The document summarizes some of the key differences between the DSM-IV and DSM-5 diagnostic systems. Some of the main changes include:
- The DSM-5 removed the multiaxial system that was used in DSM-IV.
- Several disorders were renamed or reclassified, such as moving obsessive compulsive disorder into its own category.
- New diagnoses were added, like disruptive mood dysregulation disorder in children.
- Criteria for some existing diagnoses were modified, like changing the criteria for anorexia nervosa and bipolar disorders.
- The DSM-5 aimed to provide more clinical utility and address criticisms of the DSM-IV system.
MMPI is a personality inventory used in the assessment of personality. It is also used as a psychometric test as well as a diagnostic tool by clinical psychologists and counselors. Developed by Hathway & McKinley in the year 1943. It is the second most widely used personality inventory.
MMPI is a personality inventory used in the assessment of personality. It is also used as a psychometric test as well as a diagnostic tool by clinical psychologists and counselors. Developed by Hathway & McKinley in the year 1943. It is the second most widely used personality inventory.
Will talk about the severe psychological disorders-- The familiar name for all might be -"Schizophrenia" - it is not just one category but has multiple categories combined under -"Schizophrenia spectrum"
My forensic psychiatric research done in Indian jails shows most convicts under murder cases belong to schizophrenia spectrum (98% schizophrenia and 2% paranoid & schizoid personality disorders), and most have murdered their spouses, family members, friends or colleagues and surrendered themselves on the spot.
This presentation on the "Schizophrenia spectrum" has been particularly shared with you all to extend my message to help these affected people at the right time and maintaining their condition to prevent them from committing such crimes as there is no proper mental health care--Clinical, Legal or authoritative help available for convicts suffering from mental disorder.
The DSM-5: Overview of Main Themes and Diagnostic RevisionsJames Tobin, Ph.D.
DSM-5 represents the field’s most recent attempt at revising the DSM-IV-TR diagnostic nomenclature. In this presentation, I will outline the primary efforts of the DSM-5 Task Force and the major diagnostic changes that were incorporated in the new manual, with an emphasis on the disorders of adulthood. The most promising changes are the organization of mental illness as a spectrum, the addition of dimensionality to specifier descriptions, lifespan/development and cultural refinements, and the articulation of a new hybrid model of mental illness. In the context of these gains, I also will provide a summary of the major controversies surrounding the DSM-5, including misgivings about lower thresholds to qualify for numerous diagnoses and the related concern that we may now run the risk of pathologizing “normal” human functioning.
Classification in Psychiatry
The concept, reliability, validity, advantages and disadvantages of different classification systems, controversies in psychiatry classification
Diagnostic Criteria:
exposure to actual or threatened death, serious, or sexual violence in one( or more) of the following ways:
1) Directly experiencing the traumatic events.
2) Witnessing in person
3) Learning that the traumatic event occur to close family member or friend.
4) Experiencing repeated or extreme exposure to aversive details of the traumatic events.
Identify the distinction of DSM 5 vs ICD.
Explain the significant change in the fifth edition .
Discuss and differentiate the purposes of mental illness classification.
Will talk about the severe psychological disorders-- The familiar name for all might be -"Schizophrenia" - it is not just one category but has multiple categories combined under -"Schizophrenia spectrum"
My forensic psychiatric research done in Indian jails shows most convicts under murder cases belong to schizophrenia spectrum (98% schizophrenia and 2% paranoid & schizoid personality disorders), and most have murdered their spouses, family members, friends or colleagues and surrendered themselves on the spot.
This presentation on the "Schizophrenia spectrum" has been particularly shared with you all to extend my message to help these affected people at the right time and maintaining their condition to prevent them from committing such crimes as there is no proper mental health care--Clinical, Legal or authoritative help available for convicts suffering from mental disorder.
The DSM-5: Overview of Main Themes and Diagnostic RevisionsJames Tobin, Ph.D.
