Professional Documents
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Disorders Features
Disorders Features
small vocabularies, impaired use of words to form sentences, • Developmental Coordination Disorder
and reduced ability to employ sentences to express ideas
problems with balance; delayed developmental milestones;
• Speech Sound Disorder and slow achievement of basic skills such as jumping,
throwing or catching a ball, and handwriting that is
problems producing the sounds of speech, compromising
substantially below that expected given the individual’s
communication.
chronological age and opportunity for skill learning and use.
• Childhood-Onset Fluency Disorder
• Stereotypic Movement Disorder
Stuttering
repetitive, purposeless movements (such as hand waving,
problems speaking smoothly, most notably with sounds that body rocking, or head banging) for at least four weeks. The
are drawn out or repeated; there may be pauses in the movements interfere with normal activity or have the
middle of words. potential to cause bodily harm.
From early childhood, the patient has difficulty with each of Tic Disorders
these features: using language for social reasons, adapting
communication to fit the context, following the conventions • Tourette’s Disorder
(rules) of conversation, and understanding implied
Both multiple motor and one or more vocal tics have been
communications
present at some time during the illness
• Autism Spectrum Disorder
• Persistent (Chronic) Motor or Vocal Tic Disorder
Social relationships vary from mild impairment to almost
Single or multiple motor or vocal tics have been present
complete lack of interaction. There may be just a reduced
during the illness, but not both motor and vocal
sharing of interests and experiences.
• Provision Tic Disorder
They tend to speak with few of the usual physical signals
most people use—eye contact, hand gestures, smiles, and Single or multiple motor and/or vocal tics
nods
Schizophrenia Spectrum and Other Psychotic • Bipolar I Disorder
Disorders
it is necessary to meet the criteria for a manic episode. The
manic episode may have been preceded by and may be
• Schizophrenia
followed by hypomanic or major depressive episodes.
For at least 6 months, these patients have had two or more of
• Bipolar II Disorder
these five types of psychotic symptom:
it is necessary to meet the criteria for a current or past
➢ Delusions ➢ disorganized speech
hypomanic episode and the criteria for a current or past
➢ hallucinations ➢ negative symptoms major depressive episode
• Schizophreniform disorder For at least 2 years, there have been numerous periods with
hypomanic symptoms that do not meet criteria for a
This category is for patients who have the basic symptoms of hypomanic episode and numerous periods with depressive
schizophrenia but have been ill for only 1–6 months—less symptoms that do not meet criteria for a major depressive
than the time specified for schizophrenia episode.
Because they fear what might happen to a parent or Presence of obsessions, compulsions, or both, which are time
someone else important in their lives, these patients resist consuming.
being alone. They imagine that the parent will die or become
lost, so that even the thought of separation can cause • Body Dysmorphic Disorder
anxiety, nightmares, or perhaps vomiting spells or other preoccupied with the belief that they have a particular defect
physical complaints. or flaw in their physical appearance. Such beliefs drive the
The fear, anxiety, or avoidance is persistent, lasting at least 4 individuals to repeatedly check themselves in response to the
weeks in children and adolescents and typically 6 months or appearance concerns.
more in adults Muscle dysmorphia - The individual is preoccupied with the
idea that his or her body build is too small or insufficiently
• Selective Mutism
muscular
Despite speaking normally at other times, the patient
regularly doesn’t speak in certain situations where speech is • Hoarding Disorder
expected, such as in class They wind up with numerous useless and valueless items,
from junk mail to broken objects to unused clothes. Parts of
• Specific Phobias
their homes may become inaccessible because of the clutter.
Marked fear or anxiety about a specific object or situation.
Animal hoarding - can be defined as the accumulation of a
The fear or anxiety is out of proportion to the actual danger
large number of animals and a failure to provide minimal
posed by the specific object or situation and to the
standards of nutrition, sanitation, and veterinary care
sociocultural context
• Trichotillomania (Hair-Pulling Disorder)
• Social Anxiety Disorder (Social Phobia)
Recurrent pulling out of one’s hair, resulting in hair loss. The
a marked, or intense, fear or anxiety of social situations in
individuals have repeated attempts to decrease or stop hair
which the individual may be scrutinized by others.
pulling.
