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Details

DSM 5
Diagnosis
89
Health Care
Post-Graduate
01/12/2018

Additional Health Care Flashcards

 


 

Cards

Term
Autism Spectrum Disorder
Definition
Early Childhood Onset

NEW DIAGNOSIS - Formerly autistic disorder / Asperberger
2 categories - Need to be present to be diagnosed

1.
Abnormal social engagement -
Lack of eye contact
Non verbal communication
Lack the ability to process emotions - playing with friends

2.
Restrictive repetitive movement -
Inflexible functioning, don’t like things out of order, rigid/fixated views of the world
Hypo reactive
Sounds (clock ticking)
Eccolalia - repetitive statements / movements
Term
Social (Pragmatic) Communication Disorder
Definition
Early Childhood Onset

SOCIAL (PRAGMATIC) Communication Disorder
JUST SOCIAL COMMUNICATION

-Just have the deficit in the communication areas
- Persistent difficulty in social cues, greeting, sharing, hard time following directions, taking turns, moral of stories, inferences to stories.

-Pragmatic - Get by day to day.

THIS DIAGNOSIS DOES NOT HAVE RESTRICTED BEHAVIOR
Term
Specific Learning Disorder
Definition
Diagnosis - Reading and writing - R/O LEARNING DISORDER BEFORE DIAGNOSING FOR ADHD

-Unable to learn in the typical manner
-processing issue.
-Phonics awareness
-matching sounds to symbols
Term
Attention Deficit Hyperactivity Disorder
Definition
ADHD
-Symptom may be appear by the age of 12
-Exist in two settings - School or work
-Inability to pay attention - Inattention - Focus issues, test, concentration issues
-Hyperactivity - cannot contain themselves - excessive talking
I-mpulsivity, interrupting, budding into conversations
Unable to finish homework, cannot pay attention

Psychostimulants are effective for treating ADHD
Term
Pica
Definition
Persistent eating of non nutritive substances - Dirt and grass
Term
Rumination Disorder
Definition
Rumination = Regurgitation of food
Term
Rhett Disorder
Definition
At 5 months growth slows down, abrupt drop in growth. associative to mental retardation - 99% affects girls
Term
Language Disorder
Definition
Expressive, chronological and stuttering formerly DSM IV

-Persistent difficulties in language, sentence structure. don’t have enough words
-Limits ability to have a conversation
Term
Speech Sound Disorder
Definition
Affects sounds and articulation, pronunciation is limited
Term
Child Onset Fluency Disorder
Definition
Formerly Stuttering

Same as stuttering repetition, holding onto a letter for a long time, elongation of sound, broken words
Term
Tourette’s
Definition
-Multiple motor tics and 1 or more vocal tics, many times a day.
-Present for a year.
Term
Persistent Motor/Vocal Tic Disorder
Definition
PMVTD
Need to have one or the other
Term
Encopresis
Definition
-Feces in involuntary places
-needs to be at least 4 years old ( poop )
Term
Enuresis
Definition
-at least 5 years old
-Urine in involuntary places
-problems wetting themselves
Term
Separation Anxiety Disorder
Definition
Developmental anxiety from separation from someone

-Persistent worry, loosing, something happening to mom/dad
-fear of being kidnapped
-Staying close to those at home
-Nightmares
-feigning sickness

symptoms for at least 4 weeks - Separation from primary care giver
Term
Generalized Anxiety Disorder
Definition
-Anxiety is pervasive
-worry about everything else

Symptoms have to be present for 6 months
less than 6 month it will be UNSPECIFIED ANXIETY DISORDER.
Term
Selective Mutism
Definition
Persistent Failure to speak in specific social situation
Term
Social Anxiety Disorder (Social Phobia)
Definition
Social phobia is a fear of social places, people
Term
Reactive Attachment Disorder
Definition
RAD
New Diagnosis - Used to be Inhibited type

-Looking for a child who has a lack of connection with other people/caregivers
-Lack any kind of initiative for engagement.
-Lack help seeking behavior from caregiver
-they fly under the radar
-tend to isolate or withdraw

Both require disruption of a caregiver
Term
Disinhibited Social Engagement Disorder
Definition
NEW DISORDER THAT REPLACED DISINHIBITED

-indiscriminate attachment - Need to attach (no boundaries and will sit in laps and over due attaching, attention seeking behaviors
-stand out to teachers

Must be diagnosed before the age of 5 years of age

Both require disruption of a caregiver
Term
Oppositional Defiant Disorder
Definition
ODD
-Negative, defiant, hostile behaviors
-Problem with adults and authority
- R/O DEPRESSION BE SPECIFIC
Term
Conduct Disorder
Definition
CONDUCT
-Violation of the basic rights of others - property, lying, rule and law breaking behaviors.

