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Diagnosis-DSM 5

CSPE Exam

QuestionAnswer
Neurodevelopmental disorders: Diagnostic Criteria for Intellectual Disability and Levels of Severity Diagnostic Criteria: Deficits in intellectual functions, adaptive functioning, & onset of these deficits during the developmental period Levels of Severity: mild, moderate, severe, and profound
Neurodevelopmental disorders: Diagnostic Criteria for Autism Spectrum Disorder and Prognosis -Persistent deficits in social communication/ interaction across multiple contexts -Restricted, repetitive patterns of behavior -Symptoms during the early developmental period Impairments in social, occupational, other areas as a result of symptoms
Neurodevelopmental disorders: Diagnostic Criteria for Attention-Deficit/Hyperactivity Disorder (ADHD)and Course/Prognosis -Symptoms persist for 6 or more months -Onset prior to 12 years of age -Present in at least 2 settings -Interference w/ social, academic, occupation -At least 6 inattention &/or hyper/impulse symptoms
Neurodevelopmental disorders: Diagnostic Criteria for Specific Learning Disorder -At least one symptom for at least 6 months despite help to target the difficulty -Inaccurate, slow/effortful reading -Trouble understanding readings -Spelling -Writing -Number sense, facts, or calculation -Math reasoning -Low academic skills
Neurodevelopmental disorders: Diagnostic Criteria for Tourette's Disorder -Included with Movement Disorders -A sudden ,rapid, recurrent, nonrhythmic motor movement/vocalization -Other tics include Persistent Motor or Vocal Tic and Provisional Tic Disorder -Tourette's = 1+ vocal & 2+ motor tics -1+ years since before age 18
Schizophrenia Spectrum and Other Psychotic Disorders: Diagnostic Criteria and Subtypes for Delusional Disorder 1+ delusions lasting at least 1 month; Impairment is related exclusively to the delusions; Erotomanic Grandiose Jealous Persecutory Somatic Mixed Unspecified Bizarre First episode, multiple episodes, acute episode
Schizophrenia Spectrum and Other Psychotic Disorders: Diagnostic Criteria 2+ active phase symptoms (delusions, hallucinations, disorganized speech/behavior, negative symptoms) for 1+ month 1+ symptoms = delusion, hallucination, disorganized speech Continuous signs of disorder at least 6 months Onset late teens to early 30s
Schizophrenia Spectrum and Other Psychotic Disorders: Diagnostic Criteria for Schizophreniform Disorder Identical to schizophrenia except: -Symptoms present for 1+ months up to <6 months -2/3 of people meet diagnostic criteria for Dx of Schizophrenia or Schizoaffective Disorder
Schizophrenia Spectrum and Other Psychotic Disorders: Diagnostic Criteria for Brief Psychotic Disorder 1+ of the following four symptoms: Delusions Hallucinations Disorganized speech Gross disorganized/catatonic behavior -Symptoms for 1+ day up to <1 month -Returns to premorbid functioning -Triggered by stress
Schizophrenia Spectrum and Other Psychotic Disorders: Diagnostic Criteria for Schizoaffective Disorder Uninterrupted period of illness Concurrent symptoms of Schizophrenia and major depressive/manic episode 2+ weeks without prominent mood symptoms
Bipolar and Related Disorders and Depressive Disorders: General Diagnostic Criteria for Bipolar I Disorder 1+ manic episodes -Distinct period of abnormal & persistent elevated, expansive, irritable mood & increased goal-directed activity/energy -Lasts 1+ week -Present most of day, nearly every day -Sx cause marked impairment in social, occupation
Bipolar and Related Disorders and Depressive Disorders: Diagnostic Criteria for Bipolar II Disorder 1+ hypomanic episode & 1 major depressive episode -Hypomania must last for 4+ days -Major depression lasts 2+ weeks, with 5+ Sx, one must be depressed mood or loss of interest in almost all activities
Bipolar and Related Disorders and Depressive Disorders: Diagnostic Criteria for Cyclothymic Disorder -Numerous periods with hypomanic symptoms and depressive symptoms, neither of which meet criteria for a hypomanic episode or major depressive episode. -Sx cause significant distress/impaired function -Sx last 2+ years, 1+ years in children/adolescents
Bipolar and Related Disorders and Depressive Disorders: First 5 Diagnostic Criteria for Major Depressive Disorder -Requires presence of 5+ Sx of Depressive Episode, including: -Nearly every day, 2+ weeks -At least one Sx = depressed/loss of interest -In children can be irritable -Lost interest/pleasure in most activities -Weight loss/gain, appetite change
