By Allen Frances MD
Read Online or Download Essentials of Psychiatric Diagnosis, Revised Edition: Responding to the Challenge of DSM-5® PDF
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Extra info for Essentials of Psychiatric Diagnosis, Revised Edition: Responding to the Challenge of DSM-5®
Sample text
Differential Diagnosis: Rule These Conditions Out • Bipolar Disorders. , euphoric mood, grandiosity, not needing sleep, increased productivity and sociability, racing thoughts, impulsivity, spending sprees, reckless sexual behavior). • Uncomplicated Bereavement. The depressive symptoms are better understood as an expectable manifestation of normal grief. • Depressive Disorder Due to Another Medical Condition. Consider this particularly in older patients. • Substance-Induced Mood Disorder. Symptoms are caused by drug abuse, particularly in younger patients, or by medications, particularly in older patients.
It is seemingly impossible to postpone gratification or resist temptation. Decisions are made quickly and impulsively, without sufficient planning, thought, or consideration of risks or consequences. Disorders Usually First Diagnosed in Childhood and Adolescence 19 Inattention The child can’t concentrate; she is easily distracted, absent-minded, and forgetful. She is usually late, misses deadlines, is careless, is mistake- prone, and is always losing her stuff. Her work is messy, disorganized, and far below her capacity.
These occur in varying combinations and severities that make diagnosis difficult. This loose usage accounts in part for the recent 20-fold increase in the rate of diagnosis of Autism. Differential Diagnosis: Rule These Conditions Out • Neurological illnesses with onset in infancy or early childhood. One such illness is Rett’s Disorder, which was included in DSM-IV, but has been dropped from DSM-5. • Intellectual Developmental Disorder. The child has a low IQ score without characteristic social disconnectedness and ritualistic behaviors.
