DSM in Action

Sophia F. Dziegielewski, Ph.D., LCSW, is Professor Emeritus in the School of Social Work at the University of Central Florida. To her credit she has over 160 publications in the area of professional practice and research, and has trained over 25,000 social workers to prepare for their licensing exams across the United States.

• Preface xAcknowledgments xivQuick Reference List xviAbout the Companion Website xxiSection I Utilizing the DSM-5-TR: Assessment, Planning, and Practice StrategyChapter 1 Getting Started 3Introduction 3Beginning the Process 3Making the Diagnostic Assessment: Tools That Facilitate the Assessment Process 4Role of Social Workers and Other Mental Health Practioners 5Development of the DSM Classification System: History and Reservations 7DSM- 5- TR— Another Text Revision and Supplements 15Diagnostic Labels 16Stressing the Person- in- Environment: Efforts Beyond the Individual Approach 18Professional Training in the Professional Counseling Fields 20Summary 21Questions for Further Thought 22References 23Chapter 2 Basics and Function 26Utilizing the DSM- 5 and DSM- 5- TR in the Practice Setting 27Working as Part of a Team: Connections and Collaborations 28Diagnosis and Assessment: Is There a Difference? 32A Combination Approach: The Diagnostic Assessment 37DSM- 5 and DSM- 5- TR Updates and Structural Changes 39DSM- 5- TR: Sections and Appendices 44Important Sections in the DSM- 5- TR 50Culture, Age, and Gender- Related Information 52Concepts of Distress 58Culture and Other Diagnostic Assessment Factors Related to Age 62Culture and Other Diagnostic Assessment Factors Related to Gender 65Summary 71Questions for Further Thought 72References 72Chapter 3 Completing the Diagnostic Assessment 76Basics for Completing a Comprehensive Diagnostic Assessment 76DSM- 5- TR and Completing the Diagnostic Assessment 80The Principal Diagnosis and Provisional Diagnosis 82Subtypes and Course Specifiers 92Ethical and Legal Considerations 108Pulling It All Together 108Summary 110Questions for Further Thought 111References 111Chapter 4 Applications: Beyond the Diagnostic Assessment 114Documentation, Treatment Planning, and Practice Strategy 114Treatment and Intervention Planning 124Developing the Treatment Plan 127Selecting an Intervention Framework 131Practice Strategy and Application 135Types of Time- Limited Therapy in Mental Health Practice 139Summary 149Questions for Further Thought 152References 152Section II Diagnostic and Treatment ApplicationsChapter 5 Schizophrenia Spectrum and the Other Psychotic Disorders 159Sophia F. Dziegielewski and George A. JacintoIntroduction 159Toward a Basic Understanding of the Conditions 160The Brain and the Mind: Making the Connection 161Understanding Individuals Diagnosed with the Psychotic Disorders 161Important Features Related to the Psychotic Disorders 164DSM‐5‐TR: Measurement and Assessment of Symptoms 168Overview of Schizophrenia Spectrum and Other Psychotic Disorders 171Schizophrenia (F20.9) 178Beginning the Diagnostic Assessment 185Schizophrenia and Factors for Consideration in the Diagnostic Assessment 185Case Application of the Diagnostic Assessment 193Treatment Planning and Intervention Strategy 198Special Topics 208Summary and Future Directions 209References 210Chapter 6 Bipolar and Related Disorders 216Sophia F. Dziegielewski and Olga MolinaIntroduction 216Toward a Basic Understanding of the Bipolar and Related Disorders 217Understanding Individuals Diagnosed with Bipolar and Related Disorders 218Overview of The Bipolar and Related Disorders 227Summary of Bipolar Disorders 235Diagnostic Assessment in Adults with Bipolar Disorder 236General Intervention Strategies: Models and Treatment Modalities 245Special Topics 250Summary and Future Directions 251References 252Chapter 7 Depressive Disorders 256Sophia F. Dziegielewski and Olga MolinaIntroduction 256Toward a Basic Understanding of the Disorders 257Important Features Related to