Diagnosis and Treatment Planning in Counseling
Who published the DSM-VI? American Psychiatric Association.
What is recorded on Axis III? General medical conditions
-refusal to maintain body weight, body weight less than 85% of the expected weight
-intense fear of gaining weight or becoming fat, even though underweight
-disturbance in the way in which one’s body weight or shape is experienced
-in postmenarcheal females, amenorrhea
Criteria for gender identity disorder
-a strong and persistent cross-gender identification (not for the cultural advantage of the other sex)
-persistent discomfort with his or her sex or sense of inappropriateness in the gender of that sex.
-the disturbance I not concurrent with a physical intersex condition.
Avoidant Personality Disorder (Cluster C)
-A pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation, beginning in early adulthood as indicated by four of following:
-aviods occupational activities that involve significant interpersonal contact
-is unwilling to get involved with people unless certain of being liked.
-shows restraint within intimate relationships due to gear of being shamed or ridiculed.
-is preoccupied with being criticized or rejected in social situations.
-is inhibited in new interpersonal situations because of feelings of inadequacy
-views self as socially inept, personally unappealing or inferior to others.
-is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.
Narcissistic Personality Disorder (Cluster B)
-a pervasive pattern of grandiosity, need for admiration and lack of empathy that begins by early adulthood and present in a variety of contexts five or more of following
-grandiose sense of self-importance
-preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love.
-believes that he or she is “special” and unique and can only be understood by or should associate with, other special or high-status people or institutions
-requires excessive admiration
-sense of entitlement
-interpersonally exploitative takes advantage of others to achieve his or her ends
-often envious of other or believes that other are envious of him or her
-shows arrogant, haughty behaviors or attitudes.
Schizotypal Personality Disorder (Cluster A)
-pervasive pattern of social and interpersonal deficits marked by acute discomfort with and reduced capacity for close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior beginning in early adulthood five or more of
-ideas of reference (excluding delusions of reference)
-odd beliefs or magical thinking
-unusual perceptual experiences, including bodily illusions
-odd thinking and speech
-suspiciousness or paranoid ideation
-inappropriate or constricted affect
-behavior or appearance that is odd, eccentric, or...