Full Course Description
Mastering Differential Diagnosis with the DSM-5: A Symptom-Based Approach
Program Information
Target Audience
- Counselors
- Social Workers
- Psychologists
- Case Managers
- Addiction Counselors
- Therapists
- Marriage & Family Therapists
- Nurses
- Nurse Practitioners
- Other Mental Health Professionals
Outline
Quick Review of Using the DSM-5 and ICD-10
- Diagnosis of mental disorders in the U.S.A.
- Use of two models DSM-5 and ICD-10
- Use of Specifiers
- DSM-5 and ICD Coding and Recording
- Web-based DSM-5 Resources
- Digital Updates
- DSM-5 Cross-Cutting Symptom Measures and Screening Tools
Four Step Diagnostic Method
- Case 1: Michelle
- Goals of the Clinical Interview
- Steps to a DSM-5 Diagnosis
- Step 1: Gathering Client Information and Behavior Sample
- Interview Phases I, II, and III
- Using Client Observation Sheet in Step 1
- Using assessment tools to supplement data
- Sources of Error to avoid in the clinical interview
- Step 2: Identifying Key DSM-5 Symptom Clusters
- Step 3: Differential Diagnosis List
- Considering medical and substance causes of symptoms
- Assessments for Alcohol, Drug and Tobacco use
- Differential Diagnosis Guides in DSM-5 Manual
- Step 4: Initial DSM-5 Diagnosis
- Comorbidity considerations
Differential Diagnosis of Specific DSM-5 Mental Disorders
Clients with Symptoms of Depression
- Key symptoms of Depression and Dysphoria
- Substance-Related and Medical conditions with Depressive Symptoms
- Mental Disorders with Symptoms of Depression
- Diagnosis Challenge: Case 2: Marilyn Wilson
- Differentiating Disorders with Symptoms of Depression
- Frequent Comorbid Disorders
Clients with Fear and Anxiety
- Key Symptom Patterns of Anxiety
- Substance-Related and Medical conditions with Anxiety Symptoms
- Mental Disorders with Symptoms of Anxiety
- Differentiating by Patterns of Anxiety symptoms
- Diagnosis Challenge: Case 3: Hunter
- Specific Differential Diagnoses
- Generalized Anxiety Disorder
- Panic Disorder
- Frequent Comorbid Disorders
Clients with Abnormal or Impaired Cognition
- Diagnostic Challenge: Case 4: Christa
- Sorting Patterns of Psychosis
- Substance-Related and Medical conditions with Psychosis symptoms
- DSM-5 mental disorders with psychosis symptoms
- Sorting Patterns of Cognitive Deficit: Case 5: Bob Gray
- Substance-Related and Medical conditions that produce cognitive deficits
- Differential Diagnosis when Cognitive Deficits as a Key Symptom​
- Neurodevelopmental Disorders
- Neurocognitive Disorders
Clients with Repetitive Thoughts and Behaviors
- Diagnostic Challenge: Case 6: Devin
- Mental Disorders with Symptoms of Repetitive Thoughts and Behaviors
- Substance-Related and Medical conditions associated with Repetitive Thoughts and Behaviors
- Frequent Comorbid Disorders
Clients with Disruptive Behaviors
- Disruptive Behavior Symptoms
- Diagnostic Challenge: Case 7: Natalia is a Problem
- Substance-Related and Medical conditions associated with Disruptive Behaviors
- Differential Diagnosis by Patterns of Disruptive Behavior
- Defiant, Angry and Vindictive
- Impulsive and/or Antisocial
- Comorbidity in DSM-5 Disruptive, Impulse Control, and Conduct Disorders
Objectives
- Apply a four-step diagnostic process to accurately identify and code a client’s diagnosis.
- Specify key symptoms and diagnostic criteria for frequently diagnosed mental disorders.
- Determine important differential diagnoses for anxiety, depressive, trauma-related, substance-related, and neurodevelopmental disorders.
- Analyze differential diagnoses for children who present with disruptive behavior.
- Differentiate between overlapping symptoms and comorbid conditions in order to provide the correct diagnosis.
- 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
Mastery in Mental Health Documentation & Medical Necessity: Comprehensive Clinical Documentation for Psychotherapists
Program Information
Objectives
- Complete proper documentation to inform clinical decision-making.
