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Competency-Based Assessments
DSM-IV-TR Definitions
114
Social Work
Graduate
04/05/2013

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Cards

Term
Fifth Digit
Definition
Identify - subtypes, severity, course of disorder, specifiers
Term
Deferred Diagnosis
Definition
799.9, Axis I / II, inadequate info to make diagnostic judgement
Term
Psychotic Disorder, 298.9
Definition
Adequate info to ascertain presence of psychotic disorder but unable to further specify the diagnosis
Term
NOS
Definition
Not otherwise specified - mixed picture of behaviors showing symptoms that might suggest several different disoders
Term
Unspecified Mental Disorder, 300.9
Definition
Psychotic disorder r/o but further specification possible
Term
Axis I
Definition
Clinical Disorders
Term
Provisional Diagnosis, 799.9
Definition
Not enough info to diagnose
Term
Primary Diagnosis
Definition
Reason person comes to your attention, current assessment. If more than 1 that is most responsible for the current assessment is listed 1st as primary
Term
Principle Diagnosis
Definition
"reason for visit"
Term
Axis I Disorders
Definition
Disorders usually 1st diagnosed in infancy, childhood, or adolescence Delirium, Dementia, & Amnestic & Other Cognitive Disorders Mental Disorders due to General Medical Condition Substance-Related Disorders Schizophrenia & Other Psychotic Disorders Mood / Anxiety Disorders Somatoform / Factitious Disorders Dissociative Disorders Sexual / Gender Id Disorders Eating / Sleeping Disorders Impulse-Control Disorders Adjustment Disorders Others of clinical focus
Term
Axis II
Definition
MR / Personality Disorders Paranoid PD Schizoid, Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent OCD Personality Disorder NOS
Term
Axis III
Definition
Medical
Term
Axis IV
Definition
Psychosocial stressors Environmental problems Social / Environmental problems that may impact Axis I or Axis II Include relevant stressors present in past year Positive event that caused difficulty Problems with primary support group Housing Problems Economic Problems Problems with access to health care services Problems related to interaction with the legal system/crime Other psychosocial and environmental problems
Term
Axis V
Definition
GAF - Global Assessment Functioning Assess psychological, occupational, and social functioning 
Term
Agnosia
Definition
inability to recognize and identify objects or family and friends
Term
Apraxia
Definition
Impairment in understanding or transmission of ideas by language in any of its forms (reading, writing, or speaking, that is due to injury or disease of the brain centers involved in language. Loss of ability to execute or carry out skilled movements and gestures, despite having the desire and the physical ability to perform them.
Term
Aphasia
Definition
Language disturbance that can affect a person’s ability to use and understand spoken or written words.
Term
Affect
Definition
Pattern of observable behaviors that is expression of subjectivity experienced feeling state.
Term
Blunted Affect
Definition
significant reduction in intensity of emotioanal expression.
Term
Flat Affect
Definition
Absence or near absence of any signs of affective expression
Term
Inappropriate Affect
Definition
Discordance between affective expression and the content of speech or ideation
Term
Labile Affect
Definition
Abnormal variability in affect with repeated, rapid, and abrupt shifts in affective expression
Term
Restricted or Constricted Affect
Definition
Mild reduction in range & intensity of emotional expression
Term
Alogia
Definition
Impoverishment in thinking that is inferred from observing speech and language behavior. Poverty of speech and/or content.
Term
Amnesia
Definition
Loss of memory
Term
Anterograde
Definition
Loss of memory of events that occur after the onset of the etiological condition or agent
Term
Retrograde
Definition
Loss of memory of events that occurred before the onset of the etiological condition or agent.
Term
Antagonist Medication
Definition
Chemical entity extrinsic to endogenously produced substances that occupies a receptor, produces no physiologic effects, and prevents endogenous and exogenous chemicals from producing an effect on that receptor.
Term
Anxiety
Definition
Apprehensive anticipation of future danger or misfortune accompanied by a feeling of dysphoria or somatic symptoms of tension. Can be internal or external.
Term
Aphonia
Definition
