Results of Assessment Diagnosis Based upon the DSM-5 List: Principal DSM-5 Diagnosis (Focus of treatment): 303.90 (F10.20) Moderate Alcohol Use Disorder Specifier: in early remission, in a controlled environment Additional DSM-5 Diagnoses: 300.4 (F34.1) Moderate Persistent Depressive Disorder (Dysthymia) Specifiers: with anxious distress, in partial remission, late onset, with pure dysthymic syndrome Relevant Medical Diagnoses (if known): Note: Other Conditions That May Be a Focus of Clinical Attention– V61.10 (Z63.0): Relationship Distress with Spouse of Intimate Partner V62.29 (Z56.9): Other Problem Related to Employment V62.89 (Z60.0): Phase of Life Problem Measures of Symptom Severity/Disability – WHODAS 2.0 for adults Clinician-Rated Dimensions of Psychosis Symptom Severity Next, the provisional diagnosis was formulated by giving Miguel assessment measures such as the WHODAS 2.0 for adults, the Level 1 Cross-Cutting Symptom Measure, and the Clinician-Rated Dimensions of Psychosis Symptom Severity. In addition, WHODAS 2.0 for adults will allow the counselor to assess the severity of the client’s disability (APA, 2013, p. 746). The Clinical-Rated Dimension of Psychosis Symptom Severity will help the counselor to analyze the severity of symptoms and may assist in the treatment process (APA, 2013, p. 742). Outside of work, no other problems have been mentioned because of the use of alcohol (APA, 2013). The counselor should also learn more about Miguel’s social life
Discuss the strengths and weaknesses of DSM-IV TR, as well as new changes for DSM-V.
Debates regarding personality disorders is considered wildly controversial in the field of psychology. I personally think it is because the subject is still being studied and constantly changing. Researchers still have a lack of knowledge regarding personality disorders, and when the DSM-IV came out a lot of people were not thrilled with the classification system and changes. Many proposals were introduced before the DSM-IV was published but, they were never included in the revision. Since professionals weren't positive in the diagnosis and treatments, stating that they had “too many permutations”, they decided to leave the proposals out of the revision. Another big changed presented in the DSM-IV revision was, eliminating four previous personality
Justification for diagnosis: The client presents with symptoms and behaviors that are consistent with the DSM-5 diagnosis of Antisocial Personality Disorder. Based on the information provided, this client met criteria A, numbers 1, 2, 3, 6 and 7. She also met criteria B and C. Client presents with symptoms and behaviors that are consistent with a DSM-5 diagnosis of Antisocial Personality Disorder as evidenced by her history of symptoms of conduct disorder that began in early adolescence and involves a repetitive and persistent pattern of behavior in which the basic rights of others are violated. These patterns of behavior have continued into adulthood.
The statistics and facts above have demonstrated that removing Asperger’s Disorder from the DSM-5, as a mental health diagnosis, negatively affects an entire population of people, referred to as Aspies. The underlying issue is the power the DSM-5 manual has on overall mental health to determine identities, diagnosis, treatment health and mental health services, educational services and more. One DSM change has power to affect an entire population of people with developmental disabilities. It is important to understand how this affects our society as a whole by examining how this problem affects family, religion, government, and economy.
While reading over the introduction to the DSM-5 I was impressed. I have never looked at any DSM or really any mental health disorders thus far in my studies. I was mostly impressed with the strive to continue making the DSM more useful and understanding. Some things that are in the introduction to the DSM-5 that caught my attention was that the Task Force was very involved in trying to find a balance between the different disorders without confusing them together (p. 5). Another point that I found important was that the overall goal for the DSM-5 was “the degree to which two clinicians could independently arrive at the same diagnosis for a given patient” (American Psychiatric Association, 2013, p. 7). This is a strong reasoning to improve the DSM and I am actually stocked that it took this long to change things because Robert Spritzer (a psychiatrist of the twentieth century who became have a strong part in developing the DSM-III and the DSM-IIIR), back in 1974 noticed the central issue being the problem of diagnosis and psychiatrists not being able to agree on the same disorders (Spiegel, 2005).
The controversy and criticism surrounding the DSM -5 models has raised questions about its credibility and has raised concerns from the public on the reliability and effectiveness. Problems with this classification system is the attempt to promote preventive psychiatry by introducing how
The DSM diagnostic process can be broken down into six essential steps. Step one consists of ruling out Malingering and Factitious Disorder. Step two entails ruling out a substance etiology. Step three involves ruling out an etiological medical condition. Step four consists of determining the specific primary disorder(s). Step five comprises differentiating Adjustment Disorder from the residual Other Specified and Unspecified conditions. Step six involves establishing the boundary with no mental disorder. These six steps provide a diagnostic framework for clinicians to diagnose clients accurately.
