DSM V Flashcards
what are two differences between DSM-5 DSM IV?
DSM-5 has a non-axil system of diagnosis…has now moved to a dimensional approach for assessment & diagnosis in section II the global assessment of functioning (GAF) has been removed due to lack of clarity and questionable psychometric properties
what is in section one of the DSM-5?
use of the manual
what is in section II of the DSM-5?
mental disorders: clinical disorders, PDs, IDs & medical conditions; other conditions that may be a focus of clinical attention
what is in section III of the DSM-5?
assessment measures; cultural formulation; alternative DSM-5 PD framework; conditions for further study
in DSM-5 each disorder has
a set of criteria
what 5 things does the disorder criteria cover
- time frame (course & trajectory) 2. qualifying symptoms 3. disqualifying symptoms 4. differential diagnosis (parsimony) 5. severity (disability)
what are 4 examples of psychological stressors?
relational problems; abuse & neglect; educational & occupational problems; housing & economic problems
why are psychological stressors useful in diagnosis?
they draw attention to additional issues that may be relevant in formulation & treatment
what is a difference between DSM V and DSM IV in section II?
the global assessment of functioning (GAF) has been removed due to lack of clarity and questionable psychometric properties
what is different in DSM V about PD?
each of the 6 main types are defined by a specific pattern of impairments and traits
when can a diagnosis of PD-TS (trait specified) in the DSM V?
when a PD is present but the criteria for a specific PD are not met fully. would note severity of impairment in personality functioning & the problematic personality traits.
what are the two measures of the dimensional approach in the DSM V?
cross-cutting symptom measures (level I: 13 symptom domains; level II: in-depth assessment of certain domains) AND severity measures
what is another difference between DSM IV & V?
splitting of disorders not otherwise specified into other specified disorders and unspecified disorders
what is the 4 step order for writing a DSM diagnosis?
- disorder (number first) 2. course 3. severity 4. symptoms
in DSM V writing the main clinical disorders have a…….. only
number
how would you write a diagnosis of PTSD?
post traumatic stress disorder 309.81 (F43.10)
which disorder does not have a DSM code until you add the subtype (specify if) eg?
adjustment disorder
how do you write adjustment disorder?
Adjustment disorder (specifier) ie 309.0 (F43.21) with depressed mood
how you you write a major depressive diagnosis
263.23 (F32.2) MDD, single episode, severe (with melancholic & anxious distress features)
what does WHODAS stand for?
world health organized disability assessment schedule
how many items in the WHODAS?
36
how many domains in the WHODAS
6
what are first 3 domains of the WHODAS?
- understanding & communicating 2.getting around 3. self care
what are the 4,5,6 domains of the WHODAS?
- getting along with people 5. life activities (household, school/work) 6. participation in society
what does CFI stand for?
cultural formulation interview
what does a cultural formulation interview help understand?
the impact of culture on the clinical presentation
