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63 Cards in this Set
- Front
- Back
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Somatization Disorder
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polysymptomatic disorder that begins before age 30, extend over a period of years and is characterized by a combination of pain, gastrointestinal, sexual and pseudoneurological symptoms
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Undifferentiated somatoform disorder
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characterized by unexplained physical complaints, lasting at least 6 months, that are below the threshold for a diagnosis of somatization disorder
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Conversion Disorder
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involves unexplained symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition. Psychological factors are judged to be associated with the symptoms or deficits
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Pain Disorder
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characterized by pain as the predominant focus of clinical attention. In addition, psychological factors are judged to have an important role in its onset, severity, exacerbation or maintenance
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Hypochondriasis
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the preoccupation with the fear of having, or the idea that one has a serious disease based on the person's misinterpretation of bodily symptoms or bodily functions
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Body Dysmorphic Disorder
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The preoccupation with an imagined or exaggerated defect in physical appearance
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Somatoform Disorder NOS
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included for coding disorders with somatoform disorders that do not meet the criteria for any of the specific somatoform disorders
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Somatization Disorder
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A. A history of many physical complaints beginning before age 30 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 4 different sites or functions (2) 2 gastrointestinal symptoms (3) 1 sexual symptom (4) 1 pseudoneurological symptom C. Either 1 or 2 (1) after appropriate investigation each of the symptoms in criteria B cannot be fully explained by a known general medical condition or the direct effects of a substance (2) when there is a realted general medical condition the physical complaints or resulting social or occupational impairment are in excess of what would be expected from history, physical examination or lab findings D. The symptoms are not intentionally produced or feigned |
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Undifferentiated somatoform disorder
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A. One or more physical complaints
C. The symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning D. Duration is at least 6 months E. Not intentionally produced or feigned |
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Conversion Disorder
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A. One or more symptoms or deficits 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 symptoom or deficit because the initiation or exacerbation of the symptom or deficit is preceded by conflicts or other stressors C. The symptom or deficit is not intentionally produced or feigned D. Not explained by a general medical condition, substance or culturally sanctioned behavior or experience E. Symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation F. The symptom or deficit is not limited to pain or sexual dysfunction, does not occur exclusively during the course of somatization disorder and is not been accounted for by another disorder Specify if: with motor symptom or deficit with sensory symptom or deficit with seizures or convulsions with mixed presentation |
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Pain Disorder
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A. Pain in one or more anatomical sites is the predominant focus of the clinical presentation and is of sufficient severity to warrant clinical attention
B. The pain causes clinically significant distress or impairment in social, occupational, or other important areas of functioning C. Psychological factors are judged to have an important role in the onset, severity, exacerbation or maintenance of the pain D. The symptom or deficit is not intentionally produced or feigned E. The pain isnot better accounted for by a mood, anxiety or psychotic disorder and does not meet criteria for Dyspareunia Pain Disorder associated with psychological factors Specify if: Acute--duration of less than 6 months Chronic--duration of 6 months or longer Pain disorder associated with both psychological factors and a general medical condition Specify if: acute: duration of less than 6 months chronic: duration of 6 months or longer |
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Hypochondriasis
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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. The belief in criterion A is not of delusional intensity and is not restricted to a circumscribed concern about appearance D. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning E. The duration of the disturbance of least 6 months Specify if: with poor insight: if, for the most time during the current episode the person does not recognize that the concern about having a serious illness is excessive or unreasonable |
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Body dysmorphic disorder
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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 |
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Factitious Disorder
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A. Intentional production or feigning of physical or psychological signs or symptoms
B. The motivation for the behavior is to assume the sick role C. External incentives for the behavior (economic gain, avoiding legal responsibility or improving physical well-being, malingering) are absent Type: With predominantly psychological signs and symptoms With predominantly physical signs and symptoms With combined psychological and physical signs and symptoms |
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Dissociative amnesia
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characterized by an inability to recall important personal information usually of traumatic or stressful nature that is too extensive to be explained by ordinary forgetfulness
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Dissociative fugue
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characterized by sudden unexpected travel away from home or one's customary place of work accompanied by an inability to recall one's past and confusion about personal identity or the assumption of a new identity
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Dissociative identity disorder
