Using DSM-IV primary care version: a guide to psychiatric diagnosis in primary care.
The prevalence of patients with psychiatric disorders in primary care settings indicates that family physicians have a need for a diagnostic manual suited to the realities of their practice. This article reviews the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., primary care version (DSM-IV-PC) and highlights the ways it accommodates the clinical needs of family physicians. DSM-IV-PC emphasizes the use of nine diagnostic algorithms for the most prevalent psychiatric disorders in primary care. The authors review the conceptual similarities between DSM-IV and DSM-IV-PC and the diagnostic features that are unique to DSM-IV-PC, and offer an illustrative case that incorporates a DSM-IV-PC approach to diagnosis. The authors also outline clinical and technical issues that remain unresolved in DSM-IV-PC.
Pingitore
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School of Public Health, University of California, Berkeley, USA.
Sansone
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D000328:Adult; D000465:Algorithms; D001007:Anxiety / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology; D015995:Prevalence; D011320:Primary Health Care; D014481:United States / Q000453:epidemiology