Terms in this set (53)
paranoid personality disorder
a pervasive and inappropriate interpreting of the action of others as demeaning or threatening. deny own unacceptable thoughts or feelings and project these on others.
DSM 5: CHANGES
Note DURATION/ONSET of symptoms (Ex: Major Depressive Disorder has to be 2 weeks; if following a trauma, it could be adjustment disorder up to 6 months). NO 4 Axis or GAF score-Instead, specifiers of varying intensity/components i.e. bipolar has with anxious distress specifier instead of GAD and bipolar.
Intellectual Disabilities (instead of mental retardation/developmental disability)
Deficit in intellectual functions, adaptive functions, onset during developmental period. Diagnosed with clinical assessment and standardized testing
Autism Spectrum Disorder
Qualitative impairment in social interaction, communication, restricted repetitive and stereotyped patterns of behavior, interest and activities. No eye contact, unaware of others, perseverative play and strong reaction to minor changes.
Persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with or development as characterized by Inattention and/or Hyperactivity that has persisted for MORE THAN 6 MONTHS.
Delusions, hallucinations, disorganized thinking (speech), catatonia, negative symptoms.
Presence of delusions for A MONTH OR LONGER. Criteria for schizophrenia has not been met
Functioning is not markedly affected, brief manic or major depressive moods if any
Brief Psychotic Disorder
Presence of 1 OR MORE: delusions, hallucinations, disorganized speech, disorganized or catatonic.
Duration of episode is AT LEAST ONE DAY, BUT NOT MORE THAN A MONTH. Disturbance not better explained by major depressive disorder or bipolar disorder.
TWO OR MORE OF THE FOLLOWING: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms.Episodes lasts AT LEAST 1 MONTH, BUT LESS THAN 6 MONTHS. Schizoaffective disorder and depressive or bipolar have been ruled out.
TWO OR MORE OF THE FOLLOWING: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms. Above symptoms present for A SIGNIFICANT PORTION OF TIME DURING A 1 MONTH PERIOD. Level of functioning in one or more major areas is markedly below. Continuous signs of the disturbance persist for AT LEAST 6 MONTHS
Uninterrupted period of illness during which there is a major mood episode concurrent with Criterion A of Schizophrenia.Delusions or hallucinations for 2 OR MORE WEEKS in the absence of a major mood episode. Symptoms that meet criteria for a major mood episode are present for a MAJORITY OF THE TIME.
Manic episode lasting at least A WEEK. Major depressive episode present during 2-WEEK PERIOD.
Meets criteria for Hypomanic Episode (4 DAYS) AND MAJOR DEPRESSIVE EPISODE. Never been a manic episode
Elevated, expansive, irritable mood, increased goal-directed activity or energy lasting AT LEAST A WEEK AND PRESENT MOST OR ALL DAY. THREE OR MORE OF THE FOLLOWING: grandiosity, decreased need for sleep, more talkative, flight of ideas or thoughts racing, distractibility, increased goal-directed activity, excessive involvement in activities.
AT LEAST 2 YEARS, numerous periods of hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode.
-During the 2 year period, the hypomanic and depressive periods have been present for AT LEAST HALF THE TIME AND HAVE NOT BEEN WITHOUT SYMPTOMS FOR MORE THAN 2 MONTHS AT A TIME.
Major Depressive Episode
FIVE OR MORE OF THE FOLLOWING: Depressed mood most of the day, nearly every day, diminished interest or pleasure in activities, significant weight loss, insomnia, psychomotor agitation or retardation, fatigue, feeling worthless, can't concentrate, recurrent thoughts of death.
Elevated, expansive, irritable mood, increase goal-directed activity or energy lasting 4 CONSECUTIVE DAYS 3 OR MORE SYMPTOMS OF MANIC EPISODE CRITERIA B
Disruptive Mood Dysregulation Disorder
Severe recurrent outburst, verbally or behaviorally, on average 2 OR 3 TIMES PER WEEK. Criteria PRESENT FOR 12 MONTHS
Persistent Depressive Disorder (Dysthymia)
Major depression for 2 years; during which symptoms have always been present except for no more than 2 months.