Bipolar and Related Disorders and Depressive Disorders:Diagnostic Criteria for Persistent Depressive Disorder -Depressed mood (children = irritable) -Most days for 2+ years (1+ years for kids) Two+ Sx: -Change in appetite -Change in sleep -Fatigue -Low self-esteem -Poor concentration, difficulty w/ decisions -Hopelessness -Not Sx-free for 2+ months
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Separation Anxiety Disorder At least 3 Sx: -Recurrent, excess distress regarding separation -Persistent fear of being alone -Repeated complaints of physical Sx -Lasts 4+ weeks for kids, 6+ months for adults
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Specific Phobia Sx include: -Intense fear/anxiety of object or situation -Avoidance or enduring with distress -Disproportionate fear -Persistent for 6+ months -Significant distress/impairment
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Social Anxiety Disorder Sx include: -Intense fear/anxiety of 1+ social situations involving scrutiny by others -Fear of negative evaluation -Avoidance of situations or endures w/ fear -Disproportionate fear -Persistent for 6+ months -Clinically significant distress/impair
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Panic Disorder Sx include: -Recurrent, unexpected attacks -At least one attack followed by 1+ month concern having added attack, about consequences, and/or maladaptive change in behavior. 4+ additional Sx: -Palpitations -Sweating -Trembling -Choking feeing -Etc.
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Agoraphobia Sx -Fear of at least 2 of 5 situations: Public transport, open space, enclosed space, in line or in a crowd, outside home alone. -Escape might be difficult -Help unavailable in case of panic/ embarrassment -Lasts at least 6+ months
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Generalized Anxiety Disorder -Excessive anxiety about multiple events or situations -Relatively constant worries -Last 6+ months -Difficult to control worry At least 3 of 6 Sx: -restlessness -Easily fatgiued -Difficulty concentrating -Irritability -Muscle tension -Bad sleep
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria and specifiers for Obsessive-Compulsive Disorder -Recurrent obsessions/compulsions -Are time-consuming and/or impairing Specifiers include: -"with good, fair, or poor insight" -"with absent insight/delusional beliefs" -"with presence of tics"
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Body Dysmorphic Disorder -Preoccupation with defect or flaw of appearance -Performed repetitive behaviors/mental acts due to flaw
Anxiety Disorders and Obsessive-Compulsive and Related Disorders: Diagnostic Criteria for Hoarding Disorder -Persistent difficulty discarding/parting with possessions -Cluttered living area -Symptoms cause distress or impair functioning
Trauma and Stressor-Related Disorders: Diagnostic Criteria for Reactive Attachment Disorder -Inhibited/emotionally withdrawn behavior -Lack of seeking comfort when distressed -Persistent social/emotional disturbance including 2+ of 3 Sx: -Minimal emotional/social response to others -Limited positive affect -Episodes of irritability, sadness
Trauma and Stressor-Related Disorders: Diagnostic Criteria for Disinhibited Social Engagement Disorder -Inappropriate interactions with strangers including 2+ Sx: -Reduced/absent reticence with unfamiliar adults -OVerly familiar behavior -Diminished/absent checking with caregiver -Willingness to accompany unfamiliar adult
Trauma and Stressor-Related Disorders: Diagnostic Criteria for Posttraumatic Stress Disorder -Exposure to threatened death, injury, etc. -Minimum # of Sx related to: -Intrusive thoughts -Persistent avoidance -Negative changes in mood related to event -Change in arousal/reactivity related to event -One-plus month of Sx
Trauma and Stressor-Related Disorders: Diagnostic Criteria for Acute Stress Disorder -Exposure to actual or threatened death, injury, etc., in 1+ of 4 ways: -Direct experience of event -Witnessing event in-person -Learning event occurred to close person -Repeated/extreme exposure to aversive details of event - Duration 3 days to 1 mo
Trauma and Stressor-Related Disorders: Diagnostic Criteria for Adjustment Disorder -Emotional/behavioral Sx develop due to 1+ identifiable stressors within 3 months of onset of stressor(s) -Sx must remit within 6 months after stressor ceases -Specifiers include: w/ depressed mood, w/ anxiety, w/ mixed anxiety & depressed mood, etc.
