Dsm Flashcards - Lmsw Exam

Front 1

What are the criteria for:
Schizophrenia, paranoid type
(2, with 4 sub criteria in the 2nd.)

Back 1

1. One or more prominent delusions or repeated auditory hallucinations.
2. None of these is prominent:
Disorganized speech
Disorganized behavior
Catatonic behavior
Flat or inappropriate affect.

Front 2

What are the:
Learning Disorders and the motor skills Disorder
(4 & 1)

Back 2

Learning Disorders:
Reading
Mathematics
Written Expression
Not Otherwise Specified
Motor Skills:
Developmental Coordination Disorder

Front 3

What are the:
Eating Disorders
(3)

Back 3

Anorexia Nervosa
Bulimia Nervosa
Eating Disorder Not Otherwise Specified

Front 4

What are the criteria for:
Oppositional Defiant Disorder
(4)

Back 4

1. Pattern of hostile and Defiant behavior for at least 6 months, during which at least four symptoms were present.
2. Impairment in social, academic, or occupational functioning.
3. Not exclusively during Psychotic or Mood Disorders.
4. Criteria not met for Conduct Disorder, and, if age 18 years or older, criteria not met for Antisocial Personality Disorder.

Front 5

What are the:
Characteristics for Substance-induced Anxiety Disorder
(5)

Back 5

1. Obsessions or compulsions, prominent Anxiety, or panic attacks.
2. Either:
Symptoms in Item A developed during or within 1 month of substance intoxication/withdrawal or medication use relates to the disturbance.
3. The disturbance cannot be better accounted for by an Anxiety Disorder that is not substance induced.
4. Not exclusively during delirium.
5. DiStress or impairment in social, occupational, or other important functioning.

Front 6

What are the:
Characteristics for Conversion Disorder
(6)

Back 6

1. At least one voluntary motor or sensory function deficit.
2. Psychological factors are associated.
3. Symptom or deficit is not purposely faked or produced.
4. Symptom or deficit is not due to General Medical Condition, a substance, or a culturally-approved behavior or experience.
5. DiStress or impairment in social, occupational, or other important functioning, or calls for Medical evaluation.
6. Symptom or deficit not restricted to pain or sexual dysfunction. Not occurring solely during Somatization Disorder.

Front 7

Define "Compulsions"

Back 7

Repetitive physical or Mental actions that an individual feels compelled to perform in response to an obsession or according to rigid rules.
The Mental actions or physical behaviors are intended to prevent or limit diStress, or to avoid a feared event or situation. However, the chosen acts are not appropriately connected with the expected event or situation.

Front 8

What are the:
Diagnostic criteria for gender identity Disorder
(4)

Back 8

1. Cross-gender identification.
2. Uncomfortable with his or her sex ( or associated gender role).
3. No simultaneous physical intersex Condition.
4. DiStress or impairment in social, occupational, or other important functioning.

Front 9

What are the criteria for:
Duration requirements for schizophrenia

Back 9

Continuous signs for at least 6 months.
At least 1 month meets item "A" active-phase symptoms.
May include periods of promodal or residual symptoms.
During promodal or residual signs may include only negative symptoms or at least two item "A" active-phase symptoms (in attenuated form).

Front 10

What are the:
Characteristics for Dissociative identity Disorder
(4)

Back 10

1. At least two distinct identities or personalities.
2. At least two of these identities or personalities repeatedly assume control of the person's behavior.
3. Can not remember, to an extent beyond ordinary forgetfulness, important personal information.
4. Not due to substance or General Medical Condition.

Front 11

What are the criteria for:
Substance withdrawal
(3)

Back 11

1. Substance-specific syndrome development caused by reducing or ceasing substance use.
2. The substance-specific syndrome causes diStress or impairment in social, occupational, or other important functioning.
3. A General Medical Condition does not cause the symptoms.
Note: Substance Withdrawal alone is not a diagnosis. See each substance.

Front 12

What are the:
Other mood Disorders
(3)

Back 12

1. Mood Disorder Due to a General Medical Condition
2. Substance-Induced Mood Disorder
3. Mood Disorder Not Otherwise Specified

Front 13

Describe the symptoms of inappropriate and excessive Anxiety, for separation Anxiety Disorder
(7)

Back 13

1. Excessive distress at separation from home or from major attachment figures.
2. Excessive concern for major attachment figures.
3. Excessive worry that an unfavorable event will cause separation from a major attachment figure.
4. Fear of separation accounts for reluctance or refusal to go somewhere.
5. Extreme fear of being alone.- Reluctance or refusal to go to sleep when not near a major attachment figure.
6. Nightmares about separation.
7. Actual or anticipated separation from major attachment figures causes complaints of physical ailments.

Front 14

What are the criteria for:
Shared Psychotic Disorder
(3)

Back 14

1. Delusion develops in a person who is in a relationship with another person who already has a delusion.
2. Delusion is similar to the pre-established delusion of the other person.'
3. Not better described by another Psychotic Disorder or a Mood Disorder with Psychotic features. Neither is caused by a substance or a General Medical Condition.

Front 15

What are the criteria for:
Encopresis
(4)

Back 15

1. Repeated release of feces into inappropriate places. Can be involuntary or intentional.
2. Once a month or more, for at least 3 months.
3. At least 4 years old (chronological age or equivalent developMental level).
4. Not due to a substance or a General Medical Condition, excepting a mechanism involving constipation.

Front 16

What are the:
Factitious Disorders
(3)

Back 16

Factitious Disorder With Predominately Psychological Signs and Symptoms
1. Factitious Disorder With Predominately Physical Signs and Symptoms
2. Factitious Disorder With Combined Psychological and Physical Signs and Symptoms
3. Factitious Disorder Not Otherwise Specified
Note: Factitious Disorder alone is not a diagnosis.

Front 17

What are the:
Characteristics for Hypoactive sexual desire Disorder

Back 17

1. Limited or no sexual fantasies or desire.
2. Marked DiStress of interpersonal difficulty.
3. Not due to a substance or a General Medical Condition.

Front 18

What are the criteria for:
Obsessive-compulsive Personality Disorder
(8)

Back 18

1. Pervasive pattern of perfectionism, control and orderliness as indicated by four or more of the Following: Preoccupation with details and order.
2. Perfectionism interferes with getting work done.
3. Work supersedes leisure activities.
4. Inflexible in moral and ethical matters.
5. Difficulty in discarding worthless objects.
6. Hesitates to delegate tasks or work with others.
7. Stingy spending habits.
8. Stubborn and rigid.

Front 19

What are the criteria for:
Substance dependence

Back 19

Substance abuse with at least 3 of the following in a 12-month period: Tolerance; Withdrawal; Increased substance consumption; Wish to reduce or limit substance use; Obtaining, using, or recovering from the substance consumes considerable time;
Elimination or reduction of social, occupational, or recreational activities; Substance use continues despite awareness of consequent problems.
Note: Substance Dependence alone is not a diagnosis. See each substance.

Front 20

What are the:
Dyssomnias
(6)

Back 20

1. Primary Insomnia
2. Primary Hypersomnia
3. Narcolepsy
4. Breathing-Related Sleep Disorder
5. Circadian Rhythm Sleep Disorder
6. Dyssomnia Not Otherwise Specified

Front 21

What are the:
Characteristics for Bulimia nervosa
(5)

Back 21

1. Repeated binge eating involving excess food and lack of control.
2. Inappropriate compensatory behavior to prevent weight gain.
3. Episodes in items A and B average at least twice a week for 3 months.
4. Excess bias of body weight or shape on self evaluation.
5. Not exclusively during Anorexia Nervosa.

Front 22

What are the:
Characteristics for Female Orgasmic Disorder
(2)

Back 22

1. Missing or delayed orgasm after normal sexual excitement.
2. Marked diStress or interpersonal difficulty.
Not due to a substance or a General Medical Condition.

Front 23

What are the:
Characteristics for Factitious Disorder with predominantly psychological signs and symptoms
(2)

Back 23

1. Meets criteria for (General) Factitious Disorder.
2. Psychological signs and symptoms predominate.

Front 24

What are the:
Characteristics for Sleepwalking Disorder
(6)

Back 24

1. Recurring Episodes of getting out of bed and walking around during sleep.
2. Blank face and stare, does not respond to the communications of others, and is difficult to wake up.
3. Episodic amnesia or awakening.
4. Behavior and Mental activity are unimpaired within a few minutes of awakening.
5. DiStress or impairment in social, occupational, or other important functioning.
6. Not caused by a substance or a General Medical Condition.

Front 25

What are the:
Characteristics for Bipolar I Disorder, most recent Episode depressed
(3)

Back 25

1. Major Depressive Episode is current or most recent.
2. At least one previous Manic Episode or Mixed Episode.
3. Episodes in A and B are not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Front 26

What are the:
Characteristics for Cyclothymic Disorder
(6)

Back 26

1. Many periods over 2+ years with hypomanic symptoms (but not a Major Depressive Disorder Episode).
2. During the 2 year period, symptoms do not disappear for more than 2 months at a time.
3. No Major Depressive Episode, Manic Episode, or Mixed Episode appears during the first two years of the disturbance.
4. Symptoms not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
5. Not due to a substance or a General Medical Condition.
6. DiStress or impairment in social, occupational, or other important functioning.

