Update on DSM V -Heh Flashcards

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1
Q

Where is PTSD located in DSM V?

A

under Trauma and Stress Related Disorders

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2
Q

What is Binge Eating Disorder? (DSM V)

A

Eating too much too fast

Lack of control /cannot stop eating/no control on what they eat and how much/feel guilt about what eat

Once a week for 3 months

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3
Q

What was removed from the criteria for AN in DSM V?

A

amenorrhea, or the absence of at least three menstrual cycles.

also the word “refusal” to maintain body weight at or above minimally normal weight for age and height was removed

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4
Q

What criteria changed for BN in DSM V?

A

binge eating and compensatory behaviors now once (changed from twice) a week

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5
Q

What new category was created in the DSM V?

A

OCD and related disorders

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6
Q

What are the disorders in the OCD and related disorders category of DSM V? (6)

A
OCD  BDD
Hoarding Disorder
Trichotillomania (hair pulling)
Excoriation Disorder (skin picking)
Olfactory Reference Disorder
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7
Q

What is Hoarding Disorder (DSM V)?

A

Difficulty discarding or getting rid of items when they are no longer useful or needed.

Need to save items and distress with discarding them

Difficulty in discarding results in excessive accumulation, clutter and congestion

When these behaviors lead to enough clutter and disorganization to affect someone’s health or safety, or they lead to significant distress, then hoarding becomes a “disorder”

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8
Q

What is the criteria for skin picking (DSM V)?

A

A. Recurrent skin picking resulting in noticeable skin damage
B. Preoccupation with impulses or urges to pick skin, which is experienced as intrusive
C. Feelings of tension, anxiety, or agitation immediately before
picking
D. Feelings of pleasure, relief, or satisfaction while picking
E. The picking is not accounted for by another medical or mental
disorder (e.g. cocaine or amphetamine use disorders, scabies)
F. The individual suffers significant distress or social or
occupational impairment

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9
Q

What is Olfactory Reference Disorder (DSM V)?

A

“preoccupation with the belief that one emits a foul or offensive body odor, which is not perceived by others.”

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10
Q

What change was made in the Neurodevelopmental disorders in DSM V?

A

Autism, Asperger and PDD-NOS are now considered “Autism Spectrum Disorder”

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11
Q

How is the classification for Mental Retardation changed in DSM V?

A

Now not strictly based on IQ ==>WAIS need to take in account adaptive functional assessments.

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12
Q

How was ADHD changed in DSM V?

A

now has specifiers NOT subtypes

  • age of onset now 12 yo or younger (previous was 7 yo)
  • adults only need 5 criteria, not 6
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13
Q

How did the criteria for Schizophrenia change in DSM V?

A

tighter criteria

Two symptoms but one must be a positive “core” (instead of 1 core or any 2)

Hallucinations
Delusions
Disorganized thinking/speech
Disorganized behavior (i.e. catatonia)
Affective blunting/Alogia/Avolition

-no more subtypes

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14
Q

How was MDD changed in DSM V?

A

no longer has a time limit on grief

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15
Q

What is Disruptive Mood Dysregulation Disorder (DMDD)

(DSM V)?

A
  1. severe recurrent temper outbursts that are grossly out of proportion in intensity or duration to the situation.
    (present in 2 settings)
  • The temper outbursts are manifest verbally and/or behaviorally, such as in the form of verbal rages or physical aggression towards people or property.
    2. The temper outbursts are inconsistent with developmental level.
  • occur 3+ times / week
    3. mood betwwn temper outbursts is persistently angry or irritable and can be observed by others
    4. 12+ months (no 3+ months without symptoms)

dx between 6-18.

onset=before age 10

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16
Q

How did diagnosing Panic attacks change in DSM V?

A

panic attacks is a specifier, not a diagnosis

ex: PTSD with panic attacks

17
Q

How did PTSD change in DSM V?

A
  • The 3 clusters of DSM-IV symptoms will be divided into 4 clusters in DSM-5: intrusion symptoms, avoidance symptoms, arousal/reactivity symptoms, and negative mood and cognitions.
  • Criterion A2 requiring fear, helplessness or horror happen right after the trauma will be removed.
18
Q

What will dementia be referred to in DSM V?

A

Neurocognitive disorders

  • major and minor
  • with or without behavioral disturbance
  • type of cause of the disorder
  • “probable” or “possible”

ex: Major Neurocognitive Disorder due to probable
Lewy Body Disease

19
Q

How has substance abuse and dependence changed in DSM V?

A

now called USE

-continuum (mild= 2-3 symptoms, moderate =4-5 and severe=6+)

-if remission:
early=3-12 months
sustained=12+ months

20
Q

How did the classification for Somatoform Disorders change in DSM V?

A

all eliminated (except conversion and factitious)

-now called Somatic Symptom Disorder and IAH (illness Anxiety Disorder)

21
Q

What is Somatic Symptom Disorder

(DSM V)?

A

6 months
Specifiers for SSD
Predominant Pain
Mild, moderate, Severe

22
Q

What is Illness Anxiety Disorder in DSM V?

A

6 months
Specifiers for IAD
Care seeking
Care avoidant

23
Q

What was NOS replaced with in DSM V?

A

NEC: not elsewhere classified