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45 Cards in this Set
- Front
- Back
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What is anorexia nervosa?
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- refusal to maintain body weight above normal
- intense fear of gaining weight - disturbance in the way body is experienced - absense of 3 menstrual cycles |
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What is bulimia nervosa?
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- recurrent episodes of binge eating (eating more than normal in discrete amount of time, or a sense of lack of control
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What is primary insomnia?
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- difficulty initiating or maintaining non restorative sleep
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Primary hypersomnia?
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- excessive sleepiness (prolonged sleep episodes or daytime sleep episodes
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Narcoplepsy?
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- irresistible attacks of refreshing sleep that occurs daily over 3 months
- one of the following- catalepsy or recurrent intrusions of REM |
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Breathing related sleep disorder?
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sleep disruption, leading to excessive sleepiness or insomnia, that is judged to be due to a sleep related breathing condition
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Circardian rhythm sleep disorder
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recurrent pattern of sleep disruption- due to a mismatch in sleep schedule and person's environment
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what are the subtypes of circadian rhythm sleep disorder and definitions?
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- delayed sleep phase type
- jet lag type - shift work type - unspecified type |
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nightmare disorder?
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- repeated awakenings from sleep periods with recall of extended dreams
- upon wakening the person quikly orients |
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sleep terror disorder?
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- recurrent episodes of abrupt awakening from sleep, beginning to a panicky scream
- intense fear and signs of autonomic arousal (tachychardia, rapid breathing, etc.) - relative unresponsiveness - amnesia of episode- dream is not remembered |
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Sleepwalking disorder?
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- repeated episodes of rising from bed, walking about,
- while sleepwalking the person has a blank staring face, unresponsiveness - once awake does not remember the episode - after a few minutes no mental impairment of mental activity |
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Which sleeping disorders are dyssomnias?
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- primary insomnia
- primary hypersomnia - narcolepsy - breathing-related disorder - circadian rhythm sleep disorder |
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Which sleeping disorders are parasomnias?
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- nightmare disorder
- sleep terror disorder - sleep walking disorder |
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What are dyssomnias?
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Dyssomnias are primary disorders of initiating or maintaining sleep or of excessive sleepiness. Also characterized by amount, quality or timing of sleep.
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What are parasomnias?
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Disorders characterized by abnormal behavioral or physiological events occuring in association with sleep, specific sleep stages, or sleep-wake transitions.
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What are the impulse control disorders?
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- intermittent explosive disorder
- kleptomania - pyromania - pathological gambling - trichotillomania |
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What is intermittent explosive disorder?
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- several episodes of failing to resist aggressive impulses that result in assaultive acts or destruction of property
- grossly out of proportion |
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Kleptomania?
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- recurrent failure to resist impulses to steal objects- not needed for personal use of monetary value
- increasing sense of tension immediately before theft - relief at the time of theft - stealing not committed to express anger or vengeance |
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pyromania?
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- deliberate fire setting
- tension before act - fascination with fire and its situational contexts - relief when setting fires, or witnessing or participating in aftermath. - not done for monetary gain (or lots of other things) |
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Pathological gambling?
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- persistent maladaptive gambling behavior as indicated by 5 of the following
- preoccupied with it - needs to gamble with increasing amounts to achieve same excitement - unsuccessful efforts to stop - is irritable when trying to stop - gambles to escape problems - often returns another day to get even - lies to family to hide extent of behavior - has committed illegal acts to finance it - has jeopardized or lost significant relationships, jobs because of gambling - relies on others to provide money to relieve desperate situation caused by it |
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Trichotillomania?
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- recurrent pulling out one's hair
- sense of tension immediately before - relief when pulling out hair |
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Adjustment disorders?
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- the development of emotional or behavioral symptoms in response to a stressor, occuring within 3 months of the onset
- evidenced by - marked distress that is in excess of - significant impairment in social or occupational functioning - not meet criteria for other things - not bereavement - once the stressor has terminated do not persist for more than an additional 6 months |
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What is the difference between personality trait and disorder?
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Personality traits are enduring patterns of perceiving, relating to, and thinking about the environment and oneself that are exhibited in a wide range of social and personal contexts. Only when personality traits are inflexible and maladaptive and cause significant functional impairment or subjective distress do they constitute Personality Disorders.
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Paranoid personality disorder?
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A. pervasive distrust and suspiciousness of others
B. - Suspects that others are exploiting, harming, or deceiving him or her - preoccupied with unjustified doubts about loyalty of friends - reluctant to confide in others - reads hidden demeaning or threatening meanings into benign remarks - persistently bears grudges - perceives attacks on his or her character that are not apparent to others - has recurrent suspicions regarding fidelity of spouse or sexual partner |
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Schizoid personality disorder?
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A. A pervasive pattern of detachment from social relationships and a restricted range of emotions
B. - neither desires nor enjoys close relationships - almost always chooses solitary activities - has little interest in sexual experiences - takes pleasure in few activities - lacks close friends -appears indifferent to the praise or criticism of others - shows emotional coldness or flattened activity |
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Narcissistic personality disorder?
