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17 Cards in this Set

  • Front
  • Back
Axis Diagnosis
Axis I: Clinical Disorders; Other Conditions That May Be a Focus of Clinical Attention

Axis II: Personality Disorders; Mental Retardation

Axis III: General Medical Conditions

Axis IV: Psychosocial and Environmental Problems

Axis V: Global Assessment of Functioning
Major Depressive Episode
A...5 (or more) of the following symptoms during the same 2-week period and represent a change in prior functioning (has to have either depressed mood or loss of interest or pleasure)

1.) Depressed mood most of the day, almost everyday...in children this can be irritable (indicated by subjective report or observation)
2.) Diminished interest of pleasure in all, or almost all, activities
3.) significant weight change or changes in appetite
4.) extremes of sleep nearly everyday
5.) psychomotor agitation or retardation nearly everyday
6.) fatigue or loss of energy nearly every day
7.) feelings of worthlessness or excessive or inappropriate guilt
8.) diminished concentration or decisiveness abilities
9.) recurrent thoughts of death or suicidal ideation

B...not a mixed
C...They cause sig distress or impairment in social, occupational, or other
D...not due to physio or substance abuse
E...not better accounted for by bereavement
Major Depressive Disorder
A. Presence of single major depressive episode
B. Not better accounted for by schizo disorders
C. There has never been any other kind of episode (manic, etc.)
Prevalence of Major Depressive Disorder
"The lifetime risk for Major Depressive Disorder in community samples has varied from 10% to 25% for women and from 5% to 12% for men"
Dysthymic Disorder
A. Depressed mood for most of the day, for more days than not (observation of others of subjective self report) for at least 2 years
B. Presence, while depressed of 2 (or more) of following

1. poor appetite of over eating
2. extremes of sleeping
3. low energy or fatue
4. low self-esteem
5. poor concentration or difficulty making decisions
6. feelings of hopelessness

C. during 2-year period, the person has never been without symptoms for more than 2 months
D. no major depressive episode has been present during 2 years
E. there has never been a manic episode
F. Disturbance does not only occur due to schizo
G. symptoms are not due to physic or substance abuse
H. symptoms cause sig distress or impairment in social, occupational, or other
Prevalence Dysthymic Disorder
approximately 6%
Panic Attack
a discrete period in which there is the sudden onset of intense apprehension, fearfulness, or terror, often associated with feelings of impending doom. During these attacks, symptoms such as shortness of breath, palpitations, chest pain or discomfort, choking or smothering sensations, and fear of "going crazy" or losing control are present.
Agoraphobia
anxiety about, or avoidance of, places or situations from which escape might be difficult (or embarrassing) or in which help may not be available in the event of having a Panic Attack or panic-like symptoms.
Social Phobia
characterized by clinically significant anxiety provoked by exposure to certain types of social or performance situations, often leading to avoidance behavior
OCD
characterized by obsessions (which cause marked anxiety or distress) and/or by compulsions (which serve to neutralize anxiety).
Obsessions
1.) Recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress

2.) the thoughts, impulses, or images are not simply excessive worries about real-life problems

3.) The person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action

4.) The person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion)
Compulsions
1.) Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly

2.) The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive
PTSD
A. person exposed to trauma where they were faced with a threat or perceived threat to self or others, and their response was marked by intense fear, helplessness, or horror (children may initially be disorganized/agitated behave.

B. event is being persistently re-experienced in 1 (or more) ways
-recurrent/intrusive recalls (repetitive play in children)
-recurrent distressing dreams
-acting/feelings as if recurring
-psychological distress at exposure to cues
-physiological reaction to exposure to cues

C. persistent avoidance of stim associated with trauma as indicated by 3 (or more)
-avoid thoughts/feeling, convos ass. with trauma
-avoid activities, places, people that cause recall of trauma
-inability to recall important aspects of trauma
-markedly diminished interest/participation in sig activities
-feeling detached/estranged from others
-restricted range of affect
-sense of foreshortened future

D. increased arousal in 2 (or more)
-difficulty falling/staying asleep
-irritability or outbursts of anger
-difficulty concentrating
-hypervigilance
-exaggerated startle response

E. last more than a month

F. clinically sig. distress
Generalized Anxiety Disorder
A. Excessive anxiety and worry, more days than not, at least 6 months, about a number of things

B. Person finds it hard not to worry

C. Associated with 3 (or more)...only one in children
-restlessness or feeling on edge
-being fatigues
-difficulty concentrating
-irritability
-muscle tension
-sleep disturbance

D. doesn't fit other diagnoses better

E. Causes significant distress

F. Not physio or substance abuse
ADHD
A. Either inattention or hyperactivity-impulsivity

B. Present before age 7

C. Some impairment in 2/more setting

D. clinically sig impairment in social, academic, or occupational functioning

E. Not simply result of another disorder
Conduct Disorder`
Repetitive and persistent pattern of behavior in which basic rights or other or societal norms are violated with 3 (or more) in the last year with at least 1 in the last 6 months

Aggression to people and animals
(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
Destruction of property
(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)
Deceitfulness or theft
(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)
Serious violations of rules
(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

B. Sig disturbance

C. If 18 or older don't meet antisocial personality disorder
Opposition Defiant Disorder
A. A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four (or more) of the following are present:
-often loses temper
-often argues with adults
-often actively defies or refuses to comply with adults' requests or rules
-often deliberately annoys people
-often blames others for his or her mistakes or misbehavior
-is often touchy or easily annoyed by others
-is often angry and resentful
-is often spiteful or vindictive

B. sig impairment
C. not exclusively part of other diagnosis
D criteria for conduct not met