Full Course Description


Module 1: Using the DSM-5 and ICD-10: Beyond the Basics and FREE Resources

Take your DSM-5® diagnostic skills to the next level! This advanced recording is designed specifically for mental health professionals seeking to master clinical diagnosis and differential diagnosis using the DSM-5®, ICD-10 and online assessment tools. The focus of this workshop is on the key symptoms for each diagnosis, common differential diagnoses and frequent comorbid disorders of anxiety, depressive, trauma-related, substance-related, psychotic and neurodevelopmental disorders. Case examples and studies are provided throughout – giving you the opportunity to learn and apply a four-step symptoms-based diagnostic method. Topics include the clinical intake interview, differential diagnoses, online assessment tools to narrow diagnosis and potential comorbidities.

 

Clinical documentation is a professional standard of care, but there is little guidance about what to write or how to write it. Paperwork can seem disconnected from helping clients. It can create confusion and anxiety about possible violations of privacy and confidentiality, potentially traumatic audits, and even legal nightmares.

What are the criteria for a client needing services? How is medical necessity justified? How can the “golden thread” of documentation be created and maintained so that audits are passed and a professional standard of care is maintained even when insurance is not involved?
 

This recording can help answer these questions and more! Effective clinical documentation is not rocket science. It is a formula that, once learned, translates clinical thinking into clean documentation, so that writing notes and treatment plans can be done quickly and efficiently, getting authorizations is easy, and audits are not as threatening. In addition, confidentiality is not violated and continuity of care is practiced.

Choose mastery over misery and allow good clinical documentation to be a contribution to high quality clinical work rather than a detour away from it.

Program Information

Outline

Quick Review of Using the DSM-5 and ICD-10

Four Step Diagnostic Method

Differential Diagnosis of Specific DSM-5 Mental Disorders
Clients with Symptoms of Depression 

Clients with Fear and Anxiety 

Clients with Abnormal or Impaired Cognition

Clients with Repetitive Thoughts and Behaviors

Clients with Disruptive Behaviors

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.

Copyright : 09/28/2018

Module 2: The Four-Step Diagnostic Method: The Formula for Complex Cases

Program Information

Outline

Quick Review of Using the DSM-5 and ICD-10

Four Step Diagnostic Method

Differential Diagnosis of Specific DSM-5 Mental Disorders
Clients with Symptoms of Depression 

Clients with Fear and Anxiety 

Clients with Abnormal or Impaired Cognition

Clients with Repetitive Thoughts and Behaviors

Clients with Disruptive Behaviors

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.

Copyright : 09/28/2018

Module 3: Differential Diagnosis of Specific DSM-5® Mental Disorders: What to Consider Before the Diagnosis

Program Information

Outline

Quick Review of Using the DSM-5 and ICD-10

Four Step Diagnostic Method

Differential Diagnosis of Specific DSM-5 Mental Disorders
Clients with Symptoms of Depression 

Clients with Fear and Anxiety 

Clients with Abnormal or Impaired Cognition

Clients with Repetitive Thoughts and Behaviors

Clients with Disruptive Behaviors

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.

Copyright : 09/28/2018

Module 4: Documentation: The Topic Clinicians Love to Hate

Program Information

Objectives

  1. Explain the importance of proper documentation in informing clinical decision making
  2. Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients
  3. Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients
  4. Explain how to document what really happens in a clinical session without violating privacy or confidentiality
  5. Assess medical necessity by employing the “golden thread” for improved treatment outcomes

Outline

Why is Documentation the Topic Clinicians Love to Hate?

Medical Necessity How to Write a Treatment Plan How to Write a Session Note How to Write an Intake Summary How to Write Case/Collateral Contact Notes How to Write a Discharge Summary

Copyright : 12/05/2018

Module 5: Treatment Plans: Justifying Services for Insurance

Program Information

Objectives

  1. Explain the importance of proper documentation in informing clinical decision making
  2. Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients
  3. Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients
  4. Explain how to document what really happens in a clinical session without violating privacy or confidentiality
  5. Assess medical necessity by employing the “golden thread” for improved treatment outcomes

Outline

Why is Documentation the Topic Clinicians Love to Hate?

Medical Necessity How to Write a Treatment Plan How to Write a Session Note How to Write an Intake Summary How to Write Case/Collateral Contact Notes How to Write a Discharge Summary

Copyright : 12/05/2018

Module 6: Session Notes: Connecting Your Weekly Work to the Grand Plan

Program Information

Objectives

  1. Explain the importance of proper documentation in informing clinical decision making
  2. Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients
  3. Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients
  4. Explain how to document what really happens in a clinical session without violating privacy or confidentiality
  5. Assess medical necessity by employing the “golden thread” for improved treatment outcomes

Outline

Why is Documentation the Topic Clinicians Love to Hate?

