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143 Cards in this Set
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Steps for differential dx |
1) Is the presenting sx real
2) R/O substance Etiology 3) R/O d/o d/t a general medical condition 4) Determine the specific primary d/o 5) Differentiate adjustment d/o from NOS 6) Estab the boundary w/ no mental d/o |
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DSM-IV-TR Axes
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Axis I: most psych clinical d/o and other d/o, that may be a focus of clinical attention
Axis II: Stable enduring problems (personality d/o, MR, habitual defense mehanisms) Axis III: Medical conditions Axis IV: Psychosocial & environmental problems affecting fxning or tx Axis V: Global clinical rating of highest level of adaptive fxning (GAF: time identified~ current & in the last year) |
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MDD Primary sx
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Either depressed mood or loss of interest or pleasure
Sx @ least 2 weeks |
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MDD criteria
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Depressed mood or loss of interest or pleasure
AND @ least 4 of the following ~sig wt loss or gain ~insomnia/hypersomnia ~psychomotor agitation or retardation ~Fatigue or loss of Energy ~Worthlessness/guilt ~decreased concentration: indecisiveness ~Recurrent thoughts of death |
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MDD time frame
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must have sx for 2 weeks
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MDD need at least 5 of these sx along with the primary sx of depressed mood or loss of interest or pleasure
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~significant wt loss or wt gain (5% of body wt)
~insomnia/hypersomnia ~psychomotor agitation or psychomotor retardation ~fatigue or loss of energy ~worthlessness/guilt ~decreased concentration: indecisiveness |
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MDD qualifiers
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~Sx for at least 2 wks
~significant distress or impairment ~not d/t substance or general medical condition ~not accounted for by bereavement |
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Is bereavement pathology?
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No
Bereavement sx w/o a loss is adjustment d/o |
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Dysthymic disorder primary sx adult
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Depressed mood for at least 2 years
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Dysthymic d/o primary sx adol/kiddo
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Depressed mood for at least 1 yr
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Dsythymic d/o
While depressed @ least 2 of the following |
~poor appetite or overeating
~Insomnia/hypersomnia ~low energy/ fatigue ~low self-esteem ~poor concentration: indecisiveness Hopelessness |
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Dsythymic d/o time frame
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depressed mood for @ least 2 yrs adult
depressed mood for @ least 1 yr (child/adolescents) Not w/o sx for greater than 2 months |
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Dysthymic d/o full criteria
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Depressed mood for @ 2 yrs
While depressed @ least 2 of: ~hopelessness ~poor concentration: indecisiveness ~low self esteem ~ low energy/fatigue ~insomnia/hypersomnia ~poor appetite or overeating |
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Bipolar I disorder primary sx
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Persistently elevated expansive or irritable mood lasting at least one week
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BIpolar I d/o qualifiers
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~ don't have to have had a depressive episode
~marked impairment, hospitalization or psychotic features ~sx not d/t substance or medical condition |
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Bipolar I
need ___ of the following sx if predominant mood elevated of expansive |
Need 3 (THREE) of the following for BP I if predominant mood elevated of expansive
~inflated self esteem: gradiosity ~decreased need for sleep ~pressured speech ~flight of ideas/racing thoughts ~distractibility ~increased goal directed activity/psychomotor agitation ~impulsivity |
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Bipolar I
Need ___ of the following sx if predominant mood is irritable |
Need 4 (FOUR) of the following if predominant mood is irritable
~inflated self esteem:grandiosity ~Decreased need for sleep ~pressured speech ~flight of idea/racing thoughts ~distractibility ~increased goal-directed activity/psychomotor agitation ~impulsivity |
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Bipolar I full DSM criteria
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Persistently elevated expansive or irritable mood lasting at least one week
3 of the following if predominant mood elevated or expansive: 4 of the following if predominant mood is irritable ~inflated self esteem; grandiosity ~decreased need for sleep ~pressured speech ~flight of ideas/racing thoughts ~distractibility ~increased goal-directed activity/psychomotor agitation ~impulsivity *Don't have to have had a depressive episode *Marked impairment, hospitalization. or psychotic features *sx not d/t substance or medical problems |
