... Edition, 3 commonly known as DSM-IV, is a widely accepted classification system for mental disorders. The DSM-IV criteria for psychiatric diagnosis rely heavily on the patient's history and physical observations. 4 They provide a high degree of diagnostic reliability but each category is a rigid...

... of Compensation Payments for Service connected Disabilities,” published by the Veterans Administration. While psychiatrists and psychologists continue to struggle with diagnostic taxonomies within the DSM-V, anxiety, depression, and psychosis are three unequivocal areas of mental illness which...

...Norma J. Leclair, RN, PhD, LCPC; Steven W. Leclair, PhD, CRC; Christopher R. Brigham, MD Most health care professionals who diagnose and treat mental disorders use the diagnostic criteria outlined in the Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition–Text Revised ( DSM-IV-TR...

... SYNDROMES AND OTHER RELATED CONDITIONS Diagnosis Symptoms for Tangible Gain (eg, Financial Benefits) Symptoms for Intangible Gain (eg, Sympathy in the Sick Role) Deceptive State of Mind Mental Disorder DSM-5 Diagnosis ICD-10 Code Ratable Under the AMA Guides Symptom magnification syndrome...

... or potentially confusing occupational factors. 4 , 5 With respect to the diagnostic process itself, with the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), in 2013, many authors raised numerous issues around psychiatric diagnosis. Among them, Joel Paris, MD...

.... All Rights Reserved. 2021 American Medical Association Chronic Pain Disability DSM-5 Impairment Physicians face many challenges when providing impairment ratings for patients with chronic pain. This article describes how pain is defined in the sixth edition of the AMA Guides...

... to a wide range of clinical presentations. Somatic symptom disorder (the Diagnostic and Statistical Manual, Fifth Edition [DSM-5], diagnosis that subsumes DSM-IV diagnoses of somatization disorder, pain disorder, and somatoform disorder NOS (Not Otherwise Specified), factitious disorder, and malingering...

... Disorders , Fifth Edition (DSM-5) 8 and DSM-5-Text Revision (DSM-5-TR) 9 and the introduction of objectivity into the M&BD IME. We also integrate recent 2022 changes to the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides, 2022) , Sixth Edition(2022), 10 (available online only...

... as construed by the DSM-5. 9 Somatoform disorders are mental disorders in which the presence of physical symptoms suggests a medical disorder, but the symptoms are not explained fully by a medical disorder. The physical symptoms of somatoform disorders are involuntary and not intentional...

... contributing to each. Unlike the perspectives found in DSM-5 and ICD-10, the diagnosis of CPP is considered to be appropriate independently of identified biological or psychological contributors, unless another diagnosis would better account for the presenting symptoms. Such other diagnoses are called chronic...

... pathology. The inclusion of central disorders of sleep and arousal (including the episodic disorders narcolepsy and cataplexy) in DSM-5-TR required that these diagnoses now be deferred to Chapter 14, Mental and Behavioral Disorders. Neuropathic pain syndromes (eg, painful diabetic neuropathy...

... of the challenges is how to qualify for and quantify disability in addiction. Mental health professionals and addictionologists currently use the 11 criteria from the DSM-5 to diagnose opioid use disorder (OUD) and rate severity of impairment or the National Institute on Alcohol Abuse and Alcoholism Alcohol Use...

... period. The AMA Guides specifically states that substance use disorders are not ratable using this chapter (6th ed, 349). Today, mental health professionals and addictionologists use the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published in 2013, for diagnosis...

... the current edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). The only section of Chapter 14 that discusses pain complaints is somatoform pain disorders, which presents several problems, including nomenclature (the phrase somatoform pain disorder...

... an impairment score of 5%, and so on. The Global Assessment of Functioning Scale, Axis V of the DSM-IV-TR, is used as a rating of global functioning. The Guides has associated a percentage impairment score to the traditional 10-point GAF score ranges (eg, a GAF of 51 to 60 is equivalent to 10% impairment...

...Norma Leclair, PhD, RN; Steven Leclair, PhD; Robert Barth, PhD The Global Assessment of Functioning (GAF) is part five of the multiaxial diagnostic system for mental disorders outlined in the Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition–Text Revised ( DSM-IV-TR ). The AMA...

..., that is, the systematic (one-sided) variation of measurements from their true values. Table 1. Attributes of Conditions Characterized by Inappropriate Illness Behavior Diagnosis Symptoms for Gain Deceptive State of Mind Mental Disorder DSM-IV Classification 6 ICD-9 Code Impairment per Guides...

... reportedly ranges from 5% to 60% and varies with the medical specialty and the clinical setting. Studies have reported that in 25% to 50% of all primary care encounters, physicians found no significant objective cause to explain the presenting symptoms. The somatization process contributes to somatoform...

... on the completeness, accuracy, and reliability of patients’ self-presentations. Therefore, it is important for evaluators to be able to identify behavioral factors, including illness behavior and malingering. 1 , 2 , 3 , 4 , 5 Malingering is not ratable; however, its presence complicates appropriate case...

... to psychological disability claims. Common problems with these claims include poor-quality evaluations, diagnoses that do not conform with the Diagnostic and Statistical Manual ( DSM ; American Psychiatric Association 2013 ), lack of standardized psychological testing to more objectively assess the individual's...