Medical Necessity How to Write a Treatment Plan How to Write a Session Note How to Write an Intake Summary How to Write Case/Collateral Contact Notes How to Write a Discharge Summary

Copyright : 12/05/2018

Module 7: Diagnostic Summaries: Much More than Just Diagnosis

Program Information

Objectives

  1. Explain the importance of proper documentation in informing clinical decision making
  2. Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients
  3. Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients
  4. Explain how to document what really happens in a clinical session without violating privacy or confidentiality
  5. Assess medical necessity by employing the “golden thread” for improved treatment outcomes

Outline

Why is Documentation the Topic Clinicians Love to Hate?

Medical Necessity How to Write a Treatment Plan How to Write a Session Note How to Write an Intake Summary How to Write Case/Collateral Contact Notes How to Write a Discharge Summary

Copyright : 12/05/2018

Module 8: Red Flags for Insurance Companies: Avoid These 20 Red Flags that Trigger Audits from Insurance Companies

Program Information

Objectives

  1. Explain the importance of proper documentation in informing clinical decision making
  2. Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients
  3. Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients
  4. Explain how to document what really happens in a clinical session without violating privacy or confidentiality
  5. Assess medical necessity by employing the “golden thread” for improved treatment outcomes

Outline

Why is Documentation the Topic Clinicians Love to Hate?

Medical Necessity How to Write a Treatment Plan How to Write a Session Note How to Write an Intake Summary How to Write Case/Collateral Contact Notes How to Write a Discharge Summary

Copyright : 12/05/2018

BONUS: Differential Diagnosis Challenges: Clients with Trauma, Self-Injury, Impulsivity and Other Complex Behaviors

Take your DSM-5® diagnostic skills to the next level! This seminar is designed specifically for mental health professionals seeking to master clinical diagnosis and differential diagnosis using the DSM-5®, ICD-10 and online assessment tools. The focus of this workshop is on the key symptoms for each diagnosis, common differential diagnoses and frequent comorbid disorders.

Case examples and studies are provided throughout - giving you the opportunity to learn and apply a four-step symptoms-based diagnostic method. Topics include the clinical intake interview, differential diagnoses, online assessment tools to narrow diagnosis and potential comorbidities.

Program Information

Outline

  1. Clients with Impulsive Behaviors and Weak Impulse Control
  1. Symptoms of impulsivity/diminished impulse-control
  1. Child
  2. Adolescent and Adult
  1. Diagnostic Challenge: Case 8 Wyatt
  2. Substance-related and medical conditions associated with impulse-control problems
  3. Mental Disorders with impulsivity as one of the criteria symptom clusters
  4. Frequent Comorbid Disorders
  1. Clients with Experiences of Trauma or Psychosocial Stress
  1. Definition of Trauma in DSM-5
  2. Case Study 9: Annemarie
  3. Necessary information about the trauma event(s)
  4. The role of Substance-Related and Medical conditions and Trauma
  5. Differential Diagnosis: Trauma-Related?

a. Mental Disorders that follow traumatic event

b. Mental Disorders that follow severe neglect before age of 5

  1. Differential Diagnosis: Does not meet diagnostic criteria set for PTSD
  1. Adjustment Disorder or Other Mental Disorder
  2. Other Specified Trauma Related Disorder
  1. Frequent Comorbid Disorders

 

  1. Clients with Suicidal Ideation or Behaviors
  1. Clusters of Suicidal Symptoms
  2. Differential Diagnosis of the Underlying Mental Disorder
  1. Mental Disorders associated with Suicidal Capability
  2. Mental Disorders associated with Suicidal Ideation
  1. Medications that enhance suicidal risk
  2. Diagnostic Challenge: Case 10 Marty

 

  1. Clients with Self-Injury Behaviors
  1. Understanding self-injury, non-suicidal behaviors
  2. Substance Use Disorders that induce self-injury behaviors
  3. Mental Disorders associated with self-injury
  1. Client states motivation for the self-injurious behavior
  2. No apparent reason for the self-injurious behavior

 

  1. Wrap Up Diagnosis Challege: Case Study 11 Joe Jensen
  1. Working the Differential Diagnosis Process
  2. What About Personality Disorder?
  3. Joe’s initial DSM-5 diagnosis

Objectives

1. Identify client syndromes of poor impulse control, suicidal ideation, suicidal capability, intentional self-injury and symptoms following traumatic experiences.

2. Apply a four-step differential diagnostic method to diagnose the underlying mental disorders of clients with dysfunctional behavioral patterns and/or a history of trauma.

3. Collect the specific information required for an accurate differential DSM-5 diagnosis of clients with a history of trauma.

4. Conduct a differential diagnosis for clients with impulsive, suicidal and self-injurious behaviors.

Copyright : 05/02/2019