Friday, June 9, 2017
The DSM-IV-TR is very clear in stating on page 499 that a Pain Disorder Associated With a General Medical Condition is a disorder in which there is pain that results from a general medical condition. The DSM-IV-TR is also very explicit in stating, “This subtype of Pain Disorder is not considered a mental disorder and is coded on Axis III.” Accordingly, if one is concerned with the possibility of an individual having had a psychological disorder, the specification of a Pain Disorder Associated With a General Medical Condition is clearly not relevant since this condition is not a mental disorder.
According to the DSM-IV-TR, the Dissociative Disorders are characterized by prominent features of dissociation or a disruption in the integration of consciousness, memory, identity and/or sensation or perception. In this regard, dissociation is the partial or total disconnection or dissociation between past memories, awareness of one’s identity, awareness of immediate sensations or perceptions, and the control of body movements. All of these conditions are thought to be the result of traumatic experiences. When you have a report where the doctor diagnosed a Dissociative Disorder you should review their report to determine if they discussed the qualitative nature, frequency, intensity, duration, onset and course of the patient’s complaints over time with regard to memory, identity, sensation or perception. You should also review the Mental Status Examination report to determine if the doctor provided observational data in these areas from their face-to-face interview.