dsm cards - psychosis.txt

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twinkienic
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35850
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dsm cards - psychosis.txt
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2010-09-19 20:29:58
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dsm psychiatry psychotic disorders
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dsm psychiatry psychotic disorders
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  1. Name Schizophrenia and Other Psychotic Disorders
    • Schizophrenia
    • Schizophreniform Disorder
    • Schizoaffective Disorder
    • Delusional Disorder
    • Brief Psychotic Disorder
    • Shared Psychotic Disorder
    • Psychotic Disorder Due to a General Medical Condition
    • Substance-Induced Psychotic Disorder
    • Psychotic Disorder Not Otherwise Specified
  2. Name the (General) Diagnostic Categories for Schizophrenia
    • A. Characteristic (Active-Phase)Symptoms
    • B. Social and/or Occupational Dysfunction

    • C. Duration Requirement

    • D. Schizoaffective & Mood Disorder Exclusion

    • E. Substance or General Medical Condition Exclusion

    • F. Conditions Regarding Relationship to a Pervasive Developmental Disorder

    • Note: Schizophrenia alone is not a diagnosis.

  3. Describe the Diagnostic Criteria for Characteristic (Active-Phase) Symptoms For Schizophrenia
    • At least two of the following symptoms appear for a significant portion of a one month period:
    • 1. Delusions.
    • 2. Hallucinations.
    • 3. Disorganized speech.
    • 4. Grossly disorganized or catatonic behavior.
    • 5. Negative symptoms.

    • less than 1 month required if successfully treated

    • only 1 symptom required if bizarre delusion, or Ah of running commentary or 2+ voices conversing
  4. Describe the Diagnostic Criteria for Social and/or Occupational Dysfunction for Schizophrenia
    • For a significant portion of time since disturbance onset, at least one of the following major functioning areas is(are) markedly below pre-onset level:
    • 1. Work.
    • 2. Interpersonal relations.
    • 3. Self-care.
  5. Describe the Diagnostic Criteria for Duration Requirements For Schizophrenia
    • Continuous signs for at least 6 months.
    • At least 1 month meets item "A" active-phase symptoms.
    • May include periods of prodromal or residual symptoms
    • During prodromal or residual periods, signs may include only negative symptoms or at least two item "A" active-phase symptoms (in attenuated form).
  6. Describe the Criteria for Schizoaffective and Mood Disorder Exclusion For Schizophrenia
    • Schizoaffective Disorder and Mood Disorder With Psychotic Features are ruled out because of either:
    • 1. No Major Depressive, Manic, or Mixed Episodes have occurred in tandem with active-phase symptoms.
    • 2. Total duration of any mood episodes occurring during active-phase symptoms is brief relative to active and residual periods
  7. Describe the Diagnostic Criteria for Substance or General Medical Condition Exclusion For Schizophrenia
    Disturbance not due to a substance or a general medical condition.
  8. Describe the Diagnostic Criteria for Conditions Regarding Relationship to a Pervasive Developmental Disorder For Schizophrenia
    • If there is any history of Autistic Disorder (or some other Pervasive Developmental Disorder), make the additional diagnosis of Schizophrenia only if:
    • 1. Conspicuous delusions or hallucinations are present.
    • 2. Duration is at least one month.
    • 3. Duration is less than one month if successfully treated.
  9. Name the Schizophrenia Subtypes

    Paranoid Type
    Disorganized Type
    Catatonic Type
    Undifferentiated Type
    Residual Type
  10. Describe the Diagnostic criteria for Schizophrenia, Paranoid Type
    • A. One or more prominent delusions or repeated auditory hallucinations.
    • B. None of these is prominent: disorganized speech or behavior, catatonic behavior or flat or inappropriate affect.

  11. Describe the Diagnostic Criteria for Schizophrenia, Disorganized Type
    • A. All of the following are prominent:
    • 1. Disorganized speech.
    • 2. Disorganized behavior.
    • 3. Flat or inappropriate affect.
    • B. Not Catatonic Type.

