Psychopathology Disorder Chart
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Transcript of Psychopathology Disorder Chart
Disorder ADHD PTSD Conduct Disorder ODDCrux Inattention (6)
Hyperactive (6)6 months<12 y.o.
A ExposureB Intrusive memoryC Avoidant/*numb*D Bad moodE hyper arousal
Violates basic rights of othersSocial norms violated
AngryArgumentativeVindictive
Criteria A –Inattention (6 of – 5 for adult)a-careless mistakesb-difficulty keeping attentionc-doesn’t listend-doesn’t follow throughe-difficulty organizing tasks/activitiesf-avoids sustained mental effortg-loses important thingsh-distracted by extraneous stimulii-forgetful
And/or-Hyperactivity (6 of)-
a-fidgetb-leaves seatc-runs or climbsd-can’t play quietlye-“on the go”f-talks excessivelyg-blurts out answersh-trouble waiting for turni-interrupts others
Exposure through:-Experiencing-Witnessing-Close family-Repeated first-hand exposure
-Intrusive, distressing memories-Bad dreams-Dissociation (re-experiencing)-Distress at cues-Physiological reaction-Avoid associated stimuli-Bad mood-Can’t remember-“World sucks”-Self blame-Detached-No + feelings-Irritable-Self-destructive-Startled easy-Diff. concentrate-No sleep
3 of 15 in 12 mo.
BulliesFightsWeaponCruel to peopleCruel to animalsSteals while confrontingForced sexSets firesDestroyed propertyBreak-inLiesSteals $ thingsStays out (before 13)Runs awayTruant (<13 yo)
loses temperEasily AnnoyedAngry/Resentful
ArguesDefies authorityAnnoys othersBlames others
Vindictive (>2 in 6 months)
Mnemonic:
Vindictive BLADE (2 A’s)
Time 6 months 1 month 6 months >1/week >6monts
Risk Factors Genetics, DA, NE, GABA, 5HTSmall Brain/prenatal smoke
FemaleTrauma intensity
Male, low ses, deviant-drug-addict friends, Low IQ, Domestic violence
Parent addict/criminalAddict deviant friendsPrenatal smoking, low IQ
Treatment CBT, exposure, imaginal Behavior Ther.PsychotherapyMeds - Pray
Therapy, meds
Specifiers/(Notes) Combined presentationPredominantly inattentivePredominantly hyperactive In partial remission?Mild/Moderate/severe
DepersonalizationDerealization
And/orDelayed expression
Childhood onsetAdolescent onsetUnspecified onsetLimited prosocial?(no guilt, no empathy, no performance concern, shallow affect)Mild/moderate/severe
MildModerateSevere(Comorbid with ADHD)
Changes from DSM 4 Neurodevelopmental/disruptive, impulse-control and conduct disordersFormerly child onset
Prevalence 3-7% school age5% worldwideOnset age 3 or 4Boys:Girls 3:1
From anxiety dis. to “trauma and stressor related”
~6% 7%
Course and outcomes Before age 12In 2 or more settings
Starts adolescence – persists lifeBecome Antisocial PD?
Starts preschoolODD before CD
Disorder
Crux
Criteria
Time
Risk factors
Treatment
Specifiers/(Notes)
Changes from DSM 4
Prevalence
Course and outcomes