Psychiatric Diagnosis using the DSM5 Flashcards
key concepts for behavioral health questions: rule out what conditions first
medical/physical health conditions that can cause behavioral health symptoms
key concepts for behavioral health questions: prioritize what
safety for self/others
key concepts for behavioral health questions: for diagnosing, look for ___ of behavior
patterns, changes, loss of functioning
key concepts for behavioral health questions: does age matter for diagnosing
yes, same symptoms could be a different diagnosis based on age
key concepts for behavioral health questions: make sure treatment is ____ restrictive
least restrictive possible for safety and appropriateness
definition of a mental disorder
clinically significant disturbance in cognition emotion regulation, behavior that reflects dysfunction in psychological, biological or developmental processes underlying mental function; usually associated with significant distress/disability in social, occupational, other important activities
things that AREN’T a mental disorder
-expectable/culturally approved response to common stressor/loss
-socially deviant behavior and conflict between individual and society UNLESS deviance/conflict is from dysfunction in individual
for exam questions on diagnosis; concentrate on essential ____
features/primary symptoms of the primary diagnoses and on the glossary of technical terms in DSM
ADHD
Autism Spectrum
Communication Disorder
Intellectual Disabilities
Motor Disorder
Specific Learning Disorder
neurodevelopmental disorders
Major Depressive Disorder
Disruptive Mood Dysregulation Disorder
Persistent Depressive Disorder (PDD)
Premenstrual Dysphoric Disorder
Substance/medication Induced Depressive Disorder
Depressive Disorder due to other medical condition
Depressive Disorders
Schizotypal (Personality) Disorder
Delusional Disorder
Brief Psychotic Disorder
Schizophreniform Disorder
Schizophrenia
Schizoaffective Disorder
Substance/medication induced psychotic Disorder
Psychotic disorder due to another medical condition
Catatonia Associated with another mental Disorder
catatonic Disorder due to another medical condition
Unspecified catatonia
Other specified schizophrenia spectrum and other psychotic disorder
Unspecified schizophrenia spectrum and other psychotic Disorder
Schizophrenia Spectrum and Other Psychotic Disorders
Bipolar I and II Disorder
Cyclothymic Disorder
Substance/medication induced bipolar and related Disorder
Bipolar and Related Disorder due to another medical condition
Other Specified Bipolar and Related Disorder
Unspecified Bipolar and Related Disorder
Bipolar and Related Disorders
Separation Anxiety Disorder
Selective Mutism
Specific Phobia
Social Anxiety Disorder
Panic Disorder
Panic Attack specifier
Agoraphobia
Generalize Anxiety Disorder
Substance/medication induced anxiety Disorder
Anxiety Disorder due to another medical condition
Unspecified Anxiety Disorder
Anxiety Disorders
Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomnia (hair pulling)
Excoriation (skin picking) Disorder
Obsessive-Compulsive and Related Disorder due to another medical condition
Unspecified obsessive-compulsive and related Disorder
obsessive-compulsive and related Disorders
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
PTSD
Acute Stress Disorder
Adjustment Disorder
Other specified trauma and stressor related Disorder
unspecified trauma and stressor related
Trauma and stressor related Disorder
Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder
Dissociative Disorders
Somatic Symptom Disorder
Illness Anxiety Disorder
Conversion Disorder
Psychological Factors Affecting other medical conditions
Factitious Disorder (imposed on self or another)
Other specified somatic symptom and related disorder
Unspecified Somatic symptom and related Disorder
Somatic Symptom and Related Disorders
Pica
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder
Anorexia Nervosa
Bulimia Nervosa
Binge-Eating Disorder
Other specified feeding or eating disorder
unspecified feeding or eating disorder
Feeding and Eating Disorders
enuresis
encopresis
other specified elimination Disorder
unspecified elimination disorders
Elimination Disorders
insomnia disorder
hypersomnolence disorder
narcolepsy
breathing related (sleep apnea, hypoventilation, circadian rhythm sleep-wake disorder)
parasomnias (non REM sleep arousal disorder, nightmare disorder, REM sleep behavior disorder, restless legs syndrome)
sleep-wake Disorders
delayed ejaculation
erectile disorder
female orgasmic disorder
female sexual interest/arousal disorder
genito-pelvic pain/penetration disorder
male hypoactive sexual desire disorder
