Download Mental Disorder

Classification
and Treatment
Plans
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The Client:
The person seeking psychological
services.
Prevalence of Psychological Disorders:
________________________
________________:
Co-existence of mental disorders
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The ___________:
Mental health professional.
There are many types
taking many approaches.
Clinical Psychologists (PhD or PsyD)
Psychiatrists (MD)
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Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
The Diagnostic and Statistical Manual
of Mental Disorders
The DSM-IV
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
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Assumptions of the DSM-IV

Classification system based on
________________
 Descriptive rather than
explanatory
 ______________ orientation
 Categorical approach
 _____________ system
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__________:
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.
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
(_________________)
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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.
__________________:
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.
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Planning Treatment

Establish Treatment Goals
 Immediate Goals
 Short-Term Goals
 Long-Term Goals
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Planning Treatment
Determine Treatment Site
 Psychiatric Hospitals
 Outpatient Treatment
 Halfway Houses and
Day Treatment Programs
 Guidance Counselors
 Employee Assistance Program
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Treatment Modality

Individual Psychotherapy
 Family Therapy
 Group Therapy
 _________ Therapy (positive,
healthy treatment environment)
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Treatment Implementation

The Course of Treatment
 The Clinician’s Role
 The Client’s Role

The Outcome of Treatment
Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display.