the Depressive Disorders 258Endogenous and Exogenous Depression: Making a Distinction 260Overview of the Depressive Disorders 261The Depressive Disorders and the Diagnostic Assessment 274Special Topics 284Assessment of Danger to Self or Others 284Summary and Future Directions 286References 287Chapter 8 Obsessive- Compulsive and Related Disorders 291Sophia F. Dziegielewski and Barbara F. TurnageIntroduction 291Toward a Basic Understanding of the Obsessive- Compulsive and Related Disorders 291Understanding Individuals: When Urges Become Overwhelming 294Important Features Related to the Obsessive- Compulsive and Related Disorders 295Overview of the Obsessive- Compulsive and Related Disorders 297Toward a Better Understanding of Obsessive- Compulsive Disorder 304Obsessive- Compulsive Disorders and the Diagnostic Assessment 307Summary and Future Directions 322References 322Chapter 9 Trauma- and Stressor- Related Disorders 326Sophia F. Dziegielewski and Barbara F. TurnageIntroduction 326Toward a Basic Understanding of Trauma- and Stressor- Related Disorders 327Understanding Individuals Diagnosed with the Trauma- and Stressor- Related Disorders 328Important Features Related to the Trauma- and Stressor- Related Disorders 328Overview of the Trauma- and Stressor- Related Disorders 330Prolonged Grief Disorder 339Unspecified Trauma- and Stressor- Related Disorder 340Beginning the Diagnostic Assessment 341Pulling It All Together: An Integrated Approach 352Summary and Future Directions 354References 354Chapter 10 Sexual Dysfunctions 358Sophia F. Dziegielewski and Joshua KirvenIntroduction 358Toward a Basic Understanding of the Sexual Dysfunctions 359Individuals Who Experience Sexual Dysfunction 360Important Features and Terms Related to the Sexual Dysfunctions 361Overview of the Sexual Dysfunctions 363Sexual Dysfunctions and the Diagnostic Assessment 373Completing the Diagnostic Assessment 375Overview of Treatment Methods for the Sexual Disorders 381Selected Assessment Scales and Methods for Treating the Sexual Disorders 382Special Topics 385Applying a Cultural Competence Lens to Diagnosis 388Summary and Future Directions 389References 390Chapter 11 Disruptive Impulse- Control and Conduct Disorders 395Sophia F. Dziegielewski and George A. JacintoIntroduction 395Living with Problematic Self- Control of Emotions and Behavior 396Overview of the Disruptive, Impulse- Control, and Conduct Disorders 398The Diagnostic Assessment: Application Basics 407General Intervention Strategies: Models and Treatment Modalities 425Summary and Future Directions 432References 434Chapter 12 Substance- Related and Addictive Disorders 439Sophia F. DziegielewskiIntroduction 439Toward Basic Understanding of the Substance- Related and Addictive Disorders 440Understanding the Individuals Who Are Diagnosed with the Substance Disorders 441Overview of the Substance- Related and Addictive Disorders 448Beginning the Diagnostic Assessment: Alcohol- Related Disorders 459Treatment Planning and Intervention Strategy 468Brief Interventions in Primary Care Settings 476Topics of Interest 478Misuse of Prescription Medications 483Summary and Future Directions 485References 486Chapter 13 Personality Disorders 491Sophia F. Dziegielewski and George A. JacintoIntroduction 491Toward Basic Understanding of the Personality Disorders 492Understanding Individuals Diagnosed with Personality Disorder 493What Is a Personality Disorder? 495Cluster A Personality Disorders 497Cluster B Personality Disorders 501Cluster C Personality Disorders 506Other Personality Disorders 510Summary of the Personality Disorders 511BPD: Treatment Concerns 512Strategies for Individual Therapy and Intervention 524Section III: Alternative DSM- 5/DSM- 5- TR Model for the Personality Disorders (AMPD) 527Summary and Future Directions 529References 530Appendix A Quick References: Selected Disorders— Criteria and Treatment Plans 534Author Index 566Subject Index 585About the Author 601