• Panic Disorder
• Excoriation (Skin-Picking) Disorder
As a result of unexpected panic attacks, the patient fears that
Recurrent skin picking resulting in skin lesions. The individuals
they will happen again or tries to avert further attacks by
have repeated attempts to decrease or stop skin picking.
taking (ineffective) action, such as abandoning a once favored
activities or avoiding places where attacks have occurred.
• Dissociative Amnesia Perpetrator – the one who receives the diagnosis, not the
victim.
People with dissociative amnesia are unable to recall
important information, usually of a stressful nature, about • Conversion Disorder
their lives.
display physical symptoms that affect voluntary motor or
episode of amnesia is directly triggered by a traumatic or sensory functioning, but the symptoms are inconsistent with
upsetting event known medical diseases.
Dissociative Fugue - not only forget their personal identities • Somatic Symptom Disorder
and details of their past lives but also flee to an entirely
excessively distressed, concerned, and anxious about bodily
different location.
symptoms that they are experiencing, and their lives are
• Dissociative Identity Disorder greatly disrupted by those symptoms. The somatic symptoms
have no known cause; in others, the cause can be identified.
known in the past as multiple personality disorder, develops
two or more distinct personalities, often called Predominant Pain Pattern - This specifier is for individuals
subpersonalities, or alternate personalities (“alters”), each whose somatic symptoms predominantly involve pain
with a unique set of memories, behaviors, thoughts, and
• Illness Anxiety Disorder
emotions.
Previously called hypochondriasis. People with illness anxiety
• Depersonalization / Derealization
disorder are chronically anxious about their health and are
Depersonalization - The sense that one’s own mental convinced that they have or are developing a serious medical
functioning or body is unreal or detached. People illness, despite the absence of somatic symptoms.
experiencing depersonalization feel as though they have
They repeatedly check their body for signs of illness and
become separated from their body and are observing
misinterpret various bodily events as signs of serious medical
themselves from outside
problems.
Derealization - The sense that one’s surroundings are unreal
Care-seeking type - Medical care, including physician visits or
or detached. Objects may seem to change shape or size;
undergoing tests and procedures, is frequently used.
other people may seem removed, mechanical, or even dead.
Care-avoidant type - Medical care is rarely used
Feeding and Eating Disorders supplements. It is not explained by lack of available food, a
cultural practice, or another medical or mental disorder.
• Anorexia Nervosa
Sleep-Wake Disorder
Sufferers of anorexia nervosa are convinced that they need to Dyssomnias
be extremely thin. A person with anorexia nervosa purposely
difficulties in getting enough sleep, problems with sleeping
maintains a significantly low body weight, intensely fears
when you want to, and complaints about the quality of sleep
becoming overweight, has a distorted view of her weight and
shape, and is excessively influenced by her weight and shape • Insomnia Disorder
in her self-evaluations.
difficulty initiating or maintaining sleep, early-morning
Restricting type - They reduce their weight by restricting their awakening with inability to return to sleep, causing clinically
intake of food. through dieting, fasting, and/or excessive significant distress in social, occupational, educational, or
exercise. other important areas of functioning, occurring at least three
nights per week, for at least three months
Binge-eating/purging type - forcing themselves to vomit or
abusing laxatives or diuretics • Hypersomnolence Disorder
• Bulimia Nervosa excessive sleepiness despite a main sleep period lasting at
least 7 hours. Symptoms include recurrent periods of sleep
aka Binge-purge syndrome. Persons with bulimia nervosa
within the same day, prolonged unrefreshing sleep, and
engage in repeated episodes of uncontrollable overeating or
difficulty being fully awake after abrupt awakening.
