The DSM 4The DSM 4

Anyone got a lifeboatAnyone got a lifeboat

See The PenSee The Pen

bull Write it downhellipWrite it downhellip

What is itWhat is it

bull The Diagnostic and The Diagnostic and Statistical Manual Statistical Manual of Mental Disordersof Mental Disorders

bull Used by medical Used by medical and mental health and mental health professionals to professionals to diagnose disorders diagnose disorders of mental health of mental health development and development and social adjustmentsocial adjustment

Where are WeWhere are We

bull Current versionCurrent version

bull Created by the Created by the American American Psychiatric Psychiatric AssociationAssociation

bull Based on work of Emil Kraepelin - Late 1800s to early 1900s

How is it usedHow is it used

bull Used to classify seemingly not Used to classify seemingly not normal development or behaviour by normal development or behaviour by placing it in a disorder or diseaseplacing it in a disorder or disease

bull You must meet a specific number of You must meet a specific number of criteria to be diagnosed with a criteria to be diagnosed with a disease or disorderdisease or disorder

The 5 Axis ApproachThe 5 Axis Approach

bull Axis I1048699Clinical syndromes and V-Codesbull Axis II1048699Developmental and Personality Disordersbull Axis III1048699Physical disordersbull Axis IV1048699Severity of Psychosocial Stressorsbull Axis V1048699Global Assessment of Functioning

New InclusionsNew Inclusions

bullAppendix A

bull1048699Controversial new disorders

bull1048699Appendix B

bull1048699Decision Trees

bull1048699Appendix C

bull1048699Glossary of Technical Terms

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

See The PenSee The Pen

bull Write it downhellipWrite it downhellip

What is itWhat is it

bull The Diagnostic and The Diagnostic and Statistical Manual Statistical Manual of Mental Disordersof Mental Disorders

bull Used by medical Used by medical and mental health and mental health professionals to professionals to diagnose disorders diagnose disorders of mental health of mental health development and development and social adjustmentsocial adjustment

Where are WeWhere are We

bull Current versionCurrent version

bull Created by the Created by the American American Psychiatric Psychiatric AssociationAssociation

bull Based on work of Emil Kraepelin - Late 1800s to early 1900s

How is it usedHow is it used

bull Used to classify seemingly not Used to classify seemingly not normal development or behaviour by normal development or behaviour by placing it in a disorder or diseaseplacing it in a disorder or disease

bull You must meet a specific number of You must meet a specific number of criteria to be diagnosed with a criteria to be diagnosed with a disease or disorderdisease or disorder

The 5 Axis ApproachThe 5 Axis Approach

bull Axis I1048699Clinical syndromes and V-Codesbull Axis II1048699Developmental and Personality Disordersbull Axis III1048699Physical disordersbull Axis IV1048699Severity of Psychosocial Stressorsbull Axis V1048699Global Assessment of Functioning

New InclusionsNew Inclusions

bullAppendix A

bull1048699Controversial new disorders

bull1048699Appendix B

bull1048699Decision Trees

bull1048699Appendix C

bull1048699Glossary of Technical Terms

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

What is itWhat is it

bull The Diagnostic and The Diagnostic and Statistical Manual Statistical Manual of Mental Disordersof Mental Disorders

bull Used by medical Used by medical and mental health and mental health professionals to professionals to diagnose disorders diagnose disorders of mental health of mental health development and development and social adjustmentsocial adjustment

Where are WeWhere are We

bull Current versionCurrent version

bull Created by the Created by the American American Psychiatric Psychiatric AssociationAssociation

bull Based on work of Emil Kraepelin - Late 1800s to early 1900s

How is it usedHow is it used

bull Used to classify seemingly not Used to classify seemingly not normal development or behaviour by normal development or behaviour by placing it in a disorder or diseaseplacing it in a disorder or disease

bull You must meet a specific number of You must meet a specific number of criteria to be diagnosed with a criteria to be diagnosed with a disease or disorderdisease or disorder

The 5 Axis ApproachThe 5 Axis Approach

bull Axis I1048699Clinical syndromes and V-Codesbull Axis II1048699Developmental and Personality Disordersbull Axis III1048699Physical disordersbull Axis IV1048699Severity of Psychosocial Stressorsbull Axis V1048699Global Assessment of Functioning