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Bipolar I time frame
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Persistently elevated expansive or irritable mood lasting at least one week
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Bipolar II primary sx
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@ least 1 (one) depressive episode
@ least 1 (one) hypomanic episode [persistently elevated, expansive, or irritable mood at least 4 days] |
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Time frame of Bipolar II
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@ least ONE (1) hypomanic episode
***persistently elevate, expansive or irritable mood AT LEAST (4) FOUR days |
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Bipolar II
___of the other s/s if mood elevated/expansive |
@ least 3 (THREE) OF THE OTHER S/S if mood elevated/expansive
~inflated self-esteem: grandiosity ~decreased need for sleep ~pressured speech ~flight of ideas/racing thoughts ~distractibility ~increased goal-directed activity/psychomotor agitation ~impulsivity |
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Bipolar II
___ of the other s/s if mood irritable |
Four (4) of the other s/s if mood irritable
~Impulsivity ~increased goal-directed activity/psychomotor agitation ~distractibility ~Flight of ideas/racing thoughts ~pressured speech ~decreased need for sleep ~inflated self esteem: grandiosity |
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Bipolar II
full DSM criteria |
@ least 1 depressive episode
@ least 1 hypomanic episode ****persistently elevated, expansive or irritable mood lasting @ least 4 days 3 of the other s/s (if mood elevate/expansive) 4 s/s (if mood irritable) ~Impulsivity ~increased goal-directed activity/psychomotor agitation ~distractibility ~Flight of ideas/racing thoughts ~pressured speech ~decreased need for sleep ~inflated self esteem: grandiosity **S/s uncharacteristic of person **disturbance is observable by others **never needed hospitalization **never needed hospitalization **never had psychotic s/s *has NEVER been a manic episode or mixed episode |
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Bipolar II
qualifiers |
~s/s uncharacteristic of person
~disturbance is observable by others ~never needed hospitalization ~never had psychotic s/s ~has never been a manic episode or mixed episode |
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Cyclothymic d/o time frame adults
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Sx last at least 2 yrs
Not w/o sx for greater than 2 months |
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Cyclothymic d/o time frame child and adolescents
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Sx last at least 1 yr
Not w/o sx for greater than 2 months |
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Cyclothymic d/o primary sx
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Hypomanic and depressive sx that don't meet criteria for MDD or BP
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Cyclothymic d/o qualifiers
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Sx not d/t substance or medical condition
Significant distress or impairment |
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Cyclothymic d/o full criteria
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Hypomanic and depressive sx that don't meet criteria for MDD or BP
Sx last at least 2 yrs (1 yr in in kids and adolescents) not w/o s/s for greater than 2 months Sx not d/t substance or medical condition Significant distress or impairment |
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Panic d/o time frame
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***4 physical/behavioral s/s develop abruptly and reach a peak w/in 10 mins
***1 month or more of at least one of the following: ~persistent concern about having attacks ~worry about implications of attacks ~change in behavior r/t attacks |
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Panic d/o primary sx
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Period of intense fear/discomfort (panic)
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Panic d/o qualifiers
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~not d/t substance or general medical condition
~with or without agoraphobia |
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Panic d/o full criteria
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~period of intense fear/discomfort
~4 physical/behavioral s/s develop abruptly & reach a peak w/in 10 mins ~1 (one) month or more of at least one of the following: *persistent concern about having an attack *worry about implications of attack *change in behavior r/t attacks ~Not d/t substance or general medical condition ~with or without agoraphobia |
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Specific phobia subtypes
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~animal type
~natural environment type ~blood-injection-injury type ~situational type ~other type |
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Specific phobia primary sx
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Excessive or unreasonable persistent fear cued by presence or anticipation of specific object or situation
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Specific phobia time frame
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In children under age 18 must last at least 6 mo
