ECPY 621

Overview of Topics  Activity – Group  Fauman – Chapter 1  ICD 9 / CPT  Activity – Group  Goals

Fauman’s Book  Syndromes  Criteria  Normal vs. Abnormal  Dimensional vs. Categorical

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.

NOS vs. Rule-out  NOS not a catchall  Rule out possible Dx.  Use multiple Dx.

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

ICD – 9 and CPT

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?

Goals cont’  Measurable Short Term Goals Who will measure? What is the goal? Where is the behavior now? When will we measure? How will we measure?