DSM-IV Diagnosis
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The following criteria is necessary for a personality disorder diagnosis: (A) enduring pattern of inner experience and behavior which deviates markedly from the culture with two or more manifestations (cognitions, affectivity, interpersonal functioning, impulse control); (B) pattern in inflexible and pervasive across situations; (C) pattern leads to clinically significant distress of impaired functioning; (D) pattern is stable and onset begins by early adulthood; (E) pattern is not due to another mental disorder; (F) pattern is not due to substances or medical conditions (APA, 1994, p. 633). Vignette 1: Criteria for Personality Disorder are reported for A, B, E, and F, however more information is needed regarding early onset and distress/impaired functioning. If further assessment meets these criteria, the diagnosis is AXIS II 301.50 Histrionic Personality Disorder. The following criteria for this diagnosis is met (need five symptoms): pervasive pattern of excessive emotionality and attention seeking across situations; with discomfort in situations if not the center of attention, interactions that are characterized by inappropriate sexually seductive or provocative behavior, expression of emotions that is shallow and shifting, physical appearance that is used to draw attention, self-dramatization, theatricality, and exaggerated expression of emotion is demonstrated, and relationships are viewed to be more intimate than they are. Again early onset cr
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iration, lack of empathy, across situations; with grandiose sense of self-importance, believes he is special and only understood by other special people, needs excessive admiration, has a sense of entitlement, in interpersonally exploitative, lacks empathy, and shows arrogant behaviors. Again early onset criteria must be met or diagnosis is AXIS II V71.09 No diagnosis, narcissistic tendencies (p. 661).
Vignette 5: Criteria for Personality Disorder are reported for A, B, C, E, and F, however more information is needed regarding early onset. If further assessment meets these criteria, the diagnosis is AXIS II 301.4 Obsessive-Compulsive Personality Disorder. The following criteria for this diagnosis is met (need five symptoms): pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control without flexibility, openness, or efficiency, across situations; with preoccupation with details, rules, lists, order, organization, or schedules resulting in loss of point of activity, perfectionism interferes with task completion, unable to discard worn-out or worthless objects, reluctant to delegate tasks unless others submit to his way, shows rigidity and stubbornness. Early onset criteria must b
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Approximate Word count = 1469
Approximate Pages = 6 (250 words per page)
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