¶ … DSM diagnostic criteria have long been a source of criticism. McGorry, Hickie, Yung, Pantelis, and Jackson (2006) point out some basic deficiencies of the DSM diagnostic system. First the authors state that the function of a diagnosis is to state what treatment should be applied or predict the prognosis of the condition. These are certainly functions of a diagnosis, but a diagnosis has broader implications. First and foremost the idea of having a diagnosis is to take a series of related signs and symptoms that hang together consistently and label them so as to facilitate communication between health care professionals. A diagnosis alone is useless unless it allows professionals to communicate about the same entity. Then descriptions of course, treatment, and prognosis can follow. McGorry et al. charge that in the DSM system the clinical features that occur early in the course of the disorder are not distinguished from those that occur later and that treatment is more effective early in the disorder. The goal of the DSM diagnostic criteria has always been on reliability, which sets the upper limit for validity but does not ensure validity. McGorry are concerned with a valid diagnostic method which can assist in more effective treatment. They support a clinical staging approach that is allegedly a more refined form of diagnosis than the DSM classification system. Clinical staging differs from the traditional DSM diagnostic practice in that instead of looking at a bunch of co-occurring symptoms and fitting them into a diagnosis it attempts to define the extent of progression of a disease at the time of the assessment. Clinical staging stresses that greater emphasis be placed on a description of where the patient lies on the continuum of the course of the particular illness, from early to late in its course. Clinical staging has been successfully applied to several different physical diseases; most successful applications have been to different types of cancers. McGorry et al. state that this method...
In other medical conditions clinical the clinical stages are defined by biological markers and their impact on the patient. McGorry et al. present a proposed table for the clinical staging of psychotic disorders and severe mood disorders. In the McGorry scheme social markers are also present, but these "objective" staging criteria which include GAF scores and other staging criteria that are more subjective than objective.
Chronic Fatigue Syndrome -- A Case Study Case study 'Monique.' Case presentation and history Monique, a female aged 30, possesses a history of depression and chronic fatigue syndrome, starting at the age of 16 to 17, together with suicide attempts (entailing overdosing), in addition to a long record of anxiety. During baseline evaluation, she reported continuous constant fatigue as well as anhedonia. She also expressed dense retrograde amnesia following a 12-week program of
Disorders in Older People Alzheimer's and Eating Disorders and how they affect Older Adults Alzheimer's and Eating Disorders and how they affect Older Adults Disorders in Older People Alzheimer's-Type Dementia Eating Disorders Disorders in Older People In considering the general health of the population, the larger elderly population does not necessarily imply that most of them live or are ill from severe disabilities. Age related disorders would occur to different people early or late in their lives.
Individual Programmatic Assessment TREATMENTS OPTIONS FOR IRREGULAR SLEEP-WAKE SYNDROME Irregular Sleep-Wake Syndrome is a form of a psychological disorder also called Irregular Sleep-Wake Rhythm. People with Irregular Sleep-Wake Syndrome have non-aligned sleep times. These people have sleeping patterns that do not adhere to the "normal" times of sleeping at night. The sleeping patterns are disorganized to a magnitude that one cannot tell the presence of a clear sleep or wake pattern. Such
He may also be humiliated by his having the disease or may be avoided by others who do not know how to approach the patient or are discomfited by doing so, particularly since cancer indicates mortality and mortality is one aspect of life's facts that individuals generally like to avoid. Other feelings of inferiority and shame are caused by loss of autonomy and independence, vulnerability, and mutilation and most frightening
Cancer Care KNOWING MORE ABOUT CANCER Approach to the Care of Cancer The integrative approach to cancer treatment is the most widely used by cancer patients today as it is the most comprehensive (Nelson, 2011). It is the method used by integrative oncology, which combines complementary therapeutic approaches and conventional therapies. As a combination, the integrated approach covers natural and botanical products, nutrition, acupuncture, traditional Chinese medicine and mind-body therapies. It fits together
Client is an African-American male, age 19, diagnosed with Bipolar Disorder 1 (296.89), with mixed and psychotic features. Lability and mood cycles have become more rapid recently. Currently, the client is experiencing an acute but mild manic episode. Risk Influences The client has no significant biological issues. As the first in his family known to have Bipolar Disorder, no genetic component to the disorder has been determined, but further work in a
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