DSM-5 represents the field’s most recent attempt at revising the DSM-IV-TR diagnostic nomenclature. In this presentation, I will outline the primary efforts of the DSM-5 Task Force and the major diagnostic changes that were incorporated in the new manual, with an emphasis on the disorders of adulthood. The most promising changes are the organization of mental illness as a spectrum, the addition of dimensionality to specifier descriptions, lifespan/development and cultural refinements, and the articulation of a new hybrid model of mental illness. In the context of these gains, I also will provide a summary of the major controversies surrounding the DSM-5, including misgivings about lower thresholds to qualify for numerous diagnoses and the related concern that we may now run the risk of pathologizing “normal” human functioning.
Classification in Psychiatry
The concept, reliability, validity, advantages and disadvantages of different classification systems, controversies in psychiatry classification
Diagnostic Criteria:
exposure to actual or threatened death, serious, or sexual violence in one( or more) of the following ways:
1) Directly experiencing the traumatic events.
2) Witnessing in person
3) Learning that the traumatic event occur to close family member or friend.
4) Experiencing repeated or extreme exposure to aversive details of the traumatic events.
Identify the distinction of DSM 5 vs ICD.
Explain the significant change in the fifth edition .
Discuss and differentiate the purposes of mental illness classification.
Nowell des personality disorders october 2014David Nowell
Overview of the personality disorders, including the DSM5 alternative model, with particular focus on how these disorders impact the disability review process.
Define Personality disorder
List The Causes of Personality disorders
Know General Personality Disorder Criteria
List Differential Diagnosis
List and define Clusters: A, B, and C criteria and treatment
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
DSM IV ;DSM-5 differences
1. DSM –IV and DSM -5
Differences- Revised ppt
Dr BK Waraich
MD Psychiatry
2. • The APA published the Diagnostic and statitistical manual of Mental
Disorders in 1952. DSM 1 had 60 disoders
• DSM II – 1968. By 1974, Homosexuality was removed as a mental
disorder
• DSM III- 1980, 5 part multiaxial system started
• DSM IV- 365 diagnosis
• DSM 5- Multi axial system removed.
3. • AXIS 1- Major psychiatric Disorders and Substance abuse Disorders
• AXIS 2- Personality Disorders
• AXIS 3 – Medical Conditions
• Axis 4- Psychosocial and Environment Factors
• AXIS 5- GAF- Global Assessment of Functioning
4. DSM-IV DSM-5
• Disorders usually first diagnosed in
infancy, childhood, or adolescence
• Delirium, Dementia, and Amnestic and
other cognitive disorders
• Mood Disorders- In DSM 5 Bipolar and
Depressive separated
• Anxiety D
• Somatoform Disorders
• Factitious Disorders- DROPPED IN DSM5
• Category Dropped
• Neurocognitive Disorders
• Bipolar & related Disorders
• Depressive Disorders
• Anxiety D
• Somatic Symptom and Related Disorders
( New name)
• Dropped ( Factitious D put under
Somatic Symptom D
5. DSM-IV DSM-5
• Dissociative Disorders
• Sexual and Gender Identity Disorders-
Now 3 types in DSM5
• Eating Disorders
• Impulse-Control Disorders not elsewhere
classified( 5 disorders-Pathological
gambling, IED, Trichotillomania,
Kleptomania, Pyromania)
• Adjustment D
• Dissociative Disorders
• 1.Sexual dysfunctions
2. Gender Dysphoria
3. Paraphilias
• Feeding and Eating Disorders(both
Feeding D and Eating D in one category)
• Disruptive, Impulse-Control, and Conduct
Disorders( Impulse Control disorders
include 3 disorders ie Intermittent
Explosive Disorder IED, Pyromania,
kleptomania now)
• Put in Trauma & Stress related
Disorders
6. New categories in DSM 5
• Neurodevelopmental Disorders
• Obsessive Compulsive Disorders
• Trauma and Stressor related Disorders
• Elimination Disorders
7. Childhood mental disorders, the DSM-5 eliminated a class of
“disorders usually first diagnosed in infancy, childhood, or
adolescence.” Those disorders are now placed within other classes.