Dissociative Disorders and Somatic Symptom and Related Disorders:Diagnostic Criteria for Dissociative Identity Disorder -Two or more distinct personality states in one individual -Recurrent gaps in recall of ordinary events, personal information, or trauma -Clinically significant distress/impairment
Dissociative Disorders and Somatic Symptom and Related Disorders: Diagnostic Criteria for Dissociative Amnesia -Inability to recall important personal info -Clinically significant distress -Related to 1+ traumatic events Amnesia manifests as 1+ of the following: -Localized -Selective -Generalized -Continuous -Systematized
Dissociative Disorders and Somatic Symptom and Related Disorders: Diagnostic Criteria for Depersonalization/Derealization Disorder -Persistent or recurrent episodes of unreality, detachment, outside of oneself, or -Sense of unreality or detachment involving my surroundings -Causes clinically significant distress/ impairment -Reality testing remains intact
Dissociative Disorders and Somatic Symptom and Related Disorders: Diagnostic Criteria for Somatic Symptom Disorder -Accompanied by excess thoughts, feelings, behaviors manifested by 1+ of these: -Persistent, disproportionate thoughts about seriousness of Sx -Persistent, high level of anxiety about health -Excess time, energy spent on Sx concerns - > six months
Dissociative Disorders and Somatic Symptom and Related Disorders:Diagnostic Criteria for Illness Anxiety Disorder -Preoccupation with a serious illness -Absence of somatic Sx or presence of mild somatic Sx -High level of anxiety -Excess health-related behaviors -Maladaptive avoidance of Dr., hospital, etc. -Preoccupation is present for 6+ months
Dissociative Disorders and Somatic Symptom and Related Disorders: Diagnostic Criteria for Conversion Disorder -Disturbances in voluntary motor, sensory functions -Sx suggestive of esrious neuro disorder (paralysis) -Incompatible Sx and neuro or med conditions -Sx cause distress/impairment
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria for Anorexia Nervosa -Restriction of food intake -> low body weight -Intense fear of weight gain or behavior that interferes w/ weight gain -Disturbed experience of own body weight/shape or lack of seriousness of own low weight
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria for Bulimia Nervosa -Recurrent episodes of eating accompanied by sense of lack of control -Behavior to prevent weight gain (vomiting) -Self-eval unduly influenced by shape and weight -Must occur 1+X/week for 3+months
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria for Binge Eating Disorder -Recurrent episodes of binging w/ sense of lack of control -At least 3 Sx such as eating more rapidly, feeling overfull, eating alone/feeling embarrassed -Marked distress over binging -At least 1X/week for 3+ months
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria for Enuresis -voiding into bed or clothes 2+X/week for 3+ consecutive months -At least 5 years old, developmentally
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria of Encopresis -Repeated defecating on floor, bed, in clothes 1+X/month for 3+ months -Child must be 4+ years old developmentally
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria of Insomnia Disorder -Dissatisfaction with sleep quality, quantity associated w/ one of 3 Sx: -Difficulty initiating sleep -Maintaining sleep -Early-AM wakening & inability to go back to sleep -At least 3X/week for 3+ months -In spite of opportunity for sleep -Distress
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria of Narcolepsy -Attacks of need to sleep, lapses into sleep/ naps -Occurs 3+ X/week for 3+ months -Involves either cataplexy (loss of muscle tone) -or hypocretin deficiency -or rapid eye movement latency < or = 15 minutes -Hypnogogic or hypnopompic hallucinations
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria and Subtypes of Non-Rapid Eye Movement Sleep Arousal Disorders -Recurrent episodes of inocomplete awakening during first 3rd of sleep episode -Accompanied by sleepwalking -or sleep terror -Limited-to-no recall of episode -Significant distress/impairment -Usually occurs in children, with remission in adolescence
