 module 32 diagnosis how to use DSM-5 so when we are talking about the diagnosis why we are talking about the DSM-5 it is because most of the psychologists use DSM-5 for making the diagnosis of the client DSM-5 is stand for basically a diagnostic and statistical manual for mental disorder DSM-5 se pehle bhi kaafi se version hai iske jisan DSM-4TR tha, DSM-4 tha, DSM-3TR tha, DSM-3 tha toh ab jo 2013 se lekar abta kham DSM-5 ko use kar rahe hain aap DSM-5 basically hain kya cheez what it explains you, yeh basically aapko koi bhi client jab aap ke baas aata hain toh uski case ko understand karne mein help katta hain, yeh aapko iss seez mein help katta hain ki where you will put the person under the diagnosis, for example agar ek bacha hain jiske different symptoms hai attention deficit hai usse on-seat behaviour nahi hai uska aur uske attention concentration mein problem hai uski memory mein problem hai toh aapne iss tarhaan ke bachhe ko kaha classify karna hai either that person or that child has a attention deficit problem or only attention concentration problem or that child might have some trauma in his life aur wo siraf thori dev ke liye kondition hai toh for that thing ke aapne us bachhe ko classify kis disorder ke under karna hai uske liye hain hain DSM-5 ko use katta hain aap DSM-5 jo hain wo different disorders ki symptoms bata tha hain aapko for example wo aapko bata hain ke how selective mutism is different from the communication disorder, how anxiety disorder is different from depression disorder aur definately yeh jeu difference hai yeh kiski basis ke upar bata hain ka, yeh different symptoms ki basis ke upar bata hain ka. Toh yeh jo symptoms hain unko understand karna, kye ho important hai tha ki aap us bachhe ko proper diagnosis desa ko aur wo jeu diagnosis hai wo help kerega kis jis mein what the proper treatment of the child. Toh yeh chees jo hain yeh bohot important hoti hain isli yeh jo DSM-5 hain wo different mental disorders ki definitions explain katta hain wo yeh chees hain bata tha hain ke jeu depression hain wo us mein sadness hoega, jo anxiety hain wo us mein restlessness hoega. Jo conduct problem hain wo us mein bachha jo problem karega wo externalizing behavior ke toh karega aur jo selective mutism hain wo us mein bachha bilkul bhi nahi bolega thik ya aur do ke that child has the ability to talk. Toh iss kisam ke jeu differences hain, definitions why one disorder is different from another is explained by the DSM-5. Ab jo humne aliments ko dihan rakhna hota jis waga tha hum diagnosis kare rhe hote hain DSM-5 mein, toh wo yeh chaar paan chhain jis mein pal ki chees hain diagnostic criteria second specify a third principle diagnosis and the provisional diagnosis. Toh diagnostic criteria kya hain diagnostic criteria mein DSM-5 yeh explain katta hain ke particular type of symptoms jo hain wo akar honge for a specific time of period either one month, either two weeks, either one week aur yeh jo criteria hain diagnostic criteria when that fulfills only then you can say that the child or the person has a certain or specific disorder. Ab jo disorder hain ya jo aapne usko diagnosis diya hain usko different specify ares hote hain. Ab specify kya matlab hote hain, specify ka matlab yeh hain, ke you need to be explained either there is any subtype of that disorder aur uska jo course hain wo kaisa hain aur uske saath saath aapne uski intensity batani hote hain. Ab misaal ke tohru pa, main yeh gati hoon ke ek bache ko jo hain wo conduct disorder hain toh uska specify a jo hain ya uski subtype jo hain wo mujhe explain kani karegi ke whether it is the childhood onset type hain ya wo adolescence ki onset type hain. Toh we need to be specify that thing. Then hain me yeh batana pade ka ke course jo hain specify a wo kya hain kya nahi uski jo remission hain wo partial hain ya uski remission jo hain wo full hain. Kiske saath hain me yeh bhi explain karna pade ka ke uski intensity kithni hain, mild hain, moderate hain, ya severe hain. Toh yeh saari cheez hain hain me ek diagnosis ke saath batani hote hain. Kiske saath saath aapne uski usko bhi dihaan me rakhna hain ke yeh seenu tarha ke specifier haar disorder ke saath nahi hote. Kuch ke saath hote hain, kuch ke saath nahi hote hain. Then what is the principal diagnosis? Principal diagnosis yeh hote hain, ke jab ek child aap ke paas hain hain toh what sort of symptoms that person is exhibiting. For example, wo depression ke symptom exhibit kara hain, uska interest nahi hain life me. Wo depress ho raha hain, usko hopelessness hain, sadness hain, lack of player hain, weight loss hain, insomnia hain. But when you were talking with that person, aur with that child to you will get the idea ke isko toh kahin anxiety bhi hain. And then you said ke okes ke secondary level pe anxiety disorder bhi hain. Toh aap usko jo primary diagnosis hain wo depression rakh hoge, aur uske saath jo secondary diagnosis hain, that can be the anxiety disorder. Toh iss tisko zehin me rakhna hain, ke jo bhi symptoms uski pehle hain aap ke paas jab manifest ho rahin thi, toh that must be the principal diagnosis. Then the provisional diagnosis. Provisional diagnosis jo hota ke bhi, the child came in aur aapko kuch clear cut uske features pata nahi chal rahe ke ye depression me jayega ya ye anxiety me jayega. Jase bacha ye bhi baat kara hain ke usko kisi cheez me interest nahi hota. Aur saath me wo ye bhi baat kara hain ke usko exam ki boh zada anxiety hain. Toh you are unable to determine ke either it is the anxiety disorder aur it is the depression. Toh us time pe aap ko bhi provisional diagnosis bacha ko for a time being de sakte ho untill ke unless aap uski proper psychological assessment nahi garaa lete through informal assessment aur through formal assessment. Toh jayis waka tak you will unable to make up your mind. Uswaka tak aap provisional diagnosis ke opaar aap usko treatment de sakte ho ta ke jo ke symptom based hoti ya ta ke uske jo symptoms hain wo subside ho sake hain aur wo comfortable ho sake.