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What type of diagnosis goes in the Axis I multi-axial system?
Clinical Disorders, principle diagnosis and/ or other conditions that may be a focus of clinical attention
What type of diagnosis goes in the Axis II multi-axial system?
Personality Disorders, Mental Retardation and Borderline Intellectual Functioning are coded here as well.
What type of diagnosis goes in the Axis III multi-axial system?
Physical or Organic Conditions that are relevant to the understanding and treatment of a client.
What type of diagnosis goes in the Axis VI multi-axial system?
Psycho-social or environmental problems relevant to focus of treatment
What type of diagnosis goes in the Axis III multi-axial system?
Global Assessment of Functioning (GAF) scale which rates the client's overall social, occupational and psychological functioning.
What is Mental Retardation (Coded Axis II)?
- - Significantly below an IQ of 70 or less
- - Significant impairment of social skills, communication and self-sufficiency.
- - Onset before 18-years
Explain the degree of severity for Mental Retardation, Mild
- - IQ: 50-70
- - Has social skills
- - lives independently
- - 6th grad academic level
Explain the degree of severity for Mental Retardation, Moderate
- - IQ: 35-40 to 50-55
- - Some Social Skills
- - Requires supervision
- - 2nd grade academic level
Explain the degree of severity for Mental Retardation, Severe
- - IQ: 20-25 to 35-40
- - Minimal speech and reads a few words
- - Close supervision
Explain the degree of severity for Mental Retardation, Profound
- - IQ: 20-25
- - Poor Sensory and motor functioning
- - Highly structured environments required
What is Learning Disorder?
- - Child must have an ability significantly below that expected due to his/her age, schooling and level of functioning.
- - Diagnosed by standardized, individually administered test.
What are the different Learning Disorders?
- a. Reading Disorder
- b. Mathematics Disorder
- c. Disorder of Written Expression
- d. Learning Disorder NOS
What is Motor Skills Disorder?
- - Impairment of motor skills
- - Impairment not due to know physical disorder
- - clumsiness
- - hand coordination is delayed
What is Communication Disorder?
- Impairment in communication that interferes with social, academic or occupational functioning
What are the different types of Communication Disorders?
- a. Expressive Language Disorder
- b. Mixed Receptive-Expressive Language Disorder
- c. Phonological Disorder
- d. Stuttering
- e. Communication Disorder, NOS
What is Pervasive Developmental Disorder?
- Severe impairment in the development of communication skills, social interaction skills or presence of stereotyped behavior or interest
What are the symptoms of Autistic Disorder?
- - No awareness of other's feeling
- - People are treated as objects
- - No interest or ability to make friends
- - No verbal communication
- - Non-verbal communication (self-stimulation)
- - Onset, younger than 3 years old.
What are the symptoms of Rett's Disorder?
- - Normal Development through 5 months of age followed by slowing of head growth
- - loss of hand skills and stereotyped hand movements
- - Poor coordination
- - Possible loss of interest in social environment and impairment in language development
What are the symptoms of Childhood Disintegrative Disorder?
- - Developmental regression in language, social skills, continence, motor skills
- - Onset after 2 years but before 10-years
- - Diagnosed if symptoms do not meet for another Developmental Disorder or Schizophrenia
What are the symptoms for Asperger's Disorder?
- - Severe impairment in social interaction
- - Development of restrictive and repetitive pattern of behavior, interest and activities
- - No language or cognitive delay
- - Diagnosis made if symptoms cannot be better accounted for by another Pervasive Developmental Disorder or Schizophrenia
Pervasive Developmental Disorder NOS
- Similar to Autistic Disorder but does not meet all criteria
What are the symptoms for Attention-Deficit Hyperactivity Disorder?
- - Trouble staying still or paying attention
- - Symptoms present before age 7-years lasting 6 months
- - occurring in 2 settings
What are symptoms of Conduct Disorder?
- - Child breaks rules
- - violates rights of others
What are examples of children with Conduct Disorders?
Stealing, fire setting, fighting, running away
What are symptoms of Oppositional Defiant Disorder?
- - Argumentative towards authority
- - Defies authority
- - Pesters others
- - Refuses to do chores or homework
- - Angry and resentful often
- - Persist at least 6 months
What is Pica?
