Shared Flashcard Set

Details

DSM 5 Criteria
(APA, PSYC 835, Nussbaum)
82
Psychology
Graduate
10/13/2016

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Cards

Term
Intellectual Developmental Disorder
Definition
A. Deficits in intellectual functions
B. Deficits in adaptive functioning
C. Onset of intellectual and adaptive deficits in the developmental period
Specifiers: severity (Mild, Moderate, Severe, Profound)
Term
Prevalence of Intellectual Developmental Disorder
Definition
Point prevalence: 1%
Point prevalence for severe IDD: 0.6%
Term
Autism Spectrum Disorder
Definition
A. Persistent deficits in social communication and social interaction across multiple contexts
B. Restricted, repetitive patterns of behavior, interests, or activities
C. Symptoms must be present in the early developmental period
D. Symptoms cause clinically significant impairment in important areas of functioning
Specifiers: level of direct support client needs to function
Term
Prevalence of Autism Spectrum Disorder
Definition
Point prevalence: 1%
Term
Attention-Deficit/Hyperactivity Disorder
Definition
A. A persistent pattern of inattention and/or hyperactivity/impulsivity that interferes with functioning
B. Several inattentive or hyperactive-impulsive symptoms were present prior to age 12
C. Symptoms were present in two or more settings
D. Clear evidence that the symptoms interfere with functioning
E. Symptoms do not occur exclusively during the course of a psychotic disorder, not better explained by another mental disorder
Specifiers: inattentive presentation, hyperactive/impulsive presentation, or combined; partial remission of symptoms; severity
Term
Prevalence of ADHD
Definition
Point prevalence in children: 5%
Point prevalence in adults: 2.5%
Term
Schizotypal Personality Disorder
Definition
A. Presence of one or more delusions for one month or longer
B. Criterion A for schizophrenia has never been met
C. Functioning is not markedly impaired
D. Manic or depressive episodes, if any, have been brief
E. Disturbance not better explained by substances, medication, medical condition, or another mental disorder
Specifiers: type of delusion; bizarre/nonbizarre; number of episodes; remission of symptoms
Term
Prevalence of Schizotypal Personality Disorder
Definition
Point prevalence: 0.2%
Term
Delusional Disorder
Definition
A. One or more delusions for at least 1 month
B. Criterion A for schizophrenia has never been met
C. Apart from the delusions, functioning hasn't been markedly impaired
D. If manic or depressive episodes have occurred, they are brief relative to delusional episodes
E. Disturbance not better explained by another mental disorder, substances, medication, or medical condition
Specifiers: type of delusion; bizarre/nonbizarre; number of episodes; severity
Term
Prevalence of Delusional Disorder
Definition
Lifetime prevalence: 0.2%
Term
Brief Psychotic Disorder
Definition
A. Presence of one or more of: delusions, hallucinations, disorganized speech, disorganized behavior
B. Duration is at least a day, less than a month
C. Disturbance not better explained by substances, medication, medical condition, or a mood disorder
Specifiers: presence of life stressor; catatonia; severity
Term
Prevalence of Brief Psychotic Disorder
Definition
9% of cases of first-onset psychosis
Term
Schizophreniform Disorder
Definition
A. Two ore more of the following, for most of a month: delusions, hallucinations, disorganized speech, disorganized behavior, negative symptoms
B. Disturbance lasts 1-6 months
C. Schizoaffective & mood disorders w/ psychotic features have been ruled out
D. Disturbance not better explained by substances, medication, or medical condition
Specifiers: prognostic outlook; catatonia; severity
Term
Prevalence of Schizophreniform Disorder
Definition
Point prevalence: "five times less than schizophrenia" (schizophrenia = 0.3% - 0.7%)
Term
Schizophrenia
Definition
A. Two ore more of the following, for most of a month: delusions, hallucinations, disorganized speech, disorganized behavior, negative symptoms
B. Diminished level of functioning in one or more life areas
C. Continuous signs of disturbance for at least 6 months, incl. 1 month of Criterion A
D. Schizoaffective & mood disorder w/ psychotic features have been ruled out
E. Disturbance not better explained by substances, medication, or another medical condition
Specifiers: number of episodes; catatonia; severity
Term
Prevalence of Schizophrenia
Definition
Point prevalence: 0.3% - 0.7%
Term
Schizoaffective Disorder
Definition
