Helpful Mnemonics for Axis I Disorders
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| Major Depressive Disorder (SIG DE CAPS) | (2 weeks, 5sym, At least depressed mood or anhedonia)
Suicidal Ideation
Interests Decreased
Guilt/Worthlessness
Depressed Mood
Energy Decreased
Concentration Decreased
Appetite/Weight Decreased
Psychomotor Change
Sleep Disturbance
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| Dysthymic Disorder (HE'S 2 SAD) | (2 yrs, depressed, 2 sym, No MDD)
Hopeless
Energy loss/fatigue
Self-Esteem low
2 years minimum of depressed mood most if day
Sleep increased/decreased
Appetite increased or decreased
Decision-Making/Concentration impaired
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| Mania (DIG FAST) | (1 wk, 3 sym)
Distractibility
Indiscretion
Grandiosity/Inflated self-esteem
Flight of ideas
Activities increased
Sleep deficit
Talkativeness
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| Hypomania (DIG FAST) | (4 days, 3 sym)
Distractibility
Indiscretion
Grandiosity/Inflated self-esteem
Flight of ideas
Activities increased
Sleep deficit
Talkativeness
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| Cyclothymic Disorder (2NNN) | 2 years
Never without symptoms for more than 2 months
No MDD present during first 2 years
Numerous periods w/ hypomanic symptoms/depressive symptoms do not meet criteria for major depressive episode
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| Mood Disorder due to General Medical Condition (N' DENS) | Not accounted for by another mental disorder
Depressed, irritable, or elevated mood
Evidence that it is a result of general medical condition
Not during delirium
Significant distress/impaired functioning
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| Substance-Induced Mood Disorder (INDUCE) | Impaired functioning and significant distress
Not exclusively during delirium
Depressed, irritable, or elevated mood
Usage of substance responsible for intoxication
Criteria for any mood disorder met
Evidence from history, physical exam, or lab
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| Panic Disorder without Agoraphobia (CAWS) | Concern about having additional attacks
Attacks recurrent & unexpected
Worry about consequence of attack
Significant change in behavior
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| Panic Disorder with Agoraphobia (CAWS AA) | Concern about additional attacks
Attacks recurrent & unexpected
Worry about consequence of attacks
Significant change in behavior
Anxiety about places & situation
Avoidance of situations
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| Agoraphobia w/o history of Panic Disorder (AA) | Anxiety about places and situations
Avoidance of situations
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| Specific Phobia (DEAR ME) | Duration at least 6 mths if under 18
Excessive fear, cued by situation or object
Avoidance of triggers
Recognizes fear is excessive
Mental disorder of other nature not responsible
Exposure to stimulus provokes anxiety
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| Social Phobia (DEAR ME) | Duration at least 6 mths if under 18
Excessive fear, cued by social or performance situations
Avoidance of social situation
Recognizes fear is excessive
Mental disorder of other nature not responsible
Exposure to social situation provokes anxiety
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| Obsessive-Compulsive Disorder (OCD) | Obsessions (recurrent, intrusive, persistent thoughts/ideas)
Compulsions (repetitive behaviors aimed at preventing/reducing distress
Disorder is stressful, time consuming, recognized as excessive or unreasonable, and not due to substance or GMC
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| Post-Traumatic Stress Disorder (TRAUMA) | Traumatic event
Re-experience 1+: recollections/dreams/dissociation/illusions
Avoidance 3+: avoiding thoughts, feelings, people, situations
Unable to function
Month or more of symptoms
Arousal increased 2+: insomnia/irritability/anger/startle
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| Acute Stress Disorder (2D TRAUMA) | 2days min, 4 wks max
Dissociative sym 3+: numbing, derealization, depersonalization, dissociative amnesia, lack awareness
Traumatic event
Re-experience 1+
Avoidance 3+
Month or less of symptoms
Arousal increased 2+
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| Generalized Anxiety Disorder (WATCHERS) | (6 mths, 3sym)
Worry difficult to control
Anxiety
Tension in muscles
Hyperarousal/Irritability
Energy loss
Restlessness
Sleep Disturbance
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| Attention Deficit-Hyperactivity Disorder (HIS BAD) | Hyperactivity or Impulsivity 6+: fidgets/talkative/blurts answers/interrupts/cant' wait
Inattention 6+: forgetful/distracted/looses things/doesnt listen
Six months
Before age 7 some sym present
At least 2 or more settings
Disorder sig impairment
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| Conduct Disorder (STEALS) | (3+ in past 12 mths/1+ in past 6 mths)
Serious violation of rules
Theft or deceitfulness
Exclude ASPD if 18
Aggressive tp people & animals
Likely destruction of property
Significant Impairment
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| Oppositional Defiant Disorder (BAD ALA) | (6mths 4 sym)
Blames others for mistakes
Annoyed easily by others and annoys others
Does not comply with adults requests/rules
Angry & Resentful. Spiteful &Vindictive
Loses temper often
Argues w/ adults
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| Substance Dependence (ADDICTeD) | (3+ sym w/in 12 mths)
Activities given up or reduced
Dependence tolerance
Dependence withdrawal
Interpersonal consequences
Cannot cut down or control
Time consuming & expensive
Duration or amount of use longer than expected
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| Substance Abuse (WILD) | Work, School, Home chores neglected
Interpersonal/Social consequences
Legal Problems
Dangerous use
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| Delusional Disorder | 1 month duration
Non-bizarre delusions
No impairment in functioning/odd behaviors
No Schizophrenia symptoms
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| Shared Psychotic Disorder (DAD) | Delusion develops in context of close relationship with person who has an established delusion
Almost identical delusion to other person
Disturbance not better accounted by another Psychotic Disorder
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| Conversion Disorder (SWITCH) | Symptoms not fake
Warrants medical evaluation
Interrelated w. psychological factors
Total explanation by GMC, substance, or culture not possible
Conversion into symps affect voluntary motor or sensory function
Hx of sym not limited to pain/sex
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| Pain Disorder (PAIN) | Psychological factors have important role
Anatomical pain in 1+ areas
Impaired functioning
Not faked
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| Hypochondriasis Disorder (PP SIN) | Preoccupation w/ fear of having disease
Persists despite medical reassurance
Significant distress/impaired functioning
Is at 6mths duration
Not delusional
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| Body Dysmorphic Disorder (NIP) | Not accounted for by another medical disorder
Impaired functioning
Preoccupation w/ imagined defect in appearance
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| Intermittent Explosive Disorder (FAN) | Failure to resist aggressive impulses that result in serious acts & destruction
Aggressiveness is out of proportion
Not accounted for by another mental disorder
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| Adjustment Disorder (3 SSNN) | 3 mths
Symptoms not due to another disorder
Significant impairment/marked distress
No bereavement
Not more than 6 months after stressor terminated
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| Kleptomania (STEAL) | Stealing is not committed to express anger or in response to delusion/hallucination
Tension before stealing
Eccessive failures to resist impulses to steal
At time of stealing = pleasure, gratification, relief
Lacks: Conduct DO, Manic Episode, ASPD
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| Anorexia Nervosa (85% FDA) | <85% of normal body weight
Fear weight gain
Disturbance in experience of body's weight & shape
Amenorrhea
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| Bulimia Nervosa (BINCE) | Binge eating
Inappropriate binge eating & compensatory behaviors 2x a wk for 3mths
Not exclusive to Anorexia episodes
Compensatory behaviors in order to prevent weight gain
Evaluation of self influenced by body shape & weight
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