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102 Cards in this Set
- Front
- Back
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Restless leg syndrome prevalence
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2-10% gral population
30% medical population |
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paraphilia NOS
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klismaphilia
urophilia coprophilia zoophilia necrophilia partialism telephone sccatologia |
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Describe the cultural bound syndrome ZAR
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A general term applied in Ethiopia, Somalia, Egypt, Sudan, Iran, and
other North African and Middle Eastern societies to the experience of spirits possessing a person. Persons possessed by a spirit may experience dissociative episodes that may include shouting, laughing, hitting the head against a wall, singing, or weeping. They may show apathy and withdrawal, refusing to eat or carry out daily tasks or may develop a long-term relationship with the possessing spirit. Such behavior is not considered pathological locally. |
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ADHD prevalence
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3-7%
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autistic disorder
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as high as 1 in 1000 children
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point prevalence in ODD
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6%
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PICA
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persisting eating of non nutrive substances for at least one month.
no developmental appropriate not cultural sanctioned severe to merit clinical attention dx even in the context of other mental disorder |
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rumination disorder
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food is regurgitated or rechewed for at least one month
occurs after a period of normal funtioning typically after 3 months of age not due to medical conditions or GI problem appears to derive pleasure from the behavior dx can be made in the context of other mental disorder |
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Tourette disorder
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multiple motor tics and at leat one vocal tic
many times a day nealry every day or intermittently throughout a periord of at leat 1 year. no a tic free period of more than 3 month prior age 18 no due to GMC or substances |
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prevalence of Tourette's
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5 per 10000
> in boy than girls 3:1 |
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% of patient with Tourette that has also OCD
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40%
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Name psychosocial and environmental problems coded in Axis IV
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educational problem (academic problems, discord with teachers)
problem with primary support group housing problems 9homeless, unsafe neihgbourhood) problem related with to the social environment death of a friend, difficuklt with accultaration) problem with access to healthcare serivces (no GP, no transportation to healthcare services) occupational problems (difficult work conditions, unemployment) economic problems (inadequate finances, extreme poverty) problems related to interaction with legal system (arrest,victimof crime) other psychological and environmental system ( expososure to disasters, discord with non familiy caregivers) |
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GAF scale
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100 -91: superior functioning
90-81: Absent or minimal sx 80-71: transient sx and expected reaction to stressors 70-61: mild sx/mild social or occupational but functioning pretty well 60-51: moderate sx, social or occup. conflict with peers, panic attacks 50-41: serious sx/occp and social. SI no friends no job, obsessional rituals 40-31: some impairment in reality testing : at times ilogical speech 30-21: Behavior is influenced by delusions and hallucinations. thought disorders and inability to funtion. 20-11: some danger to self or others. Suicide attempts w/o clear expectation of death. inchorent speech no hygiene. 10-1: persistent danger to other or self. recurrent violence or suicide atttempts with clear expectation of death |
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Name the V codes
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Relational problem reltated to mental disorder or GMC
siblings relational problem partner relatinal problem parent-child relational problems relational problem NOS physical abuse of child sexual abuse of child neglect of child physical abuse of adult sexual abuse of adult noncompliance with treatment malingering Adult antisocial behavioral child and adolescent antisocial behav borderline intellectual functioning ( IQ 71-84) age related cognitive decline Bereveament Academic problems occupatinal problem identity problem acculturation problem religious or spiritual problems Phase of life problem |
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When should you strongly suspect malingering?