premature ejaculation
sexual dysfunctions
gender dysphoria (in adults or children)
other specified gender dysphoria
unspecified gender dysphoria
gender dysphoria
oppositional defiant disorder
intermittent explosive disorder
conduct disorder
antisocial personality disorder
pyromania
kleptomania
other specified/unspecified
disruptive, impulse-control, and conduct disorders
alcohol use disorder; intoxication; withdrawal; other/unspecified
caffeine intoxication; withdrawal; other/specified
cannabis use disorder; intoxication; withdrawal; other/unspecified
phencyclidine use disorder; intoxication; other/unspecified
other hallucinogen use disorder; intoxication; persisting perception disorder; other/unspecified
inhalant use disorder; intoxication; other/unspecified
opioid use disorder; intoxication; withdrawal; other/unspecified
sedative, hypnotic, or anxiolytic use disorder; intoxication; withdrawal; other/unspecified
stimulant use disorder; intoxication; withdrawal; other/unspecified
tobacco use disorder; withdrawal; other/unspecified
gambling disorder
substance related and addictive disorders
delirium
Alzheimer’s
frontotemporal neurocognitive disorder
neurocognitive disorder with lewy bodies
vascular neurocognitive disorder
neurocognitive disorder due to TBI
substance/med induced
due to HIV infection
due to prion disease
due to Parkinson’s disease
due to Huntington’s disease
due to another medical condition
due to multiple etiologies
neurocognitive disorders
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Cluster A Personality Disorders
Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Cluster B Personality Disorders
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder
Cluster C Personality Disorders
personality change due to another medical condition
other specified Personality Disorder
unspecified Personality Disorder
other Personality Disorders
Voyeuristic Disorder
Exhibitionist Disorder
Frotteuristic Disorder
Sexual Sadism Disorder
Pedophilic Disorder
Fetishistic Disorder
Transvestic Disorder
other specified/unspecified
paraphillic disorders
neuroleptic-induced parkinsonism
other med-induced parkinsonism
neuroleptic malignant syndrome
med-induced acute dystonia
med-induced acute akathisia
tardive dyskinesia
tardive dystonia
med-induced postural tremor
other med induced movement disorder
antidepressant discontinuation syndrome
other adverse effect of meds
medication-induced movement disorders and other adverse effects of medications
relational problems (related to family upbringing, support group)
abuse and neglect
education and occupational problems
problems related to crime or interaction with legal system
other problems related to social environment
other health service encounters with counseling and medical advice
problems related to other psychosocial/personal/environmental circumstances
other circumstances of personal history
other conditions that may be a focus of clinical attention
do psychotic symptoms automatically indicate schizophrenia or mental illness
-no; could be in a mood disorder, substance use related, or Borderline Personality, could also be from fever, allergic reactions, lack of sleep
-other mental health symptoms could also be from physical health disorders
in assessment for diagnosis, always rule out what first
physical health disorders with mental health symptoms
watch for term contraindicated on exam questions, means that
something is not recommended or safe to use
IDD requires deficits in what assessments
adaptive function and cognitive capacity (IQ); onset in developmental years, IQ of 70 or less; severity in mild, moderate, severe, profound
onset for autism spectrum disorder (ASD), deficits in what
early childhood; social communication and interaction, and restricted, repetitive activities, behaviors, interests; more common in boys than girls
domains of ADHD, onset prior to what age
inattention and hyperactivity/impulsivity
onset prior to age 12
evidenced in multiple domains
tic disorders (like Tourettes) may come and go but must be present for how long
1 year
schizoaffective disorder requires what type of mood episode lasting throughout most of the episode
bipolar or depressive
bipolar disorder includes mood fluctuations as well as changes in
activity and energy
persistent depressive disorder (PDD) new diagnosis in DSM5 that covers
major depression and dysthymic disorder
disruptive mood dysregulation disorder used for what group instead of bipolar
kids/teens under age 18
separation anxiety onset
at any age, symptoms present for at least 6 months; most common disorder for kids with school refusal
panic disorder and agoraphobia: same or different?
