Diagnostic thiab Cov Ntawv Qhia Tawm Ntawm Cov Kev Xiam Hlwb ntawm Cov Ntshav
Nyob rau ntawm qhov chaw no thiab hauv lwm qhov chaw, koj yuav pom cov neeg chiv keeb mus rau plaub thiab tsib zaug ntawm Cov Kev Ntsuas thiab Kev Ntsuas ntawm Cov Kev Xiam Hlwb ntawm Kev Nyuaj Siab - DSM-IV, luam tawm xyoo 1994, thiab DSM-5, uas yuav hloov nws rau ntawm ntawv. Phau ntawv no yog luam tawm los ntawm American Psychiatric Association thiab muaj cov txheej txheem cai tsim nyog rau kev cais thiab kuaj mob hlwb.
Ib qhov laj thawj no yog qhov tseem ceeb tshaj plaws yog tias phau ntawv muaj cov cim kev kuaj pom zoo tib yam kev mob lub cev. Piv txwv li, yog tias tus kws kho mob txiav txim siab tso ntshav thiab muab ntawv rau koj mus kuaj, koj yuav tau hais kom muaj ib qho kev kuaj mob ntawm qhov kev txiav txim vim hais tias lawv yuav tsum muab rau koj lub tuam txhab pov hwm. Nws yog tib yam nrog kev mob hlwb: ib tus kws kho mob hlwb tsis tuaj yeem hais rau koj qhov kev pov hwm, "Tus neeg mob muaj kev puas siab puas ntsws bipolar." Nws yuav tsum tau muab lawv ib txoj cai rau hom kev puas siab puas ntsws bipolar.
Keeb kwm ntawm DSM
Thawj tsab ntawm DSM tau luam tawm xyoo 1952, teev 66 mob. Txhua ntawm cov no muaj cov npe luv luv, nrog rau qee cov ntaub ntawv hais txog kev tsim txom. Lub 1968 version muaj 100 mob, thiab hauv xyoo 1979, qhov thib peb tsab txav deb ntawm psychoanalytic haum, muaj nyob hauv 200 hom kev tshawb nrhiav thiab qhia ntau lub cev xaim (Axis I rau Axis V).
- Axis I - Soj Ntsuam Mob (nrog rau kev puas siab puas ntsws bipolar)
- Axis II - Cwj pwm kev puas siab puas ntsws thiab kev puas hlwb
- Axis III - General Medical Conditions
- Axis IV - Psychosocial thiab Environmental Problems (stressors)
- Axis V - Kev Ntsuam Xyuas Ntiaj Teb ntawm Kev Lag Luam
DSM-IV tau luam tawm thawj zaug hauv xyoo 1994, thiab tau muab luam tawm hauv 2000, hu ua DSM-IV-TR (txawm tias "TR," los yog ntawv kho dua tshiab, feem ntau tsis muaj nyob rau hauv cov khoom xa los ntawm phau ntawv).
Thaum lub sijhawm nrog lub "Axis" system, daim ntawv no tau rhuav tshem cov kab mob thiab cov tsos mob rau hauv seem los yog "kev txiav txim siab ntoo." Ntawm no yog ib qho piv txwv ceev:
- Cov tsos mob uas yuav tsum tau suav nrog.
- Yuav tsum muaj peb lossis ntau tshaj cov tsos mob muaj nyob rau ntawm daim ntawv:
- Cim A
- Ntsuas B
- C nco. C
- Cim D
- Seem E
- Kev mob uas yuav tsum tsis txhob tuaj.
Tus tshiab DSM-5
Luam tawm rau xyoo 2013, lub DSM-5 ua ntau yam hloov, qee yam ntawm lawv qhov teeb meem, qee qhov tsis. Qhov pom tseeb tshaj plaws ntawm cov no yog qhov nws hu ua DSM-5 es tsis txhob DSM-V. Hloov los ntawm Roman mus rau Arabic cov lus txhais tau tias, tsis yog siv lub cumbersome system nyob rau hauv lub 2000 tsab raug hu ua "DSM-IV-TR," tej kev hloov kho tam sim no tau hu ua "DSM-5.1," etc., ua ntau yam dlaim phaj.
Ib qhov kev hloov tseem ceeb yog qhov Axis uas tau poob lawm. Tiam sis, muaj 20 tshooj uas muaj cov kab mob uas muaj feem xyuam nrog. "Bipolar and Related Letters" yog ib qeb. Lwm cov qauv yog:
- Kev ntxhov siab vim
- Obsessive-Compulsive thiab Cov Kev Ua Txheeb Lawm
- Depressive Disorders
- Kev Pub Noj thiab Kev Noj Haus
- Cwj Pwm Nyuaj Siab
Ib qho teeb meem loj tshaj plaws yog Asperger's Syndrome, ib qho kev kuaj mob ntsig txog Autism, tau raug tshem tawm lawm. Muaj ntau tus niam txiv uas lawv cov me nyuam tau raug kuaj xyuas nrog Asperger qhov kev ntshai lawv cov me nyuam yuav tsis tau cov kev pab cuam uas qhov kev ntsuam xyuas pom tam sim no rau lawv.