binges. In addition, people with this disorder repeatedly
perform inappropriate compensatory behaviors, such as • Narcolepsy
forcing themselves to vomit; misusing laxatives, diuretics, or
enemas; fasting; or exercising excessively. recurrent periods of irrepressible need to sleep or napping
occurring at least three times per week over the past 3
Although the binge itself may be experienced as pleasurable months, along with at least one of the following: episodes of
in the sense that it relieves the unbearable tension the cataplexy, hypocretin deficiency, or rapid eye movement
individual has been experiencing, it is followed by feelings of (REM) sleep latency less than or equal to 15 minutes.
extreme self- blame, shame, guilt, and depression, as well as
fears of gaining weight and being discovered. Cataplexy - occurs while the person is awake and can range
from slight weakness in the facial muscles to complete
• Binge-Eating Disorder physical collapse
Similar to bulimia nervosa, people with binge-eating disorder Breathing-Related Sleep Disorders
engage in repeated eating binges during which they feel no
control over their eating. However, they do not perform breathing is interrupted during their sleep
inappropriate compensatory behavior
• Obstructive Sleep Apnea Hypopnea
• Pica
person's breathing is repeatedly interrupted during sleep,
Eating of one or more nonnutritive, nonfood substances on a causing them to wake up briefly and struggle to get a good
persistent basis over a period of at least 1 month that is night's sleep. It happens when the airway becomes blocked,
severe enough to warrant clinical attention despite the body's effort to breathe. This can lead to snoring,
gasping or choking during sleep and daytime fatigue.
• Rumination Disorder
• Central Sleep Apnea Hypopnea
individual regurgitates a bolus of food from the stomach and
chews it again. The repeated regurgitation is not attributable breathing stops briefly due to problems in the central
to an associated gastrointestinal or other medical condition nervous system. This may be caused by conditions such as
head trauma or degenerative disorders
• Avoidant/Restrictive Food Intake Disorder (ARFID)
• Sleep-Related Hypoventilation
disturbance in eating or feeding that results in failure to meet
appropriate nutritional or energy needs, leading to significant decrease in airflow without a complete pause in breathing. It
weight loss, nutritional deficiencies, or dependence on is diagnosed by polysomnography which shows episodes of
decreased respiration associated with elevated CO2 levels.
• Circadian Rhythm SW Disorder • REM Sleep Behavior Disorder
recurrent pattern of sleep disruption due to an alteration in repeated episodes of arousal during sleep accompanied by
the body's circadian rhythm or misalignment between the vocalization and/or complex motor behaviors. These
body's internal clock and the required sleep schedule. This behaviors occur during rapid eye movement (REM) sleep and
disruption leads to excessive sleepiness or insomnia, causing usually happen more frequently during the later portions of
distress or impairment in social, occupational, or other the sleep period. Upon awakening from these episodes, the
important areas of functioning individual is completely awake, alert, and not confused or
disoriented.
Jet lag type - caused by the rapidly crossing multiple time
zones During normal REM sleep, our skeletal muscles are paralyzed,
which protects us from injury while we’re unconscious. But
Shift work type - sleep problems are associated with work for people with REM sleep behavior disorder (RBD), that
schedules mechanism sometimes fails. Then dreams play out as activity,
Delayed sleep phase type - typically seen in those who are and mischief can ensue.
extreme night owls, people who stay up late and sleep late. • Restless Legs Syndrome
Advanced sleep phase type - typically seen in those who are neurological sleep disorder characterized by a desire to move
sleeping earlier than normal bedtime
the legs or arms, usually associated with uncomfortable
Irregular sleep-wake type - A temporally disorganized sleep- sensations typically described as creeping, crawling, tingling,
wake pattern, such that the timing of sleep and wake periods burning, or itching. The diagnosis of RLS is based primarily on
is variable throughout the 24-hour period. patient self-report and history.
abnormal events that occur either during sleep or during that • Male Hypoactive Sexual Desire Disorder
twilight time between sleeping and waking. persistent or recurrent lack of sexual/erotic thoughts,
fantasies, or desire for sexual activity.
• Nightmare Disorder
recurrent episodes of incomplete awakening from sleep, Also called early, or rapid ejaculation. Persistently reaches
usually occurring during the first third of the major sleep orgasm and ejaculates within 1 minute of beginning sexual
activity
episode. This is accompanied by either sleepwalking or sleep
terrors • Delayed Ejaculation
Sleepwalking - Repeated episodes of rising from bed during persistently is unable to ejaculate or has very delayed
sleep and walking about ejaculations during sexual activity with a partner.
