What is DSM-IV-TR used for?

DSM-IV-TR provides diagnostic criterion sets to help guide a clinician toward a correct diagnosis and an additional section devoted to differential diagnosis when persons meet diagnostic criteria for more than one disorder.

How does DSM IV TR characterize bipolar disorder?

Bipolar disorder is characterized by the occurrence of at least one manic or mixed-manic episode during the patient’s lifetime. Most patients also, at other times, have one or more depressive episodes. In the intervals between these episodes, most patients return to their normal state of well-being.

How do you make a DSM-5 diagnosis?

Six Steps to Better DSM-5 Differential Diagnosis

1. Step 1: Rule Out Malingering and Factitious Disorder.
2. Step 2: Rule Out Substance Etiology.
3. Step 3: Rule Out Disorder Due to a General Medical Condition.
4. Step 4: Determining the Specific Primary Disorder.
5. Step 5: Differentiate Adjustment Disorders From Residual Other or Unspecified Categories.

What is the best drug for anxiety and panic attacks?

Medications

• Selective serotonin reuptake inhibitors (SSRIs). Generally safe with a low risk of serious side effects, SSRI antidepressants are typically recommended as the first choice of medications to treat panic attacks.
• Serotonin and norepinephrine reuptake inhibitors (SNRIs).
• Benzodiazepines.

What is Axis IV in mental health?

Axis IV: Psychosocial and Environmental Problems (DSM-IV-TR, p. 31) “Axis IV is for reporting psychosocial and environmental problems that may affect the diagnosis, treatment, and prognosis of mental disorders (Axes I and II).

What is the DSM V Tr?

The “Diagnostic and Statistical Manual of Mental Disorders” (DSM) is the handbook widely used by clinicians and psychiatrists in the United States to diagnose psychiatric illnesses. It contains descriptions, symptoms, and other criteria necessary for diagnosing mental health disorders.

What are the five axes of the DSM-IV TR?

Axis I consisted of mental health and substance use disorders (SUDs); Axis II was reserved for personality disorders and mental retardation; Axis III was used for coding general medical conditions; Axis IV was to note psychosocial and environmental problems (e.g., housing, employment); and Axis V was an assessment of …

What are the 10 classes of drugs that are included in the DSM 5?

The DSM 5 recognizes substance-related disorders resulting from the use of 10 separate classes of drugs: alcohol; caffeine; cannabis; hallucinogens (phencyclidine or similarly acting arylcyclohexylamines, and other hallucinogens, such as LSD); inhalants; opioids; sedatives, hypnotics, or anxiolytics; stimulants ( …

How is the DSM used to diagnose an individual?

DSM contains descriptions, symptoms, and other criteria for diagnosing mental disorders. It provides a common language for clinicians to communicate about their patients and establishes consistent and reliable diagnoses that can be used in the research of mental disorders.

What is the DSM 5 code for substance use disorder?

F1x.10

What is the DSM-5 criteria for alcohol use disorder?

DSM-5 criteria are as follows: A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by 2 or more of the following, occurring at any time in the same 12-month period: Alcohol is often taken in larger amounts or over a longer period than was intended.

Can anxiety make you physically ill?

But the fact is, worrying can affect the body in ways that may surprise you. When worrying becomes excessive, it can lead to feelings of high anxiety and even cause you to be physically ill.

What physical symptoms are caused by anxiety?

Physical symptoms of anxiety

• stomach pain, nausea, or digestive trouble.
• headache.
• insomnia or other sleep issues (waking up frequently, for example)
• weakness or fatigue.
• rapid breathing or shortness of breath.
• pounding heart or increased heart rate.
• sweating.
• trembling or shaking.

What is the difference between DSM IV and DSM 5?

In the DSM-IV, patients only needed one symptom present to be diagnosed with substance abuse, while the DSM-5 requires two or more symptoms in order to be diagnosed with substance use disorder. The DSM-5 eliminated the physiological subtype and the diagnosis of polysubstance dependence.

What are the major categories of psychopathology?

Within psychopathology, mental disorders are classified into categories of developmental, anxiety, cognitive, mood, eating, sleeping, substance, psychotic, somatoform and personality disorders.

How do you write a diagnosis code?

Diagnosis Coding

1. Select the diagnosis code with the highest number of digits available to describe the patient’s condition.
2. Do not add zeros after the decimal to artificially create up to the fifth or seventh digit.
3. List a secondary diagnosis only when it has a bearing on the patient’s current medical condition and treatment.

What are the components of a DSM-5 diagnosis?

DSM consists of three major components: the diagnostic classification, the diagnostic criteria sets, and the descriptive text. The diagnostic classification is the official list of mental disorders recognized in DSM.

What are the 5 DSM categories?

Contents

• 1.2.1 Neurodevelopmental disorders.
• 1.2.2 Schizophrenia spectrum and other psychotic disorders.
• 1.2.3 Bipolar and related disorders.
• 1.2.4 Depressive disorders.
• 1.2.5 Anxiety disorders.
• 1.2.6 Obsessive-compulsive and related disorders.
• 1.2.7 Trauma- and stressor-related disorders.
• 1.2.8 Dissociative disorders.

What are the five axes of DSM-5?

Why Multiaxial Diagnosis Is Outdated

• What Are the Five Axes in a Multiaxial Diagnosis?
• Axis I: Clinical Disorders.
• Axis II: Personality Disorders or Mental Retardation.
• Axis III: Medical or Physical Conditions.
• Axis IV: Contributing Environmental or Psychosocial Factors.
• Axis V: Global Assessment of Functioning.

What is the drug of choice for anxiety?

Benzodiazepines (also known as tranquilizers) are the most widely prescribed type of medication for anxiety. Drugs such as Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), and Ativan (lorazepam) work quickly, typically bringing relief within 30 minutes to an hour.

What criteria are used to diagnose anxiety or panic disorders?

DSM-5 criteria for panic disorder include the experiencing of recurrent panic attacks, with 1 or more attacks followed by at least 1 month of fear of another panic attack or significant maladaptive behavior related to the attacks.

What are the new depressive disorder diagnosis in DSM-5?

DSM-5 contains several new depressive disorders, including disruptive mood dysregulation disorder and premenstrual dysphoric disorder.

What is the first line treatment for anxiety?

Selective serotonin reuptake inhibitors (SSRIs) are generally considered first-line therapy for GAD and PD. 19–22 Tricyclic antidepressants (TCAs) are better studied for PD, but are thought to be effective for both GAD and PD.