Separation Anxiety Disorder
Developmentally inappropriate and excessive fear or anxiety concerning separation from attachment figures.
Consistent failure to speak in specific social situations where expected. Disturbance is at least 1 month
Specific fear about specific object or situation. Almost always provokes anxiety
Social Anxiety Disorder
Fear or anxiety about one or more social situations.
Recurrent unexpected panic attacks. Palpitations, sweating, trembling, shortness of breath, feelings of choking, chest pain, nausea, feeling dizzy, chills or heat sensations, fear of losing control or going crazy.
Fear or anxiety about 2 OR MORE OF THE FOLLOWING: Public transportation, open spaces, enclosed places, standing in line, or being in a crowd, being outside of the home alone.
Presence of obsession, compulsion, or both. The individual attempts to ignore or neutralize persistent thoughts, urges, or images that are unwanted and cause anxiety or distress with some other thought or action i.e. performing a compulsion.The obsessions or compulsions are time-consuming.
repetitive behaviors aimed at preventing or reducing anxiety or preventing some dreaded event or situation.
recurrent and persistent thoughts, urges, or images that are unwanted and cause anxiety or distress.
Body Dysmorphic Disorder
Preoccupation with one or more perceived defects in physical appearance that are not observable by others. At some point the person has performed repetitive behaviors such as mirror checking.
Persistent difficulty discarding or parting with possessions, regardless of their actual value. Difficulty is due to perceived need to save the items and the distress associated with discarding them.
Excoriation (Skin Picking) Disorder
Recurrent skin picking resulting in skin lesions. Repeated attempts to decrease or stop skin picking.
Avoidant/Restrictive Food Intake Disorder
Eating disturbances associated with significant weight loss, nutritional deficiency, dependence on enteral feeding or nutritional supplements, marked interference with psychosocial functioning, lack of food or culture-based characteristic does not explain difficulty, not exclusively anorexia nervosa or bulimia nervosa and no disturbance in view of body weight/shape, not accounted for by another condition.
An eating disorder characterized by an obstinate and willful refusal to eat, a distorted body image, and an intense fear of being fat.
An eating disorder characterized by episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise. Sense of loss of control over eating.
Significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise that marks bulimia nervosa.
Oppositional Defiant Disorder
A pattern of negativistic, hostile, and defiant behavior lasting AT LEAST 6 MONTHS.Often loses temper, argues with adults, actively defies, deliberately annoys people, blames others, easily annoyed, angry, resentful, spiteful, vindictive.
Intermittent Explosive Disorder
Recurrent behavioral outbursts representing a failure to control aggressive impulses as manifested by either of the following: Verbal aggression or physical aggression toward property, animals, or other individuals.
THREE BEHAVIORAL OUTBURSTS involving damage or destruction of property and or physical assault involving physical injury against animals or other individuals occurring within a 12 MONTH PERIOD.
A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated.
Bullies, threatens, intimidates others. Initiates physical fights; has used a weapon that can cause serious harm.
IQ testing for children
IQ testing for adults
TAT and Rorschach
projective testing, thoughts and feeling
sudden, rapid, recurrent, non-rhythmic movement or vocalization
multiple motor tics and 1 or more vocal tics
Tx for schizophrenia and other thought disorders
contain affect, supportive, avoid intervention that will lead to decompensation or brings up distressing material.
life-long, persistent pattern of defensive coping that is fairly fixed. ego syntonic- doesn't trouble the patient
tx for personality disorder
help pt see how patterns can get them into trouble and how others may have difficulties w/how they think, feel or behave
anti-social personality disorder
disregard for other people's rights, violate other peoples rights w/out remorse for this, take pride in this behavior
narcissistic personality disorder
wants attention and be in the lime-light, focus on superiority, status and money
histrionic personality disorder
likes attention, excessive emotion, if no attention then uncomfortable
avoidant personality disorder
socially inhibited, avoids for fear of being criticized, ashamed
dependent personality disorder
needs to be taken care of, submissive, clingy, someone else make decisions
borderline personality disorder
impulsive, difficulty regulating intensity between closeness and distance in relationships, either difficult to engage or overly close, push/pull in relationships