front 1 Trauma and Stressor Related Dx- list | back 1 - Reactive attachment dx
- disinhibited social engagement
disorder
- post traumatic stress dx
- acute stress
dx
- adjustment dx
- prolonged grief dx
- other
specified trauma and stressor related dx
- unspecified trauma
and stressor related dx
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| back 2 - consistent pattern of inhibited, emotionally withdrawn bx
toward adult caregivers, manifested by both of the following:
- child rarely/minimally seeks comfort when distressed
- child rarely/minimally responds to comfort when
distressed
- persistent social and emotional
disturbance characterized by at least 2 of the following:
- minimal social and emotional responsiveness to others
- limited positive affect
- episodes of unexplained
irritability, sadness, or fearfulness that are evidenced even
during nonthreatening interactions with adult caregivers
- child has experienced a pattern of extremes of
insufficient care as evidenced by at least one of the following
- social neglect or deprivation due to persistent lack of
basic needs met (emotional, stimulation, affection) by
caregiver
- repeated changes of primary caregivers that
limit opportunities to form stable attachments
- rearing
in usual settings that severely limit opportunities to form
selective attachments
- criteria for ASD not
met
- disturbance evidence before age 5 yrs
- child has
developmental age of at least 9 months
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| back 3 - specify if: persistent (present for more than 12 months)
- specify current severity: specified as severe when a child
exhibits all symptoms of the disorder, with each symptom manifesting
at relatively high levels
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front 4 disinhibited social engagement disorder | back 4 - a pattern of behavior in which a child actively approaches and
interacts with unfamiliar adults and exhibits at least 2 of the
following:
- reduced or absent reticence in approaching and
interacting with unfamiliar adults
- overly familiar
verbal or physical behavior
- diminished or absent
checking back with adult caregiver after venturing away, even in
unfamiliar settings
- willingness to go off with an
unfamiliar adult with minimal or no hesitation
- behaviors in A are not limited to impulsivity but include
socially disinhibited bx
- child has experienced a pattern of
extremes of insufficient care as evidenced by at least one of the
following:
- social neglect or deprivation in the form of
persistent lack of having basic emotional needs for comfort,
stimulation, and affection met by caregiving adults
- repeated changes of primary caregivers that limit
opportunities to form stable attachments
- rearing in
unusual settings that severely limit opportunities to form
selective attachments
- the child has a
developmental age of at least 9 months
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front 5 disinhibited social engagement disorder-specifiers | back 5 - specify if persistent: disorder present for 12 months or
more
- considered severe when the child exhibits all symptoms
of the disorder with each symptom manifesting at relatively high
levels
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front 6 persistent avoidance of stimuli | back 6 - refers to PTSD in children younger than 6
- avoidance of
or efforts to avoid activities, places, or physical reminders
that arouse recollections of the trauma event
- avoidance
of or efforts to avoid people, conversations, or interpersonal
situations that arouse recollections of the trauma event
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| back 7 - same specifiers for over and under 6 presentations
- specify if with dissociative symptoms
- depersonalization
- derealization
- specify if with delayed expression = full diagnostic criteria
aren't met until at least 6 months after the event
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front 8 negative alterations in cognitions | back 8 - refers to PTSD in children younger than 6
- substantially increased frequency of negative emotional
states
- markedly diminished interest or participation in
significant activities, including constriction of play
- socially withdrawn bx
- persistent reduction in
expression of positive emotions
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front 9 post traumatic stress dx-- in individuals older than 6 years | back 9 - applies to adults, adolescents, and children's older than 6
years
- exposure to actual or threatened death, serious injury,
or sexual violence's in 1 or more:
- directly experiencing
trauma event
- witnessing in person the event as it
happened to others
- learning the trauma event occurred
to a close fam member or close friend.
