Description
Book SynopsisFull exploitation of the DSM-5 allows for more comprehensive care By demystifying the DSM-5, author Sophia Dziegielewski goes beyond the traditional diagnostic assessment and suggests both treatment plans and practice strategy. She covers the changes in criteria to the DSM-5 and what those changes mean for mental health professionals. This resource has been updated to include:
- New and updated treatment plans
- All treatment plans, interventions strategies, applications, and practice implications are evidence based
- Instructions on doing diagnostic assessments and differential diagnosis using the DSM-5
- Changes to coding and billing using the DSM-5 and ICD-10
The book includes robust tools for students, instructors, and new graduates seeking licensure. DSM-5 in Action makes the DSM-5 accessible to all practitioners, allowing for more accurate, comprehensive care.
Trade Review"This book is a thoroughly researched and organized approach to understanding the DSM-5 and how to use its diagnostic criteria to create a treatment plan/practice strategy. It is easy to read and understand, and the case examples and treatment plans are well done." (Doody 2016)
Table of ContentsPreface xiii
Acknowledgments xvii
Quick Reference List xix
SECTION I
Utilizing the DSM-5: Assessment, Planning, and Practice Strategy
Chapter 1 Getting Started 3
Introduction 3
Beginning the Process 3
Making the Diagnostic Assessment: Tools That Facilitate the Assessment Process 4
Role of Social Workers and Other Mental Health Professionals 4
Development of the DSM Classification System: History and Reservations 6
Diagnostic Labels 14
Another Mental Health Assessment Measure 16
Professional Training in the Professional Counseling Fields 18
Summary 19
Questions for Further Thought 20
References 20
Chapter 2 Basics and Application 23
Utilizing the DSM-5 in the Practice Setting 23
Working as Part of a Team: Connections and Collaborations 25
Diagnosis and Assessment: Is There a Difference? 28
A Combination Approach: The Diagnostic Assessment 33
DSM-5 Updates and Structural Changes 35
DSM-5: Sections and Appendices 39
Important Sections in the DSM-5 45
Culture, Age, and Gender-Related Information 47
Concepts of Distress 53
Culture and Other Diagnostic Assessment Factors Related to Age 57
Culture and Other Diagnostic Assessment Factors Related to Gender 59
Summary 66
Questions for Further Thought 67
References 67
Chapter 3 Completing the Diagnostic Assessment 70
Basics for Completing a Comprehensive Diagnostic Assessment 70
DSM-5 and Completing the Diagnostic Assessment 74
The Principal Diagnosis 76
Subtypes and Course Specifiers 86
Ethical and Legal Considerations 101
Pulling It All Together 102
Summary 104
Questions for Further Thought 105
References 105
Chapter 4 Applications 107
Documentation, Treatment Planning, and Practice Strategy 107
Treatment and Intervention Planning 116
Developing the Treatment Plan 120
Selecting an Intervention Framework 123
Practice Strategy and Application 127
Types of Time-Limited Therapy in Mental Health Practice 131
Summary 140
Questions for Further Thought 143
References 143
SECTION II
Diagnostic and Treatment Applications
Chapter 5 Schizophrenia Spectrum and the Other Psychotic Disorders 149
Sophia F. Dziegielewski
Introduction 149
Toward a Basic Understanding of the Conditions 150
Understanding Individuals Who Suffer From the Psychotic Disorders 151
Important Features Related to the Psychotic Disorders 153
DSM-5: Assessment of Symptoms Measurement 157
Overview of Schizophrenia Spectrum and Other Psychotic Disorders 160
Schizophrenia 167
Beginning the Diagnostic Assessment 173
Schizophrenia and Factors for Consideration in the Diagnostic Assessment 174
Case Application of the Diagnostic Assessment 181
Treatment Planning and Intervention Strategy 186
Special Topics 195
Summary and Future Directions 196
References 197
Chapter 6 Bipolar and Related Disorders 202
Sophia F. Dziegielewski and Olga Molina
Introduction 202
Toward a Basic Understanding of the Bipolar and Related Disorders 202
Understanding Individuals Who Suffer From Bipolar and Related Disorders 204
Overview of the Bipolar and Related Disorders 212
Summary of Bipolar Disorders 221
Diagnostic Assessment in Adults With Bipolar Disorder 222