Feeding and Eating Disorders, Elimination Disorders, and Sleep-Wake Disorders: Diagnostic Criteria of Nightmare Disorder -Characterized by "repeated occurrences of extended, extremely dysphoric, well-remembered dreams -Occur during REM in second half of sleep period -Awaking from nightmare, individual is fully alert with sense of anxiety -Significant distress/impairment
Sexual Dysfunctions and Paraphilic Disorders: Diagnostic Criteria of Erectile Disorder -At least one of 3 Sx (difficulty obtaining/maintaining erection, low rigidity) on all/almost all occasions -Sx for 6+ months -Significant distress -First R/O med conditions, substances, meds, diabetes, liver & kidney, MS, cigarettes, psychotropic meds
Sexual Dysfunctions and Paraphilic Disorders: Diagnostic Criteria of Genito-Pelvic Pain/Penetration Disorder -Persistent/recurrent difficulties w/ 1+ of: (vaginal penetration, genito-pelvic pain during sex, anxiety about genito-pelvic pain Re: vaginal penetration. -Sx for ~6 months -Significant distress
Sexual Dysfunctions and Paraphilic Disorders: Diagnostic Criteria of Premature Ejaculation -Persistent/recurrent ejaculation during partnered sex within ~1 minute of penetration/before desired. -Disturbance for 6+ months -Experienced on all/almost all occasions -Significant distress
Sexual Dysfunctions and Paraphilic Disorders: Diagnostic Criteria of Frotteuristic Disorder -Intense arousal from touching/rubbing against nonconsenting adult -Manifested by fantasies, urges, behaviors & history of acting on them w/ nonconsenting person -or significant distress/impairment resulting from fantasies & urges -Begins in adolescenc
Sexual Dysfunctions and Paraphilic Disorders: Diagnostic Criteria of Transvestic Disorder -Cross-dressing for arousal as manifested by fantasies, ures, & or behaviors that cause distress/impairment -Almost exclusively in males, mostly heterosexual
Disruptive, Impulse-Control, and Conduct Disorders and Substance-Related and Addictive Disorders: Diagnostic Criteria of Oppositional Defiant Disorder -Recurrent angry/irritable mood pattern -Argumentative/defiant or vindictiveness -At least 4 Sx exhibited with non-sibling person(s)such as loss of temper, arguing with authorities, refusal to comply w/ authorities or rules, blaming others for own mista
Disruptive, Impulse-Control, and Conduct Disorders and Substance-Related and Addictive Disorders: Diagnostic Criteria of Intermittent Explosive Disorder -Recurrent outbursts related to inability to stop aggressions, manifested by -verbal or physical aggression 2X/week for 3+ months -three outbursts that caused damage, &/or physical assault that injures during a 12-month period. -At least 6 years develo
Disruptive, Impulse-Control, and Conduct Disorders and Substance-Related and Addictive Disorders: Diagnostic Criteria of Conduct Disorder -Violation of basic rightrs of others or rules -At least 3 Sx during past 12 months & 1+ Sx in past 6 months -Sx in 4 categories: aggression to people/animals, destruction, deceit or theft, serious violation of rules. -If over 18, cannot meet Dx of APD
Disruptive, Impulse-Control, and Conduct Disorders and Substance-Related and Addictive Disorders: Characteristics of Substance-Use Disorders -A cluster of cognitive, behavioral, physiological Sx indicating continued use of substsance despite significant problems -Two or more Sx during 12-mo period -Sx in 4 groups: impaired control, social impairment, risky use, pharmacological criteria
Disruptive, Impulse-Control, and Conduct Disorders and Substance-Related and Addictive Disorders: Characteristics of Substance-Induced Disorders -includes Substance Intoxication, Substance Withdrawal, Substance/Med-Induced Mental Disorders -Potentially severe, temporary CNS syndromes -Include Substance/Med-Induced Psychotic Disorder, Substance/Med-Induced Depressive Disorder, etc.
