3+

1. tolerance

2. withdrawal

3. more than expected/longer than expected

4. craving

5. attempt to decrease

6. time consuing

7. revolve around subtance

8. continues use even though they're aware of problem

TF: occur in the same 12 month period

1+

1. failure to fulfill major role obligations

2. recurrent substance use in situations where its physically hazardous (drinking and driving)

3. legal problems

4. continued use despite personal problems

Substance Intoxication EF

1. mood

2. belligerence

3. impaired social or occupational functioning

4. cognitive ability

1. clincally significant distress

2. impairment in pro or social areas of funtion

3. not due to physical condition

4. usually but not always associated with dependence

5. craving to reduce symptoms

6. withdrawal worse than trying to quit

2+ impairment to:

1. perception

2. inferential thinking

3. language and communication

4. behavioral monitoring

5. affect

6. fluency and productivity of thought and speech

7. hedonic capacity

8. volition and drive

9. attention

disortions in:

1. thought content

2. perceptions/hallucinations

3. language or thought process

4. self monitoring or behavior

restrictions in:

1. emotional expression

2. productivity of thought and speech

3. initiations of goal directed behavior

1.positive

2. persecutory: believe they are being tormented, followed or tricked

3. referential: certain gestures or comments are specifically directed at him 

4. if bizarre then no other criteria needs to be met

1. disorganized thinking

a. slip off track from one topic to another

b. answers to questions completely unrelated

c.speech incoherent or word salad

2. grossly disorganized behavior

a. childlike silliness

2. difficulty with daily acitivities

c. disheveled/inapproprately dressed

d. inappropriate sexual beavhior

e. unpredictable and non-triggered agitation

EF: prominent delusions or auditory hallucinations in the context of relative preservation

Symptoms: 

1. delusions are persecutory or grandiose, usually with a common theme

2. hallucinations typically related to delusional theme

3. no disorganized or catatonic symptoms

4. asssociated feature: anxiety, anger, aloofness, argumentativenss, superior or patronizing manner

EF: psychomotor disturbance that might cause motor disturbance

- purposeless motor acitivity

- rigid posture

- no movement at all

- echolalia/aprazia

- exhaustion, malunutrition, exhaustion, hyperexia, or self inflicted injury

- catalepsy or stupor

EF: identical to schizophrenia except total duration of illness is at least 1 MONTH but LESS THAN 6 MOS

- impaired social and occupational functioning is not required

- inbetween brief psychotic disorder and schizophrenia

- lighter form of schizophrenia

- incorporating mood disorder

- during the same period delusions of hallucinations for 2 WEEKS  even when episodes stop

- MDE- 2 weeks, MANIC AND MIXED- 1 WEEK

- at least 1 MONTH

- 2 types: bipolar and depressive

- EF: presence of one or more non bizarre delusions that persist for at least 1 month

-psychosocial functioning isn't impaired

- relatively brief- day or two or even just hrs

- another is in love with the indiviudal, idealize tomatic love or spiritual union, STALKER

- person keeps delusions secret

- most are female in clinical samples

- Conviction of having some great but unrecognized talent or insight or hving amde some important discovery

- less commonly may have delusion they are some prominent person

- special message from a deity, prophetic message from god

- cultural element

- when central theme is his or her spouse is unfaithful

- no due cause

- small bits of evidence

- usually confronts the spouse and attempts to intervene in the imagined infidelity

- most commone

- they are being conspired against, cheated, drugged, watched, harassed, screwed over in the pursuit of long term goals

- focus on some ijustice that needs to be remedied in legal actions, multiple attempts with courts

- often upset and angry and may result to violence to those they believe are hurting them

- bodily functions or symptoms:

