1. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Classification and Treatment Plans

2. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Client: The person seeking psychological services. The Client: The person seeking psychological services. Prevalence of Psychological Disorders: ________________________ ________________: Co-existence of mental disorders Clip art copyright © 2005 www.clipart.com. Used with permission.

3. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Clinical Psychologists (PhD or PsyD) Clip art copyright © 2005 www.clipart.com. Used with permission. The ___________: Mental health professional. There are many types taking many approaches. The ___________: Mental health professional. There are many types taking many approaches. Psychiatrists (MD)

4. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The DSM-IV The Diagnostic and Statistical Manual of Mental Disorders Concerns in Developing the DSM-IV:  Reliability (_______________)  _________ (measures what it is supposed to measure)  Base Rates (frequency)  Social Context DSM-IV-TR copyright © 2000 American Psychiatric Association.

5. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Mental Disorder Clinically significant behavioral or psychological syndrome or pattern Distress or disability Significant risk Not expectable, culturally sanctioned response to a particular event Clip art copyright © 2005 www.clipart.com. Used with permission.

6. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Classification system based on ________________ Descriptive rather than explanatory ______________ orientation Categorical approach _____________ system Assumptions of the DSM-IV

7. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Neurosis and Psychosis __________: Term referring to behavior that involves distressing, unacceptable symptoms that are enduring and lack any physical basis. Not a modern diagnostic term. __________: Term referring to behavior that involves distressing, unacceptable symptoms that are enduring and lack any physical basis. Not a modern diagnostic term. Psychosis: Term referring to various forms of behavior involving a loss of contact with reality, such as delusions (___________) and hallucinations (______________). Psychosis: Term referring to various forms of behavior involving a loss of contact with reality, such as delusions (___________) and hallucinations (______________).

8. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Five Axes of the DSM-IV Axis I: ______________ Disorders Axis II: Personality Disorders and Mental Retardation Axis III: _____________________ Axis IV: Psychosocial and Environmental Problems Axis V: Global Assessment of Functioning (_________________)

9. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Diagnostic Process The Client’s Reported and Observable Symptoms Diagnostic Criteria and Differential Diagnosis Final Diagnosis Case Formulation Cultural Formulation

10. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. ________________: A series of simple yes/no questions in the DSM-IV-TR about a client’s symptoms that lead to a possible diagnosis. ________________: A series of simple yes/no questions in the DSM-IV-TR about a client’s symptoms that lead to a possible diagnosis. __________________: Ruling out all possible alternative diagnoses. __________________: Ruling out all possible alternative diagnoses.

11. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cultural Formulation ________________ syndromes: particular patterns of behavior in certain cultures, perhaps reflecting cultural themes that date back for centuries.

12. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Planning Treatment Establish Treatment Goals  Immediate Goals  Short-Term Goals  Long-Term Goals

13. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Planning Treatment Determine Treatment Site  Psychiatric Hospitals  Outpatient Treatment  Halfway Houses and Day Treatment Programs  Guidance Counselors  Employee Assistance Program

14. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Treatment Modality Individual Psychotherapy Family Therapy Group Therapy _________ Therapy (positive, healthy treatment environment)

15. Copyright ©2007 The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Treatment Implementation The Course of Treatment  The Clinician’s Role  The Client’s Role The Outcome of Treatment