Muaj ntau cov kev hloov tau ua rau cov menyuam muaj kev puas siab ntsws uas cuam tshuam loj heev, txawm tias ua rau muaj tsawg kawg yog ib tus kws kho mob tau tawm ntawm DSM-5's Child and Adolescent Disorders workgroup.
Kev puas siab puas ntsws Bipolar hauv DSM-5
Txawm tias tus me nyuam muaj kev puas siab puas ntsws bipolar tau zoo thiab raug siv (txawm tsis teev rau hauv DSM-IV) ntau xyoo, kev puas siab puas ntsws bipolar tsis yog ib qho tshiab hauv DSM-5. Xwb, cov me nyuam uas muaj cov tsos mob zoo li no yuav poob rau hauv qeb ntawm Kev Tiv Thaiv, Tiv Thaiv Kev Tiv Thaiv, thiab Cov Cwj Pwm Cwj Pwm, los yog rau kev kuaj mob uas yog ib feem ntawm qeb ntawm Kev Nyuaj Siab Kev Nyuaj Siab, hu ua Kev Tiv Thaiv Mob Hlwb Lub Hlwb.
Yuav ua li cas qhov no tawm sab nraud kom pom.
Rau cov neeg laus muaj kev puas siab puas ntsws bipolar, tam sim no muaj tsib qho kev kuaj mob:
- C 00 Bipolar I Kev Puas Tsuaj
- C 01 Kev puas siab puas ntsws Bipolar II
- C 02 Cyclothymic Disorder
- C 03 Tshuaj Tiv Thaiv Bipolar
- C 04 Bipolar Disorder Associated with Another Condition Condition
- C 05 Kev puas siab puas ntsws Bipolar Tsis yog nyob lwm qhov chaw
Cov kev hloov muaj xws li:
- Ntaus ntawm "Sib Mixed rov." Es tsis txhob, ib qho kev ua rau manic, hypomanic los yog depressive episode yog "Mixed Nta," ib qho kev txhais nrog nws cov lus txhais hauv phau ntawv.
- Txoj kev kuaj Bipolar II hauv DSM-IV tshem tawm keeb kwm txog kev mob qaum. Qhov kev cais no tau raug tshem tawm, uas tseem ceeb heev.
- Ntxiv rau, kev hloov maj mam hloov yog lo lus "tsis txuam nrog" tsis muaj nyob hauv qhov kev ntsuam xyuas A rau ib qho hypomanic rov, thaum nws nyob hauv Kauj A rau ib qhov kev ua rov ua dej num. Qhov no ua rau tag nrho cov txheej xwm rau ob lub hom kev ntawm lub sijhawm tuaj yeem ze zog ua ke.
Txhua hom kev puas siab puas ntsws bipolar muaj dab tsi hu ua specifiers (xws li "Nrog Mixed Nta," saum toj no) uas qhia ntxiv txog qhov mob. Tsis tas li ntawd yog ob qho ntawm cov qauv tshwj xeeb hauv DSM-IV-TR uas tau raug muab tshem tawm yog "Hauv Kev Muab Siab Tshaj" thiab "Hauv Ib Nrab Remisyon."
Kev Tiv Thaiv Tamsim No Tshaj Tawm Txog Kev Tiv Thaiv Bipolar Thiab Lub Cev
Txog thaum DSM-5 tau luam tawm, cov ntaub ntawv tshawb nrhiav tau yog:
1. Rau kev puas siab puas ntsws Bipolar:
- Kev puas tsuaj Bipolar I
- Bipolar II Teeb Meem
- Cyclothymic Disorder (Cyclothymia)
- Bipolar tsis yog Lwm Yam Qhia meej
2. Lub sijhawm:
- Manic
- Hypomanic
- Nyuaj siab
- Mixed (tshem tawm hauv DSM-5)
Qhov chaw:
Bradley, D. "Lub DSM-5: Alterations thiab Altercations." National Alliance ntawm Mental Illness.
Dobbs, D. "Tus Tshiab Temper Tantrum Teeb Meem." Slate . 7 Dec 2012.
American Kev Ntsuas Txog Kev Ua Haujlwm DSM-5 Development. Kev puas tsuaj Bipolar I.
American Kev Ntsuas Txog Kev Ua Haujlwm DSM-5 Development. Bipolar II Teeb Meem.
American Kev Ntsuas Txog Kev Ua Haujlwm DSM-5 Development. Manic rov.
> Kev Sib Koom Tes Txog Kev Puas Siab Puas Ntsws Hauv Miskas DSM-5. Hypomanic rov.
American Kev Ntsuas Txog Kev Ua Haujlwm DSM-5 Development. Kev Nyuaj Siab Rov Qab.
American Kev Ntsuas Txog Kev Ua Haujlwm DSM-5 Development. Mixed Features Specifier.