Before, the DSM
4 used a 5-Axis diagnosis to address the whole person (DSM-IV-TR
Multiaxial Diagnosis and the DSM-5 Single Axis Diagnosis
[PowerPoint PDF], 2013). Today, the DSM 5 uses the single axis
approach (DSM-IV-TR Multiaxial Diagnosis and the DSM-5 Single Axis
Diagnosis [PowerPoint PDF], 2013). In my opinion, the single axis
approach is favorable because there is no separation of personality
disorders (DSM-IV-TR Multiaxial Diagnosis and the DSM-5 Single Axis
Diagnosis [PowerPoint PDF], 2013). No separation of personality
disorders means: no misguided belief that these disorders were
largely untreatable and medical conditions can be listed
side-by-side with the mental disorder (DSM-IV-TR Multiaxial
Diagnosis and the DSM-5 Single Axis
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These major
changes are helpful when evaluating less severe cognitive
impairments (Simpson, 2014). Although there are pros associated
with the DSM-5 conceptualization of cognitive disorders, there are
also cons associated with the DSM-5 conceptualization of cognitive
disorders. Its hard to make a right diagnosis of dementia with the
DSM-5. According to Simpson (2014), Separating the universe of
cognitive disorders into dementia and cognitive disorder NOS ran
the risk of obscuring commonalities between the
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My
conceptualization of mental illness, and treatment is that its
much more ethical than before. Today, we cannot condemn someone to
a psychiatric center because we feel like it, let alone leave
someone there. What I found the most alarming/surprising aspect of
the podcast was the way people with mental illness was treated back
in 1869. It was easy to enter a psychiatric center, but it was very
hard to get out. They accepted people who were troublesome,
embarrassing, and strange (e.g. minor psychological issues) (Britt
& Christenfeld, 2007). At most, it was difficult to leave a
psychiatric center because families would often drop off their
troublesome family member and never return (Britt &
Christenfeld, 2007). Also, if patients did leave, they werent
prepaid for the outside world (Britt & Christenfeld, 2007).
Today, its the opposite, its hard to get in the psychiatric
center, but it is easy to leave (Britt & Christenfeld, 2007).
The only way a person could be committed to a psychiatric center is
when several psychiatrists are required to sign as proof that the
individual is a danger to others and themselves (Britt &
Christenfeld, 2007). In contrast, when a person leaves a
psychiatric center, they have people preparing a smoother ride for
their








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