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Common DSM diagnoses
dsm5
43
Psychology
Post-Graduate
07/28/2019

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Cards

Term
MDD (296.2/F32.x)
Definition
SIGECAPSS Sx for 2 weeks or +
Sadness, interest loss, guilt/worthlessness, energy loss, concentration, appetite, psychomotor retardation/agitation, sleep, suicide:
Mild, mod, severe, psychotic
Term
PDD (300.4/F34.1)
Definition
sad most days for 2 years; 2 or more of sleep change, hopelessness, appetite, low SE, concentration loss
Never Sx-free in first 2 years
Significant distress/impairment
Term
Disruptive mood dysregulation disorder (296.99/F34.8)
Definition
revere recurrent temper outbursts (verbal or physical) - out of proportion to context.
3 or +/week, more than a year, began ages 6-18
Persistent irritability
not better explained by mania, dep, autism, SA etc.
Term
Premenstrual Dysphoric Disorder (625.4/N94.3)
Definition
Sx present 1 week prior to menses
1/4 of mood swings, irritability/anger, sadness, anxiety
at least 5 total mood swings, irritability/anger, sadness, anxiety/tension, loss of interest/concentration, fatigue, appetite, sleep, feel overwhelmed, physical sx (bloating/pain/breasts)
Significant distress/imp.
Term
Bipolar 1 disorder (296.7/F31.0)
Definition
euphoric or irritable mood and increased energy for 1 week
3/7: grandiose, decreased sleep, talkative, racing thoughts, distractibility, increased goal-directed bx, impulsive, risk-taking bx.
Social or work impairment, or necessitates hospitalization.
typically labile/rapid mood shifts, predom. irritable.
Note: hypomanic episode is 4 days; MDD usually present but not always.
Manic episode required for Dx but hypomanic/depression not req.
15x higher risk for suicide than GP
Term
Mood disorder specifiers
Definition
mild, mod, severe, with psychotic features, partial/full remission, anxious distress, mixed features, rapid cycling, melancholic features, atypical features, mood-congruent/incongruent psychotic features, catatonia, peripartum onset, seasonal pattern.
Discuss suicide risk, cultural factors, comorbidities, prognosis.
Term
Bipolar 2 (296.89/F31.81)
Definition
At least 1 hypomanic and at least 1 MDD episode
No full mania
+- 1/3 attempt suicide
Same criteria as mania but 4 days limit; no marked impairment in social/work fn.
Term
BP2 Diff Dx
Definition
MDD (usually diff duration/few Sx of hypo/mania)
cyclothymic disorder (BP2 incl 1+ MDD episodes)
Schiz spectrum (different because the spectrum incl psychotic bx in absence of mood disorder)
Panic dis. (may co-occur)
SA dis.
ADHD (clarify if distinct episode and if noticeable increase of baseline Bx)
Personality dis (tends to have lifetime Hx)
Term
cyclothymic dis. (301.13/F34.0)
Definition
Numerous hypomania and dep Sx for 2 years.
Does not reach full criteria for hypo/manic or dep.
Not w/o Sx for 2 months in past 2 years.
Clinically sign. distress/impairment
Term
Schizophrenia (295.90/F20.9)
Definition
One positive Sx for 1 month (hallucinations, delusions, diorganized speech)
2 or + of following: hal/del/dis speech/Bx, negative Sx (flat affect/low motivation).
Poor residual functioning for at least 6 months.
Social or work impairment.
Specify if with catatonia and severity.
Remember cultural factors.
Increased suicide and SA risk.
Term
Schizophreniform Dis.
Definition
Schiz Sx between 1-6 months
Term
Schizoaffective Dis. Bipolar type
Definition
Schiz Sx and bipolar 1 Sx present most of the time.
At least 2 weeks of delusions or hallucinations without bipolar Sx.
Must have bipolar (dep or mania) Sx majority of time.
Term
Schizoaffective Dis. Depressive type
Definition
Sciz Sx and Depression Sx present most of the time.
At least 2 weeks of delusions or hallucinations without depression.
Must have dep majority of time.
Term
Delusional Dis.
Definition
Moderate delusions at least 1 month, not Schiz level.
Otherwise good functioning, no bizarre bx.
Erotomanic/grandiose/jealous/persecutory/somatic/mixed/unspecified types.
Term
Brief psychotic disorder
Definition
Schiz Sx for less than 1 month.
Full return to premorbid fn.
Specify with/without marked stresssors, postpartum onset, catatonia.
Term
Panic disorder (300.01/F41.0)
Definition
Recurrent, abrupt, unexpected intense fear or discomfort.
Persistent worry of additional attacks for 1 month.
4/13 Sx: palpitations, sweating, trembling, shortness of breath, choking, chest pain,nausea, dizziness, derealization, fear of going crazy, fear of dying, numbness/tingling/cold/hot flashes.
Can be specifier for PTSD.
Term
Agoraphobia
Definition
Intense fear of 2 or more: public transportation, open spaces, enclosed spaces, crowds, being away from home.
Avoids these areas/situations.
More than 6 months, interferes with normal functioning.
Term
GAD (300.02/F41.1)
Definition
Excessive worry most days for 6 months.
3/6 Sx: restless, fatigue, decreased concentration, irritability, tense, insomnia).