A. Major mood episode concurrent with Criterion A of schizophrenia
B. Delusions or hallucinations for 2 or more weeks in absence of a major mood episode
C. Major mood episode symptoms are present for the majority of the total duration of active and residual disturbance
D. Disturbance not better explained by substances, medication, or medical condition
Specifiers: depressive or bipolar; catatonia; number of episodes; severity
Term
Prevalence of Schizoaffective Disorder
Definition
Point prevalence: 0.3%
Term
Bipolar I Disorder
Definition
A. At least one manic episode
B. Occurrence of manic and depressive episodes not better explained by psychotic disorders
Specifiers: anxious distress; mixed features; rapid cycling; psychotic features; catatonia; peripartum onset; seasonal pattern
Term
Prevalence of Bipolar I Disorder
Definition
12-month prevalence: 0.6%
Term
Manic Episode
Definition
A. Abnormally elevated, expansive, or irritable mood, plus abnormally increased goal-directed activity, most of the day every day for a least a week
B. During the disturbance, three or more of the following (four if irritable mood): grandiosity, decreased sleep, chattiness, racing thoughts, distractibility, psychomotor agitation, risky behavior
C. Disturbance causes impairment in one or more life areas, or requires hospitalization
D. Disturbance not better explained by substances, medication, or medical condition
Term
Hypomanic Episode
Definition
A. Abnormally elevated, expansive, or irritable mood, plus abnormally increased goal-directed activity, most of the day every day for a least 4 consecutive days
B. During the disturbance, three or more of the following (four if irritable mood): grandiosity, decreased sleep, chattiness, racing thoughts, distractibility, psychomotor agitation, risky behavior
C. Disturbance is "uncharacteristic of the individual"
D. Disturbance is observable by others
E. Disturbance not severe enough to impair functioning or require hospitalization
F. Disturbance not better explained by substances, medication, or medical condition
Term
Major Depressive Episode
Definition
A. Five ore more of the following, most of the day every day for 2 weeks (at least one being either depressed mood or diminished interest): depressed mood, diminished interest in activities, unintentional weight change, insomnia/hypersomnia, psychomotor agitation or retardation, fatigue, feelings of worthlessness or guilt, distractibility, morbid thoughts
B. Disturbance causes clinically significant distress, or impairment in one or more life areas
C. Disturbance not better explained by substances, medication, or medical condition
Term
Bipolar II Disorder
Definition
A. At least one hypomanic episode and at least one major depressive episode
B. There has never been a manic episode
C. Disturbance not better explained by a psychotic disorder
D. Depressive symptoms or unpredictable mood swings cause clinically significant distress, or impairment in one or more life areas
Specifiers: type of most recent episode; anxious distress or mixed features
Term
Prevalence of Bipolar II Disorder
Definition
12-month prevalence: 0.8%
Term
Cyclothymic Disorder
Definition
A. Numerous periods of hypomanic and depressive symptoms over the course of at least 2 years (1 year in children/teens)
B. Over the 2 years, symptoms present at least half the time and never residual for more than 2 months at a time
C. Criteria for major episodes have never been met
D. Criteria A not better explained by psychotic disorders
E. Disturbance not better explained by substances, medication, or medical condition
Specifiers: anxious distress
Term
Prevalence of Cyclothymic Disorder
Definition
Point prevalence: 0.4% - 1%
Term
Disruptive Mood Dysregulation Disorder
Definition
A. Severe, disproportionate, recurrent temper outbursts
B. Outbursts are inconsistent with developmental level
C. Outbursts occur 3 or more times a week
D. Mood between outbursts is persistently irritable
E. Criteria A-D have been present for 12 months or longer, never residual for longer than 3 months
F. Criteria A-D present in at least two life areas, severe in at least one
G. Diagnosis contraindicated before age 6, after age 18
H. Age of onset before 10 years
I. Criteria for a manic or hypomanic episode have never been met for longer than a day
J. Disturbance not better explained by another mental disorder
K. Disturbance not better explained by substances, medication, or medical condition
Term
Prevalence of DMDD
Definition
12-month prevalence rate for children/teens: 2% - 5%
