Dsm-Iv Criteria, Time Requirements

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Mental Retardation

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IQ below 70, impairment of adaptive functioning, & onset before age 18.

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Mild mental retardation

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IQ 50-70

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Moderate mental retardation

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IQ 35-50

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Severe mental retardation

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IQ 20-35

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Profound mental retardation

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IQ under 20

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Developmental Disorders of Attachment

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Marked disturbed & developmentally inappropriate social relatedness beginning before age 5.

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Pica

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persistent eating of non-nutritional substances for a period of at least 1 month.

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Rumination disorder

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At least 1 month of repeated regurgitation and rechewing of food, following a period of normal functioning.

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Twice a week for 3 months after age 5

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Criteria to dx enuresis as significant.

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Once a month for 3 months in a 4 year old

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Criteria to dx encopresis as significant.

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Major Depressive Disorder

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A depressed mood AND 5 of the 9 SIG E CAPS everyday for at least 2 weeks.

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One year or more, never w/o symptoms for more than 2 months

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Criteria for Dx of Dysthymia in children & adolescents.

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Classic (adult) Mania

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Elevated mood or irritability (one week) + 3 of the following; grandiosity/inflated self esteem, dec'd need for sleep/inc'd energy, inc'd goal directed activity, risk-taking behaviors, racing thoughts/FOI, pressured speech/more talkative than usual, distractibility.

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PTSD

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Persistent avoidance & numbing (3 or more - dec'd interests, feelings of detachment/estrangement, constricted affect, avoidance of reminders, inability to recall an important aspect, sense of foreshortened future); symptoms last > 1mo, causes significant distress or impaired functioning

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Genetic Linkage

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An LOD score of 3 is evidence supporting what?

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Autism spectrum disorder

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Impairment in social interactions, communication, and behavior patterns before age 3.

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Asperger's Syndrome

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Impairment in social interactions & behavior patterns, but no significant delay in language & no clinically significant delay in cognitive development

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Childhood Disintegration Disorder

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Marked regresion in several areas of functioning after at least 2 years of apparently normal development; clinically significant loss of previously acq'd skills (before 10 yo)

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Rhett's DSM-IV Criteria

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Onset of the following after nomal growth period between 5-48 months; deceleration of head growth, loss of acq'd purposeful hand skills/wringing of hands, loss of social engagement, poorly coordinated trunk/gait movement, impairment of expressive/receptive language

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ADHD DSM-IV Criteria

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6 or more of 9 symptoms of inattention/hyperactivity in 2 or more settings, persistant for at least 6 mos, present before age 7

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Oppositional defiant disorder

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Enduring pattern of negativistic, hostile, and defiant behavior in absense of serious violation of social norms/rights of others for at least 6 mos

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Conduct disoder

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Enduring set of behaviors characterized by the aggression and violation of the basic rights of the others and/or major age appropriate societal norms/rules; 3 or more of the following: aggression towards people/animals, destruction of property, deceitfulness/theft, serious violation of rules.

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Anorexia Nervosa

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In postmenarcheal females, amenorrhea (absence of at least 3 consecutive periods) with body weight <85% of normal; elevated levels of 5-HIAA

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Bulimia Nervosa - DSM IV Criteria

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Behaviors or binge-eating & inappropriate compensatory behaviors at least twice a week for 3 weeks; elevated levels of 5-HIAA

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Binge Eating Disorder

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A pattern of binge eating occurs, on average, at least 2 days a week for 6 mo, and is NOT associated w/ inappropriate compensatory behaviors.

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Criteria for Substance Abuse

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One area of impairment that is recurrent (failure to fulfill obligations, physically hazardous, legal probs, social probs), AND >1yr use, AND never met criteria for dependence

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Criteria for Substance Dependence

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>1yr use AND 3 or more of the following; inc'd tolerance, w/drawal symptoms, loss of control of amount used/time spent getting, persistent desire to dec use but unsuccessful attempts, large amt of time spent obtaining/using/recovering, activities given up/reduced, use continues despite adverse physical probs

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Brief psychotic disorder

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Delusions, hallucinations, disorganized speech or disorganized speech or disorganized behavior w/ duration of 1-30 days w/ full return of premorbid functioning.

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Schizophrenia

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1 month of active phase symptoms (2/5) delusions, hallucinations, disorganized behavior, negative symptoms (poverty of speech/thought, flattened affect, amotivation, social isolation); 6 mos of social/functional impairment.

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Schizophreniform disorder

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similar to schizophrenia except for duration of 1-6 months

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Schizoaffective disorder

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concurrent mood episodes & symptoms of schizophrenia. Presence of delusions/hallucinations for 2 weeks in absence of mood episodes

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Delusional Disorder

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Non-bizzare delusions for 1 month (erotomanic, jealous, grandiose, persecutory, somatic & mixed type)

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Suicide

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Highest per capita are white males over the age of 65 & lowest per capita are African-American females over the age of 65.

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PTSD

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Exposure to life-threatening event w/ intense fear, helplessness, or horror; re-experiencing symptoms (intrusive), avoidant behavior, hyperarousal at least one month duration

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Panic Disorder

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At least one panic attack followed by 1 month or more of: persistent concern about having an attack, worry aout the implications of an attack, significant change in behavior related to the attacks

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Social Phobia (social anxiety disorder)

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Marked or persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to the scrutiny of others

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Generalized Anxiety Disorder

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Anxiety accompanied by 3 or more of the following: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, sleep disturbance. Symptoms persist for 6 mos.

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Scoring guidelines for MMSE

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Intact=24 or higher, mild impairment=18-23, moderate = 10-17, severe = 9 or less

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Verbal fluency test

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"Say as many words as you can beginning w/ 'S' except for proper names," is 60 sec long, and normal score is >9.

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DSM-IV Criteria for Delirium

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change in consciousness leading to change in ability to maintain attention that develops over hours->days and fluctuates, w/ evidence of a general medical condition as the cause

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Paraphilias

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Persistent or recurrent abnormal sexual activity for 6 months or more

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Dissociative Identity Disorder DSM-IV Criteria

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Presence of 2 or more distinct identities or personality states (each w/ its own enduring pattern of perceiving, relating to, and thinking about the environment and the self); at least 2 of these personalities recurrently take control over the person's behavior