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111 Cards in this Set

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Is DSM theoretical in terms of cause or atheoretical?
The approach to DSM-IV-TR is atheoretical with regard to causes. Thus, DSM-IV-TR attempts to describe the manifestations of the mental disorders and only rarely attempts to account for how the disturbances come about. The definitions of the disorders usually consist of descriptions of clinical features.
MR defintion?
score below 70 on IQ and
impairment in 2 areas of adaptive fxning?
adaptive functioning=?
Adaptive functioning refers to how effective individuals are in achieving age-appropriate common demands of life in areas such as communication, self-care, and interpersonal skills
# of learning ds, name them?
Three LDs
Reading,
Written Expression
Mathematics
Analogous to learning disorders, ? disorder is diagnosed when motor coordination is substantially below expectations based on age and intelligence, and when the coordination problem significantly interferes with functioning
developmental coordination
Examples of developmental coordination disorder?
Examples include delays in achieving developmental milestones, such as crawling or walking; dropping things; and poor sports performance
Name all communication ds
4:
expressive language disorder,
mixed receptive-expressive language disorder,
phonological disorder, and
stuttering
Which communication disorder based on standardized testing?
diagnosis of expressive and mixed receptive-expressive language disorders depends on standardized testing
Basic def of Conduct Ds
Conduct disorder, the childhood precursor of antisocial personality disorder, is characterized by a behavior pattern in which age-appropriate societal norms and rules are violated (e.g., aggression toward people and animals, destruction of property, deceitfulness or theft, serious violation of rules).
ODD def?
Oppositional defiant disorder is characterized by an ongoing pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures. Because many of the features of oppositional defiant disorder occur in children who do not have the disorder (e.g., deliberate annoyance of others and refusal to comply with adults' requests), DSM-IV-TR includes a note in the diagnostic criteria that a criterion is met only when the behavior occurs more frequently than that of other children of the same age and developmental level.
How seperate ODD from normal misbehaving?
DSM-IV-TR includes a note in the diagnostic criteria that a criterion is met only when the behavior occurs more frequently than that of other children of the same age and developmental level
What is PICA?
Pica refers to persistent eating of nonnutritive substances, such as dirt, paint, plaster, sand, and pebbles, that is inappropriate to developmental level and cultural practice.
What is rumination ds?
The core feature of rumination disorder is the repeated regurgitation and rechewing of food after a period of normal food consumption. The diagnosis is excluded if a specific general medical condition, such as pyloric stenosis or esophageal reflux, accounts for the symptoms.
Feeding disorder of infancy or early childhood =?
Feeding disorder of infancy or early childhood, sometimes referred to as failure to thrive, is characterized by weight loss or a failure to make expected weight gain in an infant or young child because of inadequate food intake.
Describe tic Ds, #
The three specific tic disorders (Tourette syndrome, chronic motor or vocal tic disorder, and transient tic disorder) are characterized by “sudden, rapid, recurrent, nonrhythmic, stereotyped motor movements or vocalization.
How distinguish different tics disorders?
chronicity, range of tics

The three disorders are distinguished in terms of chronicity (Tourette syndrome and chronic tic disorder are of at least 12 months in duration; transient tic disorder is of at least 1 month in duration but less than 12 months in duration) and range of tics (Tourette syndrome has motor and vocal tics; chronic tic disorder has motor or vocal tics; and transient tic disorder has motor or vocal tics, or both).
What the elimination ds?
encopresis
enuresis
What is seperation anxiety ds/
Separation anxiety disorder is characterized by excessive anxiety about separation from home or attachment figures beyond that expected for the child's developmental level
What is selective mutism?
Selective mutism is characterized by persistent refusal to speak in specific situations in which speaking is expected, despite the demonstration of speaking ability in other situations
What is reactive attachment disorder?
Reactive attachment disorder of infancy or early childhood is characterized by one of two patterns of developmentally inappropriate social relatedness—excessively inhibited or disinhibited attachments—because of grossly pathological caregiving
What is steretypic movement ds?
The core feature of stereotypic movement disorder is “repetitive, seemingly driven, nonfunctional motor behavior,” such as body rocking, hand-waving, head-banging, self-biting, and other self-mutilating behavio
core features of delirium
core features of impaired attention and cognitive deficits
Dementia is characterized by
memory impairment and one or more other cognitive impairments (aphasia, apraxia, agnosia, and executive functioning dysfunction
DSM dementia types?
DSM-IV-TR distinguishes between five types (Alzheimer's disease, vascular, caused by other general medical condition, substance-induced, and towing to multiple etiologies). Alzheimer's dementia and dementia caused by a general medical condition are subtyped according to the presence or absence of clinically significant behavioral disturbances.
Amnestic ds =?
compare to dementia
Amnestic disorder is characterized by clinically significant memory impairment, similar to dementia, but without the other cognitive impairments that define dementia
amnestic ds subtypes?
Two specific amnestic disorders are defined—amnestic disorder caused by a general medical condition (which is subtyped as transient or chronic) and substance-induced persisting amnestic disorder.
What are the categories of substance relatd problemd?
dependence, abuse,
intoxication with or without delirium,

