DSM-V Assessment

DSM-V Assessment

[comment memo="AUD"] 
[comment memo="must have two listed below"]
When asked about any alcohol habits the patient[select name="variable_316341" value=" denied having a problem but had a problematic pattern of alcohol use which included the following symptoms over:| stated having a problem with alcohol which included the patient's following symptoms, occurring over:|"][text name="variable_1201291875" default="how long"] [checkbox name="variable_4333241" value="Alcohol is often taken in larger amounts or over a longer period than was intended|there is a persistent desire or unsuccessful efforts to cut down or control alcohol use|a great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects|craving, or a strong desire or urge to use alcohol|recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.|continued alcohol use despite having persistent social or interpersonal problems caused or exacerbated by the effects of alcohol|Important social, occupational, or recreational activities are given up or reduced because of alcohol use|Recurrent alcohol use in situations in which it is physically hazardous|Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol|Tolerance|Withdrawal symptoms"].
[textarea name="variable_58008311" default="include how long,how much"].



[comment memo="SUD"]
[comment memo="must have two listed below"]
When asked about any substance use habits the patient[select name="variable_31216341" value=" denied having a problem but had a problematic pattern of substance use which included the following symptoms over:| stated having a problem with substance use which included the patient's following symptoms, occurring over:|"][text name="variable_12154375" default="how long"] [checkbox name="variable_19588541" value="often taken in larger amounts or over a longer period than was intended|a persistent desire and/or unsuccessful efforts to cut down or control use|craving to use the substance|recurrent use resulting in a failure to fulfill major role obligations at work, school, or home|continued use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by its effects|important social, occupational, or recreational activities are given up or reduced because of use|recurrent substance use in situations in which it is physically hazardous|continued use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance|tolerance|withdrawal symptoms"].
[textarea name="variable_58652231" default="include how long,how much"].

[comment memo="BED"]
[comment memo="must have three listed below"]
When asked about binge eating the patient[select name="variable_300341" value=" denied having a problem but had a problematic pattern of binge eating which included the following symptoms:| stated having a problem with binge eating which included a problematic pattern by the patient's following symptoms:|"] [checkbox name="variable_1649241" value="consuming an amount of food in a discrete period of time that is definitely larger than what most people would eat in a similar amount of time under similar circumstances.|eating more rapidly than normal|eating until feeling uncomfortably full|eating large amounts of food when not feeling physically hungry|eating alone because of embarrassment by the amount of food consumed|feeling disgusted with oneself, depressed, or guilty after overeating"].
[text name="variable_3211" default="Episodes occur, on average, at least once a week for three months, and no regular use of inappropriate compensatory behaviors 
[comment memo="(R/O purging, fasting, or excessive exercise any of these does not meet dx for BED)"]
[textarea name="variable_5821" default="include how long"].


[comment memo="OCD"]
[comment memo="Mind-based thinking,Unwanted,Resistant,Distressing,Ego-dystonic,Recurrent MURDER"]

When asked about symptoms of OCD the patient states presence of 
[checkbox name="variable_17654362" value="Recurrent and persistent thoughts/urges that cause marked anxiety|recurrent intrusive images that cause anxiety| resistant of obsessional thinking |compulsions that patient feels driven to perform in response to the obsession|obsessions are time consuming (more than 1 hour per day)|compulsions are time consuming (more than 1 hour per day)|obsessional thoughts that are upsetting or distressing and cause impairment in functioning|ego-dystonic|compulsions that decrease obsessions"].

[textarea name="variable_58231" default="include how long"].

[comment memo="Schizophrenia"]
[comment memo="two or more symptoms"]

[checkbox name="variable_13285262" value="delusions|hallucinations| disorganized speech |catatonic behaivor|grossly disorganized|affective flattening|poverty of speech|avolition"]. A significant portion of the time since the onset of the disturbance, one or more major areas of functioning such as work, interpersonal relations, or self-care are markedly below the level achieved prior to the onset. Continuous signs of the disturbance persist for at least six months. The disturbance is not due to the direct physiological effects of a substance use or a general medical condition.
[textarea name="variable_58231" default="include how long"].


[comment memo="Schizoaffective dx include dx of mania symptoms or major depression listed below"]
[comment memo="two or more symptoms"]

[checkbox name="variable_185262" value="delusions for two or more weeks in the absence of a major mood episode|hallucinations for two or more weeks in the absence of a major mood episode| disorganized speech |catatonic behavior |grossly disorganized|affective flattening|poverty of speech|avolition"]. Symptoms that meet the criteria for a major mood episode are present for most of the total duration of both the active and residual portions of the illness.


[comment memo=" mania vs hypomania (severe vs severe for I v II"]

When asked about mania symptoms the patient stated the following symptoms [checkbox name="variable_19295292" value="grandiosity|decrease sleep and feeling rested| more talkative |flight of ideas|distractability |increased goal directed activity|excessive involvement in activities|The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning.|The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization."]. The symptoms have been prominent for at least [text name="variable_1" default="how long"] and present most of the day, nearly every day. The episode is not attributable to the physiological effects of a substance use or medical condition.