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Person recognized fear is excessive or unreasonable
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Specific phobia
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Specific phobia full criteria
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~Excessive or unreasonable persistent fear cued by presence or anticipation of specific object or situation
~Exposure to stimulus provokes immediate anxiety response ~person recognized fear is excessive or unreasonable ~situation is avoided or endured with intense anxiety/distress ~significant interference with life ~In kids under 18 must last at least 6 months Subtypes: animal type, natural environment type, blood-injection-injury type, situational type, other type |
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Social phobia
(social anxiety d/o) primary sx |
Persistant fear of 1 (one) or more social or performance situations where person is exposed to unfamiliar people or to possible scrutiny of others
In kids must be evidence of capacity for age-appropriate social relationships with familiar people & anxiety must occur in peer settings not just interactions with adults |
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Social phobia time range
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If under 18 the duration must be at least 6 months
over 6 mo if adult |
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Social phobia full criteria in adults
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~persistent fear or one (1) or more social or performance situations where person is exposed to unfamiliar people or the possible scrutiny of others
~exposure to feared social situation provokes anxiety ~recognition that fear is unreasonable or excessive ~the situation is avoided or endured with intense anxiety/distress ~significant interference ~social phobia should be dx only if sx persist for longer than 6 mo |
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Social phobia full criteria kiddos
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~persistent fear of (1) one or more social or performance situations where person is exposed to unfamiliar people or to possible scrutiny by others
~In kids must be evidence of capacity for age-appropriate social relationships with familiar people and anxiety must occur in peer settings, not just interactions with adults ~exposure to feared social situation provokes anxiety ~recognition that fear in unreasonable or excessive ~the situation is avoided or endured with intense anxiety/distress ~significant interference ~If under 18 the duration must be at least 6 months |
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Obsessive-Compulsive d/o
primary sx |
Either obsessions or compulsions
Person has recognized obsessions/compulsions excessive/unreasonable |
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TIme frame of OCD
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Obsessions/compulsions are excessive/unreasonable consuming more than one hour per day
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OCD full criteria
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Either obsessions or compulsions
~person has recognized obsessions/compulsions excessive/unreasonable ~marked distress, time consuming (more than 1 hour per day) significant interference |
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PTSD sx clusters
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1 re-experiencing sx
2 increased arousal sx 3 avoidance sx |
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PTSD time frame
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Sx last greater than one month
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PTSD full cirteria
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~exposure to traumatic event with threatened or actual injury or death (DSM does not define exposure)
~response was extreme fear, horror or helplessness 1 Re-experiencing sx 2 Increased Arousal sx 3 Avoidance sx Sx last greater than one (1)mo Sig distress or impairment |
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GAD primary sx
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Excessive anxiety & worry on most days for at least 6 mo
Difficulty controlling the worry |
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Generalized anxiety d/o time frame
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Lasts at least 6 mo with excessive anxiety & worry on most days during that 6 mo
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GAD
___ or more of the following sx |
3 (THREE) or more of the following sx
~restlessness, keyed up, or on edge ~easily fatigued ~difficulty concentrating ~irritability ~muscle tension ~sleep disturbance |
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GAD qualifiers
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Significant distress/impairment
not d/t substance or medical problem |
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GAD Full criteria
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~Excessive anxiety & worry on most days for at least 6 months
~Difficulty controlling the worry ~3 or more of the following: ***Restlessness, keyed up, or on edge ***easily fatigued ***difficulty concentrating ***irritability ***muscle tension ***sleep disturbance ~sig distress/impairment ~not d/t substance or med problem |
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Dementia of Alzheimer's type how is it coded on axis?