Sleep terrors - Recurrent episodes of abrupt terror arousals • Female Orgasmic Disorder
from sleep, usually beginning with a panicky scream.
persistently fail to reach orgasm, have very low- intensity
orgasms, or have a very delayed orgasm.
Disorders of Sexual Pain • Voyeuristic Disorder
• Gender Dysphoria in Children experiences equal or greater sexual arousal from children
than from physically mature people. This arousal is expressed
child experiences a marked difference between their through fantasies, urges, or behaviors.
experienced gender and their assigned gender. A strong
desire to be of the other gender, preference for clothing or • Sexual Masochism Disorder
activities stereotypically associated with the opposite gender,
repeatedly and intensely sexually aroused by the act of being
a strong dislike of one's sexual anatomy, or a strong desire for
humiliated, beaten, bound, or otherwise made to suffer.
the primary and/or secondary sex characteristics that match
Many people have fantasies of being forced into sexual acts
one's experienced gender.
against their will, but only those who are very distressed or
• Gender Dysphoria in Adults impaired by the fantasies receive this diagnosis
person experiences significant distress due to a marked Hypoxyphilia - people strangle or smother themselves in
incongruence between their experienced/expressed gender order to enhance their sexual pleasure.
and their assigned gender for at least 6 months. The person
Autoerotic asphyxia - induce a fatal lack of oxygen by hanging,
must meet at least two of the criteria listed, which include a
suffocating, or strangling themselves while masturbating.
strong desire to be rid of one's primary and/or secondary sex
characteristics and a strong desire for the primary and/or • Sexual Sadism Disorder
secondary sex characteristics of the other gender.
repeatedly and intensely sexually aroused by the physical or
Paraphilic Disorders psychological suffering of another individual. Including acts
such as dominating, restraining, blindfolding, cutting,
• Fetishistic Disorder strangling, mutilating, or even killing the victim.
recurrent intense sexual urges, sexually arousing fantasies, or Disruptive, Impulse Control, and Conduct Disorders
behaviors that involve the use of a nonliving object or non-
genital body part, often to the exclusion of all other stimuli. • Oppositional Defiant Disorder
Almost anything can be a fetish; women’s underwear, shoes,
and boots are particularly common argumentative and defiant, angry, irritable, and in some cases
vindictive. They may argue repeatedly with adults, ignore
• Transvestic Disorder adult rules and requests, deliberately annoy other people,
and feel much anger and resentment
recurrent and intense sexual arousal from dressing in clothes
of a different gender— arousal expressed through fantasies, • Conduct Disorder
urges, or behaviors
a more severe problem, repeatedly violate the basic rights of
• Exhibitionistic Disorder others. They are often aggressive and may be physically cruel
to people or animals, deliberately destroy other people’s
recurrent and intense sexual arousal from exposing property, steal or lie, skip school, or run away from home.
their genitals to an unsuspecting individual — arousal
reflected by fantasies, urges, or behaviors.
• Intermittent Explosive Disorder Elimination Disorders
share common features that resemble some of the psychotic A pervasive pattern of social inhibition, feelings of
symptoms seen in schizophrenia inadequacy, and hypersensitivity to negative evaluation.
Extremely sensitive to the opinions of others and although
• Paranoid Personality Disorder they desire social relationships, their anxiety leads them to
A pervasive distrust and suspiciousness of others such that avoid such associations.
their motives are interpreted as malevolent
• Dependent Personality Disorders
• Schizoid Personality Disorders A pervasive and excessive need to be taken care of, which
A pervasive pattern of detachment from social relationships leads to submissive and clinging behavior and fears of
and a restricted range of expression of emotions in separation. Their desire to obtain and maintain supportive
interpersonal settings and nurturant relationships may lead to their other
behavioral characteristics, including submissiveness, timidity,
• Schizotypal Personality Disorders and passivity.