D AY 1 DAY ONE Overview of the concepts, clinical presentation and - - PowerPoint PPT Presentation

DAY 1

DAY ONE Overview of the concepts, clinical

presentation and significance of anxiety disorders

 Introduction to psychological treatments, GAD,PD,SAD,SP Application of the CBT models and

Diagnostic exercise on vignettes

DAY 2

 DAY 2  Biological Treatments  OCD and PTSD  Cases and video work

DAY 3

 Somatoform Disorders, Dissociative Disorders

and MUS

 Measurement in Anxiety Disorders  Exam practice including CASC  Summary

ICD 10 & DSM 5

A short summary

ICD 10 - A SUMMARY

F 40-F48 NEUROTIC,SRESS RELATED AND SOMATOFORM DISORDERS (ICD-10)

 F 40 Phobias - agoraphobia, social, specific phobias  F 41 Other AD - Panic Disorder, Generalized Anxiety

Disorder, Mixed Anxiety and Depressive Disorder

❑ F42 Obsessive Compulsive Disorder ❑ F43 Reaction to severe Stress and Adjustment

Disorders

❑ F44 Dissociative { Conversion } Disorder ❑ F45 Somatoform Disorder including Somatization

Disorder and Hypochondriacal Disorder

 F48 Other neurotic disorders including Neurasthenia

and Depersonalisation – Derealisation Syndrome

ICD 10 DISSOCIATIVE (CONVERSION) DISORDERS

 (F44) Dissociative (conversion) disorders (F44.0)

Dissociative amnesia

 (F44.1) Dissociative fugue  (F44.2) Dissociative stupor  (F44.3) Trance and possession disorders  (F44.4) Dissociative motor disorders  (F44.5) Dissociative convulsions  (F44.6) Dissociative anaesthesia and sensory loss  (F44.7) Mixed dissociative (conversion) disorders  (F44.8) Other dissociative (conversion) disorders  Ganser's syndrome  Multiple personality  (F44.9) Dissociative (conversion) disorders,

unspecified

ICD 10 SOMATOFORM DISORDERS

 (F45.0) Somatization disorder  (F45.2) Hypochondriacal disorder  Body dysmorphic disorder  Dysmorphophobia (nondelusional)  Hypochondriasis  Nosophobia  (F45.3) Somatoform autonomic dysfunction  Cardiac neurosis  Gastric neurosis  Genitourinary neurosis  (F45.4) Persistent somatoform pain disorder  Psychalgia

DIAGNOSTIC CATEGORIES DSM 5

Diagnostic Category Examples of Specific Disorders Anxiety Disorders Specific Phobia Social Anxiety Disorder (Social Phobia) Panic Disorder Agoraphobia Generalized Anxiety Disorder Separation Anxiety Disorder Selective Mutism Obsessive-Compulsive and Related Disorders Obsessive-Compulsive Disorder Body Dysmorphic Disorder Hoarding Disorder Hair-Pulling Disorder (Trichotillomania) Excoriation (Skin-Picking) Disorder Trauma and Stressor Related Disorders Adjustment Disorders Acute Stress Disorder Posttraumatic Stress Disorder Reactive Attachment Disorder Disinhibited Social Engagement Disorder

DIAGNOSTIC CATEGORIES DSM 5

Diagnostic Category Examples of Specific Disorders Dissociative Disorders Dissociative Identity Disorder Dissociative Amnesia Depersonalization/Derealization Disorder Somatic Symptom and Related Disorders Somatic Symptom Disorder Illness Anxiety Disorder Conversion Disorder (Functional Neurological Symptom Disorder) Factitious Disorder

MAJOR CHANGES

Change Comment Removes obsessive-compulsive disorder from category of Anxiety Disorders and places it in new category

• f Obsessive-Compulsive and Related

Disorders Recognizes a spectrum of obsessive- compulsive type disorders, including body dysmorphic disorder; however, anxiety remains the core feature of OCD Greater emphasis on comorbidity; e.g., use of anxiety ratings in diagnosing depressive and bipolar disorders Provides more explicit recognition of comorbidity in having clinicians rate level of anxiety in mood disorders Removes ASD and PTSD from Anxiety Disorders and places them in new category of Trauma and Stressor- Related Disorders Groups all stress-related psychological disorders under the same umbrella; Adjustment Disorders may now be coded in context of traumatic stressors

MAJOR CHANGES

Change Comment Elimination of term “somatoform disorders” (now Somatic Symptom and Related Disorders) Hypochondriasis dropped as distinct disorder , Somatization called somatic Symptom Disorder Eliminates a term few people understood (somatoform disorders) Eliminates the term “hypochondriasis”; people may now be diagnosed with Somatic Symptom Disorder if they focus on physical symptoms or with Illness Anxiety Disorder if they are preoccupied with having a serious illness Factitious Disorder moved to Somatic Symptom and Related Disorders Associated with other somatic symptom disorders, but is distinguished by intentional fabrication of symptoms for no apparent gain other than assuming medical patient role