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Axis1 Mnemonics
Helpful Mnemonics for Axis I Disorders
| Disorder | Criteria |
|---|---|
| Major Depressive Disorder (SIG DE CAPS) | (2 weeks, 5sym, At least depressed mood or anhedonia) Suicidal Ideation Interests Decreased Guilt/Worthlessness Depressed Mood Energy Decreased Concentration Decreased Appetite/Weight Decreased Psychomotor Change Sleep Disturbance |
| Dysthymic Disorder (HE'S 2 SAD) | (2 yrs, depressed, 2 sym, No MDD) Hopeless Energy loss/fatigue Self-Esteem low 2 years minimum of depressed mood most if day Sleep increased/decreased Appetite increased or decreased Decision-Making/Concentration impaired |
| Mania (DIG FAST) | (1 wk, 3 sym) Distractibility Indiscretion Grandiosity/Inflated self-esteem Flight of ideas Activities increased Sleep deficit Talkativeness |
| Hypomania (DIG FAST) | (4 days, 3 sym) Distractibility Indiscretion Grandiosity/Inflated self-esteem Flight of ideas Activities increased Sleep deficit Talkativeness |
| Cyclothymic Disorder (2NNN) | 2 years Never without symptoms for more than 2 months No MDD present during first 2 years Numerous periods w/ hypomanic symptoms/depressive symptoms do not meet criteria for major depressive episode |
| Mood Disorder due to General Medical Condition (N' DENS) | Not accounted for by another mental disorder Depressed, irritable, or elevated mood Evidence that it is a result of general medical condition Not during delirium Significant distress/impaired functioning |
| Substance-Induced Mood Disorder (INDUCE) | Impaired functioning and significant distress Not exclusively during delirium Depressed, irritable, or elevated mood Usage of substance responsible for intoxication Criteria for any mood disorder met Evidence from history, physical exam, or lab |
| Panic Disorder without Agoraphobia (CAWS) | Concern about having additional attacks Attacks recurrent & unexpected Worry about consequence of attack Significant change in behavior |
| Panic Disorder with Agoraphobia (CAWS AA) | Concern about additional attacks Attacks recurrent & unexpected Worry about consequence of attacks Significant change in behavior Anxiety about places & situation Avoidance of situations |
| Agoraphobia w/o history of Panic Disorder (AA) | Anxiety about places and situations Avoidance of situations |
| Specific Phobia (DEAR ME) | Duration at least 6 mths if under 18 Excessive fear, cued by situation or object Avoidance of triggers Recognizes fear is excessive Mental disorder of other nature not responsible Exposure to stimulus provokes anxiety |
| Social Phobia (DEAR ME) | Duration at least 6 mths if under 18 Excessive fear, cued by social or performance situations Avoidance of social situation Recognizes fear is excessive Mental disorder of other nature not responsible Exposure to social situation provokes anxiety |
| Obsessive-Compulsive Disorder (OCD) | Obsessions (recurrent, intrusive, persistent thoughts/ideas) Compulsions (repetitive behaviors aimed at preventing/reducing distress Disorder is stressful, time consuming, recognized as excessive or unreasonable, and not due to substance or GMC |
| Post-Traumatic Stress Disorder (TRAUMA) | Traumatic event Re-experience 1+: recollections/dreams/dissociation/illusions Avoidance 3+: avoiding thoughts, feelings, people, situations Unable to function Month or more of symptoms Arousal increased 2+: insomnia/irritability/anger/startle |
| Acute Stress Disorder (2D TRAUMA) | 2days min, 4 wks max Dissociative sym 3+: numbing, derealization, depersonalization, dissociative amnesia, lack awareness Traumatic event Re-experience 1+ Avoidance 3+ Month or less of symptoms Arousal increased 2+ |
| Generalized Anxiety Disorder (WATCHERS) | (6 mths, 3sym) Worry difficult to control Anxiety Tension in muscles Hyperarousal/Irritability Energy loss Restlessness Sleep Disturbance |
| Attention Deficit-Hyperactivity Disorder (HIS BAD) | Hyperactivity or Impulsivity 6+: fidgets/talkative/blurts answers/interrupts/cant' wait Inattention 6+: forgetful/distracted/looses things/doesnt listen Six months Before age 7 some sym present At least 2 or more settings Disorder sig impairment |
| Conduct Disorder (STEALS) | (3+ in past 12 mths/1+ in past 6 mths) Serious violation of rules Theft or deceitfulness Exclude ASPD if 18 Aggressive tp people & animals Likely destruction of property Significant Impairment |
| Oppositional Defiant Disorder (BAD ALA) | (6mths 4 sym) Blames others for mistakes Annoyed easily by others and annoys others Does not comply with adults requests/rules Angry & Resentful. Spiteful &Vindictive Loses temper often Argues w/ adults |
| Substance Dependence (ADDICTeD) | (3+ sym w/in 12 mths) Activities given up or reduced Dependence tolerance Dependence withdrawal Interpersonal consequences Cannot cut down or control Time consuming & expensive Duration or amount of use longer than expected |
| Substance Abuse (WILD) | Work, School, Home chores neglected Interpersonal/Social consequences Legal Problems Dangerous use |
| Delusional Disorder | 1 month duration Non-bizarre delusions No impairment in functioning/odd behaviors No Schizophrenia symptoms |
| Shared Psychotic Disorder (DAD) | Delusion develops in context of close relationship with person who has an established delusion Almost identical delusion to other person Disturbance not better accounted by another Psychotic Disorder |
| Conversion Disorder (SWITCH) | Symptoms not fake Warrants medical evaluation Interrelated w. psychological factors Total explanation by GMC, substance, or culture not possible Conversion into symps affect voluntary motor or sensory function Hx of sym not limited to pain/sex |
| Pain Disorder (PAIN) | Psychological factors have important role Anatomical pain in 1+ areas Impaired functioning Not faked |
| Hypochondriasis Disorder (PP SIN) | Preoccupation w/ fear of having disease Persists despite medical reassurance Significant distress/impaired functioning Is at 6mths duration Not delusional |
| Body Dysmorphic Disorder (NIP) | Not accounted for by another medical disorder Impaired functioning Preoccupation w/ imagined defect in appearance |
| Intermittent Explosive Disorder (FAN) | Failure to resist aggressive impulses that result in serious acts & destruction Aggressiveness is out of proportion Not accounted for by another mental disorder |
| Adjustment Disorder (3 SSNN) | 3 mths Symptoms not due to another disorder Significant impairment/marked distress No bereavement Not more than 6 months after stressor terminated |
| Kleptomania (STEAL) | Stealing is not committed to express anger or in response to delusion/hallucination Tension before stealing Eccessive failures to resist impulses to steal At time of stealing = pleasure, gratification, relief Lacks: Conduct DO, Manic Episode, ASPD |
| Anorexia Nervosa (85% FDA) | <85% of normal body weight Fear weight gain Disturbance in experience of body's weight & shape Amenorrhea |
| Bulimia Nervosa (BINCE) | Binge eating Inappropriate binge eating & compensatory behaviors 2x a wk for 3mths Not exclusive to Anorexia episodes Compensatory behaviors in order to prevent weight gain Evaluation of self influenced by body shape & weight |
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PsychStudent
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