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characterized by the presence of two or more distinct identities or personality states that recurrently take control of the individual's behavior accompanied by an inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness. Characterized by identity fragmentation rather than a proliferation of separate personalities
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Depersonalization disorder
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characterized by a persistent or recurrent feeling of being detached from one's mental processes or body that is accompanied y intact reality testing
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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 DID, dissociative fugue, PTSD, ASD or somatization disorder and is not due to the direct physiological effects of a substance or other general medical condition C. Cause clinically significant distress or impairment in social, occupational and other important areas of functioning |
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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. Not due to substance use, general medical condition and does not occur exclusively during the course of DID D. Causes impairment of functioning |
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Dissociative identity disorder
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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 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 general medical condition, or substance use Note: in children the symptoms are not attributable to imaginary playmates or other fantasy play |
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Depersonalization disorder
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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 (e.g. body feeling like one is in a dream)
B. During the depersonalization experience, reality testing remains intact C. The depersonalization causes clinically significant distress or impairment of functioning |
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Paranoid personality disorder
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A pattern of distrust and suspiciousness such that other's motives are interpreted as malevolent
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Schizoid personality disorder
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A pattern of detachment from social relationships and a restricted range of emotional expression
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Schizotypal personality disorder
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A pattern of acute discomfort in close relationships, cognitive or perceptual distortions and eccentricities of behavior
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Antisocial personality disorder
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A pattern of disregard for and violation of the rights of others
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Borderline personality disorder
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A pattern of instability in interpersonal relationships, self-image and affects and marked impulsivity
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Histrionic personality disorder
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A pattern of excessive emotionality and attention seeking
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Narcissistic personality disorder
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A pattern of grandiosity, need for admiration and lack of empathy
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Avoidant personality disorder
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A pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation
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Dependent personality disorder
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A pattern of submissive and clinging behavior related to an excessive need to be taken care of
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Obsessive-compulsive personality disorder
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A pattern of preoccupation with orderliness, perfectionism and control
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Personality Disorder
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A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture. This pattern is manifested in two or more of the following areas
(1) Cognition (ways of perceiving and interpreting self, other people and events) (2) Affectivity (the range, intensity, lability an appropriateness of emotional response) (3) Interpersonal functioning (4) Impulse control B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations C. The enduring pattern leads to clinically significant distress or impairment in social, occupational or other important areas of functioning D. The pattern is stable and of long duration and its onset can be traced back at least to adolescence or early adulthood E. Not better accounted for as a manifestation or consequences of another mental disorder |
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Paranoid Personality Disorder
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A. A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent beginning by early adulthood and present in a variety of contexts, as indicated by four or more of the following
(1) suspects, without sufficient basis that others are exploiting, harming or deceiving him or her (2) preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates (3) Reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her (4) reads hidden demeaning or threatening meanings into benign remarks or events (5) persistently bears grudges (6) Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack (7) has recurrent suspicions without justifications regarding infidelity of spouse or sexual partner Note: if criteria are met prior to the onset of schizophrenia add "premorbid" e.g. paranoid personality disorder (premorbid) |
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Schizoid personality disorder
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A. A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts as indicated by four or more of the following
(1) neither desires nor enjoys close relationships, including being part of a family (2) almost always chooses solitary activities (3) has little, if any interest in having sexual experiences with another person (4) takes pleasure in few, if any activities (5) lacks close friends or confidants other than first-degree relatives (6) appears indifferent to the praise or criticism of others (7) shows emotional coldness, detachment or flattened affectivity Note: if criteria are met prior to the onset of schizophrenia add premorbid |
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Schizotypal personality disorder
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A. A pervasive pattern of social and interpersonal deficits marked by acute discomfort with and reduced capacity for close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior beginning by early adulthood and present in a variety of contexts as indicated by 5 or more of the following
