DSM-IV: Diagnostic and Statistical Manual of Mental Disorders
Language: English
Pages: 886
ISBN: 0890420610
Format: PDF / Kindle (mobi) / ePub
Known as "DSM-IV", the latest version of this mental health manual features a new coding system compatible with the ICD-10. Based on the results of field trials, a number of criteria sets are simplified for use in clinical settings: somatisation disorder; schizophrenia; generalised anxiety disorder; and antisocial personality disorder. The "DSM-IV" text is expanded to maximise clinical utility and educational value. Additional subsections of text are: "Associated Laboratory Findings" to note lab tests that may be relevant to a particular diagnosis; an "Age-Related Features" section, added to most disorders to note how the disorder presents differently throughout the life cycle; a "Gender-Related Features" section including presentations that vary by gender; a "Culture-Related Features" section for each disorder, to discuss how the disorder presents differently in different cultural settings; and the "DSM-IV Substance Use" section discussing each substance in great detail, describing patterns of use and substance-induced conditions.
Scale called the Global Assessment Scale (GAS) (Endicott J, Spitzer RL, Fleiss JL, Cohen J: "The Global Assessment Scale: A Procedure for Measuring Overall Severity of Psychiatric Disturbance." Archives of General Psychiatry 33:766-771, 1976). A modified version of the GAS was included in DSM-III-R as the Global Assessment of Functioning (GAF) Scale. Multiaxial Assessment 33 Examples of How to Record Results of a DSM-1V Multiaxial Evaluation Example 1: Axis I 296.23 Axis II Axis III Axis IV
from the substantial increase in the research on diagnosis that was generated in part by DSM-III and DSM-III-R. Most diagnoses now have an empirical literature or available data sets that are relevant to decisions regarding the revision of the diagnostic manual. The Task Force oh DSM-IV and its Work Groups conducted a three-stage empirical process that included 1) comprehensive and systematic reviews of the published literature, 2) reanalyses of already-collected data sets, and 3) extensive
withdrawal syndrome and when the symptoms are sufficiently severe to warrant independent clinical attention. Code (Specific Substance] Withdrawal Delirium: (291.0 Alcohol; 292.81 Sedative, Hypnotic, or Anxiolytic; 292.81 Other [or Unknown] Substance) Delirium Due to Multiple Etiologies The Delirium Due to Multiple Etiologies category is included to alert clinicians to the common situation in which the delirium has more than one etiology. There may be more than one general medical condition
impairments and how these impairments affect the particular abilities in question. It is precisely because impairments, abilities, and disabilities vary widely within each diagnostic category that assignment of a particular diagnosis does not imply a specific level of impairment or disability. Nonclinical decision makers should also be cautioned that a diagnosis does not carry any necessary implications regarding the causes of the individual's mental disorder or its associated impairments.
Medical Condition is not given. 290.0 Uncomplicated: if none of the above predominates in the current clinical presentation Specify if: With Behavioral Disturbance Coding note: Also code 331.0 Alzheimer's disease on Axis III. 290.4x Vascular Dementia (formerly y Multi-Infarct Dementia) Diagnostic Features The cognitive deficits (Criterion A) and the required impairment (Criterion B) in Vascular Dementia are discussed on pp. 133-135. There must be evidence of cerebrovascular disease (i.e., focal