DSM-5-TR Key Concepts

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Questions and Answers

Which of the following is NOT a characteristic symptom of Schizophrenia?

  • Elevated mood (correct)
  • Disorganized speech
  • Flat affect
  • Social withdrawal

Which of the following is NOT a symptom of a major depressive episode?

  • Sleep disturbances
  • Increased energy levels (correct)
  • Psychomotor agitation or retardation
  • Feelings of worthlessness or excessive guilt

The introduction chapter of the DSM-5-TR highlights the importance of including research updates at a pace that does not overwhelm the field of psychiatry necessitating annual revisions of the diagnostic manual.

  • False (correct)
  • True

Schizoaffective Disorder is characterized by:

<p>Delusions or hallucinations along with major mood episodes. (A)</p> Signup and view all the answers

Social Anxiety Disorder (SAD) involves:

<p>Persistent fear of social or performance situations where embarrassment may occur (A)</p> Signup and view all the answers

In children, Persistent Depressive Disorder (PDD), formerly known as dysthymia, is diagnosed when symptoms of depressed mood or irritability persist for at least:

<p>1 year (A)</p> Signup and view all the answers

Dissociative Amnesia is defined by:

<p>Inability to recall important personal information, usually related to traumatic or stressful events (C)</p> Signup and view all the answers

Which of the following is a defining feature of Autism Spectrum Disorder (ASD) according to DSM-5-TR?

<p>Difficulty with social communication and interaction (A)</p> Signup and view all the answers

Tourette's Disorder is known for:

<p>Rapid and recurrent motor movements or vocalizations (D)</p> Signup and view all the answers

The introduction of the DSM-5-TR discusses the dimensional approach to assessing severity and functional impairment in mental disorders.

<p>True (A)</p> Signup and view all the answers

The DSM-5-TR includes both categorical and dimensional approaches to understanding mental disorders.

<p>True (B)</p> Signup and view all the answers

With the first edition published in 1952, the DSM-5-TR is the eighth edition of the Diagnostic and Statistical Manual.

<p>True (B)</p> Signup and view all the answers

Depersonalization/ Derealization Disorder involves:

<p>Experiences of unreality or detachment from one's own body, thoughts or surroundings (B)</p> Signup and view all the answers

Rett Syndrome primarily affects:

<p>Motor coordination in both genders equally (B)</p> Signup and view all the answers

Which of the following is NOT a subtype of Schizophrenia according to DSM-5-TR?

<p>Undetermined (A)</p> Signup and view all the answers

Which disorder is characterized by a persistent pattern of angry/ irritable mood, argumentative/ defiant behavior or vindictiveness?

<p>Conduct Disorder (A)</p> Signup and view all the answers

Major Depressive Disorder (MDD) is characterized by:

<p>Persistent low mood and loss of interest or pleasure in activities (C)</p> Signup and view all the answers

Trichotillomania involves:

<p>Excessive hair pulling resulting in hair loss (A)</p> Signup and view all the answers

Which of the following is a hallmark symptom of Schizophrenia Spectrum Disorders?

<p>Delusions or hallucinations (C)</p> Signup and view all the answers

Attention-Deficit/Hyperactivity Disorder (ADHD) primarily involves:

<p>Persistent difficulties with attention, hyperactivity, and impulsiveness (A)</p> Signup and view all the answers

Brief Psychotic Disorder is characterized by:

<p>Sudden onset of psychotic symptoms lasting less than 1 month (B)</p> Signup and view all the answers

According to the American Psychiatric Association, and noted in the DSM-5-TR, a mental disorder is a syndrome characterized by clinically significant disturbance in an individual's recognition, emotion regulation or behavior that reflects a dysfunction in the psychological, biological or developmental process underlying mental functioning.

<p>True (B)</p> Signup and view all the answers

Which of the following disorders is classified under Obsessive-Compulsive and Related Disorder in DSM-5-TR?

<p>Body Dysmorphic Disorder (D)</p> Signup and view all the answers

The DSM-5-TR includes Cross-Cutting symptom measures to support to fine-tune diagnoses and better identify latent disorders and symptoms.

<p>True (A)</p> Signup and view all the answers

Developmental Coordination Disorder primarily affects:

<p>Motor Coordination (C)</p> Signup and view all the answers

Which disorder falls under the category of Trauma-and Stressor-Related Disorders in DSM-5-TR?