withdrawal with or without delirium,

dementia,
amnestic disorder,
psychosis,
mood disorder,
anxiety,
sexual dysfunction, and
sleep disorder
polysubstance dependence, which is diagnosed when dependence criteria are met during a 1-year period during which ? or more groups of substances are used.
3
Dependence major constructs?
withdrawal
tolerance
loss of control over use
Each of the specific substances, except ?, can manifest a dependence syndrome
caffeine
Substance abuse can be diagnosed for each of the specific substances, except ? and ?
Substance abuse can be diagnosed for each of the specific substances, except caffeine and nicotine
Phases of Sz?
Three phases of the disorder are defined.

The prodrome phase refers to deterioration in function before the onset of the active psychotic phase.

The active phase symptoms (delusions, hallucinations, disorganized speech, grossly disorganized behavior, or negative symptoms such as flat affect, avolition, and alogia) must be present for at least 1 month.

The residual phase follows the active phase. The features of the residual and prodromal phases include functional impairment and abnormalities of affect, cognition, and communication.
Szphreniform vs Sz?
same active phase symptoms of schizophrenia (delusions, hallucinations, disorganized speech, grossly disorganized behavior, or negative symptoms), but it lasts between 1 and 6 months and has

no prodromal or residual phase features of social or occupational impairment.
Delusional ds key def
Delusional disorder is characterized by nonbizarre delusions (i.e., delusions about situations that could occur in real life, such as infidelity, being followed, or having an illness). The presence of bizarre delusions or the other active phase psychotic symptoms of schizophrenia excludes the diagnosis of delusional disorder
Brief Psychotic Ds key def?
Brief psychotic disorder requires the presence of delusions, hallucinations, disorganized speech, grossly disorganized behavior, or catatonic behavior for at least 1 day but less than 1 month. The individual returns to his or her usual level of functioning
Describe shared psychotic ds?
Shared psychotic disorder, also called folie à deux, is characterized by a delusional belief that develops in an individual involved in a close relationship with someone who has an established delusion. The content of the delusion is similar to the content in the person with the established delusion.
In MDD, All symptoms must be present nearly every day, except ?, which need only be recurrent
All symptoms must be present nearly every day, except suicidal ideation or thoughts of death, which need only be recurrent
MDD exclusion?
The diagnosis is excluded if the symptoms are the result of a normal bereavement and if psychotic symptoms are present in the absence of mood symptoms.
Describe dysthymic disorder
Dysthymic disorder is a mild, chronic form of depression that lasts at least 2 years, during which, on most days, the individual experiences depressed mood for most of the day and at least two other symptoms of depression
Bipolar subtyping?
current episode type
severity/remission status if improved
rapid cycling (4 or more in 12 mont)
Describe panic Ds, subtypes?
A panic attack is characterized by feelings of intense fear or terror that come on out of the blue in situations in which there is nothing to fear and that is accompanied by heart racing or pounding, chest pain, shortness of breath or choking, dizziness, trembling or shaking, feeling faint or lightheaded, sweating, and nausea. Panic disorder is subtyped according to the presence or absence of agoraphobia.
Describe agoraphobia?
Agoraphobia is a frequent consequence of panic disorder, although it can occur in the absence of panic attacks.

