Tourette's syndrome daignostic parameter

both multiple motor tics and one or more vocal tics must be present at the same time, although not necessarily concurrently;

• the tics must occur many times a day (usually in bouts) nearly every day or intermittently over more than 1 year, during which time there must not have been a tic-free period of more than 3 consecutive months;

• the age at onset must be less than 18 years;

• the disturbance must not be due to the direct physiological effects of a substance (e.g. stimulants) or a general medical condition (e.g. Huntington's disease or postviral encephalitis).

Diagnostic Parameter, Migraine with aura

A. At least 2 attacks fulfilling criterion B

B. Migraine aura fulfilling criteria B and C for one of the subforms

C. Not attributed to another disorder1

Diagnostic Parameter, Migraine without aura

Diagnostic criteria:
At least 5 attacks1 fulfilling criteria B-D
Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated)2;3;4
Headache has at least two of the following characteristics:
unilateral location5;6
pulsating quality7
moderate or severe pain intensity
aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs)
During headache at least one of the following:
nausea and/or vomiting
photophobia and phonophobia8
Not attributed to another disorder9

Diagnostic Parameter, Dementia with Lewy Bodies

Dementia

Gait/Balance Disorder

Prominent Hallucinations and Delusions

Sensitivity to traditional Psychotics

Fluctuations in alertness

Diagnostic Parameter, Dementia

The American Psychiatric Association has established two generally accepted criteria for the diagnosis of dementia: (1) erosion of recent and remote memory and (2) impairment of one or more of the following functions:

Language misuse of words or inability to remember and use words correctly (i.e., aphasia)
Motor activity unable to perform motor activities even though physical ability remains intact (i.e., apraxia)
Recognition unable to recognize objects, even though sensory function is intact (i.e., agnosia)
Executive function unable to plan, organize, think abstractly

Symptoms often develop gradually and show a progressive deterioration in function.

Diagnostic Parameter, Parkinson's Disease

Parkinson's Diaease

Loss of Smell or lack thereof may be an initial presenting feature

Cardinal symptoms

Resting, pill rolling tremor

Bradykinesia

Rigidity

Postural instability seen later as the disease progresses

Diagnostic Parameter, Paranoid Personality Disorder

Paranoid Personality Disorder
A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:


Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her.

Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates.

Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her.

Reads hidden demeaning or threatening meanings into benign remarks or events persistently bears grudges, i.e., is unforgiving of insults, injuries, or slights.

Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack.

Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner.

Does not occur exclusively during the course of Schizophrenia, a Mood Disorder With Psychotic Features, or another Psychotic Disorder and is not due to the direct physiological effects of a general medical condition.

Note: If criteria are met prior to the onset of Schizophrenia, add "Premorbid," e.g., "Paranoid Personality Disorder (Premorbid)."