-VANDALISM/LAW BREAKING - FEEDS INTO ANTI-SOCIAL PERSONALITY DISORDER
-PRECURSOR MUST BE DIAGNOSED UNDER 18 FOR CONDUCT
Term
Disruptive Mood Regulation Disorder
Definition
Severe temper tantrums 3 or more x a week.

-Consistent irritable and angry mood -
-DIAGNOSIS AGE 6-18

IF THE TANTRUMS WENT ON FOR DAYS - TURNS INTO MANIC AND BIPOLARITY BECOMES QUESTIONABLE.

Can be co-occuring with other diagnosis
Term
Brief Psychotic Disorder
Definition
THE DEFINING CHARACTERISTIC FROM THESE IS THE TIMELINE: Symptoms must appear
Brief
Zero days to a month
Term
Schizophreniform Disorder
Definition
1-MONTH TO 6 MONTHS - NON bizarre delusion - someone following me = Delusional disorder non bizarre
Term
Schizoaffective
Definition
Meets criteria for psychotic disorder w/mood disorder, depression, manic phase

Distinguish by starts with Schizo. Predominant features are psychotic then the manic or depression comes out.
Term
Major Depressive Disorder
Definition
Symptoms have to be present for at least two weeks. Change in biological functioning, day-to-day interruptions, functionality, clear marked impact
Term
Unspecified Depressive Disorder
Used to be vs. Persistent Depressive Disorder
Definition
Unspecified is a lighter version - Used to be NOS - Doesn’t meet the full criteria

PDD - Need a timeline - 2 years minimum - Children is 1 year - Formerly called DystImic disorder
Term
Bipolar I Disorder
Definition
BP 1 - Heavily misdiagnosed - Need 1 thing - Full manic episode - Extreme happiness, racing thoughts, rapid speech - NEEDS TO BE PRESENT FOR 1 WEEK OR MORE ELEVATED EXPANSIVE OR IRRITABLE MOOD. FEELINGS ARE SO SEVERE THAT THEY CAUSE INTERRUPTIONS TO EVERYDAY LIFE. NOT SLEEPING, GRANDIOSITY. VERY NOTICEABLE. OUT OF YOUR MIND
Term
Bipolar II Disorder
Definition
NEED HYPO-MANIA AND A MOOD DISORDER - NO PSYCHOTIC FEATURES - HYPO MANIA IS FOUR DAYS. Hopeless, tearful w/Major depressive symptom
Term
Cyclothymic Disorder
Definition
Milder version of hypo mania and MD - UP AND DOWN BUT NOT AS SEVERE - SHOULD LAST FOR FOUR DAYS.
Term
Schizoaffective Disorder
Definition
Distinguish by starts with Schizo. Predominant features are psychotic then the manic or depression comes out.
Term
Mood Disorder with Psychotic Features
Definition
Predominant feature is the MOOD DISORDER THEN PSYCHOTIC COME OUT.
Term
Bereavement
Definition
OCCURS AFTER SOMEONE DIES - Can diagnosis someone before two months with depression - this changed from dsm 4
Term
Adjustment Disorder With Depressed Mood
Definition
CLEAR START WHEN SOMETHING OCCURS - DIVORCED, LOSS OF JOB BUT CAN ONLY LAST FOR 6 MONTHS - THEN ANOTHER DIAGNOSIS HAS TO BE ASSIGNED. MILDER VERSION - ADJUSTMENT TO A STRESSOR. Anxious moods, depressed mood, conduct.
Term
Panic Disorder
Definition
SOMEBODY EXPERIENCES A PANIC ATTACK MET WITH AN ONGOING FEAR OF A PANIC ATTACK. FEAR OF DEATH/DYING. Re-occurring - panic living in fear of having a panic attack. AVOIDING A PANIC ATTACK THESE CAN BE CO-OCCURING.
Term
Agoraphobia
Definition
Fear of situation of an open space, crowds, away from home. Excessive beyond normal - needs to be around 6 months. FEAR OF SPACES - THESE CAN BE CO-OCCURRING.
Term
Obsessive-Compulsive Disorder
Definition
OCD - OBSESSIONS/COMPULSION - OBSESSIVE THOUGHTS, BEING DIRTY, CHECKING WINDOWS, PERSEVERATING, CANNOT IGNORE. PERSON RECOGNIZES - THEY HAVE AWARENESS

