DSM5 TR

What is the duration of symptoms after the stressor where Acute Stress Disorder can be diagnosed?

Between 3 days and 1 month

What are the symptoms of Acute Stress Disorder?

DIANA

Disassociation (amnesia, detachment)

Intrusion (nightmares and thoughts)

Arousal (insomnia, poor concentration)

Negative Mood (Angry outbursts, irritability)

Avoidance

How many symptoms must be present for Acute Stress Disorder for adults and children?

Nine (9)

Common Medications for Acute Stress Disorder

Haldol (anti-psychotic)

Risperdal (anti-psychotic)

Lorazepam (addictive Benzo)

What is the difference between Acute Stress Disorder and Adjustment Disorder?

1. Stressor for ASD is more severe trauma and life threatening (i.e natural death vs. Accidental death)

2. Duration symptoms in Adjustment Disorder appear up to 3 months from the stressor and should subside within 6 months.

3. Intrusive symptoms are particular to ASD

What is the duration for which symptoms must be observed for the diagnosis of Alcohol Use Disorder?

12 months

What are the symptoms of Alcohol Use Disorder?

1. Using large amounts over longer periods and drinking more than intended

2. Unsuccessful attempts to stop

3. Large amounts of time used to obtain, use, and recover from use

4. Cravings

5. Use leading to failure to fulfill major obligations

6. Continued used regardless of R.O.S.E problems

7. Use leading to reduction in participation in social, occupational, and/or recreational activities

8. Use in dangerous situations

9. Use regardless of health issues

10. High Tolerance needing for more for the same effect

    1. Experience of withdrawal symptoms.

What are the levels of severity for Alcohol Use Disorder?

Mild - 2 - 3 symptoms

Moderate 4-5 symptoms

Severe 6 or more symptoms

What are the remission specifiers and criteria for Alcohol Use Disorder?

In early remission - no criteria met for at least 3 months but less than 12 months

In sustained remission - no criteria met for 12 months or longer

What are the criteria for an Anorexia diagnosis?

A. Low bodyweight due to food restriction

B. Fear of gaining weight w/ low body weight

C. Self-evaluation is based on perception of body weight.

What are the sub-types of Anorexia?

1. Restricting type (dieting, fasting, excessive exercise)

   • no binge and/or purge in last 3 months

2. Binge eating/Purging

*duration of symptoms - seen across 3 months

What are the specifiers for Anorexia?

1. Partial remission - bodyweight is healthy for a sustained time, but still have a fear of gaining weight and judges self based on weight

2. Full remission - no criteria met for a sustained time

What is the diagnostic criteria for Bipolar I?

• Mania lasting 1 week or intense enough for hospitalization

• Optional Major Depressive episode in between Manic episodes.

What is the diagnostic criteria for Bipolar II?

1. 4 day hypomanic episodes with 2 week major depressive episodes in between.

2. Never any manic episodes

3. If there are psychotic features, the episode is manic

What is the diagnostic Criteria for cyclothymic disorder?

Fluctuations of a depressive state and an elevated energy state that are less intense than hypomania and major depressive episodes respectively.

What is the duration that symptoms are experienced before cyclothymic disorder can be diagnosed?

1. 2 years in adults without absense of mood symptoms for more than 2 months.

2. 1 year in children without absense of mood symptoms for more than 2 months.

What are the specifiers for bipolar and depressive related disorders?

1. Mild, moderate or severe

2. Partial remission

3. Full remission

4. With mood congruent with psychotic features

5. With mood incongruent with psychotic features

6. With rapid cycling (4 or more episodes/year)

7. Mixed features (both manic and MDD)

What is the criteria for partial remission of bipolar and depressive related disorders?

1. Not all diagnostic criteria is met

2. Episode symptoms have not been experienced for less than 2 months

What is the criteria for full remission of bipolar and depressive related disorders?

Episode symptoms have not been experienced for 2 months or more.

What are the diagnostic Criteria for Bulemia?

1. Uncontrollable excessive eating in a short period of time

2. Use of purging to avoid weight gain

3. Obsession with weight and appearance

What is the necessary duration of diagnostic criteria for bulemia disorder?

Binging and purging at least 1x per week for 3 months

What are the severity specifiers for Bulemia Disorder?

1. Mild 1-3x per week

2. Moderate 4-7x per week

3. Severe 8-13x per week

4. Extreme - 14x per week

How to determine remission for Bulemia Disorder?

1. Partial remission is determined when some criteria is met for a sustained period of time.

2. Full remission is determined when no criteria is met for a sustained period of time.

What is the diagnostic criteria for conduct disorder?

1. Violence and rule breaking

2. Aggression towards people/animals

3. Forced sex

4. Theft & decit

5. Destruction of property

6. Running away

What are the subtypes for conduct disorder?

1. Childhood onset - at least one symptom before 10yo

2. Adolescent onset - no symptoms before 10yo

3. Unspecified onset - unsure when this started

What are the subtypes for conduct disorder?

1. Childhood onset - at least one symptom before 10yo

2. Adolescent onset - no symptoms before 10yo

3. Unspecified onset - unsure when this started

What is the specifier for Conduct Disorder?

With limited prosocial functioning

Which means 2 or more of the following in a 12 month span:

1. Lack of guilt

2. Lack of empathy

3. Lack of interest in perfromance

4. Superficial affect

What is the duration for diagnosis of Conduct disorder?

• 3 symptoms/behaviors of the 15 in a 12 month span

• At least one behavior in a 6 month span

What are the common treatment approaches for conduct disorder?

1. CBT

2. Parent Training

3. Problem Solving Skills Training

What are the differntials of Conduct Disorder?

1. ODD - (rule breaking)

2. Intermittent explosive Disorder (aggression is planned in CD, rather than an anger response)

3. Disruptive Mood Dysregulation Disorder (aggression,; behavior focused in CD, instead of emotion focused)

4. ADHD (impulsivity)

5. Adjustment Disorder

In order to diagnose attention deficit hyperactivity disorder, symptoms must be present for what period of time?

• At least 6 months and two or more settings

• Symptoms must persist for at least 6 months to the degree that is inconsistent with developmental level and that directly negatively impact social and academic activities.

What is the diagnostic criteria of panic disorder?

1. Recurrent Panic attack

2. For one month afterward, fear of having another or change in life to avoid another one.

What is the duration of a brief psychotic episode?

Less than 1 month

What is the duration of Schizophreniform?

1-6 months

What is the duration of schizophrenia?

6 months or more.