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. 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.

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

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…”

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

ICD – 9 and CPT

Package

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

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

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

Hierarchy of Conservative Diagnoses Most Favorable

Major Depressive Disorder Bipolar I Disorder

Middle Ground Alcohol Dependence Panic Disorder Specific or Social Phobia

Hierarchy of Conservative Diagnoses Middle Ground – cont’

Obsessive- Compulsive Disorder Anorexia Nervosa Substance Dependence – other than alcohol Borderline Personality Disorder

Hierarchy of Conservative Diagnoses Least Favorable

Schizophrenia Antisocial Personality Disorder Dementia Due to HIV Disease Dementia of the Alzheimer’s Type

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

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?