Front 27

Define "obsessions"

Back 27

Repeated and persistent thoughts, impulses, or images that cause marked Anxiety or diStress and are both intrusive and inappropriate.
Not simply excessive worries about real-life problems.
The individual tries to ignore, suppress, or replace the thoughts, impulses, or images.
The individual realizes that the thoughts, impulses, or images come strictly from their own mind.

Front 28

What are the:
Cluster C Personality Disorders and state their commonalities
(4 & commonalities)

Back 28

1. Avoidant Personality Disorder
2. Dependent Personality Disorder
3. Obsessive-Compulsive Personality Disorder
4. Personality Disorder not otherwise specified.
Commonalities: These individuals often appear anxious or fearful.

Front 29

What are the:
Characteristics for Adjustment Disorder
(5)

Back 29

1. Emotional or behavioral symptoms caused by identifiable Stressor(s) within 3 months of Stressor onset.
2. Either of the Following: Marked diStress beyond expectations.
Significant impairment in social, occupational, or academic functioning.
3. Not a exacerbation of preexisting Axis I or Axis II Disorder.
4. Not Bereavement.
5.Symptoms disappear within 6 months of the end of the Stressor *Note: Adjustment Disorder alone is not a diagnosis.

Front 30

What are the:
Codable types of Mental retardation
(5)

Back 30

1. Mild: IQ level 55-50 to approximately 70.
2. Moderate: IQ level 35-40 to 50-55.
3. Severe: IQ level 20-25 to 35-40.
4. Profound: IQ level below 20 or 25.
5. Severity Unspecified: strong presumption of retardation but person's intelligence is untestable by standard tests.

Front 31

What are the:
Characteristics for Bipolar I Disorder, most recent Episode unspecified

Back 31

1. Other than duration, a Manic, Hypomanic, Mixed, or Major Depressive Episode is current and most recent.
2. At least one previous Manic Episode or Mixed Episode.
3. DiStress or impairment in social, occupational, or other important functioning.
4. Symptoms in A and B above are not better accounted for by Schizoaffective Disorder. Neither are they superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
5. Symptoms in A and B are not due to a substance or a General Medical Condition.

Front 32

What are the criteria for:
Separation Anxiety Disorder
(5)

Back 32

1. Excessive and developMentally inappropriate Anxiety concerning separation from home or those whom the person is attached, as evidenced by at least three symptoms.
2. At least 4 weeks in duration.
3. Onset precedes age 18.
4. DiStress or impairment in social, occupational, or other important functioning.
5. Not solely during Pervasive DevelopMental Disorder, Schizophrenia, or other Psychotic Disorder. In adolescents and adults, is not better described by Panic Disorder With Agoraphobia.

Front 33

What are the:
Bipolar Disorders

Back 33

Bipolar I Disorder
Single Manic Episode
Most Recent Episode Hypomanic
Most Recent Episode Manic
Most Recent Episode Mixed
Most Recent Episode Depressed
Most Recent Episode Unspecified
Bipolar II Disorder
Cyclothymia
Bipolar Disorder Not Otherwise Specified

Front 34

What are the:
Characteristics for Manic Episode
(5)

Back 34

1. At least one week of unusually and persistently expansive or irritable mood.
2. At least three symptoms (4 if only irritable) have persisted during the disturbance,
3. Not a Mixed Episode.
4. Impairs occupational functioning, social activities or relationships. May require hospitalization to prevent injury to self or others. May include Psychotic features.
5. Not due to substance or a General Medical Condition.

Front 35

What are the:
Characteristics for Intermittent explosive Disorder
(3)

Back 35

1. Failure (several Episodes) to resist aggressive impulses resulting in assaults or property destruction.
2. The aggressive behavior is disproportionate to precipitating psychosocial Stressors.
3. Not due to a substance or a General Medical Condition.

Front 36

What are the:
Characteristics for Male Orgasmic Disorder
(3)

Back 36

1. Missing or delayed orgasm after normal sexual excitement.
2. Marked diStress or interpersonal difficulty.
3. Not due to a substance or a General Medical Condition.

Front 37

What are the criteria for:
Schizophreniform Disorder
(2)

Back 37

1. Items A, D, and E of Schizophrenia are met.
2. An Episode (including prodromal, active, and residual phases) lasts at least one month but less than six months.

Front 38

What are the:
Characteristics for (general) pain Disorder
(5)

Back 38

1. Severe pain is paramount and calls for clinical attention.
2. DiStress or impairment in social, occupational, or other important functioning.
3. Psychological factors play a key role in all aspects of the pain.
4. Symptom or deficit not faked or purposefully produced.
5. Neither Dyspareunia, nor any Mood, Anxiety, or Psychotic Disorder can explain the pain.
Note: Pain Disorder alone is not a diagnosis.

Front 39

What are the:
Characteristics for Specific phobia
(6)

Back 39

What are the:
Characteristics for Specific phobia

Term
1. Existence or anticipation of specific objects or situations triggers excessive fear that is both marked and persistent.
2. Exposure to the object or situation causes an Anxiety response.
3. The individual realizes that the fear is unreasonable.
4. The object or situation is either endured with intense Anxiety or diStress or avoided.
5. The phobic response significantly interferes with the person's normal routine, activities, functioning, or relationships.
6. If the person is under age 18 years, the Disorder lasts 6 months or more.

Front 40

What are the criteria for:
Substance abuse
(2)

Back 40

1. Substance abuse with at least one of the following within a 12-month period:
Failure in work, school, home, or other major obligations.
Use of substance in physically dangerous situations.
Legal related to substance use.
Continued use despite consequent social and interpersonal problems.
2. Symptoms never met for Substance Dependence for given substance class.

Front 41

What are the:
Characteristics for Panic Disorder with Agoraphobia
(3)

Back 41

1. Both of the Following: Recurrent and unexpected Panic Attacks.
One or more of these symptoms follows the attacks for at least one month:
a persistent concern about more attacks
worry about implications or consequences of the attack
significant change in behavior resulting from the attacks
2. Agoraphobia is present.
3. Neither a substance nor a General Medical Condition accounts for the Panic Attacks.

Front 42

What are the criteria for:
Enuresis
(4)

Back 42

1. Repeated urination in bed or clothes. Can be involuntary or intentional.
2. Twice a week for at least 3 consecutive months . Also can be diStress in impairment in social, occupational, or other important functioning.
3. At least 5 years old (chronologically, or equivalent developMental level).
4. Not due solely to a substance or a General Medical Condition.

Front 43

What are the:
Characteristics for Kleptomania
(4)

Back 43

1. Repeated failure to resist impulses to steal objects that are not really needed for personal use or for monetary value.
2. Increasing tension just before stealing.
3. Pleasure or relief while stealing.
4. Not done to express anger or to get even, and not due to a delusion or a hallucination.

Front 44

What are the:
Paraphilias
(9)

Back 44

1. Exhibitionism
2. Voyeurism
3. Sexual Sadism
4. Sexual Masochism
5. Fetishism
6. Transvestic Fetishism
7. Frotteurism
8. Pedophilia
9. Paraphilias Not Otherwise Specified

Front 45

What are the:
Substance categories for substance-related Disorders
13

Back 45

Alcohol Amphetamine
Caffeine Cannabis
Cocaine Hallucinogen
Inhalants Nicotine
Opioid Phencyclidine
Sedatives, Hypnotics, or Anxiolytics
Polysubstance
Other Substance

Front 46

What are the criteria for:
Acute Stress Disorder
(3 & subtypes under 3rd...)

Back 46

1. The individual experiences a traumatic event that includes both: Participating, witnessing, or confronting an event that involves actual or threatened death or serious injury.
Intense fear, helplessness, or horror.
2. During or afterwards, the person has at least three dissociative symptoms.
3. Persistent reexperiencing of the event in at least one way: Avoiding stimuli that recall the trauma.
Marked symptoms of Anxiety or increased arousal.
DiStress or impairment in social, occupational or other important functioning.
Occurs within four weeks of the trauma. Lasts at least 2 days and at most four weeks.
Not caused by a substance or a General Medical Condition; Not simply a worsening of a preexisting Axis I or Axis II Disorder.

Front 47

What are the criteria for:
Generalized Anxiety Disorder
(6)

Back 47

1. Excess Anxiety and worry about a number of events for more days than not for at least six months.
2. Difficulty in controlling the worry.
3. Three or more specific symptoms.
4. Anxiety and worry not confined to aspects of an Axis 1 Disorder and not limited to Posttraumatic Stress Disorder.
5. Impairment in social, occupational, or other important functioning.
6. Not due to a substance or a General Medical Condition. Not limited to Mood, Psychotic, or Pervasive DevelopMental Disorders.

Front 48

What are the:
(general) diagnostic categories for schizophrenia
(6)

Back 48

1. Characteristic (Active-Phase) Symptoms
2. Social and/or Occupational Dysfunction
3. Duration Requirement
4. Schizoaffective and Mood Disorder Exclusion
5. Substance or General Medical Condition Exclusion
6. Conditions Regarding Relationship to a Pervasive DevelopMental Disorder
Note: Schizophrenia alone is not a diagnosis.

