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Chapter 3: Diagnosis and Assessment

Chapter 3: Diagnosis and Assessment. Axes changed from 3 to 2 Diagnosis names changed Personality Disorders changes not adopted 347 diagnoses. Multi-Axial System. DSM-IV-TR uses a 5-axis system DSM-5 uses 2 axes Psychiatric & Medical Diagnoses Psychosocial and Contextual Factors

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Chapter 3: Diagnosis and Assessment

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  1. Chapter 3: Diagnosis and Assessment • Axes changed from 3 to 2 • Diagnosis names changed • Personality Disorders changes not adopted • 347 diagnoses

  2. Multi-Axial System • DSM-IV-TR uses a 5-axis system • DSM-5 uses 2 axes • Psychiatric & Medical Diagnoses • Psychosocial and Contextual Factors • Renamed from Psychosocial and Environmental Problems • Anticipated severity index not included

  3. Diagnosis Names Changed • Names changed to better align with the WHO and the ICD • Intellectual Disability • Replaces Intellectual Developmental Disorder • Somatic Symptom & Related Disorders • Replaces Somatic Symptom Disorder • Substance-Related & Addictive Disorders • Replaces Substance Related Disorders

  4. Unadopted Changes Listed as Proposed in the 12th ed. • Proposed Diagnoses not included • Mixed Anxiety/Depressive Disorder • Personality Disorders • Specific diagnoses retained from DSM-IV-TR • Proposed revisions included in Section III • For further study

  5. Cultural Concepts of Distress • Cultural Formulation • 9 Concepts of Distress • Replaces 25 separate diagnoses • Focus on influence of culture on disorder presentation

  6. Growth in Number of Diagnoses • DSM-IV-TR has 297 diagnoses • DSM-5 has 347

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