Individuals with agoraphobia avoid (or try to avoid) situations that they think might trigger a panic attack (or panic-like symptoms) or
situations from which they think escape might be difficult if they have a panic attack.
Describe specific phobia
Specific phobia is characterized by an excessive, unreasonable fear of specific objects or situations that occurs almost always on exposure to the feared stimulus. The phobic stimulus is avoided, or, when not avoided, the individual feels severely anxious or uncomfortable
Describe social phobia
Social phobia is characterized by the fear of being embarrassed or humiliated in front of others. Similar to specific phobia, and the phobic stimuli are avoided, or, when not avoided, the individual feels severely anxious or uncomfortable. When the phobic stimuli include most social situations, then it is specified as generalized social phobia.
Key features of PTSD
TSD is diagnosed when a person reacts to the traumatic event with fear and experiences at least one reexperiencing symptom, two or more symptoms of hyperarousal, three or more symptoms of avoidance
R1E2A3
GAD criteria
WATCHERS
Worry
Anxiety
Tension
Concentration
Hyperirritable, arousal
Energy low
Restlessness
Sleep poor
Define somatization ds
Somatization disorder is characterized by multiple unexplained medical symptoms in diverse organ systems occurring over several years that are not explained by general medical conditions. The symptoms are grouped into four categories: pain, gastrointestinal (GI), sexual, and pseudoneurological. Symptoms from each group must be present, resulting in functional impairment or treatment, beginning before 30 years of age
describe undifferentiated somatoform ds
Undifferentiated somatoform disorder is a residual category for conditions characterized by unexplained medical symptoms that are not as pervasive and long-lasting as those of somatization disorder.
describe conversion disorder
Conversion disorder is characterized by unexplained voluntary motor or sensory deficits that suggest the presence of a neurological or other general medical condition. Psychological conflict is determined to be responsible for the symptoms.
describe pain disorder
The core feature of pain disorder is impairing or distressing pain that is the primary focus of attention. Psychological factors are determined to have an important role in the onset, severity, or maintenance of the pain.
What is hypochondriasis
Hypochondriasis is a distressing and impairing preoccupation with the belief of having a serious illness based on a misinterpretation of physical symptoms. After a thorough medical evaluation rules out the medical illness, the preoccupation remains.
What is body dysmorphic disorder
Body dysmorphic disorder is a distressing and impairing preoccupation with an imagined or slight defect in appearance. If the belief is held with delusional intensity, then delusional disorder, somatic type, might also be diagnosed
Difference between malingering and factitious disorder?
Factitious disorder refers to the deliberate feigning of physical or psychological symptoms to assume the sick role. Factitious disorder is distinguished from malingering in which symptoms are also falsely reported however, the motivation in malingering is external incentives, such as avoidance of responsibility, obtaining financial compensation, or obtaining substances
Dissociative disorders
The section on dissociative disorders includes four specific disorders (dissociative amnesia, dissociative fugue, dissociative identity disorder, and depersonalization disorder) characterized by a “disruption in the usually integrated functions of consciousness, memory, identity, or perception.”
Dissociative amnesia is characterized by
memory loss of important personal information that is usually traumatic in nature
Dissociative fugue is characterized by
sudden travel away from home associated with partial or complete memory loss about one's identit
The essential feature of dissociative identity disorder is
the presence of two or more distinct identities that assume control of the individual's behavior
The essential feature of depersonalization disorder is
persistent or recurrent episodes of depersonalization (an altered sense of one's physical being, including feeling that one is outside of one's body, physically cut off or distanced from people, floating, observing oneself from a distance, as though in a dream, or that one's body is physically changed in shape or size).
The group of sexual dysfunction disorders is organized on the basis of
the phase of sexual response that is affected.
The two sexual desire disorders are
hypoactive sexual desire disorder (lack of desire for sexual activity) and sexual aversion disorder (active avoidance of sexual contact).
The two sexual arousal disorders
female sexual arousal disorder (inability to attain or maintain adequate lubrication until completion of sexual activity) and male erectile disorder (inability to attain or maintain adequate erection until completion of sexual activity)
