Schizophrenia and Factors to Consider in Diagnostic Assessment 174 Case Application of Diagnostic Assessment 181. Toward a Basic Understanding of Bipolar and Related Disorders 202 Understanding Bipolar Individuals and Relatives. Important Features Associated with Depressive Disorders 244 Endogenous and Exogenous Depression: Making a Difference 246 Overview of Depressive Disorders 247 .
Overview of Obsessive-Compulsive Disorders and Related Disorders 283 Toward a Better Understanding of Obsessive-Compulsive Disorder 289 Obsessive-Compulsive Disorders and Factors to Consider. Living with Problematic Self-Control of Emotions and Behavior 376 Overview of Disruptive Disorders, Impulse Control Disorders, and Conduct Disorders 377 Diagnostic Assessment: Basics of Use 387. Understanding Individuals Suffering from Substance-Related Disorders 419 Overview of Substance-Related Disorders and Addiction Disorders 425.
Toward a Basic Understanding of Personality Disorders 468 Understanding Individuals Suffering from a Personality Disorder 468 What is a Personality Disorder.
Completing the Diagnostic Assessment 70 Quick Reference 3.1: Biomedical Factors in Assessment 71
Quick Reference 2.19: Gender and Diagnostic Assessment II 61 Quick Reference 2.20: Coding Examples in DSM-5 66 .
Applications: Beyond the Diagnostic Assessment 107 Quick Reference 4.1: Overview of Guiding Principles for Efficient
Schizophrenia Spectrum and the Other Psychotic Disorders 149 Quick Reference 5.1: Types of Delusions 154
Obsessive-Compulsive and Related Disorders 278 Quick Reference 8.1: Presentation of Anxiety 281
Trauma- and Stressor-Related Disorders 309 Quick Reference 9.1: Presentation of Anxiety 312
Disruptive, Impulse-Control, and Conduct Disorders 375 Quick Reference 11.1: Selected Criteria for Oppositional De fi ant
Substance-Related and Addictive Disorders 417 Quick Reference 12.1: DSM-5—Clarifying Important Terms 422
S ECTION I
UTILIZING THE DSM-5 : ASSESSMENT,
PLANNING, AND PRACTICE STRATEGY
1 Getting Started CHAPTER
The publisher of the DSM is the American Psychiatric Association, a professional organization in the field of psychiatry. These practices violate several aspects of the principles of ethical practice in mental health care. In its spiral shape, it caught the attention of the mental health community.
Thus, those who purchased early copies of the DSM-IV did not receive the full ICD coding. CON: May provide limited information on the relationship between environmental considerations and aspects of mental health status. Do you believe that using the DSM as a diagnostic/assessment tool will facilitate your practice experience.
An empirical study of the issue of gender bias in the diagnostic criteria of DSM-III axis II personality disorders.
2 Basics and Application CHAPTER
Communication and goals are consistent across disciplines, each contributing to the client's overall well-being. Multidisciplinary teams can facilitate high-quality care by gathering participatory information related to the analysis of the client's problem. First, practitioners need to clarify what is solely related to the medical aspects of the condition and what is related to the mental health aspects.
As the total needs of the client are considered, the diagnostic focus will shift to address the social aspects of the client's condition. Regardless of which area is emphasized and with what intensity, understanding and integration of the biopsychosocial approach is essential in the diagnostic assessment. Be aware of how a client's beliefs may influence or affect the interpretation of the problem.
This led to the elimination of the Childhood Disorders section as described in DSM-IV and DSM-IV-TR. A purely categorical approach is limited to individual interpretation by both the client and the practitioner. The first of the two chapters focuses on medication use and the adverse effects that can complicate mental health problems.
In the section on "Development and course", signs of the disorder are related to age. The practitioner must be well versed in the use of the DSM and situational factors that must be part of the diagnostic assessment process. Remember that both the client and the therapist are products of the society in which they live.
To achieve this, the practitioner must first recognize aspects of the client's culture and incorporate this meaning into the diagnostic assessment and any change efforts to follow. This concept is further discussed in the next section; however, the danger lies in the potential violation of the client's right to self-determination (Hepworth, Rooney, Rooney, Gottfried, & Larsen, 2010). To be gender sensitive in the diagnostic assessment process, the practitioner must first identify power differentials that contribute to the source of the problem area.
To compete in today's current environment for mental health services, the practitioner's role is twofold: (1) ensure that high-quality service is provided to the client and (2) ensure the client's access and opportunity to meet his or her health care needs.
3 Completing the Diagnostic Assessment CHAPTER
DSM-5 AND COMPLETION OF THE DIAGNOSTIC ASSESSMENT The information presented in this chapter is not intended to include all the possibilities of use of the DSM-5. It now highlights only the free list of mental health diagnoses without the limitations of using the multi-axis system. If there is a medical condition or disorder that appears to be the cause of the mental health disorder, the medical disorder should be listed before the mental disorder according to the ICD.
