Howard syllabus - School of Social Work - The University of North

THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL

SCHOOL OF SOCIAL WORK

COURSE NUMBER: SOWO 769.01

COURSE TITLE: Differential Diagnosis and Case Formulation in Mental Health

Treatment

SEMESTER & YEAR: FALL, 2013

INSTRUCTOR: Matthew O. Howard, Ph.D.

Office 563A, Tate-Turner-Kuralt Building

919-932-8732 or 314-330-3479 (cell)

[email protected]

OFFICE HOURS: Monday, 12:00-2:00 p.m. or by arrangement

CLASS HOURS: Tuesday, 2:00-4:50 p.m., Room 300

COURSE DESCRIPTION: This course will prepare students to take psychiatric histories, conduct

mental status examinations, engage in differential diagnosis decision-making using the

Diagnostic and Statistical Manual of Mental Disorders-5, write mental health evaluations, and

begin case formulation for the purpose of treatment planning.

COURSE OBJECTIVES:

At the conclusion of this course:

1. Students will be able to use the Diagnostic and Statistical Manual of Mental Disorders-5

to diagnose major mental health conditions.

2. Students will be able to distinguish between different disorders to complete a differential

diagnosis, including issues of comorbidity, and write a diagnostic statement for a client.

3. Students will understand the potential effects of race, ethnicity, gender, age, culture,

sexual orientation, and socioeconomic status on mental health diagnosis, particularly on

symptom presentation, assessment, and access to care.

4. Students will be able to articulate the psychological and behavioral indicators and course

of a range of mental health conditions that can affect functioning and development.

5. Students will be sensitive to the potential use of personal data in mental health

assessments for persons who may be in vulnerable and oppressed situations.

6. Students will demonstrate an understanding of ethical issues in assessment and diagnosis

of mental health conditions.

7. Students will be prepared to take a detailed and comprehensive psychiatric history.

8. Students will understand the components of a mental status examination including mini-

mental state examination.

9. Students will be able to convey their assessments in the form of a mental health

evaluation report.

EXPANDED DESCRIPTION:

This course is designed for students who are interested in mental health assessment and

diagnosis. It builds on the foundation HBSE course and the advanced practice/HBSE course by

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furthering students’ knowledge of mental disorders and how to complete a differential diagnosis

using the DSM-5. Students will read, view video vignettes, and discuss in small groups more

than 120 cases throughout the semester and gain confidence in using the DSM-5 to complete a

formal mental health diagnostic evaluation. In addition, students will learn how to take a

psychiatric history, conduct a mental status examination, prepare a psychiatric evaluation report,

and begin the process of case formulation for the purposes of clinical intervention.

REQUIRED TEXTS/READINGS:

1. Schwartzberg, S.S. (2000). Casebook of psychological disorders: The human face of

emotional distress. Allyn & Bacon, Needham Heights, MA

This is the best book of mental health case studies I have read. The author is a Clinical Professor

of Psychology in the Department of Psychiatry at Harvard Medical School. The case studies

included in this book are interesting, informative, and easy to digest. I will distribute case

studies from this book over the course of the semester, so there is no need to purchase it.

However, if you would like to own a copy, feel free to purchase it.

2. Binder of collected case studies (to be distributed by Professor). I will provide each student

with a binder of collected case studies. Whereas the Schwartzberg book provides introductory-

level case formulations, the binder of case studies includes recent professional-level case

discussions selected from the very best professional journals.

3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental

disorders-5. Washington, D.C.: American Psychiatric Publishing, Washington, D.C.

DSM-5 was published this summer and remains overwhelmingly the most influential psychiatric

diagnostic system in the United States. DSM-5 is also closely related to the International

Classification of Diseases-9-Clinical Modification and International Classification of Diseases-

10-Clinical Modification (to go into effect October 1, 2014) diagnostic systems. The

International Classification of Diseases diagnostic system was developed by the World Health

Organization and is used globally to assess mental health disorders.

OPTIONAL TEXTS/READINGS:

1. Sadock, B.J., & Sadock, V.A. (2008). Kaplan and Sadock’s concise textbook of clinical

psychiatry. Lippincott Williams & Wilkins, Philadelphia, PA.

This text is derived from the classic textbook: Synopsis of Psychiatry, 10th edition and focuses on

mental health disorders of adults. Given that we will already be reading many case studies and

DSM-5, only the very most ambitious students should purchase this book.