The three orgasmic disorders are ?
female orgasmic disorder,
male orgasmic disorder, and premature ejaculation.
The two sexual pain disorders are ?
The two sexual pain disorders are dyspareunia (pain during sexual intercourse) and vaginismus (vaginal spasm interfering with sexual intercourse).
The characteristic features of paraphilias are
recurrent, sexually arousing fantasies, urges, or behaviors lasting at least 6 months and involving nonhuman objects, suffering or humiliation of oneself or one's partner, or children or other nonconsenting partners
How many paraphilias are there? list em
DSM-IV-TR includes eight specific paraphilias: exhibitionism (exposure of genitals to strangers), fetishism (use of nonliving objects), frotteurism (touching and rubbing against a nonconsenting person), pedophilia (attraction to children), sexual masochism (suffering pain or humiliation), sexual sadism (causing pain or humiliation to someone else), transvestic fetishism (cross-dressing), and voyeurism (observing unsuspecting individuals).
term for use of nonliving objects?
fetishism
what is term for touching and rubbing against a nonconsenting person
frotteurism
masochism =?
suffering pain
sadism
causing pain
what is gender identity ds?
The characteristic feature of gender identity disorder is a persistent discomfort with one's own gender and strong cross-gender identification. Gender identity disorder is subtyped according to the individual's current age, and the subtypes are distinguished by different diagnostic codes.
The core feature of anorexia nervosa is
a strong fear of gaining weight or becoming fat, resulting in deliberate maintenance of low body weight.
AN subtypes?
Anorexia is subtyped based on whether the individual engages in binge eating or purging behavior (binge eating or purging type) or maintains low weight through restricting food intake or excessive exercise (restricting type)
BN describe
Individuals with bulimia nervosa engage in recurrent binge eating during which they eat an abnormally large amount of food over a short period of time. During the binge, the person feels like he or she cannot control his or her eating. To prevent weight gain from the overeating, the individual engages in compensatory behavior, such as self-induced vomiting, excessive exercise, laxative use, or going on strict diets.
The sleep disorders are divided into four groups based on
the presumed cause: primary, or caused by another mental disorder, a general medical condition, or substance use
PRimary sleep disorders divided into?
The primary sleep disorders are subdivided into five dyssomnias (primary insomnia, primary hypersomnia, narcolepsy, breathing-related sleep disorder, and circadian rhythm sleep disorder
Parasomnias divided into?
parasomnias (nightmare disorder, sleep terror disorder, and sleepwalking disorder).
Describe impulse control disorder not elsewhere classified
Impulse-control disorders not classified elsewhere are characterized by the failure to resist urges to engage in behaviors that are harmful to the individual or to others.
Describe intermitted explosive disorder
Intermittent explosive disorder is characterized by recurrent, discrete, episodes of assaultive and violent behavior that is out of proportion to possible precipitating factors.
Describe kleptomania
Kleptomania is characterized by repeated stealing of items that are not needed for personal use or for their monetary value. The stealing is not done for the purpose of expressing anger or revenge.
Describe pyromania
Pyromania is characterized by recurrent setting of fires because of a preoccupation or fascination with fire rather than being done for other purposes such as financial gain, political expression, revenge, or hiding of criminal behavior, which is known as arson.
What is pathological gambling
Pathological gambling is characterized by a maladaptive pattern of gambling behavior. Although classified as an impulse-control disorder, many experts draw parallels between pathological gambling and addictive disorders (i.e., substance use disorders).
The adjustment disorders are subtyped according to the predominant symptom picture :
(depressed mood, anxiety, mixed anxiety and depression, disturbance of conduct, mixed disturbance of emotions and conduct, unspecified)
Describe paranoid pd
Individuals with paranoid personality disorder are suspicious and distrustful of others. They may think that others do things just to annoy or to hurt them, and they often read hidden threats or put-downs in the comments of others. They may worry that friends or coworkers are not really loyal or trustworthy and are often reluctant to confide in others, because they believe “there is a price to pay” when something personal is shared. Persons with paranoid personality disorder may have problems with anger management. When involved in a relationship, they often worry that their partner is unfaithful.
Describe schizoid pd
