DIAGNOSIS OF BIPOLAR AND DEPRESSIVE DISORDERS
11117Reflect on this direction from the American Psychiatric Association (2021) DSM-5-TR: “Careful consideration should be given to the delineation of normal sadness and grief from a major depressive episode” (p. 177).
When considering how many disorders may have depressive symptoms, diagnosing bipolar and depressive disorders is an excellent example of the way in which no single symptom or characteristic points to a particular disorder. Indeed, beginning this week, when you practice diagnosis, you should not just focus on symptoms related to the disorder covered this week. Any disorder studied up until this point may be possible to diagnose in the case study if there appears to be more than one disorder.
the diagnosis should appear on one line in the following order.
Note: Do not include the plus sign in your diagnosis. Instead, write the indicated items next to each other.
Code + Name + Specifier (appears on its own first line)
Z code (appears on its own line next with its name written next to the code)
Then, in 1–2 pages, respond to the following:
Explain how you support the diagnosis by specifically identifying the criteria from the case study.
Describe in detail how the client’s symptoms match up with the specific diagnostic criteria for the disorder (or all the disorders) that you finally selected for the client. You do not need to repeat the diagnostic code in the explanation.
Identify the differential diagnosis you considered.
Explain why you excluded this diagnosis/diagnoses.
Explain the specific factors of culture that are or may be relevant to the case and the diagnosis, which may include the cultural concepts of distress.
Explain why you chose the Z codes you have for this client.
Remember: When using Z codes, stay focused on the psychosocial and environmental impact on the client within the last 12 months.
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