New InclusionsNew Inclusions

bullAppendix A

bull1048699Controversial new disorders

bull1048699Appendix B

bull1048699Decision Trees

bull1048699Appendix C

bull1048699Glossary of Technical Terms

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

Where are WeWhere are We

bull Current versionCurrent version

bull Created by the Created by the American American Psychiatric Psychiatric AssociationAssociation

bull Based on work of Emil Kraepelin - Late 1800s to early 1900s

How is it usedHow is it used

bull Used to classify seemingly not Used to classify seemingly not normal development or behaviour by normal development or behaviour by placing it in a disorder or diseaseplacing it in a disorder or disease

bull You must meet a specific number of You must meet a specific number of criteria to be diagnosed with a criteria to be diagnosed with a disease or disorderdisease or disorder

The 5 Axis ApproachThe 5 Axis Approach

bull Axis I1048699Clinical syndromes and V-Codesbull Axis II1048699Developmental and Personality Disordersbull Axis III1048699Physical disordersbull Axis IV1048699Severity of Psychosocial Stressorsbull Axis V1048699Global Assessment of Functioning

New InclusionsNew Inclusions

bullAppendix A

bull1048699Controversial new disorders

bull1048699Appendix B

bull1048699Decision Trees

bull1048699Appendix C

bull1048699Glossary of Technical Terms

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

How is it usedHow is it used

bull Used to classify seemingly not Used to classify seemingly not normal development or behaviour by normal development or behaviour by placing it in a disorder or diseaseplacing it in a disorder or disease

bull You must meet a specific number of You must meet a specific number of criteria to be diagnosed with a criteria to be diagnosed with a disease or disorderdisease or disorder

The 5 Axis ApproachThe 5 Axis Approach

bull Axis I1048699Clinical syndromes and V-Codesbull Axis II1048699Developmental and Personality Disordersbull Axis III1048699Physical disordersbull Axis IV1048699Severity of Psychosocial Stressorsbull Axis V1048699Global Assessment of Functioning

New InclusionsNew Inclusions

bullAppendix A

bull1048699Controversial new disorders

bull1048699Appendix B

bull1048699Decision Trees

bull1048699Appendix C

bull1048699Glossary of Technical Terms

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

The 5 Axis ApproachThe 5 Axis Approach

bull Axis I1048699Clinical syndromes and V-Codesbull Axis II1048699Developmental and Personality Disordersbull Axis III1048699Physical disordersbull Axis IV1048699Severity of Psychosocial Stressorsbull Axis V1048699Global Assessment of Functioning

New InclusionsNew Inclusions

bullAppendix A

bull1048699Controversial new disorders

bull1048699Appendix B

bull1048699Decision Trees

bull1048699Appendix C

bull1048699Glossary of Technical Terms

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

New InclusionsNew Inclusions

bullAppendix A

bull1048699Controversial new disorders

bull1048699Appendix B

bull1048699Decision Trees

bull1048699Appendix C

bull1048699Glossary of Technical Terms

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

New Version Coming in New Version Coming in 20122012

Is it soon enoughIs it soon enough

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

ldquoldquoClassicrdquo ADHDClassicrdquo ADHD

bull Dennis the MenaceDennis the Menace

bull ImpulsiveImpulsive

bull Lack of ConsequenceLack of Consequence

bull Unable to Maintain Unable to Maintain FocusFocus

bull Short Term MemoryShort Term Memory

bull Difficulty Waiting Difficulty Waiting TurnTurn

bull InteruptsInterupts

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

Who tends to get a Who tends to get a diagnosisdiagnosisbull Some interesting statistics to think Some interesting statistics to think

abouthellipabouthellipbull According to [neurologist Dr Fred] According to [neurologist Dr Fred]

Baughman 500000 children [in the USA] Baughman 500000 children [in the USA] were diagnosed ADHD in 1985 and were diagnosed ADHD in 1985 and between 5 and 7 million were today between 5 and 7 million were today

bull Schizophrenia affects 1 of the Canadian Schizophrenia affects 1 of the Canadian population population

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

bull About 1 of Canadians will experience About 1 of Canadians will experience bipolar disorder (or manic bipolar disorder (or manic depressiondepression) )

bull African Americans may be less likely to African Americans may be less likely to suffer from major depression and more suffer from major depression and more likely to suffer from phobias likely to suffer from phobias

bull Men from Black CaribbeanMen from Black Caribbean Black African Black African and other Black groups were more likely and other Black groups were more likely than other groups to have been detained than other groups to have been detained under the under the Mental Health Act 1983Mental Health Act 1983

bull The risk of suicide in The risk of suicide in federal prisons federal prisons remains remains unacceptably high unacceptably high

bull Government Government inaction puts inaction puts inmates at risk inmates at risk Prison watchdog Prison watchdog By By Janice Tibbetts Janice Tibbetts Canwest News ServiceCanwest News Service