(1) ideas of reference (excluding delusions of reference) (2) odd beliefs or magical thinking that influence behavior and is inconsistent with subcultural norms (3) unusual perceptual experiences including bodily illusions (4) Odd thinking and speech (5) suspiciousness or paranoid ideation (6) inappropriate or constricted affect (7) behavior or appearance that is odd, eccentric, or peculiar (8) lack of close friends or confidants other than first degree relatives (9) excessive social anxiety that does not diminish with familiarity and tends to be associated with paranoid fears rather than negative judgments about self |
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Antisocial personality disorder
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A. There is a pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three or more of the following
(1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are ground for arrest (2) deceitfulness, as indicated by repeated lying, use of aliases or conning others for personal profit or pleasure (3) impulsivity or failure to plan ahead (4) irritability and aggressiveness as indicated by repeated physical fights or assaults (5) reckless disregard for safety of self or others (6) consistent irresponsibility as indicated by repeated failure to sustain consistent work behavior or honor financial obligations (7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another B. The individual is at least age 18 years C. There is evidence of conduct disorder with onset before age 15 D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or a manic episode |
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Borderline personality disorder
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A pervasive pattern of instability of interpersonal relationships, self-image an affects and marked impulsivity beginning by early adulthood and present in a variety of contexts as indicated by 5 or more of the following
(1) frantic efforts to avoid real or imagined abandonment Note: do not include suicidal or self mutilating behavior (2) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation (3) identity disturbance: markedly and persistently unstable self-image or sense of self (4) impulsivity in at least 2 areas that are potentially self damaging (spending, sex, substance abuse, reckless driving, binging) (5) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior (6) affective instability due to a marked reactivity of mood (7) chronic feelings of emptiness (8) inappropriate, intense anger or difficulty controlling anger (9) transient, stress-related paranoid ideation or severe dissociative symptoms |
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Histrionic personality disorder
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A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts as indicated by 5 or more of the following
(1) Is uncomfortable in situations in which he or she is not the center of attention (2) interaction with others is often characterized by inappropriate sexually seductive or provocative behavior (3) displays rapidly shifting and shallow expression of emotions (4) consistently uses physical appearance to draw attention to self (5) has a style of speech that is excessively impressionistic and lacking in detail (6) shows self-dramatization theatricality and exaggerated expression of emotion (7) is suggestible i.e. easily influenced by others or circumstances (8) considers relationships to be more intimate than they actually are |
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Narcissistic personality disorder
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A pervasive pattern of grandiosity (in fantasy or behavior ), need admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five or more of the following
(1) has a grandiose sense of self importance (2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love (3) believes that he or she is "special" and unique and can only be understood by or should associate with other special or high-status people (or institutions) (4) requires excessive admiration (5) has a sense of entitlement (6) is interpersonally exploitative (7) lacks empathy: is unwilling to recognize or identity with the feelings and needs of others (8) is often envious of others or believes that others are envious of him or her (9) shows arrogant, haughty behaviors or attitudes |
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Avoidant personality disorder
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A pervasive pattern of social inhibition, feelings of inadequacy and hypersenitivity to negative evaluation beginning by early adulthood and present in a variety of contexts as indicated by 4 or more of following
(1) avoids occupational activities that involve significant interpersonal contact because of fears of criticisms, disapproval or rejection (2) is unwilling to get involved with people unless certain of being liked (3) shows restraint within intimate relationships because of fear of being shamed or ridiculed (4) is preoccupied with being criticized or rejected in social situations (5) is inhibited in new interpersonal situations because of feelings of inadequacy (6) views self as socially inept, personally unappealing or inferior to others (7) is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing |
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Dependent personality disorder
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A pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation beginning by early adulthood and present in a variety of contexts as indicated by 5 or more of the following
(1) has difficulty making everyday decisions without an excessive amount of advice and reassurance from others (2) needs others to assume responsibility for most major areas of his or her life (3) has difficulty expressing disagreement with others because of fear of loss of support or approval (4) has difficulty initiating projects or doing things on his or her won (because of a lack of self confidence in judgment or abilities rather than a lack of motivation or energy) (5) goes to excessive lengths to obtain nurturance and support from others to the point of volunteering to do things that are unpleasant (6) feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for himself or herself (7) urgently seeks another relationship as a source of care and support when a close relationship ends (8) is unrealistically preoccupied with fears of being left to take care of himself or herself |
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Obsessive-compulsive personality disorder
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A pervasive pattern of preoccupation with orderliness, perfectionism, and mental interpersonal control at the expense of flexibility, openness and efficiency, beginning by early adulthood and present a variety of contexts as indicated by 4 or more of the following
(1) is preoccupied with details, rules, lists order and organization or schedules to the extent that the major point of activity is lost (2) shows perfectionism that interferes with task completion (3) is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (4) is overconscientious, scrupulous and inflexible about matters of morality, ethics or values (not accounted for by cultural or religious idetification) (5) is unable to discard worn out or worthless objects even when they have no sentimental value (6) is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things (7) adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes (8) shows rigidity and stubbornness |
