PCO 690: DIAGNOSIS OF MENTAL AND EMOTIONAL DISORDERS Fall 2012 ▪ 3 Credit Hours ▪ Online Updated 6.5.12 Instructor: Jodie Edwards, Ph.D., PC Email: jodie.edwards@ccuniversity.edu Office Phone: 513-244-8430 Cell Phone: 513-240-7722 Office: Counseling Center COURSE DESCRIPTION An examination and practical use of the current edition of the Diagnostic & Statistical Manual for Mental Disorders and an understanding of the International Classification of Diseases. This course focuses on conducting mental status examinations, and on the development and recognition of a framework for identifying symptomatology, etiology, and psychodynamics of mental and emotional disorders. COURSE OBJECTIVES 1. Students will understand approaches to clinical evaluation, including diagnostic interviews and mental status examinations. [CACREP II.G.5.c; CMHC G.2; MAC 2.11] 2. Students will understand diagnostic nomenclature, principles, criteria and differential diagnosis. [CMHC C.2, K.1, K.2; MAC 2.11] 3. Student will be able to use diagnostic tools such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) to establish appropriate diagnoses. [CMHC K.1; MAC 2.11] METHOD OF INSTRUCTION In general, the class will follow a lecture format. Active participation with assignments and case studies is required to help develop a richer understanding of diagnostic issues. Learning will be facilitated via readings, online lectures, case studies, assignments, and examinations. Students are expected to discuss their application, insights, and understanding of the reading and the exercises with the instructor and other students. Class sessions will be taught online via Moodle. REQUIRED MATERIALS Moodle and Email: All students enrolled in this course are required to check Moodle and their CCU email weekly for the duration of the course. Course announcements, changes to the syllabus, and memos from the instructor will be distributed via Moodle and/or email. Students are responsible for all information distributed in this manner. Required Texts: American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed, text revision). Washington, DC: American Psychiatric Association. Yarhouse, M. A., Butman, R. E. & McRay, B. W. (2005). Modern psychopathologies: A comprehensive Christian appraisal. Downers Grove, IL: InterVarsity Press. PCO 690 (Edwards), p. 2 Optional Texts: Morrison, J. (2007). Diagnosis made easier: Principles and techniques for mental health clinicians. New York: Guilford Press. [Noted as DME on course schedule.] Zimmerman, M. (1994). Interview guide for evaluating DSM-IV psychiatric disorders and the mental status examination. East Greenwich, RI: Psych Products Press. [Noted as IG on course schedule.] GRADING/EVALUATION* Assignment Assignments & Forum Posts (10 x 10 points) Case Studies (10 x 10 points) Exam 1 Exam 2 Exam 3 Total Points 100 100 100 100 100 500 A AB+ B BC+ C CD+ D DF Points 475-500 460-474 445-459 430-444 415-429 400-414 385-399 370-384 355-369 340-354 325-339 ≤ 324 Percentage 95-100% 92-94.99% 89-91.99% 86-88.99% 83-85.99% 80-82.99% 77-79.99% 74-76.99% 71-73.99% 68-70.99% 65-67.99% < 64.99% *MAC students: In accordance with rule 4757-3-01, J-1, from the Ohio Counselor, Social Worker, & Marriage and Family Therapist Board, you must receive a B- or higher in this course for it to count toward licensure. Assignments & Forum Posts: You will receive 100 points (20% of your final grade) for completing 3 assignments and participating in 7 forum discussions. Each assignment is worth 10 points. Each forum discussion includes an initial post worth 7 points and a reply post worth 3 points. Late assignments and forum posts will NOT be accepted for any reason. Details about individual assignments and forum discussions will be posted on Moodle. Case Studies: You will receive 100 points (20% of your final grade) for diagnosing and discussing 10 case studies. Late case studies will NOT be accepted for any reason. Details about individual case studies will be posted on Moodle. Please use the forum on Moodle to discuss the case study with your colleagues! Exams: Material for each of the three exams may be cumulative and taken from readings, online discussions, and lectures. Exam items may be case studies, multiple choice, true/false, fill-in-the-blank, and essay. Exams are worth 100 points each for a total of 300 points (60% of your final grade). Exams are time-limited and open book/notes. Exams are individual – not group – projects. Exam 1 covers Lectures 1-4, Exam 2 covers Lectures 5-9, and Exam 3 covers Lectures 10-12. IMPORTANT NOTES Late Assignments: Out of respect for the hard work that everyone puts into the course, late assignments will NOT be accepted unless there is a serious personal medical or family emergency (e.g., hospitalization, death in the family) that can be substantiated with documentation. In the rare event PCO 690 (Edwards), p. 3 that a late assignment is accepted, there will be a deduction of 5% of the points