Term
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Definition
SIGECAPSS Sx for 2 weeks or +
Sadness, interest loss, guilt/worthlessness, energy loss, concentration, appetite, psychomotor retardation/agitation, sleep, suicide:
Mild, mod, severe, psychotic |
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Term
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Definition
sad most days for 2 years; 2 or more of sleep change, hopelessness, appetite, low SE, concentration loss
Never Sx-free in first 2 years
Significant distress/impairment |
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Term
| Disruptive mood dysregulation disorder (296.99/F34.8) |
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Definition
revere recurrent temper outbursts (verbal or physical) - out of proportion to context.
3 or +/week, more than a year, began ages 6-18
Persistent irritability
not better explained by mania, dep, autism, SA etc. |
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Term
| Premenstrual Dysphoric Disorder (625.4/N94.3) |
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Definition
Sx present 1 week prior to menses
1/4 of mood swings, irritability/anger, sadness, anxiety
at least 5 total mood swings, irritability/anger, sadness, anxiety/tension, loss of interest/concentration, fatigue, appetite, sleep, feel overwhelmed, physical sx (bloating/pain/breasts)
Significant distress/imp. |
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Term
| Bipolar 1 disorder (296.7/F31.0) |
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Definition
euphoric or irritable mood and increased energy for 1 week
3/7: grandiose, decreased sleep, talkative, racing thoughts, distractibility, increased goal-directed bx, impulsive, risk-taking bx.
Social or work impairment, or necessitates hospitalization.
typically labile/rapid mood shifts, predom. irritable.
Note: hypomanic episode is 4 days; MDD usually present but not always.
Manic episode required for Dx but hypomanic/depression not req.
15x higher risk for suicide than GP |
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Term
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Definition
mild, mod, severe, with psychotic features, partial/full remission, anxious distress, mixed features, rapid cycling, melancholic features, atypical features, mood-congruent/incongruent psychotic features, catatonia, peripartum onset, seasonal pattern.
Discuss suicide risk, cultural factors, comorbidities, prognosis. |
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Term
| Bipolar 2 (296.89/F31.81) |
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Definition
At least 1 hypomanic and at least 1 MDD episode
No full mania
+- 1/3 attempt suicide
Same criteria as mania but 4 days limit; no marked impairment in social/work fn. |
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Term
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Definition
MDD (usually diff duration/few Sx of hypo/mania)
cyclothymic disorder (BP2 incl 1+ MDD episodes)
Schiz spectrum (different because the spectrum incl psychotic bx in absence of mood disorder)
Panic dis. (may co-occur)
SA dis.
ADHD (clarify if distinct episode and if noticeable increase of baseline Bx)
Personality dis (tends to have lifetime Hx) |
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Term
| cyclothymic dis. (301.13/F34.0) |
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Definition
Numerous hypomania and dep Sx for 2 years.
Does not reach full criteria for hypo/manic or dep.
Not w/o Sx for 2 months in past 2 years.
Clinically sign. distress/impairment |
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Term
| Schizophrenia (295.90/F20.9) |
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Definition
One positive Sx for 1 month (hallucinations, delusions, diorganized speech)
2 or + of following: hal/del/dis speech/Bx, negative Sx (flat affect/low motivation).
Poor residual functioning for at least 6 months.
Social or work impairment.
Specify if with catatonia and severity.
Remember cultural factors.
Increased suicide and SA risk. |
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Term
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Definition
| Schiz Sx between 1-6 months |
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Term
| Schizoaffective Dis. Bipolar type |
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Definition
Schiz Sx and bipolar 1 Sx present most of the time.
At least 2 weeks of delusions or hallucinations without bipolar Sx.
Must have bipolar (dep or mania) Sx majority of time. |
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Term
| Schizoaffective Dis. Depressive type |
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Definition
Sciz Sx and Depression Sx present most of the time.
At least 2 weeks of delusions or hallucinations without depression.
Must have dep majority of time. |
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Term
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Definition
Moderate delusions at least 1 month, not Schiz level.
Otherwise good functioning, no bizarre bx.
Erotomanic/grandiose/jealous/persecutory/somatic/mixed/unspecified types. |
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Term
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Definition
Schiz Sx for less than 1 month.
Full return to premorbid fn.
Specify with/without marked stresssors, postpartum onset, catatonia. |
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Term
| Panic disorder (300.01/F41.0) |
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Definition
Recurrent, abrupt, unexpected intense fear or discomfort.
Persistent worry of additional attacks for 1 month.
4/13 Sx: palpitations, sweating, trembling, shortness of breath, choking, chest pain,nausea, dizziness, derealization, fear of going crazy, fear of dying, numbness/tingling/cold/hot flashes.
Can be specifier for PTSD. |
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Term
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Definition
Intense fear of 2 or more: public transportation, open spaces, enclosed spaces, crowds, being away from home.
Avoids these areas/situations.
More than 6 months, interferes with normal functioning. |
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Term
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Definition
Excessive worry most days for 6 months.
3/6 Sx: restless, fatigue, decreased concentration, irritability, tense, insomnia).
