Course Outline
DSM-5-TR Changes and Additions
Brief Review of Diagnosis using the DSM-5-TR and ICD-10-CM
Four Step Differential Diagnosis Method
DSM-5-TR Diagnoses with Common Presenting Symptoms
Objectives
- Why a revision to the DSM-5?
- Significant advances in understanding specific disorders
- Knowledge of the impact of racism on diagnosis and presenting symptoms
- Alignment with the ICD-11 disorder names and codes
- Key diagnostic changes
- Prolonged Grief Disorder, Suicidal Behavior, Nonsuicidal Self-Injury
- Changed diagnostic criteria-sets for over 70 mental disorders
- New names for disorders and symptoms
- New mental disorder subtypes and specifiers
- Revised text for almost all disorders and increased emphasis on the impact of racism and discrimination in diagnosis
- Revised ICD-10-CM codes
Brief Review of Diagnosis using the DSM-5-TR and ICD-10-CM
- Using the DSM-5-TR Manual for diagnosis and ICD-10 coding and recording
- Web-based DSM-5 resources
Four Step Differential Diagnosis Method
- Effective intake interview strategies
- Identify Cognitive, Affective, and Behavioral DSM-5-TR symptom clusters
- Compile an accurate and comprehensive differential diagnosis list
- Determining the initial DSM-5-TR diagnosis list
- Identifying Comorbid Disorders
DSM-5-TR Diagnoses with Common Presenting Symptoms
- Mental Disorders with symptoms of Depression, Anxiety, and Psychosis
- Differentiating Depressive Disorders
- Normal Grief versus DSM-5-TR Prolonged Grief Disorder
- Differentiating Anxiety Disorders
- Psychosis, patterns of cognitive symptoms, and cognitive deficits
- Mental Disorders on the Schizophrenia Spectrum versus Bipolar Disorders
- Substances and Medical Conditions associated with psychological symptoms
- Effectively differentiate overlapping disorders and identify comorbid conditions
Differential Diagnoses of Clients with Dysfunctional Behaviors
Diagnosis Challenge Cases
- Clients with symptoms associated with experiences of Trauma control
- DSM-5-TR Trauma and Stressor-Related Mental Disorders
- Differential Diagnosis of Mental Disorders Developing after Stressors
- Clients with Impulsive Behaviors or Poor Impulse Control
- Normal development of self-regulation and its implications in children and adults with impulse control problems
- Substance-Related and Medical Conditions that Impact Impulse Regulation
- DSM-5-TR Disorders with Dominant Disruptive and Impulse Control symptoms
Diagnosis Challenge Cases
- Case 1: Client with multiple problems
- Case 2: A sad, overwhelmed client
- Case 3: Fearful and worried client
- Case 4: Out-of-control and angry adolescent
Objectives
- Describe the new additions and revisions in the DSM-5-TR impacting diagnosis of mental disorders.
- Conduct a four-step diagnostic process to accurately identify and code a client’s diagnosis.
- Investigate common differential DSM-5-TR diagnoses for clients with anxiety, depressive, or abnormal cognitive symptoms.
- Differentiate between overlapping symptoms and comorbid conditions in order to provide the correct diagnosis.
- Analyze differential diagnoses for clients who present with disruptive behavior.
- Collect the specific information required for an accurate differential DSM-5-TR diagnosis of clients with a history of trauma.
- Utilize the DSM-5-TR severity tables, assessment tools, and coding notes to improve the accuracy of diagnosis and ICD-10 coding.
