Diagnosing
True or False - A person's diagnosis is all they are
False
Major depressive disorder and persistent depressive disorder belong to this category
Deppressive Disorders
What are symptoms?
what the person is experiencing or reporting - Ex. changes in Mood, Thoughts, Perceptions, Behavior, Physical functioning, Emotions
When you diagnose should you be objective or subjective?
OBJECTIVE
True or False - A Client have more than one diagnosis?
True
Can diagnosing help determine type of treatment offered? Please provide an example.
Yes - some diagnoses require specialized modalities. Ex. Borderline Personality Disorder
What is a diagnosis category that MFT's and MSW's may not be able to diagnose?
Neurodevelopmental
What does it mean to rule out?
Possible diagnosis but need more information to determine whether Client meets criteria
What is a diagnosis category that is overly given to kids but may not be representative of root cause for symptoms.
Disruptive Behaviors
What does a client need to meet to be given a diagnosis?
Criteria
What is the first step in diagnosing?
Identifying category diagnosis may fall under
How many clusters are there in personality disorders?
Three (A, B, C)
What does functional impairment mean? provide an example.
a person's symptoms are interfering with their ability to function effectively in important areas of life - ex school, work, relationships, daily living, self-care
True or False - Client talks back and says he doesn't believe in therapy. He is obviously resistent and should be diagnosed with oppositional disruptive disorder
False
What are benefits of diagnosis impressions? Name at least two.
Guides Treatment planning, Streamlines Professional communication, predicting prognosis, validates the Client's experience
Name 2 potential diagnosis categories
Depressive,Bipolar & Related, Anxiety, Trauma- & Stressor-Related, Obsessive-Compulsive & Related, Psychotic/Schizophrenia Spectrum, Personality, Neurodevelopmental, Substance-Related & Addictive, Feeding & Eating, Dissociative, Somatic Symptom & Related, Sleep-Wake, Neurocognitive, Elimination, Sexual Dysfunction/Gender-Related Diagnoses, Disruptive, Impulse-Control & Conduct
How do we determine what diagnosis category is explored?
Identify symptoms
What does medical necessity entail?
explains why treatment is needed usually highlighting impairment in daily functioning
A client reports hearing and speaking with a deceased family member as part of a culturally accepted mourning practice. What should the clinician do before considering a psychotic disorder?
Assess the cultural context and meaning of the experience rather than automatically labeling it as hallucination or psychosis.
When assessing what helps us determine whether a client meets criteria for a diagnosis?
Assess symptom onset, frequency and duration
Define co-occurring diagnosis and provide an example.
A person has two or more MH diagnoses or MH diagnosis with substance abuse disorder at the same time.
Why is it important to assess for root cause of symptoms instead of only considering surface level symptoms? provide an example
Root Cause tells us what is actually causing the impairment in daily living (symptoms) not just what we are seeing on the surface - ex. Children may have disruptive behaviors on the surface but may have a depressive disorder
What is a differential diagnosis?
Considering multiple possible diagnoses and determining which best explains the client’s symptoms after assessment.
What does a culturally responsive diagnostic assessment explore about a client's symptoms?
It considers how culture, identity, family/community, migration or acculturation experiences, spirituality/religion, language, discrimination, social context, and cultural explanations of distress may influence the client's presentation and understanding of their concerns.
How does knowing a client’s baseline help a clinician determine an appropriate diagnosis?
It helps the clinician distinguish between the client’s usual functioning and a clinically significant change, including changes in mood, behavior, cognition, or functioning. This can help determine whether symptoms represent a mental health disorder, a temporary reaction to circumstances, or a change that may warrant further assessment.