Diagnosis Exercise using the DSM-5
Case #1: Joan
Principal Diagnosis
_____a. 295.90 (F20.9) Schizophrenia multiple episodes, currently in acute episode
_____b. 296.52 (F31.32) Bipolar I Disorder Current or most recent episode moderate
_____c. 295.70 (F25.0) Schizoaffective Disorder Bipolar type
_____d. 305.00 (F10.10) Alcohol Use Disorder Mild
Provisional Diagnosis
_____e. 312.34 (F63.81) Intermittent Explosive Disorder
_____f. 399.01 (F41.0) Panic Disorder
_____g. 296.54 (F31.5) Bipolar I Disorder Current or most recent episode depressed with
psychotic features with anxious distress
_____h. 780.54 (G47.10) Insomnia Disorder with non-sleep disorder mental comorbidity
Other Condition That May Be a Focus of Clinical Attention
_____i. V65.2 (Z76.5) Malingering
_____j. V71.01 (Z72.811) Adult Antisocial Behavior
_____k. V62.29 (Z56.9) Other Problem Related to Employment
_____l. V62.89 (Z60.0) Phase of Life Problem
_____m. V60.4 (Z60.4) Social Exclusion or Rejection
_____n. V60.3 (Z60.2) Problem Related to Living Alone
_____o. V60.4 (Z60.5) Target of (Perceived) Adverse Discrimination or Persecution
_____p. V60.4 (Z60.3) Acculturation Difficulty
_____q. V62.89 (Z65.9) Religious or Spiritual Problem
_____r. V61.8 (Z63.8) High expressed emotion level within family
_____s. V62.9 (Z60.9) Unspecified Problem Related to Social Environment
_____t. V15.81 (Z91.19) Nonadherence to Medical Treatment
__ correct out of 11
Case #2: Joe
Principal Diagnosis
_____a. 300.23 (F40.10) Social Anxiety (Social Phobia)
_____b. 301.81 (F60.81) Narcissistic Personality Disorder
_____c. 300.3 (F42) Obsessive-Compulsive Disorder with fair insight
Provisional Diagnosis
_____d. 301.82 (F60.6) Avoidant Personality Disorder
_____e. 301.4 (F60.5) Obsessive-Compulsive Personality Disorder
_____f. 300.02 (F41.1) Generalized Anxiety Disorder
_____g. 300.0 (F41.0) Panic Disorder
Other Condition That May Be a Focus of Clinical Attention
_____h. V61.20 (Z62.820) Parent-child relational problem
_____i. V61.8 (Z63.8) High expressed emotion level within family
_____j. V15.42 (Z62.811) Personal history (past history) of psychological abuse in childhood
_____k. 995.82 (T74-31XD) Adult Psychological Abuse by Nonspouse or Nonpartner
Confirmed Subsequent Contact
_____l. V62.29 (Z56.9) Other Problem Related to Employment
_____m. V60.1 (Z59.1) Inadequate Housing
_____n. V62.89 (Z60.0) Phase of Life Problem
_____o. V62.9 (Z60.9) Unspecified Problem Related to Social Environment
__ correct out of 8
Case #3: Mark
Principal Diagnosis
_____a. 300.23 (F40.10) Social Anxiety (Social Phobia)
_____b. 301.82 (F60.6) Avoidant Personality Disorder
_____c. 250.01 (E10.9) Diabetes Mellitus without complication type 1 not stated as uncontrolled
293.83 (F06.32) Depressive Disorder Due to Another Medical Condition with major
depressive-like episode
_____d. 301.6 (60.7) Dependent Personality Disorder
_____e. 296.99 (F34.8) Disruptive Mood Dysregulation Disorder
Provisional Diagnosis
_____f. 296.32 (F33.1) Major Depressive Disorder Recurrent episode with anxious distress
_____g. 301.81 (F60.81) Narcissistic Personality Disorder
_____h. 309.21 (F93.0) Separation Anxiety Disorder
_____i. 300.23 (F40.10) Social Anxiety (Social Phobia)
Other Condition That May Be a Focus of Clinical Attention
_____j. V61.20 (Z62.820) Parent-child relational problem
_____k. 995.82 (T74-31XD) Adult Psychological Abuse by Nonspouse or Nonpartner
Confirmed Subsequent Contact