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medicolegal context of presentation
ASPD no cooperation during assessment and in complying with the rx marked discrepancy between the person claimed/s stress or disablity and the objective findings. |
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Research criteria for
Postconcussional disorder |
A.hx of head trauma causing significant cerebral concussion
B. evidence from neuropsch test. of difficulty in attentionand memory C. 3 sx that occurs at leat 3 months after trauma: easily fatigued. sleep problems, HA, vertigo, agression/irritablity. anxiety/depression/lability, changs in personality, apathy or lost of spontaneity E sx appear after trauma D. significant impairment no meet criteria for dementia or mental d.o |
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Research criteria for MCI
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2 or more of cognitive impairment sx for at least 2 week: memory impairment, dusturbance in Excecutive function, distrubance in attention or speed of informacion processing, impairment in language, impariment in perceptual motor abilities
evidence from lab or PW of aneuro or GMC causing the cognitive disturbance eveidenc from neurppsych of abnormality caused marked distess or represent a decline in prevopus function does not meet criteria for delirium pr dementia or other mental do |
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Research criteria for caffeine withdrawal
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prolonge ue of caffeine
abrupt cessation or reduccion of caffeine use followed by HA and >1 ( fatigued, anxiety or depression and naurae or vomit) no cause by other GMC or mental do significant distress |
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Research potential dimensional descriptors for SZP
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psychotic dimension
negative demention disorganized dimension mild, mod or severe |
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Research criteria for postpsychotic depressive disorder of SZP
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criteria met for MDE ( should include depressed mood. not include sx that are accounted by medication s/e or negtive sx)
MDE is superimposed on and occurs only during the residual phase of SZP MDE is not due to GMC or substances |
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Research criteria for simple Schizophrenia or simple deteriorative d/o
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progressive development over a period of a year with: 1. marked decline in occup or academic functioning 2. gradual apprearance and deepening of negative sx3.poor interpersonal rapport, social isoaltion and withdrawal.
critreion A for SZP never met sx not accounted by schizoid or schizotypal personality or psychotic d/o or other mentail disorder. or GMc or substance |
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Research criteria for Premenstrual dysphoric disorder
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A. in most mesntrual cylces during past year. 5 or> of the following occuring during the last week of luteal phase began to remit during folicular phase and absent during the week postmenses. with at least one of the sx being either 1,2, 3, or 4
1. depressed mood/hopelessnees or self deprecating thougths 2. marked anxiety/keyed up/ on edge 3. marked anger/irritability and interpersonal conflict 4. marked affective lability 5. decreased interest 6 diffic concentrating 7. change in appetite or food cravings or overeating 8. hyper or insomnia 9. lack of energy 10. overwhelmed 11. physical sx ( breast tenderness or bloating) B.interfere with work and social functioning C.no exacerbation of another mental do criteria A, B, C must be confirmed prospectively daily rating during at least 2 cycles. |
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Alternative research criterion for dysthymic do
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while depressed 3 or more:
1. low self esteem 2. pessimism/despair/hopelesness feelings 3. chronic fatiggue 4. social withdrawal 5. lost of pleasure 6. decreased activity/productiity 7. difficult thinking/concentation/memory 8. gult and broodign about the past 9. irritablity or anger |
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Research criteria for minor depressive disorder
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like MDE criteria with at least 2 but less than 5 sx present during 2 weeks
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Research criteria for recurrent brief depressive disorder
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MDE criteria but sx last at least 2 day and less than 2 weeks.
episodes occurs at least monthly for 12 consecutive months. no associated with menstrual cycle no due to GMC or substantces or other mental disorder. not part of SZP or another psychotic disorder. |
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Research criteria for mixed anxiety-depressive disorder
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A. recurrent dysphoric mood for at least 1 m
B. at leat one month of 4 or > of: 1. difficulty concentrating 2. sleep problems. 3. fatigue or low energy. 4. hypervigelance. 5. worry. 6. easily in teard. 7. anticipating the worst. 8. hopelessness. 9 low self-esteem or worthlessness. 10. irritability C. marked distress D. no due to GMC or substances E. never met criteria for MDE, dysthymia, panic do or GAD. no met criteria for antoher anxiety or mood disorder sx no account by another mental disorder. HHIS WAFLLE |
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Research criteria for factitious disorder by proxy
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A. intentional production physical or psychological signs/sx in another person who is under the individual's care
B. the motivations is to assume the sick role by proxy C. external incentives are absent D. no better account by another mental do |
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Research criteria for Dissociative trance disorder
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Either
1. trance: temporary alteration in the state of consciousne or lost of personal identity w/o replacement by an alternate identity. associated with one of: a..narrowing of awareness of surroundings or unusual selective focusing on environment simuli. b. stereotyped behav or movement are experienced as being beyond one's control. or 2.possession trance: with 1 or >: a.fully or partial amnesia for the event. b. stereotyped and culturally determined behav or movements are experiences as being controlled by the possessing agent. the trance or possession is not a normal part of a cultural or religion practice cause marked distress not exclusively during another mental disorder (psychosis or DID etc) GMC or substance |
