Diagnosis & Psychopathology for EPPP Flashcards

Terms Definitions
First degree relatives of schizophrenics are more likely to be diagnosed as
Schizotypal Personality Disordered
The prevalence rate for autism and autism spectrum disorders in Epidemiological studies since 2000 indicate how many cases of autism & autism spectrum disorders per 10,000 live births?
____/10,000
60/10,000
For a diagnosis of Tourette's disorder, a client must have
_____ motor tic(s) and ______ vocal tic(s).
multiple motor tics and at least one vocal tic.
With a diagnosis of Schizophrenia, the risk of the same diagnosis for a monozygotic twin is _____ and for a dizygotic twin is _____.
With a diagnosis of Schizophrenia, the risk of the same diagnosis for a monozygotic twin is 46% and for a dizygotic twin is 17%.
The 3 criteria for MR
1) IQ of 70 or below
2) impairments in adaptive functioning in 2 areas
3) onset b/f 18yo
the 2 core features of Autism
AUTISM
1) impairments in social interaction and communication
2) narrow/stereotypes bx, interests, activities
Rett's Disorder
FEMALES ONLY
developmental regression beginning after age 4-5 months but b/f age 4yo resulting in lifelong communication and bx'l probs
Childhood Disintegrative Disorder
normal development for at least 2 years, but then begins to show regression in multiple areas
How is aspergers different than autism?
same: impairments in social interaction, narrow/repetitive/stereotyped bxs
DIFFERENT: no significant delay in language development
difference b/w Conduct Disorder & Oppositional Defiant Disorder?
CONDUCT DIS: violating others rights, societal norms, rules
OPPOSITIONAL DEFIANT DIS: pattern of negativistic, hostile, and defiant bx, WITHOUT VIOLATING others' rights
Pica
Eating non-nutrive substances for MORE THAN 1 MONTH
Rumination Disorder (in childhood)
regurgitation and rechewing of food that begins after a period of normal functioning
Mental Retardation criteria for:
Mild
Moderate
Severe
Profound
Mental Retardation criteria for:
Mild = 50-55 to 70
Moderate = 35-40 to 50-55
Severe = 20-25 to 35-40
Profound = below 20-25
Prevalence of autism =
1) 2-5 cases per ________
2) ___ times more common in males
AUTISM

1) 2-5 cases per 10,000
2) 4-5 times more common in males
What percent of autistic children are also mentally retarded?
75% of autistic children are MR
Main criteria for learning disorders
a difference of more than 2 SDs between achievement (measured eg on Woodcock-Johnson) and IQ score
What percent of learning disordered children also have ADHD?
20-50% of learning disabled kids also have ADHD
For ADHD, some symptoms must
occur before age: _____
endure at least _____ months
in at least ____ settings.
ADHD: some symptoms
BEFORE AGE 7
ENDURE at least 6 months
in at least 2 SETTINGS
ADHD is ____ times more common in boys?
4-9 times more common in boys
Tourette's has onset as early as 2, but always before age ____.
Tourette's has onset as early as 2, but always BEFORE age 18.
Tourette's is characterized by BOTH:
1)
2)
and in 10% of cases, 3)
and they must occur how often? for how long? and with no more than how many months off?
BOTH
1) motor tics AND 2) vocal tics
and in 10% of cases, 3) coprolalia

tics occur many times/day for at least 1 year, with no more than 3 months going by w/o tics
Chronic Motor or Vocal Tic Disorder is different than tourette's how?
EITHER motor or vocal tics, NOT BOTH
sxs are usually less severe
how old does a child need to be to qualify for Enuresis?
child must be at LEAST age 5
Reactive Attachment Disorder symptoms must show up before age: ___
Reactive Attachment Disorder: shows up
BEFORE AGE 5
Delerium
disturbance of consciousness along with disturbances in EITHER
- cognition OR perception
And they're the direct consequence of a general medical condition
These signs develop over a short period of time and the course is usually short term and fluctuating
Dementia
1) memory problems (usually retaining new info AND recalling old)
2) at least one of the following:
- aphasia
- apraxia
- agnosia
- probs w exec func
how is alzheimer's diagnosed?
no confirmatory diagnostic tests. so dx based on meeting criteria.
Dx may be aided by CT, MRI, or PET but this can result in false positives and false negatives. The only SURE way to confirm it is via autopsy or biopsy
Vascular Dementia is
1) caused by?
2) presents as ?
Vascular Dementia:
1) is caused by vascular disease, eg. stroke or infarction that causes a decreased blood supply to brain.
2) presents as abrupt patchy cognitive deficits with a course that's stepwise and fluctuating.
What's the difference b/w substance DEPENDENCE vs. ABUSE?
for DEPENDENCE, 3 criteria from:
1) tolerance
2) Withdrawal sxs
3) increased use over time
4) desire to reduce use
For ABUSE, at least 1:
1) failure in role obligations
2) repeated use in hazardous conditions
3) repeated legal probs
4) use despite persistent social or interpersonal probs
Difference b/w Schizophrenia and schizophreniform disorder?
schizophreniform disorder:
duration is LESS THAN 6 MOs
Schizoaffective Disorder
involves sxs of both a mood disorder AND schizophrenia, but doesn't meet criteria for either
Brief Psychotic Disorder
Abrupt psychotic sxs lasting
1 day to 1 month
To qualify for schizophrenia, ACTIVE PHASE sxs must be present at least ____ month(s)
1 month for active phase sxs,
but other signs of schizophrenia for at least 6 months
What's the Dopamine Hypothesis of Schizophrenia?
DOPAMINE HYPOTHESIS
Schizophrenia results from either an excess of the monoamines - particularly dopamine - or increased sensitivity to dopamine.
What is the lifetime risk of developing schizophrenia in these categories:
1) unrelated
2) biological sibs
3) dizygotic twin
4) monozygotic twin
1) unrelated = 1%
2) biological sibs = 10%
3) dizygotic twin = 16%
4) monozygotic twin = 48%
For how long one must experience fluctuating mood disturbance alternating b/w hypomanic and sub-clinical depression to qualify for CYCOLTHYMIC?
CYCLOTHYMIC
over 2 years or more!!
Somatization Disorder
SOMATIZATION DISORDER
involves multiple (i.e. at least 4 pain, 2 gastro, 1 sexual, AND 1 pseudoneurological) physical complaints that can't be completely medically explained

Onset b/f age 30
Undifferentiated Somatoform Disorder
at least ONE physical complaint that persists for at least 6 months
Factitious Disorder
physical or psychological symptoms that are intentionally faked or produced
Schizoid Personality Disorder
detachment from social rxs
restricted range of emotion
lack of desire for rxs
indifference to praise or criticism
Schizotypal Personality Disorder
Social interpersonal deficits:
- discomfort with and limited capacity for close rxs
- perceptual and cog distortions
- odd or eccentric bx
How long must binge/compensate behavior persist to qualify as Bulimic?
both bxs need to occur average of 2x/wk for 3 months
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Term:
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