  12. Describe the Diagnostic Criteria for Schizophrenia, Catatonic Type
    • At least two of the following:
    • 1. Motoric immobility.
    • 2. Purposeless and excessive motor activity.
    • 3. Extreme negativism or mutism.
    • 4. Odd voluntary movements or mannerisms.
    • 5. Echolalia or echopraxia.
  13. Describe the Diagnostic Criteria for Schizophrenia, Undifferentiated Type
    • Item "A" symptoms are present.
    • Not Paranoid, Disorganized, or Catatonic Type.
  14. Describe the Diagnostic criteria for Schizophrenia, Residual Type
    • A. No prominent delusions, hallucinations, disorganized speech, or catatonic or grossly disorganized behavior.
    • B. A continuing disturbance, indicated by either negative symptoms or at least two item "A" active-phase symptoms (in attenuated form).

  15. Describe the Diagnostic Criteria for Schizophreniform Disorder
    • A. Items A, D, and E of Schizophrenia are met (symptoms, mood/sczaff/GMC exclusion)
    • B. An episode (including prodromal, active, and residual phases) lasts at least one month but less than six months.

  16. Describe the Diagnostic Criteria for Schizoaffective Disorder
    • A. Uninterrupted period of illness that concurrently includes both:
    • 1. Symptoms meeting Item "A" for Schizophrenia
    • 2. Either a Major Depressive Episode, a Manic Episode, or a Mixed Episode.
    • B. Delusions or hallucinations for at least 2 weeks with no prominent mood symptoms.

    • C. Mood episode symptoms present for a large portion of the entire duration of the disorder's active and residual periods.

    • D. Not caused by a substance or general medical condition.'

  17. Describe the Diagnostic Criteria for Delusional Disorder
    • A. Nonbizarre delusions lasting at least 1 month.
    • B. Item "A" for Schizophrenia never met.

    • C. Functioning not impaired and behavior not odd or bizarre.

    • D. If mood episodes occur concurrent with delusions, they have been brief relative to the delusional periods.

    • E. Not caused by a substance or a general medical condition.

  18. Name the Delusional Disorder Subtypes

    Erotomanic
    Grandiose
    Jealous
    Persecutory
    Somatic
    Mixed
    Unspecified
  19. Describe the Diagnostic Criteria for Brief Psychotic Disorder
    • A. At least one of these symptoms:
    • -- 1. Delusions
    • -- 2. Hallucinations
    • -- 3. Disorganized speech
    • -- 4. Behavior that is grossly disorganized or catatonic
    • B. Disturbance lasts from 1 day to less than 1 month with return to premorbid levels.

    • C. Not better described by Mood Disorder With Psychotic Features, Schizoaffective Disorder, or Schizophrenia.

  20. Describe the Diagnostic Criteria for Shared Psychotic Disorder
    • A. Delusion develops in a person who is in a relationship with another person who already has a delusion.
    • B. Delusion is similar to the pre-established delusion of the other person.

    • C. Not better described by another Psychotic Disorder or a Mood Disorder with Psychotic Features. Neither is it caused by a substance or a general medical condition.

  21. Describe the Diagnostic Criteria for Psychotic Disorder Due to A General Medical Condition
    • A. Manifest hallucinations or delusions.
    • B. Direct result of a general medical condition.

    • C. Not solely during delirium.

  22. Describe Diagnostic Criteria for Substance-Induced Psychotic Disorder
    • A. Conspicuous hallucinations or delusions.
    • B. Either of these:
    • -- 1. Criterion A symptoms developed during or within a month of Substance Intoxication or Withdrawal.
    • -- 2. Medication use directly relates to the disturbance.
    • C. Not better described by a Psychotic Disorder that is not substance induced.
    • D. Not solely during delirium.

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