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Research criteria for Binge-eating disorder
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A. recurrent episoder of binge eating
B. 3 or>: 1. eating more rapid than normal 2.eating until feeling uncomfortably full 3. eating large amounts of foods even when no feeling physically hungry 4. eatng alone because of being embarrassed by how much one is eating 5. feeling disgusted with oneself. depressed and guilty C. marked distress D. binge occurs at least 2 days a week for 6 mo. E no compensatory behavior |
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Research criteria for depressive personality disorder
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A. perversive pattern of depressive cognitions and behavior beginning by early adulthood with 5>
1. mood is dominant by dejection, gloominess, cheerlessness, joylessness, unhapiness 2. low self-esteem, inadequacy belief, worthlessness 3. self blaming and derogatory toward self 4. is brooding and given to worry 5. is pessimistic 6. is negative.critical and judgmental 7. is prone to feeling guilt or remorseful B.no account by dysthymic do or part of MDE |
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Research criteria for passive aggressive personality disorder
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A. perversive patter of negativistic attitudes and passive resistance to demands for adequate performance, beginning by early adulthood with 4 or more:
1. passively resist fulfulling routine social and occupational 2. complains of being misunderstood and unappreciated 3. is sullen and argumentative 4. unreasonably criticizes and scorns authority 5. expressess envy and resentment toward those apparently more fortunate 6. voices exagerated and persistent complains of personal misfortune 7. alternates between hostile defiance and contrition B> no during MDE or dysthymia |
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Research criteria for Neuroleptic induced parkinsonism
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A. 1 or > associated with neuroleptic med
1. akinesia 2. parkinsonian muscular rigidity 3. parkinsonian tremor (corase tremor, resting tremor with frequency 3-6 cycles per sec. in limbs, headh mouth or tongue. B. sx deeloped within weeks of staring or raising med or decreasing meds to treat EPS. C. no account by another mental disorder D. no account by GMC or nonneuroleptic substance |
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Research criteria for Neuroleptic induced dystonia
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A. 1 or >sx that develop with use of neuroleptc
1. Abnormal positioning of head and neck (toricollis or retrocollis) 2. spasm of jaw muscles 3. enlarged tongue causing slurred speech 4. impaired swallowing speaking or breathing due to laryngeal spasm 5. tingue protrusion 6. oculogyric crisis 7 abnormal postioning of the distal limbs or trunk B. sx deeloped within 7 days of staring or raising med or decreasing meds to treat EPS. C. no account by another mental disorder D. no account by GMC or nonneuroleptic substance |
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Research criteria for Neuroleptic induced akathisia
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A development of subjective complaints of restlessness
B. 1 or >sx that develop with use of neuroleptc: 1. inability to sit or stand still 2. rocking form foot to foot while standing 3. pacing to relieve restlessness 4. fidgety movements or swinging of the legs C. sx deeloped within weeks of staring or raising med or decreasing meds to treat EPS. D. no account by another mental disorder E. no account by GMC or nonneuroleptic substance |
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Research criteria for Neuroleptic induced TD
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A. Invol movements of tongue, jaw, trunk, extremities, develop after use of neuroleptic med
B. movements are present over at least 4 weeks and occurs in any of the following patterns: 1. choreiform movements (jerky, nonrepetitive) 2. athetoid mov. (slow, continual) 2. rhythmic mov (stereotypies) C. sx developed during exposure to neuroleptic or within 4 weeks of withdrawal from an oral neuroletptic or 8 wks if depo D. exposure to neurolpetic for at leat 3 months or 1 month if > 60 yo E. no account by another mental disorder F. no account by GMC or nonneuroleptic substance |
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Research criteria for medication induced postural tremor
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A. fine postural tremor with the use of s med ( lithium, valproic, AD )
B. the tremor is regular rhythmic osscilation of limbs, head mouth or tongue. frequency btw 8-12 cycles/ C. no due to preexsiting nonpharmacologically induced tremor D> no accounted by Neuroleptic induced parkinsonism |
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Research criteria for NMS
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A development of severe muscle rigidity, elevation of temp associated with neuroleptc med
B. 2 or more: 1. diaphoresis 2. dysphagia 3. tremor 4. incontinence 5. changes of level of consciousness 6. mutism 7. tachycardia 8. elevate or labile blood pressure 9. leucocytosis 10. elevated CPK (evidence of muscle injury) C. no due to another substance D. no due to GMC or mental disorder. |
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Amok (Malaysia)
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dissociative episode with a period of brooding followed an outburst violenct or homicidal behavior directed a people or object. persecutory ideas, amnesia, automatism and exhaustation.
also seen in New Guinea, Phillipines, Polynesia (cathard) and Puerto RIco (mal de pelea) |
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Ataque de nervios
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uncontrollable shoutting, attacks of crying trembling heat and chest rising in to the head. dissociative experiences and sz or fainting episodes
latinos from caribbean |
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Bilis an d Colera
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anger or rage to disturb body balances ( cold and heat)
latinos |
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Boufee Delirante
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similar to brief psychotic episode with anger, agitation confusion, VH and AH and paranoid ideation.