each day it is late. I understand that unexpected life events occur, but I hold this policy to encourage the development of positive professional behavior. Therefore, please do not wait until the last minute to do your assignments because regular life stressors will not be accepted as reasons to turn work in late. I invite you to talk with me about any challenges you face in completing your assignments. Christian Component: As we strive to provide a biblically-based approach to counseling, we expect you to evaluate all readings and discussions from a Christian perspective and work to integrate biblical truth into your life, thought, and work. Student Conduct: Keep in mind that it may not be appropriate to disclose your own psychological struggles to the class. If you become distressed about any material/discussions, please talk with me and/or make an appointment to see a counselor. Accommodations: Students with special needs should speak with me or provide documentation to the office of Student Retention specifying accommodations required to help assure success. Academic Dishonesty: Cheating, plagiarism, and all other forms of academic dishonesty will NOT be tolerated. All incidents of academic dishonesty will be dealt with in accordance to university regulations (see CCU student handbook), which will include failure of class and additional action by the academic committee. Flexibility Clause: This syllabus is NOT a binding contract. The dates of lectures, exams, projects, etc. may be revised as the term progresses. All modifications to the syllabus will be announced in via Moodle. COURSE SCHEDULE Due Date (11:55pm Deadline) 8.27 Topics Required Reading Optional Reading Lecture 1: Diagnosis basics (Obj. 2) DSM: xxiii-37; 743 Yarhouse: Chapter 3 DME: 3-84 9.3 Lecture 2: Diagnostic interviewing (Obj. 1) -- 9.10 Lecture 3: Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence (Obj. 2) Lecture 4: Cognitive Disorders & SubstanceRelated Disorders (Obj. 2) DSM: 39-134 Yarhouse: Chapter 12 DME: 87-123 IG: 3-6, 120-141 IG: 70-85 9.17 Assignment (FD = Forum Discussion; CS = Case Study; A = Assignment) FD 1: Yarhouse Ch. 3 (Obj. 2) Introduce yourself in the Collaboration Forum A 1: Mental Status Exam (Obj. 1) CS 1: Rocking & Reading (Obj. 3) DSM: 135-190; 746-747; 191-295 DME: 213-234; 235-247 IG: 12-21 FD 2: Substance Abuse Videos (Obj. 2) DSM: 297-343; 750-751 Yarhouse: Chapter 9 DME: 182-212 IG: 22-29 FD 3: Yarhouse Ch. 9 CS 2: Under Surveillance (Obj. 3) 9.24 10.1 Exam 1 (Obj. 2) Lecture 5: Schizophrenia and Other Psychotic Disorders (Obj. 2) 10.8 Lecture 6: Mood Disorders (Obj. 2) DSM: 345-428; 752-753 Yarhouse: Chapter 6 DME: 127-163 IG: 30-39 A 2: Coding Mood Disorders (Obj. 2) CS 3: Still a Student (Obj. 3) CS 4: You May Keep the Yacht (Obj. 3) 10.15 Lecture 7: Anxiety Disorders (Obj. 2) DSM: 429-484; 754-755 Yarhouse: Chapter 5 DME: 164-181 IG: 40-60 FD 4: Yarhouse Ch. 5 & 6 CS 5: Toughing it Out (Obj. 3) CS6: Sniper (Obj. 3) 10.22 Lecture 8: Somatoform Disorders & Factitious Disorders (Obj. 2) Lecture 9: Dissociative Disorders & Sexual and Gender Identity Disorders (Obj. 2) Exam 2 (Obj. 2) DSM: 485-517; 756-757 IG: 61-66 CS 7: The Radiologist (Obj. 3) 10.29 11.5 DSM: 519-582 Yarhouse: Chapter 11 FD 5: Yarhouse Ch. 11 PCO 690 (Edwards), p. 5 Due Date (11:55pm Deadline) 11.12 Topics Required Reading Optional Reading Assignment (FD = Forum Discussion; CS = Case Study; A = Assignment) FD 6: Eating Disorders Video (Obj. 2) CS 8: Close to the Bone (Obj. 3) Lecture 10: Eating Disorders & Sleep Disorders (Obj. 2) DSM: 583-595; 785-787; 597-661 Yarhouse: Chapter 8 IG: 8-11 11.26 DSM: 663-677; 679-683; 731-742 IG: 67-68 A 3: Trich Article (Obj. 2) 12.3 Lecture 11: Impulse-Control Disorders, Adjustment Disorders, & Other Conditions (Obj. 2) Lecture 12: Personality Disorders (Obj. 2) DSM: 685-729; 788-791 Yarhouse: Chapter 10 DME: 248-266 IG: 87-119 FD 7: Yarhouse Ch. 10 CS 9: Blood is Thicker than Water (Obj. 3) CS 10: My Fan Club (Obj. 3) 12.10 Exam 3 (Obj. 2) Appendix – CACREP The objectives of this course are designed to meet MAC 2.11 – Diagnosis of mental and emotional disorders The objectives of this course are designed to meet CACREP requirements of Sec. II.G.5.c – Essential interviewing and counseling skills In addition, this course is designed to meet CACREP requirements for clinical mental health counseling programs: o C.2 Knows the etiology, the diagnostic process and nomenclature, treatment, referral, and prevention of mental and emotional disorders o G.2. Understands various models and approaches to clinical evaluation and their appropriate uses, including diagnostic interviews and mental status examinations. o K.1. Knows the principles of the diagnostic process, including differential diagnosis, and the use of current diagnostic tools, such as the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). o K.2. Understands the established diagnostic criteria for mental and emotional disorders.