Psychiatry Boot Camp 2.1 Essentials of Psychiatric Diagnosis
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Nov 12, 2023 Dr. Allen Frances, Chair of the DSM-IV Task Force, discusses diagnostic principles and the importance of nuance in psychiatric diagnosis. Topics include stepped diagnosis, ruling out medical problems, considering functional impairment, challenges faced by clinicians, and potential harm of a diagnosis.
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Stepped Diagnosis
- Delay firm diagnoses, especially severe ones, until you've observed the patient over time.
- Write diagnoses in pencil, allowing for adjustments as you gather more information.
Normalizing Distress
- Not all emotional distress signifies a mental disorder; context matters.
- Thoroughly understanding a patient's life often makes symptoms appear more normal.
Team-Based Diagnosis
- Make diagnosis a team effort, involving family, other professionals, and the patient.
- Different sources provide a more complete and accurate picture.