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Dementia goes on axis III (dementia classified as neurologic d/o but in DSM-IV b/c of behavioral manifestations
But the TYPE goes on AXIS I |
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Dementia Alzheimers type primary sx
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memory impairment
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Dementia Alzheimers type
___ or more of the following |
TWO (2) or more of the following
Aphasia apraxia agnosia executive fxn problems |
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Onset of Dementia Alzheimers type
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gradual onset and continuing cognitive decline
Significant impairment: DECLINE FROM PREVIOUS FXNING |
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Dementia Alzheimers type qualifiers
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~Not d/t other CNS conditions, systemic conditions or substance induced conditions
~s/s do NOT occur exclusively during course of delirium ~not accounted for by another Axis I d/o |
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Aphasia
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disruption of language
2nd sign of dementia |
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Apraxia
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disturbance in the organization of voluntary action
forget how to do something, not a problem with muscles; lesions in frontal lobe 3rd to go in dementia |
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Agnosia
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disorganization of perception and recognition
4th area to go in dementia |
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Amnesia
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dysfxn of memory process
Primary sx of Dementia Alzheimers type 1st sign of dementia |
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Ataxia
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problem with fine muscle movements; prob with cerbellum
people confuse ataxia (prob with fine muscle movement) with apraxia (forgetting how to do something NOT a problem with muscles) |
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Dementia Alzheimers type full criteria
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~Memory impairment (amnesia)
~2 or more of the following: **Aphasia **apraxia **agnosia **executive fxning problems ~sig impairment: decline from previous fxning ~gradual onset & continuing cognitive decline ~not d/t other CNS conditions, systemic conditions, or substance induced conditions ~s/s do not occur exclusively during course of delirium ~Not accounted for by another Axis I d/o |
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Schizophrenia positive sx
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Hallucinations
Delusions referential thinking disorganized behavior hostility grandiosity mania suspiciousness |
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Schizophrenia negative sx
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~affective flattening
~alogia or poverty of speech ~avolition ~apathy ~abstract-thinking problems ~anhedonia ~attention deficits |
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Schizophrenia DSM criteria
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2 of the following for at least 1 mo (or 1 bizarre delusion; or hallucinations consisting of a voice keeping a running commentary; or 2 or more voices conversing with each other)
~hallucinations ~delusions ~disorganized speech ~disorganized behavior ~negative s/s (flat affect, alogia, avolition) ~continuous s/s of disturbance persists at least 6 mo ~significant impairment ~not d/t substance or medical problem Subtypes: paranoid type, disorganized type, catatonic type, undifferentiated type, residual type |
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Schizophrenia time frame
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continuous s/s of disturbance persists at least 6 months
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Schizophrenia subtypes
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~paranoid type
~disorganized type ~catatonic type ~undifferentiated type ~residual type |
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Schizoaffective disorder primary sx
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meet criteria for schizophrenia along with a major depressive episode (must be depressed mood), a manic episode, or a mixed episode
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Schizoaffective disorder mood sx time frame
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Mood s/s present for substantial portion of total duration of active and residual periods of illness
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Schizoaffective disorder delusions or hallucination in absence of prominent mood s/s sx time frame
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Delusions or hallucination in absence of prominent mood s/s for at least 2 weeks
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Subtypes of schizoaffective d/o
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Bipolar type
depressive type |
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Schizoaffective d/o full criteria
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~meet criteria for schizophrenia along with a major depressive episode (must be depressed mood) a manic episode or a mixed episode
~delusions or hallucinations in absence of prominent mood s.s for at least 2 weeks ~mood s.s present for substantial portion of total duration of active and residual periods of illness ~Not d/t substance or medical condition Subtypes: Bipolar type, depressive type |
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Schizophreniform d/o
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criteria met for schizophrenia except that the s/s have been present @ least 1 month but less than 6 months
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Brief psychotic d/o
time frame |