Front 49

What are the:
Somatoform Disorders
(7)

Back 49

1. Somatization Disorder
2. Undifferentiated Somatoform Disorder
3. Conversion Disorder
4. Pain Disorder
5. Hypochondriasis
6. Body Dysmorphic Disorder
7. Somatoform Disorder Not Otherwise Specified

Front 50

What are the:
Characteristics for Factitious Disorder with predominantly physical signs and symptoms
(2)

Back 50

1. Meets criteria for (General) Factitious Disorder.
2. Physical signs and symptoms predominate.

Front 51

What are the:
Additional Conditions that may be a focus of clinical attention

Back 51

Noncompliance With Treatment
Malingering
Adult Antisocial Behavior
Child or Adolescent Antisocial Behavior
Borderline Intellectual Functioning
Age-Related Cognitive Decline
Bereavement
Academic Problem
Occupational Problem
Identity Problem
Religious or Spiritual Problem
Acculturation Problem
Phase of Life Problem

Front 52

Describe 1. delirium, 2. dementia, 3. amnestic and 4. other cognitive Disorders

Back 52

1. Delirium: consciousness disturbances and cognitive changes that develop in a brief period.
2. Dementia: a set of cognitive deficiencies that include memory impairment.
3. Amnestic Disorder: memory impairment without other cognitive impairment.
4. Cognitive Disorder Not Otherwise Specified

Front 53

Name other Disorders of infancy, childhood, or adolescence
(5)

Back 53

1. Separation Anxiety Disorder
2. Selective Mutism
3. Reactive Attachment Disorder of Infancy or Early Childhood
4. Stereotypic Movement Disorder
5. Disorder of Infancy, Childhood, or Adolescence Not Otherwise Specified

Front 54

What are the criteria for:
Dependent Personality Disorder
(8)

Back 54

1. Extreme need to be taken care of as indicated by at least five of the Following: Difficulty in decision-making.
Requires others to bear responsibility in major areas of his or her life.
Has difficulty disagreeing with others.
Difficulties in initiating projects.
Goes to lengths to obtain support of others.
Uncomfortable or helpless when alone.
Urgently needs care and support from a new relationship when a close bond ends.
Unrealistic fears about taking care of himself or herself.

Front 55

What are the:
Characteristics for Dissociative fugue
(4)

Back 55

What are the:
Characteristics for Dissociative fugue

Term
1. Unexpected travel from home or work with inability to recall personal history.
2. Confused about his or her identity or assumption of a new identity.
3. Not solely during dissociative identity Disorder. Also not due to a substance or General Medical Condition.
4. DiStress or impairment in social, occupational, or other important functioning.

Front 56

What are the criteria for:
Avoidant Personality Disorder

Back 56

1. A pervasive pattern of inadequacy, insensitivity, and inhibition, indicated by at least four of the Following: Avoids occupational activities involving interpersonal contact.
Shuns involvement with unless sure of being liked.
Restrained in intimate relationships.
Preoccupied by criticism or social rejection.
Inhibition and feelings of inadequacy in new situations.
Feels inept, unappealing, inferior.
Avoids personal risks or potentially embarrassing activities.
Feels inept, unappealing, inferior.
Avoids personal risks or potentially embarrassing activities.

Front 57

What are the:
Medication-induced movement Disorders, and the other medication-induced Disorder
(7 & 1)

Back 57

Medication-Induced Movement Disorders:
1.Neuroleptic-Induced Parkinsonism
2.Neuroleptic Malignant Syndrome
3.Neuroleptic-Induced Acute Dystonia
4.Neuroleptic-Induced Acute Akathisia
5.Neuroleptic-Induced Tardive Dyskinesia
6.Medication-Induced Postural Tremor
7.Medication-Induced Movement Disorder Not Otherwise Specified
Other Medication-Induced Disorder:
Adverse Effects of Medication Not Otherwise Specified

Front 58

What are the criteria for:
Brief Psychotic Disorder
(3... Subtypes under 1st)

Back 58

1. At least one of these symptoms:
Delusions
Hallucinations
Disorganized speech
Behavior that is grossly disorganized or catatonic
2. Disturbance lasts from 1 day to less than 1 month with return to premorbid levels.
3. Not better described by Mood Disorder With Psychotic Features, Schizoaffective Disorder, or Schizophrenia. Also not due to a substance or a General Medical Condition.

Front 59

What are the:
Characteristics for Panic Disorder without Agoraphobia

Back 59

1. Both of the Following: Recurrent and unexpected Panic Attacks.
One or more of these symptoms follows the attacks for at last one month:
persistent concern about more attacks
worry about implications or consequences of the attack
significant change in behavior resulting from the attacks
2. No Agoraphobia is present.
3. Neither a substance nor a General Medical Condition accounts for the Panic Attacks.

Front 60

What are the:
Characteristics for Premature ejaculation
(3)

Back 60

1. Ejaculation before, on, or shortly after entry and before desired.
2. Marked diStress or interpersonal difficulty.
3. Not due to a substance.

Front 61

What are the:
Characteristics for Mood Disorder due to General Medical Condition
(4)

Back 61

1. Prominent and persistent mood disturbance that includes either or both:
Depressed mood or decreased interest or pleasure in activities.
Elevated, expansive, or irritable mood.
2. Physiological result of a General Medical Condition.
3. Not solely during delirium.
4. DiStress or impairment in social, occupational, or other important functioning.

Front 62

What are the:
Characteristics for Male erectile Disorder
(3)

Back 62

1. Difficulties in attaining or maintaining erection while having sex.
2. Marked diStress or interpersonal difficulty.
3. Not due to a substance or a General Medical Condition.

Front 63

The diagnostic criteria for fetishism
(3)

Back 63

1. For at least six months: sexual fantasies, urges, or behaviors that involve inanimate objects.
2. DiStress or impairment in social, occupational or other important functioning.
3. The inanimate objects are not limited to female cross-dress clothing or genital stimulation equipment.

Front 64

Describe the diagnostic for schizophrenia, undifferentiated type

Back 64

Item "A" symptoms are present.
Not Paranoid, Disorganized, or Catatonic Type.

Front 65

What are the:
Characteristics for Transvestic fetishism
(2)

Back 65

1. For at least 6 months: sexual fantasies, urges, or behaviors by a heterosexual male that involve cross-dressing.
2. DiStress or impairment in social, occupational, or other important functioning.

Front 66

What are the:
Relational Problems

Back 66

Relational Problem Related to a Mental Disorder or General Medical Condition:
1. Parent-Child Relational Problem
2. Partner Relational Problem
3. Sibling Relational Problem
4. Relational Problem Not Otherwise Specified

Front 67

What are the:
Characteristics for Bipolar I Disorder, most recent Episode hypomanic
(4)

Back 67

1. Hypomanic Episode is current or most recent.
2. A previous Manic or Mixed Episode.
3. DiStress or impairment in social, occupational, or other important functioning.
4. Neither A or B above are better accounted for by Schizoaffective Disorder. Neither are they superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Front 68

What are the:
Feeding and eating Disorders of infancy and early adulthood
(3)

Back 68

1. Pica
2. Rumination Disorder
3. Feeding Disorder of Infancy or Early Childhood

Front 69

What are the:
Characteristics for Sexual dysfunction due to a Medical Condition
(2)

Back 69

1. Sexual dysfunction with marked diStress or interpersonal difficulty.
2. Sexual dysfunction is explained by a General Medical Condition.

Front 70

What are the:
Cluster A Personality Disorders and state their commonalities
(3 & commonalities...)

Back 70

1. Paranoid Personality Disorder
2. Schizoid Personality Disorder
3. Schizotypal Personality Disorder
Commonalities: These individuals often appear odd or eccentric.

Front 71

What are the criteria for:
Borderline Personality Disorder

Back 71

1. Pervasive pattern of unstable interpersonal relationships, self-image, affects, and impulsivity as indicated by at least five of the Following: Frenzied efforts to avoid abandonment.
Vacillating intense interpersonal relationships.
Identity disturbance.
Impulsiveness in two self-damaging areas.
Repeated suicidal behavior.
Affective instability.
Chronic feelings of emptiness.
Inappropriate and intense anger.
Paranoid ideation or dissociation.

Front 72

What are the criteria for:
Schizophrenia, residual type
(2)

Back 72

1. No prominent delusions, hallucinations, disorganized speech, or catatonic or grossly disorganized behavior.
2. A continuing disturbance, indicated by either negative symptoms or at least two item "A" active-phase symptoms (in attenuated form).

Front 73

What are the:
Other sleep Disorders
(2)

Back 73

1. Sleep Disorder Due to a General Medical Condition
2. Substance-Induced Sleep Disorder

Front 74

Describe the dissociative symptoms of acute Stress Disorder
(1... with subtypes...)

Back 74

1. At least three of the Following: Numbing, detachment, or lack of emotional responsiveness.
Reduced awareness of the individual's surroundings.
Derealization.
Depersonalization.
Dissociative amnesia.

Front 75

What are the criteria for:
Sexual masochism
(2)

Back 75

1. For at least 6 months: sexual fantasies, urges, or behaviors that involve suffering or being humiliated, beaten, or bound.
2. DiStress or in social, occupational, or other important functioning.

Front 76

What are the:
Characteristics for Exhibitionism
(2)

Back 76

1. For at least 6 months: sexual fantasies, urges, or behaviors that involve exposing one's genitals to a stranger.
2. DiStress or impairment in social, occupational, or other functioning.

Front 77

What are the:
Diagnosis criteria for nightmare Disorder
(4)

Back 77

1. Frequent awakenings with explicit recall of notably frightening dreams.
2. Quick orientation and alertness upon awakening.
3. DiStress or impatient in social, occupational, or other important functioning.
4. Not solely during another Mental Disorder and not caused by a substance or General Medical Condition.