COMPULSIONS - ACTIVITIES FOLLOWING THE OBSESSIVE THOUGHTS - CHECKING THE WINDOWS, BRUSHING TEETH, WASHING HANDS.
Term
Obsessive-Compulsive Personality Disorder
Definition
PERFECTIONIST - DETAIL ORIENTED, WORKAHOLIC, HARD TIME DELEGATING, INFLEXIBLE, THEY DON’T DO IT OVER AND OVER AGAIN. DO NOT HAVE AN AWARENESS THAT THEY ARE PROBLEMATIC. RIGID PERSONALITY, THEY GET UPSET.
Term
Posttraumatic Stress Disorder (PTSD)
Definition
PTSD - STRESS DISORDER - RE-EXPERIENCE A TRAUMATIC EVENT - RAPE, MURDER, STRESS OF RELIVING THE EVENT, THROUGH DREAMS, RE-OCCURING THOUGHTS, STARTLED RESPONSE, NUMBING AFFECT, ATTACHED, AVOIDING SITUATION, FEAR OF THE EVENT, IRRITABILITY, ANGER OUTBURST. Reckless and destructive component, faulting. PTSD - SYMPTOMS OVER A MONTH
Term
Acute Stress Disorder
Definition
SYMPTOMS 1-MONTH AND UNDER.
Term
Adjustment Disorder w/Anxiety
Definition
Term
Delirium
Definition
Delirium - In a hospital setting - Due to medical issue. Marked shift in awareness process. Language, hallucinations, illusions, Rapid onset.
Term
Major Neurocognitive Disorder
Definition
Major Neurocognitive - Replaces Dementia  - Severe enough to function independently.
Term
Mild Neurocognitive Disorder
Definition
Mild Neurocognitve  - Issues with elderly - complex attention, memory, social cognition, perceptual motor skill. Noticeable decline but they usually are able to maintain independence. They have the awareness they need support
Term
Somatic Symptom Disorder
Definition
Somatic Symptom Disorder
1 or more somatic symptoms - Must have health related anxiety, or medical seriousness for symptoms

Need to be present for 6 MONTHS
Term
Illness Anxiety Disorder
Definition
Illness Anxiety - Excessive research of illness, fears, avoidance, worry, afraid they will be sick. No serious symptoms

Needs to be present for 6 MONTHS
Term
Conversion Disorder
Definition
Psychological issue turns into a somatic symptom.

Example - Blind Rage - actually go blind due to rage. (Coverts)
Term
Factitious Disorder
Definition
Someone makes up they are sick in order to get attention from being a patient.
Term
Malingering
Definition
Now a V code. Fakes a disorder or illness in order to get out of something.

Claiming a mental disorder to go on disability.
Term
Münchausen Syndrome by Proxy
Definition
A second party/parent has their child get sick because they like playing the parent of a sick child.
Term
Anorexia Nervosa
Definition
Somebody restricts dietary intake to the point it does not meet their needs. Less than minimally normal in weight - intense fear of gaining weight or being fat (fear)
Term
Bulimia Nervosa
Definition
Binge eating. Amount much larger of food / Lack of control of eating. Reoccurring purging behavior. Excessive exercise and fasting. Must have the purge element
Term
Binge Eating Disorder
Definition
Lack of control of eating, eating alone, feeling embarrassed, emotional issues
Term
Unspecified Eating Disorder
Definition
used to be ED NOS - Somebody just purging - Obsession affecting their eating habit
Term
Body Dysmorphic Disorder
Definition
Distinct unpleasurable feeling about their body. A point they excessively groom, concern and obsession over a specific body part - usually normal but the person is sure the body part is not acceptable.
Term
Depersonalization/Derealization Disorder
Definition
Report they are in a dream state, his or her surrounding  are surreal - Dream state.

