Essentials of Psychiatric Diagnosis, Revised Edition: Responding to the Challenge of DSM-5 [NOOK Book]


Grounded in author Allen Frances's extensive clinical experience, this comprehensive yet concise guide helps the busy clinician find the right psychiatric diagnosis and avoid the many pitfalls that lead to errors. Covering every disorder routinely encountered in clinical practice, Frances provides the ICD-9-CM codes and (where feasible) ICD-10-CM codes required for billing, a useful screening question, a colorful descriptive prototype, lucid diagnostic tips, and a discussion of other disorders that must be ruled...
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Essentials of Psychiatric Diagnosis, Revised Edition: Responding to the Challenge of DSM-5

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Grounded in author Allen Frances's extensive clinical experience, this comprehensive yet concise guide helps the busy clinician find the right psychiatric diagnosis and avoid the many pitfalls that lead to errors. Covering every disorder routinely encountered in clinical practice, Frances provides the ICD-9-CM codes and (where feasible) ICD-10-CM codes required for billing, a useful screening question, a colorful descriptive prototype, lucid diagnostic tips, and a discussion of other disorders that must be ruled out. The book closes with an index of the most common presenting symptoms, listing possible diagnoses that must be considered for each. Frances was instrumental in the development of past editions of the DSM and provides helpful cautions on questionable aspects of DSM-5.

The revised edition features ICD-10-CM codes where feasible throughout the chapters, plus a Crosswalk to ICD-10-CM codes in the Appendix. The Appendix, links to further coding resources, and periodic updates can also be accessed at the companion website.
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Editorial Reviews

From the Publisher
"Essentials of Psychiatric Diagnosis is simply the best book I’ve read about how to accurately diagnose your patients. Frances's combination of vast experience, down-in-the-trenches common sense, and informed skepticism is unique. Whether you’re a psychiatrist, psychologist, social worker, nurse, crisis counselor, or any other mental health professional, you should buy this book, read it cover to cover initially, and then keep it in your office to refer back to frequently. I’m glad this book had not been published before I wrote my book on the psychiatric interview, because the competition would have made me choose a different topic!"—Daniel J. Carlat, MD, Department of Psychiatry, Tufts University School of Medicine; Founding Editor, The Carlat Psychiatry Report

"With his clinical expertise, leadership roles in prior DSM editions, and healthy skepticism about overdiagnosis and excessive medication, Frances has crafted a clinical gem. This clear and concise book describes a sequential assessment process and provides screening questions, easily remembered prototypic descriptions, differential diagnostic considerations, and cautionary notes about diagnostic traps. Frances recognizes the need for a diagnosis to guide intervention, while steering clear of diagnostic reification. All clinicians need this book for frequent reference, and it should be a required text in mental health training programs."—John F. Clarkin, PhD, Personality Disorders Institute, New York Presbyterian Hospital; Department of Psychiatry, Weill Cornell Medical College

"This easy-to-read, commonsensical handbook guides mental health clinicians through the thicket of differential diagnosis in psychiatry. Frances—a thoughtful and effective critic of the excesses of DSM-5—shows where diagnosis is valid and essential, and where a premature diagnosis or a diagnostic fad has the potential to hurt patients. Everyone who uses diagnosis in daily practice will benefit from the down-to-earth wisdom of this book."—Joel Paris, MD, Department of Psychiatry, McGill University, Canada 

"A 'must have' for mental health professionals. Frances provides useful, easy-to-understand information about psychiatric diagnosis and coding for clinicians in all mental health disciplines."—K. Dayle Jones, PhD, LMHC, Mental Health Counseling Program, University of Central Florida

"Frances demonstrates an unusual ability to communicate the tacit knowledge of an expert into understandable concepts and ideas that will be appreciated by clinicians and students alike. Elegantly simple screening questions precede each disorder and cut through the diagnostic murk. Facilitating patient-centered care, teamwork, and collaboration, this is a comprehensive diagnostic resource for the whole treatment team."—Margaret (Peggy) Halter, PhD, APRN, Editor, Foundations of Psychiatric Mental Health Nursing; Associate Dean, Dwight Schar College of Nursing and Health Sciences, Ashland University

"This volume should head the list of user-friendly guides to psychiatric diagnosis. Frances draws on his considerable experience and contributions, such as heading the DSM-IV Task Force, to produce a work that will be indispensable for primary care clinicians and all professionals and students in mental health care. The guide contains screening questions, prototypic case descriptions, ICD-9-CM codes (and ICD-10-CM codes where feasible), and specific cautionary statements to reduce diagnostic inflation and raise concerns about aspects of DSM-5. The material is handled with sensitivity and compassion, with the patient's best interests always the central consideration. This book is a welcome arrival at a time when recent trends in diagnosis are increasingly attracting controversy. I will be using this excellent guide in my own work and will recommend it to my students and colleagues."—Adrian Wells, PhD, Division of Clinical Psychology, University of Manchester, United Kingdom

"Anyone who brings a critical perspective to psychiatric diagnosis will welcome this book's truly refreshing, reader-friendly approach. Frances, a well-known, respected psychiatrist, offers up what is clearly a lifetime synthesis of wisdom and knowledge on diagnosis. Rejecting the cumbersome detailing of esoteric diagnostic criteria found elsewhere, Frances presents a simpler, consumable structure for readers. Importantly, he includes specific DSM-5-related cautions and caveats. Social workers will appreciate that Frances begins discussion of the diagnostic interview with a section called 'The Relationship Comes First'—and that he argues the client should actually be part of the diagnostic team. This is good stuff."—Kia J. Bentley, PhD, LCSW, School of Social Work, Virginia Commonwealth University

