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38 Cards in this Set
- Front
- Back
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Schizophrenia
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A. At least 2 present for 1 mth
*Delusions, hallucinations, disorganized speech, disorganized bx, negative sxs B. Social/Occupational Dysfunction C.6 mths disturbance w/ 1 mth active symptoms D. R/O Schizoaffective and Mood Disorder E. R/O Substance/GMC |
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Schizophrenia Specifiers
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Episodic w/ interepisode residual sxs (W/ Prominent Neg sxs)
Episodic w/ no interepisode residual sxs Cont (w/ prominent neg sxs) Single episode in partial rem Single episode in full rem Other or unspecified patter |
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Schizophrenia Active Phase Sxs
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Delusions, Hallucinations, disorganized speech, disorganized behavior, negative sxs
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Types of Schizophrenia
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Catatonic
Disorganized Paranoid Residual Undifferentiated |
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Schizophrenia Catatonic Type
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(1) motoric immobility as evidenced by catalepsy (including waxy flexibility) or stupor
(2) excessive motor activity (that is apparently purposeless and not influenced by external stimuli) (3) extreme negativism (an apparently motiveless resistance to all instructions or maintenance of a rigid posture against attempts to be moved) or mutism (4) peculiarities of voluntary movement as evidenced by posturing (voluntary assumption of inappropriate or bizarre postures), stereotyped movements, prominent mannerisms, or prominent grimacing (5) echolalia or echopraxia |
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Schizophrenia Disorganized Type
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A. All of the following are prominent:
(1) disorganized speech (2) disorganized behavior (3) flat or inappropriate affect B. The criteria are not met for Catatonic Type. |
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Schizophrenia Paranoid Type
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A. Preoccupation with one or more delusions or frequent auditory hallucinations.
B. None of the following is prominent: disorganized speech, disorganized or catatonic behavior, or flat or inappropriate affect. |
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Schizophrenia Residual Type
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A. Absence of prominent delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior.
B. There is continuing evidence of the disturbance, as indicated by the presence of negative symptoms or two or more symptoms listed in Criterion A for Schizophrenia, present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences). |
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Schizophrenia Undifferentiated Type
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A type of Schizophrenia in which symptoms that meet Criterion A are present, but the criteria are not met for the Paranoid, Disorganized, or Catatonic Type
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Schizophreniform Disorder
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A. Criteria A, D, and E of Schizophrenia are met.
B. An episode of the disorder (including prodromal, active, and residual phases) lasts at least 1 month but less than 6 months. (When the diagnosis must be made without waiting for recovery, it should be qualified as "Provisional.") Specify if: Without Good Prognostic Features With Good Prognostic Features: as evidenced by two (or more) of the following: (1) onset of prominent psychotic symptoms within 4 weeks of the first noticeable change in usual behavior or functioning (2) confusion or perplexity at the height of the psychotic episode (3) good premorbid social and occupational functioning (4) absence of blunted or flat affect |
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Schizoaffective Disorder
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A. An uninterrupted period of illness during which, at some time, there is either a MD, Manic, or Mixed Episode concurrent with symptoms that meet Criterion A for Schizophrenia.
B. There have been delusions or hallucinations for at least 2 weeks in the absence of prominent mood symptoms. C. Symptoms that meet criteria for a mood episode are present for a substantial portion of the total duration of the active and residual periods of the illness. D. R/O Substance or GMC Specify type: Bipolar Type: if the disturbance includes a Manic or a Mixed Episode (or a Manic or a Mixed Episode and Major Depressive Episodes) Depressive Type: if the disturbance only includes Major Depressive Episodes |
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Delusional Disorder
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A. Nonbizarre delusions of at least 1 month's duration.
B. Criterion A for Schizophrenia has never been met C. Functioning is not markedly impaired and behavior is not obviously odd or bizarre. D. If mood episodes have occurred concurrently with delusions, their total duration has been brief relative to the duration of the delusional periods. E. R/O Substance and GMC Specify type Erotomanic Type: delusions that another person, usually of higher status, is in love with the individual Grandiose Type: delusions of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person Jealous Type: delusions that the individual's sexual partner is unfaithful Persecutory Type: delusions that the person (or someone to whom the person is close) is being malevolently treated in some way Somatic Type: delusions that the person has some physical defect or general medical condition Mixed Type: delusions characteristic of more than one of the above types but no one theme predominates Unspecified Type |
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Brief Psychotic Disorders
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A. Presence of one (or more) of the following symptoms:
(1) delusions (2) hallucinations (3) disorganized speech (e.g., frequent derailment or incoherence) (4) grossly disorganized or catatonic behavior Note: Do not include a symptom if it is a culturally sanctioned response pattern. B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning. C. The disturbance is not better accounted for by a Mood Disorder With Psychotic Features, Schizoaffective Disorder, or Schizophrenia and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. Specify if: With Marked Stressor(s) (brief reactive psychosis): if symptoms occur shortly after and apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person's culture Without Marked Stressor(s): if psychotic symptoms do not occur shortly after, or are not apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person's culture With Postpartum Onset: if onset within 4 weeks postpartum |
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Shared Psychotic Disorder
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A. A delusion develops in an individual in the context of a close relationship with another person(s), who has an already-established delusion.
