DSMV

Panic Disorder

"Recurrent/unexpected panic attacks. Duration: >1 month. Fear of future panic attacks OR significant change in behavior related to the attacks."

Panic Attack

"Intense fear w/ somatic/cognitive symptoms: abrupt onset w/ peak in min. (Cardiac, sweating, trembling, SOB, choking, chest pain, GI, faintness, detachment, fear of control loss/dying, numbness, chills)."

Agoraphobia

">2 situations feared/avoided (transportation, open/enclosed spaces, lines/crowds, being outside alone). Feared because escape might be difficult if incapacitating/embarrassing symptoms develop."

Specific Phobia

"Excessive, persistent and disproportional fear of an object/situation. Fear occurs when exposed OR person avoids situation. Causes marked distress/impairment."

Social Anxiety Disorder

"Excessive, persistent and unrealistic fear of social situations involving possible scrutiny by others due to fear of negative evaluation. 'Performance only': fear restricted to public speaking/performing."

Generalized Anxiety Disorder

"Persistent uncontrolled anxiety about multiple events for >6 mos. Symptoms: restless/on edge, dec conc, muscle tension, fatigued, irritability, insomnia."

Separation Anxiety Disorder

"Developmentally inappropriate and excessive anxiety concerning separation from major attachment figure. Marked distress regarding anticipated/actual separation or harm to figure/self."

Selective Mutism

"Refusal to speak in specific situations despite fluent speech in other contexts. Not due to lack of language knowledge. Duration: >1 mo."

Obsessive-Compulsive Disorder

"1. Recurrent obsessions (intrusive thoughts/urges) and/or compulsions (repetitive behaviors). 2. Time consuming or distressful/disruptive. 3. Symptoms not explained by another disorder."

Hoarding Disorder

"Difficulty parting w/ possessions due to perceived need to save items/distress discarding them. Accumulation clutters living areas. Causes distress/impairment. Specify w/ absent insight."

Body Dysmorphic Disorder

"Preoccupation w/ perceived flaw in physical appearance. Repetitive behaviors/mental acts performed in response. Specify: w/ muscle dysphoria or w/ absent insight."

Excoriation Disorder

"Recurrent skin picking resulting in skin lesions. Attempts to stop picking. Results in distress/impairment."

Trichotillomania

"Recurrent pulling out of one's hair resulting in hair loss. Attempts to stop hair pulling. Causes distress/impairment."

Posttraumatic Stress Disorder

"Exposure to traumatic stressor (actual/threatened death, injury, violence). Symptoms (>1 mo): Intrusion, Avoidance, Negative alterations in cognition/mood, and Alterations in arousal/reactivity."

Acute Stress Disorder

"Exposure to a traumatic stressor. Numerous PTSD-like symptoms develop. Duration: 3 days - 1 mo after trauma exposure."

Adjustment Disorder

"Significant emotional/behavioral symptoms due to identifiable stressor. Acute onset (w/in months)

Reactive Attachment Disorder

"Inhibited and emotionally-withdrawn behavior towards adult caregivers."

Disinhibited Social Engagement Disorder

"Overly familiar behavior w/ relative strangers."

Dissociation

"Splitting off from conscious awareness an aspect of self usually as a coping strategy for stress."

Dissociative Amnesia

"Memory loss for autobiographical info. Localized: total loss in circumscribed period. Selective: some recall. Generalized: loss of entire life memory."

Dissociative Identity Disorder

"Disruption of identity characterized by > 2 distinct personality states (Primary/Host and Alters). Inability to recall personal information."

Depersonalization/Derealization Disorder

"Either/both depersonalization and derealization. Reality testing remains intact. Functional impairment. Rule out metabolic/neurologic conditions."

Derealization

"Experiences of unreality or detachment with respect to surroundings."

Depersonalization

"Experiences of unreality, detachment or being an outside observer with respect to one's thoughts, feelings, sensations, body or actions."

Major Depressive Disorder

"Must experience >1 MDE. NO history of mania/hypomania (no swinging to opposite pole)."

Major Depressive Episode

"At least 2wks of >5 symptoms (MUST include 1. Depressed mood OR 2. Anhedonia). Neurovegetative: weight/sleep changes, energy loss. Cognitive: guilt, dec concentration, suicidal ideation."

