Diagnosis Based Upon The Dsm 5

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 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.

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.

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 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.

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 patient meets the criteria for 295.90 Schizophrenia. The patient’s symptoms consist of delusions, hallucinations, psychosis, and impulsive.

Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according

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

DSM-5 is a new edition toward the diagnosis manual book that is use to help diagnosis patient with mental health disorder. This book help guides psychiatric healthcare providers to provide the best care for psychiatric patients. The big things about this new edition is that it provide a new section for diagnosis Autism. With this new edition, patient with ASD must show 2 domains to determine they are diagnosed with ASD; 1) persistent social communication and social interaction and 2) restricted and repetitive patterns of behavior. Also under the new DSM-5, clinicians should also rate the severity and what level of support they require (Autism Speaks).

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).

In their 2014 study, Kessler, et al analyzed a representative sample of 5,428 Regular Army Soldiers from the April to December 2011 AAS. This specific subset of data, extracted from 327 group sessions, did not include information from those deployed to a combat zone nor did it include any data from activated Army Reserve and National Guard personnel. The purpose of the study was to evaluate the “prevalence of 30 day DSM-IV mental disorders among nondeployed Soldiers and to determine the extent in which role impairments associated with 30-day disorders differ depending on whether the disorders had pre- vs post-enlistment onsets.”42

Discuss the strengths and weaknesses of DSM-IV TR, as well as new changes for DSM-V.

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”

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