Haiti and Africa |
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Brain Fag
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Brain are fatigued. (difficult concentrating, thinking and remembering due to school challenges)
West Africa |
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Dhat
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Anxiety and hypochondriasis associated with discharge of semen, whithis discoloration of the irine and feeling of exhaustation.
India, Srilanka and China |
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Falling out or blacking out
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sudden collapse ( swimming in the head)
USA southern and caribbean corresponde to a conversion disroder or diassociation |
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Ghost sickness
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preoccupation with the death or deceased. fatigue, loss appetite, confusion , feeling of futility.
indian amerians |
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Hwa Byung
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Korean folk syndrome or anger snyd
attributed to the suppresion of anger causing insomina, fatigue, dizziness, fear of impeding death, aches and pains, feeling a mass in the epigastrium |
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Koro
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ontense anxiety that the penis or vulva and nipples will reced into the body in cause death
south and east Asia. |
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term for Chronic psychosis in latinos?
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locura
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Spanish phrase trnaslated into ENglish as evil eye
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mal de ojo
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emotional distress causing somatic disturbance and inability to function seen among latinos
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NERVIOS
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a dissociative state accompanied by extreme excitement lasting up to 30 mins followed by sz and coma up to 12 h. ( withdrawal before the attack and and iirational or bizarre behavior during the attack)
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Pibloktoq. Seen in Artc an subartic. (Eskimo)
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Qi-gong psychotic reaction
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exercise of vital energy. acute limited dissociative and psychotic sx that may occur after participation in the chinese folk health enhancing practive of qigong
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brujeria in latinos or rootwork in southern USA, caribbeans and European american populations
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the evil unfluence or another person. cause weakeness, anxiety, GI complains. Also called Voodoo death when the person fear of being killed
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Sleeping blodd. among portugess nd includes pain numbness, tremor, blindness hart attack, miscarriage and stroke.
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Sangue dormido
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Term for neurasthenia in China
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Shenjing Shuairuo
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anxiety and panic sx with somatic complaing with no physical explanation due to excessive semen loss from frequent intercourse, masturbation or nocturnal emesion.
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Shen-kuei in Taiwan
Shenkui in China |
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posession by ancestral spirits causing anxiety and somatic complains
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Shin-byung (Korea)
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Zar
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spirits possesing an individual. peson experience dissociation including shouting laughing, hitting the head againts the wall, singing. may not eat or show apathy.
Ethiopia, Somalia, Egypt, Iran, SUdan, North Africa and Middle Eastern societies |
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Spell
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trance state in which the person communicate with the deceased relatie or with spiritis.
African american and european american from southern USA |
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Susto or espanto
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frightening event that causes the soul to leave the body and result in unhappiness and sickeness
LAtinos |
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Term for social phobia in Japan. Individual fear that his body displased embarras or are offensive to tother people.