With the first episode or onset of the disorder, all criteria can be met except for the time frame. The final chapter in this section is a brief overview of disorders that may be of clinical concern. Time frames, part of the criteria in many of these disorders, can be difficult to calculate.
For duration, the practitioner must document the time between the onset and cessation of the behavior (Wright, 2011). Mysterious lack of concern on the part of the client about the behavior he is engaging in, with a tendency to minimize or deny the circumstances. It is also important to note when a medical condition actually causes, facilitates, or is part of the reason for development and continuation.
As part of the diagnostic assessment, special attention should always be paid to screening for vision problems that may cause distress to the client in terms of individual and social functioning. The role of the contractor in connecting the client with environmental aspects is essential. As a member of the team, the mental health practitioner is aware of the environment and the importance of building and maintaining a therapeutic relationship with the client.
What is your opinion on the deletion of the multiaxial system as part of the diagnostic evaluation. Walking the tightrope: Clinical social workers use diagnostic and environmental perspectives. Journal of Clinical Social Work.
4 Applications CHAPTER
Clients need to be active and moti- vated in the diagnostic assessment,
In general, the problems and behavioral problems that a client exhibits require that he or she invest serious energy in efforts to bring about behavior change.
The information gathered in the diagnostic assessment will be used
The influence and effects of values and beliefs should be made apparent
Issues surrounding culture and race should be addressed openly in the
The assessment must focus on cli- ent strengths and highlight the cli-
2013). The changing face of health care social work: Opportunities and challenges for professional practice (3rd ed.). Woolson (ed.), Doing more with less: Using long-term skills in short-term treatment(pp. .. 2008).Helping victims of violent crime: Assessment, treatment and evidence-based practice. The dose-response effect of psychotherapy and its implication for treatment delivery. Clinical Psychology: Science and Practice The Portable Ethicist for Psychiatric Professionals: A Complete Guide to Responsible Practice.
Fisher (Eds.), Cognitive behavioral therapy: Applying empirically supported techniques to your practice (2nd ed., pp. 4–16). Fisher (Eds.), Cognitive behavioral therapy: Applying empirically supported techniques to your practice (2nd ed., pp. 53–59). Fisher (Eds.), Cognitive Behavioral Therapy: Applying it Empirically. 2014).Strength-based therapy: connecting theory, practice and skills.
Documentation in managed care: Challenges for social work education. Journal of Teaching and Social Work. Freeman (Eds.), Cognitive behavior therapy in social work clinical practice (pp. Unifying psychotherapy: Principles, methods, and evidence from clinical science. Community mental health groups for people with severe mental illness and personality disorders. Schizophrenia Bulletin Introduction to Human services: policy and practice (6th ed.).
Fisher (Eds.), Cognitive behavioral therapy: Applying empirically supported techniques to your practice (2nd ed., pp. 1–3). Problems and outcomes associated with self-help materials about mental health in adults: a 'second-order' or 'qualitative meta-review' review. Journal of Mental Health Crisis intervention: The practitioner's sourcebook for brief therapy. Educational challenges facing health social workers in the twenty-first century. Professional development.
S ECTION II
DIAGNOSTIC AND TREATMENT
APPLICATIONS
5 Schizophrenia Spectrum and CHAPTER the Other Psychotic Disorders
Receiving a diagnosis of schizophrenia or one of the psychotic disorders can be one of the most devastating experiences for an individual and their family. These studies focus on the functioning of the pituitary gland in relation to the hypothalamus and the central nervous system (CNS). IMPORTANT FEATURES ASSOCIATED WITH PSYCHOTIC DISORDERS When preparing for diagnostic evaluation and appropriate diagnosis, the practitioner must first be aware of the key features prevalent in psychotic disorders that are used to establish the diagnosis.
One of the major changes in the diagnosis of schizophrenia was the elimination of the five subtypes of schizophrenia discussed later in this chapter. When the active phase of the episode lasts longer than six months and the other criteria for schizophrenia are met, the diagnosis is changed accordingly. However, this specification can only be used if the person has had the disease for at least one year.
An acute episode is defined as meeting criteria for the disorder for a specified period of time. An episode of distress lasts at least 1 day but less than 1 month, and the individual eventually has a full return to the premorbid level of functioning (Criterion B). A diagnosis of schizophrenia or schizophreniform would be inappropriate because of the short time frame and complete remission.
Due to the variability of this condition, these specifications are designed to better reflect the course of the disease and its symptoms. The current status of the condition for the client can be assessed in multiple episodes. When diagnosing schizophrenia, making this distinction is important because many of the symptoms that occur with catatonia overlap with the symptoms of schizophrenia.
A clear diagnostic history is necessary, and careful attention must be paid to the prevalence of the disorder and whether the individual actually meets the criteria of. And (criterion E) the symptoms of the catatonia must cause significant impairment in various areas of functioning.