- Evaluate the role of the clinical diagnosis in justifying medical necessity and providing more effective services to clients.
- Determine how to use the behavioral language required by insurance companies to facilitate delivery of services to clients.
- Demonstrate understanding of how to document what really happens in a clinical session without violating privacy or confidentiality.
- Assess medical necessity by employing the “golden thread” for improved treatment outcomes.
- Determine potential red flags in documentation and the proper corrective measures for them.
Outline
Why is Documentation the Topic Clinicians Love to Hate?
- How do you feel about documentation?
- Why is documentation so daunting?
- Why is documentation the topic clinicians love to hate?
- Why document?
Medical Necessity
- Definition of Medical Necessity
- What is “The Golden Thread” and how does it relate to medical necessity?
- What is the role of the diagnosis in justifying medical necessity?
How to Write a Treatment Plan
- Definition of a treatment plan
- Everything that’s needed in a treatment plan and why
- How to write a treatment plan that justifies medical necessity using behavioral language and the “golden thread” with examples
- Practice writing a treatment plan
How to Write a Session Note
- Definition of a session note and how it relates to the treatment plan
- Everything that’s needed in a session note and why
- How to write a session note that justifies medical necessity using behavioral language and the “golden thread” with examples
- Practice writing a session note
How to Write an Intake Summary
- Definition of an intake summary and how it relates to all other documentation
- Everything that’s needed in an intake summary and why
- How to write an intake summary that lays the ground for medical necessity
How to Write Case/Collateral Contact Notes
- Definition of a case/collateral contact note and how it relates to the treatment plan
- Everything that’s needed in a case/collateral contact note and why
- How to write a case/collateral Contact Note that justifies medical necessity using behavioral language and the “golden thread” with examples
How to Write a Discharge Summary
- Definition of a discharge summary and how it relates to the treatment plan
- Everything that’s needed in a discharge summary and why
- How to write a discharge summary that completes the “golden thread” with examples
Target Audience
- Mental Health Administrators
- Psychiatrists
- Psychologists
- Counselors
- Social Workers
- Office Managers
- Mental Health Nurses
- Marriage and Family Therapists
- Psychotherapists
- Other Mental Health Professionals
Copyright :
12/05/2018
Differential Diagnosis Challenges: Clients with Trauma, Self-Injury, Impulsivity and Other Complex Behaviors
Program Information
Outline
- Clients with Impulsive Behaviors and Weak Impulse Control
- Symptoms of impulsivity/diminished impulse-control
- Child
- Adolescent and Adult
- Diagnostic Challenge: Case 8 Wyatt
- Substance-related and medical conditions associated with impulse-control problems
- Mental Disorders with impulsivity as one of the criteria symptom clusters
- Frequent Comorbid Disorders
- Clients with Experiences of Trauma or Psychosocial Stress
- Definition of Trauma in DSM-5
- Case Study 9: Annemarie
- Necessary information about the trauma event(s)
- The role of Substance-Related and Medical conditions and Trauma
- Differential Diagnosis: Trauma-Related?
a. Mental Disorders that follow traumatic event
b. Mental Disorders that follow severe neglect before age of 5
- Differential Diagnosis: Does not meet diagnostic criteria set for PTSD
- Adjustment Disorder or Other Mental Disorder
- Other Specified Trauma Related Disorder
- Frequent Comorbid Disorders
- Clients with Suicidal Ideation or Behaviors
- Clusters of Suicidal Symptoms
- Differential Diagnosis of the Underlying Mental Disorder
- Mental Disorders associated with Suicidal Capability
- Mental Disorders associated with Suicidal Ideation
- Medications that enhance suicidal risk
- Diagnostic Challenge: Case 10 Marty
- Clients with Self-Injury Behaviors
- Understanding self-injury, non-suicidal behaviors
- Substance Use Disorders that induce self-injury behaviors
- Mental Disorders associated with self-injury
- Client states motivation for the self-injurious behavior
- No apparent reason for the self-injurious behavior
- Wrap Up Diagnosis Challege: Case Study 11 Joe Jensen
- Working the Differential Diagnosis Process
- What About Personality Disorder?
- Joe’s initial DSM-5 diagnosis
Objectives
1. Evaluate 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.
Target Audience
Addiction Counselors, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers, and other Mental Health Professionals
Copyright :
05/02/2019