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2. Sadock, B.J., & Sadock, V.A. (2008). Kaplan and Sadock’s concise textbook of child and

adolescent psychiatry. Lippincott Williams & Wilkins, Philadelphia, PA.

This text is derived from the classic textbook: Synopsis of Psychiatry, 10th edition and focuses on

mental health disorders of children and adolescents. Given that we will already be reading many

case studies and DSM-5, only the very most ambitious students should purchase this book.

3. Nussbaum, A.M. (2013). The pocket guide to the DSM-5 diagnostic exam. American

Psychiatric Publishing, Washington, D.C.

This is an excellent little book by an experienced psychiatrist that contains useful chapters

addressing alliance building during the diagnostic interview and use of DSM-5. The text also

provides a guide to conducting a 30-minute diagnostic interview.

4. MacKinnon, R.A., Michels, R., & Buckley, P.J. (2006). The psychiatric interview in clinical

practice, second edition. American Psychiatric Publishing, Inc., Washington, D.C.

This is a classic, but lengthy, treatise addressing how to conduct the psychiatric interview. If you

plan to make mental health practice your career, I highly recommend reading this book.

5. Black, D.W., & Andreasen, N.C. (2011). Introductory textbook of psychiatry, fifth edition.

American Psychiatric Publishing, Inc., Washington, D.C.

This is a widely used mental health textbook. I will draw upon this book and the Kaplan and

Sadock books as well as recent journal articles, for the mini-lectures I present in class.

6. Hurwitz, T., & Lee, W.T. (2013). Casebook of neuropsychiatry. American Psychiatric

Publishing, Inc., Washington, D.C.

This book that contains nearly 40 case studies at the intersection of psychiatry and neurology.

7. Burgess, W. (2011). Mental status examination. CreateSpace Independent Publishing

Platform.

This book provides an excellent introduction to the mental status examination along with 51

challenging cases on which to practice your skills. We will read the first two chapters in this

class (instructor will distribute).

8. Barnhill, J.W. (Ed.) (November 2013). DSM-5 clinical cases. American Psychiatric

Publishing, Inc., Washington, D.C.

All cases are original, cross-referenced with DSM-5, and followed by detailed discussion.

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9. First, M.B. (November 2013). DSM-5 handbook of differential diagnosis. American

Psychiatric Publishing, Inc., Washington, D.C.

Presents decision trees and diagnostic tables and other guides to differential diagnostic decision-

making.

10. A number of useful textbooks are available in the areas of psychopharmacology and

psychosocial treatments for mental health disorders. My favorite psychopharmacology

textbooks are those by John Preston, Ph.D.

TEACHING METHODS

I use a variety of teaching and learning styles to convey course content including lectures, videos

case studies, and small group diagnostic work. The development of a supportive learning

environment, reflecting the values of the social work profession, is essential for the success of

this class. A supportive learning environment is fostered by listening to the ideas and views of

others, being able to understand and appreciate a point of view that is different from your own,

articulating clearly your point of view, and linking experience to readings and assignments. I will

appreciate your contributions to making this a safe and respectful class for learning and growth.

Although it is a cliché, I strongly believe there are no dumb questions and that if we all work

together and support each other that every student can end this course with dramatically

enhanced professional diagnostic and case formulation skills. I teach this course in a criterion-

referenced fashion, which means I am trying to help each of you become professional-level

diagnosticians and am not focused on how you compare to each other in this respect. CLASS ASSIGNMENTS

Course requirements consist of: 1) an objective midterm exam (25 points), 2) an objective final

exam (25 points), 3) one book report (10 points), 4) 30 annotated case studies from case study

binder or Schwartzberg book or that you personally select, 30 points), and 5) class participation

(10 points). Two, 1-point optional bonus point exercises will also be available to students.

The midterm exam is October 15th and will cover the first eight weeks of lecture and reading

material.

The final examination is December 3rd and is not comprehensive. Rather, material covered in

weeks 9-15 will be the focus of evaluation.

Midterm and final exams will be comprised of multiple-choice, short answer, and true/false

questions. Also, students will be asked to watch videotaped interactions with clients and to

identify signs and symptoms of mental disorder and assign appropriate psychiatric diagnoses.