General Intervention Strategies: Models and Treatment Modalities for the Bipolar Disorders 232
Special Topics 236
Summary and Future Directions 238
References 239
Chapter 7 Depressive Disorders 242
Sophia F. Dziegielewski
Introduction 242
Toward a Basic Understanding of the Disorders 243
Important Features Related to the Depressive Disorders 244
Endogenous and Exogenous Depression: Making a Distinction 246
Overview of the Depressive Disorders 247
The Depressive Disorders and the Diagnostic Assessment 259
Special Topics 270
Assessment of Danger to Self or Others 271
Summary and Future Directions 272
References 273
Chapter 8 Obsessive-Compulsive and Related Disorders 278
Sophia F. Dziegielewski and Barbara F. Turnage
Introduction 278
Toward a Basic Understanding of the Obsessive-Compulsive and Related Disorders 278
Understanding Individuals Who Suffer From the OCD Spectrum Disorders: When Urges Become Overwhelming 280
Important Features Related to the Obsessive-Compulsive and Related Disorders 281
Overview of the Obsessive-Compulsive and Related Disorders 283
Toward a Better Understanding of Obsessive-Compulsive Disorder 289
Obsessive-Compulsive Disorders and the Factors for Consideration in the Diagnostic Assessment 291
Summary and Future Directions 306
References 306
Chapter 9 Trauma- and Stressor-Related Disorders 309
Sophia F. Dziegielewski and Barbara F. Turnage
Introduction 309
Toward a Basic Understanding of Trauma- and Stressor-Related Disorders 309
Understanding Individuals Who Suffer From the Trauma- and Stressor-Related Disorders 310
Important Features Related to the Trauma- and Stressor-Related Disorders 311
Overview of the Trauma- and Stressor-Related Disorders 313
Beginning the Diagnostic Assessment 321
Pulling It All Together: An Integrated Approach 333
Summary and Future Directions 335
References 335
Chapter 10 Sexual Dysfunctions 338
Sophia F. Dziegielewski and Joshua Kirven
Introduction 338
Toward a Basic Understanding of the Sexual Dysfunctions 338
Individuals Who Suffer From a Sexual Dysfunction 340
Important Features and Terms Related to the Sexual Dysfunctions 341
Overview of the Sexual Dysfunctions 343
Sexual Dysfunctions and the Diagnostic Assessment 353
Completing the Diagnostic Assessment 353
Overview of Treatment Methods for the Sexual Disorders 358
Selected Assessment Scales and Methods for Treating the Sexual Disorders 361
Special Topics 364
Applying a Cultural Competence Lens to Diagnosis 367
Summary and Future Directions 369
References 370
Chapter 11 Disruptive Impulse-Control and Conduct Disorders 375
Sophia F. Dziegielewski and Ana M. Leon
Introduction 375
Living With Problematic Self-Control of Emotions and Behavior 376
Overview of the Disruptive, Impulse-Control, and Conduct Disorders 377
The Diagnostic Assessment: Application Basics 387
General Intervention Strategies: Models and Treatment Modalities 403
Summary and Future Directions 411
References 412
Chapter 12 Substance-Related and Addictive Disorders 417
Sophia F. Dziegielewski
Toward a Basic Understanding of the Substance-Related and Addictive Disorders 418
Understanding the Individuals Who Suffer From the Substance Disorders 419
Overview of the Substance-Related and Addictive Disorders 425
Beginning the Diagnostic Assessment: Alcohol-Related Disorders 436
Treatment Planning and Intervention Strategy 445
Brief Interventions in Primary Care Settings 453
Topics of Interest 456
Misuse of Prescription Medications 461
Summary and Future Directions 462
References 463
Chapter 13 Personality Disorders 467
Sophia F. Dziegielewski and George A. Jacinto
Introduction 467
Toward a Basic Understanding of the Personality Disorders 468
Understanding Individuals Suffering From a Personality Disorder 468
What Is a Personality Disorder? 471
Cluster A Personality Disorders 471
Cluster B Personality Disorders 475
Cluster C Personality Disorders 482
Other Personality Disorders 485
Summary of the Personality Disorders 487
Borderline Personality Disorder (BPD) 487
Strategies for Individual Therapy and Intervention 500
Section III: Alternative DSM-5 Model for the Personality Disorders 502
Summary and Future Directions 503
References 504
Appendix: Quick References: Selected Disorders—Criteria and Treatment Plans 507
Author Index 545
Subject Index 561
About the Author 583
