Kamis, 03 Desember 2015

Desk Reference to the Diagnostic Criteria from DSM-5 5th Edition


Desk Reference to the Diagnostic Criteria from DSM-5(TM) 5th Edition
Author: American Psychiatric Association ID: 0890425566

Paperback: 444 pagesPublisher: American Psychiatric Publishing; 5 edition (May 27, 2013)Language: EnglishISBN-10: 0890425566ISBN-13: 978-0890425565 Product Dimensions: 1 x 4.2 x 6.2 inches Shipping Weight: 5.6 ounces (View shipping rates and policies) Best Sellers Rank: #544 in Books (See Top 100 in Books) #1 in Books > Textbooks > Medicine & Health Sciences > Reference #1 in Books > Reference > Encyclopedias & Subject Guides > Medical #2 in Books > Textbooks > Medicine & Health Sciences > Medicine > Clinical > Psychiatry
I am a Licensed Alcohol/Drug Counselor and a Licensed Independent Mental Health Practitioner in Nebraska. While I have not examined the Desk Reference thoroughly yet, here are some initial observations.

1. My copy is not missing any pages

2. Both the ICD-9 and ICD-10 codes are included in the DSM-5. The ICD-10 codes are in parenthesis. This is helpful and means we do not have to buy a new book when the use of ICD-10 becomes mandatory October 1, 2014.

3. I wish the DSM-5 Desk Reference was spiral bound as it will not take long before the binding breaks down due to frequent use.

4. DSM-5 does away with the multiple axis system which I find very helpful, particularly, the elimination of Axis 5 which was very subjective.

5. DSM-5 makes stressors that were previously identified on Axis 4 into diagnosis which are identified as "V" codes in ICD-9 and "Z" codes in ICD-10. I find this troubling. For example, Homelessness is now a mental health diagnosis V60.0 (Z59.0) OR, probably my current favorite, Problem Related to Current Military Deployment Status V62.21 (Z56.82). Given that I am a civilian counselor in the Army Substance Abuse Program and I am currently stationed in S. Korea, I will be using this code a lot. Are both of these problems stressful? YES. Can both of these lead to further chemical use or exacerbate or sometimes lead to actual mental health issues? You better believe it! But to make them diagnosis in their own right is a travesty. It is not going to lead insurance companies to pay for treatment for Homelessness or Problem Related to Current Military Deployment Status now or in the future. If I remember correctly, even Medicaid does not pay for treatment of "V" codes.
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