dsm cards - child

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twinkienic
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24152
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dsm cards - child
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2010-06-22 03:34:08
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DSM4 childhood disorders criteria psychiatry
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flashcards for DSM4 - Disorders usually first diagnosed in infancy, childhood or adolescence
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  1. Describe the Diagnostic Criteria for Mental Retardation
    • A. A significantly below average IQ (70 and below).
    • B. Simultaneous deficits in present adaptive functioning in at least two key areas.

    • C. Onset before 18 years of age.

    • Note: Mental Retardation alone is not a diagnosis.

  2. Name the Codable Types of Mental Retardation

    Mild: IQ level 50-55 to approximately 70.
    Moderate: IQ level 35-40 to 50-55.
    Severe: IQ level 20-25 to 35-40.
    Profound: IQ level below 20 or 25.
    Severity Unspecified: strong presumption of retardation but person's intelligence is untestable by standard tests.
  3. Name the Learning Disorders and the Motor Skills Disorder
    Learning Disorders:
    Reading
    Mathematics
    Written Expression
    Not Otherwise Specified Motor Skills:
    Developmental Coordination Disorder
  4. Name the Communication Disorders

    Expressive Language Disorder
    Mixed Receptive-Expressive Language Disorder
    Phonological Disorder
    Stuttering
    Communication Disorder Not Otherwise Specified
  5. Name the Pervasive Developmental Disorders

    Autistic Disorder
    Rett's Disorder
    Childhood Disintegrative Disorder
    Asperger's Disorder
    Pervasive Developmental Disorder Not Otherwise Specified
  6. Describe the Diagnostic Criteria for Autistic Disorder
    • A. A total of six or more of the following items:
    • -- 1. At least two symptoms of qualitative impairment in social interaction.
    • -- 2. At least one symptom of qualitative impairment in communication.
    • -- 3. At least one symptom of restricted repetitive and stereotyped patterns of behavior, interests, and activities.
    • B. Delays or abnormalities in at least one of the following areas with onset prior to age 3:

    • -- 1. Social interaction.
    • -- 2. Social language communication.
    • -- 3. Symbolic or imaginative play.
    • C. Not better accounted for by Rett's Disorder or Childhood Disintegrative Disorder.

  7. Describe the Symptoms of Qualitative Impairment in Social Interaction for Autistic Disorder
    • At least two of the following:
    • 1. Marked impairment when using multiple nonverbal behaviors to control social interaction.
    • 2. Inability to develop appropriate developmental-level peer relationships.
    • 3. Failure to spontaneously seek to share enjoyment, interests, or achievements with others.
    • 4. Deficient social or emotional reciprocity.
  8. Describe the Symptoms of Qualitative Impairment in Communication for Autistic Disorder
    • At least one of the following:
    • 1. Delayed or lacking spoken language development, without compensation.
    • 2. Marked impairment in the ability of individuals with adequate speech to start or maintain a conversation with others.
    • 3. Stereotyped and repetitive use of language.
    • 4. Lack of varied and spontaneous make-believe or social imitative play that is appropriate to developmental level.
  9. Describe the Symptoms of Restricted Repetitive and Stereotyped Patterns of Behavior, Interests, and Activities for Autistic Disorder
    • At least one of the following:
    • 1. Abnormal (in intensity or focus) preoccupation with stereotyped and restricted interest patterns.
    • 2. Obstinate adherence to nonfunctional routines or rituals.
    • 3. Stereotyped and repetitive motor mannerisms.
    • 4. Persistent preoccupation with parts of objects.
  10. Name the Attention-Deficit and Disruptive Behavior Disorders
    • Attention-Deficit/Hyperactivity Disorder
    • -- Combined Type o Predominantly Inattentive Type
    • -- Predominantly Hyperactive-Impulsive Type
    • -- Not Otherwise Specified
    • Conduct Disorder
    • Oppositional Defiant Disorder
    • Disruptive Behavior Disorder Not Otherwise Specified
  11. Describe the Diagnostic Criteria for Attention-Deficit/Hyperactivity Disorder
    • A. Either Inattention or Hyperactivity-impulsivity
    • B. Some impairment from item A symptoms appeared before age 7.

    • C. Some symptomatic impairment appears in at least two settings.

    • D. Obvious impairment in social, occupational, or academic functioning.

    • E. Not solely during Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder.

    • Note: Attention-Deficit/Hyperactivity Disorder alone is not a diagnosis (need specifier - Combined / Predominantly Inattentive / Predominantly Hyperactive-Impulsive / NOS type).

  12. Describe Inattention Symptoms for Attention-Deficit/Hyperactivity Disorder
    • Frequent appearance of at least six of the following symptoms for at least 6 months:
    • -- 1. Failure to pay attention to details, or makes careless mistakes.
    • -- 2. Failure to sustain attention in tasks or play activities.
    • -- 3. Failure to seemingly listen when directly addressed.
    • -- 4. Failure to follow through on instructions or finish assignments.
    • -- 5. Problems with task organization.
    • -- 6. Failure to sustain required mental effort.
    • -- 7. Frequently loses task-related items.
    • -- 8. Easily distracted.
    • -- 9. Consistently forgetful.
  13. Describe Hyperactivity and Impulsive Symptoms forAttention-Deficit/Hyperactivity Disorder
    • Frequent appearance of at least six of the relevant symptoms for at least 6 months:
    • Hyperactivity
    • -- Fidgets or squirms.
    • -- Leaves seat against expectations.
    • -- Runs or climbs when inappropriate.
    • -- Inability to play quietly.
    • -- "On the go".
    • -- Talks excessively