Please bring your DSM-5 manual to the midterm and final exams.

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The book report is due December 3rd and should be approximately 3-5 pages in length. The

review should summarize the contents of a popular or professional book addressing one of the

mental health problems we discuss in this course. The book might be a personal account of

coping with the problem or a professional text relevant to the diagnosis or treatment of the

disorder. Talk with the instructor if you need help in choosing a book. Students often spend 1 or

2 pages describing the aims, intended audience, and potential utility of the book for clients,

family members, or practitioners. They then devote 1 or 2 pages to a stylistic and substantive

critique of the book. Students will be asked to present a 5-minute (low stress!) talk about their

book in class on December 3rd.

Class participation will be a function of class attendance and the contribution the student makes

to the class. I expect students to attend class regularly and to let me know beforehand if they

need to miss class for some reason. I do not want to pressure students to speak, because I know

some people are shy, but I do hope you will contribute to class discussions at least occasionally.

Optional bonus point exercises include 1) the viewing of one film from the hundreds listed on

the Movies & Mental Illness film list I hand out in class, and 2) the presentation of a brief news

article or report relevant to mental health at the beginning of one of our 16 class sessions. With

regard to bonus point option 1, the movie must be one you have never seen before and you

should write a brief one paragraph review of the movie. The one paragraph review should

provide an assessment as to the potential of the movie for informing or misinforming the general

viewing public about the mental health disorder or issue in question. I will also ask you to

provide a one-to-two minute review of the film on December 3rd, at the time oral book reviews

are presented.

Grading System

Required Assignments

Midterm Exam 25 pts

Final Exam 25 pts

Book Report 10 pts

30 Annotated Case Reviews 30 pts

Class Participation 10 points

100 pts

Optional Assignments

Mental Health Film Viewing and Review 1 bonus point

Mental Health News Report Class Presentation 1 bonus point

Any annotated case studies beyond 30 count as 1 pt each Based on number completed

In accordance with the Graduate School, letter grades are assigned to the following

numeric ranges:

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110+ points = H+

94-100 points = H

80-93 points = P

70-79 = L

69 and below F

An H+ grade will also earn you a personalized letter attesting to your outstanding performance in

this class.

CLASS PARTICIPATION

I conduct this class like a graduate clinical seminar. Each week I open the class by discussing

current events in mental health and often distribute additional readings/case studies to students at

that time. Students who want to present one current event relevant to mental health can earn one

point at that time. I then devote approximately 30 minutes to a mini-lecture. The class then

reviews select video cases of actual patients evidencing a range of conditions relevant to the

topic of discussion for that class session. We then break into small groups to apply what we

have learned to diagnostic exercises. My goal is to present at least 120 cases over the 16 weeks

of the course in a range of formats including published case studies, video vignettes of real cases,

and diagnostic exercises designed to hone the skills of student practitioners. It is critically

important that students keep up with their reading and are present in class. Please attend all 16

classes and try to interact to some degree.

NUMBER OF ANNOTATED CASE STUDIES COMPLETED

Students should try to read and take notes on 2-3 case studies per week. To complete an

annotated case study, select a case study from your binder or a Schwartzberg chapter I distribute

or a case study you have personally selected (and that I have approved) and make brief notes or

record questions on the case study itself as well as underline or highlight as you read. It is

important that you indicate to me, through these notes and/or questions, that you have carefully

read the case in question. That said, it is not critical that the notes be voluminous. If you are

uncertain as to whether you are annotating enough, please show me one or more of your case

annotations and I will give you feedback. You will turn in your annotated case studies to me at

the end of the class so that I can review them.

You are free to read and annotate any case study (i.e., chapter) from the Schwartzberg book (of

which there are 15) and any case study in the binder of case studies I distribute and count them

as one case study each. You may also select any other case study you identify to annotate and

count that toward your total of 30 case studies, but I must approve any case study you select

before you annotate it. I allow students considerable freedom in selecting case studies so that

students with different clinical interests (e.g., mental health disorders in the elderly, anxiety

disorders, eating disorders, etc.) can explore those interests in additional depth. However, I do

list suggested readings for each class session below. Typically, you will want to read the

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assigned Schwartzberg chapter and one or more case studies from the binder each week. This

will help you develop diagnostic expertise across the full range of mental health disorders.

