Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
|
What constitutes a Panic Attack?
|
A Panic Attack is not a codable disorder. Code the specific diagnosis in which the Panic Attack occurs (e.g., 300.21 Panic Disorder With Agoraphobia)
A period of intense fear or discomfort, in which four+ of the following symptoms developed within 10 minutes: (1) palpitations, pounding heart, or accelerated heart rate (2) sweating (3) trembling or shaking (4) sensations of shortness of breath or smothering (5) feeling of choking (6) chest pain or discomfort (7) nausea or abdominal distress (8) feeling dizzy, unsteady, lightheaded, or faint (9) derealization (feelings of unreality) or depersonalization (being detached from oneself) (10) fear of losing control or going crazy (11) fear of dying (12) paresthesias (numbness or tingling sensations) (13) chills or hot flushes |
|
|
What is Agoraphobia?
|
A. Anxiety about being in places or situations from which escape is difficult or help may not be available. Consider Specific Phobia if limited to one or only a few specific situations, or Social Phobia if limited to social situations.
B. Situations are avoided or are endured with marked distress or with anxiety about having a Panic Attack or panic-like symptoms. C. Is not better accounted for by another mental disorder, such as Social Phobia (e.g., avoidance limited to social situations because of fear of embarrassment), Specific Phobia (e.g., avoidance limited to a single situation like elevators), Obsessive-Compulsive Disorder (e.g., avoidance of dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., avoidance of stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., avoidance of leaving home or relatives). Note: Agoraphobia is not a codable disorder. Code the specific disorder in which the Agoraphobia occurs (e.g., 300.21 Panic Disorder With Agoraphobia or 300.22 Agoraphobia Without History of Panic Disorder). |
|
|
What are the Diagnostic Criteria for Panic Disorder with Agoraphobia?
|
A. Both (1) and (2):
(1) recurrent unexpected Panic Attacks (2) one of the attacks has been followed by 1 month+ of one+ of the following: (a) concern about having additional attacks (b) worry about the implications of the attack (c) change in behavior related to the attacks B. The presence of Agoraphobia. C. Are not due to the direct physiological effects of a substance or a general medical condition D. Are not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives). |
|
|
What are the Diagnostic Criteria for Agoraphobia without History of Panic Attack?
|
A. The presence of Agoraphobia related to fear of developing panic-like symptoms.
B. Criteria have never been met for Panic Disorder. C. Is not due to the direct physiological effects of a substance or a general medical condition. D. If a general medical condition is present, the fear described is clearly in excess of that usually associated with the condition. |
|
|
What are the Diagnostic Criteria for Panic Disorder without Agoraphobia?
|
A. Both (1) and (2):
(1) recurrent unexpected Panic Attacks (2) one of the attacks has been followed by 1 month+ of one+ of the following: (a) concern about having additional attacks (b) worry about the implications of the attack (c) change in behavior related to the attacks B. Absence of Agoraphobia. C. Are not due to the direct physiological effects of a substance or a general medical condition. D. Are not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives). |
|
|
What are the Diagnostic Criteria for Specific Phobia?
|
A. Fear that is excessive or unreasonable, cued by a specific object or situation
B. Exposure almost invariably provokes an immediate anxiety response. C. The person recognizes that the fear is excessive or unreasonable. D. The phobic situation(s) is avoided or is endured with intense anxiety or distress. E. Symptoms interfere significantly with the person's normal routine, occupational functioning, or social activities or relationships, or there is marked distress about having the phobia. F. In individuals under age 18 years, the duration is at least 6 months. G. Is not better accounted for by another mental disorder, such as Obsessive-Compulsive Disorder (e.g., fear of dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., avoidance of stimuli associated with a severe stressor), Separation Anxiety Disorder (e.g., avoidance of school), Social Phobia (e.g., avoidance of social situations because of fear of embarrassment), Panic Disorder with Agoraphobia, or Agoraphobia Without History of Panic Disorder. Specify type: - Animal Type - Natural Environment Type - Blood-Injection-Injury Type - Situational Type - Other Type |
|
|
What are the five types of Specific Phobias?
|
1. Animal Type
2. Natural Environment Type 3. Blood-Injection-Injury Type 4. Situational Type 5. Other Type |
|
|
What are the Diagnostic Criteria for Social Phobia?
|
A. A fear of one+ social or performance situations in which the person is exposed to unfamiliar people or scrutiny by others and fears that he or she will act in a way that will be humiliating or embarrassing.
