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Published byMilo Fletcher Modified over 6 years ago
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Knowing the DSM and Behavioral Health Diagnoses: How does this thing work?
Abnormal Psychology 101
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We know we have a medical illness when we experience:
Body Illness Symptoms
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Scientific Evidence-Based Tools Confirm Illness in the Medical Model:
Magnetic Resonance Imaging (MRI) Tumor
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How do we know we are sick in Behavioral Health?
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Behaviors
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FMRI: Functional Magnetic Resonance Imaging
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We used to only see behaviors, so the DSM was born to track and chart groups of behaviors.
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And they’re just as real!
Now we can see both behaviors and the organic condition of the brain to confirm a mental health illness… And they’re just as real! Behavioral Health illnesses are biophysically no different from medical illnesses.
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Now with FMRI’s we can ‘see’ the illness not only
only in a person’s behavior but also as an organic physical brain formation and function.
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Psychiatric (Behavioral Health) Model
Medical Model Malignant Tumor Psychiatric (Behavioral Health) Model Normal Depression Bipolar Schizophrenia OCD
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Autism Normal
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Major Depressive Disorder
Without Depression
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Non PTSD Group PTSD Group
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Hyperactive Frontal Lobe
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So what’s a Diagnosis? DSM-IV-TR
When patterns of behavior cause clinical impairment in self-psyche, social relationships, physical problems and other behavioral functioning problems.
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DSM: 5 Axes Incorporating a biopsychosocial Model
The Mind (Psycho) Interpersonal (Social) The Body (Biology
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Multi-axial System Axis I: Primary area of clinical concern (Psycho)
Axis: II Personality Disorders (Psycho & Social) Axis: III Medical Problems (Bio) Axis IV: Psychosocial & Environmental (Psychosocial) Axis V: Global Assessment of Functioning-GAF (Biopsychosocial)
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Person’s History & Current Presentation
How Do We Use the DSM to Diagnose? Person’s History & Current Presentation Bio Psycho Social
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This Entails: A comprehensive interview gathering a person’s: Medical
Psychiatric Social Family Developmental Environmental Legal Substance Abuse Histories
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How to Code Example #2: Axis I: F84.0 Autism Spectrum Disorder
Axis II: None Axis III: E-11 Diabetes Type 2 Axis IV: Family Relational Problems Educational Problems Socioeconomic Problems Axis V: 32
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Where do you come in? Behavioral interventions are proven to target and activate or suppress areas of the brain that are over or underactive. This ‘re-wiring’ of the brain is a proven biological event.
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Behavioral and educational interventions
are critical for the treatment for mental health illnesses!!
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