POLICY ON INCOMPLETES AND LATE ASSIGNMENTS If students encounter unavoidable obstacles to meeting class assignments, the student should

discuss the circumstances with the instructor to determine if an initial grade of incomplete (INC)

would be appropriate. I prefer not to give an incomplete grade and will give incompletes only in

compliance with University policy. At the end of the course, when you are turning in your

annotated case studies, please include a signed pledge stating that, "I have not given or received

unauthorized aid in preparing this written work." In keeping with the UNC Honor Code, if

reason exists to believe that academic dishonesty has occurred, a referral will be made to the

Office of the Student Attorney General for investigation and further action as required. POLICY ON ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES Students with disabilities which affect their participation in the course may notify the instructor

if they wish to have special accommodations in instructional format, etc. Please contact the

University’s Disability office to request the paperwork necessary for approved accommodations. USE OF LAPTOPS OR OTHER ELECTRONIC DEVICES Please turn off all cell phones or other devices that would disrupt the learning environment of the

classroom.

Course Calendar

Class 1: August 20th: Syllabus Review, Introductions, Mental Health Terminology Quiz, Video

Diagnostic Quiz, Written Case Study Quiz, Small Group Diagnostic Exercises

Class 2: August 27th: Introduction to DSM-5, Use of the Manual, Conducting the Mental Status

Examination, Administering the Mini-Mental State Exam, Small Group Diagnostic

Exercises, Process of Differential Diagnosis

Class 3: September 3rd: Neurodevelopmental Disorders

Class 4: September 10th: Schizophrenia Spectrum and other Psychotic Disorders

Class 5: September 17th: Bipolar and Depressive Disorders

Class 6: September 24th: Anxiety/Obsessive-Compulsive Disorders

Class 7: October 1st: Trauma and Stressor-Related Disorders/Dissociative Disorders

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Class 8: October 8th: Somatic Symptom Disorder/Feeding and Eating Disorders

Class 9: October 15th: Elimination/Sleep and Wake Disorders

Class 10: October 22nd: Sexual Dysfunctions/Gender Dysphoria/Paraphilic Disorders

Class 11: October 29th: Substance Use Disorders

Class 12: November 5th: Neurocognitive Disorders

Class 13: November 12th: Personality Disorders

Class 14: November 19th: Disruptive, Impulse Control, and Conduct Disorders

Class 15: November 26th: Medication-Induced Movement Disorders and Other Adverse Effects

of Medication/Other Conditions that May be a Focus of Clinical Attention

Class 16: December 3rd: Section III of DSM-5 and Appendices

READINGS AND COURSE OUTLINE

Class 1: August 20th –Syllabus Review, Introductions, Mental Health Terminology Quiz,

Video Diagnostic Quiz, Written Case Study Quiz, Small Group Diagnostic Exercises

Required Readings for Next Week:

1. DSM-5 Classification, Preface, Introduction, Use of the Manual, and Cautionary

Statement for Forensic Use of DSM-5 from the DSM-5 Manual (p. xiii-p. 30).

2. Nussbaum, A.M. (2013). Chapters 1, 2, 3, 4, 7 and 8 from The Pocket Guide to the

DSM-5 Diagnostic Exam, American Psychiatric Publishing, Inc.: Washington, D.C.

These chapters are entitled “Introduction to the Diagnostic Interview,” “Alliance

Building During a Diagnostic Interview,” “ The 30-minute Diagnostic Interview,”

“Adventures in Dimensions,” “A Brief Version of DSM-5,” and “A Stepwise

Approach to Differential Diagnosis.” (Instructor will distribute)

3. Burgess, W. (2011). Chapter 1 “The Diagnostic Interview,” and Chapter 2 “The

Cognitive Examination” and related appendices from Mental Status Examination.

(Instructor will distribute).

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Class 2: August 27th – Introduction to DSM-5, Introduction to the Mental Status

Examination and Psychiatric Interviewing, Introduction to the Mini-Mental State

Examination, Introduction to Differential Diagnosis, History of Psychiatric Treatment

(Prefrontal Lobotomy DVD).


1. “Neurodevelopmental Disorders” chapter in DSM-5, pp. 31-86.

2. Select 2-3 case studies and read and annotate them. Good choices would be:

Kurlan, R. (2010). Tourette’s syndrome. The New England Journal of Medicine,

363, 2332-2337.