_____l. V62.89 (Z65.9) Religious or Spiritual Problem
_____m. V60.4 (Z60.4) Social Exclusion or Rejection
_____n. V61.8 (Z63.8) High expressed emotion level within family
_____o. V62.89 (Z60.0) Phase of Life Problem
_____p. V65.2 (Z76.5) Malingering
_____q. V60.3 (Z60.2) Problem Related to Living Alone
_____r. V15.81 (Z91.19) Nonadherence to Medical Treatment
_____s. V60.4 (Z60.5) Target of (Perceived) Adverse Discrimination or Persecution
_____t. V69.9 (Z72.9) Problems Related to Lifestyle
_____u. V60.1 (Z59.1) Inadequate Housing
__ correct out of 10
Case #4: Cathy
Principal Diagnosis
_____a. 296.32 (F33.1) Major Depressive Disorder Recurrent episode with anxious distress
_____b. 300.4 (F34.1) Persistent Depressive Disorder (Dysthymia) with mixed features
_____c. 300.23 (F40.10) Social Anxiety (Social Phobia)
_____d. 780.54 (G47.10) Insomnia Disorder with non-sleep disorder mental comorbidity
Provisional Diagnosis
_____e. 301.50 (F60.4) Histrionic Personality Disorder
_____f. 296.32 (F33.1) Major Depressive Disorder Recurrent episode with anxious distress
_____g. 301.6 (60.7) Dependent Personality Disorder
_____h. 399.01 (F41.0) Panic Disorder
_____i. 300.02 (F41.1) Generalized Anxiety Disorder
_____j. 301.81 (F60.81) Narcissistic Personality Disorder
Other Condition That May Be a Focus of Clinical Attention
_____k. V61.8 (Z62.29) Upbringing away from parents
_____l. V69.9 (Z72.9) Problems Related to Lifestyle
_____m. V61.29 (Z62.898) Child affected by parental relationship distress
_____n. V60.3 (Z60.2) Problem Related to Living Alone
_____o. V61.8 (Z63.8) High expressed emotion level within family
_____p. V60.4 (Z60.5) Target of (Perceived) Adverse Discrimination or Persecution
_____q. V15.41 (Z69.810) Personal history (past history) of sexual abuse in childhood
_____r. V62.9 (Z60.9) Unspecified Problem Related to Social Environment
_____s. V15.42 (Z62.811) Personal history (past history) of psychological abuse in childhood
_____t. V65.2 (Z76.5) Malingering
_____u. V62.29 (Z56.9) Other Problem Related to Employment
_____v. V60.4 (Z60.4) Social Exclusion or Rejection
_____w. V62.89 (Z60.0) Phase of Life Problem
__ correct out of 12
Case #5: Elliot
Principal Diagnosis
_____a. 309.81 (F43.10) Posttraumatic Stress Disorder
_____b. 309.0 (F43.21) Adjustment Disorder with depressed mood
_____c. 308.3 (F43.0) Acute Stress Disorder
Provisional Diagnosis
_____d. 296.21 (F32.0) Major Depressive Disorder Single episode with anxious distress
_____e. 399.01 (F41.0) Panic Disorder
_____f. 300.4 (F34.1) Persistent Depressive Disorder (Dysthymia) with anxious distress
_____g. 312.34 (F63.81) Intermittent Explosive Disorder
_____h. 300.00 (F41.9) Unspecified Anxiety Disorder
_____i. 301.81 (F60.81) Narcissistic Personality Disorder
Other Condition That May Be a Focus of Clinical Attention
_____j. V69.9 (Z72.9) Problems Related to Lifestyle
_____k. V62.82 (Z62.896) Uncomplicated bereavement
_____l. V60.4 (Z60.5) Target of (Perceived) Adverse Discrimination or Persecution
_____m. V62.29 (Z56.9) Other Problem Related to Employment
_____n. V62.89 (Z65.9) Religious or Spiritual Problem
_____o. V62.89 (Z60.0) Phase of Life Problem
_____p. V60.4 (Z60.4) Social Exclusion or Rejection
_____q. V60.4 (Z60.3) Acculturation Difficulty
_____r. V62.9 (Z60.9) Unspecified Problem Related to Social Environment
_____s. V69.9 (Z72.9) Problems Related to Lifestyle
__ correct out of 9