dsm IV --> 5

Question 1

dsm vs icd

Answer 1

Difference – DSM-5, it is strictly for mental disorders. ICD-10-CM includes those same conditions, but also includes conditions and diseases related to all other body systems, including respiratory diseases

• • When classifying depression, the ICD comes close to using a dimensional approach whereas the DSM-IV takes an “all or nothing” (categorical) approach
• • included the ICD 10 codes into the DSM 5 = allows them to update their coding

Question 2

Dsm IV vs DSM 5

Answer 2

• tried a dimensional approach w some things
  a) Autism spectrum disorder: combines 4 different diagonises (autistic disorder, aspergers etcetc) & combines them to one spectrum  share really common characteristics; decided they’re a spectrum
  b) Substance use disorder: DSM-5 combines two separate diagnoses of abuse and dependence into a single spectrum of eleven symptoms. Cant occur separately really
  c) PD

Question 3

Benefits of dimensional approach?

Answer 3

• Using assessment models that also focus attention on the acuteness of symptoms helps clinicians gather more information and thus more insight in creating a treatment plan.
  a) With greater depth of detail about symptoms—instead of simply marking them as present or absent—DSM-5 will reduce the excess number of patients who would have been diagnosed under DSM-IV’s categorical approach as having a “not otherwise specified” diagnosis due to failure to meet thresholds —–> better help

Question 4

ensure DSM-5 is not overly disruptive to clinical practice??

Answer 4

spectrum measures are compatible with categorical definitions. The new edition combines the best of both categorical and dimensional approaches to provide better guidance to clinicians and, as a consequence better treatment to patients.

Question 5

what do i think about the dimensional approach?

Answer 5

• good for people to get out of the “NOS” categories — which isny helpful at all
• creates a less of an us and them
• for PD = good for looking @ specific problematic traits + focus on small things at a time
• • Problem with this method of diagnosis of PD: allow clinicians to diagnose with PD to an enormous range of personality patterns
• ** but for SD it is good cos they coexist

Question 6

Not otherwise specified

Answer 6

DSM 5 = revised diagnoses of “other specified” and “unspecified” mental
disorders.
- Revised from DSM-IV’s “Not Otherwise Specified” categories, these diagnoses give
clinicians the flexibility necessary in some settings to provide patients with the best care.
- For example, if a patient comes into an emergency department and is acutely psychotic, it might not
be immediately clear if this is due to SZ, bipolar disorder, drug use or severe
hyperthyroidism. These diagnoses allow a clinician to be as specific as possible, without needing
to declare that all criteria are met for a more definitive diagnosis