Imp. fning.
Term
Specific phobia
Definition
Intense unreasonable fear, imp fning.
Animals, natural environment (heights, thunderstorms etc), needle injections, situational (elevators, planes etc), other
Term
Social Anx Disorder
Definition
persistent fear of social interaction; interferes with normal fning.
Term
Separation Anx Disorder
Definition
Excessive anxiety over separation from home or parents.
Term
Selective mutism
Definition
Mute in some settings but not others.
Term
OCD
Definition
Obsessions: persistent, intrusive, inappropriate, non-psychotic thoughts.
Compulsions: repetitive bx compelled to reduce stress.
Patient as insight into the problem but can't stop.
Marked distress/impairment.
Term
Body dysmorphic disorder
Definition
preoccupation with imagined deficit in physical appearance.
Repetitive checking, grooming, picking, comparing or reassurance seeking.
Work/social impairment.
Term
Substance abuse disorder
Definition
Mild 2-3 Sx; Moderate 4-5 Sx; Severe 6+ Sx.
Uses more than intended, failed attempts to cut back, important work/social activities given up due to SA, excessive time spent obtaining, using or recovering, uses in dangerous situations, cravings, persistent use despite awareness of issue, problems at work/school etc., tolerance and withdrawals
Term
Types of substance use disorder
Definition
Alcohol, Caffeine, Cannabis, Hallucinogen, Inhalant, Opioid, Sedative, Stimulant (meth/cocaine), Tobacco
Term
ADHD
Definition
Persistent inattention or hyperactivity interfering with fning for 6 months beginning before age 12:
Inattention: 6+ Sx - inattention to details, diff sustaining attention, poor listening, poor follow thru on tasks, poor organization, avoids HW and large projects, often loses things, distractible, forgetful.
Hyperactivity: 6+ Sx - fidgets or squirms, leaves seat often, runs around inappropriately, can't play quietly, driven, always moving, overly talkative, blurts out answers, diff waiting or turn-taking, interrupts frequently.
Term
PTSD
Definition
Severe trauma - experienced, witnessed or learned about violent trauma to loved one;
intrusive memories, nightmares, flashbacks; avoidance of thoughts/feelings/reminders; negative thoughts and feelings (amnesia to event, self/other blame, persistent fear/anger/horror/shame, low interest in activities, feeling detached/numb); hyperarousal (insomnia, poor conc, emotional lability, hypervigilance, exaggerate startle, reckless or self-destructive bx); Sx present for 1 month + and impaired fning.
Term
Acute Stress Disorder
Definition
As with PTSD but <1month
Term
Adjustment Disorders
Definition
Stressor leading to excessive distress or work/social imp.
Sx do not last more than 6 months after resolution of stress.
Specify stress as acute or chronic (>6mo).
Specifiers: with depressed mood, anxiety, mixed and and dep, with disturbance of conduct, with disturbance of emotions and conduct
Term
Reactive Attachment Disorder
Definition
poor care-giving at early age; emotionally withdrawn towards caregivers; socially and emotionally unresponsive, inappropriately sad/irritable/fearful
Term
Disinhibited social engagement disorder
Definition
poor care-giving at early age; child inappropriately approaches or is overly familiar with strangers.
Term
Dissociative Identity Disorder
Definition
2 or more distinct personalities recurrently take control; compartmentalization of information; marked distress/imp.
Term
Depersonalization/Derealization disorder
Definition
recurrent subjective detachment (as if an outside observer or in dream); intact reality testing/not psychotic; marked distress/imp.
Term
ODD
Definition
Angry, argumentative, vindictive or defiant bx for 6 months; marked distress/imp.
Term
Conduct Disorder
Definition
3/15 criteria in past 12 months and at least 1 criteria in past 6 months:
Persistently violates others' rights or societal rules (hurting people/bulling, starting fights; hurting animals, property destruction, lying, theft, illegal activity); may code more specifically for childhood or adolescent onset.
Specifiers: mild/mod/severe; with limited prosocial emotions; callous/lack of empathy; unconcerned about performance; shallow or deficient affect
Term
Conduct disorder vs. ODD
Definition
ODD less severe, does not include aggressive acts towards ppl/animals/property/theft/deceit. ODD more emotional dysregulation. Both diagnoses can be given.
Term
Intermittent explosive disorder
Definition
recurrent verbal or physical outbursts out of character for the person and disproportionate to the stressor; dissimilar to ODD/CD (more impulsive/not premeditated or goal-directed
Term
Somatic Sx disorder
Definition
Disproportionately excessive response (thoughts, feelings or bx) to a distressing physical sx - usually persists at least 6 months.
Term
Factitious disorder
Definition
Intentionally faking sick; no clear financial or legal motivators.
Term
Conversion Disorder/Functional Neurological Symptom Disorder
Definition
Abnormal voluntary motor or sensory functioning; sx incompatible with recognized neurological or medical conditions; marked distress/imp.
Term
Gender dysphoria
Definition
Conflict between one's assigned gender and the experience of their gender. Strong preference for the characteristics of the opposite gender to which assigned. Clinically significant distress/imp.
Term
Random V codes
Definition
V60.2 low income
v61.03 disruption of family by separation/divorce
v62.4 acculturation difficulty
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