Term
Major Depressive Disorder
Definition
A. Five or more of the following, most of the day every day for 2 weeks (at least one being depressed mood or diminished interest): depressed mood, diminished interest in activities, unintentional weight change, insomnia/hypersomnia, psychomotor agitation or retardation, fatigue, feelings of worthlessness or guilt, poor concentration/indecisiveness, morbid thoughts
B. Disturbance causes clinically significant distress, or impairment in one or more life areas
C. Disturbance not better explained by substances, medication, or medical condition
Specifiers: anxious distress; melancholic/atypical/mixed features; psychotic features; catatonia; peripartum onset; seasonality
Term
Prevalence of Major Depressive Disorder
Definition
12-month prevalence: 7%
Term
Persistent Depressive Disorder (formerly Dysthymia)
Definition
A. Depressed mood most of the day, more days than not, for at least 2 years
B. Two or more or the following while depressed: poor appetite or overeating, insomnia/hypersomnia, fatigue, low self-esteem, poor concentration/indecisiveness, feelings of hopelessness
C. Symptoms have never been residual for more than 2 months at a time
D. Criteria for a major depressive episode may be continuously present for 2 years
E. Never been a manic/hypomanic episode
F. Disturbance not better explained by a psychotic disorder
G. Disturbance not better explained by substances, medication, or medical condition
H. Disturbance cause clinically significant distress, or impairment in one or more life areas
Specifiers: [... there's a lot, p 169]
Term
Prevalence of Persistent Depressive Disorder
Definition
12-month prevalence: 0.5%
Term
"Big Nine" symptoms of depressive disorders
Definition
1) Depressed mood
2) Diminished interest in activities
3) Unintentional weight change
4) Insomnia/hypersomnia
5) Psychomotor agitation or retardation
6) Fatigue
7) Feelings of worthlessness or guilt
8) Poor concentration/indecisiveness
9) Morbid thoughts
Term
Separation Anxiety Disorder
Definition
A. Developmentally inappropriate and excessive fear of distance from attachment figures, incl. three of the following: recurrent distress, persistent worry about loss of figure, persistent worry about harm to self or figure, reluctance to be away from familiar places, fear of being alone, fear of sleeping alone, nightmares about separation, physical symptoms during or anticipating separation from figure
B. Disturbance lasts at least 4 weeks in children and teens, 6 months in adults
C. Disturbance causes clinically significant distress, or impairment in one or more life areas
D. Disturbance not better explained by another mental disorder
Term
Prevalence of Separation Anxiety Disorder
Definition
12-month prevalence for children: 4%
12-month prevalence for teens: 1.6%
12-month prevalence for adults: 0.9% - 1.9%
Term
Specific Phobia
Definition
A. Fear about a specific object or situation
B. Phobic object almost always provokes immediate fear
C. Phobic object is avoided or endured with intense fear
D. The fear is out of proportion to actual danger
E. The fear is persistent for at least 6 months
F. The fear causes clinically significant distress, or impairment in one or more life areas
G. Disturbance is not better explained by another mental disorder
Specifiers: type of phobic object
Term
Prevalence of Specific Phobia
Definition
Point prevalence in children: 5%
Point prevalence in teens: 16%
12-month prevalence in adults: 7% - 9%
Term
Social Anxiety Disorder
Definition
A. Fear about one or more social situations
B. Fear that performance in the social situation will be negatively evaluated
C. The social situation almost always provokes fear
D. The social situation is avoided or endured with intense fear
E. The fear is disproportionate to the actual danger
F. The fear is persistent for at least 6 months
G. The fear causes clinically significant distress, or impairment in one or more life areas
H. Disturbance not better explained by substances, medication, or a medical condition
I. Disturbance not better explained by another mental disorder
J. If another medical condition is present, fear is unrelated or excessive
Term
Prevalence of Social Anxiety Disorder
Definition
12-month prevalence: 7%
Term
Panic Disorder
Definition
A. Recurrent unexpected panic attacks, which have at least 4 of the following: pounding heart rate, sweating, trembling, shortness of breath, feeling of choking, chest pain, nausea, feeling dizzy, chills or hot flashes, numbness or tingling, feeling of detachment from self or reality, fear of losing control, fear of dying
