A&D Study Cards

Biopsychosocial - Biological

Physical health, genetic, substance use, and physiological symptoms

Biopsychosocial - Psychological

mental health, cognitive abilities, emotional regulation, past trauma

Biopsychosocial - Social

socioeconomic status, employment, housing, family dynamics, and cultural background

Cultural Formulation

Cultural identity of the individual, cultural concepts of distress, psychosocial stressors and cultural features of vulnerability and resilience, cultural features of the relationship between the individual and the clinician

Mental Status Exam

General Appearance, Orientation, Speech, Motor Activity, Affect and mood (affect -emotional expression; and mood- self described (quoted words of client preferred), Thought production, Thought content, Perceptual disturbances, Suicidal and homicidal ideation, Attention, concentration and memory, Abstract thinking, Insight/judgment

Intellectual Disabilities

Characterized by deficits in general mental abilities (reasoning, problem solving, planning, abstract thinking, judgment, academic learning and learning from experience)

Autism Spectrum Disorder (F84.0)

Characterized by persistent deficits in social communication and social interaction across multiple contexts

Intellectual Disability (F70-F73)

Deficits in intellectual functions, deficits in adaptive functioning, onset of intellectual and adaptive deficits during the developmental period

Specific Learning Disorder (SLD)

A brain-based neurodevelopmental condition that affects how a person takes in, processes, and uses information

ADHD Specifiers

Combined presentation (F90.2), Inattentive (F90.0), Hyperactive/Impulsive (F90.1)

ADHD Criterion

Six or more inattention symptoms for six months, six or more hyperactive symptoms for six months, present in two or more settings, present prior to age 12, functioning

Neurodevelopmental motor disorders

Developmental coordination disorder (F82), Stereotypic movement disorder (F98.4)

Neurodevelopmental Tic Disorders

Tourette’s Disorder (F95.2), Provisional Tic Disorder (F95.0)

Schizophrenia Spectrum

Delusions, Hallucinations, Disorganized Thinking (speech), Grossly disorganized or abnormal motor behavior, negative symptoms

Positive Symptoms

Outward psychotic signs present in a person with psychotic disorder but not in a “normal” person (hallucinations, delusions, disorganized thinking)

Negative Symptoms

Notably absent in a person with a psychotic disorder but usually present in people without the disease (flat affect, alogia, avolition)

Delusions

Fixed beliefs not amenable to change in light of conflicting evidence

Hallucinations

Perceptions that occur without connection to an appropriate source

Illusions

When sensory stimulus is present but is incorrectly interpreted by the individual

Disorganized Thinking

Loose associations, tangentiality, word salad

Delusional Disorder (F22)

One or more delusions that persist for at least a month, Criterion A for schizophrenia has never been met

Brief Psychotic Disorder (F23)

Lasts 1 day but less than 1 month, at least one psychotic symptom

Schizophreniform Disorder (F20.81)

Two or more psychotic symptoms, at least 1 month but less than 6

Schizophrenia (F20.9)

Two or more psychotic symptoms, marked low functioning in 1+ areas, 6+ month duration

Schizoaffective Disorder (F25.0) OR (F25.1)

Criterion A of schizophrenia with mood episode, 6+ months duration

Mood States (Lowest to Highest)

Major depression, dysthymia, euthymia, hypomania, mania

Bipolar I Disorder (F31)

Severe manic episode with 1+ periods of major depressive episodes, at least 3 symptoms of mania in 1 week, 5 symptoms needed for major depressive episode

Mania Symptoms

Inflated self esteem, decreased need for sleep, pressured speech, flight of ideas, distractibility, activities that have a high potential for painful consequences

Bipolar II Disorder (F31.81)

No manic episode, 3 symptoms of hypomania, one or more major depressive episode and must last at least 2 weeks, hypomanic episode must last at least 4 days

Cyclothymic Disorder (F34.0)

Present for 2 years in adults, must occur for at least half the time, multiple periods of hypomanic and depressive symptoms fail to meet criteria for hypomanic, manic, or depressive episode

Manic Episode

At least 1 week most of the day, nearly every day, and other manic symptoms

Hypomanic Episode

Elevated, expansive or irritable mood and abnormally and persistent increased energy or activity, not severe enough to cause marked impairment or does not require hospitalization

Major Depressive Disorder (F32)

Depressed mood for at least 2 weeks, depressed mood or loss of interest / pleasure plus 4 additional symptoms

Major Depressive Disorder Symptoms

Significant weight loss or increased/decreased appetite, insomnia or hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness/excessive guilt, diminished concentration, recurrent thoughts of death

Persistent Depressive Disorder (F34.1)

Depressed most of the day for most days for at least 2 years, +2 symptoms as MDD

GAD Requires worry more days than not for how long?

6 Months

Marked fear or anxiety about a specific object or situation is known as what?

Specific phobia

What is the recurrent pulling out of one’s hair, which results in hair loss?

Trichotillomania

Anxiety

The anticipation of future threats

Fear

The emotional response to real or perceived imminent threat

Panic Attack Symptoms

Pounding heart, sweating, shaking, chest pain, nausea, dizziness

Separation Anxiety Disorder (F93.0)

Fearful or anxious separation from attachment figures that’s developmentally inappropriate, must be at least 4 weeks in children under 18 and 6+ months in adults, functioning

Specific Phobia (F40 plus qualifier)

Fear or anxiety that is focused on the presence of a particular situation or object

Social Anxiety Disorder (F40.10)

Marked or intense fear or anxiety of social situations in which the individual may be scrutinized by others, fears they will be negatively evaluated, social situations almost always provoke fear or anxiety, 6+ months

Agoraphobia (F40.00)

2/5 (public transport, open places, enclosed places, lines or crowds, outside of the home alone), actively avoided / presence of companion / endured with anxiety, 6+ months, functioning

Generalized Anxiety Disorder (F41.1)

Excessive anxiety and worry more days than not for 6+ months, about a number of events, 3/6 symptoms (restlessness, easily tired, difficulty concentrating, irritability, muscle tension, sleep disturbance), impairment

Obsessions

Recurrent and persistent thoughts, urges, or images that are intrusive and unwanted

Compulsions

Repetitive behaviors or mental acts in response to an obsession

OCD (F42)

Presence of obsessions OR compulsions, take more than 1 hour a day, impairment

Duration timeline between PTSD and ACD?

