Work with DSM-5-TR- Paula Jordon

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Feb 20, 2024

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1 Working with the DSM-5-TR Paula Jordon Psyc2330- Introduction to Forensic Psychology John Walsh July, 2023

2 The Diagnostic and statistical manual of mental disorders (DSM-5-TR) published by the American Psychiatric Association (2022) is a vital tool as a psychologist because they use it to diagnosis and treat people with a wide range of mental health disorders. It is vital to understand and use the DSM-5-TR as a psychologist. The DSM-5-TR is separated into three different sections: DSM Basics, Diagnostic Criteria and Codes, and Emerging Measures and Models (Delving into the DSM-5, multimedia presentation). Section one of the DSM-5-TR (2022) goes over the basics of what the DSM is used for such as figuring out a clinical diagnosis for clients. This section also talks about the history of the DSM from creating it in 1952, to the multiple revision processes including subtypes and “Conditions for Further Study”, and the field trials that included both a large diverse medical academic setting and another one in a routine clinical practice. The DSM also gives a definition of a mental disorder by saying it is “… a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning”. In the DSM, it talks about how different cultures, gender, race and ethnicity could play a role in how there could be variations and factors on these conditions such as how culture can shape the way someone experiences and shows certain signs, behaviors and symptoms of a condition. Section one also talks about the how the text provides a guideline for diagnoses but should be ultimately up to the professional to make an informed judgement through having a thorough evaluation of not only symptoms but as well as other determining factors. The text also provides context information for understanding the information such as the “diagnostic features” which is where they provide criteria and key points on interpreting the symptoms. Finally,

3 section one finishes off by letting the reader know that the information is meant to assist in diagnosing clients in clinical settings but does not provide treatment guidelines and when used in legal situations, the court needs to be informed of the risk and limitations of its use. Section two is where the criteria for diagnosing clients in a clinical setting is located, as well as, the diagnostic codes for ICD-10-CM (DSM-5-TR, 2022). This is where the psychologist will use the symptoms and information to allow their judgement to figure out and cross reference certain disorders to diagnosis their clients, and then from there create a treatment plan. Within each mental disorder category, there are criteria and description of a specific disorder. The disorder Social Anxiety is first shown the ICD-10-CM code of F40.10 and then has certain criteria that should be prevalent with someone with this disorder, such as having anxiety or fear of one or more social interactions where you fear being judged by others. They also give notes for the differences needed in children, such as it must occur with people their age and not just interacting with adults. Some other criteria for social anxiety are being afraid that your actions will be negatively viewed, having social interactions usually provoking fear or anxiety, so in turn these interactions are usually avoided, and cause severe effects on areas of your life for a prolonged time such as six months or more. This section also gives certain specifiers that are in the same realm but different than the original disorder, such as performance only anxiety in which the fear is restricted to performing or speaking in public places. The text also talks about some of the functional consequences of social anxiety disorder such as it being associated with high rates of school dropouts and having negative relationships.

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