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. Apply a four-step diagnostic process to accurately identify and code a client’s diagnosis.
2. Specify key symptoms and diagnostic criteria for frequently diagnosed mental disorders.
3. Determine important differential diagnoses for anxiety, depressive, trauma-related, substance-related, and neurodevelopmental disorders.
4. Analyze differential diagnoses for children who present with disruptive behavior.
5. Differentiate between overlapping symptoms and comorbid conditions in order to provide the correct diagnosis.
6. Utilize the DSM-5® severity tables, assessment tools, and coding notes to improve the accuracy of diagnosis and ICD-10 coding.

Outline

• Use of criteria sets, specifiers, and coding notes
• Options if diagnosis unclear
• Combining ICD-10 and the DSM-5® to code and name mental disorders
• Online DSM resources and diagnosis updates

• Goals of the intake interview
• Steps to a DSM-5® diagnosis
  • Broad opening: client behavior sample
  • Identifying key DSM-5® symptom clusters
  • Differential diagnosis
  • Focused interviewing for specific disorders
• Four-Steps case example

• DSM-5® cross-cutting symptom measures and screening tools
• Assessments for alcohol, drug and tobacco use

• Major Depressive Disorder vs. Persistent Depressive Disorder
• Major Depressive Disorder vs. Bipolar II Disorder
• Depressive disorders vs. Anxiety Disorders
• Depressive disorders vs. Adjustment Disorder
• Medical conditions with depressive symptoms
• Frequent comorbid disorders
• Comparing the cases of Winona and Frank

• Generalized Anxiety Disorder vs. Social Anxiety Disorder
• Panic Disorder vs. Medication Induced Anxiety
• Generalized Anxiety Disorder vs. Somatic Symptom Disorder
• Medical conditions with anxiety symptoms
• Frequent comorbid disorders
• Case: “Carlos hates shopping”

• Case: “What is wrong with my son?”
• Psychosis as a key symptom
  • Schizophrenia Spectrum disorders vs. Bipolar disorders
  • Schizoaffective Disorder vs. Schizophrenia
  • Comorbid substance use disorders
• Cognitive Deficits as a key symptom
  • Neurodevelopmental disorders
  • Autism Spectrum Disorder
  • Attention Deficit/Hyperactivity Disorder
  • Neurocognitive disorders”

• Obsessive-Compulsive Disorder vs. Anxiety disorders
• Body Dysmorphic Disorder vs. Eating disorders
• Hoarding
• Excoriation disorders vs. Non-suicidal Self-injury
• Frequent comorbid disorders

• Trauma as a catalyst for mental disorders
• Posttraumatic Stress Disorder differential diagnosis
• Adjustment disorders differential diagnosis
• Frequent comorbid disorders
• Case: Lt. Brown

• Substance Use disorders as a catalyst for other mental disorders
• Gambling Disorder as an addiction
• Substance use and comorbid disorders
• Current drugs in America quiz

• Disruptive Mood Dysregulation Disorder vs. Oppositional Defiant Disorder
• Reactive Attachment Disorder
• ODD or Conduct Disorder vs. Attention Deficit/Hyper activity Disorder
• Frequent comorbid disorders

Target Audience

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

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