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Schizophrenia
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a disorder that lasts for at least 6 months and includes at least 1 month of active-phase symptoms (i.e. two or more of the following: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms)
Subtypes: paranoid, disorganized, catatonic, undifferentiated and reisdual) |
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Schizophreniform disorder
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characterized by a symptomatic presentation that is equivalent to schizophrenia except for its duration (the disturbance lasts from 1 to 6 months) and the absence of a requirement that there be a decline in functioning
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Schizoaffective disorder
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A disorder in which a mood episode and the active phase of symptoms of schizophrenia occur together and were preceded or are followed by at least 2 weeks of delusions or hallucinations without prominent mood symptoms
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Delusional disorder
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characterized by at least 1 month of nonbizarre delusions without other active phase symptoms of schizophrenia
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Brief psychotic disorder
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A disorder that lasts more than 1 day and remits by 1 month
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Shared psychotic disorder
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characterized by the presence of a delusion in an individual who is influenced by someone else who has a longer-standing delusion with similar content
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Psychotic disorder due to a general medical condition
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the psychotic symptoms are judged to be direct physiological consequence of general medical condition
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Substance-induced psychotic disorder
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the psychotic symptoms are judged to be a direct physiological consequence of a drug of abuse, a medication or toxin exposure
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Schizophrenia course specifiers
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Episodic with interepisode residual symptoms--applies when the course is characterized by episodes in which criterion A for schizophrenia is met and there are clinically significant residual symptoms between the episodes
(1) With prominent negative symptoms--can be added if prominent negative symptoms are present during the residual periods Episodic with no interepisode residual symptoms--no clinically significant residual symptoms between the episodes Continuous--characteristic symptoms of schizophrenia are met throughout all or most of the couse (1) With prominent negative symptoms Single episode in partial remission--there has been a single episode and some clinically significant residual symptoms remain (1) With prominent negative symptoms Single episode in full remission--a single episode with no clinically significant residual symptoms remain Other or unspecified pattern--used if another or an unspecified course pattern has been present |
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Schizophrenia
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A. Characteristic symptoms: 2 or more of the following each present for a significant portion of time during a 1 month period
(1) delusions (2) hallucinations (3) disorganized speech (frequent derailment or incoherence) (4) grossly disorganized or catatonic behavior (5) negative symptoms (affective flattening, alogia or avolition) Note: only one criterion A 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 (schneiderian symptoms) B. Social/occupational dysfunction C. Duration--continuous signs of the disturbance persist for at least 6 months.This 6 month period must include at least 1 month of symptoms and may include periods of prodromal or residual symptoms. During these periods the signs of disturbance may be manifested by only negative symptoms or two more symptoms listed in criterion A in an attenuated form D. Schizoaffective/mood disorder exclusion--no major depressive, mixed or manic episodes have occurred concurrently with the active phase symptoms (2) if mood episodes have occurred during active phase symptoms their total duration has been brief relative to the duration of the active and residual periods E. Substance/general medical condition exlcusion F. Relationship to a pervasive developmental disorder--if there is a history of autistic disorder or another PDD the additional diagnosis of schizophrenia is made only if prominent delusions or hallucinations are aso present for at least 1 month Classification of longitudinal course can be applied only after at least 1 year has elapsed since the initial onset of active-phase symptoms |
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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 disorganized type
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A. All of the following are present
(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 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 Undifferentiated type
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A type of schizophrenia in which symptoms that meet criterion A are present, but criteria are not met for the paranoid, disorganized or catatonic type
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Schizophrenia residual type
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A. Absence of prominent delusions, hallucinations, disorganized speech and grossly disorganized or catatonic behaviors
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 a attenuated form (odd beliefs, unusual perceptual experiences) |
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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 Specify if: With/without good prognostic features (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 major depressive episode, a manic episode, or a mixed episode concurrent with symptoms that meet criterion A of schizophrenia
B. During the same period of illness there have been delusions and 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 Specify type: Bipolar type: if the disturbance includes a manic or mixed episode (or a manic or mixed episode and major depressive episode) 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 Note: tactile and olfactory hallucinations may be present in delusional disorder is they are related to the delusional theme C. Apart from the impact of the delusion(s) or its ramifications, 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 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 disorder
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A. Presence of one or more of the following symptoms
(1) delusions (2) hallucinations (3) disorganized speech (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 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) With postpartum onset: if onset within 4 weeks of 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 |
