Fall 2024 SOWK 581 Week 06 - Continuing with the AMA - DSM Edition
Fall 2024 SOWK 581 Week 06 - Continuing with the AMA - DSM Edition
title: Fall 2024 SOWK 581 Week 06 - Continuing with the AMA - DSM Edition date: 2024-09-27 10:10:00 location: Heritage University tags:
- Heritage University
- MSW Program
- SOWK 581
presentation_video: description: >
Week six is an asynchronous week, with no in-person class session. We will be exploring multicultural practice, which requires an understanding of theory and practice implementation. This week, students will read about (and take a reading quiz) multicultural practice. They will also look at the NASW and the indicators for cultural competency they lay out for social workers. Students will also be able to consider how cultural factors are assessed within diagnostic interviews.
The Learning Objectives for this Week Include:
- Know the NASW standards for cultural competence
- Practice using tools and strategies for assessing cultural needs
- Understand how multicultural worldviews affect the therapeutic relationship
Q1
Good evening Jacob,
A few questions I have are:
How often is the DSM updated?
This most recent version came out in 2022 the DSM five came out in 2013 one way I’ve heard it framed is it’s about 20 years in between major revisions, but I don’t think there’s been enough versions to say that for sure
What is the difference between conducting an MSE with children and adults?
So in understanding, a child, it is going to be based on their cognitive ability and what general expectations that you might have I think as you get younger and younger, it becomes more and more challenging to do some of the components, so for example, most children before seven don’t know The difference between what is real and what is not?? Check age 7??
How do you approach a diagnosis when symptoms overlap between multiple disorders?
There are a number of symptoms that overlapped between diagnoses there’s a section and the big book that I don’t believe is in the smaller book that lists differential diagnoses and considerations that we have consider psychosis psychosis is found in mood disorders and in the schizophrenic schizophrenia spectrum disorder, if there are mood symptoms While experiencing psychosis, we look either to effective disorder or disorder the diagnostic criteria always enough to be exclusive
These are questions I think about considering I am not sure if I want to stay working with young adults for the rest of my career or transition in between to working with adults
Q2
Hello Jacob,
After watching the video the gentleman said that the individual is not their diagnosis. I agree with that statement!
Yes, people are not just their diagnosis is 100% really agree
How do you work with someone who is focused on their diagnosis (being labeled/in denial) rather than focusing on helping themselves improve their mental health state?
I hear two things first let’s talk about the being in denial. I think there is some education that we can come and provide our clients about purposes of diagnoses why that might be the thing that they’re diagnosed with kind of our clinical judgment around that and just coming and expressing some of those things Weather, they have insight into their symptoms. Some of the impact of symptoms might be where we come and try to work to help develop insight around the first part and somebody who is overly fixated on being diagnosed again I think there is just education that we can come and provide explaining what that means what it looks like
What steps do you initiate, so the individual accepts their diagnosis and works on their symptoms?
In my experience most of the time that is what we work on and deal with I don’t I don’t feel like I’ve had clients who’ve been overly fixated on their diagnoses although I can imagine if somebody feels like they’re being mislabeled that they could be I also do not put a significant amount of time talking about diagram during session unless I feel like there’s a need for some education around what that means why the rationale again
Q3
A couple times now, I have heard how the DSM has been critiqued for not fully capturing the diverse ways mental health issues manifest across cultures. For example, certain cultures might express depression or anxiety in physical symptoms more than emotional ones. How can I remain culturally sensitive while using the DSM to ensure that diagnoses are accurate for clients from diverse backgrounds? Are there alternative frameworks or tools you would recommend?
I don’t think that the DSM is the end I’ll be all it is what is required for being able to come and to gain specific knowledge. Maybe let’s look at generalized anxiety disorder and cultural considerations and cultural related diagnostic issues that it includes to understand this another place to come and to go is to seek consultation there are people with specific credentials that allow them to help consult regarding specialized issues whether it’s with African-Americans children Hispanic population.
My second question go hand- in -hand. I’ve witnessed where people from different cultural backgrounds either experience or express symptoms differently. If culture influences a client’s presentation of symptoms, then how can I make sure to account for that when making a diagnosis. For example, what might be seen as paranoia in one culture could be a normal protective behavior in another. I just want to make sure I am properly accounting for this when potentially diagnosing, especially with mental health disorders.
I think one of the things to think about for this is going back to what makes it clinically significant
Q4
Are there people who work on the DSM every day and make changes to it?
Show the page with the working groups
Can there be malpractice when using the book?
Yes, may expand on incorrect diagnoses, misleading information doing things that are against agency policies or legal obligations
Do doctors have to use the book or reference it to get a reimbursement for it?
Yes, to be able to bill for services you use the codes in the DSM. Eli says a psychiatrist if you’re talking about medical doctors, they use the IDC.
Q5
In the first few minutes of Ken’s video, he mentions that the DSM-5 requires clinical training to be utilized correctly. What does this training look like? Does it require real-time practice hours? Is this clinical training a requirement by the state?
Q6
Hello Mr. Campbell, through the years the DSM has expanded tremendously since its origination. What do you think the correlation is between the DSM and multibillion dollar pharmaceutical companies if any? Also Kinter referred to others codes as the “V” Codes, can you give me an example?
Q7
Hello,
A few questions I have are when in doubt how do you determine which diagnosis is most appropriate. Is there a process to follow that will assure you that you chose the appropriate diagnostic. Is there a process to follow if you wrongly diagnosed and need to re-diagnose?
Q8
Before I saw this forum I had asked a question about the DSM in another forum but I do have the curiosity to know the answer to my question which was how are you able to distinguish which disorder you are seeing in a client when some disorders have overlapping symptoms and sound the same. Adding to this question I wonder if you see that a client has multiple symptoms that fit into more than one disorder how do you decide which fits more with the client?
Q9
The biggest question on my mind is,
- how do you decifer a diagnosis when the symptoms presented overlap in two diagnosis?
- when the presenting symptoms dictate one diagnosis, but you have a gut feeling its a different diagnosis. Is that a realistic situation? Or does is it usually pretty easy to decipher.
Q10
When diagnosing a client how does one determine if their behavior is due to mental illness or determine if life circumstances are affecting their behavior.