Individuals with paranoid personality disorder are suspicious and distrustful of others. They may think that others do things just to annoy or to hurt them, and they often read hidden threats or put-downs in the comments of others. They may worry that friends or coworkers are not really loyal or trustworthy and are often reluctant to confide in others, because they believe “there is a price to pay” when something personal is shared. Persons with paranoid personality disorder may have problems with anger management. When involved in a relationship, they often worry that their partner is unfaithful.
Describe sztypal pd
Individuals with schizotypal personality disorder are odd and eccentric. They may dress, act, or speak in a peculiar manner. They are often suspicious and paranoid and feel anxious in social situations because of their distrust. Because of these beliefs, they have few friends. People with schizotypal personality disorder frequently feel that others are talking about them behind their back and that strangers are taking special notice of them. They may believe in extrasensory perception (ESP), hexes, telepathy, and superstitions more strongly than most people, and their behavior may be influenced by these beliefs.
Describe antisocial PD
Antisocial personality disorder, the adult manifestation of childhood conduct disorder, is characterized by selfish, irresponsible, unlawful, and impulsive behavior that shows a lack of regard for the rights of others. Individuals with antisocial personality disorder often find it easy to lie if it serves their purpose. They lack a conscience and usually do not feel remorseful at having hurt others but instead justify or rationalize their behavior.
describe borderline pd
Borderline personality disorder is characterized by emotional dysregulation, unstable interpersonal relationships, and unstable self-image. Individuals with borderline personality disorder have strong and intense emotions, often in reaction to how they perceive and believe others are treating them, and these emotions are difficult to control. The moods of the individual with borderline personality disorder are strong and frequently change. Often, they have problems with controlling anger, and anger outbursts are common. Self-destructive behavior is common. Individuals with borderline personality disorder make recurrent suicide attempts, suicide threats, or engage in self-damaging behavior, such as cutting or burning.
describe histrionic pd
Individuals with histrionic personality disorder are loud, overly emotionally expressive, and attention seeking. They act as if they are on stage and tend not to feel comfortable unless they are the center of attention. They may be flirtatious and sexually seductive and may use physical appearance to get people's attention. They often feel a close bond to someone they have just met and are quick to share personal details of their life with new acquaintances.
describe narcissitic pd
ndividuals with narcissistic personality disorder have too high of an opinion of themselves and little regard for others, except as how others meet their needs. They see themselves as accomplishing great things that establish their superiority over others. They view themselves as special and unique and that only similarly special people could understand them. They have a sense of entitlement, and they often feel that they have earned the right to special treatment or consideration because of who they are or what they have done.
describe avoidant pd
Avoidant personality disorder is characterized by social inhibition related to low self-esteem and sensitivity to rejection and criticism from others. Individuals with avoidant personality disorder have difficulty making friends and feel uncomfortable in social situations.
describe dependent pd
Individuals with dependent personality disorder have difficulty with self-sufficiency and have a strong need to be taken care of by others. They often believe that they cannot care for themselves, and, if a close relationship ends, they may be desperate to get into another relationship right away, even if it is not the best person for them.
describe ocpd
Obsessive–compulsive personality disorder is characterized by a pattern of perfectionism, stinginess, stubbornness, orderliness, and inflexibility. Individuals with this disorder frequently are workaholics, who spend so much time working that they have little time for family activities, friendships, or entertainment. Individuals with obsessive–compulsive personality disorder frequently find it difficult to throw things away, even when the object is old and worn and has no sentimental value. They have been called the three “ps”: parsimonious, perfectionistic, and punctual.
Describe V codes
six major groups: psychological factors affecting medical conditions, medication-induced movement disorders, other medication-induced disorders, relational problems, problems related to abuse or neglect, and other miscellaneous conditions
Describe 13 problems fitting into
Other Conditions That May Be a Focus of Clinical Attention
The last group in this class of problems includes a heterogeneous collection of 13 problems that may be the focus of treatment