SIG: E Capsules

"Mnemonic for MDE: Sleep change, Interest loss, Guilt, Energy problem, Concentration poor, Appetite change, Psychomotor changes, Suicidal ideation."

MDD w/ Melancholic Features

"Severe anhedonia, lack of mood reactivity, profound despondency and guilt. Depression worse in morning, early-morning awakenings, significant appetite loss."

MDD w/ Atypical Features

"Mood reactivity, weight and sleep increase, leaden paralysis."

MDD w/ Psychotic Features

"Hallucinations and/or delusions are evident. Specify if Mood-congruent (consistent w/ depressive themes) or Mood-incongruent."

MDD w/ Catatonia

"Includes mutism, immobility, waxy flexibility, stereotypes, or other odd posturing."

MDD w/ Anxious Distress

"Major Depressive Episode associated with feeling tense, restless, and fearful."

MDD w/ Peripartum Onset

"Major Depressive Episode onset is during pregnancy or within 4 wks post-delivery."

MDD w/ Seasonal Pattern (Seasonal Affective Disorder)

"Consistent temporal relationship between time of year and Major Depressive Episodes."

Persistent Depressive Disorder

"Chronic depressed mood for >2yrs. Long-lasting MDE OR dysthymia (poor appetite, insomnia, low energy, low self-esteem, trouble concentrating/deciding, hopelessness)."

PDD w/ Pure Dysthymic syndrome

"Prolonged dysthymia but no MDE occurs."

PDD w/ Persistent MDE

"Prolonged Major Depressive Episode."

PDD w/ Intermittent MDEs

"Dysthymic periods and Major Depressive Episodes."

Premenstrual Dysphoric Disorder

"Symptoms (mood lability, irritability, etc.) in week before menses

Disruptive Mood Dysregulation Disorder

"Severe temper outbursts (3x/wk) and sad/irritable/angry mood daily. Reaction disproportionate. Present in multiple settings. Onset before age 10."

Bipolar I Disorder

"Must experience at least 1 manic episode (>1 wk, marked impairment). Also experience MDEs."

Manic Episode

"Abnormally elevated mood/irritability PLUS inc energy (1wk): Inflated self-esteem, dec sleep, pressured speech, flight of ideas, distractibility, inc goal-directed activity, risky activities."

DIG FAST

"Mnemonic for Mania: Distractibility, Irresponsibility (pleasurable activities), Grandiosity, Flight of ideas, Activity increase, Sleep decrease, Talkativeness."

BPI w/ Rapid Cycling

"Experiences >4 mood episodes/yr."

BPI w/ Psychotic Features

"Delusions/hallucinations are present. Specify mood-congruent or mood-incongruent."

Bipolar II Disorder

"Experiences at least 1 MDE and 1 hypomanic episode."

Hypomanic episode

"Change in mood must be 'unequivocal' and 'uncharacteristic.' Lasts >4 days. Does NOT cause 'marked' impairment in functioning."

Cyclothymic Disorder

">2 yrs experiences periods of hypomanic symptoms that fluctuate w/ periods of depressive symptoms. Criteria for MDE never met."

Psychotic

"'A break from reality' in thinking and/or perceptions ('thought' disorders)."

Psychotic symptom domains

"1) Delusions, 2) Hallucinations, 3) Disorganized speech, 4) Disorganized behavior, 5) Negative symptoms."

Delusions

"A fixed belief that is not amenable to change, even in light of conflicting evidence."

Delusion of grandeur

"Grandiose beliefs."

Delusion of persecution

"Paranoid beliefs."

Delusion of control

"External force controlling behavior."

Delusion of reference

"Belief that outside action/meaning refers directly to the person."

Thought broadcasting delusion

"Belief that thoughts are being transmitted to others."

Hallucinations

"A sensory perception without an external stimulus (auditory, voices, derogatory, etc.)."

Disorganized Thinking

"'Formal thought disorder' (tangentiality, flight of ideas, derailment, clang association, word salad)."

Tangentiality

"Shifting to a slightly-related topic."

Flight of ideas

"Rapid shifting of thoughts with discernible links between ideas (extreme tangentiality)."

Derailment

"'Loose associations' - no apparent connections between ideas."

Clang association

"Word association based on rhyming."

Word Salad

"No meaningful relationship between words."

Disorganized

"Non-goal oriented behavior."