- experiencing
repeated or extreme exposure to aversive details of the trauma
events
- presence of one or more of the
following intrusion symptoms associated with the traumatic events,
beginning after the trauma event occurred:
- recurrent,
involuntary, and intrusive distressing memories of the
event
- recurrent distressing dreams relating to or about
the event
- dissociative reactions
- intense or
prolonged psychological distress at exposure to internal or
external cues that symbolize or resemble an aspect of the trauma
event
- marked physiological reactions to the internal or
external cues that symbolize or resemble an aspect of the trauma
event
- persistent avoidance of stimuli
associated with trauma event, beginning after event occurred and
evidenced by 1 or both of following:
- avoidance or efforts
to avoid distressing memories, thoughts, feelings
- avoidance of or efforts to avoid external reminders that
arouse distressing memories, thoughts, etc
- negative alterations in cognitions and mood associated with the
traumatic events, beginning or worsening after the traumatic event
occurred, evidenced by 2+ symptoms
- marked alterations in
arousal and reactivity associated with the traumatic events,
beginning or worsening after the trauma event occurred, evidenced by
1+ symptoms.
- duration of the disturbance is more than 1
month
- causes distress
- not due to effects of a
substance
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front 10 post traumatic stress dx-- individuals younger than 6 | back 10 - exposure to actual or threatened death, serious injury, or
sexual violence in one or more of the following way:
- directly experiencing
- witnessing in person the
events as it occurred to others, especially primary
caregivers
- learning that the traumatic event occurred to
a parent/ caregiver
- presence of one or more
intrusion symptoms
- recurrent,, involuntary, distressing
memories
- recurrent distressing dreams
- dissociative reactions as if the trauma is current
- intense psychological distress at exposure
- mark
psychological reactions to reminders
- one or
more symptoms representing either persistent avoidance of stimuli
associated with the trauma event or negative alterations in
cognitions and mood
- alterations in arousal and reactivity
associated with the traumatic event, beginning or worsening after
the trauma event, evidenced by 2 or more symptoms
- duration
of disturbance lasting 1 month or more
- causes distress
- not due to effects of a substance
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| back 11 - exposure to actual or threatened death, serious injury, or
sexual violence in one or more ways (direct, witness, learning of,
reputed extreme exposure)
- presence of 9 or more symptoms in
any of the following 5 categories of symptoms:
- intrusion
symptoms
- negative mood
- dissociative
symptoms
- avoidance symptoms
- arousal
symptoms
- duration is 3 days- 1 month after
trauma exposure
- causes distress
- not due to a
substance
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| back 12 - development of emotional or behavioral symptoms in repose to an
identifiable stressor occurring within 3 months of the stressor
onset
- symptoms or behaviors care clinically significant,
evidenced by 1 or both:
- marked distress that is out of
proportion to the severity or intensity of the stressor
- significant impairment areas of functioning
- stress related disturbance does not meet criteria for another
mental disorder and not merely the exacerbation of a preexisting
mental disorder
- symptoms do not represent normal
bereavement are not better explained by prolonged grief dx
- one the stressor or its consequences have terminated, symptoms
do not persists for more than an additional 6 months
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front 13 adjustment disorder specifiers | back 13 - specify if:
- with depressed mood
- with
anxiety
- with mixed anxiety and depressed mood
- with disturbance of conduct
- with mixed disturbance
of emotions and conduct
- unspecified
- specify if:
- acute
- persistent (symptoms lasting
more than 6 months, usually because of a chronic stressor)
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| back 14 - the death, at least 12 months ago, of a person who was close to
the bereaved individual (for children and adolescents, at least 6
months ago)
- since the death, the development of a
persistent grief response characterized at least one of these
symptoms, present for at least 1 month:
- intense
yearning/longing for the deceased
- preoccupation with
thoughts/ memories of the deceased
- since the
death, at least 3 symptoms present most days to a significant degree
(present for at least 1 month)
- identity disruption
- disbelief about death
- avoidance of reminders that
person is dead
- intense emotional pain
- difficulty reintegrating into activitiers or
relationships
- emotional numbness
- feeling life is
meaningless
- intense loneliness
- causes distress
- duration and severity clearly exceed
expected social, cultural, religious norms
- not better
explained by another mental condition
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