DSM-IV-TR in action / Sophia F. Dziegielewski.

Format:

Book

Author/Creator:

Dziegielewski, Sophia.

Language:

English

Subjects (All):

Mental illness--Classification.

Mental illness.

Mental illness--Diagnosis.

Diagnostic and statistical manual of mental disorders--4th ed., text revision.

Diagnostic and statistical manual of mental disorders.

Mental Disorders--classification.

Mental Disorders--diagnosis.

Psychopathology.

Medical Subjects:

Mental Disorders--classification.

Mental Disorders--diagnosis.

Psychopathology.

Physical Description:

432 pages ; 24 cm

Place of Publication:

New York ; Chichester : Wiley, 2002.

Summary:

The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) is the primary tool mental health clinicians use to diagnose psychopathology in their clients. DSM-IV-TR in Action brings this tool to life by providing clear instruction on how to use it to formulate and complete an assessment, accurately diagnose clients, and prepare a comprehensive treatment plan.

This practical guide highlights new material and features specific, in-depth applications of diagnostic and psychotherapeutic considerations for many commonly treated disorders found in the DSM-IV-TR, such as anorexia nervosa, obsessive-compulsive disorder, and borderline personality disorder. Utilizing numerous case studies, it covers everything from the history of the DSM to formulating treatment interventions using the DSM-IV-TR as a foundation. The information on maintaining clinical records and using time-limited therapy as well as the detailed glossary and appendix of sample treatment plans for a broad array of disorders make this a must-have resource for students as well as seasoned mental health professionals.

Contents:

Section I Utilizing the DSM-IV-TR: Assessment, Planning, and Practice Strategy

Beginning the Process 3

Mental Health Assessment Tools 4

History and Reservations about the DSM 5

DSM-IV-TR: The Latest Revision 8

Diagnostic Labels 9

Another Mental Health Assessment Measure 10

DSM-IV in Action: Utilization of Mental Health Assessment 12

Diagnosis and Assessment: Is There a Difference? 13

A Combination Approach: Realization of the New Assessment 19

Completing the Diagnostic-Assessment Process 21

Professional Training in the Professional Counseling Fields 25

Brief History of the DSM 6

Intent of the DSM-IV-TR Revisions 9

DSM-IV-TR: Positive Aspects (PRO) and Negative Aspects (CON) 10

Multidisciplinary Teams 13

Interdisciplinary Teams 13

Biomedical Factors in Assessment 21

Psychological Factors in Assessment 22

Social and Environmental Factors in Assessment 23

Important Considerations for Completing the New Diagnostic Assessment 24

Chapter 2 Basics and Application 29

Development of the DSM Classification System 30

DSM-IV-TR: Why Another Text Revision? 31

Important Sections in the DSM-IV-TR 35

Culture, Age, and Gender-Related Information 37

Cultural-Bound Syndromes 40

Diagnostic Assessment Factors Related to Age 43

Diagnostic Assessment with Children 44

Diagnostic Assessment with Older Adults 45

Diagnostic Assessment Factors Related to Gender 47

Subtypes and Course Specifiers 49

Use of the Principle and Provisional Diagnosis 51

Use of Not Otherwise Specified 52

Conversion Tables for ICD 8, 9, and 10 29

Reasons for Change in DSM-IV-TR 31

Quick Reference 33

The Basis for Changes in the DSM-IV-TR 34

Diagnostic and Associated Features 36

Identifying Cultural Aspects 38

Creating Cultural Competence in Practitioners 40

Selected Culture-Bound Syndromes 42

Diagnostic Assessment with the Elderly 46

Gender and the Diagnostic Assessment 48

Gender and the Diagnostic Assessment II 49

Severity and Course Specifiers 50

Example of Diagnostic Codes 51

Principle and Provisional Diagnosis 52

Use of the Not Otherwise Specified Category 53

DSM-IV-TR Appendices 54

Chapter 3 Documentation and the Multiaxial Diagnostic Assessment 56

Introduction to the Multiaxial Assessment System 56

Axis I and Axis II: Multiaxial Assessment System 60

Axis II: Application of Defense Mechanisms 72

Axis III: The Multiaxial Assessment System 81

Axis IV: The Multiaxial Assessment System 89

Axis V: The Multiaxial Assessment System 90

Supplements to Axis V 93

Standardized Measurements 93

Ethical and Legal Considerations 100

Pulling It All Together: Use of the Multiaxial System 101

DSM-IV-TR: Multiaxial Assessment 57

Helpful Hint: Nonformal Multiaxial Assessment 59

Helpful Hints: Diagnostic Coding 60

Helpful Hints: Coding on Axis I and Axis II 61

Axis I: Comparison of DSM-III-R and DSM-IV-TR 62

Axis I: Clinical Disorders with Major Subsection Headings 62

Axis I: Other Conditions That May Be a Focus of Clinical Attention 65

Example 1: Documentation of Principle Diagnosis 67

Coding on Axis I 68

Axis I: Questions to Guide the Process 69

Axis II: Types of Mental Retardation 70

Axis II: Types of Personality Disorders 71

Axis II: Questions about Mental Retardation 71

Axis II: Questions about Personality Disorders 72

Coding on Axis II 73

Example: Recording of Defense Mechanisms 73

Defense Levels and Individual Defense Mechanisms (Six Tables) 75

Axis III: Comparison of DSM-III-R and DSM-IV/DSM-IV-TR 81

Helpful Hints: Clinical Presentations Suggestive of a Mental Disorder 83

Axis III: General Medical Conditions 85

Axis II: Assessment Questions 86

Axis III: Assessing Hearing and Vision Problems 88

Axis IV: Changes between DSM-III-R and DSM-IV and DSM-IV-TR 89

Global Assessment of Functioning (GAF) Scale 92

Global Assessment of Relational Functioning (GARF) Scale 94

Social and Occupational Functioning Assessment Scale (SOFAS) 96

Chapter 4 Applications: Beyond the Diagnostic Assessment 105

Documentation, Treatment Planning, and Practice Strategy 105

Selecting an Intervention Framework 117

Practice Strategy and Application 121

Types of Time-Limited Therapy in Mental Health Practice 126

Guiding Principles for Efficient Documentation 107

Information to Be Included in the POR 109

SOAP, SOAPIE, and SOAPIER Recording Formats 109

DAPE Recording Format 111

PIRP and APIE 112

Helpful Hints: Documentation 113

Sample of Identified Problem Behaviors 116

Sample Treatment Plan: Bereavement 118

Definitions of Theoretical Concepts 125

Section II Applications: Selected DSM-IV-TR Disorders

Chapter 5 Reactive Attachment Disorder / Heather T. Forbes, Sophia F. Dziegielewski 143

Reactive Attachment Disorder (RAD) 143

The Definition Used in Practice 146

Standardized Measurement and the Diagnostic Assessment 149

Misdiagnosis and Treatment 150

Attachment Theory 151

Summary and Future Directions 167

Two Primary Types of RAD 144

Mental Retardation 145

Pervasive Mental Disorders 146

Factors Beyond DSM-IV-TR: Individuals with Severe Attachment Difficulties 148

Figure 5.1 Attachment Cycle 152

Figure 5.2 Attachment Types 154

Figure 5.3 Maternal Behavior and Patterns of Attachment 156

Figure 5.4 Client's Genogram 158

Joseph's Multiaxial Assessment 159

Sample Treatment Plan: Elimination Disorder, Enuresis/Nocturnal Only 162

Chapter 6 Conduct Disorder / Shirleyann Amos, Sophia F. Dziegielewski 169

Use of the DSM-IV-TR Multiaxial System 170

Completion of the Diagnostic Assessment 174

Application of the Multiaxial System 175

Diagnostic Summary 177

Contributing Factors 179

Further Information Needed 179

Decision Process for DSM Diagnosis 179

Treatment Plan and Intervention Components 180

Summary and Future Directions 190

Conduct Disorder 172

Identify Primary and Presenting Problem 174

Risk Assessment 174

Mental Status Description 175

Multiaxial Diagnostic Assessment (DSM-IV-TR) 178

Behavioral Definitions 181

Sample Treatment Plan: Charlie 184

Chapter 7 Substance Disorders: Alcoholism / Julie Wenglinsky, Sophia F. Dziegielewski 192

Introduction to Alcoholism 192

DSM-IV-TR: Definition of Alcohol as a Substance Abuse Disorder 193

Types and Phases of Alcoholism 196

Completion of the Diagnostic Assessment 199

Application of Multiaxial Assessment 205

Treatment Planning, Implementation, and Evaluation 208

Intervention Strategy for the Alcoholic 212

Toward an Integrated Approach: Implications for Practice 219

Substance-Related Disorders 193

Criteria for Alcohol Use Disorders 195

Early Recognition of Alcohol-Related Problems 200

General Concerns 201

Common Effects of Excessive Alcohol Consumption within the Family 202

Mental Status Description 205

Robert's Multiaxial Assessment 208

Sample Treatment Plan: Alcohol Use Disorder 210

Sample Treatment Plan: Alcohol Dependence 211

The Twelve Steps to Recovery 218

Chapter 8 Eating Disorders: Anorexia Nervosa / Sophia F. Dziegielewski, Janet D.

