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33 Cards in this Set

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Know the subtypes of Delusional Disorder
Erotomatic - another person, usually of higher status, is in love with the individual

Grandiose - inflated worth, power, knowledge, identity, or special relationship to a deity or famous person

Jealous - sexual partner is unfaithful

Persecutory - the person (or someone to whom the person is close) is being malevolently treated in some way

Somatic - person has some physical defect or general medical condition

Mixed - more than one of the above types but no one theme predominates

Unspecified
Schizophreniform Disorder
Items A, D and E of Schizophrenia are met

B. An episode (including prodromal, active, and residual phases) lasts at least one month but less than six months
Schizoaffective Disorder
A. Uninterrupted period of illness that concurrently includes:

1. Symptoms meeting Item "A" for Schizophrenia

and

2. Either a Major Depressive Episode, a Manic Episode, or a Mixed Episode

B. Delusions or hallucinations for at least 2 weeks with no prominent mood symptoms

C. Mood episode symptoms present for a large portion of the entire duration of the disorder's active and residual periods

D. Not caused by a substance or general medical condition
Delusional Disorder
A. Nonbizzare delusions lasting at leas 1 month

B. Item "A" for Schizophrenia never met

C. Functioning not impaired and behavior not odd or bizzare

D. If mood episodes occur concurrent w/ delusions, they have been brief relative to the delusional periods

E. Not caused by a substance or general medical condition
Essential features of schizophrenia
A. At least 2 of the following symptoms appear for a significant portion of a 1 month period:
1. Delisions
2. Hallucinations
3. Disorganized speech
4. Grossly disorganized or catatonic behavior
5. Negative Symptoms
B. Social/Occupational dysfunction
C. Signs persist for at least six months
D. Schizoaffective and mood disorder with psychotic features have been ruled out
E. Not due to substance abuse or a general medical condition
F. If there is a pervasive developmental disorder this is only diagnosed if prominent delusions or hallucinations are also present for at least one month
Schizophrenia Paranoid Type
A. Preoccupation with one or more delusions or frequent auditory hallucinations

B. None of these is prominent:

1. Disorganized speech
2. Disorganized behavior
3. Catatonic behaviors
4. Flat or inappropriate affect
Schizophrenia, Disorganized Type
A. All of the following are manifest:
1. Disorganized speech
2. Disorganized Behavior
3. Flat or inappropriate affect
B. Not Catatonic Type
Schizophrenia, Catonic Type
At least two of the following:
1. Motoric immobility as evidenced by catalepsy or stupor
2. Purposeless and excessive motor activity
3. Extreme negativism or mutism
4. Odd voluntary movements or mannerisms
5. Echolalia or echopraxia
Schizophrenia, Undifferentiated Type
Item "A" symptoms of schizophrenia are present

Not Paranoid, Disorganized, or Catonic Type
Brief Psychotic Disorder
A. Presence of one (or more) of the following symptoms:
1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized or catatonic behavior
B. lasts at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning
C. Not better accounted for by Mood Disorder with Psychotic Features, Schizoaffective Disorder, or Schizophrenia
Shared Psychotic Disorder
A. A delusion develops in an individual in the context of a close relationship with another person(s), who has an already-established delusion.

B. The delusion is similar in content to that of the person who already has the established delusion.

C. The disturbance is not better accounted for by another Psychotic Disorder (e.g., Schizophrenia) or a Mood Disorder With Psychotic Features and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
Dementia of the Alzheimer's Type
A. The development of multiple cognitive deficits manifested by both (1) memory impairment (2) one+ of the following cognitive disturbances:
(a) aphasia (language disturbance)
(b) apraxia (impaired ability to carry out motor activities despite intact motor function)
(c) agnosia (failure to recognize or identify objects despite intact sensory function)
(d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting)

B. The cognitive deficits cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning.

C. The course is characterized by gradual onset and continuing cognitive decline.

D. The cognitive deficits are not due to any of the following:
(1) other central nervous system conditions that cause progressive deficits in memory and cognition (e.g., cerebrovascular disease, Parkinson's disease, Huntington's disease, subdural hematoma, normal-pressure hydrocephalus, brain tumor)
(2) systemic conditions that are known to cause dementia (e.g., hypothyroidism, vitamin B or folic acid deficiency, niacin deficiency, hypercalcemia, neurosyphilis, HIV infection)
(3) substance-induced conditions

E. The deficits do not occur exclusively during the course of a delirium.

F. The disturbance is not better accounted for by another Axis I disorder
Vascular Dementia
A. The development of multiple cognitive deficits manifested by both (1) memory impairment and (2) one+ of the following cognitive disturbances:
(a) aphasia (language disturbance)
(b) apraxia (impaired ability to carry out motor activities despite intact motor function)
(c) agnosia (failure to recognize or identify objects despite intact sensory function)
(d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting)

B. The deficits cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning.

C. Focal neurological signs and symptoms (e.g., exaggeration of deep tendon reflexes, extensor plantar response, pseudobulbar palsy, gait abnormalities, weakness of an extremity) or laboratory evidence indicative of cerebrovascular disease (e.g., multiple infarctions involving cortex and underlying white matter) that are judged to be etiologically related to the disturbance.