B. At least one attack has been followed by at least 1 month of at least one of the following: worry about additional attacks, maladaptive change in behavior in relation to attacks
C. Disturbance not better explained by substances, medication, or medical condition
D. Disturbance not better explained by another mental disorder
Term
Prevalence of Panic Disorder
Definition
12-month prevalence in teens and adults: 2% - 3% (lower for minorities, except higher for Native Americans)
Point prevalence in children: >0.4%
Term
Agoraphobia
Definition
A. Fear about two or more of the following social situations: public transportation, open spaces, enclosed spaces, being in a crowd, being outside alone
B. Fear that panic will occur in the situations and help won't be available
C. The situations almost always provoke fear
D. The situations are actively avoided, require direct support, or are endured with intense fear
E. The fear is out of proportion to the actual danger
F. The fear is persistent for at least 6 months
G. The fear causes clinically significant distress, or impairment in one or more life areas
H. If another medical condition is present, the fear is clearly excessive
I. Disturbance not better explained by another mental disorder
Term
Prevalence of Agoraphobia
Definition
12-month prevalence in teens and adults: 1.7%
Term
Generalized Anxiety Disorder
Definition
A. Excessive worry occurring more days than not for at least 6 months
B. The individual finds the worry hard to control
C. The worry is associated with three or more (or one, in children) of the following: restlessness, fatigue, poor concentration, irritability, psychomotor agitation, sleep disturbance
D. The worry causes clinically significant distress, or impairment in one or more life areas
E. Disturbance not better explained by substances, medication, or medical condition
F. Disturbance not better explained by another mental disorder
Term
Prevalence for Generalized Anxiety Disorder
Definition
12-month prevalence in teens: 0.9%
12-month prevalence in adults: 2.9%
Term
Obsessive-Compulsive Disorder
Definition
A. Presence of obsessions, compulsions or both
B. Obsessions/compulsions are time-consuming (more than 1 hour per day)
C. Disturbance not better explained by substances, medication, or medical condition
D. Disturbance not better explained by another mental disorder
Sepecifiers: level of insight; history of tic disorder
Term
Two symptoms of obsessions
Definition
1) Intrusive thoughts
2) Attempted thought suppression, or neutralization by acting out a compulsion
Term
Two symptoms of compulsions
Definition
1) Repetitive behaviors or thoughts in response to an obsession
2) Behaviors/thoughts are aimed at neutralizing anticipated harm, but not in any realistic way, or performed disproportionately to the actual danger
Term
Prevalence of Obsessive-Compulsive Disorder
Definition
12-month prevalence: 1.2%
Term
Body Dysmorphic Disorder
Definition
A. Preoccupation with flaws in physical appearance that appear slight to others
B. Repetitive behaviors/thoughts in response to perceived flaws
C. Preoccupation causes clinically significant distress, or impairment in one or more life areas
D. Disturbance not better explained by another mental disorder
Specifiers: muscle dysmorphia; insight
Term
Prevalence for Body Dysmorphic Disorder
Definition
Point prevalence in adults: 2.4%
Term
Reactive Attachment Disorder
Definition
A. Pattern of withdrawn behavior around caregivers with both of the following: rarely seeks comfort when distressed, minimally responds to comfort when distressed
B. Persistent social and emotional disturbance with at least two of the following: minimal responsiveness to others, limited positive affect, episodes of unexplained irritability/sadness/fearfulness
C. History of parental neglect with at least one of the following: neglect of attention to social/emotional/stimulation needs, repeated changes of primary caregivers, priamry caregiving settings that obstruct 1x1 attachment
D. Criterion A began after insufficient care in Criterion C
E. Disturbance not better explained by Autism Spectrum Disorder
F. Onset of disturbance before age 5
G. Client is at least 9 months old
Specifiers: severity
Term
Prevalence of Reactive Attachment Disorder
Definition
Unknown, but considered extremely rare:

"Even in populations of severely neglected children, the disorder is uncommon, occurring in less than 10% of such children."
