The author follows the order of DSM-5, thus beginning the section with neurodevelopmental disorders. Section 2 operationalizes DSM-5 diagnostic criteria, providing the meat of the book. Furthermore, he demonstrates how the specifiers are different for her diagnosis in DSM-5 because she can have psychotic features (hearing her husband speak to her), but they are now classified as moderate, not automatically severe, considering her ability to maintain work and care for her family. In taking the reader on this journey, he demonstrates how this patient meets criteria for major depressive disorder according to DSM-5, since the bereavement exclusion has been removed. He explains that “she has been hearing the voice of her deceased husband telling her that he misses her,” illustrating the depth of loss this patient feels. In one compelling vignette about major depressive disorder, Nussbaum discusses a patient named “Ruth” who struggles with the recent death of her husband of 30 years. Through the use of four common case presentations-for major depressive disorder, schizophrenia, alcohol use disorder, and narcissistic personality disorder-the author illustrates the utility of removing confusing subtypes and qualifiers, which is a reflection of the changes exhibited in DSM-5. While a bit rudimentary for the seasoned practitioner, the section gains momentum by discussing critical changes to DSM, including the introduction of the dimensional analysis of psychiatric symptoms. The first three chapters in section 1 review the psychiatric diagnostic interview in detail, from the importance of body language to specific questions to ask during the 30-minute interview. The most refreshing aspect of this book includes the colloquial writing style of the author, who ironically disarms the reader while explaining how to disarm patients. The body of each chapter includes helpful headings to anchor the discussion, followed by high-yield conclusions summarizing pearls of the chapter. Beginning each chapter with a vibrant introduction, he emphasizes the importance of the chapter’s content, giving the reader perspective surrounding the utility of the material. Nussbaum writes clearly and succinctly, with special emphasis on presenting rather complicated concepts in an organized step-by-step manner. The text-rich book was written for both the novice and the seasoned interviewer. The clear purpose of this book is to help the reader accurately diagnose a person with a mental disorder under the guidance of DSM-5 while establishing and maintaining a strong therapeutic alliance. Finally, the third equips the reader with diagnostic tools, including useful assessment measures. The second examines how to put DSM-5 diagnostic criteria to use in clinical practice. The first section introduces the diagnostic interview, discussing how DSM-5 alters this information gathering process. The book mirrors the structure of DSM-5 and is divided into three sections. The Pocket Guide to the DSM-5 Diagnostic Exam, by Abraham Nussbaum, M.D., is intended to assist with this process, serving as a pragmatic companion to DSM-5 in diagnostic interviews. Additionally, the most important advances, according to the architects of DSM-5, are the elimination of the multiaxial system and introduction of “dimensions” used to measure psychiatric symptoms.Īs with any large “bolus” of information, time and energy are required to digest it. Notable changes include the loss of subtype classifications for variant forms of schizophrenia, deletion of the bereavement exclusion for depressive disorders, and elimination of Asperger’s syndrome as a distinct classification. While DSM-5 is not drastically different from its predecessor, DSM-IV-TR, there are a few important changes of which clinicians and researchers must be aware.
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