Psychiatry
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Working Diagnosis -- [checkbox name="diagnosis" value="F00-F09 Organic, including symptomatic, mental disorders|F10-F19 Mental & behavioural disorders due to psychoactive substance use|F20-F29 Schizophrenia, schizotypal & delusional disorders|F30-F39 Mood (affective) disorders|F40-F48 Neurotic, stress-related & somatoform disorders|F50-F59 Behavioural syndromes associated w/ physiological disturbances & physical factors|F60-F69 Disorders of adult personality & behaviour|F80-F89 Disorders of psychological development|F90-F98 Behavioural & emotional disorders w/ onset usually occurring in childhood & adolescence|F99-F99 Unspecified mental disorder|unable to rate/assessment incomplete"][link url="http://apps who int/classifications/icd10/browse/2010/en#/V" memo="ICD-10 diagnoses"]
Problem: Anxiety
DIAGNOSTIC SUGGESTIONS
[textarea]Axis I: 300.02 Generalized Anxiety Disorder
300.00 Anxiety Disorder NOS
309.24 Adjustment Disorder With Anxiety[/textarea]
BEHAVIORAL DEFINITIONS
[textarea]1. Excessive and/or unrealistic worry that is difficult to control occurring more days than not for at least 6 months about a number of events or activities.
2. Motor tension (e.g., restlessness, tiredness, shakiness, muscle tension).
3. Autonomic hyperactivity (e.g.,palpitations, shortness of breath ,dry mouth trouble swallowing, nausea, diarrhea).
4. Hypervigilance (e.g., feeling constantly on edge, experiencing concentration difficulties, having trouble falling or staying asleep, exhibiting a general state of irritability).__.[/textarea]
LONG-TERM GOALS
[textarea]1. Reduce overall frequency, intensity, and duration of the anxiety so that daily functioning is not impaired.
2. Stabilize anxiety level while increasing ability to function on a daily basis.
3. Resolve the core conflict that is the source of anxiety.
4. Enhance ability to effectively cope with the full variety of life’s anxieties.[/textarea]

Binge Eating Disorder:
[textarea]Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
eating, in a discrete period of time (for example, within any 2-hour period), an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances
a sense of lack of control over eating during the episode (for example, a feeling that one cannot stop eating or control what or how much one is eating)[/textarea]
[textarea]The binge-eating episodes are associated with three (or more) of the following:
eating much more rapidly than normal
eating until feeling uncomfortably full
eating large amounts of food when not feeling physically hungry
eating alone because of feeling embarrassed by how much one is eating
feeling disgusted with oneself, depressed, or very guilty afterwards[/textarea]

Anorexia Nervosa:
[textarea]1. Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
2. Intense fear of gaining weight or becoming fat, even though underweight.
3. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.[/textarea]
Bulimia:
[textarea]Recurrent episodes of binge eating characterized by BOTH of the following:
Eating in a discrete amount of time (within a 2 hour period)large amounts of food.
Sense of lack of control over eating during an episode.[/textarea]

[textarea]Recurrent inappropriate compensatory behavior in order to prevent weight gain (purging).
The binge eating and compensatory behaviors both occur, on average, at least once a week for three months.
Self-evaluation is unduly influenced by body shape and weight.
The disturbance does not occur exclusively during episodes of anorexia nervosa.[/textarea]

Eating Disorder NOS:
[textarea]
Atypical anorexia nervosa: All of the criteria for anorexia nervosa are met, except that despite significant weight loss, the individual's weight is within or above the normal range.[/textarea]

Bulimia nervosa (of low frequency and/or limited duration): All of the criteria for bulimia nervosa are met, except that the binge eating and inappropriate compensatory behaviors occur, on average, less than once a week and/or for less than 3 months.
[textarea]Binge-eating disorder (of low frequency and/or limited duration):
All of the criteria for binge-eating disorder are met, except the binge eating occurs, on average, less than once a week and/or for less than 3 months.
Purging Disorder: Recurrent purging behavior to influence weight or shape (e.g., self-induced vomiting, misuse of laxatives, diuretics, or other medications) in the absence of binge eating.[/textarea]

[textarea]Night eating syndrome: Recurrent episodes of night eating, as manifested by eating after awakening from sleep or by excessive food consumption after the evening meal.
There is awareness and recall of the eating.
The night eating is not better explained by external influences such as changes in the individual's sleep-wake cycle or by local social norms.
The night eating causes significant distress and/or impairment in functioning. The disordered pattern of eating is not better explained by binge-eating disorder or another mental disorder, including substance use, and is not attributable to another medical disorder or to an effect of medication.[/textarea]
Working Diagnosis -- ICD-10 diagnoses
Problem: Anxiety
DIAGNOSTIC SUGGESTIONS

BEHAVIORAL DEFINITIONS

LONG-TERM GOALS


Binge Eating Disorder:



Anorexia Nervosa:

Bulimia:




Eating Disorder NOS:


Bulimia nervosa (of low frequency and/or limited duration): All of the criteria for bulimia nervosa are met, except that the binge eating and inappropriate compensatory behaviors occur, on average, less than once a week and/or for less than 3 months.


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