Introduction: Purposes and Features of This Book | p. 1 |
What This Book Is--and Is Not--Intended to Do | p. 1 |
A Guide to Stylistic Conventions in This Book | p. 3 |
The Four Types of Notes and Their Purposes | p. 4 |
2002 Updates: IDEA 1997 and DSM-IV-TR | p. 5 |
Diagnostic Issues and the Use of DSM-IV | p. 7 |
Psychiatric Diagnosis: Issues for School Psychologists | p. 9 |
The Emergence of Psychiatric Diagnosis as a Task in School Settings | p. 9 |
Psychiatric Classification and Its Role in School Settings | p. 10 |
Developmental Features to Consider in Diagnosing Children and Adolescents | p. 12 |
An Overview of the DSM-IV Diagnostic System | p. 14 |
Basic Definitions of Mental Disorders and Other Conditions | p. 14 |
Multiaxial Classification | p. 18 |
Precedence of Diagnoses: Diagnostic Conventions, Hierarchies, and Multiple Diagnoses | p. 26 |
Child and Adolescent Mental Health and DSM-IV | p. 28 |
Learning to Use DSM-IV | p. 31 |
Categorical Classification | p. 31 |
Differential Diagnosis | p. 32 |
Ordering of Diagnoses | p. 33 |
Degree of Diagnostic Confidence | p. 34 |
How to Record Diagnoses | p. 35 |
Interpretation of Diagnostic Impressions from Other Sources | p. 36 |
Guidelines for Evaluation of Presenting Problems | p. 39 |
Disruptive Behavior Symptoms (Externalizing Problems) | p. 41 |
Overview | p. 41 |
Differential Diagnosis | p. 45 |
Specific Behavior Patterns | p. 48 |
Emotional Symptoms (Internalizing Problems) | p. 60 |
Anxiety Problems | p. 60 |
Mood Problems | p. 77 |
Other Internalizing Problems | p. 89 |
Substance-Related Problems, Other "Addictive" Behaviors, and Harmful Environmental Effects | p. 102 |
Substance-Related Problems | p. 102 |
Other "Addictive" Behaviors | p. 109 |
Harmful Environmental Effects | p. 111 |
Highly Focused Symptom Patterns | p. 114 |
Eating Problems | p. 114 |
Tic Disorders | p. 119 |
Elimination Disorders | p. 120 |
Miscellaneous Symptom Patterns | p. 121 |
Sexual and Gender Identity Disorders | p. 122 |
Sleep Disorders | p. 123 |
Problems with Mental Ability, Learning, Communication, and Cognition | p. 125 |
Overview | p. 125 |
Mental Retardation and Related Problems | p. 126 |
Learning Disorders and Related Problems | p. 134 |
Communication Disorders | p. 141 |
Cognitive Problems | p. 144 |
Highly Atypical Symptom Patterns: Pervasive Developmental Disorders and Psychoses | p. 148 |
Overview | p. 148 |
Pervasive Developmental Disorders | p. 149 |
Psychoses | p. 154 |
Personality Disorders | p. 163 |
Diagnosing Personality Disorders in Youth: Controversy and Cautions | p. 163 |
Other Cautions about Diagnosing Personality Disorders | p. 165 |
Cluster A (Odd-Eccentric) Personality Disorders | p. 166 |
Cluster B (Dramatic-Emotional) Personality Disorders | p. 168 |
Cluster C (Anxious-Fearful) Personality Disorders | p. 170 |
Residual Cases | p. 171 |
Additional Codes and Categories | p. 172 |
Broader-Band Residual Categories | p. 172 |
No Diagnosis/Diagnosis Deferred Categories | p. 173 |
Appendix B: Proposed Categories and Axes | p. 174 |
The Application of DSM-IV in School Settings: Issues and Topics | p. 177 |
Ethics and Professional Responsibility in Evaluation | p. 179 |
The Role of the School Psychologist in Mental Health Assessment | p. 179 |
Best-Practice Recommendations for School Psychologists Regarding Diagnosis | p. 182 |
The Case Record: Data and Supporting Documentation for Diagnosis | p. 183 |
Confidentiality, Freedom of Information, and Parents' and Children's Rights | p. 183 |
Maintenance of Records | p. 184 |
Seeking Reimbursement for Assessment and Diagnosis within School Settings | p. 186 |
Physicians' Current Procedural Terminology Codes | p. 186 |
"Medical Necessity" as a Criterion | p. 188 |
Ethical and Professional Responsibilities in Billing | p. 190 |
Diagnostic Disagreement | p. 192 |
DSM-IV and the Individuals with Disabilities Education Act | p. 194 |
Concerns about DSM-IV | p. 197 |
Concerns about Psychiatric Classification in General | p. 198 |
Concerns about DSM-IV's Overall Conceptualization and Structure | p. 200 |
Specific Concerns about DSM-IV | p. 201 |
Concluding Remarks | p. 203 |
References | p. 205 |
Index | p. 225 |
2002 Updates: IDEA 1997 and DSM-IV-TR | p. 231 |
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