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A. Pervasive pattern of grandiosity, need for admiration, and lack of empathy
B. - has grandiose sense of self-importance - lacks empathy for others - has fantasies about love, power, success, etc. - exploits others - often envious of others or believes others are envious of them - believes that he or she is special - requires excessive admiration - has a sense of entitlement - shows arrogant behavior |
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Avoidant personality disorder?
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- A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
- avoids occupational activities because of fear of criticism - is unwilling to get involved with people unless certain of being liked - shows restraint within intimate relationships because of fear of being shamed or rediculed - preoccupied with being criticized in social situations - is inhibited in new situations because of feelings of inadequacy - views of self as socially inept, personally unappleaing - unusually reluctant to take personal risks or to engage in any new activities they may be embarassing. |
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Antisocial personality disorder?
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- There is a pervasive pattern of disregard for and violation of the rights of others
- failure to conform to social norms- repeatedly performing acts that are grouns for arrest - deceitfulness- lying, use of aliases or conning other - impulsivity - irritaility and aggressiveness- physical assaults - reckless disregard for safety of others - consistent irresponsibility- failure to sustain consistent work behavior or honor financial obligations - lack or remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another - individual is at least 18 years - evidence of conduct disorder with onset before age 15 years |
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Schizotypal personality disorder?
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- Pervasive pattern of social and interpersonal deficits- marked by acute discomfort with close relationships.
- ideas of reference - odd beliefs or magical thinking - unusual perceptual experiences, including bodily illusions - odd thinking and speech - suspiciousness or paranoid ideation - inappropriate or constricted affect - behavior or appearance that is odd, eccentric, or peculiar - lack of close friends - excessive social anxiety that does not diminish with familiarity |
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Histrionic personality disorder?
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- Pervasive pattern of excessive emotionality and attention seeking
- uncomfortable in situations where not center of attention - inappropriate sexual or provacative behavior - rapidly shifting and shallow emotions - uses physical appearance to draw attention to self - speech that is excessively impressionistic - dramatic, theatrical - easily influenced by others - considers relatinoships to be more serious that they actually are. |
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Borderline personality disorder?
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- A pervasive pattern of instability or interpersonal relationships, self-image, and marked impulsivity
- frantic efforts to avoid real or imagined abandonment - a pattern of unstable interpersonal relationships - identity disturbance- unstable self-image - impulsivity in at least two areas that are potentially self-damaging- sex, spending, drugs - suicidal behavior - chronic feelings of emptiness - inappropriate intense anger |
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Dependent personality disorder?
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- A pervasive excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation
- has difficulty making everyday decidions without advice - needs others to assume responsibility for most major areas of his or her life - has difficulty expressing disagreement with others because of loss of support - has difficulty initiating projects or doing things on own - goes to excessive lengths to obtain nurturance - feels uncomfortable or helpless when alone - seeks replacement relationships - preoccupied with fears of being left |
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Obsessive-compulsive personality disorder
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- A pervasive pattern of preoccupation with orderliness, perfectionism, at the expense of flexibility, openness, and efficiency
- preoccupied with details - shows perfectionsm that interferes with task completion - is excessively devoted to work and productivity to the exclusion of leisure activities - is overconscientious, scrupulous, and inflexible about matters of morality - is unable to to discard worn-out or worthless objects - is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things - adopts a miserly spending style - shows rigidty and stubbornness |
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Neuroleptic-Induced Parkinsonism
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Parkinsonian tremor, muscular rigidity, or akinesia developing within a few weeks of starting or raising the dose of of a neuroleptic medication.
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Neuroleptic Malignant Syndrome
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Severe muscle rigidty, elevated temperature, and other related findings.
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Neuroleptic-Induced acute dystonia
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Abnormal positioning or spasm of the muscles of the head, neck, limbs or trunk developing within a few days of starting or raising the dose of a neuroleptic medication
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Neuroleptic-induced acute akathisia
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subjective complaints of restlessness accompanied by observed movements, developing within a few weeks of starting or raising the dose of a neuroleptic medication.
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Neuroleptic-induced tardive dyskinesia
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involuntary choreiform, athetoid, or rhythmic movements of the tongue, jaw or extremities developing in association with the use of neuroleptic medication for at least a few months
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medication induced postural tremor
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fine tremor occurring during attempts to maintain a posture that develops in association with the use of medication
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medication induced movement disorder not otherwise specified
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this category is for medication induced movement disorders not classified by any of the specific disorders listed above.
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adverse effects of medication not otherwise specified
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this category is available for optional use by clinicians to code side affects of medication when these adverse effects become a main focus of clinical attention.
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What are relational problems?
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- parent- child
- partner - sibling |
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How do you code for sexual abuse?
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- v code for anyone other than the victim- including perpetrator
- use 995 codes for the victim |
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What is the code for no diagnosis?
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V71.09
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What is the code for diagnosis deferred?
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799.9
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