Duration at least (1) one day but less than (1) one month with full return to premorbid fxning level
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Brief psychotic d/o full criteria
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1 or more of the following s/s
*delusions *hallucinations *disorganized speech *disorganized or catatonic behavior ~Duration at least (1) one day but less than (1) one month with full return to premorbid fxning level ~not d/t substance, medical condition ~Specifiers: with marked stressor, w/o marked stressor w/ postpartum onset |
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Delusional d/o time frame
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Nonbizarre delusions for at least one month duration
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Delusional d/o diagnostic criteria
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~nonbizarre delusions for at least (1) one month duration
~criteria for schizophrenia never met ~fxning not markedly impaired & not obviously odd or bizarre ~if mood episodes have occurred with delusions their duration is brief relative to duration of delusional periods ~not d/t substance or medical condition Subtypes: erotomanic, grandiose, jealous, persecutory, somatic, mixed, unspecified types |
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Delusion disorder subtypes
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~erotomanic
~grandiose ~jealous ~persecutory ~somatic ~mixed ~unspecified types |
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If mood episodes have occurred with delusions their duration is brief relative to duration of delusional periods
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Delusional d/o
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Substance dependence time frame
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Maladaptive pattern of substance use leading to impairment/distress in same
(12) TWELVE MONTH PERIOD |
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Substance dependence full criteria
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Maladaptive pattern of use leading to impairment/distress with 3 of the following in same 12 month period;
~tolerance ~withdrawal ~substance taken in larger amounts or over longer period than was intended ~persistent desire or unsuccessful efforts to cut down ~Large amount of time spent obtaining substance, using substance, or recovering from its effects ~Social, occupational or recreational activities given up or decreased d/t substance use ~substance use continues despite consequences |
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Substance dependence primary sx
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Maladaptive pattern of substance use leading to impairment/distress manifested by (3) THREE of the following within 12 month period
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Substance ABUSE time frame
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Maladaptive pattern of substance use leading to impairment/distress within 12 month period
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Symptoms never met criteria for substance dependence for this class of substance
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Substance abuse
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Substance abuse full criteria
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Maladaptive pattern of substance use leading to impairment/distress manifested by one (1) or more of the following within 12 month period;
~recurrent use resulting in failure to fulfill major role obligations !recurrent use in situation which it is physically hazardous ~recurrent substance related legal problems ~continuous use despite consequences ~Sx never met criteria for substance dependence for this class of substance |
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EtOH withdrawal time frame
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s/s within several hours to few days after decreasing or discontinuing use
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EtOH withdrawal primary sx
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Cessation of or decrease in EtOH use that has been heavy and prolonged
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EtOH Withdrawal Full criteria
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~Cessation of or decrease in EtOH use that has been heavy & prolonged
~2 or more of the following w/in several hrs to few days after decreasing or discontinuing use; ***autonomic hyperactivity ***increased hand tremor ***Insomnia ***n/v ***transient hallucinations/illusions ***psychomotor agitation ***anxiety ***gran mal seizures s/s cause distress/impairment s/s not d/t medical condition or another mental d/o ppl can die from |
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Clinical institute for withdrawal assessment for alcohol
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CIWA-Ar
10 parameters (scored 0-7) Scoring ~*~0-9; absent or minimal withdrawal ~*~10-19; mild to moderate withdrawal ~*~greater than or equal too 20; severe withdrawal |
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CIWA-Ar
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Clinical institute for withdrawal assessment for alcohol
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Abuse of Rx meds
who is at highest risk? |
Patients w hx of substance abuse/dep are at highest risk for developing rx drug problems
Opiates should be avoided long-term but in acute situations of pain, can be used cautiously w/ close f/u & built in accountability from peers. tx personnel, and PCP Use long acting benzos (ie clonazepam (Klonopin) |
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Acute intoxication of opioids
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General criteria for acute intoxication must be met
~dysfxn behavior AEB @ least (1) one of the following: **Apathy/sedation **disinhibition **psychomotor retardation **impaired attention **impaired judgement **interference w/ personal fxning ~At least 1 of the following s/s present; **drowsiness **slurred speech **pupillary constriction **decreased level of consciousness |