B. Exposure almost invariably provokes anxiety, which may take the form of a Panic Attack. C. The person recognizes that the fear is excessive or unreasonable. D. The feared situations are avoided or are endured with intense anxiety or distress. E. Symptoms interfere significantly with the person's normal routine, occupational functioning, or social activities or relationships, or there is marked distress about having the phobia. F. In individuals under age 18 years, the duration is at least 6 months. G. Is not due to the direct physiological effects of a substance or a general medical condition and is not better accounted for by another mental disorder (e.g., Panic Disorder With or Without Agoraphobia, Separation Anxiety Disorder, Body Dysmorphic Disorder, a Pervasive Developmental Disorder, or Schizoid Personality Disorder). H. If a general medical condition or another mental disorder is present, the fear is unrelated to it. Specify if: - Generalized: if the fears include most social situations (also consider the additional diagnosis of Avoidant Personality Disorder) |
|
|
What are the Diagnostic Criteria for Obsessive-Compulsive Disorder?
|
A. Either Obsessions as defined by:
Thoughts, impulses, or images that (1) are experienced as intrusive and inappropriate causing marked anxiety or distress (2) are not simply excessive worries about real-life problems (2) where there is an attempt to ignore, suppress or neutralize them (4) are recognized as a product of the mind Or Compulsions as defined by: Behaviors or mental acts that (1) a person feels driven to perform in response to an obsession or rigid rules (2) are aimed at preventing or reducing distress or preventing a dreaded event or situation B. The person has recognized that the obsessions or compulsions are excessive or unreasonable. C. Symptoms cause marked distress, are time consuming (1 hour a day+), or significantly interfere with the person's normal routine, occupational functioning, or usual social activities or relationships. D. If another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it (e.g., preoccupation with food in the presence of an Eating Disorders; hair pulling in the presence of Trichotillomania; concern with appearance in the presence of Body Dysmorphic Disorder; preoccupation with drugs in the presence of a Substance Use Disorder; preoccupation with having a serious illness in the presence of Hypochondriasis; preoccupation with sexual urges or fantasies in the presence of a Paraphilia; or guilty ruminations in the presence of Major Depressive Disorder). E. Is not due to the direct physiological effects of a substance or a general medical condition. Specify if: - With Poor Insight |
|
|
What are the Diagnostic Criteria for Posttraumatic Stress Disorder?
|
A. Exposure to a traumatic event which:
(1) involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others (2) involved intense fear, helplessness, or horror. B. Is persistently reexperienced in one+ of the following ways: (1) recurrent and intrusive distressing recollections of the event (2) recurrent distressing dreams of the event. (3) acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated). (4) intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event (5) physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event C. Persistent avoidance of stimuli associated with the trauma, as indicated by three+ of the following: (1) efforts to avoid thoughts, feelings, or conversations associated with the trauma (2) efforts to avoid activities, places, or people that arouse recollections of the trauma (3) inability to recall an important aspect of the trauma (4) markedly diminished interest or participation in significant activities (5) feeling of detachment or estrangement from others (6) restricted range of affect (e.g., unable to have loving feelings) (7) sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span) D. Symptoms of increased arousal, as indicated by two+ of the following: (1) difficulty falling or staying asleep (2) irritability or outbursts of anger (3) difficulty concentrating (4) hypervigilance (5) exaggerated startle response E. Duration of the symptoms is more than 1 month. F. Causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
|
|
What are the Diagnostic Criteria for Acute Stress Disorder?