<p>Posttraumatic Stress Disorder (PTSD) (D)</p> Signup and view all the answers

Rapid Cycling Bipolar Disorder is defined as:

<p>Experiencing at least four mood episodes within a year (D)</p> Signup and view all the answers

Dissociative Identity Disorder (DID) is characterized by:

<p>Presence of two or more distinct personality states or identities (D)</p> Signup and view all the answers

Schizophrenia is always characterized by prominent delusions or auditory hallucinations, but without prominent disorganized speech, disorganized or catatonic behaviors or affective flattening.

<p>False (A)</p> Signup and view all the answers

Generalized Anxiety Disorder (GAD) is characterized by:

<p>Excessive worry and anxiety about various aspects of life (B)</p> Signup and view all the answers

Catatonia associated with another mental disorder or medical condition is diagnosed when:

<p>It occurs alongside a primary psychiatric or medical condition (C)</p> Signup and view all the answers

Which disorder is characterized by sudden, rapid, recurrent motor movements or vocalizations?

<p>Tic Disorder (A)</p> Signup and view all the answers

Reactive Attachment Disorder primarily manifests as:

<p>Difficulty in forming emotional bonds with caregivers (B)</p> Signup and view all the answers

Intellectual Disability (ID) is diagnosed based on:

<p>Impaired adaptive functioning and intellectual deficits (C)</p> Signup and view all the answers

Bipolar I Disorder is characterized by:

<p>Recurrent manic episodes lasting at least 4 days (A)</p> Signup and view all the answers

Disinhibited Social Engagement Disorder involves:

<p>Lack of social inhibition and indiscriminate sociability (A)</p> Signup and view all the answers

The American Psychiatric Association voted to avoid alignment between the Diagnostic and Statistical Manual (DSM) and the International Classification of Disease (ICD) to avoid confusion of culture bound mental health presentations

<p>False (B)</p> Signup and view all the answers

Cyclothymic Disorder involves:

<p>Chronic fluctuations between hypomanic symptoms and mild depressive symptoms (B)</p> Signup and view all the answers

The DSM-5-TR introduces new disorders not previously included in earlier editions of the DSM.

<p>True (B)</p> Signup and view all the answers

Which of the following is a characteristic symptom of a manic episode in Bipolar Disorder?

<p>Decreased need for sleep (C)</p> Signup and view all the answers

Which of the following is a key characteristic of Reactive Attachment Disorder?

<p>Difficulty forming emotional bonds (A)</p> Signup and view all the answers

What primarily defines Intellectual Disability (ID)?

<p>Impaired adaptive functioning and intellectual deficits (A)</p> Signup and view all the answers

Bipolar I Disorder is best characterized by which of the following?

<p>Recurrent manic episodes (A)</p> Signup and view all the answers

Which of the following characterizes Disinhibited Social Engagement Disorder?

<p>Lack of social inhibition (D)</p> Signup and view all the answers

What are the primary symptoms of Generalized Anxiety Disorder (GAD)?

<p>Excessive worry and anxiety (C)</p> Signup and view all the answers

Tic Disorder is primarily characterized by:

<p>Sudden, rapid motor movements or vocalizations (B)</p> Signup and view all the answers

What behavior is typical in children diagnosed with Disinhibited Social Engagement Disorder?

<p>Approaching unfamiliar adults without hesitation (B)</p> Signup and view all the answers

What is the main characteristic of Cyclothymic Disorder?

<p>Alternating periods of hypomanic and depressive symptoms (C)</p> Signup and view all the answers

What is a typical symptom of a manic episode in Bipolar Disorder?

<p>Decreased need for sleep (D)</p> Signup and view all the answers

What is the main symptom of Excoriation (Skin-Picking) Disorder?

<p>Recurrent skin picking (D)</p> Signup and view all the answers

In children, Persistent Depressive Disorder (PDD) is diagnosed when symptoms of depressed mood or irritability persist for at least:

<p>1 year (B)</p> Signup and view all the answers

Which of the following is a defining feature of Autism Spectrum Disorder (ASD)?

<p>Difficulty with social communication and interaction (A)</p> Signup and view all the answers

Flashcards

Schizophrenia

A severe mental disorder characterized by disturbances in thought, perception, emotion, and behavior.

