Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Classification and Treatment Plans

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Client: The person seeking psychological services. The Client: The person seeking psychological services. Prevalence of Psychological Disorders: ________________________ ________________: Co-existence of mental disorders Clip art copyright © Used with permission.

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Clinical Psychologists (PhD or PsyD) Clip art copyright © Used with permission. The ___________: Mental health professional. There are many types taking many approaches. The ___________: Mental health professional. There are many types taking many approaches. Psychiatrists (MD)

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The DSM-IV The Diagnostic and Statistical Manual of Mental Disorders Concerns in Developing the DSM-IV:  Reliability (_______________)  _________ (measures what it is supposed to measure)  Base Rates (frequency)  Social Context DSM-IV-TR copyright © 2000 American Psychiatric Association.

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Mental Disorder Clinically significant behavioral or psychological syndrome or pattern Distress or disability Significant risk Not expectable, culturally sanctioned response to a particular event Clip art copyright © Used with permission.

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Classification system based on ________________ Descriptive rather than explanatory ______________ orientation Categorical approach _____________ system Assumptions of the DSM-IV

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Neurosis and Psychosis __________: Term referring to behavior that involves distressing, unacceptable symptoms that are enduring and lack any physical basis. Not a modern diagnostic term. __________: Term referring to behavior that involves distressing, unacceptable symptoms that are enduring and lack any physical basis. Not a modern diagnostic term. Psychosis: Term referring to various forms of behavior involving a loss of contact with reality, such as delusions (___________) and hallucinations (______________). Psychosis: Term referring to various forms of behavior involving a loss of contact with reality, such as delusions (___________) and hallucinations (______________).

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Five Axes of the DSM-IV Axis I: ______________ Disorders Axis II: Personality Disorders and Mental Retardation Axis III: _____________________ Axis IV: Psychosocial and Environmental Problems Axis V: Global Assessment of Functioning (_________________)

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Diagnostic Process The Client’s Reported and Observable Symptoms Diagnostic Criteria and Differential Diagnosis Final Diagnosis Case Formulation Cultural Formulation

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. ________________: A series of simple yes/no questions in the DSM-IV-TR about a client’s symptoms that lead to a possible diagnosis. ________________: A series of simple yes/no questions in the DSM-IV-TR about a client’s symptoms that lead to a possible diagnosis. __________________: Ruling out all possible alternative diagnoses. __________________: Ruling out all possible alternative diagnoses.

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cultural Formulation ________________ syndromes: particular patterns of behavior in certain cultures, perhaps reflecting cultural themes that date back for centuries.

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Planning Treatment Establish Treatment Goals  Immediate Goals  Short-Term Goals  Long-Term Goals

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Planning Treatment Determine Treatment Site  Psychiatric Hospitals  Outpatient Treatment  Halfway Houses and Day Treatment Programs  Guidance Counselors  Employee Assistance Program

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Treatment Modality Individual Psychotherapy Family Therapy Group Therapy _________ Therapy (positive, healthy treatment environment)

Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Treatment Implementation The Course of Treatment  The Clinician’s Role  The Client’s Role The Outcome of Treatment