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29 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)
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- 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
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- 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
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- GAD usually obsessed with real life concerns, specific no rituals and more circumscribed feared object
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Adjustment
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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
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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 |
