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6 Pages

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Mark Coates

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Disorders • Anxiety Disorders – Characterized by abnormal fear, anxiety, or panic • Somatoform Disorders – Abnormal bodily sensations or experiences (pain, sensory deficits) • Factitious Disorders – Intentional production of symptoms in order to play the “sick role” • Substance-related Disorders – Abuse, dependence, and other disorders • Dissociative disorders – Abnormal alterations of memory, consciousness, or sense of self • Mood Disorders – Unipolar and Bipolar Disorders • Psychotic Disorders • Sexual Disorders – Sexual Dysfunction – Paraphilias – Gender-Identity Disorder • Eating disorders – Bulimia, Anorexia Nervosa, and NOS • Sleep Disorders – Dyssomnias and Parasomnias • Impulse Control Disorders – Sense of tension before engaging in a behaviour, and relief when behaviour is performed • Adjustment Disorders – Significant problems adjusting to change in life circumstances • Disorders usually first diagnosed in childhood – Behavioural, emotional, intellectual, and cognitive problems seen mostly in children and adolescents • Delirium, dementia, amnestic and other cognitive disorders – Despite having known medical causes, because they affect behaviour and emotions they are considered mental illnesses • Personality Disorders – Cluster A (Odd-Eccentric) – Paranoid personality disorder – Schizoid personality disorder – Schizotypal personality disorder • Cluster B (Dramatic-Emotional-Erratic) – Anti-social personality disorder – Borderline personality disorder – Histrionic personality disorder • Cluster C (Anxious-Fearful) – Obsessive-compulsive personality disorder – Dependent personality disorder – Avoidant personality disorder Not Otherwise Specified • Some patients present with disorders that defy classification – Don't meet full criteria for something, meet some criteria for one disorder and some for another – Each section has a "Not Otherwise Specified“ diagnosis to use in such a case – Usually such diagnoses are used as a last resort – There are some commonly recognized conditions that did not make it into the DSM-IV-TR, and we could use NOS for those as well (Cognitive Disorder NOS Post-conscussion syndrome) • In every catergory there is a section for NOS • Usually last resort • When they dont really fit into any category right • Know they having something is going on but not really sure what • Treatment is up to the clinician V-Codes • Occupational problem • Noncompliance with treatment • Child neglect • Bereavement • Phase of life problem • Religious or spiritual problem • Malingering • Relational problems • Acculturation problems • Borderline intellectual functioning • Physical abuse • Problems that might be the focus of clinical attention (but that are not mental illnesses • Something you put on axis 1 • Not mental illnesses but things you want to take into account when you treat someone • Something that is affecting the patient • Malingering: faking for a goal or purpose Culturally bound conditions • Amok, Dhat, Ghost sickness, Koro, Lahat, Pibloktoq, Taijin kyofusho Criteria for future study • Diagnoses that “didn't make the cut” for DSMIV-TR – Binge eating disorder – Minor depressive episode – Dissociative trance disorder – Factitious disorder by proxy • Didn’t make the DSM but might in the future Continuum vs categorical diagnoses • One of the implications of the DSM-IV-TR system is that it describes disorders as discre
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