Term
Differential for Reactive Attachment Disorder
Definition
1) Autism Spectrum Disorder
2) Intellectual Developmental Disorder
3) Depressive disorders
Term
Posttraumatic Stress Disorder
Definition
A. Exposure to actual or threatened death, injury, or sexual violence in one or more of the following ways: direct experience, directly witnessing the experience, learning the experience happened to a close family member or friend, repeated or extreme exposure to aversive details of events (e.g., paramedics, police officers)
B. One or more of the following after the trauma: intrusive thoughts, recurrent dreams, flashbacks, mental distress at triggers, physiological reactions to triggers
C. Avoidant behavior around triggers
D. Thoughts and mood grow increasingly negative, with two or more of the following: inability to remember key details of trauma, negative beliefs about self or others, distorted thoughts about causes and consequences of trauma, negative affect, diminished interest, feelings of isolation, anhedonia
E. Altered reactivity around the trauma, with two or more of the following: outbursts, risk-taking behavior, hypervigilance, exaggerated startle, poor concentration, sleep trouble
F. Disturbance lasts longer than 1 month
G. Disturbance causes clinically significant distress, or impairment in one or more life areas
H. Disturbance not better explained by substances, medication, or medical condition
Specifiers: dissociation; delayed expression
Term
Prevalence of PTSD
Definition
12-month prevalence: 3.5%
Term
Acute Stress Disorder
Definition
A. Exposure to actual or threatened death, injury, or sexual violence in one or more of the following ways: direct experience, directly witnessing the experience, learning the experience happened to a close family member or friend, repeated or extreme exposure to aversive details of events (e.g., paramedics, police officers)
B. At least nine symptoms in five categories: intrusion, negative mood, dissociation, avoidance, arousal
C. Disturbance is 3 days to 1 month after trauma
D. Disturbance causes clinically significant distress, or impairment in one or more life areas
E. Disturbance not better explained by substances, medication, or medical condition
Term
Prevalence of Acute Stress Disorder
Definition
Less than 20% of cases following traumatic events that aren't interpersonal; higher rates, 20% - 50%, following interpersonal events, e.g., assault, rape, mass shooting
Term
Adjustment Disorder
Definition
A. Development of emotional or behavioral symptoms within 3 months of a traumatic stressor
B. Symptoms are clinically significant, with one or both of: distress out of proportion to the stressor, significant impairment in one or more life areas
C. Disturbance is not better explained by another mental disorder
D. Disturbance is not better explained by bereavement
E. Once the stressor has been resolved, symptoms resolve within six months
Specifiers: depression/anxiety/mixed mood; conduct disturbance; mixed emotional/conduct disturbance
Term
Prevalence of Adjustment Disorder
Definition
Varies according to survey methodology
Point prevalence for outpatient treatment recipients: 5% - 20%
Point prevalence for inpatient treatment recipients: 50%
Term
"Intrusion" cluster of symptoms for trauma-related disorders
Definition
1. Recurrent, involuntary memories of trauma