One major change in the category of the substance-related disorders is that DSM–5 uses an overarching concept “substance use disorder” rather than two distinguished concepts in DSM–IV, which are “substance abuse” and “substance dependence.” As the diagnostic categorization changed, two sets of criteria – 4 aspects for “abuse” and 7 aspects for “dependence” – are replaced with a single set of criteria – 11 aspects for “substance use disorder” – with 3 levels of severity (mild: 2-3, moderate: 4-5, or severe: 6 or more) sub-classification. The contents of criteria are almost same, however, a criterion of legal problem is omitted and a new criterion that asks craving to use the specific substance is added. Another change is that DSM-5 classifies 10 classes of substances in addition to 1 addictive disorder whereas DSM-IV-TR recognizes 13 classes of substances. For example, DSM-5 puts together Amphetamine-Related and Cocaine-Related Disorders into Stimulant-Related Disorders with sub-categories (Amphetamine-type, Cocaine, or other stimulants). On the other hand, for almost all substance-induced disorders, the same criteria of intoxication and withdrawal are used in both DSM-5 and DSM-IV-TR (e.g. Alcohol intoxication, and alcohol withdrawal).
The patient meets the criteria for 295.90 Schizophrenia. The patient’s symptoms consist of delusions, hallucinations, psychosis, and impulsive.
While reviewing the article Diagnosing for Status and Money, Summary of the Critique of the DSM, a few things seemed to jump off the page. The DSM-5 while a well written and no longer intimidating to me appears to have a slant towards managed care organizations vice actual counselors. Having a manual that provides simplistic codes universally used between doctors that treat physical ailments and those who treat psychological ailments is critical; however, the focus must always be the patient. The text contains subjective qualifiers which provides the counselor the ability to use multiple diagnosis, either over diagnosing or underdiagnosing. The DSM-5 appears to provide care from a medication management prospective over psychotherapy
From time to time we all have periods of sadness, unhappy thoughts. Among the United States population, around eight to ten percent suffer from a form of depression as unipolar depression. Depressive and bipolar disorders show to be a principal cause of disability, without cure a person can have a tough experience with relationships, work, and social activities. Substance abuse disorders are becoming an rampant. The need for instant indulgence has become more and more widespread in the world. The DSM-5 shows the symptoms checklist for diagnosis of substance abuse disorder (see table 1.3 in appendix a), and according to Comer, (2014) “the substances people misuse fall into several categories: depressants, stimulants, hallucinogens, and cannabis”
The purpose of this paper is to apply the Diagnostic and Statistical Manual on Mental Disorders 5 (DSM 5) criteria to the case studies of an adolescent and an adult. Additionally, state the signs and symptoms these individuals have of substance use, state how age plays a significant factor in the DSM 5 criteria, and lastly state how effective the DSM 5 criteria is applied to these two individuals. DSM 5 criteria is used to diagnose mental health disorders, and is also used in identifying if an individual has an issue with substance use (The American Psychiatric Association, 2013). There are four categories which make up a total of eleven points of DSM 5 criteria, which include: impaired control, social impairment, risky use, and pharmacological (The American Psychiatric Association, 2013). The impaired control
As the opioid epidemic takes hold throughout American’s rural counties, public health departments are struggling to mitigate the health threats presented by substance abuse and addiction. While detailed longitudinal data is unavailable, many areas that report increased rates of drug abuse also report increased hospital admissions and accidental deaths. While the relationship between these outcomes is not explicit, it is important to implement interventions that address health issues related to drug related injuries. The first, ACHESS, an employee assistance program, utilizes organizational resources to empower employees to seek recovery assistance. The second, Project DAWN, focuses on harm reduction strategies to assist
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is currently the most frequently used way of standardizing and defining psychological disorders. However, the classification systems such as DSM have advantages and disadvantages. The major weakness of DSM is that it judges symptoms superficially and ignores other possible important factors. The major strength of DSM is that it enables categorization of psychological disorders.
The Diagnostic and Statistical manual of mental Disorders also known as the DSM is used was published by the American Psychiatric Association as a way to set standard criteria for diagnosis of the different mental health conditions. Social workers, mental health practitioner and even researchers in order to, use this book to help them diagnose client. The book is intended to be used to make an initial assessment of symptoms that a patient might be facing and after the assessment is done then the clinicians can go about finding interventions to help the client overcome their disorder.