[textarea name="variable_67571" default="sample text"]



[comment memo="BPD"]
[comment memo="5 or more symptoms"]
Symptoms that are found in borderline personality disorder were asked and the patient stated the following symptoms [checkbox name="variable_1777882" value="Affective instability|Inappropriate anger| Impulsivity that is self damaging |Unstable relationships |Feelings of emptiness|Paranoia |dissociation |Identity disturbance |Abandonment fears |Suicidality or self-injury"]. The symptoms have been prominent for  at least 1 week and present most of the day, nearly every day. The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning. The episode is not attributable to the physiological effects of a substance use or medical condition.
[textarea name="variable_8951841" default="sample text"]

[comment memo="Tourettes"]

When talking about symptoms of Tourette's we discussed that tics first appeared at the age of [text name="variable_223981665" default="NEEDS to be age before 18"]. The tics occur many times a day, nearly every day for the past [text name="variable_1200951" default="AT LEAST ONE YEAR"]. The presence of multiple motor tics and phonic tics have been present[text name="variable_774532911"default="what kind of motor/phonic tics and was it concurrently"]The following have changed overtime in regards to tics [checkbox name="variable_321121" value="Anatomical location|number of tics|frequency|type|complexity|severity|"].[textarea name="variable_1459443521" default="describe"].The tics have been witnessed by a reliable examiner which is this prescriber.Involuntary movements and noises are not be explained by another medical condition or by the physiological effects of substances.

[comment memo="Bulimia"]
[comment memo="5 or more symptoms"]
Bulimics symptoms were asked and the patient stated the following symptoms [checkbox name="variable_175752" value="eating in a discrete period of time an amount of food this is definitely larger than most people would eat during similar circumstances|recurrent inappropriate compensatory behavior to prevent weight gain such as|
[comment memo="choose the ones if click for the compensate behavior"]drinking excessive amount of water or non-caloric beverages |Use of laxatives |Use of diuretics|Use of enemas|fasting|excessive exercise|. repeated episodes of binge eating occurring on average at least once a week for at least three months |Self evaluation is mainly influenced by body shape and weight|forceful vomiting after binge eating|forceful purging after binge eating |fear of eating in public places with others |stealing or hoarding food"]. The symptoms do not occur exclusively during episodes of anorexia nervosa.
[textarea name="variable_20208380196" default="sample text"]

[comment memo="Anorexia"]
[comment memo="If bulimia is seen with anorexia it is anorexia with Binge/Purge"]
Anorexia symptoms were asked and the patient stated the following symptoms [checkbox name="variable_8452676551" value="Restriction of food intake leading to weight loss | a failure to gain weight resulting in a significantly low body weight of what is expected for this patients age, sex, and height |fear of becoming fat |fear of gaining weight | distorted view of themselves and of their condition"]
[textarea name="variable_280088096" default="sample text"]


[comment memo="Somatic Symptom Disorder"]

When going over somatic symptoms disorder the following symptoms were present[checkbox name="variable_27584362" value=" A history of physical complaints beginning before the age of 30 that occur over a period of several years that result in treatment being sought out which has significant impairment in important areas of functioning such as social and occuptional.|Persistently high level of anxiety about health or symptoms. |Excessive time and energy devoted to these symptoms or health concerns.|the state of symptoms are persistent|symptoms are distressing|symptoms result in significant disruption of daily life"]. The current severity is  [select name="variable_143" value="mild.|moderate.|severe."]

[comment memo="Specify current severity:
Mild: Only one of the symptoms specified in Criterion B is fulfilled.
Moderate: Two or more of the symptoms specified in Criterion B are fulfilled.
Severe: Two or more of the symptoms specified in Criterion B are fulfilled, plus there are multiple somatic complaints (or one very severe somatic symptom)."]

[comment memo="Gender Dysphoria"] 
[comment memo="at least two or more of the following:"]

When going over symptoms of gender dysphoria the following symptoms were present with this patient with a marked incongruence between one’s experienced/expressed gender and assigned gender, of at least six months’ duration, as manifested by [checkbox name="variable_21584162" value=" marked incongruence between one’s experienced/expressed gender and primary and/or secondary sex characteristics|A strong desire to be rid of one’s primary and/or secondary sex characteristics because of a marked incongruence with one’s experienced/expressed gender |A strong desire for the primary and/or secondary sex characteristics of the other gender|A strong desire to be of the other gender|A strong desire to be treated as the other gender|A strong conviction that one has the typical feelings and reactions of the other gender"]. The condition is associated with clinically significant distress in [checkbox name="variable_6774037751" value="social|occupational"] areas of functioning. 


[comment memo="DID"] 


When going over symptoms of dissociative identity disorder the following symptoms were present: [checkbox name="variable_300594112" value=" Disruption of identity characterized by two or more distinct personality states. The disruption in identity involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.|Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting. |The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.|The disturbance is not a normal part of a broadly accepted cultural or religious practice.|The symptoms are not attributable to the physiological effects of a substance (e.g., blackouts or chaotic behavior during alcohol intoxication) or other medical condition (e.g., complex partial seizures)"]. 


