Sixth, based on criterion F, before establishing a de?nitive diagnosis, interviewers need to determine whether their client’s anxiety symptoms may be caused by exposure to or intake of a substance or general medical condition. Take note that substances and medical conditions need to be ruled out as causal factors in virtually every DSM IVTR diagnostic category.
Overall, the generalized anxiety disorder example illustrates a range of tasks and issues with which diagnostic interviewers must grapple. Unfortunately, when it comes to developing diagnostic interviewing acumen, it may be appropriate to borrow a phrase that we often use with new clients: Although it is good to have hope about learning diagnostic interviewing procedures, sometimes the confusion associated with identifying a correct diagnosis gets worse before it gets better.
Assessment and Diagnosis Problems
To competently determine that a client meets the diagnostic criteria for generalized anxiety disorder, an interviewer must determine, by collecting assessment data, whether the client has three of six symptoms from criterion C. Given this fact, it may be suf?cient to directly ask the client a series of speci?c DSM IV TR
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Tags: accurate, anxiety, assessment, diagnostic, disorder, generalized
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