Neurocognitive Disorders: Delirium Diagnostic Criteria -Disturbance in attention, awareness developing over short period (hours to days) -A change from baseline function -Fluctuates in severity over a day -At least one more disburbance in cognition (memory, disorientation. -Sx direct result of medical con
Neurocognitive Disorders: Major Neurocognitive Disorders/Characteristics -Evidence of significant decline from previous level of functioning in 1+ cognitive domains -Interferes w/ independence -Does not occur only in presence of delirium
Neurocognitive Disorders: Mild Neurocognitive Disorders/Characteristics -Modest decline from previous level of function in 1+ cognitive domains -Does not interfere w/ independence in everday activities -Does not occur only in presenec of Delirium
Neurocognitive Disorders: Neurocognitive Disorder Due to Alzheimer's Disease Diagnostic Criteria and Stages -Criteria for Major or Minor Neurocognitive Disorder are met -Insidious onset of Sx is present -Gradual progression of impairment in 1+ cognitive domains -Criteria for Alzheimer's disease are met -All other causes of Neurocognitive Disorders are R/O
Personality Disorders: Cluster A Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder
Personality Disorders: Cluster B Antisocial Personality Disorder Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder
Personality Disorders: Cluster C Avoidant Personality Disorder Dependent Personality Disorder Obsessive-Compulsive Personality Disorder
Personality Disorders: Avoidant Personality First 3 Diagnostic Criteria -Pervasive pattern of social inhibition, inadequacy, hypersensitivity to negative evaluation At least 4 Sx: -Avoid work w/ interpersonal contactt, fearing criticism, rejection, disapproval -Unwilling to get involvedw/ people unless liked
Personality Disorders: Dependent Personality First 5 Diagnostic Criteria -Display pervasive, excessive need to be taken care of Dx requires 5+ of Sx: -Difficulty deciding without advice, reassurance -Needs others to be responsible for life -Fears disagreeing as could lose support -Difficulty initiating projects on own
Personality Disorders: Obsessive-Compulsive Personality First 4 Diagnostic Criteria Persistent preoccupation with orderliness, perfectionism, control that limits flexibility. Needs 4+ Sx to Dx: -Preoccupied with rules, etails, major point is lost -Exhibits perfectionism interfering with completion Excess devotion to work and outcomes
Personality Disorders: Paranoid Personality First 4 Diagnostic Criteria Pervasive pattern of distrust, suspiciousness interpreting motives of others as malevolent. Dx requires 4+ Sx: -Suspects others are exploiting, harming, deceiving without basis -Preoccupied w/ unjustified doubts of trustworthiness -Reluctant to confid
Personality Disorders: Schizoid Personality First 5 Diagnostic Criteria When a person displays pervasive pattern of detachment from relationships, restricted range of emotional expression At least 4 Sx present: -No close relationships -Solitary -Little interest in sex relationships -Pleasure in few activities
Personality Disorders: Schizotypal Personality General Definition Pervasive social & interpersonal deficits involving discomfort and reduced capacity for close relationships, eccentricities in cognition, perception, and behavior.
Personality Disorders: Antisocial Personality General Definition Characterized by pattern of disregard and violation of rights of others occurring since age 15.
