DSM V: What's the Difference, Part II

Delirium vs. Major Neurocognitive Disorder

Delirium: Typically seen in hospital settings; Comes quickly & marked shift in someone’s awareness; (Memory/ language impairment)

MND: Dementia is the previous term.

• Serious issue with cognition, memory & perceptual motor skills

• Mild Symptoms: ppl have awareness of decline in functioning

Somatic Symptom Disorder vs. Illness Anxiety Disorder vs. Functional Neurological Symptom Disorder

Somatic Symptom Disorder (previously, Somatization)

• Client has present somatic issue due to health related anxiety (ie- shortness of breath due to high levels of anxiety)

IAD: Intense fear someone has an illness even when doctor states they are healthy

FNSD: Person psychological issue is then transferred to a somatic problem (ie- arm goes numb due to psychological stressor)

Factitious Disorder vs. Malingering

FD: Enjoys attention when the person is pretending to be sick

Malingering: Someone is faking an illness to escape an issue. Or fake mental illness to get disability checks

Anorexia Nervosa vs. Bulimia Nervosa vs. Binge Eating Disorder

AN: Someone who restricts dietary intake and not meet body’s need; Distorted body image (Ex-GF Jess)

BN:

1. Consist of binge-eating (much longer portion of food & out of control when engaged in eats)

2. Purging (using laxatives to remove excess of what’s being consumed)

BED: Only when constating eating/ NO purging is present here.

Depersonalization/ Derealization Disorder vs. Dissociative Amnesia vs. Dissociative Identity Disorder

DDD: Reports feeling outside their body

DA: Person forgets who they are due to a traumatic event

DID: Multiple personality disorder; two or more distinct personality states

Genito-Pelvic Pain/ Penetration Disorder vs. Female Sexual Interest/ Arousal Disorder

GPP/PD: Fear of pain during intercourse; Could occur with traumatic reponse to SA/ DV

FSI/ AD: Decline/ lack of physical intimacy; Couples therapy- this can be explorable topic

Insomnia Disorder vs. Hypersomnolence Disorder

ID: Someone has difficulty sleeping/ early morning waking & falling asleep; (rule out Manic phase); (happens 3x per week for 3 months)

HD: Excessive sleepiness that lasts for 7-9 hours; Common w/ overweight people; Rule out Depression/ Medications

Nightmare Disorder vs. Non-Rapid Eye Movement Sleep Disorder

ND: Quickly oriented & can recall content of nightmare

NREMSD: Previously Night Terrors; sleepwalking & can’t recall events

Central Sleep Apnea vs. Narcolepsy

CSA: Person stops breathing when they are asleep and this disrupts quality of sleep (can’t enter REM sleep)

Narcolepsy: Sudden attack of sleep (falls asleep easily or without warning); experience daytime fatigue

Intermittent Explosive Disorder vs. Kleptomania vs. Trichotillomania

IED: Trouble with controlling angry impulsive outbreaks

K: Compulsive stealing for wanting to get the “rush” of it; Thrill seeking behavior

T: Compulsion to pull out their own body hair; Attached to abuse & trauma in shameful recollection of client’s own past