Dsm 5 Diagnosis Quiz

Front 1

Neurocognitive Disorder Due to Traumatic Brain Injury

(294.11)

Back 1

Diagnostic Criteria:

A. The Criteria met for major or mild neurocognitive disorder

B) 1 or more of the following

1. Loss of consciousness

2.Posttraumatic amnesia

3.Disorientation and confusion

4.Neurological signs (e.g neuroimaging demonstrating injury; a new onset of seizures etc.

Front 2

Schizoaffective Disorder

(295.70)ination

Back 2

A. An uninterrupted period of illness during which there is a major mood episode

B. Delusions or Hallucinations for 2 or more weeks in the absence of a major mood episode during lifetime of illness

C.Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illness

D. The disturbance is not attribute to the effects of a substance or another medical condition

Front 3

Dissociative Identity Disorder

(300.14)

Back 3

A. Disruption of identity characterized by two or more distinct personally states, which may be described in some cultures as an experience of possession

B. Recurrent gaps in the recall of everyday events, important personal information and or traumatic events that are inconsistent with ordinary forgetting

C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

D. The disturbance is not a normal part of a broadly accepted cultural or religious practice or other fantasy play

E. The symptoms are not attributable to the physiological effects of a substance or another medical condition

Front 4

Developmental Coordination Disorder

(315.4)

Back 4

A diagnosis of DCD is made by a medical doctor when the following criteria are observed:

* Learning and execution of coordinated motor skills is below age level given the child’s opportunity for skill learning
* Motor difficulties significantly interfere with activities of daily living, academic productivity, prevocational and vocational activities, leisure and play
* Onset is in the early developmental period
* Motor coordination difficulties are not better explained by intellectual delay, visual impairment, or other neurological conditions that affect movement.

Front 5

Delusional Disorder

(297.1)

Back 5

* The presence of one (or more) delusions with a duration of 1 month or longer.
* Absence of the following active-phase symptoms of schizophrenia (which last for a significant portion of time during a 1-month period, or less if successfully treated):
*
* Hallucinations. Note: Hallucinations, if present, are not prominent and are related to the delusional theme (e.g., the sensation of being infested with insects associated with delusions of infestation).
* Disorganized speech (e.g. frequent derailment or incoherence).
* Grossly disorganized or catatonic behavior.
* Negative symptoms (i.e., diminished emotional expression or avolition).
*
* Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired and behavior is not obviously odd or bizarre.
* If manic or depressive episodes have occurred, these have been brief relative to the duration of the delusional periods.
* The disturbance is not attributable to the physiological effects of a substance or a another medical condition and is not better explained by another mental disorder, such as body dysmorphic disorder or obsessive-compulsive disorder
*

Front 6

Autism

(299.00)

Back 6

A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive, see text):

1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions.

2. Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.

3. Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.

Front 7

Restless Legs Syndrome

(333.94)

Back 7

An urge to move the legs that is usually accompanied by or occurs in response to uncomfortable and unpleasant sensations in the legs, characterized by all of the following: (1) the urge to move the legs begins or worsens during periods of rest or inactivity; (2) the urge is partially or totally relieved by movement; and (3) the urge to move legs is worse in the evening or at night than during the day or occurs only in the evening or at night

Symptoms occur at least 3 times per week and have persisted for at least 3 months

Symptoms cause significant distress or impairment in social, occupational, educational, academic, behavioral or other areas of functioning

The symptoms cannot be attributed to another mental disorder or medical condition (e.g., leg edema, arthritis, leg cramps) or behavioral condition (e.g. positional discomfort, habitual foot tapping)

The disturbance cannot be explained by the effects of a drug of abuse or medication

Front 8

Childhood-Onset Fluency Disorder-Stuttering

(315.35

Back 8

A. Interruptions in normal fluency and time patterning of speech (unsuitable for the individual’s age), exemplified by repeated occurrences of 1 or more of the following:

