Disorder

Crux

Criteria

Time
Risk Factors

ADHD
Inattention (6)
Hyperactive (6)
6 months
<12 y.o.
A Inattention
(6 of 5 for adult)
a-careless mistakes
b-difficulty keeping attention
c-doesnt listen
d-doesnt follow through
e-difficulty organizing
tasks/activities
f-avoids sustained mental effort
g-loses important things
h-distracted by extraneous
stimuli
i-forgetful
And/or
-Hyperactivity (6 of)a-fidget
b-leaves seat
c-runs or climbs
d-cant play quietly
e-on the go
f-talks excessively
g-blurts out answers
h-trouble waiting for turn
i-interrupts others
6 months
Genetics, DA, NE, GABA, 5HT
Small Brain/prenatal smoke

-Intrusive, distressing
memories
-Bad dreams
-Dissociation (re-experiencing)
-Distress at cues
-Physiological reaction
-Avoid associated stimuli
-Bad mood
-Cant remember
-World sucks
-Self blame
-Detached
-No + feelings
-Irritable
-Self-destructive
-Startled easy
-Diff. concentrate
-No sleep
1 month
Female
Trauma intensity
CBT, exposure, imaginal

Treatment
Specifiers/(Notes)

PTSD
A Exposure
B Intrusive memory
C Avoidant/*numb*
D Bad mood
E hyper arousal
Exposure through:
-Experiencing
-Witnessing
-Close family
-Repeated first-hand exposure

Combined presentation
Predominantly inattentive
Predominantly hyperactive
In partial remission?
Mild/Moderate/severe

Depersonalization
Derealization

3-7% school age

5% worldwide
Onset age 3 or 4
Boys:Girls 3:1
Before age 12
In 2 or more settings

From anxiety dis. to trauma

and stressor related

And/or
Delayed expression

Changes from DSM 4

Prevalence

Course and outcomes

Conduct Disorder

ODD

Violates basic rights of others

Social norms violated

Angry
Argumentative
Vindictive

3 of 15 in 12 mo.

loses temper
Easily Annoyed
Angry/Resentful

Bullies
Fights
Weapon
Cruel to people
Cruel to animals
Steals while confronting
Forced sex
Sets fires
Destroyed property
Break-in
Lies
Steals $ things
Stays out (before 13)
Runs away
Truant (<13 yo)

Argues
Defies authority
Annoys others
Blames others
Vindictive (>2 in 6 months)

Mnemonic:
Vindictive BLADE (2 As)

6 months

>1/week >6monts

Male, low ses, deviant-drugaddict friends, Low IQ,

Domestic violence
Behavior Ther.
Psychotherapy
Meds - Pray
Childhood onset
Adolescent onset
Unspecified onset
Limited prosocial?
(no guilt, no empathy, no
performance concern, shallow
affect)
Mild/moderate/severe
Neurodevelopmental/disruptive
, impulse-control and conduct
disorders
Formerly child onset
~6%

Parent addict/criminal
Addict deviant friends
Prenatal smoking, low IQ
Therapy, meds

Starts adolescence persists

life
Become Antisocial PD?

Starts preschool
ODD before CD

Mild
Moderate
Severe
(Comorbid with ADHD)

7%

Disorder
Crux

Criteria

Time
Risk
factors
Treatmen
t
Specifier
s/
(Notes)
Changes
from
DSM 4
Prevalen
ce

Course