Clinician Commonalities

The DSM IV-TR, published by the American Psychiatric Association, is the authoritative book for clinicians, psychiatrists, therapists and other healthcare professionals who diagnose mental disorders. It lists the diagnostic criteria and features, differential diagnoses, course and prevalence of the disease. It is the go-t

The DSM-5 is a highly regarded compendium of diagnostic criteria for mental disorders. While many cognate professions have input and contribute data to the various disorder criteria, the various sources from which the changes are suggested can cause a conflict among the different professions that use it. Social work values can especially clash with the DSM-5 due to the high regard the profession has for the dignity and worth of its clients.

A classification system such as the DSM-5 is judged by its reliability and validity. Define and discuss both reliability and validity and why they are important criteria for DSM-5.

It is sometimes argued that “the creators of DSM-III and DSM-IV sacrificed validity for the sake of reliability”(Wakefield, 1992, cited in Gray, 2002, p 614). This refers to greater emphasis being placed upon superficial symptoms and less upon underlying symptoms and possible cause which could have an important influence upon individuals (Gray, 2002). Since behavior always involve interaction between the individual and their environment, it can be difficult to assess whether the disorder is within the person or whether it is an environmental influence such as a traumatic experience or related to poverty (Gray, 2002, p.612). This can cause problems when diagnosing is extremely difficult to scientifically distinguish between people’s normal responses or whether it is something more (Gray, 2002).

The strengths when working with clients on a medical model perspective is that the use of the DSM provides a common language to use in the medical community. The DSM provides reliability and structural guideline to each mental disorder. The structural guidelines in the DSM provide an organized list of criteria and specifiers to help determine the severity of the mental disorder. When diagnosing a client, there are many similar signs and symptoms to each mental disorder; thus, the DSM provides the clinician information about differential diagnosis, prevalence, possible co-morbidity, age of onset, and progressive development of symptoms. Hence, focusing on the medical model and using the DSM can be beneficial to both the client and the clinician providing treatment.

The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of all, every disorder is identified using a name and a numerical code. In addition, the manual provides the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples that would illustrate the disorder. The manual goes further by addressing the typical age of onset, culturally related information, gender-related information, prevalence of a disorder, typical clinical course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a disease (Summers, 2009). The DSM-IV is a tool that is used by mental health practitioners and social service workers. As has been demonstrated

The DSM is used as a standard of reference for psychological diagnosis. The DSM was originally published in 1952 containing only 106 diagnoses; today the revised DSM-IV-TR contains 365 diagnoses. Throughout the history of the DSM, individuals in the mental health profession have relied on it for clarification of disorders, facilitating research, improving communication with other professionals and improving the collection of clinical information. With a new DSM-V underway, there has been a lot of issues surrounding the contents and classifications of the new DSM. There are

The DSM is a classified system used by psychiatrist and other clinical professions in order to diagnose clients and patients who show signs of some type of disorder. The two advantages of using this model or classification system ranges from the validity of an assessment used by clinicians and other health care professionals. Build around the concepts and purposes for the DSM model is that it supports a number of standard assessments of diagnosing different treatment providers. Furthermore, (Comer, J. 2016) suggest that the DSM-5 requires clinicians to provide both categorical and dimensional information which is part of being consistent in diagnosing. From a categorical perspective this refers to the name of a particular category of a disorder which is indicated on behalf of the client’s symptoms. From the dimensional perspective it is a rating of how the client symptoms and the severity of the dysfunction through various dimensions.

Being able to form a diagnosis properly for a client is a process that is wide-ranging and broad. The Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association [APA], 2013) supports recommendations and standards for identifying a diagnosis for a client. The procedure of diagnosing is more than skimming for symptoms in the DSM; one must assess, interview and identify issues, as well as refer to the DSM for a diagnosis.

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.

With these similarities there is chance that many patients have been misdiagnosed especially in children they cause years of improper treatment with destructive results. For example the child can be given the wrong medication for a disorder that is not associated with what is really going on with the child. In the article by Stanford University they give an example that “treating a child who actually has pediatric bipolar disorder with Ritalin for a supposed case of ADHD. Giving such a child a stimulant can lead to mood destabilization.” (Day, 2005).

DSM-IV TR, which stands for Diagnostic and Statistical Manual of Mental Disorders (4th edition), Text Revision was published by the American Psychiatric Association in 2000 and serves as a guide book for many health professionals to diagnose a patient with a mental disorder. It also helps health professionals to determine what types of treatment could be carried out to help the patient. The latest DSM is widely used, especially in the USA and many European countries.1However, it may not be completely followed by health professionals as they know that there are some weaknesses of the latest version of DSM as well. This essay will discuss the strengths and

According to Erford (2010) defines diagnosis as a framework used to identify problems or the focus of intervention. Mental health settings typically use the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition- Text Revision (DSM-IV- TR) (American Psychiatric Association, 2001). Diagnosis is the recognition of a problem that becomes the objective and goals of the counseling intervention it is also the detection of a disease, disorder, or syndrome based on some form of systematic assessment. “The problems associated with diagnosis include identifying clients by their diagnosis as opposed to focusing on their unique situations and experiences” (Erford, 2010 p.285). Understanding the implication of a diagnosis on the client and the counseling relationship is something that all professional counselors need to consider. To develop a treatment plan counselors uses the DSM- IV- TR which includes a five axial system that comprises of clinical disorders and other factors that are the focus of treatment, long-standing socio-emotional problems, medical conditions, environmental stressors, level of symptom distress, and functional impairment. This five axial system is intended to provide a comprehensive diagnostic picture. Professional counselors need to be diligent regarding the use of diagnosis. It is an ethical requirement that counselors providing diagnostic formulations be adequately trained in the use of DSM- IV- TR and that

While mental health professionals have had mixed feelings about the use of diagnostic labels in counseling, the diagnosis is another common outcome of the assessment process. Mears (2010) reports the advantage of diagnostic classifications as their usefulness in written and verbal interactions about the specific problems a client might experience. An example of this is when a diagnosis documented in a case conceptualization or treatment plan increases the ease of communication between clinicians or billing agencies.

The DSM itself states “diagnosis require clinical judgment (American Psychiatric Association, 2013, p. 19) indicating the fact that two therapist may see things differently. This concept would have to be considered a weakness as consensus is key validity and reliability of diagnosis and subsequent treatment. The article goes on to discuss the idea that the diagnosis of mental illness is more of an art form than a scientific process (Zur & Nordmarken, 2016). Finally, the most harsh factor against the DSM-5 is the outcry by leading professionals. The article points out that the chairman of its predecessor the DSM-4 Dr. Allen Frances was a critic of the DSM-5 from the very beginning. Change on any level is difficult so for Dr. Frances to urge caution is one; however, for him to say “this is the saddest moment in a 45 year career” to the American Psychiatric Association’s approval of the DSM-5 is troubling. Dr. Frances is not alone is his objection to this text. The director of the National Institute of Mental Health; Dr. Thomas Insel joined the opposition stating he will drive his organization’s research away from the DSM-5 (Zur & Nordmarken,