- admits a foul odor

- infestation of insects in their skin

- internal parasite

- parts of body are mishapen or ugly

- at least 1 DAY but LESS THAN A MONTH

- evetually has a reutrn to regulat functioning

- one intense affect to another

- high risk of suicide

- preexisiting persoanlity disorders may predispose the individual

- share beliefs in whole or part

- schizophrenia is most common of primary care

- can occur in larger groups but most commonly just amongst two people

- rarely seek treatment

- without intervention is usually chronic

- symptoms go away once treatment or separation

- most common

- person fails to remember events during a certain period of time

- usually immediately after

- sexual assault and they dont remember anything

- uninured survivor of a car accident when family is dead

- most common

- some but not all events can be recalled during a particular event

- failure of recall is persons entire life

- less common

any events up to the present

- less common

- certain types of information

 - family or rtpye of person

 - less common

- confusion of personal identity or assumption of new identity

- distress in social and occupational functioning

- may be long or short periods of time

- some travel thousands of miles

- dont attract attention and seem fine

- most associated with truamatic or overwhelming events

- don't recall each other

- distinctly different identities

- primary idenitity is passive

- cirtical of one another, open conflict, different situations bring them out

- 6-7 years from first symptoms to diagnosis

- 

1. derealization

2. body detachment

3. inauthenticity

4. self negation

5. self objectification

EF: refuses to maintain a normal body weight

- afraid of weight gain

- disturbance in shape or size of body

- weighs less than 85% of body weight

- 2 types: restricting and binge eating/purging

- binge eating and compensatory methods to prevent weight gain

- more like a punishment for weight gain

- at least twice a week for 3 months

- shame and punishment of eating problems, attempt to conceal problems

- 2 typcs: purging and non purging

4+

1. dizzy

2. sense of disaster

3. heart palpitations

4. shortness of breath

5. chest pains

6. rapid heart beat

7. think they're about to die

8. lose control

9. think they're having a heart attack, going crazy 

10. sweats

11. urgent desire to flee from where ever the attack is occurring

12. attacks come abruptly in ten minutes and last less than 30 minutes, can occur several times a week

3 types of panic attacks

1. unexpected: those that which the individual does not associate the onset with an environmental trigger

2. situationally: ocrru immediately on exposure to or in anticipation of the cue or trigger, social or specific phobia

3. situationally predisposed: dont necessarily occur immediately after exposure

ef: fear of the marketplace

- person dfears places or situations where escape seems difficult or embaressing or help might not be avilable if needed

- fear of having a sudden attack of dizziness or diarrhea

- fear leads to avoidance of being alone outside the home

- some individuals are able to expose themselves to these situations but they experience great dread

- onset of unexpected panic attacks

- subsequent avoidance of multiple situations likely to trigger panic attacks

- must have basic criteria for agoraphobia

- even when they aren't going to be exposed they are concerend that they dont even want to deal with it, they want to avoid it at all costs

individual has additional unpexcted panic attacks but no additional avoidance with drea occurs

- not quite as intense

- fear of panic like symptoms instead of total panic attacks

- usually reassed and get diagnosis of specific phobia instead

- full criteria for panic disorder must never be met

- unwanted or intense fear or specific objects or situations

1. animal

2. nautural environment

3. blood injection type

4. situational

5. other

- if under 18 the symptoms must persist for at leats 6 months

- recognize as excessive or unreasonable

-immediate anxiety response

- can expose themselves just with extreme dread

- fear of being embaressed not necessarily siutation

- fear of judgment

- provokes an immediate anxiety response

- anxiety, blushing, stomach problems, diarrhea, hand shaking, confusion

- under 18 symptoms must exist for 6 months

- adults realize the fear is unreasonable and sometimes endure with dread

- severity may differ with stressors and life demands

- may avoid eating or drinking in public

- take sup more than 1 hour per day

- recognizes that its unreasonable

- out of their control- know its out of their control

- tries to ignore or neutralize thoughts or actions

- compulsions: repetitive behaviors to neutralize obsessions

- most common: thoughts about contamination or doubts

- driven to do it because they need relief from anxiety

- more common in: males, higher class, higher intelligence

PTSD

- also be given to those that witnessed it

- acute : less than 3 months

- chronic: more than 3 months

- delayed onset: at least 6 months after the event

- guilt or personal responsibility

- very imiliar to ptsd

- emotional numbing, detachment, depersonalization, world is less real, lacking significance, dissociative amnesia

- 2 days- 4 weeks, very brief

Generalized Anxiety Disorder

- excessive worry occuring for more days than not for a period of 6 months

- worried about everything

- worry is difficult to control

- easily tired, difficulty concentrating

- intolerance of uncertainty

- without treatment it just gets worse

- for children they worry about performance and competence

at least 2/4 ways

1. cognition: waysof perceiving events and one's self

2. affectivity: range, intensity, ability and appropriateness

3. interpersonal functioning

4. impulse control

odd and eccentric:

- paranoid

- shizotypal

- schizoid

ef: pervasive distrust and suspisciousness of others

4+

ef: detachment from social relationships, limited range of expression or emotion in interpersonal settings

4+

ef: uncomfortable with close relationships, cognitive and perceptual distortions and eccentricities

5+

ef: pervasive pattern of the violation of rights of others, starting in early childhood

3+

ef: pervaise pattern of instability, interpersonal relationships, self image and affects

5+

ef: pervasive and excessive emotionality

5+

ef: need for admiration, lack of empathy, sense of grandiosity

5+

anxious and fearful

avoidant, dependent, ocpd

ef: pervasive pattern of social inhitibiton

4+

ef: pervasiv and excessive needs to be taken care of

- 5+

ef: excessive concern for order and control at the expense of flexibility, openness and efficiency

- 4+

ef: 2 weeks with depression or loss of interest

5+

MAnic Episode

ef: distinct period where there is abnormally and persistenly elevated mood or irritable mood- not sadness

- 3+ (if irritable then 4+)

3+ (if irritable then 4+)

Mixed episode

- manic and major episode nearly everyday

- 1 week

- A mixed epsiode is defined by meeting the diagnostic criteria for both a manic episode as well as a major depressive episode nearly every day for at least a full week

- distinct period where there is aat least 4 days hyper elevated mood

- 3+ (4 if irritable)