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40 Cards in this Set
- Front
- Back
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Intellectual disability Differential Diagnosis
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Major and mild neurocognitive disorders
Communication disorders and specific learning disorder Autism spectrum disorder |
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ADHD - Diagnostic Criteria (in general)
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Inattention or Hyperactivity and impulsivity
6 or more for 6 months before age 12 (over 17 yo 5 or more) - inconsistent with developmental level - negatively impacts social and academic/occupational activities - not oppositional, defiance, hostility, failure to understand |
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ADHD - Inattention (9)
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- little attention to details, careless mistakes
- difficulty sustaining attention - does not seem to listen - Does not follow through - difficulty organizing - avoids or dislikes engaging in tasks that require sustained attention - loses things - easily distracted - forgetful in daily activities |
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ADHD - Hyperactivity and impulsivity (9)
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Fidgets
Leaves seat when being seated is expected runs or climbs inappropriately unable to play quietly on the go or driven by a motor talks excessively blurts out answer difficulty waiting turn interrupts or intrudes |
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ADHD DD
ODD Intermittent explosive Other neurodevelopmental |
defiance v. difficulty
both impulsive but aggression v. attention difficulties not repetitive movement v. fidgety |
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Schizophrenia
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2 or more for a 1- month or more
at least one needs to be first three Delusion • Hallucination • Disorganized thinking • Disorganized motor behavior • Grossly disorganized or odd motor behaviors • Negative behaviors level of functioning below level before onset Signs of symptoms for continuous for 6 months Rule out Schizoaffective or Depressive or Bipolar if history of autism or communication disorder - diagnosis of schizophrenia if delusions or hallucinations or other symptoms of schizophrenia for 1 month |
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Schizophrenia DD (there are more than I listed p. 104)
Major depressive or bipolar with psychosis or catatonia Schizoaffective - OCD or Body dysmorphic - PTSD - |
- if delusions or hallucinations occur exclusively during a major depressive or manic episode with psychotic features
- major depressive or manic episode occurs concurrently with active symptoms and mood symptoms are present during most of the duration of the active period - have delusions but also have obsessions and/or compulsions, preoccupation with body odor, hoarding , or body focused repetitive behavior - Hallucinations are specific to a traumatic event |
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Bipolar I
Can be One How long What three things or how many symptoms What are they What else Rule out |
Manic episode can be preceded or followed by hypomania or major depressive
Manic episode – one manic episode 1 week Abnormal elevated, irritated, or goal directed Or hospitalization 3 symptoms, 4 if irritable • Grandiosity • Decreased need for sleep • Talkative • Flight of ideas Impairment in social and occupational function Rule out psychotic disorders |
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Bipolar II
Have to have No How long of what how many symptoms what are they two other things manic if |
Have to have major depressive episode and hypomania – mo manic episode
Hypomania 4 or more days of abnormal mood or energy 3 or more 4 if irritable • Grandiosity • Decreased need for sleep • Talkative • Flight of ideas Change in functioning Observable by others *Manic if - hospitalization or impairment in social and occupational function, psychotic Depression 5 or more 2 weeks 1 symptom depressed or loss of interest • Sigecaps SADNESS INTEREST GUILT ENERGY CONCENTRATION APPETITE PSYCHOMOTOR RETARDATION SUICIDE SLEEP |
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Bipolar I DD
Major depression Other bipolar GAD or other anxiety ADHD in children |
- depends on mania or hypomania
- mania - anxious ruminations could be mistaken for racing thoughts - symptoms as a pattern or distinct episode |
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Disruptive mood dysregulation disorder
a_____ o_________ Inconsistent How long Asymptomatic for how many domains when onset not during |
angry outbursts
inconsistent with developmental level most of the day, 3 or more times a week for 12 months not asymptomatic for more than 3 consecutive months severe in one but present in two - school, home, peers not before 6 or after 18 age of onset is before 10 not during major depressive episode |
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Disruptive mood dysregulation disorder - DD
Bipolar ODD |
- the longitudinal course of DMDD
- rarely exist together DMDD frequent outbursts with persistent mood disruption, severe in one and present in another. DMDD could meet criteria for ODD but not vice versa |
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Major Depressive Disorder
How many for how long On must be What are they No |
5 or more 2 weeks
1 symptom depressed or loss of interest • Sigecaps No manic or hypomanic |
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Cyclothymic
Less for how long and without for not more than No |
• Less intense than BP II a little hypomanic and a little depressed
• Symptoms 2 years and not without symptoms for a two month period for at least half the time • No major depressive, hypomanic, or manic episode |
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Persistent depressive disorder
How long how many what are they Not absent for |
2 years of depressed mood
2 or more • appetite • insomnia or hypersomnia • low energy • low SE • Poor concentration • Hoplessness Continuous features not absent for longer then 2 months |
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Panic Disorder
recurrent reaches How many what are they And then how long |
Recurrent panic attacks in a calm or anxious state
reaches peak in minutes with 4 or more Heart rate increase sweating trembling shortness of breath Feeling of choking Chest pain Dizzy etc. (p. 208) 1 month • Worry about another • Avoiding the situation |
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Agoraphobia
How long how many in what with |
6 mos 2 or more of 5 situations
With symptoms like panic |