Sohellip What are the factors that Sohellip What are the factors that cancan lead to a diagnosis lead to a diagnosis

AdvantagesAdvantages

bull People get helpPeople get helpbull Treatments are Treatments are

availableavailablebull Treatments very Treatments very

from medical to from medical to analysis to analysis to therapy to therapy to counseling to counseling to some combinationsome combination

bull FundingFunding

DisadvantagesDisadvantages

bull Not reliable enoughNot reliable enough

bull Assumes western Assumes western cultureculture

bull Child and Child and adolescent are not adolescent are not considered enoughconsidered enough

bull Too medicalToo medical

ButhellipRemember DennisButhellipRemember Dennis

Can he have ahellipCan he have ahellip

AssessmentAssessment

bull Based on what you Based on what you know ndash if you had know ndash if you had something that could something that could be considered a be considered a ldquodisorderrdquo would you ldquodisorderrdquo would you want a doctor to use want a doctor to use the DSM IV with you the DSM IV with you Include consideration Include consideration of advantages and of advantages and disadvantages in your disadvantages in your answeranswer

bull Outcomes CoveredOutcomes Covered

bull Identify various Identify various psychological psychological disorders and the disorders and the corresponding corresponding therapiestherapies

• See The Pen
• What is it
• Where are We
• How is it used
• The 5 Axis Approach
• New Inclusions
• Slide 9
• ldquoClassicrdquo ADHD
• Who tends to get a diagnosis
• Slide 12
• Slide 13
• Sohellip What are the factors that can lead to a diagnosis
• Advantages
• Disadvantages
• ButhellipRemember Dennis
• Can he have ahellip
• Assessment

Sohellip What are the factors that Sohellip What are the factors that cancan lead to a diagnosis lead to a diagnosis

AdvantagesAdvantages

bull People get helpPeople get helpbull Treatments are Treatments are

availableavailablebull Treatments very Treatments very

from medical to from medical to analysis to analysis to therapy to therapy to counseling to counseling to some combinationsome combination

bull FundingFunding

DisadvantagesDisadvantages

bull Not reliable enoughNot reliable enough

bull Assumes western Assumes western cultureculture

bull Child and Child and adolescent are not adolescent are not considered enoughconsidered enough

bull Too medicalToo medical

ButhellipRemember DennisButhellipRemember Dennis

Can he have ahellipCan he have ahellip

AssessmentAssessment

bull Based on what you Based on what you know ndash if you had know ndash if you had something that could something that could be considered a be considered a ldquodisorderrdquo would you ldquodisorderrdquo would you want a doctor to use want a doctor to use the DSM IV with you the DSM IV with you Include consideration Include consideration of advantages and of advantages and disadvantages in your disadvantages in your answeranswer

bull Outcomes CoveredOutcomes Covered

bull Identify various Identify various psychological psychological disorders and the disorders and the corresponding corresponding therapiestherapies

• See The Pen
• What is it
• Where are We
• How is it used
• The 5 Axis Approach
• New Inclusions
• Slide 9
• ldquoClassicrdquo ADHD
• Who tends to get a diagnosis
• Slide 12
• Slide 13
• Sohellip What are the factors that can lead to a diagnosis
• Advantages
• Disadvantages
• ButhellipRemember Dennis
• Can he have ahellip
• Assessment

AdvantagesAdvantages

bull People get helpPeople get helpbull Treatments are Treatments are

availableavailablebull Treatments very Treatments very

from medical to from medical to analysis to analysis to therapy to therapy to counseling to counseling to some combinationsome combination

bull FundingFunding

DisadvantagesDisadvantages

bull Not reliable enoughNot reliable enough

bull Assumes western Assumes western cultureculture

bull Child and Child and adolescent are not adolescent are not considered enoughconsidered enough

bull Too medicalToo medical

ButhellipRemember DennisButhellipRemember Dennis

Can he have ahellipCan he have ahellip

AssessmentAssessment

bull Based on what you Based on what you know ndash if you had know ndash if you had something that could something that could be considered a be considered a ldquodisorderrdquo would you ldquodisorderrdquo would you want a doctor to use want a doctor to use the DSM IV with you the DSM IV with you Include consideration Include consideration of advantages and of advantages and disadvantages in your disadvantages in your answeranswer

bull Outcomes CoveredOutcomes Covered

bull Identify various Identify various psychological psychological disorders and the disorders and the corresponding corresponding therapiestherapies

