[acb-hsp] DSM-V

[J.Rayl]

Oh.  Well, it really was an excellent training.  And it is on the Pesi.com 
(I think that is the site) but can get it when I am at work.
Anyway, there are 5 realms clinicians will be using now which are referred 
to as Pathological.  Clients must meet all 5 in terms of one of 3 
levels--inpatient, therapy outpatient, or no therapy.
Inpatient is 0 -- 30.
Therapy outpatient is 31 to 70, and no therapy is 71 to 100.
And even to discharge from outpatient therapy, you've got to justify using 
thouse 5 pathological realms.
I don't have it all now.

Jessie Rayl
thedogmom63 at frontier.com
www.facebook.com/Eaglewings10
www.pathtogrowth.org

----- Original Message ----- 
From: "Sharon" <mt281820 at comcast.net>
To: "'Discussion list for ACB human service professionals'" 
<acb-hsp at acb.org>
Sent: Saturday, April 21, 2012 6:52 PM
Subject: Re: [acb-hsp] DSM-V


Substanciation of GAF Scales. I wondered if they explained how one would do
this. I almost went to the same training you attended the other day.
Sharon

-----Original Message-----
From: acb-hsp-bounces at acb.org [mailto:acb-hsp-bounces at acb.org] On Behalf Of
JRAYL
Sent: Saturday, April 21, 2012 8:00 AM
To: acb-hsp at acb.org
Subject: Re: [acb-hsp] DSM-V

You'll need to elaborate on your question. This means little to me. Also,
I'm just passing along information I learnedthat's all. You will want to
attend your own trainings on this thing, as I suggested. Its complicatedand
very new.

Jessie

----- Original Message -----
From: Sharon <mt281820 at comcast.net>
To: "'Discussion list for ACB human service professionals'"
<acb-hsp at acb.org>
Date: Friday, Apr 20, 2012 10:14:45 PM
Subject: Re: [acb-hsp] DSM-V

>
>
>
>
> Substanciated how?
> Sharon
>
>
>
>
> From: acb-hsp-bounces at acb.org [mailto:acb-hsp-bounces at acb.org] On Behalf
Of J.Rayl
> Sent: Friday, April 20, 2012 7:52 AM
> To: Discussion list for ACB human service professionals
> Subject: [acb-hsp] DSM-V
>
> Hi.  As some of you may or may not know, the DSMV is the new one which
will possibly be published in 2013.  It is slated to be published May, 2013.
However, there are at present 5 lawsuits trying to clock its publication to
date.  You might be able to read more about that at www.apa.org, but perhaps
not because I think they closed down their site.  In any event, that's where
it is now-comjust took a training.
> I'd encourage any of you, especially those of you who must use it or will
soon be required to do so, to take trainings on this thing.  There have been
some significant changes and we, as clinicians are not going to simply slide
into the next DSM-V like those of us did with previous versions.  I remember
going from 4 to 4R without even really looking at it, much.
> Not happening here.
>
> Some examples:
> GAF scales have changed somewhat and now need to be substantiated, where
before, we merely slapped them down and assumed everyone would agree.
>
> Personality disorders, especially dissocial (a new one), antisocial and
the old conduct Disorder in kids (now can be applied to kids) but must be
collatorated by more than one professional observer, documented and for a
year-comnot just slapped down by a clinician.
>
> Bipolar is now divided into:
> Bipolar 1, 2 and 3: pretty straight forward and simple, and about half the
people diagnosed with it are not going to qualifify now.  They'llhave no DX
at all, or the kids will have Disruptive Mood Disorder, or, they'll have
what they really do have: Post-traumatic Stress.
>
> And lastly, and I"full betcha you this is where at least 4 of the lawsuits
stem from, Aspergers has been eliminated.  Yeah.
> Some criteria of Autism has as well.  Uh huh?
> That, my friends, must really hurt.
>
> Oh, they did take out all those subtypes of schizophrenia (which I like
because it just confused an already difficult diagnosis)
> and they added Attenuated Psychotic Disorder (something like that).
> I like that, too.  This is for the many people out there we've been going
around calling "schizophrenic" who, quite frankly, are doing quite well,
living out one delusional world, but doing darn well in it just the same and
don't deserve a whole-encompassing stigmatizing title as far as me, and
apparently others, were concerned.
>
> And the last thing you need to know is, you as the clinician will be
expected to focus on the problem, not the behavior, and document your
outcomes.  In other words, you do not, any longer, treat hording, you treat
anxiety.  And you document how you did.
> Interesting, and in my opinion, plays right along with managed care and
CBT.
> There is a high! component on cultural competency too.
> For example, hosexual is no longer a mental illness.  Gender Identity
Disorder is gone!
> Gender Dysphoric Disorder is there-coma person can be dysphoric (depressed
or sad) because of problems, discrimination, etc. associated with, but not
BECAUSE OF THE gender diversity.
> (I like it!)
>
> And, (this will hurt) tests have to be culturally sensitive and
accessible) before they can be utilized.  Therefore, people who are blind
can no longer be diagnosed with "intellectual challenges" (replacement for
mental retardation) because they used tests which were not accessible.
<grin>
>
> Farewell and enjoy!
>
> Jessie Rayl
> thedogmom63 at frontier.com
> www.facebook.com/Eaglewings10
> www.pathtogrowth.org
>
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> acb-hsp mailing list
> acb-hsp at acb.org
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Jessie Rayl, MA, LPC, ALPS
www_pathtogrowth_org
thedogmomffcc%frontier_com
304-671-9780

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