Murray 221

Use Of the DSM-IV-TR Multiaxial System 223

Associated Conditions and Features 224

Specific Culture, Age, and Gender Features 225

Historical Aspects and Intervention with Anorexia 226

Completion of the Diagnostic Assessment 227

Application of the Multiaxial Format 231

Treatment Plan and Intervention 237

Criteria for Anorexia Nervosa 223

Subtypes for Anorexia 224

Identify Primary and Presenting Problem 228

Risk Assessment 228

Multiaxial Diagnosis 232

Defense Mechanisms Exhibited 233

Case Application of the GAF 235

Figure 8.1 Daily Body Satisfaction Log 236

M's Identified Goals 237

Sample Treatment Plan 239

SSRIs and Tricyclics 240

SUDS Scale Development 242

VOC Scale 243

Sample Treatment Plan: Sample EMDR Session Worksheet 244

Environmental Considerations 245

Chapter 9 Schizophrenia and the Psychotic Disorders / Sophia F. Dziegielewski, Cheryl E. Green 247

Overview of Schizophrenia and the Primary Psychotic Disorders 249

Introduction to Schizophrenia 254

DSM-IV-TR and the Definition of Schizophrenia 257

Differential Diagnostic Considerations 259

Application of the Multiaxial Diagnostic System 263

Treatment Planning and Intervention Strategy 267

Acute Treatment Plan and Intervention 268

Transition Care Treatment Planning and Strategy 268

Chronic Care Treatment Planning and Strategy 270

Definition of Psychotic 249

Psychotic Characteristics and Symptoms 250

Types of Psychotic Disorders 251

Acculturation Problem 253

Schizophrenia Spectrum 255

Multiaxial Assessment 263

GAF Score Range 40-35 264

Primary Symptoms: Four As

John 265

Delusions of Reference versus Ideas of Reference 266

Mental Status Description 267

John's Identified Goals 267

Sample Treatment Plan: Sample Acute Care Goals and Intervention Provided 269

Antipsychotic Medications in Schizophrenia 273

Treatment Plan Development Topic: Schizophrenia 274

Chapter 10 Anxiety Disorders: Obsessive-Compulsive Disorder / Jennifer Loflin, Carol (Jan) Vaughn, Sophia F. Dziegielewski 278

Anxiety Disorders 278

Overview of Obsessive-Compulsive Disorder 281

Considerations in the Diagnostic Assessment 283

Application of the DSM-IV-TR, Multiaxial Assessment System 287

Treatment Planning 288

Intervention Strategy 290

Building Support Systems 294

Presentation of Anxiety 279

Anxiety Disorders and Related Conditions 281

Quick Reference 282

Identify Primary and Presenting Problem 285

Risk Assessment 286

Mental Status Description 286

Multiaxial Diagnostic System 287

Sample Treatment Plan 289

Sample Scale for Measuring Feelings of Anxiety and Self-Control 291

Chapter 11 Mood Disorders: Bipolar Disorders / Shirleyann Amos, Jennifer Loflin, Karen Simons, Sophia F. Dziegielewski 297

Overview of Mood Disorders 297

Diagnostic Assessment in Adults with Bipolar Disorder 305

Diagnostic Assessment 311

Treatment Planning and Documentation 315

Treatment Strategy 318

Mood Episodes 299

Depressive Disorders 300

Description of Bipolar Mood Disorders 301

Six Subgroups of Bipolar I Disorder 302

Diagnostic Criteria for Bipolar II Disorder 304

Substance Use/Abuse 307

Application of DSM-IV-TR Multiaxial System 311

Multiaxial Assessment 314

Characterizations, Symptoms, and Behaviors 316

Sample Treatment Plan: Bipolar I Disorder, Most Recent Episode Manic 317

Counseling Strategies for Cognitive Therapy 321

Chapter 12 Borderline Personality Disorder / Angela S. Magee, Sophia F. Dziegielewski 325

Overview of Borderline Personality Disorder 325

DSM-IV-TR Multiaxial System 326

Measurement Instruments and Diagnostic Assessment 328

Application of the Multiaxial System 332

Treatment Planning Considerations 334

Intervention Strategy 337

Criteria for Borderline Personality Disorder 327

Identify Primary and Presenting Problem 330

Risk Assessment 331

Mental Status Description 331

Application of the Multiaxis System 334

Behavioral Examples 335

Goals 335

Sample Treatment Plan: Borderline Personality Disorder 336

Appendix B Treatment Plans / Laurel Torres, Erin Webb, Sophia F. Dziegielewski 361

1. Mild Mental Retardation 362

2. Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type 363

3. Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type 364

4. Expressive Language Disorder 365

5. Autistic Disorder 366

6. Separation Anxiety Disorder 367

7. Bulimia Nervosa (Purging Type) 368

8. Schizophrenia (Paranoid Type) 369

9. Major Depressive Disorder, Recurrent 370

10. Bipolar I Disorder, Most Recent Episode Manic 371

11. Generalized Anxiety Disorder 372

12. Antisocial Personality Disorder 373

13. Bereavement 374

14. Male Erectile Disorder, Acquired Type, Generalized Type, Due to Psychological Factors 375

15. Posttraumatic Stress Disorder (PTSD) 376

16. Dementia of the Alzheimer's Type 377.

ISBN:

0471414417

OCLC:

49594341