DSM Project

Anorexia Nervosa

100

Between what ages does anorexia nervosa start?

What is 14-18 yrs

200

What is one subtype of anorexia nervosa and its definition?

What is Restricting Type: weight loss accomplished primarily through dieting, fasting or excessive exercise or Binge Eating/Purging Type: individual engages in binge-eating or purging (or both).

300

State two diagnostic criteria of anorexia nervosa

What is Refusal to maintain body weight at or above a minimally normal weight for age and height B. Intense fear of gaining weight or becoming fat, even though underweight C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation or denial of the seriousness of the current low body weight D. In the post-menarcheal female, amenorrhea, absence of at least 3 consecutive menstrual cycles

Bulimia Nervosa

100

One feature of bulimia nervosa

What is Ashamed of eating problem, so attempt to conceal it 2. Episode might or might not be planned in advance 3. Rapid consumption of food 4. Within normal weight range 5. More likely to be overweight than their peers 6. Between binges avoids fattening foods and restricts total caloric intake 7. Increase frequency of depressive symptoms (low self-esteem) or Mood Disorders 8. Increase frequency of anxiety symptoms (e.g. fear of social situations) or Anxiety Disorders 9. Vomiting= permanent loss of dental enamel, chipped teeth 10. Calluses or scars on the dorsal surface of the hand from repeated trauma from the teeth

200

subtype of bulimia nervosa and its definition

What is 1. Purging Type: person regularly engages in self-induced vomiting or misuse of laxatives, diuretics or enemas during current episode. 2. Non-purging Type: person uses other inappropriate compensatory behaviors, such as fasting or excessive exercise but has not regularly engaged in self induced vomiting or misuse of laxatives, diuretics or enemas during current episode

300

three diagnostic criteria of bulimia nervosa

What is Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: a. Eating in a discrete period of time (e.g. within any 2 hour period) an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances b. Sense of lack of control over eating during the episode B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas or other medications; fasting or excessive exercise C. Binge eating and inappropriate compensatory behaviors both occur, on average at least twice a week for 3 months D. Self-evaluation is influenced by body shape and weight E. Disturbance does not occur exclusively during episodes of Anorexia Nervosa

Dyssomnias

100

Daytime sleepiness is almost always the first symptom of narcolepsy and usually becomes clinically significant during what age period?

What is Adolescence

200

Name at least 2 complaints that individuals with Primary Insomnia have

What is difficulty initiating sleep, Difficulty maintaining sleep and Non-restorative sleep

300

What is cataplexy and under what circumstances does it occur?

What is Brief episodes of sudden bilateral loss of muscle tone, most often brought upon by intense emotion

400

State three of the four diagnostic criteria for Primary Insomnia

What is The predominant complaint is difficulty initiating or maintaining sleep, or non-restorative sleep, for at least 1 month. The sleep disturbance (or associated daytime fatigue) causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The disturbance does not occur exclusively during the course of another mental disorder (e.g. Major Depressive Disorder, General Anxiety, a delirium). The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

500

Name the three diagnostic criteria of Narcolepsy

What is Irresistible attacks of refreshing sleep that occur daily over at least 3 months. The presence of one or both of the following: Cataplexy (i.e., brief episodes of sudden bilateral loss of muscle tone, most often brought upon by intense emotion). Recurrent intrusions of elements of Rapid Eye movement (REM) sleep into the transition between sleep and wakefulness, as manifested by either hypnopompic or hypnagogic hallucinations or sleep paralysis at the beginning or end of sleep episodes. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition).

Hypersomnia

100

Occurs during the second half of the night, when sleep is deeper.

What is Nightmare Disorder

200

Nightmare Disorder often manifests itself between what age range

What is between 3 and 6 years of age.

300

Which sleeping disorder is associated with incoherent talking.

What is sleepwalking

400

State at least two diagnostic criteria for Sleepwalking Disorder

What is Repeated episodes of rising from bed during sleep and walking about, usually occurring during the first third of the major sleep episode. While Sleepwalking, the person has a blank, staring face, is relatively unresponsive to the efforts of others to communicate with him or her, and can be awakened only with great difficulty. On awakening (either from the sleepwalking episode or the next morning), the person has amnesia for the episode. Within several minutes after awakening from the sleepwalking episode, there is no impairment of mental activity or behavior (although there may initially be a short period of confusion or disorientation) The sleepwalking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The disturbance is not due to the direct physiological effect of a substance (e.g. a drug of abuse, a medication) or a general medical condition

500

State at least three diagnostic criteria for Nightmare Disorder

What is Repeated awakenings from the major sleep period or naps with detailed recall of extended and extremely frightening dreams, usually involving threats to survival, security or self-esteem. The awakenings generally occur during the second half of the sleep period. On awakening from the frightening dreams, the person rapidly becomes oriented and alert (in contrast to the confusion and disorientation seen in Sleep Terror Disorder and some forms of epilepsy). The dream experience, or the sleep disturbance resulting from the awakening, causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The nightmares do not occur exclusively during the course of another mental disorder (e.g. delirium, Posttraumatic Stress Disorder) and are not due to the direct physiological effects of a substance (e.g. drug of abuse, a medication) or a general medication condition.