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The DSM 4. Anyone got a lifeboat?. See The Pen?. Write it down…. What is it?. The Diagnostic and Statistical Manual of Mental Disorders Used by medical and mental health professionals to diagnose disorders of mental health, development, and social adjustment. Where are We?. Current version

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The DSM 4

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The dsm 4 l.jpg

The DSM 4

Anyone got a lifeboat?


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See The Pen?

  • Write it down…


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What is it?

  • The Diagnostic and Statistical Manual of Mental Disorders

  • Used by medical and mental health professionals to diagnose disorders of mental health, development, and social adjustment


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Where are We?

  • Current version

  • Created by the American Psychiatric Association

  • Based on work of Emil Kraepelin - Late 1800s to early 1900s


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How is it used

  • Used to classify seemingly not normal development or behaviour by placing it in a disorder or disease

  • You must meet a specific number of criteria to be diagnosed with a disease or disorder


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The 5 Axis Approach

  • Axis I

    􀁻Clinical syndromes and V-Codes

  • Axis II

    􀁻Developmental and Personality Disorders

  • Axis III

    􀁻Physical disorders

  • Axis IV

    􀁻Severity of Psychosocial Stressors

  • Axis V

    􀁻Global Assessment of Functioning


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New Inclusions

  • Appendix A

  • 􀁻Controversial new disorders

  • 􀁺Appendix B

  • 􀁻Decision Trees

  • 􀁺Appendix C

  • 􀁻Glossary of Technical Terms


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New Version Coming in 2012

Is it soon enough?


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“Classic” ADHD?

  • Dennis the Menace

  • Impulsive

  • Lack of Consequence

  • Unable to Maintain Focus

  • Short Term Memory

  • Difficulty Waiting Turn

  • Interupts


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Who tends to get a diagnosis?

  • Some interesting statistics to think about…

  • According to [neurologist Dr. Fred] Baughman, 500,000 children [in the USA] were diagnosed ADHD in 1985 and between 5 and 7 million were today.

  • Schizophrenia affects 1% of the Canadian population.


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  • About 1% of Canadians will experience bipolar disorder (or "manic depression").

  • African Americans may be less likely to suffer from major depression and more likely to suffer from phobias

  • Men from Black Caribbean, Black African, and other Black groups were more likely than other groups to have been detained under the Mental Health Act 1983.


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  • The risk of suicide in federal prisons remains "unacceptably high"

  • Government inaction puts inmates at risk: Prison watchdog By Janice Tibbetts, Canwest News Service


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So… What are the factors that can lead to a diagnosis?


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Advantages

  • People get help

  • Treatments are available

  • Treatments very from medical, to analysis, to therapy, to counseling, to some combination

  • Funding


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Disadvantages

  • Not reliable enough

  • Assumes western culture

  • Child and adolescent are not considered enough

  • Too medical


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But…Remember Dennis?


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Can he have a…?


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Based on what you know – if you had something that could be considered a “disorder”, would you want a doctor to use the DSM IV with you? Include consideration of advantages and disadvantages in your answer.

Outcomes Covered:

Identify various psychological disorders and the corresponding therapies

Assessment


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