Overview of Mental Disorders (DSM 5) DR. ARNEL BANAGA SALGADO, D.Sc., Ed.D., RN, MA,

B.Sc, Cert .Ed, MAT (Psychology)

H/P No.: 050-799-3803 URL: www.ifeet.co; www.ifeet.org; www.ifeet.com.ph Personal URL: www.abs.com.ph; www.arnelsalgado.com Doctor of Science (D.Sc.) Doctor of Education (Ed.D.) Master of Arts in Nursing (RP) Master of Arts in Teaching - Psychology (PNU) Registered Nurse (RP, Mal, UAE) Licensed Teacher (RP) Certificate in Teaching, Bachelor of Science in Nursing (BSN)

Author of

McGraw-Hill

Incorporating the DSM-5 Criteria in PMHN Course

DR. ARNEL BANAGA SALGADO

NEUROCOGNITIVE DISORDERS (DSM-5) DELIRIUM  Substance intoxication delirium

 Substance withdrawal delirium  Medication-induced delirium  Delirium due to another medical

condition  Delirium due to multiple etiologies

NEUROCOGNITIVE DISORDER (MAJOR OR MILD NCD)  Due to Alzheimer’s disease  Vascular NCD  Frontotemporal NCD  Due to traumatic brain injury  Due to Lewy body dementia  Due to Parkinson’s disease  Due to HIV infection  Substance/medication-induced  Due to Huntington’s disease  Due to Prion disease  Due to another medical condition  Due to multiple etiologies  Unspecified NCD DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH NCDs  Assessment  Behaviors associated with the syndromes of delirium and NCDs are

described.  DSM-5 criteria are included for Major and Mild NCD  Factors that predispose individuals to NCDs and delirium are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family

education are presented for clients with NCDs and delirium

 Evaluation  Guidelines for measurement of outcomes are included

 Medical Treatment Modalities  Psychopharmacology DR. ARNEL BANAGA SALGADO

SUBSTANCE-RELATED AND ADDICTIVE DISORDERS (DSM-5)  SUBSTANCE USE DISORDERS  SUBSTANCE INTOXICATION/WITHDRAWAL  Alcohol  Caffeine

 Cannabis  Hallucinogens  Inhalants  Sedative/Hypnotics/Anxiolytics  Opioids  Stimulants  Tobacco

 NON-SUBSTANCE ADDICTIONS  Gambling Disorder DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH SUBSTANCERELATED AND ADDICTIVE DISORDERS  Assessment  Symptoms of substance addiction, intoxication, or withdrawal

 Symptoms of, and DSM-5 criteria for, gambling disorder  Factors that predispose individuals to substance-related and addictive

disorders

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to symptoms of addiction,

intoxication, and withdrawal are included, along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family

education are presented for clients with substance-related and addictive disorders

 Evaluation Guidelines for measurement of outcomes are included

 Medical Treatment Modalities  Psychopharmacology

DR. ARNEL BANAGA SALGADO

SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS (DSM-5)  Schizotypal Personality Disorder  Delusional Disorder  Brief Psychotic Disorder  Schizophreniform Disorder  Schizophrenia  Schizoaffective Disorder

 Substance/Medication-Induced Psychotic Disorder  Psychotic Disorder Due to Another Medical Condition  Catatonia Associated with Another Medical Condition

(Catatonia Specifier)  Catatonic Disorder Due to Another Medical Condition DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS  Assessment  Behaviors associated with schizophrenia spectrum and other psychotic

disorders are described  DSM-5 criteria are included for schizophrenia and catatonia specifier  Factors that predispose individuals to psychotic disorders are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family

education are presented for clients with schizophrenia spectrum and other psychotic disorders

 Evaluation Guidelines for measurement of outcomes are included

 Medical Treatment Modalities  Psychopharmacology

DR. ARNEL BANAGA SALGADO

DEPRESSIVE DISORDERS (DSM-5)  Disruptive Mood Dysregulation Disorder (DMDD)  Major Depressive Disorder (single episode or

recurrent)  Persistent Depressive Disorder (Dysthymia)  Premenstrual Dysphoric Disorder  Depressive Disorder Due to Another Medical Condition  Substance/Medication-Induced Depressive Disorder

DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH DEPRESSIVE DISORDERS  Assessment  Behaviors associated with Depressive Disorders are described

 DSM-5 criteria are included for Major Depressive Episode, Dysthymia,

Premenstrual Dysphoric Disorder, and DMDD  Factors that predispose individuals to depressive disorders are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family

education are presented for clients with depressive disorders

 Evaluation Guidelines for measurement of outcomes are included  Medical Treatment Modalities  Psychopharmacology DR. ARNEL BANAGA SALGADO

BIPOLAR AND RELATED DISORDERS (DSM-5)  Bipolar I Disorder

 Bipolar II Disorder  Cyclothymic Disorder  Bipolar Disorder Due to Another Medical Condition