• DSM-IV(Disorders usually first
diagnosed in infancy, childhood, or
adolescence)
• Mental Retardation
• Learning Disorders
• Communication Disorders
• Pervasive Developmental
Disorders(Renamed)
• Attention-Deficit/Hyperactivity Disorder
• DSM 5(Neurodevelopmental
Disorders)
• Intellectual Disabilities
• Learning Disorders
• Communication Disorders
• Autism Spectrum Disorder(new name
& subsumes Aspergers Syndrome)
• Attention-Deficit/Hyperactivity
Disorder
8. DSM-IV DSM-5
(Disorders usually first diagnosed
in infancy,
• Conduct Disorders
• Oppositional Defiant Disorder
• Feeding and Eating Disorders of
Infancy or Early Childhood
Disruptive, Impulse-Control, and
Conduct Disorders
• Conduct Disorders
• Oppositional Defiant Disorder
• Feeding and Eating Disorders
• Feeding and Eating Disorders of
Infancy or Early Childhood put in
the category of Feeding and
Eating Disorders.
9. DSM-IV DSM-5
DISORDERS first diagnosed in
Infancy, Childhood
• Separation Anxiety Disorder
• Selective Mutism
• Reactive Attachment Disorder
ANXIETY DISORDERS
• Separation Anxiety Disorder
• Selective Mutism
• Reactive Attachment Disorder
(put in trauma and stress related
disorders Category)
10. DSM-IV DSM-5
• Schizophrenia- Types
-Paranoid
-Hebephrenic
-Catatonic
-Undifferentiated
• Types removed
• Includes a New Attenuated
Psychotic Disorder
11. DSM-IV DSM-5
• Personality Disorders
CLUSTER A (Acronym SSP- Odd
type))
-Schizoid, Schizotypal
, Paranoid
CLUSTER B (Acronym BAH- Acting
out type)
-Borderline, Antisocial,
Histrionic
CLUSTER C (AAD- Anxious type)
• Personality Disorders
MILD
MODERATE
SEVERE
5 TRAITS described
• Disinhibted
• Dissocial
• Detached
• Anankastic
• Negative Affectivity
12. DSM-IV DSM-5
• Dissociative amnesia
• Dissociative fugue
• Dissociative identity disorder
• Depersonalization disorder
• Dissociative disorder not otherwise
specified
Dissociative Disorders
1. Dissociative Amnesia
(includes Psychogenic Fugue)
2. Depersonalisation Derealisation
Disorder
3. Dissociative identity Disorder-
• Symptoms of disruption of identity may
now be reported, as well as observed
• Gaps in the recall of events may occur for
everyday events
• Experiences of pathological possession in
some cultures are included in the
description of identity disruption
13. DSM-IV DSM-5
• Anorexia nervosa- Body image
distortion ( wt 85% or less than
expected for that age OR BMI
<17.5)
• Bulimia-
Purging/Non-Purging type
• Anorexia nervosa- Amenorrhoea no
longer a criteria
• Bulimia- Purging/Nonpurging type
removed
-1-3 episodes- Mild
-4-7 - Moderate
-8-13 - Severe
>13 - Extreme
14. New Addition in Childhood Mental Disorders
in DSM5
• 3.1.1. Social (Pragmatic) Communication Disorder (SCD, under
Neurodevelopmental Disorders)
• Description. The DSM-5 communication disorders include a new
condition for persistent difficulties in the social uses of verbal and
nonverbal communication: social (pragmatic) communication
disorder or SCD. SCD is characterized by a primary difficulty with
pragmatics—the social use of language or communication—resulting
in functional limitations in effective communication, social
participation, development of social relationships, and academic
achievement
15. DSM-IV DSM-5
• ADHD – Onset before 7 yrs of
age
• Feeding disorder of infancy or
early childhood has been
renamed ➜ ➜ ➜ ➜ ➜ ➜ ➜
• Onset before 12 yrs of age
• Avoidant/Restrictive food intake
disorder,
16. New Addition in DSM5
• 3.1.2. Disruptive Mood Dysregulation Disorder (or DMDD) (under
Depressive Disorders)
• It combines Bipolar disorder early onset with Oppositional behaviours
• 3 or more temper outbursts that occur each week for at least a year.