|
A. Exposure to a traumatic event which:
(1) involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others (2) involved intense fear, helplessness, or horror B. While experiencing or after experiencing the event, three+ of the following dissociative symptoms occurred: (1) a subjective sense of numbing, detachment, or absence of emotional responsiveness (2) a reduction in awareness of his or her surroundings (e.g., "being in a daze") (3) derealization (4) depersonalization (5) dissociative amnesia (i.e., inability to recall an important aspect of the trauma) C. Is persistently reexperienced in one+ of the following ways: recurrent images, thoughts, dreams, illusions, flashback episodes, or a sense of reliving the experience; or distress on exposure to reminders of the traumatic event. D. Marked avoidance of stimuli that arouse recollections of the trauma (e.g., thoughts, feelings, conversations, activities, places, people). E. Marked symptoms of anxiety or increased arousal (e.g., difficulty sleeping, irritability, poor concentration, hypervigilance, exaggerated startle response, motor restlessness). F. Causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or impairs the individual's ability to pursue some necessary task, such as obtaining necessary assistance or mobilizing personal resources by telling family members about the traumatic experience. G. Symptoms lasts for a minimum of 2 days and a maximum of 4 weeks and occurs within 4 weeks of the traumatic event. H. Is not due to the direct physiological effects of a substance or a general medical condition, is not better accounted for by Brief Psychotic Disorder, and is not merely an exacerbation of a preexisting Axis I or Axis II disorder. |
|
|
What are the Diagnostic Criteria for Generalized Anxiety Disorder?
|
A. Excessive anxiety and worry occurring more days than not for at least 6 months
B. The person finds it difficult to control the worry. C. The anxiety and worry are associated with three+ of the following six symptoms (with at least some symptoms present for more days than not for the past 6 months). (1) restlessness or feeling keyed up or on edge (2) being easily fatigued (3) difficulty concentrating or mind going blank (4) irritability (5) muscle tension (6) sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep) D. The focus of the anxiety and worry is not confined to features of another Axis I disorder. E. Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. F. Is not due to the direct physiological effects of a substance or a general medical condition and does not occur exclusively during a Mood Disorder, a Psychotic Disorder, or a Pervasive Developmental Disorder. |
|
|
What are the Diagnostic Criteria for Anxiety Disorder Due to General Medical Condition?
|
A. Prominent anxiety, Panic Attacks, or obsessions or compulsions predominate in the clinical picture.
B. The disturbance is the direct physiological consequence of a general medical condition. C. Is not better accounted for by another mental disorder (e.g., Adjustment Disorder With Anxiety in which the stressor is a serious general medical condition). D. Does not occur exclusively during the course of a Delirium. E. Causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Specify if: - With Generalized Anxiety - With Panic Attacks - With Obsessive-Compulsive Symptoms |
|
|
What are the Diagnostic Criteria for Substance-Induced Anxiety Disorder?
|
A. Prominent anxiety, Panic Attacks, or obsessions or compulsions predominate in the clinical picture.
B. There is evidence of either (1) or (2): (1) the symptoms developed during or within 1 month of, Substance Intoxication or Withdrawal (2) medication use is etiologically related to the disturbance C. Is not better accounted for by an Anxiety Disorder that is not substance induced. D. Does not occur exclusively during the course of a Delirium. E. Causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Note: This diagnosis should be made when the anxiety symptoms are in excess of those usually associated with the intoxication or withdrawal syndrome and when the anxiety symptoms are sufficiently severe to warrant independent clinical attention. |
|
|
What are the three specifiers for Posttraumatic Stress Disorder?
|
Specify if:
Acute: if duration of symptoms is less than 3 months Chronic: if duration of symptoms is 3 months or more Specify if: With Delayed Onset: if onset of symptoms is at least 6 months after the stressor |
|
|
What are the Specific Substances and Specifiers for Substance-Induced Anxiety Disorder?
|
Code [Specific Substance]-Induced Anxiety Disorder
Alcohol; Amphetamine (or Amphetamine-Like Substance); Caffeine; Cannabis; Cocaine; Hallucinogen; Inhalant; Phencyclidine (or Phencyclidine-Like Substance); Sedative, Hypnotic, or Anxiolytic; Other Substance Specify if: - With Generalized Anxiety - With Panic Attacks - With Obsessive-Compulsive Symptoms - With Phobic Symptoms Specify if: - With Onset During Intoxication - With Onset During Withdrawal |