noncompliance with treatment, malingering,
adult antisocial behavior,
child or adolescent antisocial behavior,
borderline intellectual functioning,
age-related cognitive decline, bereavement,
academic problem,
occupational problem,
identity problem,
religious or spiritual problem, acculturation problem, and
phase of life problem).
Describe posconcussional disorder
ostconcussional syndrome, which occurs after head trauma that usually is sufficiently severe to result in loss of consciousness. Symptoms include headache, dizziness (usually lacking the features of true vertigo), fatigue, irritability, difficulty concentrating and performing mental tasks, memory impairment, insomnia, and reduced tolerance for stress, emotional excitement, and alcohol abuse.
postschizophrenic depression is described as follows
A depressive episode, which may be prolonged, arising in the aftermath of a schizophrenic illness. Some schizophrenic symptoms must still be present but no longer dominate the clinical picture. These persisting schizophrenic symptoms may be “positive” or “negative,” though the latter are more common. It is uncertain, and immaterial to the diagnosis, to what extent the depressive symptoms have merely been uncovered by the resolution of earlier psychotic symptoms (rather than being a new development) or are an intrinsic part of schizophrenia rather than a psychological reaction to it. They are rarely sufficiently severe or extensive to meet criteria for a severe depressive episode, and it is often difficult to decide which of the patient's symptoms are due to depression and which to neuroleptic medication or to the impaired volition and affective flattening of schizophrenia itself. This depressive disorder is associated with an increased risk of suicide.
Describe simple deteriorative disorder
In ICD-10, it is described as an uncommon disorder characterized by oddities of conduct, inability to meet the demands of society, blunting of affect, loss of volition, and social impoverishment. Delusions and hallucinations are not evident.
Describe minor depressive disorder
Minor depressive disorder is associated with comparatively mild symptoms, such as worry and over concern with minor autonomic symptoms (e.g., tremor and palpitations). Most cases never come to medical or psychiatric attention
Describe reccurent brief depressive disorder
In ICD-10, recurrent brief depressive disorder is characterized by recurrent episodes of depression, each of which lasts less than 2 weeks (typically 2 to 3 days) and ends with complete recovery.
Describe mixed anxiety and depressive disorder
Mixed anxiety and depressive disorder is listed in ICD-10, where it is described as encompassing symptoms of both anxiety and depression, neither of which predominates.
Describe factitious disorder by proxy
This disorder, also known as Munchausen syndrome by proxy, is discussed in Chapter 19. In the disorder, parents feign illness in their children
Describe dissociative trance disorder
ICD-10 lists trance and possession disorders, in which a patient experiences temporary loss of both the sense of personal identity and full awareness of the surroundings. The disorders are involuntary or unwanted. In some cases, patients act as if taken over by another personality, spirit, or force.
Describe binge-eating disorder
It consists of recurrent episodes of binge eating without compensatory behavior, such as self-induced vomiting and laxative abuse.
Describe axis III
Axis III lists any physical disorder or general medical condition that is present in addition to the mental disorder. The physical condition may be causative (e.g., kidney failure causing delirium), the result of a mental disorder (e.g., alcohol gastritis secondary to alcohol dependence), or unrelated to the mental disorder. When a medical condition is causative or causally related to a mental disorder, a mental disorder caused by a general condition is listed on Axis I, and the general medical condition is listed on both Axis I and Axis III. In DSM-IV-TR's example—a case in which hypothyroidism is a direct cause of major depressive disorder—the designation on Axis I is mood disorder due to hypothyroidism with depressive features, and hypothyroidism is listed again on Axis III
Difference between full remission and recovered?
The differentiation of in full remission from recovered requires consideration of many factors, including the characteristic course of the disorder, the length of time since the last period of disturbance, the total duration of the disturbance, and the need for continued evaluation or prophylactic treatment.
How record if past hx of disorder?
DSM states that a past diagnosis of mental disorder can “be indicated by using the specifier Prior History (e.g., Separation Anxiety Disorder, Prior History, for an individual with a history of Separation Anxiety Disorder who has no current disorder or who currently meets criteria for Panic Disorder).
With scales difference between dichotomous and continuous variables?
di= two, true or false, present or absent
continuous = severity, range, frequency
Brief Psychiatric Rating Scale ... use mostly in what ds?
This is a short scale used to measure the severity of psychiatric symptomotology. It has been used for decades as an outcome measure in treatment studies of schizophrenia. It is most useful for patients with fairly significant impairment
Describe Sz Scales
Scales for the Assessment of
Positive and Negatives Sx
SAPS, SANS,
PANSS: Positive and Negative Syndrome Scale

Quality of Life Scale (QLS)
Chestnut Lodge Prognostic Scale for Chronic Schizophrenia
Scales used in moods?
Beck Depression Inventory
Zung Self Rating Scale
PHQ-9
Montgomery-Asberg Scale
Mania Rating Scale
Manic State Rating Scale
Child Scale?
General reference for adult scales that have been modified for children