Comps

Front 1

DSM-IV shortcomings

Back 1

• Dated research base (initial goal was to usecognitive neuroscience, brain imaging, and genetics but this was too lofty –science isn’t there to include biomarkers)·
  
• Concerns about categorical (rather thandimensional) approach
• Overuse of NOS
• Lack of reliability of GAF

Front 2

Depression

Back 2

SIG E CAPS

Suicidal thoughts

Interests decreased

Guilt

Energy decreased

Concentration decreased

Appetite disturbance

Psychomotor changes

Sleep disturbances

Front 3

persistent depressive disorder (PDD)

Back 3

HE'S 2 SAD

• Hopeless
• Energy loss or fatigue
• Self-esteem is low
• 2 years minimum of depressed mood most of the day, for more days than not
• Sleep disturbance
• Appetite disturbance
• Decision-making or concentration is impaired

Front 4

Mania

Back 4

DIG FAST

• Distractibility
• Indiscretion
• Grandiosity
• Flight of ideas
• Activity increase
• Sleep deficit
• Talkativeness

Front 5

Hypomania

Back 5

TAD HIGH

• Talkative
• Attention deficit
• decreased need for sleep
• high self-esteem/grandiosity
• ideas that race
• goal-directed activity increased
• high-risk activity

Front 6

GAD

Back 6

Worry WARTS

• Wound up
• Worn-out
• Absentminded
• Restless
• Touchy
• Sleepless

Front 7

PTSD

Back 7

TRAUMA

• Traumatic event
• Re-experience
• Avoidance
• Unable to fx
• Month or more sxs
• arousal increased

Front 8

Anxiety due to general medical condition

Back 8

Physical Diseases That Have Commonly Appeared Anxious

• Pheochromoytoma
• Diabetes melitius
• temporal lobe epilpsy
• hyperthyroidim
• carcinoid
• alcohol withdrwal

Front 9

GAD

Back 9

WATCHERS

• WORRY
• ANXIETY
• Tension in muscles
• Concentration difficulty
• hyperarousal
• energy loss
• restlessness
• sleep disturbance

Front 10

Antidepressant discontinuation

Back 10

FINISH

• Flu-like sxs
• Insomnia
• Nausea
• Imbalance
• Sensory disturbances
• Hyperarousal

Front 11

Paranoid Personality Disorder

Back 11

SUSPECT

• spousal infidelity suspected
• unforgiving (bears grudges)
• Suspicious
• Perceives attacks (and reacts quickly)
• Enemy or friend (suspects associate and friends)
• Confiding in other is feared
• Threats perceived in benign events

Front 12

Schizotypal personality disorder

Back 12

ME PECULIAR

• Magical thinking
• Experiences unusual perceptions
• Paranoid ideation
• Eccentric behavior or appearance
• Constricted or inappropriate affect
• Unusual thinking or speech
• Lacks close friends
• Ideas of reference
• Anxiety in social situations
• Rule out psychotic or PDD

Front 13

Borderline Personality Disorder

Back 13

IMPULSIVE

• Impulsive
• Moodiness
• Paranoia or dissociation under stress
• Unstable self-image
• Labile intensive relationships
• Suicidal gestures
• Inappropriate anger
• Vulnerability to abandonment
• Emptiness (feelings of)

Front 14

Schizoid Personality disorder

Back 14

DISTANT

• Detached or flattened affect
• Indifferent to criticism or praise
• Sexual experiences of little interest
• Tasks done solitarily
• absence of close friends
• Neither desires nor enjoys close relationships
• Takes pleasures in few activities

Front 15

Antisocial PD

Back 15

CORRUPT

• Cannot conform to law
• Obligations ignored
• Reckless disregard for safety
• Remorseless
• Underhanded (deceitful)
• Planning insufficient (impulsive)
• Temper (irritable and aggressive)

Front 16

Histrionic PD

Back 16

PRAISE ME

• Provacative or seductive behavior
• Relationships considered more intimate than they are
• Attention (need to be the center of)
• Influenced easily
• Stye of speech (impressionistic, lacking detail)
• Emotions (rapidly shifting, shallow)
• Make up (physical appearance used to draw attention to self
• Emotions exaggerated

Front 17

Narcissistic PD

Back 17

GRANDIOSE

• Grandiose
• Requires attention
• Arrogant
• Need to be special
• Dreams of success and power
• Interpersonally exploitative
• Others (unable to recognize feelings/needs of)
• Sense of entitlement
• Envious

Front 18

Dependent PD

Back 18

RELIANCE

• Reassurance required
• Expressing diagreement difficult
• Life responsibilities assumed by others
• Initiating projects difficult
• Alone (feels helpless and uncomfortable when alone)
• Nurturance (goes to excessive lengths to obtain)
• Companionship sought urgently when relationship ends
• Exaggerated fears of being left to care for self

Front 19

Avoidance PD

Back 19

CRINGES

• Criticism or rejection preoccupies thoughts in social situations
• Restraint in relationships due to fear of shame
• Inhibited in new relationships
• Needs to be sure of being liked before engaging socially
• Gets around occupational activities with need for interpersonal contact
• Embarrassment prevents new activity or taking risks
• Self viewed as unappealing or inferior

Front 20

OC PD

Back 20

SCRIMPER

• Stubborn
• Cannot discard worthless objects
• Rule obsessed
• inflexible
• Miserly
• Perfectionistic
• Excludes leisure due to devotion to work
• Reluctant to delegate to others

Front 21

Substance Dependence

Back 21

ADDICTeD

• Activities are given up or reduced
• dependence, physical: tolerance
• Dependence, physical: withdrawal
• Interpersonal (internal) consequences, physical or psychological
• Can't cut down or control use
• Time-Consuming
• Duration or amount of use is grater than intended

Front 22

Substance Abuse

Back 22

WILD

• Work, school, or home role obligation failures
• Interpersonal or social consequences
• Legal problems
• Dangerous use

Front 23

Alcohol Abuse

Back 23

CAGE

• Have you ever felt you should CUT DOWN your drinking?
• Have people ANNOYED you by criticizing your drinking?
• Have you ever felt bad or GUILTY about your drinking?
• Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (EYE-OPENER)?
  

Front 24

Causes of delirium

Back 24

I WATCH DEATH

• Infection
• Withdrawal
• Acute Metabolic
• Trauma
• CNS pathology
• Hypoxia
• Deficiencies
• Endocrinopathies
• Acute vascular
• Toxins or drugs
• Heavy metals