Elevated mood

Elevated mood is more characteristic of mania, not a major depressive episode.

Schizoaffective Disorder

Characterized by delusions or hallucinations along with major mood episodes.

Social Anxiety Disorder (SAD)

Irrational fears of social or performance situations where embarrassment may occur.

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Persistent Depressive Disorder (PDD) duration in children

In children, PDD is diagnosed when symptoms of depressed mood or irritability persist for at least one year.

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Dissociative Amnesia

Inability to recall important personal information, usually related to traumatic or stressful events.

Signup and view all the flashcards

Autism Spectrum Disorder (ASD)

Difficulty with social communication and interaction.

Signup and view all the flashcards

Tourette's Disorder

Rapid and recurrent motor movements or vocalizations.

Signup and view all the flashcards

DSM-5-TR Dimensional Assessment

The DSM-5-TR uses dimensional approaches to assessing severity and functional impairment in mental disorders.

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DSM-5-TR Diagnostic Approaches

The DSM-5-TR includes both categorical and dimensional approaches to understanding mental disorders.

Signup and view all the flashcards

Depersonalization/Derealization Disorder

Experiences of unreality or detachment from one's own body, thoughts, or surroundings.

Signup and view all the flashcards

Rett Syndrome

Motor and language skills regression in girls.

Signup and view all the flashcards

Conduct Disorder

A persistent pattern of angry/irritable mood, argumentative/defiant behavior or vindictiveness.

Signup and view all the flashcards

Major Depressive Disorder (MDD)

Characterized by persistent low mood and loss of interest or pleasure in activities.

Signup and view all the flashcards

Trichotillomania

Excessive hair pulling resulting in hair loss.

Signup and view all the flashcards

Schizophrenia Spectrum Disorders

Delusions or hallucinations.

Signup and view all the flashcards

Attention-Deficit/Hyperactivity Disorder (ADHD)

Persistent difficulties with attention, hyperactivity, and impulsivity.

Signup and view all the flashcards

Brief Psychotic Disorder

Sudden onset of psychotic symptoms lasting less than 1 month.

Signup and view all the flashcards

Obsessive-Compulsive Related Disorder

Body Dysmorphic Disorder.

Signup and view all the flashcards

Developmental Coordination Disorder

Developmental Coordination Disorder affects motor coordination.

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Posttraumatic Stress Disorder (PTSD)

Trauma- and Stressor-Related Disorders.

Signup and view all the flashcards

Rapid Cycling - Bipolar Disorder

Experiencing at least four mood episodes within a year; Rapid cycling involves 4+ mood episodes in a year.

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Dissociative Identity Disorder (DID)

Presence of two or more distinct personality states or identities.

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Generalized Anxiety Disorder (GAD)

Excessive worry and anxiety about various aspects of life.

Signup and view all the flashcards

Catatonia

It occurs alongside a primary psychiatric or medical condition.

Signup and view all the flashcards

Tic Disorder

Tic Disorders are defined by sudden, recurrent motor or vocal tics.

Signup and view all the flashcards

Reactive Attachment Disorder

Difficulty in forming emotional bonds with caregivers.

Signup and view all the flashcards

Intellectual Disability (ID)

Below-average intelligence quotient and deficits in adaptive functioning.

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Cyclothymic Disorder

Chronic fluctuations between hypomanic symptoms and mild depressive symptoms.

Signup and view all the flashcards

Selective Mutism

Persistent refusal to speak in specific social situations despite normal language skills.

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Schizotypal Personality Disorder

Enduring pattern of odd beliefs, magical thinking, and social deficits.

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Panic Disorder

Sudden and recurrent panic attacks with persistent worry about future attacks.

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Delusional Disorder

An individual experiences delusions without other psychotic symptoms.

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Dyslexia

Difficulties in specific academic skills like reading, writing, or math.

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Bipolar II Disorder

Experiences of hypomania alternating with major depressive episodes.

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Disruptive Mood Dysregulation Disorder (DMDD)

Persistent irritability and frequent temper outbursts.

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DSM-5-TR Annual Revisions

False. The DSM-5-TR does not require annual revisions; updates are paced.

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DSM-5-TR Edition

The eighth revision since 1952.

