psych dsm criteria

anorexia nervosa criteria

1. restriction of food that leads to very low body weight; body weight significantly below normal (BMI less than 18.5 for adults)

2. intense fear of weight gain or repeated behaviors that interfere with weight gain

3. body image disturbance (distortion)

bulimia nervosa criteria

1. recurrent episodes of binge eating (eating excessive amount of food in a short period of time and feeling of losing control over eating)

2. recurrent compensatory behaviors to prevent weight gain

3. body shape and weight are extremely important for self-evaluation

*at least once a week for 3 months

binge-eating disorder criteria

1. recurrent binge eating episodes

2. episodes include at least 3 of:

   • eating more quickly than usual

   • eating until over full

   • eating large amounts even if not hungry

   • eating alone due to embarassment about large food quantity

   • feeling bad (e.g. disgusted, guilty, depressed) after binge

3. no compensatory behavior present

*1x week for at least 3months

most people w/ this disorder are obese (BMI>30)

depression - children/adolescents vs adults

same comorbidity with anxiety, same recurrent nature of illness

same symptoms of depressed mood, anhedonia, fatigue, concentration problems, suicidal ideation

—> but children show more guilt and less early-morning depression/appetite loss/weight loss

anxiety - children vs adults

• DSM: also requires functioning to be impaired but children do not need to regard fear as excessive/unreasonable

separation anxiety disorder criteria

excessive anxiety that is not developmentally appropriate about being away from attachment figure

3+ symptoms for 4+ weeks (Adults: 6 months+ )

• repeated and excessive distress when separated

• excessive worry that something bad will happen to person

• refusal / reluctance to go to school/work/etc

• refusal / reluctance to sleep away from home

• nightmares about separation

• repeated physical complaints when separated

schizophrenia DSM criteria: 

DSM criteria: 

2+ symptoms for 1+ month (one of which has to be 1-3)

1. Delusions 2. Hallucinations 3. Disorganized speech 4. disorganized or catatonic behavior 5. Negative symptoms (diminished motivation or emotional expression)

2. Functioning declined since onset; signs for 6+ months; 

3. OR during prodromal/residual phase—neg symptoms or 2+ less severe 1-4 symptoms 

Mild neurocognitive disorder (MCI) criteria

based on 1) concerns of patient/close other/clinician and 2) modest neurocognitive decline in 1+ cognitive domains; *does not interfere with independence in everyday activity!! Although may need more effort or support

Major neurocognitive disorder criteria

based on 1) concerns of patient/close other/clinician and 2) SUBSTANTIAL neurocognitive decline in 1+ cognitive domains; DOES interfere with independence in everyday activity

Conduct disorder diagnostic criteria

Persistent violation of basic rights of others or social norms as shown by 3+ symptoms

• aggression to people and animals, destruction of property, deceitfulness or theft, and serious violation of rules

impairment

ADHD diagnostic criteria

1. 6+ innatentive symptoms for 6+ months, maladaptive, abnormal for developmental level or

2. 6+ hyperactive symptoms for 6+ months

3. symptoms present before 12

4. in two or more settings

5. impairing social, academic, occupational functioning

Childhood depression symptoms that are the same as adults

1. depressed mood

2. anhedonia

3. fatigue

4. concentration problems

5. SI

Intellectual disability diagnostic critieria

1. intellectual deficits determined by intellectual testing and broader clinical assessment

2. deficits in adaptive functioning (relative to age and culture) in: communication, social participation, work or school, or independence

3. onset during child development

ASD symptoms

1. 1+ deficit in social communication and social interactions

2. 2+ restricted repetetive behaviors, interests, or activities

ASD social communication and interaction symptoms

1. deficit in social or emotional reciprocity

2. deficits in nonverbal behaviors

3. deficit in development of peer relationships appropriate at age level

ASD repetitive or restricted behaviors

1. repetitive speech, movement, or use of objects

2. extreme adherence to routines or extreme resistance to change

3. restricted interests that are abnormal in focus

4. hyper or hypo reactivity to sensory input or unusual interest in sensory environment