PTSD is over 1 month, ASD is 3 days to 1 month

Reactive Attachment Disorder (RAD) (F94.1)

Pattern of being emotionally withdrawn behavior toward adult caregivers (minimal seek AND response to comfort), persistent social and emotional disturbance (2+ symptoms), pattern of extremes of insufficient care (1+ symptoms)

PTSD (43.10)

experienced / witnessed event, 1+ intrusion symptoms, avoidance of stimuli (1+), negative alterations in cognition and mood (2+), marked alterations in arousal and reactivity (2+), more than 1 month, impairment

Acute Stress Disorder (43.0)

duration is 3 days to 1 month, exposure to actual or threatened death or injury (1+), presence of 9+ following symptoms, impairment

Adjustment Disorder (F43.xx)

Developed within 3 months of stressor, impairment, do not persist more than 6 months

Prolonged Grief Disorder (F43.8)

Passing at least12 months ago, intense grief or yearning / preoccupation with thoughts or memories, 3+ symptoms, impairment

DID (F44.81)

Disruption of identity by 2+ distinct personality states, recurrent gaps in recall, impairment

Avoidant/Restrictive Food Intake Disorder (F50.82)

An eating or feeding disturbance based on 1+ symptoms, not related to the way one’s body weight is shaped or experienced

Anorexia Nervosa

Restriction of energy intake leading to significantly low weight, intense fear of gaining weight, disturbance in the way in which one’s body weight or shape is experienced

Bulimia Nervosa (F50.2)

Recurrent episodes of binge eating, behaviors to prevent weight gain, once a week for 3 months, self-evaluation is influenced by shape and weight

Binge Eating Disorder (F50.81)

Recurrent episodes of binge eating, associated with 3+ symptoms

Gender Dysphoria (F64.2) (Children)

Incongruence between one’s experienced / expressed gender, 6+ duration, 6+ symptoms

Gender Dysphoria (F64.0) (Adolescents and Adults)

Incongruence between one’s experienced / expressed gender, 6+ duration, 2+ symptoms

Oppositional Defiant Disorder (ODD) (F91.3)

A pattern of angry / irritable mood, argumentative / defiant behavior or vindictiveness, 6+ months, 4+ symptoms, distress in the individual or others

Intermittent Exposive Disorder (F63.81) (IED)

Recurrent behavioral outbursts representing a failure to control aggressive impulses (verbal aggression or physical aggression, destruction of poverty), out of proportion to situation, not premeditated, impairment, 6+ years old

Conduct Disorder

15 criteria in past 12 months, 1 present in the past 6 months, (aggression to people and animals, destruction of property, theft, etc)

Alcohol Use Disorder

Impairment by 2+ symptoms within 12 months

Alcohol Withdrawal

Cessation (or reduction) in alcohol use, 2+ symptoms within several hours, impairment

Delirium

Disturbance in attention and reduced awareness of environment, develops over a short period of time, change from baseline, fluctuate in severity, disturbance in cognition, evidence of medical condition

Major Neurocognitive Disorder

Significant cognitive decline in 1 or more cognitive domains, interfere with independence in everyday activities

Alzheimer’s Disease

Criteria of neurocognitive disorder, insidious onset and steady progression, profound memory and learning impairment

Lewy Bodies

Criteria of neurocognitive disorder, insidious onset and gradual progression, fluctuating attention and alertness, visual hallucinations, features of parkinsonism

Vascular Neurocognitive Disorder

Criteria of neurocognitive disorder, due to cerebrovascular events OR decline is prominent in complex attention, presence of cerebrovascular disease

Parkinson’s Disease

Criteria of neurocognitive disorder, gradual progression, (tremors, muscle rigidity, slowed movement)

General Personality Disorder

Inner experience and behavior that deviates from the expectations in 2+ more areas (cognition, affectivity, interpersonal functioning, impulse control), inflexible and pervasive, impairment, long duration

Paranoid PD (F60.0)

Pervasive distrust and suspiciousness of others by 4+ symptoms

Schizoid PD (F60.1)

Pervasive pattern of detachment from social relationships, 4+ symptoms

Schizotypal PD (F21)

Pervasive pattern of social and interpersonal deficits by discomfort with close relationships, 5+ symptoms

Antisocial Personality Disorder (F60.2)

Perase pattern and disregard for and violation of rights of others, conduct disorder at 15, 3+ symptoms, at least 18

Boderline PD (F60.3)

Pervasive pattern of instability of interpersonal relationships, self image, and affects, 5+ symptoms,

Histrionic PD (F60.4)

A pervasive pattern of excessive emotionality and attention seeking, 5+ symptoms

Narcissistic PD (F60.81)

A pervasive pattern of grandiosity, need for admiration, and lack of empathy, 5+ symptoms

Avoidant PD (F60.6)

A pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation, 4+ symptoms

Dependent PD (F60.7)

Pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, 5+ symptoms

OCPD (F60.5)

Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, 4+ symptoms