Front 78

What are the:
Problems related to abuse or neglect
(3)

Back 78

*May be the focus of other clinical attention...
Physical Abuse of Child OR Adult
Sexual Abuse of Child OR Adult
Neglect of Child OR Adult

Front 79

What are the:
Characteristics for Anorexia nervosa
(4)

Back 79

1. Refusal to maintain age- and height- appropriate body weight.
2. Although underweight, fear of putting on weight or becoming fat.
3. Disturbed by body weight or shape, allowing them to unduly affect self evaluation. Also denying seriousness of being underweight.
4. Amenorrhea, in post-menarchial females.

Front 80

What are the:
Characteristics for Circadian rhythm sleep Disorder
(4)

Back 80

1. Extreme sleepiness or insomnia caused by a mismatch between a person's sleep wake schedule and circadian sleep-wake pattern.
2. DiStress or impairment in social, occupational, or other important functioning.
3. Not solely during another Sleep Disorder or Mental Disorder.
4. Not caused by a substance or General Medical Condition

Front 81

What are the:
Sleep Disorders related to another Medical Disorder
(2)

Back 81

1. Insomnia Related to Another Mental Disorder
2. Hypersomnia Related to Another Mental Disorder

Front 82

Describe the symptoms of restricted repetitive and stereotyped patterns of behavior, interests, and activities for Autistic Disorder
(1... & subtype under 1st)

Back 82

At least one of the Following: Abnormal (intensity or focus) preoccupation with stereotyped and restricted interest patterns.
Obstinate adherence to nonfunctional routines or rituals.
Stereotyped and repetitive motor mannerisms.
Persistent preoccupation with parts of objects.

Front 83

What are the:
Characteristics for Sexual aversion Disorder

Back 83

1. Extreme aversion to and avoidance of genital sexual contact.
2. Marked diStress or interpersonal difficulty.

Front 84

Describe the symptoms of 1. destruction to property, and 2. deceitfulness or theft, for conduct Disorder

Back 84

1. Destruction of Property:
Deliberate fire setting.
Deliberate destruction of others' property.
2. Deceitfulness or theft:
Breaking into someone else's house, building, or car; Lying to obtain goods or favors, or to avoid obligations; Has stolen nontrivial but valuable items without confronting the victim.

Front 85

What are the:
Additional codes
(5)

Back 85

1. Unspecified Mental Disorder (nonPsychotic)
2. No Diagnosis or Condition on Axis I.
3. Diagnosis or Condition Deferred on Axis I
4. No Diagnosis on Axis II
5. Diagnosis Deferred on Axis II

Front 86

What are the:
Characteristics for Substance-induced mood Disorder
(5)

Back 86

1. Prominent and persistent mood disturbance that includes either or both:
Depressed mood or markedly diminished interest or pleasure in activities; OR Elevated, expansive or irritable mood.
2. Either: Symptoms above develop during or within one month of Substance Intoxication or Withdrawal; OR Medication use relates etiologically to the disturbance.
3. The disturbance cannot be better accounted for by a Mood Disorder not substance induced.
4. Not solely during delirium.
5. DiStress or impairment in social, occupational, or other important functioning.

Front 87

What are the:
Categories of other Conditions that may be a focus of clinical attention?...
(6)

Back 87

1. Psychological Factors Affecting Medical Condition
2. Medication-Induced Movement Disorders
3. Other Medication-Induced Disorders
4. Relational Problems
5. Problems Related to Abuse or Neglect
6. Additional Conditions that May Be a Focus of Clinical Attention.

Front 88

What are the criteria for:
Attention-deficit/hyperactivity Disorder
(5)

Back 88

1. Either Inattention or Hyperactivity-impulsivity.
2. Some impairment from item A symptoms appeared before age 7.
3. Some symptomatic impairment appears in at least two settings.
4. Obvious impairment in social, occupational, or academic functioning.
5. Not solely during Pervasive DevelopMental Disorder, Schizophrenia, or other Psychotic Disorder. **Note: Attention-Deficit/Hyperactivity Disorder alone is not a diagnosis.

Front 89

What are the:
Characteristics for Vaginismus
(3)

Back 89

1. Spasms in the outer third of the vagina that interferes with sexual intercourse.
2. Marked diStress or interpersonal difficulty.
3. Not due to a General Medical Condition.

Front 90

Describe the symptoms of qualitative impairment in communication for Autistic Disorder
(at least ONE of 4...)

Back 90

At least one of the Following: 1.Delayed or lacking spoken language development, without compensation.
2. Marked impairment in the ability of individuals with adequate speech to start or maintain a conversation with others.
3. Stereotyped and repetitive use of language.
4. Lack of varied and spontaneous make-believe or social imitative play that is appropriate to developMental level.

Front 91

What are the:
Parasomnias

Back 91

1. Nightmare Disorder
2. Sleep Terror Disorder
3. Sleepwalking Disorder
4. Parasomnia Not Otherwise Specified

Front 92

Describe the symptoms of aggression to people and animals for Conduct Disorder
(7)

Back 92

1. Bullies, threatens, or intimidates.
2. Starts physical fights.
3. Has used a dangerous weapon.
4. Has been physically cruel to people.
5. Has been physically cruel to animals.
6. Has stolen from a victim.
7. Has forced sex on others.

Front 93

What are the:
Pervasive developMental Disorders
(5)

Back 93

1. Autistic Disorder
2. Rett's Disorder
3. Childhood Disintegrative Disorder
4. Asperger's Disorder
5. Pervasive DevelopMental Disorder Not Otherwise Specified

Front 94

What are the:
Characteristics for Posttraumatic Stress Disorder
(6)

Back 94

1. The individual experiences a traumatic event that includes both: Participating, witnessing, or confronting and event that involves actual or threatened death or injury; OR Intense fear, helplessness or horror.
2. The individual persistently reexperiences the traumatic event in at least one way.
3. The individual persistently avoids stimuli associated with the trauma and experiences numbing of general responsiveness in at last three ways.
4. The person experiences persistent symptoms of increased arousal in at least two ways.
5. The symptoms in Items B, C, and D last more than one month.
6. Impairment in important functioning.

Front 95

What are the:
Mental Disorders due to a General Medical Condition
(11)

Back 95

1. Delirium
2. Dementia
3. Amnestic Disorder
4. Psychotic Disorder
5. Mood Disorder
6. Anxiety Disorder
7. Sexual Dysfunction
8. Sleep Disorder
9. Catatonic Disorder
10. Personality Change
11. Mental Disorder Not Otherwise Specified
Note: All of the above "due to a General Medical Condition".

Front 96

What are the:
Characteristics for Mixed Episode
(3)

Back 96

1. Qualifies as both a Manic Episode and a Major Depressive Episode (excepting duration) nearly every day for a week or more.
2. Impairs occupational functioning, social activities or relationships. May require hospitalization to prevent injury to self or others. May include Psychotic features.
3. Not due to a substance or a General Medical Condition.

Front 97

What are the:
Characteristics for Agoraphobia without history of panic Disorder
(4)

Back 97

1. Agoraphobia connected to fear of developing panic-like symptoms.
2. Criteria not met for Panic Disorder.
3. Not caused by a substance or a general medica Condition.
4. If a General Medical Condition is present, the fear noted in Item A clearly exceeds expectations for the Condition.

Front 98

What are the criteria for:
Anxiety Disorder due to a General Medical Condition
(4)

Back 98

1. Obsessions or compulsions, prominent Anxiety, or Panic Attacks.
2. A General Medical Condition directly causes the disturbance.
3. Not exclusively during delirium.
4. DiStress or impairment in social, occupational, or other important functioning

Front 99

What are the:
Psychological factors affecting Medical Condition
(6)

Back 99

1. Mental Disorder
2. Psychological Symptoms
3. Personality Traits or Coping Style
4. Maladaptive Health Behaviors
5. Stress-Related Physiological Response
6. Other or Unspecified psychological or behavioral factors

Front 100

What are the:
Characteristics for Sleep Disorder due to a General Medical Condition
(5)

Back 100

1. A severe sleep disturbance that calls for independent clinical attention.
2. Caused by a General Medical Condition.
3. Not solely during delirium.
4. Not Breathing-Related Sleep Disorder or Narcolepsy.
5. DiStress or impairment in social, occupational, or other important functioning.

Front 101

What are the:
Characteristics for Schizotypal Personality Disorder
(2, with at least 5 of 1st's subtypes...)

Back 101

1. Pattern of interpersonal and social deficiencies indicated by at least five of the Following: Ideas (excluding delusions) of reference.
Odd beliefs or magical thinking.
Unusual perceptions.
Odd speech or thought patterns.
Suspiciousness.
Inappropriate or limited affect.
Peculiar behavior or appearance.
No close friends
Extreme social Anxiety.
2. Not solely during schizophrenia, a Mood Disorder With Psychotic Features, another Psychotic Disorder, or a Persuasive DevelopMental Disorder.

Front 102

What are the:
Characteristics for Bipolar II Disorder
(5)

Back 102

1. One or more Major Depressive Episodes.
2. At least one Hypomanic Episode.
3. Never a Manic or Mixed Episode.
4. Items A and B are not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
5. DiStress or impairment in social, occupational, or other important functioning.

Front 103

What are the:
Item "B" symptoms for dysthymic Disorder
(6)

Back 103

1. Overeating or poor appetite.
2. Hypersomnia or insomnia.
3. Fatigue or low energy.
4. Low self-esteem.
5. Difficulties with concentration or making decisions.
6. Feelings of hopelessness.

Front 104

Name and describe the sleep Disorders
(5)

Back 104

Primary Sleep Disorders:
1. Dyssomnias: Disturbance in amount, quality, or timing of sleep.
2. Parasomnias: Abnormal event during sleep.
3. Sleep Disorder Related to Another Mental Dis.
4. Sleep Disorder Due to a General Medical Cond.
5. Substance-Induced Sleep Disorder

Front 105

What are the:
Characteristics for Frotteurism
(2)

Back 105

1. For at least 6 months: sexual fantasies, urges or behaviors that involve touching or rubbing a nonconsenting person.
2. DiStress or impairment in social, occupational, or other important functioning.

Front 106

What are the:
Schizophrenic subtypes
(5)

Back 106

1. Paranoid Type
2. Disorganized Type
3. Catatonic Type
4. Undifferentiated Type
5. Residual Type

Front 107

What are the:
Anxiety Disorders
(12)

Back 107

1. Panic Disorder Without Agoraphobia
2. Panic Disorder With Agoraphobia
3. Agoraphobia Without History of Panic Disorder
4. Specific Phobia; 5. Social Phobia
6. Obsessive-Compulsive Disorder
7. Posttraumatic Stress Disorder
8. Acute Stress Disorder
9. Generalized Anxiety Disorder
10. Anxiety Disorder Due to a General Medical Con.
11. Substance-Induced Anxiety Disorder
12. Anxiety Disorder Not Otherwise Specified

Front 108

What are the criteria for:
Schizoaffective Disorder
(4)

Back 108

1. Uninterrupted period of illness that concurrently includes: Symptoms meeting Item "A" for Schizophrenia, and either a Major Depressive Episode, a Manic Episode, or a Mixed Episode.
2. Delusions or hallucinations for at least 2 weeks with no prominent mood symptoms.
3. Mood Episode symptoms present for large portion of the entire duration of the Disorder's active and residual periods.
4. Not caused by a substance or General Medical C.

Front 109

What are the:
Sexual dysfunctions sub-classifications
(13)

Back 109

1. Sexual Desire Disorders
2. Hypoactive Sexual Desire Disorder
3. Sexual Aversion Disorder
4. Sexual Arousal Disorders
5. Female Sexual Arousal Disorder
6. Male Sexual Arousal Disorder
7. Premature Ejaculation; 8. Sexual Pain Disorders
9. Dyspareunia; 10. Vaginismus
11. Sexual Dysfunction Due to a General Medical C.
12. Substance-Induced Sexual Dysfunction
13. Sexual Dysfunction Not Otherwise Specified

Front 110

What are the:
Categories of Disorders usually first diagnosed in infancy, childhood, or adolescence
(10)

Back 110

1. Mental Retardation; 2. Learning Disorders
3. Motor Skills Disorders; 4. Communication Dis.
5. Pervasive DevelopMental Disorders
6. Attention-Deficit and Disruptive Behavior Dis.
7. Feeding and Eating Disorders of Infancy and Early Childhood; 8. Tic Disorders; 9. Elimination Disorders
10. Other Disorders of Infancy, Childhood, or Adolescence

Front 111

What are the:
Characteristics for Narcolepsy
(3)

Back 111

1. Overpowering attacks of sleep for three or more months.
2. One or both of the following :
Cataplexy.
Repeated elements of rapid eye movement in sleep.
3. Not caused by a substance or a General Medical Condition.

Front 112

What are the criteria for:
Schizophrenia, disorganized type
(2, with 3 under 1st...)

Back 112

1. All of the following are manifest:
Disorganized speech.
Disorganized behavior.
Flat or inappropriate affect.
2. Not Catatonic Type.

Front 113

Name and describe the 1. Sexual Disorders and 2. Gender Identity Disorders

Back 113

1. Sexual Dysfunctions:
*Disturbance in sexual response cycle.
Paraphilias
For at least 6 months arousing urges, fantasies, or urges, or behaviors involving children, nonhuman objects, suffering and humiliation.
2. Gender Identity Disorders:
*Cross-gender identification and discomfort with one's actual sex.
Gender Disorder Not Otherwise Specified
Sexual Disorder Not Otherwise Specified

Front 114

What are the:
Characteristics for Pain Disorder associated with both psychological factors and a General Medical Condition
(2)

Back 114

1. Meets the criteria for (General) Pain Disorder
2. Both psychological factors and a General Medical Condition contribute prominently to all aspects of the pain.

Front 115

Describe the symptoms of qualitative impairment in social interaction for Autistic Disorder
(at least 2 of 4...)

Back 115

At least two of the Following: 1. Marked impairment when using multiple nonverbal behaviors to control social interaction.
2. Inability to develop appropriate developMental-level peer relationships.
3. Failure to spontaneously seek to share enjoyment, interests, or achievements with others.
4. Deficient social or emotional reciprocity.

Front 116

What are the:
Dissociative Disorders
(5)

Back 116

1. Dissociative Amnesia
2. Dissociative Fugue
3. Dissociative Identity Disorder
4. Depersonalization Disorder
5. Dissociative Disorder Not Otherwise Specified

Front 117

What are the:
Characteristics for Insomnia related to another Mental Disorder
(4)

Back 117

1. Difficulty getting to or staying asleep, or non-restorative sleep, for at least one month.
2. DiStress or impairment in social, occupational, or other important functioning.
3. The severity of the insomnia calls for independent Medical attention, yet is related to another Axis I or Axis II Disorder.
4. Not caused by a substance or General Medical Condition.

Front 118

What are the:
Characteristics for Obsessive-compulsive Disorder
(5)

Back 118

1. Either obsessions or compulsions.
2. The individual realizes that the obsessions or compulsions are extreme.
3. Obsessions or compulsions cause marked diStress, consume more than one hour per day, or interfere considerably with normal functioning, activities and relationships.
4. The obsessions or compulsions are not limited to any other Axis I Disorder that may not be present.
5. Not due to a substance or General Medical Condition.

Front 119

What are the:
Characteristics for Undifferentiated somatoform Disorder
(5)

Back 119

1. At least one physical complaint.
2. Either of the Following: Symptoms in "A" are not explained by a General Medical Condition or a substance.
When a General Medical Condition does exist. the complaints or impairment are beyond expectations.
3. DiStress or impairment in social, occupational, or other important functioning.
4. The disturbance lasts at least six months.
5. Symptoms are not faked or purposefully produced.

Front 120

What are the:
Delusional Disorder types
(7)

Back 120

1. Erotomanic
2. Grandiose
3. Jealous
4. Persecutory
5. Somatic
6. Mixed
7. Unspecified

Front 121

What are the:
Characteristics for Dissociative Amnesia
(3)

Back 121

1. At least one instance, going beyond ordinary forgetfulness, of not recalling important information.
2. Not solely occurring during dissociative Identity Disorder, Dissociative Fugue, Posttraumatic Stress Disorder, Acute Stress Disorder, or Somatization Disorder. Also not due to a substance or a neurological or a General Medical Condition.
3. DiStress or impairment in social, occupational, or other important functioning.

Front 122

What are the criteria for:
Schizoid Personality Disorder
(2, with at least 4 under 1st...)

Back 122

1. Detachment from relationships, and a limited range of emotional expression as indicated by at least four of the Following: Doesn't desire or enjoy close relationships.
Often selects solitary activities.
Little interest in sex with others.
Few activities give pleasure.
Doesn't have close friends or confidants.
Apathetic to praise or criticism.
Demonstrates coolness or flattened affectivity.
2. Not solely during Schizophrenia, a Mood Disorder With Psychotic Features, another Psychotic Disorder or a Pervasive DevelopMental Disorder. Not due to General Medical Condition.

Front 123

Describe inattention symptoms for attention deficit/hyperactivity Disorder
(at least 6 of the 9....)

Back 123

Frequent appearance of at least six symptoms for at least 6 months:
1. Failure to pay attention to details, or makes careless mistakes.
2. Failure to sustain attention to tasks or play activities.
3. Failure to seemingly listen when directly addressed.
4. Failure to follow through on instructions or finish assignments.
5. Problems with task organization.
6. Failure to sustain required Mental effort.
7. Frequently loses task-related items.
8. Easily distracted.
9. Consistently forgetful.

Front 124

What are the criteria for:
Conditions regarding relationship to a pervasive developMental Disorder for schizophrenia

Back 124

If there is any history of Autistic Disorder (or some other Pervasive DevelopMental Disorder), make additional diagnosis of Schizophrenia only if:
Conspicuous delusions or hallucinations are present.
Duration is at least one month.
Duration is less than one month.
Duration is less than one month if successfully treated.

Front 125

What are the:
Delirium Disorders
(4)

Back 125

1. Delirium Due to a General Medical Condition
2. Substance-Induced Delirium
3. Delirium Due to Multiple Etiologies
4. Delirium Not Otherwise Specified

Front 126

What are the:
Item "A" symptoms for major Depressive Episode
(9)

Back 126

1. Depressed mood.
2. Decreased interest or pleasure in activities.
3. Significant variations in weight or appetite.
4. Insomnia or hypersomnia.
5. Psychomotor agitation or retardation.
6. Daily fatigue or energy loss.
7. Feelings of worthlessness or guilt.
8. Difficulties in concentration or decisiveness.
9. Recurrent thoughts of death or suicidal ideation, plan or attempt.

Front 127

What are the:
Characteristics for Primary insomnia
(5)

Back 127

1. Problems for at least 1 month getting to or staying asleep, or not feeling rested after sleep.
2. DiStress or impairment in social, occupational, or other important functioning.
3. Not solely during Narcolepsy, Breathing-Related Sleep Disorder, Circadian Rhythm Sleep Disorder, or Parasomnia.
4. Not solely during another Mental Disorder.
5. Not solely caused by a substance or a General Medical Condition.

Front 128

What are the criteria for:
Substance or General Medical Condition exclusion for schizophrenia

Back 128

Disturbance not due to a substance or General Medical Condition.

Front 129

Name Schizophrenia and other Psychotic Disorders
(9)

Back 129

1. Schizophrenia
2. Schizophreniform Disorder
3. Schizoaffective Disorder
4. Delusional Disorder
5. Brief Psychotic Disorder
6. Shared Psychotic Disorder
7. Psychotic Disorder Due to a General Medical Con
8. Substance-Induced Psychotic Disorder
9. Psychotic Disorder Not Otherwise Specified

Front 130

What are the:
Characteristics for Somatization Disorder
(4)

Back 130

1. Frequent physical complaints before age 30 that either lead to treatment being sought or notable impairment in functioning.
2. History of each of the Following: Four pain symptoms.
Two gastrointestinal symptoms.
One sexual symptom.
One pseudo-neurological symptom.
3. Either of the Following: Symptoms in "B" are not explained by General Medical Condition or substance.
When General Medical Condition does exist, the complaints or impairment are beyond expectations.
4. Symptoms are not faked or purposefully produced.

Front 131

What are the criteria for:
Major Depressive Disorder, single Episode
(3)

Back 131

1. Presence of one Major Depressive Episode.
2. The Episode is not better accounted for by Schizoaffective Disorder, and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
3. No Manic Episode, Mixed Episode, Hypomanic Episode has ever occurred.

Front 132

What are the criteria for:
Autistic Disorder
(3)

Back 132

1. A total of six or more of the following items, at least two of each which come from group 1, with one each from groups 2 and 3:
At least two symptoms of qualitative impairment in social interaction.
At least one symptom of qualitative impairment in communication. At least one symptom of restricted repetitive and stereotyped patterns of behavior, interests, and activities.
2. Delays or abnormalities in at least one of the following areas with onset prior to age 3:
Social Interaction.
Social Language communication.
Symbolic or imaginative play.
3. Not better accounted for by Rett's Disorder or Childhood Disintegrative Disorder.

Front 133

What are the:
Characteristics for Pain Disorder associated with psychological factors
(4)

Back 133

1. Meets the criteria for (General) Pain Disorder.
2. Psychological factors account for pain.
3. Any General Medical Condition that exists is secondary.
4. Do not diagnose if Somatization Disorder is present.

Front 134

What are the criteria for:
Major Depressive Disorder, recurrent
(3)

Back 134

1. Presence of at least two Major Depressive Episodes.
2. The Episode is not better accounted for by Schizoaffective Disorder, and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
3. No Manic Episode, Mixed Episode, or Hypomanic Episode has ever occurred.

Front 135

What are the criteria for:
Narcissistic Personality Disorder
(at least 5 out of the 9...)

Back 135

Pervasive pattern of admiration seeking, grandiosity, and lack of empathy, that includes at least five of the Following: 1. Grandiose feeling of self-importance; 2. Fantasizes success, power, brilliance, beauty, or love.
3. Sees self as special and unique.
4. Demands inordinate admiration.
5. Believes in self entitlement; 6. Exploits others.
7. Not empathic; 8. Envies others or thinks they envy him or her; 9. Is arrogant and haughty.

Front 136

What are the:
Characteristics for A Panic attack
(at least 4 out of 13...)

Back 136

1. Period of intense fear or discomfort with at least 4 of the following developed abruptly and peaked within 10 minutes: 1. Palpitations or accelerated heart rate; 2. Sweating; 3. Trembling
4. Shortness of breath; 5. Sensation of choking
6. Chest pain; 7. Nausea or abdominal upset
8. Feeling dizzy, lightheaded, or faint.
9. Depersonalization or feelings of unreality
10. Fear of losing control; 11. Fear of dying
12. Numbness or tingling (Paresthesias)
13. Chills or hot flushes.
Note: Panic Attack is not a diagnosis.

Front 137

What are the:
Characteristics for Pathological gambling
(2, with at least 5 out of 10 of 1st...)

Back 137

1. Involves at least 5 of the Following:
1. Preoccupation with gambling.
2. Using larger amounts of money.
3. Repeated attempts to cut back and stop.
4. Irritable when trying to cut back or stop.
5. Gambles to escape problems or to relieve a dysphoric mood; 6. Keeps gambling after losing.
7. Lies to conceal the gambling.
8. Commits illegal acts to obtain funds.
9. A significant relationship, job, or career opp. is lost or jeopardized; 10. Turns to others for relief money.
2. A Manic Episode doesn't better account for the gambling.

Front 138

What are the:
Characteristics for Depersonalization Disorder
(4)

Back 138

1. Persistent or repeated feelings of being detached from one's self.
2. Reality testing is intact.
3. DiStress or impairment in social, occupational, or other important functioning.
4. Not solely during another Mental Disorder. Also not due to substance or a General Medical Condition.

Front 139

What are the:
Types of personality change due to a General Medical Condition
(8)

Back 139

1. Labile Type: Affective lability.
2. Disinhibited Type: Poor impulse control.
3. Aggressive Type: Aggressive behavior.
4. Apathetic Type: Apathy and indifference.
5. Paranoid Type: Suspiciousness
6. Other Type.
7. Combined Type.
8. Unspecified Type.

Front 140

What are the:
Elimination Disorders
(2)

Back 140

1. Encopresis
2. Enuresis

Front 141

What are the:
Characteristics for Breathing-related Disorders
(2)

Back 141

1. Extraordinary sleepiness or insomnia caused by a sleep-related breathing Condition.
2. Not caused by another Mental Disorder, or a substance, or a general non-breathing-related Medical Condition.

Front 142

What are the:
Characteristics for Female sexual arousal Disorder
(3)

Back 142

1. Difficulties in attaining or maintaining sufficient lubrication-swelling sexual response.
2. Marked diStress or interpersonal difficulty.
3. Not due to a substance or a General Medical Condition.

Front 143

Describe 1. hyperactivity and 2. impulsive symptoms for attention deficit/hyperactivity Disorder
(6 & 3)

Back 143

*1. Frequent appearance of at least 6 of the relevant symptoms for at least 6 months:
1. Hyperactivity.
2. Fidgets or squirms.
3. Leaves seat against expectations.
4. Runs or climbs when inappropriate.
5. Inability to play quietly.
6. "On the go".
7. Talks excessively.
*2. Impulsivity.
1. Gives answers before questions are complete.
2. Problems waiting for their turn.
3. Interrupts others.

Front 144

What are the:
Characteristics for Pyromania
(5)

Back 144

1. Deliberate setting of fires on multiple occasions.
2. Experiences tension or affective arousal prior to fire setting.
3. Fire stimulates fascination, interest, curiosity, or attraction.
4. Fires bring pleasure or relief.
5. Fires are not set to make money, express sociopolitical ideas, hide crimes, express anger, get even, or improve living Conditions. Also not due to delusions hallucinations, or impaired judgment.

Front 145

What are the criteria for:
Delusional Disorder
(5)

Back 145

1. Nonbizarre delusions lasting at least one month.
2. Item "A" for Schizophrenia never met.
3. Functioning not impaired and behavior not odd or bizarre.
4. If mood Episodes occur with delusions, they have been brief relative to the delusional periods.
5. Not caused by a substance or a General Medical Condition.

Front 146

What are the:
Depressive Disorders
(4)

Back 146

1. Major Depressive Disorder, Single Episode
2. Major Depressive Disorder, Recurrent
3. Dysthymic Disorder
4. Depressive Disorder Not Otherwise Specified

Front 147

Describe the diagnostic criteria for Psychotic Disorder due to a General Medical Condition
(3)

Back 147

1. Manifest hallucinations or delusions.
2. Direct result of a General Medical Condition.
3. Not solely during delirium

Front 148

What are the:
Adjustment Disorder subtypes
(7)

Back 148

1. Adjustment Disorder With Depressed Mood
2. Adjustment Disorder With Anxiety
3. Adjustment Disorder With Mixed Anxiety and Depressed Mood
4. Adjustment Disorder With Disturbance Of Conduct
5. Adjustment Disorder With Mixed Disturbance of 6. Emotions and Conduct
7. Adjustment Disorder Unspecified

Front 149

Describe how traumatic events are reexperienced in posttraumatic Stress Disorder
(at least 1 of the 5...)

Back 149

At least one of the Following: 1. DiStressing recollections of the event that both recur and intrude; 2. DiStressing and recurring dreams of the event; 3. Acting or feeling as if the event were recurring; 4. Intense diStress when exposed to cues that symbolize or are similar to the event.
5. Physiological reactivity when exposed to cues that symbolize or are similar to the event.

Front 150

What are the criteria for:
Conduct Disorder
(3 ...at least 1 of 4 in 1st, then 2 & 3...)

Back 150

*1. A repetitive and persistent pattern of violating major age-appropriate societal norms or the rights of others. Requires at least three symptoms in the past 12 months (at least one in the past 6 months):
1. Aggression to people and animals.
2. Destruction of property.
3. Deceitfulness or theft.
4. Serious violation of the rules.
*2. Impairment in social, academic, or occupational functioning.
*3. For individuals 18 years or older, criteria not met for Antisocial Personality Disorder.

Front 151

What are the criteria for:
Dysthymic Disorder
(8)

Back 151

1. Depressed mood throughout more days than not for at least 2 years.
2. At least two symptoms.
3. Symptoms in Items A and B never disappear for more than 2 months at a time.
4. No Major Depressive Episode has been present during the first two years.
5. Has never been a Manic, Mixed or Hypomanic Episode, or a Cyclothymic Disorder.
6. Not solely during a chronic Psychotic Disorder.
7. Not due to a substance or a General Medical Condition.
8. DiStress or impairment in social, occupational, or other important functioning.

Front 152

What are the:
Characteristics for Trichotillomania
(5)

Back 152

1. Noticeable hair loss from repeated pulling out of one's hair.
2. Becoming more tense just prior to pulling out hair or trying to resist the behavior.
3. Pleasure or relief at pulling out hair.
4. Not due to a General Medical Condition or to another Mental Disorder.
5. DiStress or impairment in social, occupational, or other important functioning.

Front 153

What are the:
Mood Episodes
(4)

Back 153

1. Major Depressive Episode
2. Manic Episode
3. Mixed Episode
4. Hypomanic Episode
Note: Mood Episodes is not codable. See specific Mood Disorders.

Front 154

What are the criteria for:
Bipolar I Disorder, single manic Episode
(2)

Back 154

1. One Manic Episode and no previous Major Depressive Episodes.
2. The is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder. or Psychotic Disorder Not Otherwise Specified.

Front 155

Describe symptoms of increased arousal in posttraumatic Stress Disorder
(5)

Back 155

At least 2of the Following: 1. Getting to or staying asleep is difficult.
2. Testiness or outbursts of anger.
3. Concentration becomes difficult.
4. Excessive vigilance.
5. Startle response is exaggerated.

Front 156

Describe the symptoms of serious violations of rules for conduct Disorder
(3)

Back 156

Beginning before age 13:
1. ignores parental prohibitions regarding staying out at night.
2. Has run away from home, overnight at least twice or for a long duration once.
3. skips school.

Front 157

What are the:
Characteristics for Voyeurism
(2)

Back 157

1. For at least 6 months: sexual fantasies, urges, or behaviors that involve observing a person who is unclothed, disrobing, or having sex.
2. DiStress or impairment in social, occupational, or other important functioning.

Front 158

What are the criteria for:
A Personality Disorder
(6)

Back 158

1. Pattern of inner behavior and experience that distinctly deviates from cultural expectations in at least two of the following ways: Cognition; Affectivity; Interpersonal functioning; Impulse contr.
2. The pattern is inflexible and pervasive.
3. DiStress or impairment in social, occupational, or other important functioning.
4. The pattern began in adolescence or early adulthood and is both stable and enduring.
5. Not better accounted for as a result of another Mental Disorder.
6. Not caused by a substance or a General Medical Condition.

Front 159

What are the:
Impulse-control Disorders not elsewhere classified
(6)

Back 159

1. Intermittent Explosive Disorder
2. Kleptomania
3. Pyromania
4. Pathological Gambling
5. Trichotillomania
6. Impulse-Control Disorder Not Otherwise Specified

Front 160

What are the:
Characteristics for Sleep terror Disorder
(6)

Back 160

1. Recurrent sudden awakenings with a scream.
2. Both extreme fear and autonomic arousal.
3. Not responsive in comforting efforts made by others.
4. Episodic amnesia and no detailed dream recall.
5. DiStress or impairment in social, occupational, or other important functioning.
6. Not caused by a substance or a General Medical Condition.

Front 161

What are the:
Characteristics for (general) factitious Disorder
(3)

Back 161

1. Purposeful creation or feigning of signs or symptoms (physical or psychological).
2. Assuming the sick role is the motivation.
3. External incentives are not present.

Front 162

What are the:
Item "B" symptoms for manic Episode
(7)

Back 162

1. Inflated self-esteem.
2. Reduced need for sleep.
3. Unusually talkative.
4. Racing thoughts or flight of ideas.
5. Distractibility.
6. Psychomotor agitation or increase in goal-oriented activities.
7. Involvement in activities that give pleasure but are likely to bring pain.

Front 163

What are the criteria for:
Substance-induced Psychotic Disorder
(4)

Back 163

1. Conspicuous hallucinations or delusions.
2. Either of these:
Criterion 1 symptoms developed during a within a month of Substance Intoxication or Withdrawal OR
Medication use directly relates to the disturbance.
3. Not better described by a Psychotic Disorder that is not substance induced.
4. Not solely during delirium.

Front 164

Describe the symptoms of negativistic, hostile, and Defiant behavior for Oppositional Defiant Disorder
(8)

Back 164

1. Loses temper.
2. Argues with adults.
3. Does not comply with adults' requests or rules.
4. Purposefully annoys people.
5. Blames others for their mistakes or misbehavior.
6. Readily annoyed by others.
7. Angry and resentful.
8. Spiteful and vindictive.

Front 165

What are the:
Characteristics for Bipolar I Disorder, most recent Episode mixed
(3)

Back 165

1. Mixed Episode is current or most recent.
2. At least one previous Major Depressive Episode, Manic Episode, or Mixed Episode.
3. Episodes in A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.

Front 166

What are the:
Characteristics for Pedophilia
(3)

Back 166

1. For at least 6 months: sexual fantasies, urges, or behaviors involving sex with prepubescent children.
2. DiStress or impairment in social, occupational, or other important functioning.
3. The prepubescent child is at least 5 years younger than the pedophilic person, who is at least 16 years old.

Front 167

What are the:
Cluster B Personality Disorders and state their commonalities
(4 & commonalities...)

Back 167

1. Antisocial Personality Disorder
2. Borderline Personality Disorder
3. Histrionic Personality Disorder
4. Narcissistic Personality Disorder
Commonalities: These individuals often appear dramatic, emotional, or erratic.

Front 168

What are the criteria for:
Substance intoxication
(3)

Back 168

1. A reversible substance-specific syndrome develops due to ingestion of or exposure to a substance.
2. Maladaptive psychological or behavioral changes caused by the substance during or shortly after use.
3. Symptoms not due to a General Medical Condition. *Note: Substance Intoxication alone is not a diagnosis. See each substance.

Front 169

Describe how traumatic event is reexperienced in acute Stress Disorder
(7)

Back 169

Recurrence of at least 1 of the Following:
1. Images; 2. Thoughts; 3. Dreams; 4. Illusions;
5. Flashbacks; 6. A sense of reliving the experience;
7. DiStress when reminded of the event.

Front 170

What are the criteria for:
Schizophrenia, catatonic type
(5)

Back 170

At least 2 of the Following: 1. Motoric immobility.
2. Purposeless or excessive motor activity.
3. Extreme negativism or mutism.
4. Odd voluntary movements or mannerisms.
5. Echolalia or echopraxia.

Front 171

What are the:
Characteristics for Paranoid Personality Disorder
(2, with at least 4 out of 7 of 1st...)

Back 171

*1. Pervasive distrust of others indicated by 4 or more of the Following: 1. Suspects others of exploitation or deception.
2. Doubts trustworthiness of friends.
3. Hesitant to confide in others.
4. Sees hidden negative meanings.
5. Constantly bears grudges.
6. Sees character attacks and reacts angrily.
7. Suspects sex partner of infidelity.
*2. Not solely during Schizophrenia, a Mood Disorder With Psychotic Features, or another Psychotic Disorder. Not due to General Medical Condition.

Front 172

What are the criteria for:
Characteristic (active-phase) symptoms for schizophrenia
(at least 2 of 5...)

Back 172

At least 2 (only one under certain Conditions) of the following symptoms appear for a significant portion of a one month period (less if successfully treated):
1. Delusions.
2. Hallucinations.
3. Disorganized speech.
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms.

Front 173

What are the:
Characteristics for Hypomanic Episode
(2, with at least 3 (4 if only irritable) of #2...)

Back 173

*1.At least 4 days of persistently expansive or irritable mood.
*2. At least 3 (four if only irritable) symptoms persist:
1. Uncharacteristic change in functioning.
2. Disturbance in mood and the change in functioning are observable by others.
3. No marked impairment in social or occupational functioning. Does not require hospitalization. No Psychotic features.
4. Not due to a substance or a General Medical Condition

Front 174

What are the:
Characteristics for Dyspareunia
(4)

Back 174

1. Persistent personality disturbance that differs from a previous personality.
2. Results from a General Medical Condition.
3. Not solely during delirium.
4. DiStress or impairment in social, occupational, or other important functioning.

Front 175

What are the:
Characteristics for Personality change due to a General Medical Condition
(4)

Back 175

1. Persistent personality disturbance that differs from a previous personality.
2. Results from a General Medical Condition.
3. Not solely during delirium.
4. DiStress or impairment in social, occupational, or other important functioning.

Front 176

What are the:
Characteristics for Bipolar I Disorder, most recent Episode manic
(3)

Back 176

1. Manic Episode is current or most recent.
2. At least one previous Major Depressive Episode, Manic Episode, or Mixed Episode.
3. Episodes in A and B are not better accounted for by Schizoaffective Disorder. Neither are they superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified

Front 177

What are the:
Characteristics for Hypochondriasis
(6)

Back 177

1. Misinterpreting physical symptoms as being caused by a serious disease.
2. Medical reassurances do not allay the preoccupation.
3. Neither delusional nor simply concern about appearance.
4. DiStress or impairment in social, occupational, or other important functioning.
5. Lasts at least 6 months.
6. Not better explained by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or any other Somatoform Disorder.

