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39 Cards in this Set
- Front
- Back
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FAREAFI First/Next |
Feelings acknowledged Assess Recommend Educate Advocate Facilitate Intervene |
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AASPIRINS Best/Most |
Acknowledge feelings Assess Start where patient is Protect life Intoxicated? Don’t treat, refer R/o medical issues Informed consent Nonjudgmental Self-determination |
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Neurodevelopmental DOs (5) |
Autism Spectrum & IDD Communication & Learning DOs Tic & Motor DOs Attention Deficit & Disruptive DOs of Sleep, Eat, & Elimination |
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Intellectual Disability |
Difficulty with cognitive tasks such as reasoning making plans thinking in the abstract making judgments and learning from formal studies or life experiences cognitive impairment leads to difficulty adapting behavior |
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AD/HD |
>6mo Onset before age 12 6 sxs under age 12 5 sxs age 17+ |
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Coprolalia |
10 to 30% of patients with Tourette’s disorder. Uttering of obscenity’s or other language. Mental coprolalia can also occur |
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Tourette’s DO |
>1yr 1+ vocal tics 2+ motor tics |
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Motor Disorders |
Developmental coordination disorder - dyspraxia. >50% experience additional deficits
Stereotypic movement disorder w/wo self injurious behavior |
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Communication Disorders (5) |
Language DO – written or verbal manifested in receptive and expressive ability Speech Sound DO - substituting one sound for another or emitting certain sounds completely; lisping Childhood-onset Fluency DO- stuttering Social (Pragmatic) Communication DO - Problems with practical use of language despite adequate vocabulary and ability Specific learning disorder – particular problem in acquiring information in consistent with age native intelligence and can’t be explained by X ternal factors discrepancy between theoretical ability an actual academic achievement Dyslexia, dyscalculia, written expression |
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Schizophrenia spectrum and other psychotic disorders |
Schizophrenia >+ 6mo Delusions, hallucinations, or disorganized speech and one of the following abnormal behavior or negative symptoms
Psychotic disorder 1 day-1mo Schizophreniform 30 days-6mo Schizophrenia 6+mo
Schizoaffective 1+mo psychosis and mood DO - mood symptom or symptoms must be present for at least half of the total time Delusional disorder |
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Delusions |
Erotomanic, grandeur, guilt, jealousy, passivity (being controlled), persecution, poverty, reference (being talked about), somatic, and thought control |
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Illusions |
Misinterpretation of actual sensory stimuli. Versus hallucinations |
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Catatonic symptoms |
Agitation vs Stupor Catalepsy maintaining an uncomfortable posture Echolalia verbatim repetition of someone else’s words Echopraxia imitating another’s behavior Exaggerated compliance, Grimace, mannerisms, mutism, negativism resistance to passive movement, posturing, stereotype, and waxy flexibility |
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Mood DOs > Depressive DOs |
Major depressive disorder Persistent depressive DO (dysthymia) Disruptive mood disorder Premenstrual dysphoric disorder |
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Mood DOs > Bipolar & Related DOs |
Bipolar I disorder 1< manic episode Bipolar II 1< hypomanic episode + 1< depressive episode Cyclothymic disorder Repeated mood swings not severe enough to be called depressive or manic episodes |
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Mood disorder specifiers for depression and BPD |
With atypical features – weight gain, excessive sleep, sluggishness, sensitive to rejection With melancholic features - classic depression; early awakening, feel worse early in the morning, low weight, low appetite, guilt, slow down, w/o normal mood reactivity With anxious distress - anxiety tension restlessness worry or fear; highest suicide rate With catatonic features - Either motor hyperactivity or inactivity With mixed features - mixtures of manic and depressive symptoms With peripartum onset - During pregnancy or within one month of delivery With psychotic features - delusions which can be mood congruent or incongruent With Rapid Cycling - at least four episodes in one year With seasonal pattern |
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Major depressive episode |
nearly every day for at least two weeks At least five of the following symptoms: Depressed mood or ahedonia, loss of appetite and weight, disrupted sleep, fatigue or low energy, psycho motor retardation, agitation, poor concentration, low self-esteem, guilt, thoughts of death and or suicide |
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Manic Episode |
minimum of one week Change in mood to euphoria or irritability, Increased energy or activity level, and at least 3 of the following symptoms, 4 if mood is only irritable: Heightened self-esteem, feeling rested on little sleep, loss judgment, increased motor activity, and pressured speech, and flight of ideas. May be accompanied by psychotic symptoms |
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Hypomanic episode |
4 or more days Euphoric mood but without driven quality of manic episode, mood may also be irritable In addition to mood: increased energy level, grandiosity, decreased need for sleep, increase talkativeness, flight of ideas, racing thoughts, distractibility, agitation or increased goal directed activity, judgment deterioration If behavior becomes so extreme hospitalization is required or psychosis is evident the label must be changed |
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Major Depressive DO |