SUDs (DSM-5 Criteria)

SUD = problematic use pattern that impairs functioning, ≥ 2 of 11 symptoms:

- Failure to meet obligations
- Repeated use in situations where it is physically dangerous
- Repeated relationship problems
- CONTINUED USE DESPITE PROBLEMS FROM USE
- TOLERANCE
- WITHDRAWAL
- Substance taken for LONGER / GREATER AMOUNTS than intended
- Inability to reduce or control use
- Significant time spent trying to obtain substance
- Social, hobbies, or work activities GIVEN UP / REDUCED
- STRONG CRAVINGS to use

General PD DSM-5 Criteria: A / general definition, CAII

ENDURING PATTERN of inner experience + behavior

that deviates from cultural expectation

and influences ≥ 2 of the following:

1) COGNITION (i.e., perception of self / others / events)

2) AFFECT (i.e., range / intensity / appropriateness of emotional response)

3) INTERPERSONAL FUNCTIONING

4) IMPULSE CONTROL

General PD DSM-5 Criteria: B

Pattern is INFLEXIBLE + PERVASIVE across a broad range of PERSONAL and SOCIAL contexts

General PD DSM-5 Criteria: C and D

Pattern → CLINICALLY SIGNIFICANT STRESS + IMPAIRMENT in important areas of functioning (SOCIAL, OCCUPATIONAL, etc)

Pattern is STABLE + LONG LASTING, onset is in (adolescent /) EARLY ADULTHOOD

Paranoid PD (Key Characteristic + DSM-5 Criteria) *

Pattern = EXTREME PARANOIA

≥ 4 of the 7 following, from early adulthood across many contexts:

- Unjustified suspicions of being harmed/deceived/exploited
- Unwarranted doubts about the loyalty/trustworthiness of friends or associates
- Reluctance to confide in others because of suspiciousness
- Reading hidden meanings in the benign actions of others
- Bears grudges ! over perceived wrongs
- Angry reactions to perceived attacks on character/reputation
- Unwarranted suspicions over partner fidelity

Schizoid PD (Key Characteristic + DSM-5 Criteria) *

Pattern = DETACHMENT, flattened affect, no desire or joy derived from social activity

≥ 4 of the 7 following, from early adulthood across many contexts:

- No desire for / enjoyment from close relationships
- Consistent PREFERENCE FOR SOLITUDE over companionship
- Little interest in sex
- Few or no pleasurable activities (ANHEDONIA)
- Lack of friends
- INDIFFERENCE TO CRITICISM OR PRAISE !!!
- Flat affect, emotional detachment, or coldness

Schizotypal PD (Key Characteristic + DSM-5 Criteria) *

Pattern = ECCENTRICITY, discomfort in close relationships, strange thoughts/perceptions/behavior

≥ 5 of the 9 following, from early adulthood across many contexts:

- IDEAS OF REFERENCE
- MAGICAL THINKING
- Unusual / distorted perceptions (e.g., sensing the presence of someone not actually there)
- Odd thought and speech (disorganized or does not progress logically, strange connections made)
- Suspiciousness / paranoia
- Inappropriate OR constricted affect
- Odd behavior or appearance (e.g., disheveled clothing)
- Lack of close friends
- Social anxiety / interpersonal fears that DO NOT DIMINISH WITH FAMILIARITY

Histrionic PD (Key Characteristic + DSM-5 Criteria) *

Pattern = DRAMATIC, excessive emotionality, attention-seeking

≥ 5 of the 8 following, from early adulthood across many contexts:

- Need to be CENTRE OF ATTENTION
- Inappropriate sexually seductive behavior
- Rapidly shifting and shallow expression of emotions
- Use of physical appearance to draw attention to self
- Speech that is excessively impressionistic and lacking in detail (e.g., proclaiming that you love someone but not being able to elaborate on why)
- Exaggerated / theatrical emotional expression
- Overly suggestible
- Misreads relationships as more intimate than they are

BPD (Key Characteristic + DSM-5 Criteria) *

Pattern = INSTABILITY in interpersonal relationships, self-image, affect / impulsivity

≥ 5 of the 9 following, from early adulthood across many contexts:

- Frantic efforts to avoid abandonment
- Unstable interpersonal relationships in which others are either idealized or devalued
- Unstable sense of self
- Self damaging, impulsive behaviors in at least two areas (e.g., substance use, sex, spending, binge eating)
- Recurrent suicidal behavior / gestures / self-injury
- Marked mood reactivity
- Chronic feelings of emptiness
- Recurrent bouts of intense / poorly controlled ANGER

Narcissistic PD (Key Characteristic + DSM-5 Criteria) *

Pattern = GRANDIOSITY + behavior that reflects this

≥ 5 of the 9 following, from early adulthood across many contexts:

- Grandiose view of one's IMPORTANCE
- Preoccupation with one's success / brilliance / beauty
- Belief that one is SPECIAL + can only be understood by other high-status people
- Extreme NEED FOR ADMIRATION
- Strong sense of ENTITLEMENT
- Tendency to EXPLOIT others
- Lack of empathy
- Envious of others
- Arrogant behavior / attitudes

Antisocial PD (Key Characteristic + DSM-5 Criteria) *

Pattern = LACK OF EMPATHY, aggressive/impulsive/callous behavior

+ MUST BE ≥ AGE 18 !!
+ Evidence of CONDUCT DISORDER before age 15

≥ 3 of the 7 following:

- Repeated law breaking
- Deceitfulness
- Impulsivity
- Irritability + aggressiveness
- Reckless disregard for own safety and that of others
- Irresponsibility in employment or finances
- Lack of remorse

Avoidant PD (Key Characteristic + DSM-5 Criteria) *

Pattern = low self esteem + hypersensitivity to rejection → SOCIAL INHIBITION + AVOIDANCE

≥ 4 of the 7 following, from early adulthood across many contexts:

- Views self as socially inept / unappealing / inferior
- Hypersensitivity to criticism / rejection
- Avoid occupational activities involving significant interpersonal contact, due to fears of criticism / disapproval
- Unwilling to get involved with people unless certain of being liked
- Restrained in intimate relationships due to fear of being ridiculed
- Inhibited in new interpersonal situations because of feelings of inadequacy
- Reluctant to try new activities due to fear of embarrassment

Dependent PD (Key Characteristic + DSM-5 Criteria) *

Pattern = EXCESSIVE NEED TO BE TAKEN CARE OF

≥ 5 of the 8 following, from early adulthood across many contexts:

- Difficulty making decisions without excessive advice + reassurance from others
- Need for others to take responsibility for most major areas of life
- Difficulty disagreeing with others for fear of losing their support
- Difficulty doing things / starting projects on their own due to lack of self-confidence
- Doing unpleasant things to obtain the approval / support of others
- Feelings of helplessness when alone due to fears of being unable to care for self
- Urgently seeking new relationships when one ends
- Preoccupation with fears of having to take care of self

OCPD (Key Characteristic + DSM-5 Criteria) *

Pattern = perfectionism / orderliness / control

≥ 4 of the 8 following, from early adulthood across many contexts:

- Preoccupation w/ RULES + DETAILS + ORGANIZATION to the extent that the point of the activity is lost
- Extreme PERFECTIONISM that interferes with task completion
- Excessive devotion to WORK at the expense of leisure + friendships
- Reluctance to delegate unless others conform to one's standards
- MORAL INFLEXIBILITY / scrupulosity
- Difficulty discarding worthless items
- Frugality / difficulty spending money
- Rigidity / stubbornness