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Writing a DSM-5 Diagnosis - PsychSTAR

Communicating a DSM-5 DiagnosisMichael Lee Zwiers, , , DSM-5 manual provides little guidance on how a DSM- 5 diagnosis should becommunicated in Writing . However, as clinicians, we need to consider both thepurposeof our communication and theaudiencefor that communication. Asprofessionals, we must also consider the potential misuse of documents by others,which will influence the way that we present our findings. This document will providesome guidance for does DSM-5 say about presenting diagnostic conclusions? DSM-5does not tell us how we must present our diagnostic conclusions. DSM-5does state that there is no axial framework for presenting results. DSM-5does insist that the principal Diagnosis be listed first, and suggests that inmost cases the qualifying phrase (principal Diagnosis ) or (reason for visit) should be added afterwards.

a DSM-5 diagnosis of Major Depressive Disorder, Single Episode, Mild (296.21), with Anxious Distress” Note: Given that there is only one disorder the principle diagnosis would be assumed and it is therefore not required to state: Principal Diagnosis. Note: DSM-5 presents diagnostic specifiers in lowercase rather than capitalized letters.

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