D. The deficits do not occur exclusively during the course of a Delirium.
Dementia due to Parkinson's Disease
disease is characterized by tremor, rigidity, bradykinesia, and postural instability.
Dementia of this type is characterized by cognitive and motoric slowing, executive dysfunction, and impairment in memory retrieval
Distinguish between dementia, delirium, and amnesia
Dementia - multiple cognitive deficits that include impairment in memory.
Delirium - disturbance of consciousness and a change in cognition that develop over a short period of time.
Amnesia - memory impairment in the absence of other significant accompanying cognitive impairments.
Amnestic Disorder Due to General Medical Condition
A. The development of memory impairment as manifested by impairment in the ability to learn new information or the inability to recall previously learned information.

B. The disturbance causes significant impairment in social or occupational functioning and represents a significant decline from a previous level of functioning.

C. The disturbance does not occur exclusively during the course of a Delirium or a Dementia.

D. The disturbance is the direct physiological consequence of a general medical condition (including physical trauma).
Substance-Induced Persisting Amnestic Disorder
A. The development of memory impairment as manifested by impairment in the ability to learn new information or the inability to recall previously learned information.

B. The disturbance causes significant impairment in social or occupational functioning and represents a significant decline from a previous level of functioning.

C. The disturbance does not occur exclusively during the course of a Delirium or a Dementia and persists beyond the usual duration of Substance Delirium or Withdrawal.

D. The disturbance is etiologically related to the persisting effects of substance use
Personality Change Due to General Medical Conditions
A. A persistent personality disturbance that represents a change from the individual's previous characteristic personality pattern.

B. The disturbance is the direct physiological consequence of a general medical condition.

C. The disturbance is not better accounted for by another mental disorder (including other Mental Disorders Due to a General Medical Condition).

D. The disturbance does not occur exclusively during the course of a Delirium.

E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Substance Dependence
tolerance, as defined by either of the following:
a. a need for markedly increased amounts of the substance to achieve intoxication or desired effect
b. markedly diminished effect with continued use of the same amound of the substance
2. withdrawal, as manifested by either of the following:
a. characteristic withdrawal syndrome for the substance
b. the same (or closely related) substance is taken to relieve or avoid withdrawal symptoms
3. the substance is often taken in larger amounts or over a longer period than was intended
4. there is a persistent desire or unsuccessful efforts to cut down or control substance use
5. a great deal of the time is spend in activities necessary to obtain the substance, use the substance, or recover from its effects
6. important social, occupational, or recreational activities are given up or reduced because of substance use
7. the substance is continued despite knowledge that it is causing or exacerbating physical or psychological problems
Substance Abuse
A. At least one of the following within a 12-month period:

1. Failure in work, school, home, or other major obligations.

2. Use of substance in physically dangerous situations

3. Legal problems related to substance use

4. Continued use despite consequent social or interpersonal problems

B. Symptoms never met for Substance Dependence for given substance class
Intoxication symptoms for alcohol, sedative, hypnotics, and anxiolytics
A. Recent use
B. Maladaptive behavioral or psychological changes (inappropriate sexual or aggressive behavior, mood lability, impaired judgment, impaired social or occupational functioning) that developed during, or shortly after ingestion.
C. One or more of the following signs, developed during or shortly after use:
1. slurred speech
2. incoordination
3. unsteady gait
4. nystagmus
5. impairment in attention or memory
6. stupor or coma
D. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder
Withdrawal symptoms for alchohol, sedatives, hypnotics, and anxiolytics
A. Cessation of (or reduction in) substance use that has been heavy and prolonged
B. Two (or more) of the following, developing within several hours to a few days after criterion A:
1. autonomic hyperactivity (sweating or high pulse rate)
2. increased hand tremor
3. insomnia
4. nausea or vomiting
5. transient visual, tactile, or auditory hallucinations or illusions
6. psychomotor agitation
7. anxiety
8. grand mal seizures
C. The symptoms cause significant distress or impairment in social or occupational functioning
D. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder
Intoxication symptoms for cocaine and amphetamines
A. Recent use of substance
B. Behavioral or psychological changes (euphoria or affective blunting, changes in sociability, hypervigilance, interpersonal sensitivity, anxiety, tension, or anger: stereotyped behaviors, impaired judgment, or impaired social or occupational functioning) that developed during, or shortly after use of substance
C. Two or more of the following
1. tachycardia or bradycardia
2. pupillary dilation
3. elevated or lowered blood pressure
4. perspiration or chills
5. nausea or vomiting
6. evidence of weight loss
7. psychomotor agitation or retardation
8. muscular weakness, respiratory depression, chest pain, or cardiac arrythmias
9. confusion, seizures, dyskinesias, dystonias, or coma
D. Symptoms not due to general medical condition or another mental health disorder
Withdrawal symptoms for cocaine and amphetamines
A. Cessation of substance use that has been heavy or prolonged
B. Dysphoric mood and two or more of the following physiological changes developing within a few hours to several days after cessation:
1. fatigue
2. vivid, unpleasant dreams
3. insomnia or hypersomnia
4. increased appetite
5. psychomotor retardation or agitation
C. The symptoms in B cause distress or impairment in social, occupational, or other important areas of functioning
D. Symptoms not due to a general medical condition or other mental health disorder
Cannabis intoxication symptoms
A. Recent use
B. Impaired motor coordination, euphoria, anxiety, sensation of slowed time, impaired judgment, social withdrawal
C. Two or more of the following developing within 2 hours of use:
1. conjunctival injection
2. increased appetite
3. dry mouth
4. tachycardia
D. Symptoms not due to a general medical condition or other mental health disorder.
Hallucinogens intoxication symptoms
A. Recent use
B. Behavioral or psychological changes (marked anxiety or depression, ideas of reference, fear of losing one's mind, paranoid ideation, impaired judgment, impaired social or occupational functioning) that developed during or shortly after use
C. Perceptual changes occuring in a state of full wakefulness and alertness (subjective intensification of perceptions, depersonalization, derealization, illusions, hallucinations, synesthasias) that developed during or shortly after use
D. Two or more of the following signs:
1. pupillary dilation
2. tachycardia
3. sweating
4. palpitations
5. blurring of vision
6. tremors
7. incoordination
D. Symptoms not due to a general medical condition or other mental health disorder.
Inhalants intoxication symptoms
A. Recent intentional use or short-term high-dose exposure to substance
B. Belligerence, assaultiveness, apathy, impaired judgment, impaired social or occupational functioning that developed during or shortly after exposure
C. Two or more of the following:
1. dizziness
2. nystagmus
3. incoordination
4. slurred speech
5. unsteady gait
6. lethargy
7. depressed reflexes
8. psychomotor retardation
9. tremor
10. generalized muscle weakness
11. blurred vision or diploplia
12. stupor or coma
13. euphoria
D. Symptoms not due to a general medical condition or other mental health disorder.
Phencyclidine (PCP) intoxication symptoms
A. Recent Use
B. Belligerence, assaultiveness, impulsiveness, unpredictability, psychomotor agitation, impaired judgment, impaired social or occupational functioning that occurred during or shortly after use
C. Within an hour of use two or more of the following signs:
1. vertical or horizontal nystagmus
2. hypertension or tachycardia
3. numbness or diminished responsiveness to pain
4. ataxia
5. dysarthria
6. muscle rigidity
7. seizures or coma
8. hyperacusis
D. Symptoms not due to a general medical condition or other mental health disorder.
Opioid Intoxication
A. Recent use
B. initial euphoria followed by apathy, dysphoria, psychomotor agitation or retardation, impaired judgment, impaired social or occupational functioning
C. Pupillary constriction (or pupillary dilation from severe overdose) and one (or more) of the following signs:
1. drowsiness or coma
2. slurred speech
3. impairment in attention or memory
D. Not better accounted for by a medical condition or another mental disorder
Opioid Withdrawal
A. Cessation of use that has been heavy or prolonged or administration of an antagonist
B. Three (or more) of the following developing within minutes to several days after cessation
1. dysphoric mood
2. nausea or vomiting
3. muscle aches
4. lacrimation (crying) or rhinorrhea (runny nose)
5. pupillary dilation, piloerection (goosebumps), or sweating
6. diarrhea
7. yawning
8. fever
9. insomnia
C. Symptoms cause significant distress or impairment in functioning
D. Not better accounted for by a medical condition or another mental disorder
dysarthria
Imperfect articulation of speech due to disturbances of muscular control.
dyskinesia
Distortion of voluntary movements with involuntary muscular activity
dystonia
Disordered tonicity of muscles.