ECPY 621
Dec 14, 2015
General Criteria of DSM Disorder not due to direct effects of a
substance. Disorder not due to direct effects of a general
medical condition. Disorder causes clinically significant distress
or impairment in social, occupational, or other important areas of functioning.
Precedence of Dx “not due to the direct effects of a
substance…” “has never met the criteria for…” “does not meet the criteria for…” “does not occur exclusively during the course
of ….” “not better accounted for by…”
AXIS Axis I : Clinical Disorders Axis II: Personality Disorder and Mental
Retardation Axis III: General Medical Condition Axis IV: Psychosocial and Environmental
Problems Axis V: Global Assessment of Functioning
Most Valid Diagnoses by Freq. in General Population – Common Major Depressive Disorder, Single Episode Alcohol Dependence Bipolar I Disorder Schizophrenia Major Depressive Disorder Somatization Disorder Borderline Personality Disorder
Most Valid Diagnoses by Freq. in General Population – Less Common Panic Disorder with or w/o agoraphobia Dementias – Including Alzheimer’s,
Vascular, Due to HIV Infection Antisocial Personality Disorder Obsessive-Compulsive Disorder Mental Retardation Anorexia Nervosa
Most Valid Diagnoses by Freq. in General Population – Rare Learning disorders Gender Identity Disorder Tourette’s Disorder Autistic Disorder Delusional Disorder
Hierarchy of Conservative Diagnoses Most Favorable
Major Depressive Disorder Bipolar I Disorder
Middle Ground Alcohol Dependence Panic Disorder Specific or Social Phobia
Hierarchy of Conservative Diagnoses Middle Ground – cont’
Obsessive- Compulsive Disorder Anorexia Nervosa Substance Dependence – other than alcohol Borderline Personality Disorder
Hierarchy of Conservative Diagnoses Least Favorable
Schizophrenia Antisocial Personality Disorder Dementia Due to HIV Disease Dementia of the Alzheimer’s Type
Measurable Goals Why are they important? Who has to use them? What do they have to contain? How do we know they are measurable?