classification systems

Question 1

what are the two classification systems in clinical?

Answer 1

icd

dsm

Question 2

what does the classification of a mental disorder involve?

Answer 2

the identification of groups or patterns of behavioural or mental symptoms that reliably occur together to form a type of diagnosis

Question 3

what does dsm stand for?

Answer 3

diagnosis and statistical mannual of mental disorders

Question 4

when was the first dsm created?

Answer 4

1953

based on scheme from us army in wwII

Question 5

what addition is the dsm currently on?

Answer 5

fifth

2013

Question 6

when was the dsm 4 reviewed?

Answer 6

2007 -2012

looking at strengths and weaknesses

Question 7

what does the current dsm do that it didn’t before>

Answer 7

• tries to harmonise with the icd, having a similar coding system
• does not work on a multi axial system

Question 8

how many specific categories for mental health disorders does the dsm have?

Answer 8

200

Question 9

how many axis did the dsm 4 have?

Answer 9

5

Question 10

what was compulsory in diagnoses using the dsm 4?

Answer 10

compulsory to look at first three axis
other two optional
but it is better to look at all of them to provide a better basis

Question 11

what are the 5 axis in the dsm 4?

Answer 11

clinical syndromes 
personality and developmental disorders 
medical conditions 
psychosocial stressors 
GAF

Question 12

what is axis one?

Answer 12

clinical syndromes
major diagnosis classification of disorders
such as shizophrenia/eating disorders

Question 13

what is axis two?

Answer 13

personality and developmental disorders
split into personality disorders and dependant disorders
can contribute to diagnostic features in axis 1 or act speperatly

Question 14

for axis one and two what is included?

Answer 14

details about diagnostic features, prevalence and criteria

also cultural differences

Question 15

for axis one and two what is included?

Answer 15

details about diagnostic features, prevalence and criteria

also cultural differences

Question 16

what is axis 3?

Answer 16

medical conditions

relating to the disorder t

Question 17

what is axis 4?

Answer 17

psychosocial stressors
potentional stressful events that may have contributed to the disorder resulting in behavioural difficulties
poor housing etc

Question 18

what is axis 5?

Answer 18

global assessment of functioning
a 100 point scale that rates ability to function
100-91 superior
10-1 unable to function

Question 19

what does the ICD look at?

Answer 19

looks at the general health of the population and is used to measure prevalence and incidence of diseases

Question 20

who does the icd provide info to?

Answer 20

the WHO - highest level of global health

morbidity and mortality rates

Question 21

when was the icd 10 accepted and when is the new one out?

Answer 21

1990 may

came out in jan 2018

Question 22

how many categories are in the icd?

Answer 22

22

Question 23

what category is mental health disorder?

Answer 23

5

Question 24

how are disorders coded?

Answer 24

each category has a letter
mental health is f
each disorder has a number 0-99
it is then coded further through decimals

Question 25

what code is depression?

Answer 25

f32

Question 26

wha code is mild depression?

Answer 26

f32.0

Question 27

what does the coding system in the icd allow?

Answer 27

it allows clinicians to go from a general to specific disorder in a systematic way
avoiding confusion

Question 28

wy does the use of the icd require expertise?

Answer 28

as the system can act as a guide in a clinicial interview however mental disorders are not straight forward in their representation