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The third edition of this incisive practitioner resource and course text--updated for the DSM-5 Text Revision (DSM-5-TR)--takes the reader step by step through diagnostic decision making in mental health. Guidelines are presented for evaluating information from multiple sources, constructing a wide-ranging differential diagnosis, creating a safety hierarchy, and using decision trees to derive a valid working diagnosis. The book addresses specific issues in diagnosing the conditions most often seen in mental health practice, with an emphasis on how diagnosis informs effective treatment. More than 100 vivid vignettes illustrate the diagnostic process and allow readers to practice their skills. New to This Edition *Revised throughout for DSM-5-TR, including the new diagnosis of prolonged grief disorder. *Chapter on eating and sleeping disorders, including new decision trees. *New and updated vignettes and suggested readings.
This authoritative, user-friendly book offers a complete introduction to the art and science of mental health diagnosis. Meeting a key need for students and novice clinicians, James Morrison, the author of the bestselling DSM-IV Made Easy, systematically takes the reader through every step of the process. He provides clear-cut principles and decision trees for evaluating information from a variety of sources and for constructing a valid working diagnosis that serves as a foundation for treatment. Special features include quick-reference tables, sidebars explaining key concepts, and over 100 case examples that bring the approach to life.
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Designed to take the reader step-by-step through the diagnostic process for every DSM-IV category, the author clearly explains how to derive a complete, five-axis diagnosis. Each set of criteria is discussed in detail, illustrated by a vivid clinical vignette and interpreted in lucid terms. With this logical organization, the book provides a full course in diagnostic thinking, presented by a master clinician who has evaluated and treated over 15,000 patients.
Rich with compelling case material, this hands-on workbook helps mental health practitioners and students build essential skills for clinical evaluation and differential diagnosis. Renowned diagnostician and bestselling author James Morrison (DSM-5 Made Easy and other works) invites the reader to interview and evaluate 26 patients with a wide spectrum of presenting complaints and ultimate diagnoses. Using multiple-choice questions and fill-in-the-blank exercises, clinicians practice the arts of interviewing and making diagnostic decisions. The convenient large-size format facilitates use. Extensive tables in the appendix provide a quick-reference guide to the interviewing techniques, diagnostic principles, and clinical diagnoses discussed in each case. See also Morrison's DSM-5-TR® Made Easy, which explains DSM diagnoses in clear language, illustrated with vivid case vignettes; Diagnosis Made Easier, Second Edition, which offers principles and decision trees for integrating diagnostic information from multiple sources; and The First Interview, Fourth Edition, which presents a framework for conducting thorough, empathic initial evaluations.
Quickly and confidently access the on-demand, go-to guidance you need to diagnose, treat, and manage hundreds of pediatric disorders! A new user-friendly "five-books-in-one" format makes it easier than ever for you to zero in on nearly 400 common pediatric diagnoses, common signs and symptoms (with diagnostic algorithms and differentials), plus commonly used tables, equations, and charts. Find the specific information you need quickly and easily with the aid of a consistent, bulleted outline format and alphabetical listings of diseases, topics, differential diagnoses, and algorithms. Deliver the best outcomes by incorporating clinical pearls from experts in the field into your practice. Reference the complete contents online anytime, fully searchable. Consult either the user-friendly text or the fully searchable web site to provide high-quality pediatric patient care - efficiently and effectively.
This handbook describes the diagnostic process clearly and logically, aiding medical students and others who wish to improve their diagnostic performance and to learn more about the diagnostic process.
An exposé on Big Pharma and the American healthcare system’s zeal for excessive medical testing, from a nationally recognized expert More screening doesn’t lead to better health—but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with “abnormal” test results have been drastically lowered just when technological advances have allowed us to see more and more “abnormalities,” many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with “pre-disease” or for being at “high risk” of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.
A systematic, research-based approach to the diagnosis and treatment of the major mental disorders found in the Diagnostic and Statistical Manual of Mental Disorders This thoroughly revised and updated edition of Linda Seligman's classic book, Selecting Effective Treatments combines the latest research on evidence-based practices with practical, how-to information on implementation. Filled with numerous illustrative case studies and helpful examples, this Fourth Edition features expanded coverage of: Trauma and its effect across the lifespan, suicide assessment and prevention, and new treatment approaches, including mindfulness Childhood disorders, including autism spectrum disorders, bipolar disorder, ADHD, and attachment disorder Grief, loss, and bereavement Diagnosis and treatment of depression, borderline personality disorder, the schizophrenia spectrum disorders, and the bipolar disorders With a new discussion of treatment strategies for dual diagnosis, Selecting Effective Treatments, Fourth Edition provides a pathway for treatment of mental disorders based on the most recent evidence-based research, while at the same time recognizing that the diagnosis and treatment of mental disorders are part of a dynamic and evolving field that embraces individuality and personalization.