Reporting PD-Trait Specified dx (DSM-5 alternative model)

[perhaps11]

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I am attempting to use the alternative DSM-5 model for dx'ing a client with a PD-trait specified. However, the DSM-5 does not provide a specific format for writing up the dx. I have done the necessary assessment using the recommended measures (e.g. PID-5, level of personality functioning scale, etc.). If I wanted to, I could just report it how I see fit. However, if anyone has any links to guidelines or advice from experience using this model, it would be much appreciated. I am beginning to see why some people gripe about this model being overly complicated 🙄

 

[CheetahGirl]

What is your reason behind dx'ing this client? I would check with your instutition's Billing Dept for the answer to your question. If the say Axis II deferred, then they are still using DSM-IV-TR which goes with ICD-9 Billing codes. (Please correct me, someone here, if I am wrong).

If you are looking for a purely academic question, discuss with your supervisor how you would approach the diagnosis from theDSM-5's point-of-view. (And are you asking about PD themselves or PD features? Because DSM-5 has not only gotten away from our beloved Axis system but changed the defnitions of some disorders AND added brand new ones - How's that for making sense of clinical significance or not? I would advise you go straight to a supervised discussion before one of us cannonball on your initial global understanding of this ubiquitious diagnostic literature. And if it's clinical go straight to your clinical institutions so that the patient benefits from appropriate billing procedures.

BTW you may know that you just list all and as many codes as you see fit with clinical data and intensity more in the forefront; like the presenting problem is more anxiety & depression...w/ all the codes listed, than PD.../ those codes listed. But don't quote me...the new DSM-5 is still being revised, so it may change. This is only what I understand about it now in a hypothetical model. I have yet to work for an institution who has adopted DSM-5.

 

[erg923]

I am attempting to use the alternative DSM-5 model for dx'ing a client with a PD-trait specified. However, the DSM-5 does not provide a specific format for writing up the dx. I have done the necessary assessment using the recommended measures (e.g. PID-5, level of personality functioning scale, etc.). If I wanted to, I could just report it how I see fit. However, if anyone has any links to guidelines or advice from experience using this model, it would be much appreciated. I am beginning to see why some people gripe about this model being overly complicated 🙄

While this is admiral, it is also exactly what people are talking about when they say academic training programs do a poor job or preparing folks for actual clinical practice within the modern healthcare system. There about a dozen other activities related to assessing and treating personality disordered individuals that I can think of that would be more beneficial than this.