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Withdrawal of Opiates
do they die? |
Persons with opioid dependence seldom die from withdrawal unless concomitant cardiac disease
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Withdrawal of Opiates residual s/s
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~insomnia
~bradycardia ~temperature dysregulation ~craving MAY persist for months after withdrawl |
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Clinical Opioid withdrawal scale
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COWS
11 parameters (7 scored 0-4; 4scaled 0-5) Score: 5-12 =mild 13-24= moderate 25-36 = moderately severe 36+ = severe withdrawal |
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Opiate withdrawal can be either of the following
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Cessation of or reduction in opioid use that has been heavy and prolonged
OR Several weeks of an opioid antagonist after period of opioid use |
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3 of the following sx within minutes to several days of decreasing or discontinuing opiate use = withdrawal form opiates
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~dysphoric mood
~n/v ~lacrimation or rhinorrhea ~pupillary dilation, piloerection (goosebumps) or diaphoresis ~diarrhea ~yawning ~fever ~insomnia Distress or impairment not d/t medical condition or another mental d/o |
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Piloerection
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goose bumps
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Medical term for goose bumps
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Piloerection
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Cluster A personality disorders
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Paranoid PD
Schizotypal PD Schizoid PD |
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Cluster B personality d/o
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Antisocial PD
Borderline PD Histrionic PD Narcissistic PD |
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Cluster C Personality disorder
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Obsessive-compulsive PD
Dependent PD Avoidant PD |
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General diagnostic criteria for a personality disorder
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ENDURING PATTERN of inner experience and behavior
Behavior manifested in 2 (TWO) or more of the folloing: ~cognition (ways of perceiving and interpreting self, other people and events ~Affectivity ( the range, intensity, lability, and appropriateness of emotional response) ~INTERPERSONAL FXNING ~impulse control Not better accounted for by another mental d/o Not d/t substance or medical condition |
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Pattern in PD is _____ & ________
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Pattern in personality disorder is INFLEXIBLE & PERVASIVE
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Pattern in PD is _____ & of __________; onset traced back at least to adolescence or early adulthood
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Pattern in personality d/o is STABLE & of LONG DURATION; onset traced back at least to adolescence or early adulthood
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Reasons for tx difficult w/ personality d/o
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~individual does not perceive problems
~non-acceptance of contribution to problem ~perceives characteristics as positive aspects of the self ~behaviors usually alienate others ~lack of support system |
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Cluster A PD characteristics
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(cluster A = paranoid, schizoid, schizotypal)
Characteristics: ~odd, eccentric ~usually a 'loner' ~emotionally distant |
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Cluster A PD tx
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(cluster A = paranoid, schizoid, sxhizotypal)
Tx: ~prolonged intensive psychotherapy ~pharm; tx of dysphoric sx; Aps ~Cautious group therapy-defense structure |
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Cluster B PD general characteristics
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(cluster B= borderline, narcissistic, antisocial, histrionic)
Characteristics ~dramatic, erratic ~very egocentric ~lack appreciation for concerns of others |
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Cluster B PD Tx
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(Cluster B= histrionic, antisocial, narcissistic, borderline)
TX ; ~CBT/DBT; self help groups ~be aware of transference/countertransference ~Limit-settin ~pharm; Valproate for impulsiveness/rage ***sx minimization |
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CLuster C PD characteristics
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(cluster C = avoidant, dependent, obsessive-compulsive)
Characteristics: ~Avoidant, anxious, and fearful ~preoccupied w/ rules or reactions of others |
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Cluster C PD tx
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(cluster C = dependent, avoidant, obsessive compulsive
Tx: ~psychotherapy ~pharm: symptomatic-usually anxiety/depression sx |
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Conduct d/o
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persistent pattern of conduct in which the child violates the basic rights of others
~onset of aggressive behavior is observed in toddler ~formal dx between ages 7-18 |
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Tx conduct d/o
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~problem solving skills training
~Pharm; for explosive aggression ~family therapy |
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Oppositional defiant d/o
