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). When it comes to social work, evidence-based treatment is a very popular form of therapy. The DSM-5 focuses on evidence-based treatment as well with “developing a comprehensive treatment plan that is informed by the individual’s culture and social context” (American Psychiatric Association, 2013, p. 19). I believe that the DSM-5 is an asset to trained social work clinicians to
Before answering the question we need to understand what DSM-5 is it is shortened from Diagnostic and Statistical Manual Of mental Disorders and the five shows how much it has changed over the years. This classification wouldn’t be possible without Emil Krapelin who developed the first modern classification system for abnormal behavior which helped form the first DSM. The DSM-5 list approximately 400 mental disorders each one explains the criteria for diagnosing the disorder and key clinical features and sometimes describes features that are often times not related to the disorder. The classification is further explained by the back ground information such as: research finds, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications predisposing factors, and family patterns. The DSM-5 is the only one of the editions that seeks both categorical and dimensional information as part of the diagnosis, rather than categorical information alone (Comer, 2013, pp.100). Now that we know what DSM-5 is we need to know what categorical information and dimensional information mean. Categorical information refers to the name of the disorder indicated by the patient’s symptoms. An example of this would be when a clinician must decide if a patient is showing
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.
DSM-5 and ICD-11 are used by healthcare providers to study and identify psychological disorders. Nonetheless, these two manuels differ from one another in many ways. DSM-5 is the Diagnostic and Statistical Manuel of Mental Disorders. It was formed by the American Psychiatric Association to enhance diagnoses, treatment, research methods today. This manuel is used to classify mental disorders by assessing the symptoms that are present in various clinical settings such as outpatient, clinical, and primary care. Then there is the ICD-11 which is the International Classification of Diseases. It was created by the World Health Organizations to define various diseases and report health conditions. This manual is a compilation of definitions, social
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 on DSM-5 is reorganizing and eliminating some disorders that no longer made sense in the new framework. For example, OCD or obsessive-compulsive disorder now has its own category, instead of being labeled with anxiety disorders. The evidence didn’t support the idea that stress and fear is the main cause of this disorder. Also, PTSD or Post Traumatic Stress Disorder, now part of a new category called “Trauma and Stressor-Related Disorders”.
According to the DSM-5 when an infant is exhibiting difficulty in his or her temperament or is difficult to control, this may be an indication that the child is having symptoms of early onset of conduct disorder (p.473). The DSM- 5 also implied that families who shows deviant behaviors in the home where children/adolescence witnesses violence or victims of it are potentially at greater risk of developing a conduct disorder. This is also true for those that lives predominantly high crime neighborhood (p.473). On the other hand, Dr. Cheryl D. Wills (2014) stated that conduct disorder is considered “one of the only” DSM-5 disorders that has no other criteria that are excluded from being “clinically treatable diagnoses”; and as a result, anyone without the proper credential can label an individual with the disorder. For that reason, the DSM-5 conduct disorder diagnosis is questionable. Because how can an infant
The DSM has a lot of information pertaining to different and similar disorders. The DSM includes diagnostic criteria for mental disorders. The DSM has set criteria defined by experts for clinicians to make a diagnosis. The purpose of revising the DSM-5 was to improve diagnoses, treatment, and research. I am very impressed with the DSM-5. There are some conditions in the manual that I would have never thought were possible. However, they still have criteria and z codes to meet that diagnosis. Also, I am impressed that there are so many subtypes of disorders. For example, there are so many types of neurocognitive disorders listed in the DSM. A few of the neurocognitive disorders listed include NCD due to traumatic brain injury, HIV infection, Huntington's disease, another medical condition, and unspecified neurocognitive disorder (American Psychiatric Association, 2013).
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
When DSM was released, traditional subsections of autism was lumped into one category. One of the benefits of doing this, in my opinion, is because it allowed psychologists the ability to diagnosis clients better. The generalization of diagnosis of autism makes it easier on psychologists to diagnosis. With that in mind, not having the specific categories for autism does not give specified treatments for their symptoms. When there are several categories for autism in the DSM 5, the DSM 5 gives particular treatments for each category. I think when it is more specific oriented the treatments are more likely to succeed in the long term. Then the treatments are more distinct to that particular autism.
DSM-IV outlines the criteria that must be present in order for substance dependence to occur. Of the seven criteria’s for this to occur, a total of three must occur and take place within a twelve month consecutive time period (Levinthal, 2012). Tolerance, withdrawal, and abandonment of normalcy are three of the criteria that could identify or lead to the discovering of the substance dependence. Increased tolerance or decreased benefits to the drug of choice is identifiable with the person becoming addicted to it (Levinthal, 2012). When a person continues to take a drug, prescription or illegal, the more their body adjusts to having the drug in their system and the more they must take to reap the benefits that initially occurred. The longer
My textbook is yet to arrive, so yet again I had to resort this week’s video from the Moodle shell. In order to complete this assignment to it’s full potential. I’m hoping my book is here before the next reaction is due. This week’s video was over Dr. Allen Frances and his work on DSM five. Dr. Allen Frances corrected the DSM IV, and now is the brain behind the work of DSM 5. He first described the mental health services world as a mess, because people are being diagnosed as having a mental illness, but they honestly appear as if they’re performing normally. These people are also being prescribed potentially harmful medication that they don't need, so it is only causing the body harm rather than good.
In recent debates DSM IV have been criticized before now; therefore, DSM-5 will also endure the discouragement of the further testing that concerning mental illness among many patients. Therefore, we must continue the push the scientific data that explains the occurrence that are found in testing.
In Hickey’s (1998) article DSM and Behavior Therapy, we learn that the DSM uses circular explanations for mental disorders. Why do you feel that society is so accepting of these explanations? We also learn that a persons insurance will cover treatment if a DSM diagnosis has been acquired (Hickey,1998). Do you feel that insurance coverage plays a role in societies acceptance of the DSM? We also learn that DSM has been criticized for it’s circular explanations (Hickey,1998). Since the issue has been brought to societies attention, and now are attention, what can we do to eliminate it from the DSM?
The ability to develop an appropriate diagnosis as well as an individualized treatment plan for a client struggling with mental health complications will always present as a challenge to even the most qualified mental health professional (Kelsey, Newport, & Nemeroff, 2006). In order to define the most appropriate diagnosis, a mental health professional must consider all present symptoms in regards to the defining criteria of the DSM 5 as well as family history and be able to rule out any and all other possible causes (Kelsey, et al., 2006). If the client were to receive the wrong diagnosis this would impede the therapeutic intervention utilized which would in turn hinder recovery.