Catatonia

"Diminished reactivity to environment: posturing, waxy flexibility, stereotypies, non-responsiveness, mutism."

Negative symptoms (psychotic symptom domain)

"Diminished emotional expression, avolition, alogia, anhedonia, asociality."

Negative symptoms (definition)

"Domain 5: Thoughts, behaviors, or perceptions that normally exist that are now absent or markedly diminished."

Positive symptoms (definition)

"Domain 1-4: Thoughts, behaviors, or perceptions that are distorted or in excess of normal function."

Schizophrenia

"Active-phase for > 1 mo at least 2 psychotic domain symptoms (1 core). At least 1 symptom persists for > 6 mo."

EPS: Dystonia

"Sustained muscle contractions (head, neck), often developing w/in 1st wk."

EPS: Parkinsonism

"Parkinsonian symptoms (tremor, shuffling), often developing in the first few months."

EPS: Akathisia

"Excessive movements due to 'inner restlessness', often developing in the first few months."

EPS: Tardive Dyskinesia

"Repetitive, involuntary, purposeless movements, often of face and extremities. Long-term (yrs) side effect."

Neuroleptic Malignant Syndrome

"Tachycardia, HTN, fever, rigidity, delirium. Due to drop in DA affecting hypothalamic functioning. Within first 2 wks."

Schizophreniform Disorder

"At least 1 mo Active-Phase Symptoms. Signs of disturbance <6 mo."

Brief Psychotic Disorder

"A CORE psychotic domain symptom for <1 mo. Return to full premorbid functioning."

Delusional Disorder

"Presence of a delusion >1 mo. NO OTHER psychotic domain symptoms. No functional impairment aside from impact of delusion."

Delusional disorder Subtype: Persecutory

"Belief of malevolent treatment."

Delusional disorder Subtype: Grandiose

"Belief of having some great talent/insight/important discovery."

Delusional disorder Subtype: Erotomanic

"Belief of somebody being in love with the individual."

Delusional disorder Subtype: Jealous

"Belief of infidelity by partner."

Delusional disorder Subtype: Somatic

"Belief involving bodily functions/sensations (parasitosis, organ dysfunction)."

Non-bizarre delusion

"Belief that involves something that could occur in real life - physically possible."

Bizarre delusion

"Belief that is clearly implausible and not derived from ordinary life experiences."

Schizoaffective disorder

"Active phase of schizophrenia concurrent w/ MDE/manic episode. Active phase >2 wks w/o mood sxs. Mood sxs present majority of duration."

Somatic Symptom Disorder

">1 distressing somatic symptom. Excessive thoughts/feelings/behaviors about symptoms (disproportionate seriousness, high anxiety, excessive time/energy)."

Illness Anxiety Disorder

"Preoccupation w/ having serious illness. Somatic symptoms NOT present/mild. Excessive health-related behaviors or maladaptive avoidance."

Conversion Disorder

"Altered voluntary motor/sensory function. Incompatibility between symptom and neurological conditions."

Conversion Subtypes

"Weakness/paralysis, abnormal movement, swallowing, speech, attacks/seizures, anesthesia/sensory loss."

Factitious Disorders

"Fakes/induces symptoms (self/others) in absence of obvious 'external' rewards."

Factitious Disorder Imposed on Self

"Pt feigns symptoms in oneself."

Factitious Disorder Imposed on Another

"Pt feigns symptoms in another person."

Hints to facticiousness

"Persistent symptoms, inconsistent medical history, dramatic presentation, symptoms influenced by observation, insistence on particular treatment, grid abdomen."

Malingering

"Person fakes/induces physical or psychological symptoms in self/others for 'external' rewards."

Anorexia Nervosa

"1) Restriction of food (significantly underweight)

Purge

"Use of vomiting, laxatives, diuretics, or enemas to eliminate calories."

Anorexia Subtype: Binge-eating/purging

"Recurrently binges and/or purges."

Anorexia Subtype: Restricting

"Weight loss through dieting, fasting, and/or exercise

Indicators of excessive thinness

"Low BMI, amenorrhea, loss of sex drive, constipation, hypothermia, lanugo, bradycardia, hypotension, anemia, leukopenia, low bone density."

Indicators of excessive vomiting

"Russell's sign (calloused knuckles), dental enamel erosion, chipmunk cheeks (salivary gland inflammation), subconjunctival hemorrhage, hypokalemia."