drugs can cause substance-induced depressive disorder?

Answer 11

Alcohol, antihypertensives (beta blockers, methyldopa), opiates, sedative hypnotics, systemic steroids

Question 12

Bipolar disorder

Answer 12

Chronic mood disorder characterized by episodes of mania (period of great excitement, delusions, overactivity) or hypomania and major depressive episodes and significant periods of time without any symptoms

Question 13

What is disruptive mood dysregulation disorder?

Answer 13

Recurrent temper outbursts (3+/week) that are out of proportion to the situation for more than 6 months

Question 14

What is the difference between mania and hypomania?

Answer 14

Hypomania does NOT include psychotic symptoms

Question 15

Schizoaffective disorder

Answer 15

Schizophrenia (hallucinations, delusions, disorganized thought/behavior) + a mood disorder for most of the time (bipolar or depression) for 6+ months

Question 16

Define psychosis

Answer 16

Psychosis = full consciousness + delusions + hallucinations + disorganized behavior/speech

Question 17

What is reactive attachment disorder? What are the clinical features?

Answer 17

Seen in children who have had grossly negligent care and do not form an emotional attachment to their caregivers

• emotionally withdrawn
• minimal social
• responsiveness, bouts of fearfulness, irritability, sadness during adult interactions

Question 18

What are somatic symptoms?

Answer 18

abdominal pain
nausea
headache

Question 19

What is autism spectrum disorder? Can autism be diagnosed

Answer 19

Characterized by poor social interactions, social communication deficits, repetitive/ritualized behaviors, restricted interests.

Symptoms must be present in early developmental period

Question 20

Schizophrenia

Answer 20

Delusions, hallucinations, disorganized speech (word salad) or thoughts + negative symptoms for 6+ months

Question 21

Differentiate brief psychotic disorder from schizophreniform disorder from schizophrenia.

Answer 21

Symptoms are the same (hallucinations, delusions, disorganized thought/speech) but are differentiated by time frame:

Brief psychotic disorder: 1 day to 1 month

Schizophreniform disorder: 1 to 6 months

Schizophrenia: 6+ months

Question 22

What is schizoaffective disorder?

Answer 22

Schizophrenia with periods of depression or mania

Question 23

What differentiates a mood disorder with psychotic features from schizophrenia or schizoaffective disorder?

Answer 23

Mood disorder w/ psychosis is characterized by periods of time where the patient is symptom free in between periods of depression + psychosis

Question 24

What is a delusional disorder?

Answer 24

When people have delusions for over 1 month

Question 25

What medications can cause a substance-induced psychotic disorder?

Answer 25

Meth
PCP
Marijuana
Bath salts

Question 26

What is the treatment for autism?

Answer 26

disease-modifying treatment does not exist. However,

antipsychotics are sometimes used and speech therapy is used if indicated

Question 27

What are some known genetic syndromes associated with autism? (Hint: there are five on the answer side)

Answer 27

Fragile X
Retts syndrome
Prader Willi
Angelman's
22q11 deletion (DiGeorge)

Question 28

What is disruptive mood dysregulation disorder?

Answer 28

Recurrent temper outbursts (3+/week) that are out of proportion to the situation for more than 6 months

Question 29

What is conduct disorder?

Answer 29

Characterized by repetitive ignorance of others’ basic rights (or animals) or ignorance of societal rules for more than 12 months

• aggressive to people and animals
• destruciton of property
• deceitfulness or theft
• derious violation of rules