• See The Pen
• What is it
• Where are We
• How is it used
• The 5 Axis Approach
• New Inclusions
• Slide 9
• ldquoClassicrdquo ADHD
• Who tends to get a diagnosis
• Slide 12
• Slide 13
• Sohellip What are the factors that can lead to a diagnosis
• Advantages
• Disadvantages
• ButhellipRemember Dennis
• Can he have ahellip
• Assessment

DisadvantagesDisadvantages

bull Not reliable enoughNot reliable enough

bull Assumes western Assumes western cultureculture

bull Child and Child and adolescent are not adolescent are not considered enoughconsidered enough

bull Too medicalToo medical

ButhellipRemember DennisButhellipRemember Dennis

Can he have ahellipCan he have ahellip

AssessmentAssessment

bull Based on what you Based on what you know ndash if you had know ndash if you had something that could something that could be considered a be considered a ldquodisorderrdquo would you ldquodisorderrdquo would you want a doctor to use want a doctor to use the DSM IV with you the DSM IV with you Include consideration Include consideration of advantages and of advantages and disadvantages in your disadvantages in your answeranswer

bull Outcomes CoveredOutcomes Covered

bull Identify various Identify various psychological psychological disorders and the disorders and the corresponding corresponding therapiestherapies

• See The Pen
• What is it
• Where are We
• How is it used
• The 5 Axis Approach
• New Inclusions
• Slide 9
• ldquoClassicrdquo ADHD
• Who tends to get a diagnosis
• Slide 12
• Slide 13
• Sohellip What are the factors that can lead to a diagnosis
• Advantages
• Disadvantages
• ButhellipRemember Dennis
• Can he have ahellip
• Assessment

ButhellipRemember DennisButhellipRemember Dennis

Can he have ahellipCan he have ahellip

AssessmentAssessment

bull Based on what you Based on what you know ndash if you had know ndash if you had something that could something that could be considered a be considered a ldquodisorderrdquo would you ldquodisorderrdquo would you want a doctor to use want a doctor to use the DSM IV with you the DSM IV with you Include consideration Include consideration of advantages and of advantages and disadvantages in your disadvantages in your answeranswer

bull Outcomes CoveredOutcomes Covered

bull Identify various Identify various psychological psychological disorders and the disorders and the corresponding corresponding therapiestherapies

• See The Pen
• What is it
• Where are We
• How is it used
• The 5 Axis Approach
• New Inclusions
• Slide 9
• ldquoClassicrdquo ADHD
• Who tends to get a diagnosis
• Slide 12
• Slide 13
• Sohellip What are the factors that can lead to a diagnosis
• Advantages
• Disadvantages
• ButhellipRemember Dennis
• Can he have ahellip
• Assessment

Can he have ahellipCan he have ahellip

AssessmentAssessment

bull Based on what you Based on what you know ndash if you had know ndash if you had something that could something that could be considered a be considered a ldquodisorderrdquo would you ldquodisorderrdquo would you want a doctor to use want a doctor to use the DSM IV with you the DSM IV with you Include consideration Include consideration of advantages and of advantages and disadvantages in your disadvantages in your answeranswer

bull Outcomes CoveredOutcomes Covered

bull Identify various Identify various psychological psychological disorders and the disorders and the corresponding corresponding therapiestherapies

• See The Pen
• What is it
• Where are We
• How is it used
• The 5 Axis Approach
• New Inclusions
• Slide 9
• ldquoClassicrdquo ADHD
• Who tends to get a diagnosis
• Slide 12
• Slide 13
• Sohellip What are the factors that can lead to a diagnosis
• Advantages
• Disadvantages
• ButhellipRemember Dennis
• Can he have ahellip
• Assessment

AssessmentAssessment

bull Based on what you Based on what you know ndash if you had know ndash if you had something that could something that could be considered a be considered a ldquodisorderrdquo would you ldquodisorderrdquo would you want a doctor to use want a doctor to use the DSM IV with you the DSM IV with you Include consideration Include consideration of advantages and of advantages and disadvantages in your disadvantages in your answeranswer

bull Outcomes CoveredOutcomes Covered

bull Identify various Identify various psychological psychological disorders and the disorders and the corresponding corresponding therapiestherapies

• See The Pen
• What is it
• Where are We
• How is it used
• The 5 Axis Approach
• New Inclusions
• Slide 9
• ldquoClassicrdquo ADHD
• Who tends to get a diagnosis
• Slide 12
• Slide 13
• Sohellip What are the factors that can lead to a diagnosis
• Advantages
• Disadvantages
• ButhellipRemember Dennis
• Can he have ahellip
• Assessment