Personality Disorders: Borderline Personality Last 8 Diagnostic Criteria -Persistent instability in self-image or self -Self-damaging impulsivity in 2+ areas -Repeat suicide threats/gestures -Affective instability -Feeling empty -Inense anger -Paranoid ideation &/or severe dissociation Sx -Ages 19-34 years
Personality Disorders: Histrionic Personality First 6 Diagnostic Criteria Characterized by emotionality, attention-seeking Need 5+ Sx present: -Discomfort if not center of attention -Sexually seductive, provocative -Shifting, shallow emotions -Use of physical appearance for attention -Impressionistic speech, lacking detai
Personality Disorders: Narcissistic Personality Last 7 Diagnostic Criteria -Requires excess admiration -Sense of entitlement -Interpersonally exploitative -Lacks empathy -Often envious, believes others are envious -Arrogant behavior, attitude -Starts in early adulthood & occurs in various contexts
Neurodevelopmental disorders: Diagnostic Attention-Deficit/Hyperactivity Disorder (ADHD)Specifiers - 6+ symptoms of inattention & <6 of hyper/impulsive = "predominately inattentive presentation" - 6+ symptoms of hyper/impulsive and <6 of inattention = "predominately hyperactive/ impulsive presentation" - when both of the above, then "combined pres"
Neurodevelopmental disorders: Diagnostic Attention-Deficit/Hyperactivity Disorder (ADHD)Course/Prognosis -65-80% of those with ADHD continue Dx in adolescence -15% meet Dx criteria as young adults -60% meet Dx criteria for "ADHD in partial remission"
Neurodevelopmental disorders: Diagnostic Criteria for Subtypes of Specific Learning Disorder and specifiers Impairment of: -reading -written expression -mathematics Specifiers: -mild -moderate -severe
Bipolar and Related Disorders and Depressive Disorders: Variable Diagnostic Criteria, Episodes, and Specifiers for Bipolar I Disorder 3+ of following 4 Sx: -inflated self-esteem/grandiosity -Decreased need for sleep -Excessive talk -Flight of ideas -May include 1+ hypomanic or MDD episodes -Mild, moderate, or severe
Bipolar and Related Disorders and Depressive Disorders: Major Depressive Disorder and Age/Culture -Ages 18 to 29 3X greater prevalence than 60+ years -Among adolescents, females 1.5 to 3X greater -Latinos manifest as somatic Sx (nerves, headaches) -Asians manifest as weakness, tiredness, "imbalance"
Bipolar and Related Disorders and Depressive Disorders: Last 5 Diagnostic Criteria for Major Depressive Disorder -Psychomotor agitation/retardation -Fatigue -Guilt or worthlessness -Diminished concentration -Repeated thoughts of death, suicide, or attempt
Trauma and Stressor-Related Disorders: Basic Requirements for Reactive Attachment Disorder -Child experienced extreme deprivation from care-givers evidenced by 1+ of the following 3: -Insufficient provision for emotional needs for comfort, stimulation, affection -Repeated changes in primary caregivers -Limited opportunity to form attachments
Trauma and Stressor-Related Disorders: Age and Onset for Reactive Attachment Disorder -Sx must be present before age 5 years -Child must have a developmental age of 9+ months
Trauma and Stressor-Related Disorders: Basic Requirements for Disinhibited Social Engagement Disorder -Developmental age of 9+ months -Experience of extreme insufficient care evidenced by 1+ of the following: -Basic emotional needs not met by caregivers -Repeated changes in primary caregivers -Rearing in unusual environment limits attachments
Dissociative Disorders and Somatic Symptom and Related Disorders:Primary Feature of Dissociative Identity Disorder "A disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior."
