Dziegielewski - DSM-5 in action

Cover design: Wiley

Cover photograph: Chad Baker/Getty

This book is printed on acid-free paper.

Copyright 2015 by John Wiley & Sons, Inc. All rights reserved.

Published by John Wiley & Sons, Inc., Hoboken, New Jersey.

Published simultaneously in Canada.

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, or on the web at www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008.

Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If legal, accounting, medical, psychological or any other expert assistance is required, the services of a competent professional person should be sought.

The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by physicians for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom.

Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or all capital letters. Readers, however, should contact the appropriate companies for more complete information regarding trademarks and registration.

For general information on our other products and services please contact our Customer Care Department within the U.S. at (800) 762-2974, outside the United States at (317) 572-3993 or fax (317) 572-4002.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. For more information about Wiley products, visit our website at www.wiley.com.

Library of Congress Cataloging-in-Publication Data:

Dziegielewski, Sophia F., author,

DSM-5 in action/Sophia F. Dziegielewski.

1 online resource.

Includes bibliographical references and indexes.

Description based on print version record and CIP data provided by publisher; resource not viewed.

ISBN 978-1-118-13673-7 (pbk.: alk. paper)

ISBN 978-1-118-76074-1 (pdf)

ISBN 978-1-118-76066-6 (epub)

I. Title.

[DNLM: 1. Diagnostic and statistical manual of mental disorders. 5th ed. 2. Mental Disordersdiagnosis. 3. Mental Disordersclassification. 4. Patient Care Planning. WM 141]

RC469

616.89075dc23

2014015479

A Tribute to Dr. Cheryl Green

I have come to believe that intelligence consists of the knowledge that one acquires over a lifetime. Wisdom, however, is far greater. Wisdom requires having intelligence, but realizing it means nothing if it is not shared. In wisdom, there is a natural sense of giving where there is no fear of loss. It means realizing that the knowledge is measured purely by what we can teach and share with others.

For Dr. Cheryl Green, her intelligence made her a social work scholar. It was her wisdom, however, that touched my soul and made her one of my colleagues and dearest friends. Her sense of humor and Cherylisms made the time fly by. Cheryl passed on before the formulation of this book. Through her teaching and writing, the hearts of so many social workers like me will never be the same. Although not a day goes by that I do not miss my dearest friend, I remain comforted by the time we shared together.

The pages that follow will introduce the reader to the diagnostic assessment, with its obvious strengths as well as its limitations. Although the concept of diagnosis and assessment is rich in tradition, the connection between diagnostic procedures and behavioral-based outcomes calls for a practice strategy that recognizes the importance of the relationship between the problems and concerns of the person and his or her environment. Continually assessing and reassessing how to best address context changes related to emotional, physical, and situational factors regarding client well-being is paramount.

This book stresses a multidisciplinary and interdisciplinary focus that invites all medically and nonmedically trained professionals, social workers, and other mental health practitioners to join in a collaborative team-based approach. By working together, teams best serve clients' needs by providing a comprehensive diagnostic assessment that ensures high-quality care.

This book utilizes the diagnostic nomenclature outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and goes beyond the DSM to clearly suggest treatment planning and application. The diagnostic assessment is embedded in the use of supporting texts, also referred to as the bibles of mental health, such as the