Sleep-Wake Disorders
Changes from DSM-IV to DSM-V Organisation of Sleep Brain wave patterns Stages of Sleep Neurochemicals involved in sleep Relationship between depression and sleep Sleep Changes with Age Insomnia (initiation Phase) Insomnia is characterised by an inability or difficulty initiating sleep…
Neurocognitive Disorders
DSM-V Criteria Criteria for major neurocognitive disorder Criteria for mild neurocognitive disorder Overview Acute or insidious onset of disturbance in various cognitive and executive functions and/or in memory (amnesia). Important to distinguish delirium from dementia first, then determine the cause…
Impulse Control and Eating Disorders
Changes from DSM-IV to DSM-V Impulse control vs OCD Impulses are egosyntonic, Compulsions are egodystonic Impulse control disorders Overview of impulse control disorder Disorder Impulse Kleptomania Stealing Trichotillomania Hair-pulling (may include eating hair) Pyromania Setting things on fire Intermittent explosive…
Obsessive Compulsive and Related Disorders
Changes DSM-IV to DSM-V Obsessive Compulsive Disorder (OCD) Characterized by unwanted, intrusive, unreasonable egodystonic urges (obsessions) that create sx of anxiety, and are resolved with a compulsion that relieves the symptoms. In other words, the patient has urges that create…
Trauma and Stressor Related Disorders
Trauma and Stressor Related Disorders Major psychological stress involves a threatening event or loss. The stress response involves physical, emotional, and psychological components. Reactive Attachment Disorder Disorder whereby children (< 5 years) are unable to form healthy attachments (particularly with…
Somatic Symptom and Related Disorders
Changes from DSM-IV to DSM-V General Principles The patient reports physical sx that cannot be explained by a general medical condition or is disproportionate to their general medical condition. Objective testing is normal. Sx interferes with the patient’s quality of…
Dissociative Disorders
Overview All dissociative disorders involve a disruption of consciousness, memory, identity OR perception resulting in significant distress to the patient. Mostly caused by some degree of psychological trauma. The defense mechanism dissociation is prominent (mostly in Dissociative amnesia). r/o Hallucinogens…
Sexuality
Overview Definition of terms Term Definition Sex (Sexual identity) A person’s biological sex, based on their chromosomes and external and internal features XY – biologic males (except for androgen insensitivity syndrome – develop as female in utero, doesn’t get menarche),…
Substance-Related and Addictive Disorders
“At first drugs will take away your pain. Then it will take your joy, your freedom, your family your home, your job, your self respect. Eventually it will take away everything and you will be left with nothing BUT the…