At least one major depressive episode and no manic or hypomanic symptoms 25% of patients with MDD will eventually experience a manic or hypomanic episode |
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Anxiety DOs (6) |
Panic disorder Agoraphobia Specific phobia Social anxiety disorder Selective mutism Separation anxiety disorder |
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Panic DO |
Duration 1+ months Unexpected panic attacks commonly comorbid with agoraphobia Duration for other anxiety disorders of 6+ months |
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Social anxiety disorder |
Duration 6+ months In ordinate anxiety attached to circumstances where others could closely observe the client |
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Obsessive-Compulsive DOs (5) |
Obsessive-compulsive disorder Body dysmorphic disorder Hoarding disorder Trichotillomania Excoriation |
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Trauma- and stressor-related DOs (5) |
Reactive attachment disorder (doesn’t seek comfort) Disinhibited social engagement disorder (lacks normal apprehension) Posttraumatic stress disorder Posttraumatic stress disorder in preschool children Acute stress disorder Adjustment disorder |
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PTSD |
Duration of 1+ month’s distress and or impairment Exposure to an event that threatened bodily integrity, re-experiencing the event, avoidance of stimuli, negative changes in mood and thought, increased arousal and reactivity, distress and or impairment With delayed expression - symptoms insufficient until at least six months after event With depersonalization or derealization |
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Adjustment DO |
Onset within 3 months of stressor and stops within 6 months of stressors end |
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Dissociative DOs (8) |
Dissociative amnesia - client cannot recall important information of a personal nature Localized or circumscribed occurring for a particular time frame Selective - for certain portions of time/events. Generalized- all experiences. Continuous forgets all events for a given time. Vs Systematized forgotten certain classes of information Dissociative identity disorder - one or more identities intermittently controlling patient’s behavior Depersonalization/Derealization disorder – episodes of detachment Dissociative fugue
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Somatic sx & related DOs (5) |
Duration 6+ months where applicable Somatic symptom disorder unexplained physical symptom Somatic symptom disorder with predominant pain No apparent physical basis or exceeds expectations given a condition Conversion disorder Illness anxiety disorder hypochondriasis Factitious disorder imposed on self fabricating symptoms for attention Factitious disorder imposed on another Malingering fabricating symptoms for gain |
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Feeding and eating DOs (6) |
Anorexia nervosa Bulimia nervosa Binge – eating disorder 3+ mo Pica 1+ mo Rumination disorder 1+ mo Avoidant/restrictive food intake disorder |
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Elimination disorders |
Encopresis 4+yo Enuresis 5+yo |
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Sleep-Wake DOs (10) |
Insomnia disorder Sleep apnea Hypersomnolence Narcolepsy Delayed sleep phase type Advanced sleep phase type Irregular sleep- wake type Non-24-hour sleep- wake type Shift work type Jet lag |
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Sexual dysfunctions (7) |
Male hypoactive sexual desire disorder 6+mo Erectile disorder 6+mo Premature ejaculation 6+mo Delayed ejaculation 6+mo Female sexual interest/arousal disorder Genito-pelvic pain/Penetration disorder Female orgasmic disorder |
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Gender dysphoria |
6+ mo |
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Disruptive, impulse control, and conduct DOs (6) |
Conduct disorder Oppositional defiant disorder Intermittent explosive disorder Kleptomania Pyromania Antisocial personality disorder |
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Neurocognitive disorders Vs Delirium |
Major or mild neurocognitive disorders. Time course is relatively slow, impaired ability to focus or shift attention however it is not prominent, cause of NCD can usually be found within the central nervous system some recover but this isn’t the usual course Vs Delirium rapidly developing, fluctuating state of reduced awareness in which the following are true: trouble with awareness at least one deficit: memory, orientation, perception, visual spatial skills, or language |
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Symptom domains of neurocognitive disorders (6) |
Complex attention Learning and memory Shewell-motor ability Negative functioning Language Show cognition |
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Personality disorders |
Cluster A - odd & eccentric (withdrawn) Paranoid - suspicious, suspects malevolent intent Schizoid lack social interest, and different to criticism or praise, restricted emotional range Schizotypal Intensely uncomfortable in social situations, lack), eccentric thinking speech or affect Cluster B - dramatic & erratic Antisocial Irresponsible reckless impulsive no remorse black regard for the rights of others Borderline Identity instability, hot cold, self injury, unstable interpersonal relationships Histrionic Overly emotional constantly seeking attention and validation Cluster C - Anxious & avoidant Avoidant easily wounded by criticism, Exaggerate risks of undertaking new pursuits few friends Dependent fear of abandonment feelings of helplessness went alone and miserable when relationships and the constant approval Obsessive - compulsive Perfectionism and rigidity excessively scrupulous preoccupied with detail insist others do things their way trouble expressing affection |
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Paraphilic disorders 6+mo |
Exhibitionistic fetishistic Frotteuristic pedophilic sexual masochism pain on self Sexual sadism pain on others Transvestic Voyeristic |