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General Anxiety
how long with how many what are they |
6 mos of 3 or more 1 or more in children
• Restlessness • Easily fatigued • Trouble concentrating • Irritability • Muscle tension • Sleep disturbance |
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OCD
what for how long insight duration |
Obsessions compulsions or both
One hour or more Insight specifier • Good • Fair • delusional No duration |
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Somatic Symptom Disorder
how many excessive how many three things |
One or more symptoms
Excessive thoughts, feelings or behaviors - one or more • disproportionate thoughts • High anxiety • Excessive time and energy |
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ODD
How many for how long What (7) Must have |
4 symptoms for 6 mos
Angry irritable • Loses temper • Easily annoyed • Angry and resentful Argumentative/defiant • Often argues with Vindictive Must have been vindictive once in the last 6 mos |
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Specific Phobia
fear about object of fear provokes ______ A_____ out of How long D______ or _________ |
Fear about a specific situation
object or fear provokes immediate anxiety actively avoided out of proportion 6 months or more distress or impairment |
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Specific phobia DD
Agoraphobia Social Anxiety Panic OCD |
- more general than specific
- would have to be because they are going to be evaluated - only if panic in other situations - must have an obsession with the fear |
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Social Anxiety
Fear of what what always does what they are out of for how long |
Fear of social situations
Fear that they will act in a way or show symptoms and be negatively evaluated Social situations almost always provoke anxiety They are avoided out of proportion 6 months |
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Social anxiety DD (there are more p. 206 and 207)
Shyness Agoraphobia Panic disorder Personality disorder |
- social anxiety if adverse impact on functioning
- Social anxiety is fear of scrutiny v. agoraphobia fear of not being able to escape - Social anxiety is about negative evaluation - broader avoidance in avoidant pd, they are often comorbid |
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Panic Disorder DD
Other Anxiety Due to med Other disorders with panic attacks |
- no panic disorder unless all symptoms of panic attack
- self explanatory - social anxiety (in social situations, specific phobia...etc) |
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OCD DD (there are more p. 241)
Anxiety |
- GAD usually obsessed with real life concerns, specific no rituals and more circumscribed feared object
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PTSD Domains, time period and number
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1 month
Intrusion - 1+ Avoidance - 1+ Negative Cognitions - 2+ Arousal - 2+ |
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PTSD intrusion
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Dreams
intrusive thoughts Flashbacks Distress at internal or external cues Reactions to internal or external cues |
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PTSD Avoidance
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Avoid thinking
Avoid external reminders |
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PTSD - cognitions
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Amnesia for the event or part of it
Negative beliefs or expectations (I am bad, the world is dangerous) distorted blame of self or others Persistant negative emotional state (fear, horror, anger...) Diminished interest Detachment and estrangement Persistent inability to experience positive emotions |
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PTSD - Arousal
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Irritable
Reckless Hypervigilance Exaggerated startle Concentration problems Sleep disturbance |
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PTSD DD - (there are others p. 279)
Adjustment Other PTS disorders Acute Stress |
- Criterion A but does not meet other PTSD criteria
- other diagnoses are excluded if criteria is met for PTSD but extreme stressor (criterion A) must be present for PTSD - if over 3 days but under a month |
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Adjustment
E------ or B----- problems in for how long with |
Emotional or behavioral problems in response to an identifiable stressor for 3 months with 1 or both
distresses out of proportion to the stress significant impairment in functioning |
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Conduct disorder
violates the ____ ___ ______ or how many for how long with a______ D______ D________ S_______ |
Violates the rights of others or social norms
3 of 15 for 12 months with 1 in the past 6 months Aggression to people and animals Destruction of property Deceitfulness or theft Serious rule violation |
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Alcohol use disorder (more on page 491)
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Use more over longer periods
Try to quit but can't a lot of time takes away from social or family strong craving Unable to fulfill obligations tolerance withdrawal |
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Alcohol and substances
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Intoxication
Withdrawal both have criteria (if she asks) p. 497-499 for alcohol |
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Borderline personality
_______ relationships, s______ I_____ and A_______; I______ how many What are they (8) |
Unstable relationships, self image and affect.
Impulsive 5 or more frantic effort to avoid abandonment unstable relationships identity disturbances impulsivity in two areas Recurrent suicidal behavior affective instability inappropriate anger transient dissociation or paranoid ideation |
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Borderline v. depressive or bipolar
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Borderline if early onset and longstanding course
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Narcissistic personality disorder
G_____, Need for ______, lack of _______ beginning in __ and present in how many what are they (9) |
Grandiosity, need for admiration, lack of empathy beginning in early adulthood and present in a variety of contexts
5 or more Self important preoccupied with fantasies of unlimited success believes they are special requires excessive admiration entitlement interpersonally exploitive lacks empathy envious of others and thinks they are envious of them haughty and arrogant behaviors |