* Sound and syllable repetitions
* Sound prolongations
* Interjections
* Broken words (such as breaks within a word)
* Audible or silent blocking (filled or unfilled gaps in speech)
* Circumlocutions (word substitutions to evade challenging words)
* Words formed with an overload of physical tension
* Monosyllabic whole-word repetitions

B. The interruptions in fluency gets in the way with academic or occupational accomplishments or with social communications

C. If a speech-motor or sensory deficit is evident, the speech challenges are in excess of those typically connected with these problems:

Front 9

Binge-Eating Disorder

(307.51)

Back 9

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

* eating, in a discrete period of time (for example, within any 2-hour period), an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances
* a sense of lack of control over eating during the episode (for example, a feeling that one cannot stop eating or control what or how much one is eating)
* eating much more rapidly than normal
* eating until feeling uncomfortably full
* eating large amounts of food when not feeling physically hungry
* eating alone because of feeling embarrassed by how much one is eating
* feeling disgusted with oneself, depressed, or very guilty afterwards
* Marked distress regarding binge eating is present.
* The binge eating occurs, on average, at least once a week for three months.
* The binge eating is not associated with the recurrent use of inappropriate compensatory behavior (for example, purging) and does not occur exclusively during the course Anorexia Nervosa, Bulimia Nervosa, or Avoidant/Restrictive Food Intake Disorder.

Front 10

Tic Disorder

(307.23)

Back 10

Tourette Syndrome (TS)

For a person to be diagnosed with TS, he or she must:

* have two or more motor tics (for example, blinking or shrugging the shoulders) and at least one vocal tic (for example, humming, clearing the throat, or yelling out a word or phrase), although they might not always happen at the same time.
* have had tics for at least a year. The tics can occur many times a day (usually in bouts) nearly every day, or off and on.
* have tics that begin before he or she is 18 years of age.
* have symptoms that are not due to taking medicine or other drugs or due to having another medical condition (for example, seizures, Huntington disease, or postviral encephalitis).
* have one or more motor tics (for example, blinking or shrugging the shoulders) or vocal tics (for example, humming, clearing the throat, or yelling out a word or phrase), but not both.
* have tics that occur many times a day nearly every day or on and off throughout a period of more than a year.
* have tics that start before he or she is 18 years of age.
* have symptoms that are not due to taking medicine or other drugs, or due to having a medical condition that can cause tics (for example, seizures, Huntington disease, or postviral encephalitis).
* not have been diagnosed with TS.
* have one or more motor tics (for example, blinking or shrugging the shoulders) or vocal tics (for example, humming, clearing the throat, or yelling out a word or phrase).
* have been present for no longer than 12 months in a row.
* have tics that start before he or she is 18 years of age.
* have symptoms that are not due to taking medicine or other drugs, or due to having a medical condition that can cause tics (for example, Huntington disease or postviral encephalitis).
* not have been diagnosed with TS or persistent motor or vocal tic disorder

Front 11

Substance/Medication-Induced

Psychotic Disorder

(291.9)

Back 11

* Abnormal psychomotor behavior
* Negative symptoms
* Impaired cognition
* Depression
* Mania
* Delusions
* Hallucinations
* Disorganized speech
* Diagnostic Criteria
* At least one of the following:
* Delusions
* Hallucinations

Front 12

Alcohol Intoxication

(303.00)

Back 12

(A) A maladaptive pattern of drinking, leading to clinically significant impairment or distress, as manifested by at least one of the following occurring within a 12-month period:

Recurrent use of alcohol resulting in a failure to fulfill major role obligations at work, school, or home (e.g., repeated absences or poor work performance related to alcohol use; alcohol-related absences, suspensions, or expulsions from school; neglect of children or household)

Recurrent alcohol use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine when impaired by alcohol use)

Recurrent alcohol-related legal problems (e.g., arrests for alcohol-related disorderly conduct)

Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol (e.g., arguments with spouse about consequences of intoxication).

(B) Never met criteria for alcohol dependence.