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Defiant and negativistic behavior that is more severe than seen in most children of the same mental age
~Precursors; 3-7yrs ~Disorder; age 8 |
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Tx for oppositional defiant d/o
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Therapy:
*accept responsibility for own behavior *increase self esteem *improve social interaction Family: *positive parenting strategies *enforce consistency in discipline |
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Autism characteristics
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~lack of awareness of others or treats others as an object
~abnormal communication ~repetitive behaviors ~stereotypes:hand flapping, rocking Strong evidence of genetic factors |
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Autism tx
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Prevention of self-directed violence
improve social interaction, communication and sense of self |
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Rett's d/o
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Neurodegerative disease
*only affects females *onset about 1 yr old |
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Presentation of Rett's d/o
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*cease to gain developmental milestones
*loss of skills already acquired (speech, hand skills) *stereotypic hand movements *seizures, scoliosis, hypertonicity |
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Rett's d/o management
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Goal is to perserve functional abilities
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Asperger's d/o
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Similar features as autism but speech is not affected
more males are affected than females Females exhibit a more server form of the d/o |
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ADHD
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Most commonly dx behavioral problem in childhood
essential impairment is a deficit in behavioral inhibition which disrupts the developmental process of learning how to self regulate behaviors |
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ADHD features
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~inattention
~distractibility ~impulsiveness ~hyperactivity Other elements Sx must be present before age 7 and be more frequent & severe than in other children Sx must interfere w/ fxning in at least 2 settings High incidence in families with preexisting dx |
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MGMT of ADHD
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Aimed at teaching kid to follow rules
~learn to complete important tasks and increase self-control ~family education |
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Mental retardation (MR) is coded where/
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Coded on axis II
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Mental retardation
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~intellectual impairment affects fxning & self care
Impairment reflects severity of sub-average fxning based on IQ test less than 70 Onset BEFORE 18 y/o |
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Mild MR IQ range
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IQ 50-70
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Moderate MR IQ range
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IQ 35-50
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Severe MR IQ range
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IQ 20-35
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Profound MR IQ range
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IQ below 20
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Fetal EtOH syndrome
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NOT DSM IV Dx
CODED ON AXIS III ~skin folds in the corner of the eyes ~low nasal bridge ~short nose ~indistinct philtrum (grove between nose & upper lip) ~thin upper lip ~small head circumference ~small midface |
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# 1 cause of suicide in teens
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depression
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Anorexia nervosa
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~severe wt loss
~slightly younger ~purging uncommon ~introverted ~sexually inactive ~obsessional fears with paranoid features ~amenorrhea |
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Bulimia nervosa
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~purging common
~less wt loss; avoidance of obesity ~slightly older ~more extroverted ~binging/purging ~sexually active ~histrionic features ~hypokalemic |
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Eating d/o are more common among _____
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females
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With Eating disorders ____ & _____ d/o are comorbid
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With eating d/o affective and behavioral d/o are co-morbid
e.g MDD, OCD, Social Phobia, CD |
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Suicidal behaviors more likely in what eating d/o/
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Bulima
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Note of society and eating d/o
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In a society where being thin is highly valued, teens who are preoccupied with their wt is not uncommon nor is it necessarily pathologic
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Sx of depression in kiddos and adolescence
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~sudden decline in academic performance
~ sudden outbursts, aggressiveness ~ drug, EtOH use ~somatic complaints, stomach aches, joint pain, w/o physical causes ~social isolation ~boredom ~reckless behavior ~likely to have more than one episode ~suicidal ideation ~* Adol: irritable mood more common than sad mood ~*kid: anhedonia is seen as lack of enjoyment of play |