2. Recurrent dreams
3. Dissociative reactions (e.g., flashbacks)
4. Prolonged mental distress or extreme physiological reactions
Term
"Negative Mood" cluster of symptoms for trauma-related disorders
Definition
Trick question! Just one:

1. Persistent inability to experience positive affect
Term
"Dissociative" cluster of symptoms for trauma-related disorders
Definition
1. Altered sense of reality of one's environment or oneself
2. Inability to remember key details of trauma
Term
"Avoidance" cluster of symptoms for trauma-related disorders
Definition
1. Efforts are made to avoid memories, thoughts, or feelings about trauma
2. Efforts are made to avoid external triggers of trauma
Term
"Arousal" cluster of symptoms for trauma-related disorders
Definition
1. Sleep issues
2. Irritable behavior, angry outbursts
3. Hypervigilance
4. Poor concentration
5. Exaggerated startle
Term
Alcohol [Substance] Use Disorder
Definition
A. Problmatic drinking with at least two of the following for a year:
1) drinking more than intended
2) unsuccessful attempts to cut down
3) spending a lot of time getting booze
4) cravings
5) impairment in one or more life areas
6) drinking despite complaints from family or friends
7) cutting down on work or hobbies to drink
8) drunk in dangerous situations
9) drinking despite awareness it will exacerbate physical/mental health issues
10) tolerance
11) withdrawal
Term
Delirium
Definition
A. Disturbance in attention or awareness
B. Disturbance develops rapidly, fluctuates throughout the day
C. Additional cognitive disturbance (e.g., memory, language, visuospatial, attention)
D. Disturbance not better explained by substances, medication, or medical condition
Term
Major Neurocognitive Disorder
Definition
A. Evidence of significant cognitive decline
B. Disturbance in ability to complete daily life independently
C. Disturbance does not occur exclusively during delirium
D. Disturbance not better explained by substances, medication, or medical condition

Specifier: severity
Term
Mild Neurocognitive Disorder
Definition
A. Evidence of significant cognitive decline
B. No disturbance in ability to complete daily life independently
C. Disturbance does not occur exclusively during delirium
D. Disturbance not better explained by substances, medication, or medical condition
Term
Areas that may show evidence of cognitive decline in Major/Mild Neurocognitive Disorder
Definition
1. Attention
2. Working memory
3. Language abilities
4. Perceptual-motor (e.g., hand-eye coordination)
5. Social cognition (e.g., increased irritability, decreased emotional literacy, decreased theory of mind)
Term
Insomnia Disorder
Definition
A. Sleep complaint with one or more of the following: difficulty initiating sleep, maintaining sleep, or waking early without being able to return to sleep
B. Disturbance causes impairment in one or more life areas
C. Disturbance occurs at least 3 nights a week
D. Disturbance present for at least 3 months
E. Disturbance occurs despite adequate opportunity for sleep
F. A. Evidence of significant cognitive decline
B. Disturbance in ability to complete tasks independently
C. Disturbance does not occur exclusively during delirium
D. Disturbance not better explained by another sleep disorder (e.g., narcolepsy, circadian rhythm disorder, parasomnia, etc.)