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Symptoms of a manic episode

Markedly diminished interest or pleasure in all activities

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Premenstrual Dysphoric Disorder (PMDD)

Characterized by persistent irritability and mood changes during the premenstrual phase

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Mental disorder in DSM-5-TR

The DSM defines mental disorder as clinically significant disturbance.

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DSM-5-TR Introduces new disorders

DSM-5-TR includes new disorders.

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Study Notes

  • Elevated mood is not a characteristic symptom of schizophrenia, but rather is more typical of mania.
  • Increased energy levels are associated with mania not major depressive episodes.
  • The DSM-5-TR does not require annual revisions; updates are paced.
  • Schizoaffective Disorder includes delusions or hallucinations along with major mood episodes.
  • Social Anxiety Disorder involves persistent fear of social or performance situations where one may be embarrassed.
  • In children, Persistent Depressive Disorder must last at least 1 year to be diagnosed.
  • Dissociative Amnesia involves memory loss related to trauma or stress and inability to recall important personal information usually linked to these events.
  • Autism Spectrum Disorder is marked by difficulty with social communication and interaction.
  • Tourette's involves rapid, recurrent motor movements or vocal tics.
  • The DSM-5-TR uses dimensional approaches to assess severity and uses both categorical and dimensional systems for diagnoses.
  • The DSM-5-TR is the eighth revision since 1952.
  • Depersonalization/Derealization includes feelings of unreality or detachment from one's own body, thoughts, or surroundings.
  • Rett Syndrome affects motor coordination in both genders but primarily in girls.
  • "Undetermined" is not a recognized subtype in DSM-5-TR in regards to schizophrenia.
  • Conduct Disorder shows patterns of irritable mood and defiant behavior.
  • Major Depressive Disorder MDD involves persistent low mood and anhedonia (loss of interest).
  • Trichotillomania is repeated hair pulling resulting in hair loss.
  • Delusions or hallucinations are core symptoms of schizophrenia.
  • ADHD is marked by inattention, hyperactivity, and impulsivity.
  • Brief Psychotic Disorder features sudden psychosis lasting under 1 month.
  • The DSM defines mental disorder as significant disturbance.
  • Body Dysmorphic Disorder falls under Obsessive-Compulsive and Related Disorders.
  • Cross-Cutting Measures help identify symptoms across disorders.
  • Developmental Coordination Disorder affects motor coordination.
  • PTSD (Posttraumatic Stress Disorder) is classified under Trauma- and Stressor-Related Disorders.
  • Rapid cycling involves experiencing at least four mood episodes within a year.
  • DID involves two or more distinct personality states or identities.
  • Schizophrenia may also involve disorganized speech/behavior or negative symptoms.
  • GAD (Generalized Anxiety Disorder) features chronic worry about various life domains.
  • Catatonia is diagnosed when it co-occurs with another psychiatric or medical condition.
  • Tic Disorders are defined by sudden, recurrent motor or vocal tics.
  • Reactive Attachment Disorder shows difficulty bonding with caregivers.
  • ID (Intellectual Disability) requires both intellectual and adaptive functioning deficits.
  • Bipolar I includes full manic episodes, not just hypomania.
  • Disinhibited Social Engagement Disorder involves lack of social inhibition.
  • The DSM and ICD aim for alignment, not separation.
  • Cyclothymic Disorder involves ongoing mild hypomanic and depressive symptoms.
  • The DSM-5-TR adds new disorders.
  • Decreased need for sleep is a manic symptom.
  • Excoriation Disorder involves repeated skin picking.
  • PMDD (Premenstrual Dysphoric Disorder) includes irritability and mood changes before menstruation.
  • Schizotypal PD (Personality Disorder) includes eccentric behavior and magical thinking.
  • The DSM-5-TR does include updates from DSM-5.
  • Panic Disorder includes sudden attacks and worry about recurrence.
  • Selective Mutism is not speaking in specific situations.
  • Delusional Disorder means delusions occur without other psychotic symptoms.
  • Dyslexia is a Specific Learning Disorder affecting academic skills.
  • Bipolar II requires one hypomanic and one major depressive episode.
  • DMDD (Disruptive Mood Dysregulation Disorder) involves persistent irritability and frequent temper outbursts.

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