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13 Cards in this Set
- Front
- Back
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MAJOR DEPRESSIVE EPISODE
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≥2wk, ≥5 (must have #2/3):
[SAD RECAPS] 1. SI 2. Anhedonia 3. Depressed mood 4. Regret 5. Energy 6. Concentration 7. Appetite (↑/↓) 8. Psychomotor (↑/↓) 9. Sleep (↑/↓) |
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MANIC EPISODE
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AbⓃ + Persistently Elevated / Expansive / Irritable mood
≥1wk, ≥3 (≥4 if irritable): [DIG FAST] 1. Distractibility 2. Insomnia 3. Grandiosity 4. Flight of ideas 5. Activity/Agitation 6. Speech - pressured 7. Thoughtlessness |
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PANIC ATTACK
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• Sudden, spontaneous, brief episode of intense fear in ŧ
• absence of real/insufficient danger • Peaks w/in 10min, lasts ~30min • Accompanied by ≥4: [PANICCCSSSS] 1. Palpitations, Paraesthesia 2. Abd distress 3. Nausea 4. Intense feeling of losing control, going crazy, dying, derealisation, depersonalisation 5. Choking, CP, Chills 6. Sweating, Shaking, SOB, Smothering |
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PANIC DISORDER
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1. RECURRENT UNEXPECTED panic attacks +
2. ≥1 attack followed by >1m of ≥1 of [ABC] – persistent concern of having ADD'L ATTACKS (ANTICIPATORY ANXIETY) – Signif Δ in BEHAVIOUR related to attacks – persistent concern of CONSEQUENCES 3. ± AGORAPHOBIA 4. ∅ d/t SUD / GMC / other ψ Dx |
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SOCIAL PHOBIA
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[SIR FAG]
1. Marked + persistent fear of ≥1 SOCIAL / PERFORMANCE situations = exposed to unfamiliar ppl / possibly SCRUTINY. Fears she'll act in a HUMILIATING way OR show anxiety Sx. 2. Exposure → IMMEDIATE anxiety (± → SITUATIONALLY BOUND) 3. Pt RECOGNISES fear = excessive. Ego-DYSTONIC. 4. Interferes signif → Fn'l decline 5. AVOIDS situations / endures w/intense anxiety. 6. Specify GENERALISED if fears incl most social situations + consider add'l Dx of AvPD |
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ANOREXIA NERVOSA
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1. REFUSAL to MAINTAIN min Ⓝ Wt for age + Ht (<85% expected)
2. Intense FEAR of gaining Wt. 3. Disturbed experience of Wt/shape – influences self-eval, OR DENIAL of ↓Wt. 4. AMENORRHEA = ∅ ≥3 consecutive menstrual cycles. 5. Specify type of current episodes: ▪ RESTRICTING ▪ BINGE/PURGING: SIV, misusing laxatives, diuretics, enemas. |
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BULIMIA NERVOSA
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1. Recurrent BINGE EATING episodes = ego-DYSTONIC
▪ discrete period (<2h) + excessive amount ▪ sense of LACK of CONTROL 2. Recurrent inappropriate COMPENSATORY behaviour to prevent Wt gain. 3. Disturbed experience of Wt/shape – influences self-eval. 4. Binge/purge both occur ≥2/wk for 3mo. 5. ∅ occur exclusively during AN 6. Specify type of current episodes: ▪ PURGING: SIV, misusing laxatives, diuretics, enemas. ▪ NON-PURGING: fasting / exercise. |
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PARANOID PD
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[SUSPECT] 4+
SPOUSE INFIDELITY SUSPECTED UNFORGIVING - bears grudges SUSPICIOUS of OTHERS PERCEIVES ATTACKS ENEMY/FRIEND CONFIDING in OTHERS FEARED THREATS PERCEIVED in BENIGN EVENTS |
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SCHIZOID PD
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[DISTANT] 4+
DETACHED/FLATTENED AFFECT INDIFFERENT to CRITICISM/PRAISE SEXUAL EXP ↡INTEREST TASKS/ACTIVITIES DONE ALONE ABSENCE of CLOSE FRIENDS NEITHER DESIRES/ENJOYS CLOSE RELATIONS TAKES PLEASURE in few ACTIVITIES |
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SCHIZOTYPAL PD
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[ME PECULIAR] 5+
MAGICAL THINKING/ODD BELIEFS EXPERIENCES UNUSUAL PERCEPTIONS PARANOID IDEATION ECCENTRIC BEHAVIOUR/APPEARANCE CONSTRICTED/INAPPROPRIATE AFFECT UNUSUAL/ODD THINKING & SPEECH LACKS CLOSE FRIENDS IDEAS OF REFERENCE ANXIETY in SOCIAL SITUATION RULE OUT PSYCHOTIC DIS + PDD |
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BORDERLINE PD
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[AIM RIPE ASS] 5+
ANGRY OUTBURSTS IDENTITY DISTURBANCE MOOD INSTABILITY RELATIONSHIP INSTABILITY IMPULSIVENESS PARANOID IDEAS EMPTINESS ABANDONMENT FEARS SELF-HARMING BEHAVIOUR SUICIDAL |
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Dementia
DSM Criteria |
A. Development of MULTIPLE COGNITIVE DEFICITS:
1. Memory impairment: ↓ability to learn new info/recall prev. learned info. 2. ≥1 COGNITIVE DISTURBANCES . - Aphasia / Apraxia / Agnosia / Abstraction (exec fn) B. Severe enough → signif. IMPAIRMENT in social/occupational fn + represents a signif. DECLINE from prev. fn'ing. C. GRADUAL onset, PROGRESSIVE cognitive decline. D. Sx doesn't occur exclusively during a DELIRIUM E. Sx not better accounted for by another Axis I dis (DEPR, schizo) |
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Dementia
DDx |
1. Normal ∆'s in cognition a/w AGEING: ↓processing speed + ↓recent memory.
2. MILD COGNITIVE IMPAIRMNT: subjective + objective c/o memory . - normal general fn'ing . - 15%/yr conversion to frank dementia. 3. DELIRIUM 4. DEPRESSION 5. Mild/mod INTELLECTUAL DISABILITY |
