Diagnosis and Treatment Planning in Counseling

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Diagnosis and Treatment Planning in Counseling

Who published the DSM-VI? American Psychiatric Association.

What is recorded on Axis III? General medical conditions

Anorexia Nervosa

-refusal to maintain body weight, body weight less than 85% of the expected weight

-intense fear of gaining weight or becoming fat, even though underweight

-disturbance in the way in which one’s body weight or shape is experienced

-in postmenarcheal females, amenorrhea

Criteria for gender identity disorder

-a strong and persistent cross-gender identification (not for the cultural advantage of the other sex)

-persistent discomfort with his or her sex or sense of inappropriateness in the gender of that sex.

-the disturbance I not concurrent with a physical intersex condition.

Avoidant Personality Disorder (Cluster C)

-A pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation, beginning in early adulthood as indicated by four of following:

-aviods occupational activities that involve significant interpersonal contact

-is unwilling to get involved with people unless certain of being liked.

-shows restraint within intimate relationships due to gear of being shamed or ridiculed.

-is preoccupied with being criticized or rejected in social situations.

-is inhibited in new interpersonal situations because of feelings of inadequacy

-views self as socially inept, personally unappealing or inferior to others.

-is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.

Narcissistic Personality Disorder (Cluster B)

-a pervasive pattern of grandiosity, need for admiration and lack of empathy that begins by early adulthood and p...

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What is waxy flexibility – the patient resist all efforts to be moved, but ends up with parts of his body being molded into odd positions as if they were pliable wax.

Which would not be a part of an intake evaluation? Choose from list given on test.

Write and describe 5 Axis: Axis I – clinical disorders – everything but personality and mental retardation. Axis II – Personality Disorders and mental Retardation. Axis III – medical conditions. Axis IV – psychosocial and environment problems. Axis V – GAF global assessment of functioning.

Name three main parts of treatment plan. 1) Diagnosis, 2) long term goal, 30 short-term goals.

Can a treatment plan be modified? Yes, it can be modified.

When writing a report, you must use certain criteria. Choose from the list given

Most commonly used diagnostic system in the mental heath profession. DSM-IV

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