undergrad.Assessment.2011

undergrad.Assessment.2011 - Clinical Assessment Lesley A...

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    Clinical Assessment Lesley A. Allen, Ph.D. Department of Psychiatry, RWJ Med School Department of Psychology, Princeton Univ.
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Goals of Clinical Assessment Clarify the problem Identify if sxs = DSM-IV category Define target behaviors Identify maintaining conditions (CBT) or  origin of problem (Insight) Design treatment plan Monitor progress
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Are the client’s symptoms consistent with a known disorder? Using assessment data and the clinical  picture, clinicians attempt to make a  diagnosis A determination that a person’s problems  reflect a particular disorder or syndrome Based on an existing classification  system
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Classification Systems Lists of categories, disorders, and symptom  descriptions, with guidelines for assignment Focus on clusters of symptoms (syndromes) In current use in the U.S.: DSM-IV-TR Diagnostic and Statistical Manual of Mental  Disorders (4th edition) Text Revision
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DSM-IV-TR 1 st  edition (DSM-I) published in 1952 DSM-IV published in 1994 Text, not categories, revised in 2000 (DSM-IV- TR) Lists approximately 400 disorders Describes criteria for diagnoses, key clinical  features, and related features that are often, but  not always, present (based on field studies)
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DSM-IV-TR Multiaxial Uses 5 axes (branches of information) to  develop a full clinical picture People usually receive a diagnosis on either  Axis I or Axis II, but they may receive one or  more diagnoses on both Axis I and II = focus of treatment Axes III, IV, and V provide additional  information to clarify the clinical picture
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DSM-IV-TR Axis I  Disorders 1 st  diagnosed in childhood Delirium, dementia, and amnestic disorders Psychotic disorders (e.g., schizophrenia) Mood disorders (e.g., depression, bipolar) Anxiety disorders (e.g., panic, PTSD, OCD) Eating disorders (e.g., anorexia, bulimia) Substance disorders Somatoform disorders Sexual and gender identity disorders Sleep disorders Dissociative disorders Factitious disorders
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This note was uploaded on 02/05/2012 for the course 830 393 taught by Professor Robertwoolfolk during the Fall '11 term at Rutgers.

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undergrad.Assessment.2011 - Clinical Assessment Lesley A...

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