Resources for Case Example Application: Diagnosis and Treatment Planning

This week you will apply your knowledge of Psych Disorders and Treatment to create typed case reports for two individuals that you received information about last week. To complete the project you will need:

• The directions for your project and the two case examples you received on Friday (note: different students received different subjects).
• Access to the DSM-IV-TR diagnostic codes. There are several places you can find these. You can navigate through this online version, use the full or abbreviated versions available in the classroom, or access the library's copy of the DSM-IV-TR during study hall. I also have guides for differential diagnosis in my room.
• Access to information about treatment. Here, your textbook will be a good resource, as will the notes you take in class this week.

Diagnosis and treatment planning is obviously a skill that clinicians develop over years of practice, and you are in no way expected to demonstrate proficiency at that level. Your score will be determined based on the rationale (or evidence) you provide for your decisions about diagnosis and treatment options. Even trained professionals do not always agree on diagnostic and treatment decisions, so there is no "right" answer that I am looking for in each of these cases. However, some decisions are more defensible than others, so it is in your best interest to incorporate details from the case example in your rationale and defend your treatment decisions using information from the case and from what you have learned about treatment options.

I am including an example case and an accompanying case report based on that example for your convenience. This should give you an idea of how to format and organize your final product, though keep in mind you will complete TWO of these.

Psych Disorders Assignment Links

By now, we've discussed in class three major categories of disorder: Anxiety Disorders, Mood Disorders, and Schizophrenia. The worksheet you were given yesterday requires you to explore four additional categories of disorder. See below for links to each one:

• Personality Disorders
• Somatoform Disorders (note: some of these disorders are poised to be eliminated/subsumed under a different diagnostic name in the DSM-V; see this website for details)
• Dissociative Disorders
• Factitious Disorders (be sure to note difference between these & somatoform disorders; this category may be eliminated in the DSM-5 & given a new category name; see this website for details).

There are some major proposed changes ("reformulations") to the category of personality disorders in the DSM-5. Particularly, using trait severity ratings and increased emphasis on the person's level of functioning/social impairment in diagnosis.

Also, within the dissociative disorders, "Dissociative Fugue" may be eliminated and simply understood as a type of Dissociative Amnesia (see details).

New York Times Article - DSM V

Thanks to Kent Korek at the Teaching High School Psychology Blog for alerting us to this New York Times article on the upcoming revision of the Diagnostic and Statistical Manual of Mental Disorders.

A similar article appears on the ABC News website today.

Just last week I was discussing with students the excitement surrounding the newest version of this publication, as it could significantly alter how we talk about particular disorders (as well as define new ones and eliminate old). Interestingly, this article is the first one I've encountered that discusses the possibility of changing the language describing "mental retardation" (the term that spurred our in-class discussion of it to begin with), a change the some feel is overdue.

For more information on the revision process, including proposed revisions, click here.