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DSM-5 (R) Made Easy: The Clinician's Guide to Diagnosis - Hardcover

Morrison, James

 
9781462514427: DSM-5 (R) Made Easy: The Clinician's Guide to Diagnosis

Inhaltsangabe

In this indispensable book, master diagnostician James Morrison presents the spectrum of diagnoses in DSM-5 in an accessible, engaging, clinically useful format. Demystifying DSM-5 criteria without sacrificing accuracy, the book includes ICD-10-CM codes for each disorder. More than 130 detailed case vignettes illustrate typical patient presentations; down-to-earth discussions of each case demonstrate how to arrive at the diagnosis and rule out other likely possibilities. Providing a wealth of diagnostic pointers, Morrison writes with the wisdom and wit that made his guide to the prior DSM a valued resource for hundreds of thousands of clinicians and students. His website (www.guilford.com/jm) offers additional discussion and resources related to psychiatric diagnosis and DSM-5.

See also Morrison's Diagnosis Made Easier, Second Edition, which offers principles and decision trees for integrating diagnostic information from multiple sources; The First Interview, Fourth Edition, which presents a framework for conducting thorough, empathic initial evaluations; and The Mental Health Clinician's Workbook, which uses in-depth cases and carefully constructed exercises to build the reader's diagnostic skills.

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Über die Autorinnen und Autoren

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James Morrison, MD, is Affiliate Professor of Psychiatry at Oregon Health and Science University in Portland. He has extensive experience in both the private and public sectors. With his acclaimed practical books--including DSM-5 Made Easy; Diagnosis Made Easier, Second Edition; The First Interview, Fourth Edition; Interviewing Children and Adolescents, Second Edition; When Psychological Problems Mask Medical Disorders, Second Edition; and The Mental Health Clinician's Workbook--Dr. Morrison has guided hundreds of thousands of mental health professionals and students through the complexities of clinical evaluation and diagnosis.

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DSM-5 Made Easy

The Clinician's Guide to Diagnosis

By James R. Morrison

The Guilford Press

Copyright © 2014 The Guilford Press
All rights reserved.
ISBN: 978-1-4625-1442-7

Contents

Cover,
Also from James Morrison,
Title Page,
Copyright Page,
Dedication Page,
About the Author,
Acknowledgments,
FREQUENTLY NEEDED TABLES,
INTRODUCTION,
CHAPTER 1 Neurodevelopmental Disorders,
CHAPTER 2 Schizophrenia Spectrum and Other Psychotic Disorders,
CHAPTER 3 Mood Disorders,
CHAPTER 4 Anxiety Disorders,
CHAPTER 5 Obsessive–Compulsive and Related Disorders,
CHAPTER 6 Trauma- and Stressor-Related Disorders,
CHAPTER 7 Dissociative Disorders,
CHAPTER 8 Somatic Symptom and Related Disorders,
CHAPTER 9 Feeding and Eating Disorders,
CHAPTER 10 Elimination Disorders,
CHAPTER 11 Sleep–Wake Disorders,
CHAPTER 12 Sexual Dysfunctions,
CHAPTER 13 Gender Dysphoria,
CHAPTER 14 Disruptive, Impulse-Control, and Conduct Disorders,
CHAPTER 15 Substance-Related and Addictive Disorders,
CHAPTER 16 Cognitive Disorders,
CHAPTER 17 Personality Disorders,
CHAPTER 18 Paraphilic Disorders,
CHAPTER 19 Other Factors That May Need Clinical Attention,
CHAPTER 20 Patients and Diagnoses,
APPENDIX Essential Tables,
Global Assessment of Functioning (GAF) Scale,
Physical Disorders That Affect Mental Diagnosis,
Classes (or Names) of Medications That Can Cause Mental Disorders,
INDEX,
About Guilford Press,
Discover Related Guilford Books,


CHAPTER 1

Neurodevelopmental Disorders


In earlier DSMs, the name of this chapter was even more of a mouthful: "Disorders Usually First Evident in Infancy, Childhood, or Adolescence." Now the focus is on the individual during the formative period, when the development of the nervous system takes place, hence, and logically enough, neurodevelopmental. However, DSM-5 Made Easy emphasizes the evaluation of older patients — later adolescence to maturity, and beyond. For that reason, I've taken some liberties in arranging the conditions discussed in this chapter — placing those that I discuss at length at the beginning, and listing later just the prototypes (with some discussion) for others.

