IP Week 2 Flashcards
The DSM-5 classifications of disorders are designed to align with the
ICD
Codes are provided before or after each disorder name with blank lines indicating non-applicability of codes.
before
mutually exclusive and jointly exhaustive
phenomenological subgroupings within a diagnosis and are
indicated by the instruction “Specify whether” in the criteria set.
subtypes
are not intended to be mutually exclusive or jointly
exhaustive, and as a consequence, more than one specifier may be
given. Specifiers are indicated by the instruction “Specify” or
“Specify if” in the criteria set.
specifiers
IF A CLIENT DOES NOT MEET FULL
DIAGNOSTIC CRITERIA USE THESE THREE
- “PROVISIONAL”
- “OTHER SPECIFIED” DIAGNOSIS
- “UNSPECIFIED” DIAGNOSIS
specifier if it is suspected that the
person will meet criteria (i.e., not enough information could be
collected at time of diagnosis, duration criteria has not been
met yet).
PROVISIONAL DIAGNOSIS
For the clinician to state the
reason the current symptoms do not meet the criteria for any
disorder in the diagnostic class (e.g., other specified depressive
disorder, depressive episode with insufficient symptoms).
“OTHER SPECIFIED” DIAGNOSIS
If the clinician chooses not to specify
the reason that the criteria are not met for a specific disorder. (OR underdiagnose)
UNSPECIFIED DIAGNOSIS
When client has dual diagnoses, you need to state the _____ diagnosis. Or the main focus of attention.
Principal
another long name for v-codes & z-codes
other conditions that may be a focus of clinical attention
codes used to
identify issues that are a focus of clinical attention or affect the diagnosis, course, prognosis, or treatment of a patient’s mental disorder.
Other Conditions That May Be a Focus of Clinical Attention
Give examples of Other Conditions That May Be a Focus of Clinical Attention
Relational problems
Abuse and neglect
Educational and occupations problems
Housing and economic problems
Other problems related to the social environment
Problems related to crime or interaction with the legal system
Other health service encounters for counseling and medical advice
Other psychosocial, personal, and environmental circumstances
Other circumstance of personal history
When should we include v- or z-codes?
is it the focus of
clinical attention? Does it affect the presentation
and course of the focus of clinical attention? Does it
give context to the focus of clinical attention?
Diagnostic assessment
must therefore consider whether an individual’s experiences,
symptoms, and behaviors differ from _________ and
lead to difficulties in adaptation in the cultures of origin and in
specific social or familial contexts.
sociocultural norms
is a cluster or group of co-occurring,
relatively invariant symptoms found in a specific cultural
group, community, or context (e.g., ataque de nervios).
Cultural sydrome