B. The delusion is similar in content to that of the person who already has the established delusion. C. The disturbance is not better accounted for by another Psychotic Disorder (e.g., Schizophrenia) or a Mood Disorder With Psychotic Features and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. |
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Psychotic Disorders
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Schizophrenia
Schizophreniform Dx Schizoaffective Dx Delusional Dx Brief Psychotic Dx Shared Psychotic Dx Psychotic Dx due to GMC Substance Induced Psychotic Dx Psychotic Dx NOX |
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Bipolar Disorders
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Bipolar I Disorder
Bipolar II Disorder Cyclothymic Disorder Bipolar Disorder NOS |
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Bipolar I Disorder
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Diagnosis of this Bipolar Disorder requires at least one Manic or Mixed episode, but there may be episodes of Hypomania or Major Depression as well.
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Bipolar I Disorder Specifiers
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Single Manic Episode
Most Recent Episode Hypomanic Most Recent Episode Manic Most Recent Episode Mixed Most Recent Episode Depressed Most Recent Episode Unspecified |
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Bipolar II Disorder
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A. Presence (or history) of one or more Major Depressive Episodes.
B. Presence (or history) of at least one Hypomanic Episode. C. There has never been a Manic Episode or a Mixed Episode. D. The mood symptoms in Criteria 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. E. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
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Bipolar II Specifiers
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Specify current or most recent episode:
Hypomanic: if currently (or most recently) in a Hypomanic Episode Depressed: if currently (or most recently) in a Major Depressive Episode Specify (for current or most recent Major Depressive Episode only if it is the most recent type of mood episode): Severity/Psychotic/Remission Specifiers Note: Fifth-digit codes specified on p. 377 cannot be used here because the code for Bipolar II Disorder already uses the fifth digit. Chronic With Catatonic Features With Melancholic Features With Atypical Features With Postpartum Onset Specify: Longitudinal Course Specifiers (With and Without Interepisode Recovery) With Seasonal Pattern (applies only to the pattern of Major Depressive Episodes) With Rapid Cycling |
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Cyclothymic Disorder
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A. For at least 2 years, the presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a Major Depressive Episode. Note: In children and adolescents, the duration must be at least 1 year.
B. During the above 2-year period (1 year in children and adolescents), the person has not been without the symptoms in Criterion A for more than 2 months at a time. C. No Major Depressive Episode, Manic Episode, or Mixed Episode has been present during the first 2 years of the disturbance. D. The symptoms in Criterion A are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. E. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism). F. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
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Somatoform Disorders
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Body Dysmorphic Dx
Conversion Dx Hypochondriasis Pain Dx Somatization Dx Undifferentiated Somatoform Dx Dissociative Dx NOS |
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Body Dysmorphic Dx
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A. Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive.
B. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. C. The preoccupation is not better accounted for by another mental disorder (e.g., dissatisfaction with body shape and size in Anorexia Nervosa). |
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Conversion Dx
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A. Affecting voluntary motor or sensory function that suggest a neurological or other general medical condition.
B. Psychological factors are judged to be associated with the symptom or deficit because the initiation or exacerbation of the symptom or deficit is preceded by conflicts or other stressors. C. Not intentionally produced or feigned (as in Factitious Disorder or Malingering). D. R/O Substance, GMC, or Cultural behavior E. Clinically significant distress or impairment F. R/O pain or sexual dysfunction, Somatization Disorder, another mental disorder. |
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Hypchondriasis
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A. Preoccupation with fears of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms.
B. The preoccupation persists despite appropriate medical evaluation and reassurance. C. R/O Delusional Disorder and Body Dysmorphic Disorder D. Clinically significant distress or impairment E. The duration of the disturbance is at least 6 months. F. The preoccupation is not better accounted for by GAD, OCD, Panic Disorder, a MDD, Separation Anxiety, or another Somatoform Disorder. |
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Somatization Dx
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A. A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning.