Front 178

What are the:
Characteristics for Primary hypersomnia
(4)

Back 178

1. For at least 1 month, excessive sleepiness manifested by either daytime sleep or long sleep Episodes.
2. DiStress or impairment in social, occupational or other important functioning.
3. Not insomnia, or insufficient sleep, or solely to another sleep Disorder.
4. Not caused by a substance or a General Medical Condition.

Front 179

What are the:
Characteristics for Body dysmorphic Disorder

Back 179

1. Excessive concern for imaginary appearance defects or minor anomalies.
2. DiStress or impairment in social, occupational, or other important functioning.

Front 180

What are the:
Communication Disorders
(5)

Back 180

1. Expressive language Disorder
2. Mixed Receptive-Expressive Language Disorder
3. Phonological Disorder
4. Stuttering
5. Communication Disorder Not Otherwise Specified

Front 181

What are the:
Amnestic Disorders
(3)

Back 181

1. Amnestic Disorder Due to a General Medical Condition.
2. Substance-Induced Persisting Amnestic Disorder
3. Amnestic Disorder Not Otherwise Specified

Front 182

What are the criteria for:
Histrionic Personality Disorder
(at least 5 of the 8...)

Back 182

Pattern of seeking attention and extreme emotionality as indicated by at least 5 of the Following: 1. Uncomfortable if not the center of attention; 2. Acts provocatively or sexually seductively; 3. Shifting and shallow expression of emotions; 4. Attracts attention with physical appearance; 5. Uses impressionistic, undetailed speaking style; 6. Uses theatrical expressions of emotion; 7. Is unduly suggestible.
8. Perceives more intimacy in relationships than actually exists.

Front 183

What are the:
Attention-deficit and disruptive behavior Disorders
(6)

Back 183

1. Attention-Deficit/Hyperactivity Disorder
Combined Type
2. Predominantly Inattentive Type
3. Predominantly Hyperactive-Impulsive Type
Not Otherwise Specified
4. Conduct Disorder
5. Oppositional Defiant Disorder
6. Disruptive Behavior Disorder Not Otherwise Specified

Front 184

What are the:
Characteristics for Substance-induced sexual dysfunction
(3)

Back 184

1. Sexual dysfunction with marked diStress or interpersonal difficulty.
2. The dysfunction is explained by substance use by either of the Following: The symptoms in Item 1 developed during or within a month of Substance Intoxication.
Medication use relates to the disturbance.
3. Not explained by a Sexual Dysfunction that is not substance-induced.

Front 185

What are the:
Tic Disorders of infancy and early childhood
(4)

Back 185

1. Tourette's Disorder
2. Chronic Motor or Vocal Tic Disorder
3. Transient Tic Disorder
4. Tic Disorder Not Otherwise Specified

Front 186

What are the:
Symptoms for generalized Anxiety Disorder
(at least 3 of the 6...)

Back 186

At least 3 of the following symptoms, experienced for more days than not during the preceding 6 months:
1. Restlessness
2. Fatigue
3. Problems with concentration
4. Irritability
5. Muscle tension
6. Sleep disturbance.

Front 187

Describe how stimuli are avoided in posttraumatic Stress Disorder
(at least 3 out of 7...)

Back 187

At least 3 or more of the Following: 1. Efforts to avoid associated thoughts, feelings, or conversations; 2. Efforts to avoid people, places, or activities that stimulate recollections of the trauma;
3. Failure to recollect some important aspect of the trauma; 4. Markedly reduced interest or participation in important activities;
5. A sense of detachment or alienation from others; 6. Restricted affective range; 7. Sense of future life constrictions.

Front 188

Describe the criteria for schizoaffective and mood Disorder exclusion for schizophrenia
(*both with psychotic features are ruled out b/c of either... 2)

Back 188

Schizoaffective Disorder and Mood Disorder With Psychotic Features are ruled out because of either:
1. No Major Depressive, Manic, or Mixed Episodes have occurred in tandem with active-phase symptoms.
2. Total duration of any mood symptoms is shorter than the active and residual periods.

Front 189

What are the:
Item "B" symptoms for hypomanic Episode
(7)

Back 189

1. Inflated self-esteem.
2. Reduced need for sleep.
3. Unusually talkative.
4. Racing thoughts or flight of ideas.
5. Distractibility.
6. Psychomotor agitation or increase in goal-oriented activities.
7. Involvement in activities that give pleasure but are also likely to bring pain.

Front 190

What are the criteria for:
Antisocial Personality Disorder
(4, with at least 3 out of 7 of the 1st...)

Back 190

1. Since age 15, a disregard for and violation of others' rights as indicated by at least 3 of the Following: 1. Illegal Behavior; 2. Deceitfulness; 3.Impulsiveness; 4. Irritable and aggressive conduct; 5. Disregard for safety of others and self; 6. Irresponsible behavior; 7. Lack of remorse.
*2. The person is at least age 18 years.
*3. Conduct Disorder with onset prior to age 15.
*4. Not solely during the course of Schizophrenia or a Manic Episode.

Front 191

What are the:
Characteristics for Major Depressive Episode
(5)

Back 191

What are the:
Characteristics for Major Depressive Episode

Term
At least five symptoms, differing from previous functioning, present during a two week period. One of the symptoms must be either depressed mood or loss of interest or pleasure.
2. Not a Mixed Episode.
3. The symptoms cause diStress or impairment in social, occupational, or other important functioning.
4. Not due to a substance or a General Medical Condition.
5. Not Bereavement.

Front 192

What are the:
Characteristics for Sexual sadism
(2)

Back 192

1. For at least 6 months: sexual fantasies, urges, or behaviors that involve acts of psychological or physical suffering.
2. DiStress or impairment in social, occupational, or other important functioning.

Front 193

What are the:
Characteristics for Catatonic Disorder due to a General Medical Condition
(3)

Back 193

1. Motoric immobility, excess motor activity, extreme negativism, voluntary movement peculiarities, echolalia or echopraxia.
2. The disturbance is the direct consequence of a General Medical Condition.
3. Not exclusively during delirium.

Front 194

What are the:
Characteristics for Substance induced-sleep Disorder
(5)

Back 194

1. A severe sleep disturbance that calls for independent Medical attention.
2. Evidence of either:
Development of symptoms during or within a month of Substance Intoxication or Withdrawal, or
Medication relates to the sleep disturbance.
3. Not a non-substance- induced Sleep Disorder.
4. Not solely during delirium.
5. DiStress or impairment in social, occupational, or other important functioning.

Front 195

What are the criteria for:
Mental retardation
(3)

Back 195

1. A significantly below average IQ (70 and below).
2. Simultaneous deficits in present adaptive functioning in at least two key areas.
3. Onset before 18 years of age.
Note: Mental Retardation alone is not a diagnosis.

Front 196

What are the:
Dementia Disorders
(7)

Back 196

1. Dementia of the Alzheimer's type
2. Vascular Dementia
3. Dementia Due to:
HIV Disease
Head Trauma
Parkinson's Disease
Huntington's Disease
Pick's Disease
Creutzfeldt-Jakob Disease
4. Dementia Due to Other General Medical Cond.
5. Substance-Induced Persisting Dementia
6. Dementia Due to Multiple Etiologies
7. Dementia Not Otherwise Specified

Front 197

What are the:
Characteristics for Factitious Disorder with combined psychological and physical signs and symptoms
(2)

Back 197

1. Meets criteria for (General) Factitious Disorder.
2. Psychological and physical symptoms and signs are present but neither predominates.

Front 198

What are the:
Characteristics for Agoraphobia
(2)

Back 198

1. Anxiety about being in a location or situation:
from which it would be difficult or embarrassing to escape, or
where help may not be available in the event of an unexpected Panic Attack or panic-like symptoms.
2. The person avoids the places or situations, or endures them with marked diStress or Anxiety, or the person requires a companion.
Note: Agoraphobia alone is not a diagnosis.

Front 199

What are the:
Characteristics for Social phobia
(9)

Back 199

1. Marked and persistent fear of situations involving unfamiliar or scrutiny by others, with a fear of humiliation or embarrassment.
2. The feared social situation causes Anxiety.
3. The individual realizes that the fear is extreme.
4. The feared social or performance situations are either endured with intense Anxiety, or avoided.
5. Phobic response interferes with the person's normal routine, activities, functioning, or relationships; or there is diStress.
6. If the person is under age 18 years, the Disorder last 6 months or more.
7. Not due to a General Medical Condition or a substance.
8. The fear in Item A is not related to a General Medical Condition or a substance.
9. The fear in Item A is not related to a General Medical Condition or other Mental Disorder.

Front 200

What are the criteria for:
Social and/or occupational dysfunction for schizophrenia
(at least 1 of the 3...)

Back 200

For a significant portion of time since disturbance onset, at least 1 of the following major functioning areas is (are) markedly below pre-onset level:
1. Work.
2. Interpersonal relations.
3. Self-care.

Front 201

What are the:
Characteristics for Hypersomnia related to another Medical Disorder
(5)

Back 201

1. For at least 1 month, excessive sleepiness manifested by either daytime sleep or long sleep Episodes.
2. DiStress or impairment in social, occupational, or other important functioning.
3. The hypersomnia relates to another Axis I or Axis II Disorder yet requires independent clinical attention for its severity.
4. Not due to insufficient sleep.
5. Not caused by a substance or a General Medical Condition