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Taijin Kyofusho
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7 cultural bound synd that are the equivalent of a psychotic disorder
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Pibloqtok
Locura Amox zar Qi Gong Bouffee Delirante Windigo (cimpulsion to eat flesh. seen in american indians) |
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4 cultural bound synd that are equivalnet to a dissociative disorder
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Pibloktoq
Qi GOng Shin Byung Spell |
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8 cultural bound synd that are the equivalnet of an anxiety disorder
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Ataque de nervios
susto Mal de ojo Brain fag Hwa Byung Rootwork Taijin Kyofusho Shenjing Shuarion |
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6 cultural bound snyd that are the equivalent of somatoform disorder
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Dhat
Koro Sangue dromido Bilis and colera Falling out Shen K'wei |
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6 cultural bound synd that are the equivalent of a dissociative trance
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Amok
Pibloktoq Latah Aaque de nervios Possessions Bebainan |
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Disorder of childhood and adolescence
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mental retardation
learning disorders motor skill disorders ( dev. coordination d/o) communication disorder PDD ADHD and dysruptive disorder feeding and eating disorder of infancy elimination disorder other disorder of infancy and childgood.adolesc ( Reactive attachment disordeer, stereotype movement diasorder NOs,se.ective mutism) |
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Learning disorders
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reading d/o
math d/o disorder of written expression learning D/o NOS |
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cimmunication d/o
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expressive language disotder
mixed expressive language d/o phonological d/o stutterng NOS |
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PDD
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autistic d/o
rett's d/o Childhood disentigrative d/o asperger d/o PDD NOS |
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ADHD and Dysruptive behavior
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ADHD combined type
ADHD inattentive ADHD hyperactive-impulvise ADHD NOS Conducti disorder childhood onset CD adloescen onset ODD Dysruptive behavior NOS |
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Feeding and eating D/o of infancy
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PICA
rumination d/o feeding d/o NOS |
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PICA
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eating nonnutritive substance for at least 1 month
innapropiate to the developemental level no part of cultural sanctioned practice if occurs during another mental d/o is suffciient severe to warrant indep attention |
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RUmination d/o
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repeated regurgitationo food for at least one month
no due to GMC no exclusive during anorexia or bulimia/ if during another mentald isorder. it is severe |
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TIC disorders
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TOurette disorder
Chronic motor or voval tic disorder transient tic disorder tic disorder NOS |
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defTourette's disorder
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BOth multiple motor and one or more vocal tics not necessarily currently
occurs many times during day nearly every day or intermittente throughout a period of > 1 year never a tic free period of > than 3 consecutive months onset before 18 not due to effect or substance of GMC |
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Chronic motor or vocal tic disorder
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single or multiple motor or vocal tic but not both. present sometime during illnes
can never been met dx of Tourette's rest is the same as tourettes |
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TRansient tic disorder
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single or multiple motor and/or vocal tics
many times a day, nearly everyday for the last 4 weeks no longer than 12 consecutives month no due to GMC or substance never met dx of tourettes' or motor/vocal tic |
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Elimination disorders
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encopressis with cnostipation and overflow incontinence
encopresis w/o overflow incontinence enuresis nocturnal only enuresis diurnal only enuresis nocturnal and diurnal |
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encopresis
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passage of feces into inappropriate places whether vol or intentional
at least once a month for at least 3 months chronological age is at least 4 or equivalent developmental the behav is not due to substance or GMC |
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enuresis
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repetitive voiding of urine into bed or clothes whether vol or invol.
frequency > 2/week for at least 3 month or the presence of clinical signfican distress or other important areas of functioning chonological age at leat 5 or equival develp level no due to substances or GMC |
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SAD
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devlpmental of inappropriate anxiety conceringn with separation from parents evidency by 3 or morwe of:
Nightmares about separation Alone-fearul of being Physical sx Separation –form MAF/home Losing MAF-excessive worry Events-kidnapped etc School-refuse to go Sleep-refuse to sleep alone/awake frequently during the night onset before 18 duration > 4 weeks no due to a nother mentald isorder early onset age 6 |
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Selevtive mutism
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failure to speak in specific social situation inwhere there is expectation for speaking despite speaking in other situations
interfiere with social and occupational and educational functioning at last 1 month ( no fisrt month of school) no due to lack of knowledge or comfort with the spoken language no due to communcation disorder or PDD |
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RAD of infacny
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A>marked disturbance and developmentally inapropriatesocial relatedness in most contexts, before age 5 evidence by either
