Beruflich Dokumente
Kultur Dokumente
DSM-5
• Highlight of Changes
• http://www.dsm5.org/Documents/IMPORTANT
%20CODING%20CORRECTIONS%20FOR
%20DSM-5%208-9-13.pdf
Coding corrections
Contents
• Section I
– Introduction and use of the manual
– Forensic use of DSM-5
• Section II
– Diagnostic criteria and codes (22
disorders)
• Section III
• Assessment measures
• Cultural formulation
• Alternative DSM-5 model for personality
disorders
• Conditions for further study
Reorganization of DSM-5
• Lifespan approach: childhood and neurodevelopmental
disorders developing in adolescence and early adulthood
and neurocognitive disorders
Domain 0 1 2 3 4 Score
I. Hallucinations θ Not present θ Equivocal (severity or duration
not sufficient to be considered psychosis) θ Present, but mild
(little pressure to act upon voices, not very bothered by voices) θ
Present and moderate (some pressure to respond to voices, or is
somewhat bothered by voices) θ Present and severe (severe
pressure to respond to voices, or is very bothered by voices)
WHO Disability Assessment Schedule 2.0
• Cognition – understanding & communicating
• Examples:
296.21 Major Depressive Disorder Single Episode,
Mild, With Anxious Distress
296.32 Major Depressive Disorder, Recurrent,
Moderate, With Atypical Features
Not Otherwise Specified (NOS)
– “Unspecified Disorder”
Other Specified Disorder
• Developed so clinician can communicate
specific reason the presentation does not
meet the criteria for any specific disorder
within a diagnostic class
• “Other Specified Depressive Disorder,
Depressive Episode with Insufficient
Symptoms”
Unspecified Disorder
• Used when the clinician does not specify the
reason the criteria are not met for a disorder:
– equivalent of the “Not Otherwise Specified” in
DSM-IV-TR
• Bipolar I Disorder
• Must meet criteria for at least 1 Manic
Episode which may have been preceded
or followed by hypomanic or depressive
episodes
• Bipolar II Disorder
• Must meet criteria for at least 1 Hypomanic
Episode and at least 1 Depressive
Episode
Depressive Disorders
• Disruptive Mood Dysregulation Disorder- for
children up to age 18 (persistently exhibit irritability
and extreme behavioral dyscontrol)
• Premenstrual Dysphoric Disorder- added
•
• Persistent Depressive Disorder- replaced Dysthymic
Disorder
• Major Depressive Disorder- if at least 3 manic
symptoms, acknowledged with specifier “with mixed
features”
• Bereavement exclusion was omitted
Persistent Depressive Disorder
• Formerly dysthymia
evamiller@utpa.edu