![]() ![]() There are a number of influences that may drive this reticence, such as concern about the stigma of assigning a personality disorder diagnosis or the limitations of the DSM-IV/DSM-5 Section 2 categorical diagnoses, leading clinicians to capturing personality by assigning the vague “Personality Disorder NOS.” There clearly has been an unfilled need for a system that better characterizes personality factors shaping mental well-being and provides easily applied clinical assessment tools. The need to look beyond problems such as anxiety and depression may become more obvious when personality issues are very prominent, but even then, clinicians often are hesitant to address these factors. Consideration of this subjective world as a context for symptomatic presentation is necessary for improving the impact of treatment. Every individual has a unique personality and characteristic ways of viewing one’s self, shaping how life is navigated, for better or for worse. Humans are a meaning-making species, creating narratives to understand our experiences. For example, anxiety stemming from perfectionistic self-expectations is quite different from anxiety based on a lack of trust of others. Neglecting the assessment of the proper context for particular symptoms could significantly limit the effectiveness of the interventions employed. However, clinical attention often travels very quickly to circumscribed diagnoses to the exclusion of other factors that may be shaping the difficulties for which the person is seeking treatment. She is the co-editor of Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) Module I, which APA members can purchase at a discount.Ĭlinicians who are committed to assisting patients with their mental health have been trained to assess symptoms and syndromes that present adaptive challenges. Donna Bender, M.D., is a clinical professor of psychiatry and behavioral sciences and director of CAPS for Counseling Services at Tulane University.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |