This document summarizes key points from a lecture on diagnosing and treating psychopathology. It discusses reviewing DSM-5 criteria and using screening instruments to diagnose disorders. It provides guidance on evaluating diagnostic criteria and differential diagnoses. The document also outlines components of disorders described in the DSM-5 including criteria, features, prevalence, course and more. Finally, it describes an upcoming diagnostic report exercise for the class to practice the evaluation and diagnosis process.

1. DIAGNOSIS AND
TREATMENT OF
PSYCHOPATHOLOGY
Course: CED 5979
Presenter: John Grady, LPC, LCADC, CCS, ACS,
NCC
Class #: Three

2.  Checking in…
 DSM 5 Criteria – The Process of Diagnosing
 Modified suggested format
 Screening instruments
 Components of a DSM 5 disorder
 Tx Team Exercise – Diagnostic Report interviews
 … Checking Out (Summary)

4.  Let’s review our group #s
 Note: Treatment Team Case Study Presentation Format (Final Project) review
will be next week
 From our Reading:
 What is are some purposes of the intake interview?
 When completing an intake interview, how important is establishing a good
connection with your client?
 What makes securing childhood data (e.g. behavioral issues) important if the client
is an adult?
 General
 What are your thoughts, concerns, ideas, etc. regarding the intake interview
process?

5.  Gather data both qualitatively &
quantitatively (if possible)
 Consult a Jongsma Treatment Planner
 Look up chapter that seems to apply to your
client’s presenting issue
 Go to the “diagnostic suggestions” part of the
chapter
 Identify possible applicable diagnoses
 Go to the DSM 5
 Review the “Diagnostic Criteria” of the
Jongsma-suggested diagnoses

7.  Reading concretely from the text, see if the symptoms reported by
client, family, etc. or observed behaviors “fit” the diagnostic
criteria
 If so, diagnose the disorder – but also continue exploring the
Jongsma-suggestions or DSM 5’s “Differential Diagnosis” and
“Comorbidity” sections
 This might lead to additional diagnoses or you to discover a more
appropriate diagnosis
 If not, continue exploring the Jongsma-suggestions and/or the
DSM 5 “Differential Diagnosis” part of the disorder’s segment
 Continue process until solid diagnosis(es) is(are) found
 Review with supervisor – be prepared to justify your conclusion
using DSM 5 criteria

8.  Qualitative methods: Through interviews
 Quantitative: Through instruments

9.  Many instruments can be used to help screen for possible ailments – and
help us gain quantitative data
 Although some guidelines are less strict, we must –
 review ethical guidelines
 the screen’s guidebook/instruction manual to ensure we can use the instrument
 Responsibilities of Users of Standardized Tests (RUST):
 http://aac.ncat.edu/documents/rust.html
 Note: Most require one to have a Master’s in Counseling or related field

10.  Suggestion: Just focus on this resource for now – lots of options
 Depression Screens
 Drug & Alcohol Screens
 Bipolar Disorder Screens
 Suicide Risk Screens
 Anxiety Screens
 Trauma Screens
 http://www.integration.samhsa.gov/clinical-practice/screening-tools

11.  General Functioning
 World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
 Depression
 Patient Health Questionnaire (PHQ 9)
 Bipolar Disorder
 Mood Disorder Questionnaire (MDQ)
 Anxiety
 Generalized Anxiety Disorder 7-Item (GAD-7)
 PTSD
 Primary Care PTSD Screen (PC-PTSD)
 Not on SAMHSA Resource – must look up
 Alcoholism
 The Alcohol Use Disorders Identification Test (AUDIT)
 Drug Use
 Drug Use Questionnaire (DAST -10)
 Drug and Alcohol Use
 NIDA Quick Screen V1.O
 NIDA-Modified Assist V2.0

22.  Many use as a quantitative measure for counseling effectiveness
 Measures
 Symptom Distress (e.g. anxiety disorders)
 Interpersonal Relations (e.g. family strife)
 Social Role (e.g. worker)
 Also provides an overall score that adds up the three subscales above
 Provides thresholds for ”indicates symptoms of clinical significance”

25.  Diagnostic Criteria
 Info needed to diagnose the disorder
 Diagnostic Features
 More detail about key symptoms
 Associated Features Supporting Diagnosis
 Prevalence
 Data regarding how disorder affects gender, age, ethnic populations
 Development & Course
 Common life span development factors
 How and when the disorder challenges a person

26.  Risk and Prognostic Factors
 Conditions that are associated with the disorder’s manifestation
 Culture-Related Diagnostic Issues
 Cultural variation in the disorder’s expression
 Gender-Related Diagnostic Issues
 Functional Consequences of the Disorder
 Differential Diagnosis
 List of disorders that have similar symptoms
 Provides information on what distinguishes the disorders
 Great for pointing a clinician to other possibly appropriate disorders
 Comorbidity
 Other disorders that may, or may have in the past, occur in the client with the featured disorde

31.  We will spend the last hour conducting the diagnostic report exercise
 Role-playing “Clients” – please provide some quality info for your partner
to decipher
 If you are using a client from Practicum/Internship, fantastic –
 Please be prepared to be a "client"
 If both partners are using actual clients for your report
 the three of us can meet to discuss your experience
 When completed, please feel free to discuss experience with me or take the
evening off
 Please review the “checking out” slide for reading assignment

32.  Today’s important topic:
 DSM 5 disorder components
 Upcoming Responsibilities:
 DSM 5 Presentation (one team)
 Read: DSM-5 Chapters 3&4

33. America Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Washington, DC: Author.
Dailey, S.F., Karl, S.L., Gill, C.S., & Barrio-Minton, C.A. (2014). DSM-5 learning companion for
counselors. Alexandria, VA: American Counseling Association.
Jongsma, A. E., Peterson, L.M., & Bruce, T.J. (2014). The complete adult psychotherapy treatment
planner (5th ed.). New York, NY: Wiley.
Morrison, J. (2014). DSM-5 made easy: The clinician’s guide to diagnosis. New York, NY: The Guilford
Press.
Seligman, L. (2004). Diagnosis and treatment planning in counseling (3rd ed.). New York, NY: Springer
Science+Business Media.
Preston, J., & Johnson, J. (2015). Clinical psychopharmacology made ridiculously simple (8th ed.).
Miami, FL: MedMaster, Inc.