    • Impulsivity
    • -- Gives answers before questions are complete.
    • -- Problems waiting for their turn.
    • -- Interrupts others.
  14. Describe the Diagnostic Criteria for Conduct Disorder
    • A. A repetitive and persistent pattern of violating major age-appropriate societal norms or the rights of others. Requires at least three symptoms in the past 12 months (at least one in the past 6 months):
    • -- 1. Aggression to people and animals.
    • -- 2. Destruction of property.
    • -- 3. Deceitfulness or theft.
    • -- 4. Serious violations of rules.
    • B. Impairment in social, academic, or occupational functioning.
    • C. For individuals 18 years or older, criteria not met for Antisocial Personality Disorder.
  15. Describe the Symptoms of Aggression to People and Animals (for Conduct Disorder):
    • 1. Bullies, threatens, or intimidates.
    • 2. Starts physical fights.
    • 3. Has used a dangerous weapon.
    • 4. Has been physically cruel to people.
    • 5. Has been physically cruel to animals.
    • 6. Has stolen from a victim.
    • 7. Has forced sex on others.
  16. Describe the Symptoms of Destruction to Property (for Conduct Disorder):
    • 8. Deliberate fire setting.
    • 9. Deliberate destruction of others' property.
  17. Describe the Symptoms of Deceitfulness or Theft (for Conduct Disorder):
    • 10. Breaking into someone else's house, building, or car.
    • 11. Lying to obtain goods or favors, or to avoid obligations.
    • 12. Has stolen nontrivial but valuable items without confronting the victim.
  18. Describe the Symptoms of Serious Violations of Rules (for Conduct Disorder):
    • 1. Beginning before age 13, ignores parental prohibitions regarding staying out at night..
    • 2. Has run away from home, overnight at least twice or for a long duration once.
    • 3. Beginning before age 13, skips school.
  19. Describe the Diagnostic Criteria for Oppositional Defiant Disorder
    A. Pattern of negativistic, hostile and defiant behavior for at least 6 months, during which at least four symptoms are present (often...).

    • B. Impairment in social, academic, or occupational functioning.
    • C. Not exclusively during Psychotic or Mood Disorders.
    • D. Criteria not met for Conduct Disorder, and, if age 18 years or older, criteria not met for Antisocial Personality Disorder.
  20. Describe the Symptoms of Negativistic, Hostile, and Defiant Behavior for Oppositional Defiant Disorder (need 4)
    • 1. Loses temper.
    • 2. Argues with adults.
    • 3. Does not comply with adults' requests or rules.
    • 4. Purposefully annoys people.
    • 5. Blames others for their mistakes or misbehavior.
    • 6. Readily annoyed by others.
    • 7. Angry and resentful.
    • 8. Spiteful or vindictive.
  21. Name the Feeding and Eating Disorders of Infancy and Early Childhood
  22. Pica
    • Rumination Disorder
    • Feeding Disorder of Infancy or Early Childhood
  23. Name the Tic Disorders of Infancy and Early Childhood
  24. Tourette's Disorder
    • Chronic Motor or Vocal Tic Disorder
    • Transient Tic Disorder
    • Tic Disorder Not Otherwise Specified
  25. Name the Elimination Disorders
  26. Encopresis
    Enuresis
  27. Describe the Diagnostic Criteria for Encopresis
    A. Repeated release of feces into inappropriate places. Can be involuntary or intentional.

    • B. Once a month or more, for at least 3 months.
    • C. At least 4 years old (chronological age or equivalent developmental level).
    • D. Not due exclusively to a substance or a general medical condition, excepting a mechanism involving constipation.
  28. Describe the Diagnostic Criteria for Enuresis
    A. Repeated urination in bed or clothes. Can be involuntary or intentional.

    • B. Twice a week for at least 3 consecutive months. Or causes distress or impairment in social, occupational, or other important functioning.
    • C. At least 5 years old (chronologically, or equivalent developmental level).
    • D. Not due solely to a substance or a general medical condition.
  29. Name the Other Disorders of Infancy, Childhood, or Adolescence
  30. Separation Anxiety Disorder
    • Selective Mutism
    • Reactive Attachment Disorder of Infancy or Early Childhood
    • Stereotypic Movement Disorder
    • Disorder of Infancy, Childhood, or Adolescence Not Otherwise Specified
  31. Describe the Diagnostic Criteria for Separation Anxiety Disorder
    • A. Excessive and developmentally inappropriate anxiety concerning separation from home or those to whom the person is attached, as evidenced by at least three symptoms (all persistent & excessive).
    • -- 1. distress when separation occurs/anticipated
    • -- 2. worry a/b losing or harm to attachment figures
    • -- 3. worry that untoward event will cause separation
    • -- 4. school reluctance/refusal (or elsewhere) due to this fear
    • -- 5. fear/reluctance of being alone
    • -- 6. reluctance/refusal to sleep w/o attachment figure
    • -- 7. nightmares a/b separation
    • -- 8. c/o physical symptoms when separation occurs/anticipated

    • B. At least 4 weeks in duration.
    • C. Onset precedes age 18.
    • D. Distress or impairment in social, occupational, or other important functioning.
    • E. Not solely during Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. In adolescents and adults, is not better described by Panic Disorder With Agoraphobia.
  32. Describe the Symptoms of Inappropriate and Excessive Anxiety, for Separation Anxiety Disorder
    • 1. Excessive distress at separation from home or from major attachment figures.
    • 2. Excessive concern for major attachment figures.
    • 3. Excessive worry that an unfavorable event will cause separation from a major attachment figure.
    • 4. Fear of separation accounts for reluctance or refusal to go somewhere.
    • 5. Extreme fear of being alone.
    • 6. Reluctance or refusal to go to sleep when not near a major attachment figure.
    • 7. Nightmares about separation. 8. Actual or anticipated separation from major attachment figures causes complaints of physical ailments.

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