Inability to produce speech sounts that require the use of the larynx that is not due to a lesion in the central nervous system
Term
Ataxia
Definition
Partial or complete loss of coordination of voluntary muscular movement
Term
Attention
Definition
Ability to focus in a sustained manner on a particular stimulus or activity.
Term
Avolition
Definition
Inability to initiate and persist in goal-directed activities
Term
Catalepsy
Definition
Waxy flexibility, rigid maintenance of body position over an extended period of time
Term
Cataplexy
Definition
Episodes of sudden bilateral loss of muscle tone resulting in the individual collapsing, often in association with intense emotions such as laughter, anger, fear, or surprise.
Term
Catatonic Behavior
Definition
Marked motor abnormalities including motoric immobility, certain types of excessive motor activity, extreme negativism, or mutism, posturing or stereotyped movements, and echolalia or echopraxia
Term
Defense Mechanism
Definition
Automatic psychological process that protects the individual against anxiety and from awareness of internal or external stressors or dangers. Mediate reaction to conflict / stress.
Term
Delusion
Definition
False belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. Not ordinarily accepted by others.
Term
Bizarre Delusion
Definition
Delusion involves phenomenon that the person's culture would regard as totally implausible.
Term
Delusional jealousy
Definition
Delusion that one's sexual partner is unfaithful
Term
Erotomanic
Definition
Delusion that another person, usually of higher status, is in love with the individual
Term
Grandiose
Definition
Delusion of inflated worth, power, knowledge, identity, or special relationship to a deity or famous person
Term
Delusion of being controlled
Definition
Delusion in which feelings, impulses, thoughts, or actions are experienced as being under the control of some external force rather than being under one's own control
Term
Delusion of reference
Definition
Delusion whose theme is that events, objects, or other persons in one's immediate environment have a particular & unusual significance.
Term
Persecutory Delusions
Definition
Central theme is that one (or someone to whom one is close) is being attacked, harassed, cheated, persecuted, or conspired against.
Term
Somatic
Definition
Delusion whose main content pertains to the appearance or functioning of one's body.
Term
Thought broadcasting
Definition
Delusion that one's thoughts are being broadcast out loud so that they can be perceived by others
Term
Thought insertion
Definition
Delusion that certain of one's thoughts are not one's own, but rather are inserted into one's mind
Term
Depersonalization
Definition
Alteration in perception or experience of the self so that one feels detached from, and as if one is an outside observer of, one's mental processes or body (like in a dream)
Term
Derailment
Definition
Pattern of speech in which a person's ideas slip off one track onto another that is completely unrelated or only obliquely related. person shifts topic idiosyncratically from one frame of reference to another
Term
Derealization
Definition
Alteration in perception or experience of the external world so that it seems strange or unreal
Term
Dissociation
Definition
Disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment. May be sudden or gradual, transient or chronic
Term
Dysarthria
Definition
Imperfect articulation of speech due to disturbances of muscular control
Term
Dyskinesia
Definition
Distortion of voluntary movements with involuntary muscular control
Term
Dyssomnia
Definition
Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as major presenting symptom. Disorders of amount, quality, or timing of sleep
Term
Dystonia
Definition
Disordered tonicity of muscles
Term
Echolalia
Definition
Pathological, parrotlike, and apparently senseless repetition of a word or phrase just spoken by another person
Term
Echopraxia
Definition
Repetition by imitation of the movements of another. Action is not a willed or voluntary one and has a semiautomatic and uncontrollable quality
Term
Flight of ideas
Definition
Nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words.
Term
Gender Dysphoria
Definition
Persistent aversion toward some or all of those physical characteristics or social roles that connote one's own biological sex
Term
Gender identity
Definition
Person's inner conviction of being male or female
Term
Gender Role
Definition
