DSM Scavenger Hunt Use your DSM-5 to complete questions 1-10 of the DSM Scavenge

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DSM Scavenger Hunt

Use your DSM-5 to complete questions 1-10 of the DSM Scavenger Hunt.

Each diagnosis in the full version of the DSM has several sections in it that help to give you some background about the mental illness. For most diagnoses, there is a severity specifier section that helps you rate the specific type or severity of a diagnosis. There may also be additional specifiers for different types. Each one is given a specific number for coding for insurance purposes. For example, Major Depression in its mild form is coded as 296.21. Find the specifier types for Major Depression and give the page number that they are on.

Find the difference between Obsessive-compulsive Personality Disorder and Obsessive-Compulsive Disorder and put the page numbers for each.

What is the significance of the chapter entitled “Other conditions that may be a focus of clinical attention” or the V-codes? What page does this begin on?

Find a concept of distress from a different culture and write the name and a brief            description of the symptoms (see glossary of cultural concepts of distress).

Find the DSM criteria for Caffeine Intoxication & list at least 8 symptoms of the disorder.

Find the numerical listing of DSM-5 diagnoses and codes and find out which disorder is listed as 302.89 or (F65.89).

Where is Internet Gaming Disorder listed? Hint – it is a proposed diagnosis for further study. Find the page number and list what it is.

Define the FIVE AXES:

a.            Axis I –

b.            Axis II –

c.             Axis III –

d.            Axis IV –

e.            Axis V –.

9. Find Mood Disorders in the DSM , what is the difference between Dysthymic disorders and Cyclothymic disorders.

10. Many argue against using the DSM IV as a way to diagnose psychological disorders. Why do you there is an argument against using the DSM IV?

Explanation / Answer

The Diagnostic and Statistical Manual of Mental Disorders (DSM) which is published by the American Psychiatric Association (APA), is used to make any diagnosis, as a person cannot be labeled without having a certain criteria met with the DSM.

The specifier types of Major Depression are as the following:

(Please note that this is straight from the DSM (5th Ed.))

A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. Note: Do not include symptoms that are clearly attributable to another medical condition.

1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g., appears tearful). (Note: In children and adolescents, can be irritable mood.)

2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation.)

3. Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. (Note: In children, consider failure to make expected weight gain.)

4. Insomnia or hypersomnia nearly every day.

5. Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down).

6. Fatigue or loss of energy nearly every day.

7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).

8. Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).

9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. The episode is not attributable to the physiological effects of a substance or to another medical condition.

Note: Criteria A-C represent a major depressive episode.

Note: Responses to a significant loss (e.g., bereavement, financial ruin, losses from a natural disaster, a serious medical illness or disability) may include the feelings of intense sadness, rumination about the loss, insomnia, poor appetite, and weight loss noted in Criterion A, which may resemble a depressive episode. Although such symptoms may be understandable or considered appropriate to the loss, the presence of a major depressive episode in addition to the normal response to a significant loss should also be carefully considered. This decision inevitably requires the exercise of clinical judgment based on the individual’s history and the cultural norms for the expression of distress in the contest of loss.

D. The occurrence of the major depressive episode is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorders.

E. There has never been a manic episode or a hypomanic episode. Note: This exclusion does not apply if all of the manic-like or hypomanic-like episodes are substance induced or are attributable to the physiological effects of another medical condition.

Major Depression is coded as 296.61 and they are on page 32 and 33 in the DSM (5th Ed.).

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