Front 13

Disruptive Mood Dysregulation Disorder

(296.99)

Back 13

1. Severe recurrent temper outbursts manifested verbally (e.g., verbal rages) and/or behaviorally (e.g., physical aggression toward people or property) that are grossly out of proportion in intensity or duration to the situation or provocation.

2. The temper outbursts are inconsistent with developmental level (e.g., the child is older than you would expect to be having a temper tantrum).

3. The temper outbursts occur, on average, three or more times per week.

4. The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others (e.g., parents, teachers, friends).

5. The above criteria have been present for 1 year or more, without a relief period of longer than 3 months. The above criteria must also be present in two or more settings (e.g., at home and school), and are severe in at least one of these settings.

6. The diagnosis should not be made for the first time before age 6 years or after age 18. Age of onset of these symptoms must be before 10 years old.

7. There has never been a distinct period lasting more than 1 day during which the full symptom criteria, except duration, for a manic or hypomanic episode have been met.

8. The behaviors do not occur exclusively during an episode of major depressive disorder and are not better explained by another mental disorder.

As with all child mental disorders, the symptoms also can not be attributable to the physiological effects of a substance or to another medical or neurological condition.

Front 14

Schizophrenia

(295.90)

Back 14

requiring at least two of the following symptoms, for at least one month:

* Delusions
* Hallucinations
* Disorganized speech (e.g., frequent derailment or incoherence)
* Grossly disorganized or catatonic behavior
* Negative symptoms (e.g., affective flattening, alogia, avolition)

(Only one symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person’s behavior or thoughts, or two or more voices conversing with each other.)

Front 15

Neurocognitive disorder due to Alzheimer's

(331.0)

Back 15

A. the criteria are met for major neurocognitive disorder. B. There is insidious onset and gradual progression of impairment in one or more cognitive domains. C. Criteria are met for either probable or possible Alzheimer’s disease as follows: For major neurocognitive disorder probable Alzheimer’s disease is diagnosed if either of the following is present; otherwise, possible Alzheimer’s disease should be diagnosed. 1.Evidence of a causative Alzheimer’s disease genetic mutation from family history or genetic testing. 2. All 3 of the following are present: a. Clear evidence of decline in memory and learning and at least one other cognitive domain(based on detail history or serial neuropsychological testing). b. Steadily progressive, gradual decline in cognition, without extended plateaus. c. No evidence of mixed etiology( i.e., absence of other neurodegenerative or cerebrovascular disease or another neurological , mental or systemic disease likely contributing to cognitive decline).

Front 16

Oppositional Deficient Disorder

(313.81)

Back 16

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 17

Tobacco Withdrawal

(292.0)

Back 17

A. Cessation of (or reduction in) sedative, hypnotic, or anxiolytic use that has been heavy and prolonged.

B. Two (or more) of the following, developing within several hours to a few days after Criterion A:

(1) autonomic hyperactivity (e.g., sweating or pulse rate greater than 100)
(2) increased hand tremor
(3) Insomnia
(4) nausea or vomiting
(5) transient visual, tactile, or auditory hallucinations or illusions
(6) psychomotor agitation
(7) anxiety
(8) grand mal seizures

C. The symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder

Front 18

Bi Polar II

(296.89)

Back 18

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 bySchizoaffective 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.

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

Front 19

Stimulant Withdrawal

(292.0)

Back 19

A. Cessation of (or reduction in) amphetamine (or a related substance) use that has been heavy and prolonged.

B. Dysphoric mood and two (or more) of the following physiological changes, developing within a few hours to several days after Criterion A:

(1) fatigue
(2) vivid, unpleasant dreams
(3) Insomnia or Hypersomnia
(4) increased appetite
(5) psychomotor retardation or agitation

C. The symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder

Front 20

Pica

(307.52)

Back 20

* Persistent eating of non-nutritive, nonfood substances for a period of at least one month.
* The eating of nonnutritive, nonfood substances is inappropriate to the developmental level of the individual.
* The eating behavior is not part of a culturally supported or socially normative practice.
* If occurring with another mental disorder, or during a medical condition, it is severe enough to warrant independent clinical attention.

