DSM 5 Nonaxial Diagnosis: A Case Study

Dyspareunia, vaginismus and vulvodanya. Duspareunia is caused by lack of lubrication in women and genital infections in men. Vaginismus is a recurrent, involuntary spasm of muscles in outer third of vagina that interferes with sexual intercourse. This is caused by fear of penile and vaginal penetration during intimacy. Vulvodanya is referred to as pain in the vulva and burning sensations during stimulation. Pelvic floor dysfunction can also be considered as a sexual pain disorder. Pelvic floor dysfunctions are the incapacity to control the muscles of your pelvic floor thus, creating pelvic pain. Pelvic floor dysfunction can result in a loss of sexual desire or libido. “The pelvic floor also allows for pregnancy and parturition” (Aschkenazi and Goldberg 2009). Pelvic floor dysfunctions cease reproduction, and the ability to

As with all previous diagnostic manuals, the DSM-5 (APA, 2013) aims to provide a ‘common language’ for describing psychopathology in order to provide the best patient care for both the individuals. As useful as this manual has been in the past, worries have expressed with regards to future direction that psychiatry is moving towards following the many updates and additions made to the diagnostic criteria within the DSM-5 it has been argued “when does psychological suffering become an illness?”. The purpose of this writing is to critically discuss the necessity of a diagnosis from two stand points, firstly critiquing the negative impacts of a diagnosis for an individual and secondly the implications of a diagnosis at a professional level, the research presented points towards a diagnosis is becoming less necessary in today’s society. Lastly the future of psychiatry will be discussed to show how if diagnostic criteria becomes more scientific based then there may be more benefits

These warning sign or behaviors are clinically significant as evidenced by either of the following:

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 diagnosis of the character based upon the DSM-5 would be Autism Spectrum Disorder (ASD). According to the American Psychiatric Association (2013a), the diagnostic criteria are perpetual deficiency in social communication and interaction across many contexts and by the following: 1. deficiency in social-emotional exchange of all ranges from abnormal to lack of normal conversation, 2. deficiency in communicative behaviors that are used for social interaction ranging from lack of verbal and nonverbal communication; to abnormal eye contact, body language and lack of facial expressions and 3. Not being able to develop, keep or comprehend relationships ranging from difficulties adjusting to new people to no interest in your peers. All three

Using the diagnostic structure of the DSM-V, Lecter displays characteristics of both Post-traumatic Stress Disorder with dissociative symptoms and Anti-Social Personality Disorder. To understand this diagnosis further, we must first examine the psychological history and symptoms throughout Lecter’s life. Post-traumatic Stress Disorder is defined as a clinical syndrome characterized by intrusive memories, emotional avoidance, and heightened psychological arousal following exposure to a traumatic event (APA). In the novel Hannibal Rising, Lecter witnessed and engaged in the death and cannibalization of his sister, Mischa Lecter. Through this experience, Lecter is shown to frequently recall this event throughout the narrative. For example, during Lecter’s time in Florence, Italy, he experienced a traumatic nightmare regarding his involvement of Mischa demise. This dream is peculiar within the story, as it is the only time where Lecter is described as being genuinely fearful for his life. In addition to Lecter’s traumatic memories of Mischa’s demise, is his avoidance of certain stimuli. Specifically, during Lecter’s time in Florence, he attended the Atrocious Torture Instruments show to observe people and to study their mannerisms. It was at this event that Lecter unintentionally discovers a skeleton in a starvation cage. Upon viewing this demonstration, Lecter instantaneously makes an exit. Through this reaction, it is reasonable to assume that Hannibal

Reporting health issues: Some issues with bathing (did not feel dirty), sometimes forgot to take medications, difficulty doing house chores (unless manic episode). Problems with memory, concentration, understanding and following directions, completing tasks, and getting along with others when anxious or irritated. Sometimes “I get an out of body experience.” Difficulty, “very bad,” handling stress and changes in routine.

DSM or also Diagnostic and Statistical Manual of Mental Disorders aims to assist clinicians in diagnosing individuals with mental health disorders. For Joan’s case, I diagnosed her with having anorexia nervosa. In the DSM 5, you must display three traits to meet the criteria. The first display to meet criteria is “Persistent restriction of energy intake leading to significantly low body weight (in context of what is minimally expected for age, sex, developmental trajectory, and physical health)” (American Psychiatric Association 2013). Joan would often not eat food even if she was starving and hungry. There would be days where she would only have a piece of fruit and for her age at the time of being 29, weighing 90 pounds is

Hi, Jake! I enjoyed reading your post. I agree with you that many people feel that DSM-5 diagnoses are too broad, and that the result is misdiagnosis. I don't remember the text mentioning that diagnoses are usually correct the majority of the time, but it makes sense. It's amazing to think that diagnoses can lead to research, appropriate treatment, and predict a disorder's future course. I'm so glad that we have come such a long way since the Middle Ages. I found it absolutely terrifying to learn that brutal treatments were used to "cure" psychological disorders back then. At least now with the DSM-5, we have a better way of treating and diagnosing those with disorders humanely and have a better understanding of what causes these

As mentioned earlier, this study used the ICD-9-CM coding classification system to define BV cases. A female service member was defined as “BV case” if she had a diagnosis of BV based on the ICD-9-CM code 610.10 (vaginitis and vulvovaginitis, unspecified) in either the first or the second diagnostic position of an outpatient or inpatient encounter medical record from the DMSS in the preceding years of the index date for CT or NG infection. On the basis of the evidence currently available, BV is a common disorder among women and recurrent BV episodes are frequent. However, there is no universally accepted definition of recurrent BV by a number of researchers (Morris et al., 2001; Eschenbach, 2007; Lambert et al., 2013). Wilson (2004) reported

Discuss the common types of disease that may be causing these symptoms and suggest a likely diagnosis for this patient

The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) has misdiagnose, Neurodevelopmental Disorders, Schizophrenia, depressive disorders and obsessive compulsive disorders just to name a few. The book has been revised and that has put a lot of people in danger. By controlling all of societies behavior in a book that can be edited is not only risky, but society changes and so does our psyche. What one doctor, scientist, pscyhologist can consider normal other in other countries may not. How can one nation be in control based off of one book. They have misdiagnosed healthy people possibly people that suffered from temporary emotional stresses.

In the DSM-IV there is information outlined for Cultural Formulation when diagnosing and assessing clients. This information outlined offers a review of the clients cultural background, the effects that their cultural differences can have on the relationship between the clinician and the client, and the evaluation and expression of dysfunction and symptoms. Also provided in the formulation, there is information in regards to how to assess the client based on their cultural background. The following categories are as follows:

Clinical Manifestations: (What are the textbook signs & symptoms of the disease? *Highlight the s/s your patient

One of the characters is Regina. Regina could be called the “ring leader” of the group. She may have more than one personality disorder but I will focus on one to keep this brief. I would diagnose her with Narcissistic Personality Disorder. The DSM 5 defines Narcissistic Personality Disorder as A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts. There are many examples of how she fits into the narcissistic category. In the movie she will do anything she need to gain attention. For example, she will dress in anything she like regardless of the dress code so people pay attention. In her physical education class, she wears an extra