1. failure to initiate or respond in adevlopemtnal appropriate fashion to most socail interations. manifest by eexcessively inhibited, hypervigielan or highly ambivalent and contradictory responses 2. diffuse attachments as manifest by indiscriminate sociability with marked inablity to exhibit appropriate selectin attachembnt B>the disturbances are not due to Dwevelopemntal delay (MR) or PDD C>pathogenic care: 1. and 2persistent disregard oft he child physcial and emotional needs 3. repeated changes of primary caregiver Is pressume that D> is pressume that the care in criterin C is responsible for the behavior. Inhibited type Criterion A1 Disinhibited type :A2 |
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Delirium
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due to GMC
SUbstance withdrawal delirium " intoxication " Due to multiple etiologies |
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Dementias
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ALzheimer type with ealry onset
Behavioral disturbance AZ type w/o behavioral disturbance AZ type with late onset ( similar especifier as early) Vascular D uncomplicated " with delirium " with delusions ' with depressed mood (specify if beh disturbances) Dementua due to GMC (specify if with or w/o beh distubances) substance induced persisting dementia Dementia due to multiple etiologies Dementia NOS Dementia NOS |
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Dementia due to GMC
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HIV
Parkinson head truama Huntington's Pick disease Creutzfeldt-Jacob disease |
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Amnestic disorders
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Due to GMC ( transient and chornic)
Substance induced persisiting amnestic d/o |
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Cognitive d/o NOs
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cog dysf likely due to GMC that not meet criteria for del.amenstic ordementia
ex: MCI d/o postconcusional disorder |
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psych d/o due to GMC
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delirium
psychosis amensitc disorder dementia mood d/o anxiety sexual dysf sleep d/o catatonic d/o personality change |
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Types of personality changes due to GMC
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Labile
dishinbited aggresive aphatetic paranoid combined unsepecified other |
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Substances use disorders
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Dependence or abuse
Alcohol Amphetamines cannabis cocaine Hallucnogen Inhalant Nicotine (only dependence) opioids PCP sedative/hypnotics polysubstance dependencwe |
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substance induce disorder
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Intoxication or withdrawal
alcohol amphetaminecaffeine (only intox) cannabis (intox) cocaine Hallucinogen (intox) inhalant (intox) nicotine (withdrawal) opioid PCP (intox) sedatives |
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Sz and other psychotic disorders
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SZ d/o
schizoaffective d/o delusional d/o brrief psycotic d/o shared psychotic d/o sustance induced (during intoxicatio /withdrawal) Due to GMc (with delusion or Halucinations) psychotic d/o NOS |
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Modd disordes
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Bipolar disorders
depressive disorders to GMC (with dep/manic/mixed) Substance induced (with dep/hypomania/mixed. with onsetduring intox/withd) Modd d/o NOS |
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Depressive d/o
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-MDD (single or recurrent)
-Dysthymic early late with atypical featues -Depressive D/o NOS |
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Bipolar d/o
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BAD I:
single manic most recent epis: hypomanic " " " mixed " " " manic "" " " depressed " " " unsepecified BAD II current or most recent episode: hypomanic or deppresed) Cyclothymic BAD NOS |
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code for MDD and BAD of current state
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mild
moderate severe with psychotic features (mood congruent or incongruent psychotic feat) severe w/o psychotic features In partial remision in full remission ( no sx during the past 2 mo) unspecified |
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specifiers for mood disorders current or most recent episode
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severity (with/w/o psychotic ) ( no in dysthimia or cyclothymia or hypomanic episode of BAD I/II)
with catatnoic features (MDD, BADI manic,mixed,dep and BADII dep) with postpartum onset with atypical features ( only MDD, Dysthimia and BAD i/ II dep) with melancholic features (MDD, ,BAD I/II dep) |
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longitudinal course specifier for mood disorders
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with or without interepisodic recovery
chronic (MDD, BAD I/II dep) criteria for the last 2 years with seasonal pattern with rapic cycling ( bipolar) ( 4 episodes in the last 12 m) |
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Gender identity disorder
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GID in children
GID in adolescent and adults specify: sexually attracted to males s.atracted to females s.attracted to both s.attracted to neither |
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criteria for GID
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A. persistent cross-gender identity.
in children: 1. repeteadly desire to be or insistense that she/he is the other sex. 2. boy in preference for cross-dressing or stimulating female attire. girls insitence on wearing only steotyplical masculine clothing 3. intense desire to participate in the stereotypal games and pastimes of the other sex 4. strong prefarence for playmates od the other sex In adolescent and adults is manifested by sx such as satated desire to be the other sex, frequent passing as the toher sex, desire to live orbe treated as the other sex. convition that she /he has the typical feelings and reactions of the other sex B. persistent discomfort with his or her sex or sense of inapppropriatenes in the gender role of that sex. in children : boys assestion that thath is penis or testes are disgusting or will disapear or version toward roguh-tumble play or rejections of male stereotype toys. in girls: rejection of urinating in a sitting position. assertion that she has or will grow penis. or does not want to grwo breat or menstruate. aversion toward normative female clothing in adolescents and adults: preocupation with getting rid of primary and secundary sex characteristics. or believe she/hewas born the wrong sex. C. not concurrent with a physical intersex condition d. sig. distress or impairment in social occupational funtioning |