His or her surroundings/world are unareal
Term
Dissociative Amnesia
Definition
Sudden forgetting of personal events. Stressors that come upon a person, can’t deme,her specific events.
Term
Dissociative Identity Disorder
Remove Dissociative Fugue
Definition
Multiple personality formerly - 2 or more personalities. Possession of another person, shifting between personalities
Term
Genito-Pelvic Pain/Penetration Disorder
Definition
GPP - New Name - Pain during intercourse or fear their will be pain. Tensed or tightening - Displeasure in intercourse
Term
Female Sexual Interest/Arousal Disorder
Formerly hypo active
Definition
Needs to be around for 6 months - decline of sex, initiation, loss of sexual interest. Was a previous interest but a noticeable decline has been reported.
Term
Insomnia Disorder
Definition
When a person complains of difficulty in sleeping multiple nights for 3 months. Early morning waking up and cannot go back to sleep. Complaining Inadequate amount of sleep of quality / quantity
Term
Hypersomnolence Disorder
Definition
Person complaining of excessive sleepiness. Needs to exceed 7 hours - person is sleeping into the day.
Term
Nightmare Disorder
Definition
Someone wakes up in their cycle of sleep with a nightmare. They can recall the content of the dream - Distress
Term
Non-Rapid Eye Movement Sleep Disorder
Definition
Recurrent - screaming can wake him up - looks dazed and confused. Sleep walking, not remembering
Term
Central Sleep Apnea
Definition
When a person stops breathing for a moment or a minute - They tend to snore. Affects the ability to sleep due to breathing issue
Term
Narcolepsy
Definition
Someone falls asleep during the day - unexpectedly. Falls asleep in mid sentence.
Term
Intermittent Explosive Disorder
Definition
Person has problems with their failure to resist their aggressive impulses. Verbal abuse, aggression
Term
Kleptomania
Definition
recurrent failure to steal object. they most often steal out of a weird fetish to steal.
Term
Trichotillomania
Definition
air pulling - eyebrows, arm hair, excessive hair pulling. Anxiety disorder
Term
Substance Use Disorder
Definition
Includes - abuse - continuum of mild or severe. reoccurring substance use as an impairment. Drinking, substance, use, taking, abusing, cut back on obligation as a result of use. cravings have been added, tolerance and withdrawal 
clear symptomology - headaches, throwing up etc.
Term
Substance Induced Disorders
Definition
paranoia - mental health disorder is induced.
Term
Substance Intoxication
Definition
Short term memory loss, time line of the drug, noticing variable intoxication
Term
Substance Withdrawal
Definition
Body is processing the drug - Headaches, feeling sick, sweating, etc.
Term
Gambling Disorder
Definition
Think about gambling excessively, spend more money then they have. Interferes with life, job, relationship, financial stress. People lying to conceal gambling addiction - Repeated attempts to stop or cutback. 
Internet addiction will be added to the DSM.
Term
EGO CENTONIC
Definition
Client's don’t see the disease or behavior is a problem - Characterological issues that develop - becomes the norm.

They don’t see anything wrong with it.
Term
EGO DYSTONIC
Definition
Something the client is aware of and does not like in themselves (depression)
Term
Paranoid Personality Disorder
Definition
Irrational decisions and suspecting others are trying to harm them. Preoccupied and worried people are out to get them.

PERVASIVE
Term
Delusional Disorder
Definition
When someone experiences delusional
-Bizarre (Aliens are out to get them)
-Non bizarre - (Thinking they are being followed_
Term
Schizophrenia
Definition
The symptom must have been present for at least one month and the disturbances to their life must have been evident for at least six months.
Disorganized speech, flat affect, hallucinations.
Must have 2 or more
Delusions.
Hallucinations.
Disorganized speech.
Disorganized or catatonic behavior.
Negative symptoms.
Term
Schizoid Personality Disorder
Definition
Ego Centonic
Lack an interest in individual social relationships - LONERS - No belief or trust in others

Pervasive over the course of someone's life/time
Term
Avoidant Personality Disorder
Definition
LONELY - They want to connect but are socially inhibited - Avoid social interactions. They have fear of rejection
Term
Schizotypal Personality Disorder
Definition
odd behavior in thinking - Believe in Aliens - Some paranoia, magical thinking, fantasies. odd thinking and speaking. Lack friends, dress bizarre

Magical thinking
Term
Antisocial Personality Disorder
Definition
Must be age 18 - evidence of conduct  disorder prior to age 15- Pervasive pattern of disregard and violation in the rights of others-law breaking, deception, aggressive, impulsive, irresponsible, lack of remorse.
Term
Narcissistic Personality Disorder
Definition
Pervasive pattern of grandiosity, lack of empathy, Not at all understanding what another person would feel.  Self importance. Superior, fantasies of unlimited success, sense of entitlement. Envious of other, arrogant and hottie of others, often fly into a rage. Perpetrators of Domestic Violence - very common.
Term
Borderline Personality Disorder
Definition
Known for instability in relationships, black and white thinking, frantic fear of real or imagined abandonment, got to extreme if they feel rejected. Recurrent suicidal gestures. Idealize a therapist -  identity disturbances with self, mood instability, feeling of emptiness, and difficulty controlling rage. Hard to keep jobs, extreme behaviors.
Term
Histrionic Personality Disorder
Definition
Pervasive attention seeking - need for center, seductive behavior. Need to constantly be recognized. Shallow need for attention, attention, dramatic, telling stories.
Term
Obsessive-Compulsive Personality
Definition
OCPD- Rigid - perfectionist, workaholic, anal-things done a certain way.
Term
Dependent Personality Disorder
Definition
Difficulty making decisions - defer to others for decision making. difficulty of disagreeing with others. Fear rejection and loss of support or approval - hard time initiating problems, lack confidence in their judgement - excessive lengths to get other people to like them and be with them. Feel uncomfortable of being able to help themselves. Copilot in their own life. Preoccupied with unrealistic thoughts that they cannot take care of themselves so they latch onto other people .
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