diagnoses and classification

Question 1

DSM IV-TR

Answer 1

Multi-axial tool
axis 1: major MHD’s
axis 2: symptoms related to personality disorders
axis 3: medical conditions e.g. brain damage
axis 4: psychosocial and environmental triggers
axis 5: scale to assess global functioning of individual

Question 2

DSM V

Answer 2

Section 1: introduction manual with instructions
Section 2: contains classification of main MHD’s
Section 3: other assessment measures to aid diagnosis (cultural info). contains other conditions e.g. caffeine use disorder

Question 3

ICD-10

Answer 3

includes all diseases and has a section F specific for mental health disorders
- section groups each disorder e.g. mood disorders is group that includes depression in all its forms
F32 = depression
F32.0 = mild depression
F32.0.01 = mild depression with somatic symptoms

• allows clinicians to be specific and share diagnoses in easy systematic way

Question 4

what culture is the ICD and DSM?

Answer 4

ICD is European and DSM is American

Question 5

what are the 4 D’s

Answer 5

Deviance: behaviour is rare within society and deviant from norm
Dysfunction: behaviour significantly interferes with life
Distress: behaviour causing upset (subjective)
Danger: towards themselves and others

(duration) - if persists in the long term then may be symptom of illness

Question 6

evaluation for the 4 D’s

Answer 6

• subjectivity in interpretation of individuals experience

- reliability, clinicians have to explore all four issues with every patient to ensure a standardised procedure

Question 7

difference between prognosis and diagnosis

Answer 7

prognosis is the likely course of a medical condition

diagnosis is an identification of the nature of an illness