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The DSM-5-TR Repositionable Page Markers are designed to help you quickly and easily locate key information within DSM-5-TR. * The clear portion of each marker should be pressed onto the desired page in your manual, with the colored portion of each marker extending past the edge of the manual's page.* The markers are made with a non-permanent adhesive and may be repositioned within your manual at any time. Repositionable page markers are included for: * Classification* Section I * Introduction* Use of Manual* Cautionary Statement* Section II* Neurodevelopmental* Schizophrenia Spectrum* Bipolar & Related* Depressive* Anxiety* Obsessive-Compulsive* Trauma & Stressor* Dissociative* Somatic & Related* Feeding & Eating* Elimination* Sleep-Wake* Sexual Dysfunctions* Gender Dysphoria* Disruptive, Impulse-Control* Substance & Addictive* Neurocognitive* Personality* Paraphilic* Other Mental Disorders* Medication-Induced* Other Conditions* Section III* Assessment Measures* Cultural Formulation* Alternative Model: Personality* Conditions for Further Study* Appendix* Cultural Concepts* Alphabetical Listing* Numerical Code Listing Four blank labels have been included and may be customized according to your areas of interest.
Understanding Mental Disorders: Your Guide to DSM-5-TR is a valuable guide for anyone who has been touched by mental illness. Most of us know someone who suffers from a mental illness. This book helps those who may be struggling with mental health problems, as well as those who love and care for them. Based on the latest edition of the Diagnostic and Statistical Manual of Mental Disorders—known as DSM-5-TR—Understanding Mental Disorders provides useful insight on what to expect from an illness and its treatment—and will help readers recognize symptoms, know when to seek help, and get the right care. Featured disorders include depression, schizophrenia, ADHD, autism spectrum disorder, posttraumatic stress disorder, and bipolar disorder, among others. The common language for diagnosing mental illness used in DSM-5-TR for mental health professionals has been adapted into clear, concise descriptions of disorders for nonexperts. In addition to specific symptoms for each disorder, readers will find: • Risk factors and warning signs • Related disorders • Ways to cope • Tips to promote mental health • Personal stories • Key points about the disorders and treatment options • A special chapter dedicated to treatment essentials and ways to get help • Helpful resources that include a list of medications and support groups
The Desk Reference to the Diagnostic Criteria From DSM-5-TR is a concise, affordable companion to the ultimate psychiatric reference, DSM-5-TR. It includes the fully revised diagnostic classification, as well as all the diagnostic criteria from DSM-5-TR in an easy-to-use format. This handy reference provides quick access to the information essential to making a diagnosis. Designed to supplement DSM-5-TR, this convenient guide will assist all mental health professionals as they integrate the DSM-5-TR diagnostic criteria into their diagnoses. The Diagnostic and Statistical Manual of Mental Disorders stands alone as the most authoritative reference available for clinical practice in the mental health field. The Desk Reference to the Diagnostic Criteria From DSM-5-TR distills the most crucial, updated diagnostic information from this volume to provide clinicians with an invaluable resource for effectively diagnosing mental disorders, ranging from the most prevalent to the least common.
Covers guidlines on confidentiality from the American Psychiatric Association, including confidentiality in special situations, confidentiality and records, confidentiality in special settings and confidentiality and the legal process.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), is the most comprehensive, current, and critical resource for clinical practice available to today's mental health clinicians and researchers. DSM-5-TR includes the fully revised text and references, updated diagnostic criteria and ICD-10-CM codes since DSM-5 was published in 2013. It features a new disorder, Prolonged Grief Disorder, as well as codes for suicidal behavior available to all clinicians of any discipline without the requirement of any other diagnosis. With contributions from over 200 subject matter experts, this updated volume boasts the most current text updates based on the scientific literature. Now in four-color and with the ability to authenticate each printed copy, DSM-5-TR provides a cohesive, updated presentation of criteria, diagnostic codes, and text. This latest volume offers a common language for clinicians involved in the diagnosis and study of mental disorders and facilitates an objective assessment of symptom presentations across a variety of clinical settings-inpatient, outpatient, partial hospital, consultation-liaison, clinical, private practice, and primary care. Stay current with these important updates in DSM-5-TR: * Fully revised text for each disorder with updated sections on associated features, prevalence, development and course, risk and prognostic factors, culture, diagnostic markers, suicide, differential diagnosis, and more.* Addition of Prolonged Grief Disorder (PGD) to Section II-a new disorder for diagnosis* Over 70 modified criteria sets with helpful clarifications since publication of DSM-5* Fully updated Introduction and Use of the Manual to guide usage and provide context for important terminology* Considerations of the impact of racism and discrimination on mental disorders integrated into the text* New codes to flag and monitor suicidal behavior, available to all clinicians of any discipline and without the requirement of any other diagnosis* Fully updated ICD-10-CM codes implemented since 2013, including over 50 coding updates new to DSM-5-TR for substance intoxication and withdrawal and other disorders* Updated and redesigned Diagnostic Classification This manual is a valuable resource for other physicians and health professionals, including psychologists, counselors, nurses, and occupational and rehabilitation therapists, as well as social workers and forensic and legal specialists. The new DSM-5-TR is the most definitive resource for the diagnosis and classification of mental disorders.
The lifetime prevalence of eating disorders in the United States is approximately 0.80% for anorexia nervosa, 0.28% for bulimia nervosa, and 0.85% for binge-eating disorder, although estimates can vary depending on the study location, sample demographic characteristics, case finding, and diagnostic approaches. Importantly, the lifetime burdens and psychosocial impairments associated with an eating disorder can be substantial because these illnesses typically have an onset in adolescence or early adulthood and can persist for decades. Since publication of the previous practice guideline on eating disorders, there have been many studies on psychotherapies for individuals with these diagnoses as well as some studies on pharmacotherapies. However, substantial gaps remain in the availability and use of evidence-based treatments for individuals with an eating disorder. The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders seeks to enhance the assessment, treatment, and quality of care in adolescents, young adults, and adults with an eating disorder. The guideline focuses on evidence-based pharmacological, psychotherapeutic, and other nonpharmacological treatments for eating disorders, primarily anorexia nervosa, bulimia nervosa, and binge-eating disorder. In addition to statements related to assessment and treatment planning, which are an integral part of patient-centered care, the guideline provides direction on implementing these recommendations into clinical practice, with the goal of reducing the mortality, morbidity, and significant psychosocial and health consequences of these important psychiatric conditions.
Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
Neurodevelopmental Disorders: DSM-5 Selections is crafted around a specific disorder cited in DSM-5. This selection provides a comprehensive overview of the process of diagnosing neurodevelopmental disorders while serving as a reference guide to assist in the diagnosis of individual patients. The disorder-specific resource is an invaluable addition to the DSM-5 collection and an important contribution to the mental health profession. This book contains the critical disorder-specific content from these four titles: * Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) * DSM-5 Clinical Cases* DSM-5 Self-Exam Questions* DSM-5 Guidebook
Anxiety Disorders: DSM-5 Selections is crafted around a specific disorder cited in DSM-5. This selection provides a comprehensive overview of the process of diagnosing anxiety disorders while serving as a reference guide to assist in the diagnosis of individual patients. The disorder-specific resource is an invaluable addition to the DSM-5 collection and an important contribution to the mental health profession. This book contains the critical disorder-specific content from these four titles: * Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) * DSM-5 Clinical Cases* DSM-5 Self-Exam Questions* DSM-5 Guidebook
Feeding and Eating Disorders:DSM-5 Selections is crafted around a specific disorder cited in DSM-5. This selection provides a comprehensive overview of the process of diagnosing feeding and eating disorders while serving as a reference guide to assist in the diagnosis of individual patients. The disorder-specific resource is an invaluable addition to the DSM-5 collection and an important contribution to the mental health profession. This book contains the critical disorder-specific content from these four titles: * Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) * DSM-5 Clinical Cases* DSM-5 Self-Exam Questions* DSM-5 Guidebook
Since the publication of the Institute of Medicine (IOM) report Clinical Practice Guidelines We Can Trust in 2011, there has been an increasing emphasis on assuring that clinical practice guidelines are trustworthy, developed in a transparent fashion, and based on a systematic review of the available research evidence. To align with the IOM recommendations and to meet the new requirements for inclusion of a guideline in the National Guidelines Clearinghouse of the Agency for Healthcare Research and Quality (AHRQ), American Psychiatric Association (APA) has adopted a new process for practice guideline development. Under this new process APA's practice guidelines also seek to provide better clinical utility and usability. Rather than a broad overview of treatment for a disorder, new practice guidelines focus on a set of discrete clinical questions of relevance to an overarching subject area. A systematic review of evidence is conducted to address these clinical questions and involves a detailed assessment of individual studies. The quality of the overall body of evidence is also rated and is summarized in the practice guideline. With the new process, recommendations are determined by weighing potential benefits and harms of an intervention in a specific clinical context. Clear, concise, and actionable recommendation statements help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. The new practice guideline format is also designed to be more user friendly by dividing information into modules on specific clinical questions. Each module has a consistent organization, which will assist users in finding clinically useful and relevant information quickly and easily. This new edition of the practice guidelines on psychiatric evaluation for adults is the first set of the APA's guidelines developed under the new guideline development process. These guidelines address the following nine topics, in the context of an initial psychiatric evaluation: review of psychiatric symptoms, trauma history, and treatment history; substance use assessment; assessment of suicide risk; assessment for risk of aggressive behaviors; assessment of cultural factors; assessment of medical health; quantitative assessment; involvement of the patient in treatment decision making; and documentation of the psychiatric evaluation. Each guideline recommends or suggests topics to include during an initial psychiatric evaluation. Findings from an expert opinion survey have also been taken into consideration in making recommendations or suggestions. In addition to reviewing the available evidence on psychiatry evaluation, each guideline also provides guidance to clinicians on implementing these recommendations to enhance patient care.
Depressive Disorders: DSM-5 Selections is crafted around a specific disorder cited in DSM-5. This selection provides a comprehensive overview of the process of diagnosing depressive disorders while serving as a reference guide to assist in the diagnosis of individual patients. The disorder-specific resource is an invaluable addition to the DSM-5 collection and an important contribution to the mental health profession. This book contains the critical disorder-specific content from these four titles: * Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) * DSM-5 Clinical Cases* DSM-5 Self-Exam Questions* DSM-5 Guidebook
Schizophrenia Spectrum and Other Psychotic Disorder: DSM-5 Selections is crafted around a specific disorder cited in DSM-5. This selection provides a comprehensive overview of the process of diagnosing schizophrenia spectrum and other psychotic disorders while serving as a reference guide to assist in the diagnosis of individual patients. The disorder-specific resource is an invaluable addition to the DSM-5 collection and an important contribution to the mental health profession. This book contains the critical disorder-specific content from these four titles: * Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) * DSM-5 Clinical Cases* DSM-5 Self-Exam Questions* DSM-5 Guidebook
Sleep-Wake Disorders: DSM-5 Selections is crafted around a specific disorder cited in DSM-5. This selection provides a comprehensive overview of the process of diagnosing sleep-wake disorders while serving as a reference guide to assist in the diagnosis of individual patients. The disorder-specific resource is an invaluable addition to the DSM-5 collection and an important contribution to the mental health profession. This book contains the critical disorder-specific content from these four titles: * Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) * DSM-5 Clinical Cases* DSM-5 Self-Exam Questions* DSM-5 Guidebook
This handy DSM-5-TR Classification provides a ready reference to the DSM-5-TR classification of disorders, as well as the DSM-5-TR listings of ICD-10-CM codes for all DSM-5-TR diagnoses. To be used in tandem with DSM-5-TR or the Desk Reference to the Diagnostic Criteria From DSM-5-TR the DSM-5-TR Classification makes accessing the proper diagnostic codes quick and convenient. This resource provides quick access to the following: * The DSM-5-TR classification of disorders, presented in the same sequence as in DSM-5-TR with ICD-10-CM codes. All subtypes and specifiers for each DSM-5-TR disorder are included.* An alphabetical listing of all DSM-5-TR diagnoses with their associated ICD-10-CM codes.* Separate numerical listings according to the ICD-10-CM codes for each DSM-5-TR diagnosis.* For all listings, any codable subtypes and specifiers are included with their corresponding ICD-10-CM codes, if applicable. The easy-to-use format will prove indispensable to a diverse audience-clinicians in a variety of fields, including psychiatry, primary care medicine, and psychology; coders working in medical centers and clinics; insurance companies processing benefit claims; individuals conducting utilization or quality assurance reviews of specific cases; and community mental health organizations at the state or county level.
The Patient Protection and Affordable Care Act, which was passed in March 2010, includes provisions to expand the scope of mental health care available to most Americans. What do psychiatrists need to know about the provisions of the health reform law to practice most effectively and best serve their patients? Health Care Reform: A Primer for Psychiatrists is a compilation of resources designed to educate psychiatrists and other mental health professionals about key elements of the reform law. At its core are three articles from a special section on health reform that appeared in the November 2010 issue of Psychiatric Services. Each article addresses a key question for the organization and financing of mental health and substance abuse care under health care reform: • How should states set up their health exchanges to ensure that the needs of people with mental illness are addressed? • Will coverage of mental health services be adequate under the law's provisions? • Can integration of mental and physical health care—a particular focus of health reform—improve the quality and efficiency of care for people with mental illness? This book also provides a list of additional readings, with links to the source documents. These include "backgrounder" articles published in Psychiatric News, analyses and commentaries from the American Journal of Psychiatry and Psychiatric Services, and white papers and other useful documents compiled by staff of the APA Department of Government Relations.
As the first attempt to synthesize the movement toward widespread implementation of evidence-based mental health practices, this groundbreaking collection articulates the basic tenets of evidence-based medicine and shows how practices proven effective by clinical services research could improve the lives of many people. Intended to stimulate much-needed public discussion, these remarkable contributions cover both general issues, such as - Implementing practices in routine mental health settings, including strategies for disseminating evidence-based practices to staff members- Ensuring that efforts to implement such practices are informed by the knowledge and experience of administrators, clinicians, patients, and advocates- Integrating evidence-based practices with the recovery model and focusing on guidelines and algorithms for pharmacologic treatment of people with severe mental illness- Identifying the policy implications of the movement, particularly in public-sector settings, and describing eight courses of action for addressing the gap between science and practice and specific practices, such as - Describing critical components of practices for which substantial evidence exists, such as supported employment, dual diagnosis services, and assertive community treatment- Developing an evidence base for particular populations, such as children and adolescents and geriatric patients; and for clinical subgroups, such as patients with severe mental illness and posttraumatic stress disorder-and implementing a range of practices for each population Debate in public forums is critical to explaining the benefits of evidence-based care and allaying the fears of patients, practitioners, administrators, policy makers, and vested interest groups that evidence-based care excludes them from the decision-making process. Patients need to know that their individual characteristics, preferences, and autonomy are highly valued and won't be discounted by rigid adherence to the particular treatments. Practitioners need to know about the credibility of the evidence base and about new techniques and responsibilities and to understand that their favorite practices won't necessarily be excluded during initial attempts to implement evidence-based practices. Administrators and policy makers need to know about financing, organizing, implementing, and sustaining new practices. Finally, vested interest groups need to know that the introduction of evidence-based practices doesn't mean that what they do now is ineffective. This unique and densely informative volume will be welcomed by mental health care professionals and by lawmakers, planners, administrators, and others who are charged with the responsibility of providing effective care to vulnerable populations.
The past decade has witnessed remarkable growth in the field of quality measurement in health care. Today's patients want to know that the care they receive is safe, effective, and accessible. This compelling monograph combines -- for the first time -- the reports from two American Psychiatric Association task forces on quality in psychiatric care (March 1999, which focused on adults, and October 2001, which focused on children and adolescents), offering a clinical framework for quality measurement that provides sample indicators of quality for health plans, facilities, and systems of care. Using similar formats and definitions, each task force considered a matrix of priority areas of care, including specific patient populations (e.g., elderly, seriously and persistently mentally ill, developmentally disabled people) and diagnostic categories (e.g., depressive disorder, schizophrenia, substance use disorders). Each then examined important aspects of patient care and constructed a quality framework that included dimensions of access, quality (appropriateness of care), perception of care (satisfaction), outcome, and -- for the children's report -- prevention. Each task force also considered relevant methodological issues: cultural, linguistic, and ethnic differences; data collection and tracking; confidentiality of data; risk adjustment; use of rating scales and standardized instruments; and designation of standards. Sample recommended goals include - For adults: patients with serious and persistent mental illness should have access to newer generations of antipsychotic medications as these become available; patients should achieve a significant reduction in symptom.- For children and adolescents: the mental health status of children and adolescents should be assessed annually; children with severe or persistent mental illness whose care involves multiple child-serving systems, caregivers, and service providers should have their care coordinated Sample indicators include - For adults: utilization of new antipsychotics for patients with the diagnosis of schizophrenia; reduction in frequency of panic attacks in patients with the diagnosis of panic disorder- For children and adolescents: high levels of satisfaction of adolescents using mental health services or substance abuse services; reduction in a family's stress level and impact of illness As the initial step in what must be an evolving effort by clinicians to define, measure, report, and improve the care that patients and their families receive, this monograph is essential reading for those who provide and receive care, accredit and regulate care, and purchase and administer clinical services. Purchasers of mental health care want clear, reliable, meaningful, and comparable information on what care is provided and with what results. APA convened these two task forces to lend its professional expertise to that issue, to advise on how to develop clinically based, patient focused quality indicators that use existing and ongoing research and clinical consensus in selecting potential indicators.
In questions of psychiatric ethics, simple "yes" or "no" answers are rare, yet questions arise frequently in the clinical setting. "Should I accept a patient's invitation to a party?" "Is it OK to tell a patient that I, too, have had a depression?" "Can I release sensitive information about my patient without the patient's consent?" "Can I give a psychiatric opinion about someone I've never examined?" A shortage of ethics instruction from medical school through residency has left many psychiatrists facing the increasingly complex field of ethics without a clear guide to ethical decision making and conduct...until now. Informed by some of the formal proceedings of the APA Ethics Committee, Ethics Primer of the American Psychiatric Association presents today's ethical dilemmas in eleven informative chapters -- brought to life by the clinical vignettes based on actual cases seen by this primer's distinguished contributors. - Boundary violations between the doctor -- patient relationship and any other relationship (e.g., social, sexual/romantic, business)- Issues such as informed consent, psychopharmacology, hospitalization, and psychotherapy with children, adolescents, and families- Issues such as confidentiality, competence and consent, quality of life, abuse and neglect, and use of restraints with geriatric populations - Involuntary hospitalization rife with conflict and controversy where many ethical principles clash (e.g., beneficence, autonomy, informed consent)- Reconciling ethical conduct (as delineated in guidelines of the AMA, APA, and Sabin) with managed care's cost containment and rationing of medical services- Confidentiality, how this fundamental ethics principle can clash with the business ethics of managed care and insurance companies- Gifts from patients and industry when and why they are or are not acceptable- The often uncomfortable duty to report colleagues who engage in fraud or deception, from speaking privately with a colleague to referring a concern to a departmental committee, supervisor, or local APA ethics committee (and applicable legal mandates)- Emergency care ethics how to ensure proper treatment for psychiatric patients who come to the emergency room with physical illnesses forensic psychiatry, including codes of ethics, boundary issues, and management of allegations of ethical misconduct- When consultations and second opinions are needed Including an appendix with selected material from The Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry, this clinical guide and reference is sure to stimulate the discussion so integral to maintaining the dynamic tradition of ethics. As such, it is essential reading for every psychiatrist -- whether in training or in established clinical practice -- who aspires to a richer appreciation for the wisdom and subtleties of the guidelines and principles of medical ethics.
This practice guideline seeks to summarize data and specific forms of treatment regarding the care of patients with HIV/AIDS. The purpose of this guideline is to assist the psychiatrist in caring for a patient with HIV/AIDS by reviewing the treatments that patients with HIV/AIDS may need. |
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