- - Eating non-edible substances for at least 1 month
- - On-set Infancy
What is Rumination Disorder?
- Repeated regurgitation of food where potentially infant can become malnourished and delayed developmentally.
What are Tic Disorders?
- Involuntary, sudden, recurrent motor movement or vocalization.
- usually exacerbated by stress and diminished by sleep and relaxation
What are the symptoms for Tourette's Disorder?
- - Occurs before 18 years
- - Multiple motor and vocal tics not due to substance or general medical condition
- - Symptoms occur for at least a year
- - Never symptom free for more than three months
What are the symptoms for Chronic Motor or Vocal Tic Disorder?
- - Either motor or vocal tics, but not both
- - Occurs for more than a year
- - Never symptom free for more than three months
- - Onset before age 18 years
What are the symptoms for Transient Tic Disorder?
- - Duration is only 4 weeks - 1 year
- - Motor and/or vocal tics do not occur simultaneously
- - Onset before age 18 years
What are the symptoms for Encopresis?
- - Soiling pants or eliminating on floor
- - Child must be 4 years or at equivalent developmental level
- - Occurs 1x per month for at least 3 months
- - Not due to physical problems other than constipation.
What are the symptoms for Enuresis?
- - Elimination of urine either 2x a week for 3 consecutive months or enough to cause significant social, academic or occupational functioning
- - Child must be 5 years old (chronically or developmentally)
What are the symptoms for Separation Anxiety Disorder?
- - Clinging behavior for 4 weeks towards a loved one (usually parent)
- - Child fears bad happenings for self or loved one
- - May refuse to attend school, sleep alone or separated from parent
What are symptoms of Selective Mutism?
- - Child understands and speaks, but in certain social situations will refuse
- - occurs for at least a month
What are the symptoms for Reactive Attachment Disorder of Infancy or Early Childhood?
- - Failure to Thrive
- - Onset before 5 years
- - Displays no social interest
- - Overly affectionate to total strangers
- - No proper care or basic emotional or physical needs or had many changes in caretakers resulting in inability to attach
What are the symptoms for Stereotypic Movement Disorder?
- - Repetitive habits, i.e. Rocking, nail biting, picking, scratching.
- - Cause physical harm or interferes with daily activities for 4 weeks or longer
- - Not due to substance abuse or general medical condition
What are the symptoms for Delirium?
- - Occurs in elderly or very young
- - Disturbance of consciousness
- -Difficulty in ability to pay attention or shit one's attention from one thing to another
- - Cognitive difficulties
- - Disorientation to time and place, loss of recent memory, and a disturbance in sleep-wake cycle
- - Identify by etiology - General Medial condition, substance intoxication or withdrawal
What is Substance Intoxication Delirium?
- Due to intoxication of a substance indicated by history, physical examination, or laboratory findings
What is Substance Withdrawal Delirium?
- Occurring due to substance withdrawals as indicated by history, physical examination or laboratory findings.
What specific substances are coded in Substance Withdrawal Delirium?
- - Alcohol
- - Sedative, or Hypnotic
- - other or unknown substance
What is Delirium Due to Multiple Etiologies?
- Delirium occurs due to multiple general medical conditions, or general medical condition and substance intoxication or side-effects from medication
What are symptoms of Dementia?
- - Occurs among elderly
- - Impairment in short-term and long-term memory
- - Problems in language, motor skills, or object recognition
- - Impairment in abstract thinking
- - Impairment in judgement
What is Amnestic Disorder and they symptoms?
- - Impairment of memory due to general medical condition or a substance
- - Learning new info is difficult
- - Memory problem similar to Dementia but w/out the other cognitive difficulties
- - significant impairment in social or occupational functioning
- - No problems with attention
Can What are the symptoms for Catatonic Disorder due to General Medical Condition?
- - No motor activity or motor agitation that is a result of medical condition
- - May not respond to stimuli and have either no speech or speech peculiarities.
What are symptoms of Personality Change Due to General Medical Condition?
- - Personality change from usual patterns as a result of physical condition.
- - Most significant can be Labile Type, Paranoid Type, Disinhibited Type, Aggressive Type, Apathetic Type, Other, or Combined
What are the symptoms for Substance Dependence?