• Chronic irritability
• Symptoms present in at least 2 settings-(Home, school, with peers)
• Must occur before 10 yrs of age and should be at least 6 yrs old to get
this diagnosis
17. DSM-5 – Changes in Mood Disorders- now
Bipolar disorders
• Bipolar I disorder, at one time referred to as manic-depressive
disorder, is defined by the occurrence of at least one manic episode,
• Mood changes are accompanied by abnormally and persistently goal-
directed behavior or energy.
• The occurrence of the manic and major depressive episode(s) is not
better explained by schizoaffective disorder, schizophreniform
disorder, delusional disorder, or other specified or unspecified
schizophrenia spectrum and other psychotic disorder.
18. DSM 5- OCD & Related Disorders
• Body Dysmorphic Disorder ie BDD has been reclassified from
somatoform disorders in DSM-IV to obsessive-compulsive and related
disorders.
• Hoarding Disorder (new in DSM5- was subsumed under OCD in DSM
IV)
• Trichotillomania
• Excoriation (New Disorder in DSM5)
19. DSM-IV - Somatoform disorders DSM-5
1.SOMATISATION Disorder
2.PAIN D
3.UNDIFFERENTIATED
SOMATOFORM DISORDERS
• ALL THE 3 ARE NOW SOMATIC
SYMPTOM DISORDER
• Factitious disorders added to
this
20. DSM IV DSM-5- Illness Anxiety Disorder
• Hypochondriasis was part of
Somatoform Disorders-
• Now in DSM 5 it is Illness
Anxiety Disorder
• Patients with illness anxiety disorder
may or may not have a medical
condition but -
• have heightened bodily sensations,
• are intensely anxious about the
possibility of an undiagnosed illness,
• or devote excessive time and energy to
health concerns, often obsessively
researching them.
• Illness anxiety disorder can cause
considerable distress and life
disruption, even at moderate levels.
21. DSM 5- Separate diagnosis of Persistent Complex
Bereavement Disorder
• > 6 months in children &> 12 mnths in Adults.
• The person has been bereaved (i.e. experienced the death of a loved one) for at least six
months
• At least 1 of the following-
-Intense and persistent yearning for the deceased
-Frequent preoccupation with the deceased
-Intense feelings of emptiness or loneliness
-Recurrent thoughts that life is meaningless or unfair without the deceased
-A frequent urge to join the deceased in death
22. DSM 5- Separate Persistent Complex Bereavement
Disorder
• At least two of the following symptoms have been recorded for at least one month:
-Feeling shocked, stunned or numb since a loved one’s death
-Feelings of disbelief or inability to accept the loss
-Rumination about the circumstances or consequences of the death
-Anger or bitterness about the death
-Experiencing pain that the deceased suffered, or hearing/seeing the deceased
-Trouble trusting or caring about others
-Intense reactions to memories or reminders of the deceased
-Avoidance of reminders of the deceased, or the opposite - seeking out reminders to feel
close to the deceased
• Symptoms cause substantial distress for the sufferer or impact significantly on areas of
functioning and cannot be attributed to other causes.
23. Other changes
• Intellectual Disability -To reflect common language, the issues
previously referred to as “mental retardation” are now classified as
“intellectual disability.” The diagnostic criteria for this disorder have
also been updated to more strongly focus on adaptive functioning,
rather than IQ score.
24. PTSD
• Increasing Detail on PTSD Symptoms
• adds nuance for children with PTSD,
• and describes four main types of symptoms:
•Arousal
•Avoidance
•Flashbacks
•Negative impacts on thought patterns and mood
25. DSM-IV DSM-5
• 1. Substance use disorder
included substance
abuse and substance dependence.
1.Single diagnostic category
of Substance Use Disorder. Abuse and
Dependence dropped.
10 separate classes of drugs: alcohol;
caffeine; cannabis; hallucinogens
(phencyclidine or similarly acting
arylcyclohexylamines, and other
hallucinogens, such as LSD); inhalants;
opioids; sedatives, hypnotics, or
anxiolytics; stimulants (including
amphetamine-type substances, cocaine,
and other stimulants); tobacco; and
other or unknown substances.