[comment memo="Nicotine dependence, unspecified, uncomplicated"]

When going over symptoms of tobacco use the following symptoms were present with this patient with a problematic pattern of tobacco use leading to clinically significant impairment or distress, occurring within a 12-month period as manifested by [checkbox name="variable_566192" value=" Tobacco is often taken in larger amounts or over a longer period than was intended.|There is a persistent desire or unsuccessful efforts to cut down or control tobacco use.|A great deal of time is spent in activities necessary to obtain or use tobacco|Craving, or a strong desire or urge to use tobacco.|Recurrent tobacco use resulting in a failure to fulfill major role obligations at work, school, or home.|Continued tobacco use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of tobacco|Important social, occupational, or recreational activities are given up or reduced because of tobacco use.|Recurrent tobacco use in situations in which it is physically hazardous.|Tobacco use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by tobacco."]. Tolerance is defined for this patient as 
[checkbox name="variable_425805764" value="a need for markedly increased amounts of tobacco to achieve the desired effect.|a markedly diminished effect with continued use of the same amount of tobacco."] Withdrawal as manifested by 
[checkbox name="variable_2335664" value="the characteristic withdrawal syndrome for tobacco |Tobacco (or a closely related substance, such as nicotine) is taken to relieve or avoid withdrawal symptoms."]


The condition is associated with clinically significant distress in [checkbox name="variable_6774037751" value="social|occupational"] areas of functioning.
DSM-V Assessment

AUD
must have two listed below
When asked about any alcohol habits the patient .
.



SUD
must have two listed below
When asked about any substance use habits the patient .
.

BED
must have three listed below
When asked about binge eating the patient .
(R/O purging, fasting, or excessive exercise any of these does not meet dx for BED)
.


OCD
Mind-based thinking,Unwanted,Resistant,Distressing,Ego-dystonic,Recurrent MURDER

When asked about symptoms of OCD the patient states presence of
.

.

Schizophrenia
two or more symptoms

. A significant portion of the time since the onset of the disturbance, one or more major areas of functioning such as work, interpersonal relations, or self-care are markedly below the level achieved prior to the onset. Continuous signs of the disturbance persist for at least six months. The disturbance is not due to the direct physiological effects of a substance use or a general medical condition.
.


Schizoaffective dx include dx of mania symptoms or major depression listed below
two or more symptoms

. Symptoms that meet the criteria for a major mood episode are present for most of the total duration of both the active and residual portions of the illness.


mania vs hypomania (severe vs severe for I v II

When asked about mania symptoms the patient stated the following symptoms . The symptoms have been prominent for at least and present most of the day, nearly every day. The episode is not attributable to the physiological effects of a substance use or medical condition.





BPD
5 or more symptoms
Symptoms that are found in borderline personality disorder were asked and the patient stated the following symptoms . The symptoms have been prominent for at least 1 week and present most of the day, nearly every day. The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning. The episode is not attributable to the physiological effects of a substance use or medical condition.


Tourettes

When talking about symptoms of Tourette's we discussed that tics first appeared at the age of . The tics occur many times a day, nearly every day for the past . The presence of multiple motor tics and phonic tics have been presentThe following have changed overtime in regards to tics ..The tics have been witnessed by a reliable examiner which is this prescriber.Involuntary movements and noises are not be explained by another medical condition or by the physiological effects of substances.

Bulimia
5 or more symptoms
Bulimics symptoms were asked and the patient stated the following symptoms choose the ones if click for the compensate behaviordrinking excessive amount of water or non-caloric beverages |Use of laxatives |Use of diuretics|Use of enemas|fasting|excessive exercise|. repeated episodes of binge eating occurring on average at least once a week for at least three months |Self evaluation is mainly influenced by body shape and weight|forceful vomiting after binge eating|forceful purging after binge eating |fear of eating in public places with others |stealing or hoarding food"]. The symptoms do not occur exclusively during episodes of anorexia nervosa.


Anorexia
If bulimia is seen with anorexia it is anorexia with Binge/Purge
Anorexia symptoms were asked and the patient stated the following symptoms



Somatic Symptom Disorder

When going over somatic symptoms disorder the following symptoms were present . The current severity is

Specify current severity:
Mild: Only one of the symptoms specified in Criterion B is fulfilled.
Moderate: Two or more of the symptoms specified in Criterion B are fulfilled.
Severe: Two or more of the symptoms specified in Criterion B are fulfilled, plus there are multiple somatic complaints (or one very severe somatic symptom).


Gender Dysphoria
at least two or more of the following:

When going over symptoms of gender dysphoria the following symptoms were present with this patient with a marked incongruence between one’s experienced/expressed gender and assigned gender, of at least six months’ duration, as manifested by . The condition is associated with clinically significant distress in areas of functioning.


DID


When going over symptoms of dissociative identity disorder the following symptoms were present: .


Nicotine dependence, unspecified, uncomplicated

When going over symptoms of tobacco use the following symptoms were present with this patient with a problematic pattern of tobacco use leading to clinically significant impairment or distress, occurring within a 12-month period as manifested by . Tolerance is defined for this patient as
Withdrawal as manifested by



The condition is associated with clinically significant distress in areas of functioning.

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