- - Increase need for psychoactive substance to achieve intoxication and or withdrawals experienced.
- - Unable to control substance use
- - Obtaining & using takes up a lot of time & energy
- - Interferes with social, occupational and rec. activities
- - Continue use despite it causing problems.
- - Using more and longer periods than person originally intended
What are the symptoms for Substance Abuse?
- - Neg pattern of drug use
- - continuing use even though person is aware of the social, psychological, occupational or physical problems associated with drug use.
- - Using drugs in dangerous situations
- - Symptoms occurred w/in 12 month period
- - Does not meet criteria for Dependence
What is the symptom for Substance-Induced Disorders?
- maladaptive behaviors or psychological changes caused by recently taking a psychoactive substance
What are the symptoms for Substance Withdrawal?
- - Body reacting negatively to the cessation or less intake of a drug
- - Dependent person will take the drugs to avoid these adverse reactions
- - These symptoms cause difficulties in social, occupational or other situations.
What is Alcohol Intoxication?
- Maladapative behaviors due to the recent ingestion of alcohol like slurred speech, problems with coordination and clumsiness.
What is Alcohol Withdrawal?
- After period of heavy drinking, the person w/ this disorder stops drinking and has physical and mental reactions.
what are some symptoms of Alcohol Withdrawals?
- - Nausea
- - Automatic Hyperactivity
- - Hyperactivity (Perspiring or high pulse rate)
- - Insomnia
- - Hallucinations or Illusions
- - Psycho motor agitation
- - Anxiety
- - Grand Mal Seizures and tremors
What is Alcohol Withdrawal Delirium?
- Shaking and changes in cognition and ability to focus due to recent ingestion of alcohol.
What are the symptoms for Alcohol-Induced Persisting Amnestic Disorder?
- - an impairment in the ability to encode new memory or to recall information
- - Effect are related to vitamin deficiencies and affects the Central Nervous System.
What are other Alcohol Induced Disorders?
- - Alcohol Intoxication Delirium
- - Alcohol-Induced Persisting Dementia
- - Alcohol-Induced Psychotic Disorder with Delusions
- - Alcohol-Induced Psychotic Disorder with Hallucinations
- - Alcohol-Induced Mood Disorder
- - Alcohol-Induced Sexual Dysfunction
- - Alcohol-Induced Sleep Disorder
- - Alcohol-Related Disorder NOS
What is Amphetamine Intoxication and symptoms?
- - significant changes in behavior due to the recent use of an amphetamine
- - symptoms include anger, hypervigilance, impaired judgment, and possibly, rapid heart rate, dilate pupils, high or low blood pressure, sweating, nausea, weight loss, psychomotor changes or confusion.
What is Amphetamine Withdrawal and symptoms?
- - The reduction or termination of amphetamines after prolonged use
- - symptoms include depression and commonly fatigue, agitation or sleep difficulties..
What are other Amphetamine-Induced Disorders?
- - Amphetamine Intoxication Delirium
- - Amphetamine-Induced Psychotic Disorder with Hallucinations
- - Amphetamine-Induced Mood Disorder
- - Amphetamine-Induced Anxiety Disorder
- - Amphetamine-Induced Sexual Dysfunction
- - Amphetamine-Induced Sleep Disorder
- - Amphetamine-related Disorder NOS
What are the symptoms for Caffeine Intoxication?
- Restlessness, insomnia, diuresis (gotta pee all the time), muscle twitching, rambling speech, agitation, nervousness, and/or tachycardia, due to recent ingestion of 2-3 cups of brewed coffee
What are other Caffeine-Induced Disorders?
- - Caffeine-Induced Anxiety Disorder
- - Caffeine-Induced Sleep Disorder
- - Caffeine-Related Disorder NOS
What is Cannabis Intoxication and the symptoms?
- negative behavior changes such as anxiety, euphoria, paranoia, impaired judgment, and a sense of slowed time, Tachycardia, dry mouth and increased appetite
What are other Cannabis-Induced Disorders?