 Substance/Medication-Induced Bipolar Disorder  Other Specified Bipolar and Related Disorder  Unspecified Bipolar and Related Disorder

DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH BIPOLAR AND RELATED DISORDERS  Assessment  Behaviors associated with Bipolar and Related Disorders are described  DSM-5 criteria are included for Manic Episode, Cyclothymic Disorder,

and Hypomanic Episode  Factors that predispose individuals to bipolar and related disorders are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family

education are presented for clients with bipolar and related disorders

 Evaluation Guidelines for measurement of outcomes are included

 Medical Treatment Modalities  Psychopharmacology

DR. ARNEL BANAGA SALGADO

ANXIETY, OBSESSIVE-COMPULSIVE, AND RELATED DISORDERS (DSM-5)*  Panic Disorder  Generalized Anxiety Disorder (GAD)  Agoraphobia  Social Anxiety Disorder (Social Phobia)  Specific Phobia  Anxiety Disorder Due to Another Medical Condition  Substance/Medication-Induced Anxiety Disorder

 Obsessive-Compulsive Disorder (OCD)  Body Dysmorphic Disorder  Trichotillomania (Hair-pulling Disorder) * Anxiety and OCD are separate chapters in the DSM-5. They are combined for purposes of this text. DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH ANXIETY, OCD, AND RELATED DISORDERS  Assessment  Behaviors associated with Anxiety, OCD, and Related Disorders are

described  DSM-5 criteria are included for Agoraphobia, Social Anxiety Disorder, OCD, and Body Dysmorphic Disorder  Factors that predispose individuals to these disorders are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family education

are presented for clients with anxiety, OCD, and related disorders

 Evaluation Guidelines for measurement of outcomes are included

 Medical Treatment Modalities  Psychopharmacology

DR. ARNEL BANAGA SALGADO

TRAUMA- AND STRESSOR-RELATED DISORDERS (DSM-5)  Acute Stress Disorder (ASD)  Posttraumatic Stress Disorder (PTSD)  Adjustment Disorders  With depressed mood  With anxiety  With mixed anxiety and depressed mood  With disturbance of conduct

 With mixed disturbance of emotions and conduct  Unspecified

DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH TRAUMA- AND STRESSOR-RELATED DISORDERS  Assessment  Behaviors associated with ASD, PTSD, and Adjustment Disorders are

described  DSM-5 criteria are included for ASD, PTSD, and Adjustment Disorders  Factors that predispose individuals to these disorders are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family education

are presented for clients with ASD, PTSD, and Adjustment Disorders

 Evaluation Guidelines for measurement of outcomes are included  Medical Treatment Modalities  Psychopharmacology DR. ARNEL BANAGA SALGADO

SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS (DSM-5)*  Somatic Symptom Disorder  Illness Anxiety Disorder  Conversion Disorder (Functional Neurological

Symptom Disorder)  Psychological Factors Affecting Other Medical Conditions  Factitious Disorder  Dissociative Amnesia  Dissociative Identity Disorder (DID)  Depersonalization/Derealization Disorder * Somatic Symptom and Dissociative Disorders are separate chapters in the DSM-5. They are combined for purposes of this textbook. DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH SOMATIC SYMPTOM AND DISSOCIATIVE DISORDERS  Assessment  Behaviors associated with, and factors that predispose individuals to,

Somatic Symptom and Dissociative Disorders are described  DSM-5 criteria are included for somatic symptom disorder, illness anxiety disorder, conversion disorder, psychological factors affecting medical condition, factitious disorder, dissociative amnesia, DID, and depersonalization/derealization disorder

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family education

are presented for clients with Somatic Symptom and Dissociative Disorders

 Evaluation Guidelines for measurement of outcomes are included  Medical Treatment Modalities/Psychopharmacology DR. ARNEL BANAGA SALGADO

ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA (DSM-5)  Paraphilic Disorders  Sexual Dysfunctions  Exhibitionistic Disorder  Erectile Disorder  Fetishistic Disorder  Female Orgasmic Disorder  Frotteuristic Disorder  Delayed Ejaculation  Pedophilic Disorder  Premature (Early) Ejaculation  Sexual Masochism Disorder  Female Sexual Interest/Arousal Disorder  Sexual Sadism Disorder  Male Hypoactive Sexual Desire  Transvestic Disorder Disorder  Voyeuristic Disorder  Genito-Pelvic Pain/Penetration  Gender Dysphoria Disorder  In Children  Substance/Medication In Adolescents or Adults Induced Sexual Dysfunction  Variations in Sexual  Sexually Transmitted Diseases

Orientation (Not a DSM diagnosis)

(STDs)

DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH ISSUES RELATED TO HUMAN SEXUALITY AND GENDER DYSPHORIA  ASSESSMENT  Behaviors associated with Paraphilic Disorders, Sexual Dysfunctions, and