separate and distinct disorders with unique criteria
obsessive compulsive and related disorders share what, and specifier
repetitive behaviors and drive to perform them; specifier for insight (good, fair, poor, absent) and for delusional beliefs
adjustment disorder includes what specifier and used for what age
specifiers-depressed mood, anxiety, disturbance of conduct; used for individuals of any age following a stressful life event
acute stress disorder qualifiers
witnessed event or experienced it directly; categories to meet include arousal, avoidance, intrusion, dissociation, negative mood
PTSD 4 clusters
arousal
avoidance
persistent negative changes in mood/cognition
re-experiencing
reactive attachment disorder (RAD) comes from
neglect; results in emotionally and/or socially disengaged individual who have difficulty forming attachments to caregiving adults
dissociative identity disorder requires
2+ distinct personality states and observable or self-reported identity transitions along with gaps in memory of daily events; cannot be attributed to medical condition, substance use, or broadly accepted cultural/religious practice
somatic symptom and related disorders can be diagnosed along with medical conditions and ___ or ____ not be associated with the other conditions
may or may not be
factitious disorder can be
imposed on self or imposed on another (by proxy); medical providers become suspicious when kid has repeated, unexplained illness (form of child abuse)
anorexia nervosa criteria focus on behaviors that include what
low caloric intake and significantly low weight; may include openly expressed fear of weight gain/engaging in behaviors that inhibit chance to gain weight
bulimia nervosa involves what and how often
binge eating and compensatory behaviors at least once per week over 3 months
binge eating disorder involves what
overeating and distress at least once a week over 3 months without compensatory behaviors
conduct disorder can be onset when
childhood onset type, adolescent onset type, or unspecified; may be a precursor to diagnosis of antisocial personality disorder
age to be diagnosed with antisocial personality disorder
18+
can personality disorders be diagnosed under age 18
all except for antisocial if symptoms present for at least 1 year
schizoid personality disorder characterized by
detachment from social relationships and restricted range of emotions, activities, interests
schizotypal personality disorder characterized by
compromised social relationships, also associated with odd beliefs, magical thinking, suspiciousness, paranoia
enuresis can be ____ or ___
diurnal or nocturnal, or both
encopresis can be with or without ___ and _____
constipation, overflow inconvenience
Rett syndrome
rare genetic disorder involving persistent and progressive developmental regression after a period of normal development; onset before age 4 (usually between 1 and 2); sterotypic hand movements, problems with coordination of gait and trunk movement, profound mental retardation, severe expressive and receptive language development; only in females
fragile X syndrome
genetic abnormality on X chromosome which leads to intellectual disability and behavioral problems
Cluster A personality disorders
Odd and eccentric
Paranoid, schizotypal, schizoid
Cluster B personality disorders
Dramatic, emotional, erratic
Antisocial, borderline, histrionic, narcissistic
Cluster C personality disorders
Anxious and fearful
Avoidant, dependent, obsessive compulsive
Delirium symptoms
Changes in level of consciousness and orientation, changes in cognition or perceptions, difficulty shifting and maintaining attention, delirious
Delirium cause
General medical condition or substance use, combo of both; usually a medical emergency
Delirium: duration
Rapid, acute onset of symptoms which can fluctuate over time
Dementia symptoms
Disturbance involving memory impairment and other cognitive impairment
Dementia/Alzheimer’s
Dementia causes
Usually by general medical condition, can be from series of strokes (vascular dementia) with patchy cognitive symptoms
Dementia duration
Progressively worse over time