- - Cannabis Intoxication Delirium
- - Cannabis-Induced Psychotic Disorder with Delusions (persecutory delusions)
- - Cannabis-Induced Psychotic Disorder with Hallucinations
- - Cannabis-Induced Anxiety Disorder
- - Cannabis-Related Disorder NOS
What is Cocaine Intoxication and the symptoms?
- negative behavior changes such as agitation, euphoria, and impaired judgement, tachycardia, sweating, dilated pupils, high or low blood pressure, weight loss or muscle weakness.
What are they symptoms for Cocaine Withdrawal?
- the reduction or termination of cocaine after prolonged use which bring symptoms of depression, and commonly fatigue, agitation or sleep difficulties.
What are other Cocaine-Induced Disorders?
- - Cocaine Intoxication Delirium
- - Cocaine-Induced Psychotic Disorder, with Delusions
- - Cocaine-Induced Psychotic Disorder, with Hallucinations
- - Cocaine-Induced Mood Disorder
- - Cocaine-Induced Anxiety Disorder
- - Cocaine-Induced Sexual Dysfunction
- - Cocaine-Induced Sleep Disorder
- - Cocaine-Related Disorder NOS
What is Hallucinogen Intoxication and symptoms?
- - Maladaptive behaviors due to the recent ingestion of a hallucinogen.
- - symptoms include anxiety/depression, fear of going crazy, paranoid ideation, illusions or hallucinations, dilated pupils, sweating, tremors, or clumsiness.
What is Hallucinogen Persisting Perception Disorder (Flashbacks)?
- RE-experiencing the perceptual symptoms of the hallucinogen, even though there is no current use of the drug.
What are other Hallucinogen-Induced Disorders?
- - Hallucinogen Intoxication Delirium
- - Hallucinogen-Induced Persisting with Dementia
- - Hallucinogen-Induced Psychotic Disorder, with Hallucinations
- - Hallucinogen-Induced Mood Disorder
- - Hallucinogen-Induced Anxiety Disorder
- - Hallucinogen-related Disorder NOS
What is Inhalant Intoxication and symptoms?
- - Negative behavioral changes such as impaired judgment and aggressiveness.
- - may be dizziness, slurred speech, clumsiness, tremors, lethargy, blurred vision, weak muscles or euphoria
What are other Inhalant-Induced Disorders?
- - Inhalant Intoxication Delirium
- - Inhalant-Induced Persisting Dementia
- - Inhalant-Induced Psychotic Disorder with Delusions
- - Inhalant-Induced Psychotic Disorder, with Hallucinations
- - Inhalant-Induced Mood Disorders
- - Inhalant-Induced Anxiety Disorders
- - Inhalant-Related Disorder NOS
What is Nicotine Withdrawal and symptoms?
- - The abrupt reduction or termination of daily nicotine use for several weeks.
- - followed by cravings, anxiety, restlessness, depression, insomnia, irritability, decreased heat rate, or increased weight gain
What is Opioid Intoxication and symptoms?
- - negative changes in behavior such as apathy, impaired judgement, dysphoria and psychomotor slowing.
- - symptoms include constricted pupils, drowsiness, slurred speech, and memory or attention deficits.
What is Opioid Withdrawals and the symptoms?
- - Reduction or termination of the heavy and prolonged use of opioids
- - This causes depression, nausea, diarrhea, fever, insomnia, sweating, and dilated pupils.
What are othe rOpioid-Induced Disorders?
- - Opioid Intoxication Delirium
- - Opioid-Induced Psychotic Disorder, with Delusions
- - Opioid-Induced Psychotic Disorder, with Hallucinations
- - Opioid-Induced Mood Disorder
- - Opioid-Induced Sexual Dysfunction
- - Opioid-Induced Sleep Disorder
- - Opioid-Related Disorder NOS
What are PCP Intoxication symptoms?
- aggressiveness, impulsive, agitation, impaired judgment, seizures, inc. blood pressure and heart rate, numbness, muscle rigidity or bizarre behavior
What are Other PCP-Induced Disorders?
- - PCP Intoxication Delirium
- - PCP-Induced Psychotic Disorder, with Delusions
- - PCP-Induced Psychotic Disorder, with Hallucinations
- - PCP-Induced Mood Disorder
- - PCP-Induced Anxiety Disorder
- - PCP-Related Disorder NOS