ICD
ICD
Comprehensive classification system of medical conditions and mental disorders Official medical and psychiatric nosology used throughout most of the world
DSM
Published by the American Psychiatric Association Official classification system in the U.S. A.
EVOLUTION of DSM
1840 census: recorded frequency of idiocy/insanity 1880 census: recorded 7 categories of mental illness Mania Melancholia Monomania Paresis Dementia Dipsomania Epilepsy
EVOLUTION of DSM
1917: uniform gathering of statistics across mental hospitals adopted by Bureau of Census
1952: DSM I and DSM II
EVOLUTION of DSM
1968: DSM II 1980: DSM III 1987: DSM III-R 1994: DSM IV 2000: DSM-IV-TR
Appear together
Appear temporally Appear in many individuals
Course
Treatment response
MULTIAXIAL EVALUATION
System of evaluating patients along several variables
Biopsychosocial approach
MULTIAXIAL EVALUATION
Axis I
Clinical disorders and other conditions that may be a focus of clinical attention
MULTIAXIAL EVALUATION
Axis II
Personality disorders Mental retardation Habitual use of a particular defense mechanism
MULTIAXIAL EVALUATION
Axis III
Physical disorder General medical condition causative result of mental disorder unrelated
MULTIAXIAL EVALUATION
Axis IV
Psychosocial problems Environmental problems Significantly contribute to development or exacerbation of disorder
MULTIAXIAL EVALUATION
Axis V
Overall levels of functioning during a particular time Social, occupational and psychological functioning
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