B. Each of the following criteria must have been met, with individual symptoms occurring at any time during the course of the disturbance: (1) four pain symptoms: a history of pain related to at least four different sites or functions (2) two gastrointestinal symptoms: a history of at least two gastrointestinal symptoms other than pain (3) one sexual symptom: a history of at least one sexual or reproductive symptom other than pain (4) one pseudoneurological symptom: a history of at least one symptom or deficit suggesting a neurological condition not limited to pain C. Either (1) or (2): (1) after appropriate investigation, each of the symptoms in Criterion B cannot be fully explained by a known general medical condition or the direct effects of a substance (e.g., a drug of abuse, a medication) (2) when there is a related general medical condition, the physical complaints or resulting social or occupational impairment are in excess of what would be expected from the history, physical examination, or laboratory findings D. The symptoms are not intentionally feigned or produced |
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Dissociative Disorders
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Dissociative Amnesia
Depersonalization Dx Dissociative Fugue Dissociative Identity Dx Dissociative Dx NOS |
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Dissociative Amnesia
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A. The predominant disturbance is one or more episodes of inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness.
B. The disturbance does not occur exclusively during the course of Dissociative Identity Disorder, Dissociative Fugue, Posttraumatic Stress Disorder, Acute Stress Disorder, or Somatization Disorder and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a neurological or other general medical condition (e.g., Amnestic Disorder Due to Head Trauma). C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
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Depersonalization Dx
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A. Persistent or recurrent experiences of feeling detached from, and as if one is an outside observer of, one's mental processes or body
B. Reality testing remains intact. C. Clinically significant distress or impairment D. R/O Schizophrenia, Panic Disorder, Acute Stress Disorder, or another Dissociative Disorder, substance or a general medical condition |
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Dissociative Fugue
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A. The predominant disturbance is sudden, unexpected travel away from home or one's customary place of work, with inability to recall one's past.
B. Confusion about personal identity or assumption of a new identity (partial or complete). C. The disturbance does not occur exclusively during the course of Dissociative Identity Disorder and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., temporal lobe epilepsy). D. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
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Dissociative Identity Dx
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A. The presence of two or more distinct identities or personality states (each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self).
B. At least two of these identities or personality states recurrently take control of the person's behavior. C. Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness. D. The disturbance is not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or a general medical condition (e.g., complex partial seizures). Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play. |
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Anorexia Nervosa
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A. Refusal to maintain body weight at or above a minimally normal weight for age and height
B. Intense fear of gaining weight or becoming fat, even though underweight. C. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight. D. amenorrhea Specify type: Restricting Type Binge-Eating/Purging Type: |
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Bulimia Nervosa
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A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
(1) eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances (2) a sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating) B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise. C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months. D. Self-evaluation is unduly influenced by body shape and weight. E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa. Specify type: Purging Type: during the current episode of Bulimia Nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas Nonpurging Type: during the current episode of Bulimia Nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas |
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Breathing Related Sleep Disorder
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A. Sleep disruption, leading to excessive sleepiness or insomnia, that is judged to be due to a sleep-related breathing condition (e.g., obstructive or central sleep apnea syndrome or central alveolar hypoventilation syndrome).
B. The disturbance is not better accounted for by another mental disorder and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or another general medical condition (other than a breathing-related disorder). |
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Circadian Rythm Sleep Dx
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A. Mismatch between the sleep-wake schedule required by a person's environment and his or her circadian sleep-wake pattern.
B. clinically significant distress or impairment C. R/O another Sleep Disorder or other mental disorder. D. R/O substance or a general medical condition. |
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Hypersomnia
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A. Excessive sleepiness for at least 1 month
B. Clinically significant distress or impairment C. R/O Insomnia and does not occur exclusively during the course of another Sleep Disorder D. The disturbance does not occur exclusively during the course of another mental disorder. E. R/O Substance or GMC |
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Insomnia
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A. The predominant complaint is difficulty initiating or maintaining sleep, or nonrestorative sleep, for at least 1 month.
B. The sleep disturbance (or associated daytime fatigue) causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. C. The sleep disturbance does not occur exclusively during the course of Narcolepsy, Breathing-Related Sleep Disorder, Circadian Rhythm Sleep Disorder, or a Parasomnia. D. The disturbance does not occur exclusively during the course of another mental disorder (e.g., Major Depressive Disorder, Generalized Anxiety Disorder, a Delirium). E. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. |
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Narcolepsy
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A. Irresistible attacks of refreshing sleep that occur daily over at least 3 months.
B. The presence of one or both of the following: (1) cataplexy (2) recurrent intrusions of elements of rapid eye movement (REM) sleep into the transition between sleep and wakefulness C. R/O Substance and GMC |