Attitudes, patterns of behavior, and personality attributes defined by the culture in which the person lives as stereotypically "masculine" or "feminine" social roles
Term
Hallucinations
Definition
Sensory perception that has compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ.
Term
Types of Delusions (12)
Definition
Bizarre Delusional Jealousy Erotomanic Grandiose Mood-congruent Mood-incongruent Of being controlled Of reference Persecutory Somatic Thought Broadcasting Thought Insertion
Term
Types of Hallucinations (8)
Definition
Auditory Gustatory Mood-congruent Mood-incongruent Olfactory Somatic Tactile Visual
Term
Auditory Hallucinations
Definition
Involves the perception of sound, most commonly, of voices.
Term
Gustatory Hallucinations
Definition
Involving perception of taste (usually unpleasant)
Term
Olfactory Hallucinations
Definition
Involving perception of odor, such as a burning rubber or decaying fish
Term
Somatic Hallucinations
Definition
Involving perception of a physical experience localized within the body
Term
Tactile Hallucinations
Definition
Involving perception of being touched or of something being under one's skin. Most common are sensation of electric shocks & formication (creeping/crawling on/under skin)
Term
Visual Hallucinations
Definition
Involving sight, which may consist of formed images, such as people, or of unformed images, such as flashes of light. Illusions are different - misperceptions of real external stimuli
Term
Hyperacusis
Definition
Painful sensitivity to sounds
Term
Hypersomnia
Definition
Excessive sleepiness, as evidenced by prolonged nocturnal sleep, difficulty maintaining an alert awake state during the day, or undesired daytime sleep episodes
Term
Ideas of Reference
Definition
Feeling that casual incidents and external events have a particular and unusual meaning that is specific to the person.
Term
Illusion
Definition
Misperception or misinterpretation of a real external stimulus, such as hearing rustling of leaves as the sound of voices
Term
Incoherence
Definition
Speech or thinking that is essentially incomprehensible to others because words or phrases are joined together without a logical or meaningful connection. "Word Salad"
Term
Insomnia (3 types)
Definition
Subjective complaint of difficulty falling or staying asleep or poor sleep quality. 3 types: Initial insomnia - difficulty falling asleep Middle insomnia - awaking but being able to fall asleep eventually Terminal insomnia - awaking before one's usual waking time & being unable to return to sleep
Term
Intersex condition
Definition
Individual shows intermingling, in various degrees, of the characteristics of each sex, including physical form, reproductive organs, and sexual behavior
Term
Macropsia
Definition
Visual perception that objects are larger than they actually are
Term
Magical Thinking
Definition
Erroneous belief that one's thoughts, words, or actions will cause or prevent a specific outcome in some way that defies commonly understood laws of cause & effect. MAY be normal in child development
Term
Micropsia
Definition
Visual perception that objects are smaller than they actually are
Term
Mood
Definition
Pervasive & sustained emtion that colors the perception of the world. 5 Types: Dysphoric Elevated Euthymic Expansive Irritable
Term
Dysphoric Mood
Definition
Unpleasant mood, such as sadness, anxiety, or irritability
Term
Elevated Mood
Definition
Exaggerated feeling of well-being, or euphoria or elation. May describe feeling "high"...
Term
Euthymic Mood
Definition
Mood in "normal" range, which implies the absence of depressed or elevated mood
Term
Expansive Mood
Definition
Lack of restraint in expressing one's feelings, frequently w/over evaluation of one's significance or importance
Term
Irritable Mood
Definition
Easily annoyed and provoked to anger
Term
Mood-Congruent Psychotic Features
Definition
Delusions or hallucinations whose content is entirely consistent with the typical themes of a depressed or manic mood.
Term
Mood-incongruent psychotic features
Definition
Delusions or hallucinations whose content is not consistent with the typical themes of a depressed or manic mood.
Term
Nystagmus
Definition
Involuntary rhythmic movements of the eyes that consist of small-amplitude rapid tremors in one direction and a larger, slower, recurrent sweep in the opposite direction. May be horizontal, vertical, or rotary
Term
Overvalued idea
Definition
Any unreasonable and sustained belief that is maintained with less than delusional intensity.
Term
Panic Attacks
Definition