Of course, many of the disorders considered in subsequent chapters can be first encountered in children or young adolescents; anorexia nervosa and schizophrenia are two examples that spring to mind. Conversely, many of the disorders discussed in this chapter can continue to cause problems for years after a child has grown up. But only a few commonly occupy clinicians who treat adults. For the remainder of the disorders DSM-5 includes in its first chapter, I provide introductions and Essential Features, but no illustrative case example.


Quick Guide to the Neurodevelopmental Disorders

In every Quick Guide, there's a link to the point at which the discussion begins. Also mentioned below, just as in any other competent differential diagnosis, are various conditions arising in early life that are discussed in other chapters.


Autism and Intellectual Disability

Intellectual disability. This condition usually begins in infancy; people with it have low intelligence that causes them to need special help in coping with life.

Borderline intellectual functioning. This term indicates persons nominally ranked in the IQ range of 71–84 who do not have the coping problems associated with intellectual disability.

Autism spectrum disorder. From early childhood, the patient has impaired social interactions and communications, and shows stereotyped behaviors and interests.

Global developmental delay. Use when a child under the age of 5 seems to be falling behind developmentally but you cannot reliably assess the degree.

Unspecified intellectual disability. Use this category when a child 5 years old or older cannot be reliably assessed, perhaps due to physical or mental impairment.


Communication and Learning Disorders

Language disorder. A child's delay in using spoken and written language is characterized by small vocabulary, grammatically incorrect sentences, and/or trouble understanding words or sentences.

Social (pragmatic) communication disorder. Despite adequate vocabulary and the ability to create sentences, these patients have trouble with the practical use of language; their conversational interactions tend to be inappropriate.

Speech sound disorder. Correct speech develops slowly for the patient's age or dialect.

Childhood-onset fluency disorder (stuttering). The normal fluency of speech is frequently disrupted.

Selective mutism. A child chooses not to talk, except when alone or with select intimates. DSM-5 lists this as an anxiety disorder.

Specific learning disorder. This may involve problems with reading, mathematics, or written expression.

Academic or educational problem. This Z-code is used when a scholastic problem (other than a learning disorder) is the focus of treatment.

Unspecified communication disorder. Use for communication problems where you haven't enough information to make a specific diagnosis.


Tic and Motor Disorders

Developmental coordination disorder. The patient is slow to develop motor coordination; some also have attention-deficit/hyperactivity disorder or learning disorders.

Stereotypic movement disorder. Patients repeatedly rock, bang their heads, bite themselves, or pick at their own skin or body orifices.

Tourette's disorder. Multiple vocal and motor tics occur frequently throughout the day in these patients.

Persistent (chronic) motor or vocal tic disorder. A patient has either motor or vocal tics, but not both.

Provisional tic disorder. Tics occur for no longer than 1 year.

Other or unspecified tic disorder. Use one of these categories for tics that do not meet the criteria for any of the preceding.


Attention-Deficit and Disruptive Behavior Disorders

Attention-deficit/hyperactivity disorder. In this common condition (usually abbreviated as ADHD), patients are hyperactive, impulsive, or inattentive, and often all three.

Other specified (or unspecified) attention-deficit/hyperactivity disorder. Use these categories for symptoms of hyperactivity, impulsivity, or inattention that do not meet full criteria for ADHD.

Oppositional defiant disorder. Multiple examples of negativistic behavior persist for at least 6 months.

Conduct disorder. A child persistently violates rules or the rights of others.


Disorders of Eating, Sleeping, and Elimination

Pica. The patient eats material that is not food.

Rumination disorder. There is persistent regurgitation and chewing of food already eaten.

Encopresis. At age 4 years or later, the patient repeatedly passes feces into clothing or onto the floor.

Enuresis. At age 5 years or later, there is repeated voiding of urine (it can be voluntary or involuntary) into bedding or clothing.

Non-rapid eye movement sleep arousal disorder, sleep terror type. During the first part of the night, these patients cry out in apparent fear. Often they don't really wake up at all. This behavior is...

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