Mastering Differential Diagnosis with the DSM-5: A Symptom-Based Approach

CPD

Handouts

Speaker

Margaret Bloom, PhD Related seminars and products

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Margaret (Peggy) L. Bloom, PhD, Professor Emerita, Counselor Education and Counseling Psychology, Marquette University, Milwaukee, Wisconsin is a licensed psychologist and NCC certified counselor. Dr. Bloom is nationally recognized for her knowledge and expertise in assessment, DSM diagnosis, and counselor education. She is past chair and member of the board of directors of the Center for Credentialing & Education (NBCC), an elected fellow of the American Psychological Association (APA) and past president of the Association for Counselor Education and Supervision (ACES). Beginning her career as a psychiatric nurse and earning graduate degrees in nursing, counseling and a PhD in counseling psychology, Peggy brings a unique interdisciplinary perspective to each seminar. She has published numerous journal articles and presented professional education seminars across the world on assessment, diagnosis and counselor education.

Speaker Disclosures:
Financial: Dr. Margaret Bloom is a partner in Psycho-Pharm-Legal Consultants. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Margaret Bloom serves as a guest reviewer for The Clinical Supervisor and as a chair in the peer evaluations corps, Higher Learning Commission. She is a member of the American Counseling Association, the American Psychological Association, and the Association for Counselor Education and Supervision.

Objectives

1. Conduct a four-step diagnostic process to accurately identify and code a client’s diagnosis.
2. Investigate common differential DSM-5 diagnoses for clients with anxiety, depressive, or abnormal cognitive symptoms.
3. Differentiate between overlapping symptoms and comorbid conditions in order to provide the correct diagnosis.
4. Analyze differential diagnoses for clients who present with disruptive behaviour.
5. Collect the specific information required for an accurate differential DSM-5 diagnosis of clients with a history of trauma.
6. Utilize the DSM-5® severity tables, assessment tools, and coding notes to improve the accuracy of diagnosis and ICD-10 coding.

Outline

Quick Review of Using the DSM-5 and ICD-10

• Diagnosis of Mental Disorders in the U.S.A.
  • Use of Two Models, DSM-5 and ICD-10
  • DSM-5 and ICD-10 Coding and Recording
• Web-based DSM-5 Resources
  • Digital Updates
  • DSM-5 Cross-Cutting Symptom Measures and Screening Tools

Four Step Diagnostic Method

• Case 1: Client with Multiple Problems
• Steps to a DSM-5 Diagnosis
  • Step 1: Gathering Client Information and Behaviour Sample
  • Step 2: Identifying Key DSM-5 Symptom Clusters
  • Step 3: Differential Diagnosis List
  • Step 4: Initial DSM-5 Diagnosis
• Comorbidity considerations

Differential DSM-5 Diagnosis Challenges

• Clients with Experiences of Trauma or Psychosocial Stress
  • Case 6: A Brave Firefighter
  • Essential Information about the Client’s Trauma History
  • Differential Diagnosis: Trauma-Related
  • Differential Diagnosis: Does Not Meet Diagnostic Criteria Set for PTSD
  • Frequent Comorbid Disorders
• Clients with Disruptive Behaviours
  • Disruptive Behaviour Symptoms
  • Diagnostic Challenge: Case 5: Natalia is a Problem
  • Substance-Related and Medical conditions associated with Disruptive Behaviours
  • Differential Diagnosis by Patterns of Disruptive Behaviour
  • Defiant, Angry and Vindictive Impulsive and/or Antisocial

Differential DSM-5 Diagnosis for Common Presenting Symptoms

• Clients with Symptoms of Depression
  • Key Symptoms of Depression and Dysphoria
  • Substance-Related and Medical conditions with Depressive Symptoms
  • Mental Disorders with Symptoms of Depression
  • Diagnosis Challenge Case 2: A Sad, Overwhelmed Client
  • Differentiating Disorders with Symptoms of Depression
  • Frequent Comorbid Disorders
• Clients with Fear and Anxiety
  • Key Symptom Patterns of Anxiety
  • Substance-Related and Medical Conditions with Anxiety Symptoms
  • Mental Disorders with Symptoms of Anxiety
  • Diagnosis Challenge Case 3: Fearful and Worried Client
  • Specific Differential Diagnoses
  • Frequent Comorbid Disorders
• Clients with Abnormal or Impaired Cognition
  • Diagnostic Challenge: Case 4: Is She Crazy or Clairvoyant?
  • Sorting Patterns of Psychosis
  • DSM-5 Mental Disorders with Psychosis Symptoms
  • Substance-Related and Medical Conditions that Produce Cognitive Deficits
  • Differential Diagnosis when Cognitive Deficits as a Key Symptom

Target Audience

• Counselors
• Social Workers
• Psychologists
• Physicians
• Case Managers
• Addiction Counselors
• Therapists
• Marriage & Family Therapists
• Nurses
• Nurse Practitioners
• Other Mental Health Professionals

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