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ECPY 621

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.

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ECPY 621

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  1. ECPY 621

  2. Overview of Topics • Activity – Group • Fauman – Chapter 1 • ICD 9 / CPT • Activity – Group • Goals

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

  4. 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.

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

  6. 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…”

  7. 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

  8. ICD – 9 and CPT

  9. 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

  10. 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

  11. Most Valid Diagnoses by Freq. in General Population – Rare • Learning disorders • Gender Identity Disorder • Tourette’s Disorder • Autistic Disorder • Delusional Disorder

  12. Hierarchy of Conservative Diagnoses • Most Favorable • Major Depressive Disorder • Bipolar I Disorder • Middle Ground • Alcohol Dependence • Panic Disorder • Specific or Social Phobia

  13. Hierarchy of Conservative Diagnoses • Middle Ground – cont’ • Obsessive- Compulsive Disorder • Anorexia Nervosa • Substance Dependence – other than alcohol • Borderline Personality Disorder

  14. Hierarchy of Conservative Diagnoses • Least Favorable • Schizophrenia • Antisocial Personality Disorder • Dementia Due to HIV Disease • Dementia of the Alzheimer’s Type

  15. Measurable Goals • Why are they important? • Who has to use them? • What do they have to contain? • How do we know they are measurable?

  16. 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?

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