G. Disturbance not better explained by substances, medication, or medical condition
Term
Schizoid Personality Disorder
Definition
A. Pervasive pattern of detachment from relationships indicated by at least four of:
1. Neither desires nor enjoys close relationships
2. Almost always chooses solitude over socializing
3. Little interest in sex
4. Little pleasure in activities
5. Lacks close friendships
6. Appears indifferent to praise or criticism
7. Shows coldness or flattened affect
B. Disturbance not better explained by a psychotic disorder, mood disorder w/ psychotic features, or ASD
Term
Schizotypal Personality Disorder
Definition
A. Pervasive pattern of detachment from relationships including at least five of:
1. Ideas of reference
2. Odd beliefs or magical thinking
3. Unusual perceptual experiences
4. Eccentric speech patterns
5. Paranoia
6. Inappropriate or constricted affect
7. Eccentric behavior
8. Lack of close friends
9. Excessive social anxiety stemming from paranoid fears rather than self-judgment
G. Disturbance not better explained by a psychotic disorder, mood disorder w/ psychotic features, or ASD
Term
Antisocial Personality Disorder
Definition
A. Pervasive pattern of disregard for the rights of others, occurring since age 15, with at least three of:
1. Failure to conform to social norms about lawful behavior
2. Deceitfulness
3. Impulsivity or failure to plan ahead
4. Irritability and aggressiveness
5. Reckless disregard for the safety of others
6. Repeated failure to sustain work behavior or honor financial obligations
7. Lack of remorse
B. At least age 18
C. There is evidence of conduct disorder before age 15
D. Disturbance not better explained by a psychotic disorder, mood disorder w/ psychotic features, or ASD
Term
Borderline Personality Disorder
Definition
A. Pervasive pattern of instability in personal relationships and self image, beginning in early adulthood, with at least five of the following:
1. Frantic efforts to avoid abandonment
2. A pattern of unstable and intense relationships characterized by alternating between extremes of idealization and devaluation
3. Unstable sense of self
4. Impulsivity in at least two areas that are potentially self-damaging (e.g., money, sex, substances, binge eating)
5. Suicidal gestures, threats, or self-harming behavior
6. Unstable affect (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
7. Chronic feelings of emptiness
8. Inappropriate, intense anger
9. Paranoid ideation or severe dissociative symptoms
Term
Histrionic Personality Disorder
Definition
A. Pervasive pattern of emotionality and attention seeking, beginning by early adulthood, with at least five of:
1. Discomfort in situations where they aren't the center of attention
2. Inappropriate seductive or provocative behavior
3. Rapidly shifting and shallow expression of affect
4. Uses physical appearance to draw attention
5. Style of speech that is excessively impressionistic and lacking in detail
6. Exaggerated expression of emotion
7. Suggestible
8. Considers relationships to be more intimate than they really are
Term
Narcissistic Personality Disorder
Definition
A. Pervasive pattern of grandiosity, beginning by early adulthood, with at least five of:
1. Grandiose self-importance (e.g., exaggerates accomplishments)
2. Preoccupied with fantasies of success
3. Believes they are special and can only be understood by others who are special
4. Requires excessive admiration
5. Sense of entitlement (e.g., unreasonable expectations of accommodation)
6. Interpersonally exploitative
7. Lacks empathy
8. Preoccupied with envy (of others, or others' envy of self)
9. Arrogant behaviors
Term
Avoidant Personality Disorder
Definition
A. Pervasive pattern of social inhibition and feelings of inadequacy, beginning by early adulthood, with at least four of:
1. Avvoids occupations that involve significant interpersonal contact
2. Needs to be certain of being liked before getting involved
3. Constrained in intimate relationships because of fear of shame or ridicule
4. Preoccupied with criticism or rejection
5. Inhibited in new personal situations because of fear of judgment
6. Sees self as socially inept
7. Unusually reluctant to take personal risks or engage in new activities
Term
Dependent Personality Disorder
Definition
A. Pervasive need to be taken care of, beginning by early adulthood, with at least five of:
1. Difficulty making everyday decisions without advice and reassurance
2. Needs others to assume responsibility for client's life
3. Difficulty expressing disagreement
4. Difficulty initiating projects
5. Goes to excessive lengths to obtain nurturance from others
6. Feels uncomfortable or helpless when alone
7. Urgently seeks another relationship as soon as one ends
8. Unrealistically preoccupied with fears of being left to take care of themselves
Term
Obsessive-Compulsive Personality Disorder
Definition
A. Pervasive pattern of preoccupation with orderliness and mental and interpersonal control, with at least four of:
1. Preoccupied with rules, lists, or schedules
2. Shows perfectionism that interferences with task completion
3. Excessively devoted to work
4. Overconscientious and inflexible with morals or ethics
5. Unable to discard worn-out or worthless objects
6. Reluctant to delegate tasks
7. Adopts a miserly spending style or hoards money in case of catastrophe
8. Stubborn
Term
Pedophilic Disorder
Definition
A. Over a period of at least 6 months, recurrent sexual urges involving a prepubescent child
B. Individual has acted on these urges or they cause clinically significant distress
C. Individual is at least 16 years old and at least 5 years older than the child
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