Discrete periods of sudden onset of intense apprehension, fearfulness, or terror, often associated with feelings of impending doom.

Types: Unexpected - out of the blue Situationally bound - occurs immediately on exposure to, or in anticipation of, a situational trigger Situationally Predisposed - more likely to occur on exposure to a situational trigger but is not invariably associated with it

Term
Paranoid ideation
Definition
Ideation, of less than delusional proportions, involving suspiciousness or the belief that one is being harassed, persecuted, or unfairly treated
Term
Parasomnia
Definition
Abnormal behavior or physiological events occurring during sleep or sleep-wake transitions
Term
Personality
Definition
Enduring patterns of perceiving, relating to, and thinking about the environment and oneself.
Term
Personality Traits
Definition
Prominent aspects of personality that are exhibited in a wide range of important social and personal contexts.
Term
Phobia
Definition
Persistent, irrational fear of a specific object, activity, or situation that results in a compelling desire to avoid it.
Term
Pressured Speech
Definition
Speech that is increased in amount, accelerated, and difficult or impossible to interrupt. Usually it is also loud & emphatic.
Term
Predrome
Definition
An early or premonitory sign or symptom of a disorder
Term
Psychomotor Retardation
Definition
Visible generalized slowing of movements and speech
Term
Psychotic
Definition
Delusions or prominent hallucinations, with the hallucinations occurring in the absence of insight into their pathological nature.
Term
Residual Phase
Definition
Phase of an illness that occurs after remission of the florid symptoms or the full syndrome
Term
Sterotyped Movements
Definition
Reptitive seemingly driven, and nonfunctional motor behavior (hand shaking, waving, body rocking, head banging, ...)
Term
Stressor, psychosocial
Definition
Any life event or life change that may be associated temporally with the onset, occurrence, or exacerbation of a mental disorder
Term
Stupor
Definition
State of unresponsiveness with immobility and mutism
Term
Symptoms
Definition
Subjective manifestation of a pathological condition. Symptoms are reported by the affected individual rather than observed by the examiner.
Term
Syndrome
Definition
Grouping of signs and symptoms, based on their frequent co-occurrence, that may suggest a common underlying pathogenesis, course, familial pattern, or treatment selection.
Term
Synesthesia
Definition
Condition in which a sensory experience associated with one modality occurs when another modality is stimulated, for example, a sound produces a sensation of a particular color
Term
Tic
Definition
Involuntary, sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalization
Term
Transsexualism
Definition
Severe gender dysphoria, coupled wth a persistent desire for the physical characteristics and social roles that connote the opposite biological sex
Term

Cyclothymic Disorder

Definition

·      Presence of numerous periods w/hypomanic symptoms and numerous periods with depressive symptoms that are not of the intensity of a major depressive episode

·      Symptoms are severe enough to impair social, work, or other important life areas

·      Symptoms are present for at least 2 years and during this time, the person has not been without symptoms for more than 2 months at a time

·      In children and adolescents the mood disturbance must be at least for 1 year

·      There is no major depressive episode, manic episode, or mixed episode during the initial 2 years of the disturbance (1 for children/adolescence)

·      Symptoms are not better explained by the presence of substance use, general medical conditions, or schizophrenia

·      Symptoms are not superimposed on schizophrenia, schizophreniform disorder, delusional disorder, or psychotic disorder NOS

Term
How SSRI's work
Definition
Block the reuptake (reabsorption) of the neurotransmitter serotonin inthe brain
Term
Common SSRI's
Definition
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Sertraline (Zoloft)
Term
SSRI Side Effects
Definition
Nausea, dry mouth, headache, nervousness, agitation or restlessness, reduced sexual desire, erectile dysfunction, rash, increased sweating, weight gain, drowsiness, insomnia
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