Reactive Attachment Disorder
Differential Diagnosis - Stimuli: Caregivers – mother,
Irritable Mood in Children: ODD, DMDD
When are they irritable?
Oppositional Defiant Disorder
- Stimuli: There will always be a
trigger which is the Authority.
- The episodes have trigger but its not
chronic.
Disruptive Mood Dysregulation Disorder
- No need for stimuli, always
irritable.
- Always mad
History of Extreme Insufficient Care in
Children: RAD, DSED
(abused children, rescued, street dwellers)
NEGLECTED
Trigger: being neglected
sibling, grandparents, etc.
- They avoid their caregivers
Disinhibited Social Engagement Disorder
- Stimuli: Strangers
- They approach strangers
Aggression: CD, DMDD, IED, ODD
Conduct Disorder
- Patterned – consistently hostile and
they plan for it (not a random
outburst)
- consistent behavior not only during
the outburst
- Adults can be diagnosed with
conduct disorder but the symptoms
should be manifested during
childhood.
- If the symptoms maintained as it is,
no changes overtime and no
progression, the diagnosis will be
Conduct Disorder
- Symptoms progressed and became
worse = can turn into Antisocial
Personality Disorder
Antisocial Personality Disorder
- Symptom: lack of remorse
- Outbursts can be targeted to anyone
Disruptive Mood Dysregulation Disorder
- It is not planned since its an outburst
- Being hostile during the outburst
(e.g. pananakit)
- Always mad (lagi irritable and
magagalitin)

Intermittent Explosive Disorder
- No irritable mood
- May even be shy or calm sometimes
like normal people
- But when they have outburst, they
become hostile
- They just explode and they cannot
prevent themselves (inability to
resist their outburst)
Oppositional Defiant Disorder
- Appearing to be aggressive or may
have an outburst anchored to an
authority
- Expected outburst because there’s a
stimuli (authority)
Bipolar- aggression with response to
pleasure (manic episodes)
Depression and Psychosis: MDD, PDD,
Psychotic Features
Psychosis- hallucinations and delusions
Major Depressive Disorder
- Depressive episode only
Major Depressive Disorder with
Psychotic Features
- Hallucinations and delusions
during depressive episode
- When the depressive episode gets
worse, the psychotic features also
worsen
- No episode = no psychotic
features
MDD + PDD = Double Depression
(Dysthymia)
MDD + PDD+ Psychotic Features
- Attached only during depressive
episode but NOT during dysthymia
- During PDD = no psychotic
features
- Hallucinations & delusions during
depressive episodes
- During normal mood states = no
psychotic features
PDD should be 2 years – they are more
functional since they can still go to work,
less risk in life
Dysthymia
- No psychotic features
- 2 years (more days with depressive
episodes than not)
Bipolar 1 and Psychosis
Bipolar 1- should full blown mania
Bipolar 2- hypomania + depressive but no
mania
Hypomania alone= NO DIAGNOSIS
- functional = GOAL DIRECTED
ACTIVITIES- they do a lot of tasks
however it does not put any harm to
themselves
-4 days
Mania- may be harm to others and
themselves
- hospitalization = DANGER
-1 week
-Can last for 2 weeks- kasi minimum
lang ang 1 week

Schizoaffective
- Mood symptoms + psychotic
features
- No mood episodes but
hallucinations and delusions are
still present
- Consistent psychotic features
- Hallucinations & delusions are
chronic
Bipolar I
- Full blown mania
- No psychotic features
Bipolar I with psychotic features
- mood symptoms + psychotic
features occur simultaneously
-Psychotic features appear during
the Mood episodes only
Bipolar II
- Hypomania + major depressive
Hypomania only no major depressive = no
diagnosis
Depressive episode only but not hypomania
= MDD
Bipolar II with Psychotic Features
- Hypomania + depressive
- Psychotic features happen only
during depressive episode but not
during hypomania
- High risk for suicide
- Higher risk suicide rate than MDD
- BUT the suicide happens during
depressive episode not hypomanic
especially during rapid cycling
(switch from hypomanic to
depressive vice versa= higher risk to
suicide)
- The more severe the mood
episode, psychotic features also
worsen and appear.
Energy from hypomanic episodes are
carried out during the depressive episode
(symptoms of hypomanic = goal oriented) =
carrying out suicide
MDD alone- symptom: fatigue = no energy
to attempt suicide plus can’t focus
Schizophrenia
- Hallucinations + delusions +
hypomania but NO DEPRESSIVE
- Catatonic symptoms may be
confused with hypomania but its just
a catatonic episode (malikot,
hyperactive)
Anxiety about Health: SSD, IAD, DDST
Somatic Symptom Disorder
- Specific symptom = afraid to get
the disorder (ex. Inuubo, tingin niya
may tb na or lung cancer)
- Focus on the symptom only
- Isolated to symptoms
- Can be convinced with tests and
explanations = will be relived over
their anxiety since they believe that
they are not sick.
Illness Anxiety Disorder Approach to Food: AN, BN, BED
- Across all certain type of any type all binge
of disease (general health issue)
- Any type of disorder

Delusional Disorder Somatic Type

- Cannot be convinced by tests or
explanations = impairement to
reality
- Belief is desire: ex. They believe that
there are crickets in their brain = will
lead to a disease or intestines
turning into snakes
- Can be a diseases as long as they
cannot be convinced by any
means Anorexia Nervosa
- low body weight
- they also binge but not recurrent
Cotards syndrome- they believe they are - restricting and binge eating purging
dead type
Capgras- replaced, there is an impostor in
your relatives Bulimia Nervosa
- normal weight
- recurrent binge
- compensatory behavior: laxatives,
exercise, purging techniques
- Requirement: Excrete what the
binged

Binge-Eating Disorder
- fat or obese
- unctontrollably full (dapat masakit
yung tiyan nila, hindi sila titigil
hangga’t hindi)
- they should be alone
Avoidance to Food: AN, ARFID
Significant weight loss
Difference: motivation

Anorexia Nervosa
- Motivation: intense fear of gaining
weight

Avoidant/Restrictive Food Intake

Disorder
- They simply DO NOT WANT to
eat
- do not like food
- they do not have fear of gaining
weight
Evaluation: APD, SAD
both do not like evaluation
Avoidant-inferiority complex (adler)
Avoidant Personality Disorder
- no panic attack
- patterned behavior – they simply
avoid situations
- inferiority complex
Social Anxiety Disorder
- panic attack whenever they will be
evaluated (physiological
manifestations = nauseous, fast
heart rate, dizzy)
- they can go outside but also
difficult for them to go out
Agoraphobia
- can’t go outside their houses
- they do not like situations where
help may be dfficult
Panic Disorder
- find difficult to go outside
- scared with the panic attack itself
Difference: REASON
Attention: NPD, HPD
both of them like attention
Narcissistic Personality Disorder
- superiority
- positive only
- they cannot handle sarcasm
- do not like to be evaluated = seems
like they are incompetent
- more common in men
- ego syntonic
Histrionic Personality Disorder
- both negative and positive as long
as he is the topic
- common in women
Love: NPD, Normal
Narcissistic Personality Disorder
- love bomb
-excessive
-marketing character orientation-
they sell themselves