Differential Diagnosis By Nathaniel Chapman Psy D Mental

Differential Diagnosis By Nathaniel Chapman, Psy. D.

Mental Disorder • 3 D’s?

DSM: Mental disorders/precautions • Symptoms of any disorder must be something more than an expected reaction to an everyday event, such as the death of a relative • Mental Disorders describe disease processes not people • Don’t assume that there are sharp boundaries between disorder and “ normality” (Morrison, 2006)

Who Can give a psychological/ psychiatric diagnosis • Psychiatrist (Medical Doctor) • Physician (Medical Doctor/make diagnosis in some cases) • Psychologist (Ph. D, Psy. D, ED in Clinical or Counseling Psychology) • School Psychologist (Mainly learning disorders) • Licensed Mental Health Counselor(LMHC), ( MS, MA) • Licensed Social Worker (LSCW), ( MSW)

5 Diagnosis/DSM • Why do we diagnosis? • Using all available information, clinicians attempt to paint a “clinical picture” • Based on an existing classification system: DSM 5 • Describes criteria for diagnoses, key clinical features, and related features that are often, but not always, present

John

Standard Rule outs • Substance Abuse/Use • Medical Conditions/Head Trauma • Malingering • Determine the specific primary disorder that is present There is a differential diagnosis section for each disorder in the DSM-V

Differential Diagnosis: Step 1 Observation/ Clinical Presentation Behavioral Symptoms Interpersonal Symptoms Cognitive Symptoms

Differential Diagnosis: Step 1 Interpersonal

Differential Diagnosis: Step 1 Behavioral

Differential Diagnosis: Step 1 Cognitive

Differential Diagnosis: Step 1 Other notable symptoms

Differential Diagnosis: Step 2 Borderline Personality Disorder Interpersonal Paranoid Personality Disorder Avoidant Personality Disorder

Differential Diagnosis: Step 2 Bipolar I Disorder Behavioral Bipolar Disorder Uns Bipolar II Disorder PTSD Cyclothymic Disorder Anti-Social Personality Disorder

Differential Diagnosis: Step 2 NPD GAD Schizophrenia Cognitive MDD Anxiety Disorder Uns Cognitive Disorder Uns Depressive Disorder Uns

Differential Diagnosis: Step 3 Observation refinement Diagnostic Considerations Inclusion Exclusion Weighing Possibilities

Differential Diagnosis: Step 4 Deduction c> Inclusion Criteria Exclusion Criteria Inclusio n Criteria Exclusion Criteria

Differential Diagnosis: Step 4 Inclusion

Differential Diagnosis: Step 4 Exclusion

Differential Diagnosis: Step 5 Probability Statement ( ranking of potential diagnosis)

Differential Diagnosis: Step 6 Information Needed to Refine the Diagnosis • Substance abuse history • Medical history • Extensive Family Medical History • Mental Status Information • Developmental History • Academic/Employment history • Symptom clarification