lOMoARcPSD|22722500 Mariane Stephanie S. Abarcar BS Psychology IV C. Duration is 3 days to 1 month after trauma exposure. D. Causes clinically significant distress or impairment E. Not attributable to the physiological effects of a substance. PSY 122 ADJUSTMENT DISORDER Diagnostic Criteria A. Development of emotional or behavioral symptoms in response to identifiable stressors occurring within 3 months. B. Symptoms or behaviors are clinically significant, by one or both: 1. Marked distress out of proportion to severity of the stressor. 2. Significant impairment in social, occupation and other functioning. C. Disturbance does not meet the criteria of another mentaldisorder D. Symptoms do not represent normal bereavement/ grieving. E. Once stressor have terminated, symptoms do not persist for more than additional 6 months. ◦ Prevalence of 5% to 20% in outpatient. DISSOCIATIVE DISORDERS DISSOCIATIVE IDENTITY DISODER Diagnostic Criteria A. Presence of two or more distinct personality states or an experience of possession. B. Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting. C. Symptoms causes clinically significant distress or impairment. D. Disturbance is not a normal part of broadly accepted cultural or religious practice. → In children, symptoms not better explained by imaginary playmates or fantasy play. E. Symptoms are not attributable to physiological effects of a substance. ◦ Manifest in three primary ways 1. Gaps in remote memory of personal life events. → 2. Ex. Period of childhood or adolescence, some important life events, death of parent, giving birth, getting married. Lapses in dependable memory 58 Downloaded by Jamaica Jane (jamaicajane321@gmail.com) lOMoARcPSD|22722500 Mariane Stephanie S. Abarcar → 3. BS Psychology IV PSY 122 Ex. what happened today, how to do their job, use computer, read, drive. Discovery of evidence of everyday actions and tasks that they do not recollect doing. → Ex. finding unexplained objects in shopping bags, discovering injuries, discovering drawings or writings that they must have created. ◦ Prevalence of 1.6% for males and 1.4% for females. ◦ Suicide risk of 70% for outpatients. DISSOCIATIVE AMNESIA Diagnostic Criteria A. Inability to recall important autobiographical information that should be successfully stored in memory and ordinarily would be readily remembered. B. Symptoms cause clinically significant distress or impairment. C. Disturbance not attributable to physiological effects of a substance. D. Disturbance not better explained by dissociative identity disorder posttraumatic stress disorder, acute stress disorder, somatic symptom disorder, or major or mild neurocognitive disorder. ◦ Localized amnesia is the failure to recall events during a limited/ circumscribed period of time. ◦ Selective amnesia – recall some, but not all, of the events during circumscribed period of time. ◦ Generalized amnesia is a complete loss of memory for one’s life history. ◦ Systemized amnesia – loses memory for a specific category of information. (memories relating to family, a particular person, childhood) ◦ Continuous amnesia – individual forgets each new events as it occurs. ◦ Prevalence of 1.0% for males; 2.6% for females. DEPERSONALIZATION/ DEREALIZATION DISORDER Diagnostic Criteria A. Presence of persistent or recurrent experiences of depersonalization, derealization, or both; 1. Depersonalization – experiences of unreality or detachment from mind, body, or self. → 2. Ex. Distorted sense of time, unreal or absent self, emotional or physical numbing. Derealization – experiences of unreality or detachment from surroundings. → Ex. Individuals or objects perceived as foggy, dream-like, lifeless, or visually distorted. B. Reality testing remains intact C. Cause clinically significant distress or impairment 59 Downloaded by Jamaica Jane (jamaicajane321@gmail.com) lOMoARcPSD|22722500 Mariane Stephanie S. Abarcar BS Psychology IV D. Not attributable to physiological effects of a substance E. Not better explained by another mental disorder. ◦ Prevalence range of 0.8% to 2.8% with gender ration of 1:1. ◦ Mean age onset is 16 years. PSY 122 SOMATIC SYMPTOM AND RELATED DISORDERS SOMATIC SYMPTOM DISORDER Diagnostic Criteria A. One or more somatic symptoms that are distressing or have significant disruption of daily life. B. Excessive thoughts, feelings, or behaviors related to somatic symptoms, manifested by at least one: C. 1. Persistent thoughts about the seriousness of symptoms. 2. Persistently high level of anxiety about health. 3. Excessive time and energy devoted to health concerns. Symptoms persistent typically more than 6 months. Specify if: → with predominant pain – symptoms predominantly involve pain. → Persistent – more than 6 months. Severity: ◦ → Mild – one symptoms specified in criterion B is fulfilled. → Moderate – two or more symptoms → Severe – two or more symptoms in criterion B and three multiple somatic complains. Prevalence of 5%-7% ILLNESS ANXIETY DISORDER → aka hypochondrias Diagnostic Criteria A. Preoccupation with having or acquiring serious illness. B. Somatic symptoms are not present or, if present, are only mild in intensity. C. There is a high level of anxiety about health. 60 Downloaded by Jamaica Jane (jamaicajane321@gmail.com)