Imp. fning. |
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Term
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Definition
Intense unreasonable fear, imp fning.
Animals, natural environment (heights, thunderstorms etc), needle injections, situational (elevators, planes etc), other |
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Term
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Definition
| persistent fear of social interaction; interferes with normal fning. |
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Term
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Definition
| Excessive anxiety over separation from home or parents. |
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Term
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Definition
| Mute in some settings but not others. |
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Term
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Definition
Obsessions: persistent, intrusive, inappropriate, non-psychotic thoughts.
Compulsions: repetitive bx compelled to reduce stress.
Patient as insight into the problem but can't stop.
Marked distress/impairment. |
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Term
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Definition
preoccupation with imagined deficit in physical appearance.
Repetitive checking, grooming, picking, comparing or reassurance seeking.
Work/social impairment. |
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Term
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Definition
Mild 2-3 Sx; Moderate 4-5 Sx; Severe 6+ Sx.
Uses more than intended, failed attempts to cut back, important work/social activities given up due to SA, excessive time spent obtaining, using or recovering, uses in dangerous situations, cravings, persistent use despite awareness of issue, problems at work/school etc., tolerance and withdrawals |
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Term
| Types of substance use disorder |
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Definition
| Alcohol, Caffeine, Cannabis, Hallucinogen, Inhalant, Opioid, Sedative, Stimulant (meth/cocaine), Tobacco |
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Term
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Definition
Persistent inattention or hyperactivity interfering with fning for 6 months beginning before age 12:
Inattention: 6+ Sx - inattention to details, diff sustaining attention, poor listening, poor follow thru on tasks, poor organization, avoids HW and large projects, often loses things, distractible, forgetful.
Hyperactivity: 6+ Sx - fidgets or squirms, leaves seat often, runs around inappropriately, can't play quietly, driven, always moving, overly talkative, blurts out answers, diff waiting or turn-taking, interrupts frequently. |
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Term
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Definition
Severe trauma - experienced, witnessed or learned about violent trauma to loved one;
intrusive memories, nightmares, flashbacks; avoidance of thoughts/feelings/reminders; negative thoughts and feelings (amnesia to event, self/other blame, persistent fear/anger/horror/shame, low interest in activities, feeling detached/numb); hyperarousal (insomnia, poor conc, emotional lability, hypervigilance, exaggerate startle, reckless or self-destructive bx); Sx present for 1 month + and impaired fning. |
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Term
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Definition
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Term
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Definition
Stressor leading to excessive distress or work/social imp.
Sx do not last more than 6 months after resolution of stress.
Specify stress as acute or chronic (>6mo).
Specifiers: with depressed mood, anxiety, mixed and and dep, with disturbance of conduct, with disturbance of emotions and conduct |
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Term
| Reactive Attachment Disorder |
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Definition
| poor care-giving at early age; emotionally withdrawn towards caregivers; socially and emotionally unresponsive, inappropriately sad/irritable/fearful |
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Term
| Disinhibited social engagement disorder |
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Definition
| poor care-giving at early age; child inappropriately approaches or is overly familiar with strangers. |
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Term
| Dissociative Identity Disorder |
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Definition
| 2 or more distinct personalities recurrently take control; compartmentalization of information; marked distress/imp. |
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Term
| Depersonalization/Derealization disorder |
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Definition
| recurrent subjective detachment (as if an outside observer or in dream); intact reality testing/not psychotic; marked distress/imp. |
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Term
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Definition
| Angry, argumentative, vindictive or defiant bx for 6 months; marked distress/imp. |
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Term
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Definition
3/15 criteria in past 12 months and at least 1 criteria in past 6 months:
Persistently violates others' rights or societal rules (hurting people/bulling, starting fights; hurting animals, property destruction, lying, theft, illegal activity); may code more specifically for childhood or adolescent onset.
Specifiers: mild/mod/severe; with limited prosocial emotions; callous/lack of empathy; unconcerned about performance; shallow or deficient affect |
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Term
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Definition
| ODD less severe, does not include aggressive acts towards ppl/animals/property/theft/deceit. ODD more emotional dysregulation. Both diagnoses can be given. |
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Term
| Intermittent explosive disorder |
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Definition
| recurrent verbal or physical outbursts out of character for the person and disproportionate to the stressor; dissimilar to ODD/CD (more impulsive/not premeditated or goal-directed |
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Term
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Definition
| Disproportionately excessive response (thoughts, feelings or bx) to a distressing physical sx - usually persists at least 6 months. |
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Term
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Definition
| Intentionally faking sick; no clear financial or legal motivators. |
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Term
| Conversion Disorder/Functional Neurological Symptom Disorder |
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Definition
| Abnormal voluntary motor or sensory functioning; sx incompatible with recognized neurological or medical conditions; marked distress/imp. |
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Term
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Definition
| Conflict between one's assigned gender and the experience of their gender. Strong preference for the characteristics of the opposite gender to which assigned. Clinically significant distress/imp. |
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Term
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Definition
V60.2 low income
v61.03 disruption of family by separation/divorce
v62.4 acculturation difficulty |
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