Principal Diagnoses

ReadingsIn your DSM-5 text:Read “Depressive Disorders,” pages 155–188.Read “Bipolar and Related Disorders,” pages 123–154.In reading these two sections of the DSM-5 text, you will learn about the family of disorders known as major depression, bipolar disorder, and Persistent Depressive Disorder (dysthymia), and about their many variations, modifiers and severity specifiers. It will be to your advantage if you devise a way to quickly identify a way to know which pages you will need to use to clarify diagnoses in among the types of mood disorders as they can be quite complicated and involved.Read “Assessment Measures,” pages 733–748. This will help you learn to understand and review important psychopathological domains necessary for good diagnostic interviews. It provides an effective perspective for tracking symptom severity in any individual and provides guidance for assessing disabilities. (Versions of these assessment tools may be found online at the American Psychiatric Association’s DSM-5 Web site.Carefully review “Feeding and Eating Disorders,” pages 329–354. Eating disorders such as anorexia nervosa and bulimia nervosa are addressed in this chapter.Principal DiagnosesBased on the material presented in the Case Study of Bill:Provide the DSM-5 differential diagnoses for Bill, including a listing of “Other Factors,” and support your decision process with a brief narrative.Refer to the Alphabetical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM and ICD-10-CM) and Numerical Listing of DSM-5 Diagnoses and Codes (ICD-10-CMS) in your DSM-5 text, pages 839–862 and 877–896 and detail any differences in the diagnosis that you might find if you were to use the ICD-10 to arrive at the diagnosis or diagnoses. (As this is your first look at the comparison between the ICD-10 and the DSM classification systems, you may want to take a little time to understand how these systems relate to each other.)Explain the etiological factors that you think are relevant in this case along with their reasons, keeping the diathesis-stress model in mind. You will need to do some research to clearly explain and support your reasons for suspecting these etiological factors.List the three primary issues that need to be addressed in a treatment plan for Bill.Review the Case Study Response Guide to assist you with this discussion.

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