Gender Dysphoria are described  DSM-5 criteria are presented for Gender Dysphoria in Children. Definitions and descriptions of other disorders are included.  Factors that predispose individuals to these disorders are discussed  A discussion of variations in sexual orientation and STDs is included  NURSING DIAGNOSIS/OUTCOME IDENTIFICATION  NANDA diagnoses that correspond to identified behaviors are included, along with outcome criteria  PLANNING/IMPLEMENTATION  Nursing interventions with rationales and topics for client/family education are presented for clients with paraphilic disorders, sexual dysfunctions, and gender dysphoria in children  EVALUATION Guidelines for measurement of outcomes are included  MEDICAL TREATMENT MODALITIES

DR. ARNEL BANAGA SALGADO

EATING DISORDERS (DSM-5)  Anorexia Nervosa  Bulimia Nervosa  Binge Eating Disorder/Obesity*

* Obesity is not a codeable disorder in the DSM. However, because of the serious consequences of the condition, and the psychological factors associated with it, obesity is included in the Eating Disorders chapter of the Townsend textbooks. It may also be a direct result of Binge Eating Disorder. DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH EATING DISORDERS  Assessment  Behaviors associated with Anorexia Nervosa, Bulimia Nervosa, and Binge

Eating Disorder are described  DSM-5 criteria are included for Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder  Factors that predispose individuals to these disorders are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to identified behaviors are included,

along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family

education are presented for clients with anorexia nervosa, bulimia nervosa, and binge eating disorder

 Evaluation Guidelines for measurement of outcomes are included  Medical Treatment Modalities/Psychopharmacology DR. ARNEL BANAGA SALGADO

PERSONALITY DISORDERS (DSM-5)  Cluster A: Behaviors Described as Odd or Eccentric  Paranoid Personality Disorder

 Schizoid Personality Disorder  Schizotypal Personality Disorder

 Cluster B: Behaviors Described as Dramatic,

Emotional or Erratic  Antisocial Personality Disorder  Borderline Personality Disorder  Histrionic Personality Disorder

 Narcissistic Personality Disorder

 Cluster C: Behaviors Described as Anxious or Fearful  Avoidant Personality Disorder  Dependent Personality Disorder  Obsessive-Compulsive Personality Disorder DR. ARNEL BANAGA SALGADO

NURSING CARE OF CLIENTS WITH PERSONALITY DISORDERS  Assessment  Behaviors associated with the following personality disorders are included:

paranoid, schizoid, schizotypal, antisocial, borderline, histrionic, narcissistic, avoidant, dependent, and obsessive-compulsive.  DSM-5 criteria are included for each of these disorders  Factors that predispose individuals to these disorders are discussed

 Nursing Diagnosis/Outcome Identification  NANDA diagnoses that correspond to antisocial and borderline

personality behaviors are included, along with outcome criteria

 Planning/Implementation  Nursing interventions with rationales and topics for client/family

education are presented for clients with antisocial and borderline personality disorders

 Evaluation Guidelines for measurement of outcomes are included  Medical Treatment Modalities

DR. ARNEL BANAGA SALGADO

CHILDREN AND ADOLESCENTS*  Neurodevelopmental Disorders  Intellectual Disability (Intellectual Developmental Disorder)

 Autism Spectrum Disorder (ASD)  Attention-Deficit/Hyperactivity Disorder (ADHD)  Tourette’s Disorder

 Disruptive, Impulse Control, and Conduct Disorders  Oppositional Defiant Disorder (ODD)  Conduct Disorder

 Anxiety Disorders  Separation Anxiety Disorder

* These disorders are presented in various chapters in the DSM-5. They are presented together in the Townsend textbooks as diagnoses that commonly occur during infancy, childhood, or adolescence. DR. ARNEL BANAGA SALGADO

NURSING CARE OF CHILDREN AND ADOLESCENTS

 ASSESSMENT

 Behaviors associated with Intellectual Disability, Autism Spectrum

Disorder, ADHD, Tourette’s Disorder, ODD, Conduct Disorder, and Separation Anxiety Disorder are described  DSM-5 criteria are included for each of these disorders  Factors that predispose individuals to these disorders are discussed  NURSING DIAGNOSIS/OUTCOME IDENTIFICATION  NANDA diagnoses that correspond to identified behaviors are included, along with outcome criteria  PLANNING/IMPLEMENTATION  Nursing interventions with rationales and topics for client/family education are presented for clients with Intellectual Disability, Autism Spectrum Disorder, ADHD, Tourette’s Disorder, ODD, Conduct Disorder, and Separation Anxiety Disorder  EVALUATION Guidelines for measurement of outcomes are included  MEDICAL TREATMENT MODALITIES/PSYCHOPHARMACOLOGY DR. ARNEL BANAGA SALGADO