"This uncluttered, visually appealing guide will assist all primary care physicians in the care of patients with psychiatric illnesses."—Elizabeth S. White, MD, internist, Settlement Health, New York City

"I selected this book as a required text in my master's-level course on the DSM. This is the best companion to the DSM that I have found since I began teaching this course. Many of my students have limited experience with psychiatric assessment and diagnosis, and find the DSM overwhelming and off-putting. Frances provides the perfect counterbalance to DSM-5 orthodoxy. His book is filled with clinical practice wisdom that will benefit students in their day-to-day work with clients. I expect that this will be one of the books that students keep on their shelves well after graduation as they work in the field. Social workers are the largest provider group of mental health care; this user-friendly resource will help them develop the skills they need to accurately assess and diagnose."—Mark J. Brenner, PhD, ACSW, LICSW, Professor and Graduate Program Coordinator, School of Social Work, Bridgewater State University

Psychiatric Times
"[This work] represents the kind of valuable clinical wisdom that one accumulates after years of diagnostic experience....Clinical pearls focus in particular on the fuzzy boundaries and grey areas between threshold diagnoses and non-diagnostic problems of living, as well as Dr. Frances's concerns about diagnostic inflation in psychiatry."—Psychiatric Times
Research on Social Work Practice
“This book does not follow the organizational structure found in the DSM-5. Instead, it presents disorders roughly in the order of their frequency of being encountered in clinical practice, which does, in my opinion, make the book more interesting and useful….I can see using this book as a useful secondary text in teaching master of social work (MSW) students about using the DSM….Supplementing…with Frances’s Essentials of Psychiatric Diagnosis will greatly help in developing a clinical social worker’s diagnostic skills….We need to learn the DSM-5 and learn to use it well. Allen Frances’s Essentials of Psychiatric Diagnosis can be a very useful tool to help us achieve this goal of professional social work education.”—Research on Social Work Practice
Doody's Review Service
Reviewer: Brett C. Plyler, M.D.(Northwestern Memorial Hospital)
Description: This book, Dr. Allen Frances's response to the publication of the DSM-5, presents his thoughts on the appropriate diagnosis of psychiatric illness.
Purpose: The purpose is to help clinicians find the correct psychiatric diagnosis for patients.
Audience: The author states that this book is for anyone with an interest in psychiatric diagnosis, but it is most useful to clinicians who see patients with psychiatric illness. Dr. Frances chaired the DSM-IV Task Force, was a member of the task force that prepared DSM-III-R, and wrote the final version of the section on personality disorders in DSM-III.
Features: The book begins with instructions on how to use it appropriately and some general tips on psychiatric diagnosis. It also sets out the author's problems with the recently published DSM-5. Each chapter begins with the most frequently diagnosed illness in that category (childhood disorders starts with ADHD, for example), then reviews a diagnostic prototype. The diagnostic prototype is a descriptive passage intended to capture the essence of the diagnosis in a memorable way. The author feels that the criteria sets are cumbersome and difficult to remember, so this is his alternative. Each section also has "caution boxes" intended to decrease diagnostic inflation with warnings about overdiagnosis and how to avoid it. Screening questions and differential diagnoses are included under each diagnostic subcategory. Almost all diagnoses are reviewed. Of note, there is an ICD9/10 crossover guide in the appendix.
Assessment: Since 2009, Dr. Frances has focused on the issue of diagnostic inflation and his criticisms are, in many ways, valid. Although I feel he is overly critical of the DSM-5, I agree with his concerns about overdiagnosis of certain disorders secondary to the inclusivity of the criteria in DSM-5. His general tips and diagnostic prototypes are very useful, and the organization of most-diagnosed to least-diagnosed disorders is much easier to navigate. He leaves out some diagnoses that he "feels" are not useful or necessary. I would encourage clinicians who have an interest to read this book, but to take his negative opinions of the DSM-5 with a grain of salt.
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Product Details

  • ISBN-13: 9781462513703
  • Publisher: Guilford Publications, Inc.
  • Publication date: 8/8/2013
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition description: Revised Edition
  • Pages: 218
  • Sales rank: 300,376
  • File size: 2 MB

Meet the Author

Allen Frances, MD, is a clinician, educator, researcher, and leading authority on psychiatric diagnosis. He chaired the DSM-IV Task Force, was a member of the Task Force that prepared DSM-III-R, and wrote the final version of the Personality Disorders section in DSM-III. The author of several hundred papers and more than a dozen books, most recently Saving Normal: An Insider's Revolt against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life, Dr. Frances is Professor Emeritus and former Chair of the Department of Psychiatry and Behavioral Sciences at Duke University.

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Table of Contents

1. How to Use This Book
2. Disorders Usually First Diagnosed in Childhood and Adolescence
3. Depressive Disorders
4. Bipolar Disorders
5. Anxiety Disorders
6. Obsessive-Compulsive and Related Disorders
7. Trauma- and Stressor-Related Disorders
8. Schizophrenia Spectrum and Other Psychotic Disorders
9. Substance-Related Disorders and Behavioral Addictions
10. Neurocognitive Disorders
11. Personality Disorders
12. Impulse Control Disorders
13. Eating Disorders
14. Sleep-Wake Disorders
15. Sexual and Gender Issues
16. Disorders Related to Physical Symptoms
17. Dissociative Disorders
18. Codes for Conditions That May Be a Focus of Clinical Attention but Are Not Mental Disorders
Appendix. Crosswalk to ICD-10 Codes
Resources for Codes
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