Dsm Iv - Disorders Usually First Diagnosed In Infancy, Childhood, Or Adolesence

Front 1

Name the five Attention-Deficit and Disruptive Behavior Disorders?

Back 1

1. ADHD (includes three types)
2. ADHD NOS
3. Conduct Disorder
4. Oppositional Defiant Disorder
5. Disruptive Behavior Disorder NOS

Front 2

What are the Diagnostic Criteria for Attention-Deficit Hyperactivity Disorder?

Back 2

A. Either (1) or (2):
(1) six (or more) of the symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level: (2) six (or more) of the symptoms of hyperactivity-impulsivity have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 years.
C. Some impairment from the symptoms is present in two or more settings (e.g., at school [or work] and at home).
D. There must be clear evidence of clinically significant impairment in social, academic, or occupational functioning.
E. The symptoms do not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder and are not better accounted for by another mental disorder (e.g., Mood Disorder, Anxiety Disorder, Dissociative Disorders, or a Personality Disorder).

Front 3

What are the Diagnostic Criteria for Conduct Disorder?

Back 3

A. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the criteria within the following categories in the past 12 months, with at least one criterion present in the past 6 months:
- Aggression to people and animals
- Destruction of property
- Deceitfulness or theft
- Serious violations of rules
B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
C. If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.

Front 4

What are the Diagnostic Criteria for Oppositional Defiant Disorder?

Back 4

A. A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four (or more) of the following are present:
(1) often loses temper (2) often argues with adults (3) often actively defies or refuses to comply with adults' requests or rules (4) often deliberately annoys people (5) often blames others for his or her mistakes or misbehavior (6) is often touchy or easily annoyed by others (7) is often angry and resentful
(8) is often spiteful or vindictive Note: Consider a criterion met only if the behavior occurs more frequently than is typically observed in individuals of comparable age and developmental level.
B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
C. The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder.
D. Criteria are not met for Conduct Disorder, and, if the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.

Front 5

What are the symptoms of Inattention for a diagnosis of ADHD?

Back 5

Inattention includes:

(a) often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities (b) often has difficulty sustaining attention in tasks or play activities (c) often does not seem to listen when spoken to directly (d) often does not follow through on instructions and fails to finish school work, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions) (e) often has difficulty organizing tasks and activities (f) often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework) (g) often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools) (h) is often easily distracted by extraneous stimuli (i) is often forgetful in daily activities

Front 6

What are the symptoms of Hyperactivity and Impulsivity for a diagnosis of ADHD?

Back 6

Hyperactivity includes:

(a) often fidgets with hands or feet or squirms in seat (b) often leaves seat in classroom or in other situations in which remaining seated is expected (c) often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness) (d) often has difficulty playing or engaging in leisure activities quietly (e) is often "on the go" or often acts as if "driven by a motor" (f) often talks excessively
Impulsivity includes:
(g) often blurts out answers before questions have been completed (h) often has difficulty awaiting turn (i) often interrupts or intrudes on others (e.g., butts into conversations or games)

Front 7

What are the three Types of ADHD?

Back 7

Codes for ADHD are based on type:

ADHD, Combined Type: if both Criteria A1 and A2 are met for the past 6 months
ADHD, Predominantly Inattentive Type: if Criterion A1 is met but Criterion A2 is not met for the past 6 months
ADHD, Predominantly Hyperactive-Impulsive Type: if Criterion A2 is met but Criterion A1 is not met for the past 6 months
Coding note: For individuals (especially adolescents and adults) who currently have symptoms that no longer meet full criteria, "In Partial Remission" should be specified.

Front 8

What are the three Types of Conduct Disorder as well Severity Levels?

Back 8

Codes for Conduct Disorder are based on Type:

1. Childhood-Onset Type: onset of at least one criterion characteristic of Conduct Disorder prior to age 10 years 2. Adolescent-Onset Type: absence of any criteria characteristic of Conduct Disorder prior to age 10 years 3. Unspecified Onset)
Specify severity:
Mild: few if any conduct problems in excess of those required to make the diagnosis and conduct problems cause only minor harm to others
Moderate: number of conduct problems and effect on others intermediate between "mild" and "severe"
Severe: many conduct problems in excess of those required to make the diagnosis or conduct problems cause considerable harm to others

Front 9

For Conduct Disorder, what are the four violations of social norms or rules indicated?

Back 9

1. Aggression to people or animals
2. Destruction of property
3. Deceitfulness or theft
4. Serious violations of rules

Front 10

For Conduct Disorder, what is indicated by Aggression to people or animals?

Back 10

(1) often bullies, threatens, or intimidates others (2) often initiates physical fights (3) has used a weapon that can cause serious physical harm to others (e.g., a bat, brick, broken bottle, knife, gun) (4) has been physically cruel to people (5) has been physically cruel to animals (6) has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery) (7) has forced someone into sexual activity

Front 11

For Conduct Disorder, what is indicated by Destruction of property?

Back 11

(8) has deliberately engaged in fire setting with the intention of causing serious damage
(9) has deliberately destroyed others' property (other than by fire setting)

Front 12

For Conduct Disorder, what is indicated by Deceitfulness or theft?

Back 12

(10) has broken into someone else's house, building, or car (11) often lies to obtain goods or favors or to avoid obligations (i.e., "cons" others) (12) has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery)

Front 13

For Conduct Disorder, what is indicated by Serious violations of rules?

Back 13

(13) often stays out at night despite parental prohibitions, beginning before age 13 years
(14) has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning for a lengthy period)
(15) is often truant from school, beginning before age 13 years

Front 14

Oppositional Defiance Disorder

Back 14

A. A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four (or more) of the following are present:
(1) often loses temper(2) often argues with adults (3) often actively defies or re f uses to comply with adults' requests or rules(4) often deliberately annoys people(5) often blames others f or his or her mistakes or misbehavior (6) is often touchy or easily annoyed by others (7) is often angry and resentful (8) is often spiteful or vindictive
B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
C. The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder.
D. Criteria are not met for Conduct Disorder, and, if the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.