Dissociative Disorders and Somatic Symptom and Related Disorders: Essential Feature for Somatic Symptom Disorder One or more somatic symptoms cause distress/disrupt daily life
Dissociative Disorders and Somatic Symptom and Related Disorders: Diagnostic Criteria for Factitious Disorder Imposed on Self -Individual falsifies physical or psych Sx that are associated with their deception (example: falsifying Sx of depression following death of a spouse that did not occur) -Present themselves as being ill or impaired in the absence of obvious external gain
Dissociative Disorders and Somatic Symptom and Related Disorders: Diagnostic Criteria for Factitious Disorder Imposed on Another -Falsify physical or psych Sx in another -Present that person to others as ill/impaired -Engage in the deception in absence of obvious gain
Disruptive, Impulse-Control, and Conduct Disorders and Substance-Related and Addictive Disorders: Features of Substance/Medication-Induced Mental Disorders -Involves symptomatic presentation of mental disorder -Evidence from a history, physical exam, or lab results that disorder developed within 1 month of substance intoxication/withdrawal -Not better explained by other disorder -Doesn't occur during deli
Neurocognitive Disorders: Neurocognitive Disorder Due to Alzheimer's Disease Stages -Stage 1 (1 to 3 years): anterograde amnesia, including indifference, irritabilty, sadness, anomia -Stage 2 (2 to 10 years): increasing retrograde amnesia, flat or labile mood, restless, agitated -Stage 3 (8 to 12 years): severely deteriorated intellect
Neurocognitive Disorders: Vascular Neurocognitive Disorder Diagnostic Criteria -Criteria met for Major or Mild Neurocognitive Disorder -Vascular etiology -Evidence present for cerebrovascular disease from history, examination, imaging, etc. -Has stepwise, fluctuating course -May include presence of hypertension, diabetes, cigars
Personality Disorders: Avoidant Personality Last 3 Diagnostic Criteria -Restrained intimate relationships, fear of reidicule -Preoccupation w/ concerns about criticism/rejection -Inhibited in new relationships, feelings of inadequacy -Self view as inept or unappealing -Reluctant to engage in novelty due to embarrassment
Personality Disorders: Dependent Personality Last 4 Diagnostic Criteria Some of 5 symptoms required for diagnosis -Great lengths for nurturance and support -Helpless/uncomfortable when alone -Urgent seeking of relationships when old one ends -Unrealistic preoccupation with fearing being left to care for oneself
Personality Disorders: Obsessive-Compulsive Personality Last 5 Diagnostic Criteria -Overconscientious and inflexible -Unable to discard worn-out or worthless objects -Reluctant to delegate work unless others do it their way -Adopts miserliness -Exhibits rigidity and stubbornness
Personality Disorders: Paranoid Personality Last 4 Diagnostic Criteria -Reads demeaning content in benign remarks/events -Persistent grudges -Perceives attacks on character, reacts w/ anger -Persistent suspiciousness about fidelity without justification
Personality Disorders: Schizoid Personality Last 3 Diagnostic Criteria -Lacks close friends other than first-degree relatives -Seems indifferent to criticism/praise -Exhibits emotional coldness/detachment
Personality Disorders: Schizotypal Personality First 7 Diagnostic Criteria Dx requires 5+ Sx: -Exhibits ideas of reference -Odd beliefs, magical thinking influencing behavior -Bodily illusions, unusual perceptions -Odd thinking & speech -Suspicious, paranoid ideation -Inappropriate, constricted affect -Peculiar behavior
Personality Disorders: Antisocial Personality Diagnostic Criteria At least 3+ Sx: -Failure to conform to social norms Re: lawful behavior -Deceit -Impulsivity -Irritability, aggressiveness -Reckless disregard for safety of self, others -Consistent irresponsibility -Lack of remorse -Must be at least 18 years old
Personality Disorders: Borderline Personality First 4 Diagnostic Criteria Pervasive pattern of instability in relationships, self-image, affect, and impulsivity in multiple contexts. Five-plus Sx needed: -Effort to avoid abandonment -Unstable, intense relationships fluctuating between idealizing & devaluing -ID disturbance
Personality Disorders: Histrionic Personality Last 3 Diagnostic Criteria -Exaggerated expression of emotion -Easily influenced by others -Considers relationships more intimate than they are
Personality Disorders: Narcissistic Personality First 5 Diagnostic Criteria Grandiosity, need for admiration, lack of empathy Need 5+ Sx to qualify: -Sense oif self-importance -Preoccupied with fantasies of success, power, beauty, love -Believes own uniqueness, understood only by high-status people -Requires admiration
Personality Disorders: Schizotypal Personality Last 2 Diagnostic Criteria -Lacks close friends other than first-degree relatives -Excessive social anxiety -May express desire for close personal contacdt, but have few friends, seem to prefer being alone
Schizophrenia Spectrum and Other Psychotic Disorders: Best Prognosis for Schizophrenia 1) Has good pre-morbid adjustment 2) Acute, late onset 3) Female 4) Presence of precipitating event 4) Brief duration of active-phase Sx 5) Insight into their own illness 6) Has family history of mood disorder 7) No family history of schizophrenia
Created by: lyzimmerman