Front 21

Obsessive Compulsive Disorder

(300.3)

Back 21

Obsessions as defined by (1), (2), (3), and (4):

(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 as defined by (1) and (2):

(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

B. At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are excessive or unreasonable. Note: This does not apply to children.

C. The obsessions or compulsions cause marked distress, are time consuming (take more than 1 hour a day), or significantly interfere with the person's normal routine, occupational (or academic) functioning, or usual social activities or relationships.

D. If another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it (e.g., preoccupation with food in the presence of an Eating Disorders; hair pulling in the presence of Trichotillomania; concern with appearance in the presence of Body Dysmorphic Disorder; preoccupation with drugs in the presence of a Substance Use Disorder; preoccupation with having a serious illness in the presence of Hypochondriasis; preoccupation with sexual urges or fantasies in the presence of a Paraphilia; or guilty ruminations in the presence of Major Depressive Disorder).

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.

Front 22

Hoarding

(300.3)

Back 22

Because of the distinctiveness of hoarding symptoms, the DSM-V diagnostic work group on OCD has recommended that hoarding be included in DSM-V. However, the committee is still examining the evidence to determine whether to include “hoarding disorder” in the main part of the manual or in an appendix for further research. The proposed diagnostic criteria are:

A. Persistent difficulty discarding or parting with personal possessions, even those of apparently useless or limited value, due to strong urges to save items, distress, and/or indecision associated with discarding.

B. The symptoms result in the accumulation of a large number of possessions that fill up and clutter the active living areas of the home, workplace, or other personal surroundings (e.g., office, vehicle, yard) and prevent normal use of the space. If all living areas are uncluttered, it is only because of others’ efforts (e.g., family members, authorities) to keep these areas free of possessions.

C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning (including maintaining a safe environment for self and others).

D. The hoarding symptoms are not due to a general medical condition (e.g., brain injury, cerebrovascular disease).

E. The hoarding symptoms are not restricted to the symptoms of another mental disorder (e.g., hoarding due to obsessions in Obsessive-Compulsive Disorder, lack of motivation in Major Depressive Disorder, delusions in Schizophrenia or another Psychotic Disorder, cognitive deficits in Dementia, restricted interests in Autistic Disorder, food storing in Prader-Willi Syndrome).

Front 23

Trichotillomania

(312.39)

Back 23

1. Recurrent pulling out of one’s hair, resulting in hair loss.
2. Repeated attempts to decrease or stop hair pulling.
3. The hair pulling causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
4. The hair pulling or hair loss is not attributable to another medical condition (e.g., a dermatological condition).
5. The hair pulling is not better explained by the symptoms of another mental disorder (e.g., attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder).”

Front 24

ADHD

(314.01)

Back 24

A. Either (1) or (2):

(1) inattention: six (or more) of the following symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:

(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

(2) hyperactivity-impulsivity: six (or more) of the following symptoms of hyperactivity-impulsivity have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:

Hyperactivity

(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

(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)

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 25

Opioid Use Disorder

(304.00)

Back 25

A problematic pattern of opioid use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:
1. Opioids are often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control opioid use.
3. A great deal of time is spent in activities necessary to obtain the opioid, use the opioid, or recover from its effects.
4. Craving, or a strong desire or urge to use opioids.
5. Recurrent opioid use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued opioid use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of opioids.
7. Important social, occupational, or recreational activities are given up or reduced because of opioid use.
8. Recurrent opioid use in situations in which it is physically hazardous.
9. Continued opioid use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of opioids to achieve intoxication or desired effect.
b. A markedly diminished effect with continued use of the same amount of an opioid.
Note: This criterion is not considered to be met for those taking opioids solely under appropriate medical supervision.
11. Withdrawal, as manifested by either of the following:
a. The characteristic opioid withdrawal syndrome (refer to Criteria A and B of the criteria set for opioid withdrawal).
b. Opioids (or a closely related substance) are taken to relieve or avoid withdrawal symptoms.