Early, M.C., et al. (2012). Case report: 16-year-old male with autistic disorder

with preoccupation with female feet. Journal of Autism and Developmental

Disorder, 42, 133-1137.

Rapin, I. (2001). An 8-year-old boy with autism. Journal of the American

Medical Association, 285, 1749-1757.

Class 3: September 3rd – Neurodevelopmental Disorders (e.g., ADHD, Autism,

Intellectual, Learning, Motor, and Communication Disorders), Tourette’s

Disorder VHS


1. “Schizophrenia Spectrum and Other Psychotic Disorders” chapter from DSM-5, pp.

87-122.


Schwartzberg, S.S. Chapter 13, Schizophrenia, Paranoid Type (Instructor will

distribute)

Goff, D.C. (2002). A 23-year-old man with schizophrenia. Journal of the

American Medical Association, 287, 3249-3257.

Schwartz, M. (1997). Family secret. The New Yorker, 90-107.

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Phillips, K.A., & Menard, D.O. (2011). Olfactory reference syndrome:

Demographic and clinical features of imagined body odor. General Hospital

Psychiatry, 33, 398-406.

Onishi, H., et al. (2003). Brief psychotic disorder associated with bereavement in

a patient with terminal-stage uterine cervical cancer: A case report and review of

the literature. Support Care Cancer, 11, 491-493.

Dewan, P., et al. (2011). Delusional infestation with unusual pathogens: A report

of three cases. Clinical and Experimental Dermatology, 36, 745-748.

Akahane, T., et al. (2009). Extremely grotesque somatic delusions in a patient of

delusional disorder and its response to risperidone treatment. General Hospital

Psychiatry, 31, 185-186.

Kovacs, A., et al. (2005). Suicide attempt and melancholic depression in a male

with erotomania: Case report. Archives of Suicide Research, 9, 369-372.

Class 4: September 10th- Schizophrenia Spectrum and Other Psychotic Disorders (e.g.,

Delusional Disorder, Brief Psychotic Disorder, Schizophreniform,

Schizoaffective, and Substance/Medication/Medical Disorder-Induced Psychotic

Disorder)


1. Read “Bipolar and Related Disorders” and “Depressive Disorders” Chapters from

DSM-5, pps. 123-154 and 155-188.


Schwartzberg, S.S. Chapter 3, Dysthymic Disorder (instructor will distribute)

Schwartzberg, S.S. Chapter 4, Bipolar Disorder (instructor will distribute)

Sachs, G.S. (2001). A 25-year-old woman with bipolar disorder. Journal of the


Schroeder, S.A. (2009). A 51-year-old woman with bipolar disorder who wants

to quit smoking. Journal of the American Medical Association, 301, 522-531.

Frye, M.A. (2011). Bipolar disorder—A focus on depression. New England

Journal of Medicine, 364, 51-59.

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Kroenke, K. (2002). A 75-year-old man with depression. Journal of the


Viguera, A.C., et al. (2008). Case 24-2008: A 35-year-old woman with

postpartum confusion, agitation, and delusions. New England Journal of

Medicine, 359, 509-515.

Salzman, C. (2006). A 60-year-old woman who has felt sad for much of her life.

Journal of the American Medical Association, 295, 318-323.

Whooley, M.A. (2012). Diagnosis and treatment of depression in adults with

comorbid medical conditions. Journal of the American Medical Association, 307,

1848-1857.

Class 5: September 17th –Bipolar (BPI, BPII, Cyclothymia,

Substance/Medication/Medical Disorder-Induced) and Depressive (Major,

Persistent, and PMDD) Disorders


1. Read “Anxiety Disorders” and “Obsessive-Compulsive and Related Disorders”

chapters in DSM-5, pp. 189-233 and pp. 235-264.


Schwartzberg, S.S. Chapter 2, Panic Disorder with Agoraphobia (instructor will

distribute)

Katon, W.J. (2006). Panic disorder. New England Journal of Medicine, 354,

2360-2367.

Jenike, M.A. (2004). Obsessive-compulsive disorder. New England Journal of

Medicine, 350, 259-265.

Schneier, F.R. (2006). Social anxiety disorder. New England Journal of

Medicine, 355, 1029-1036.

Fricchione, G. (351). Generalized anxiety disorder. New England Journal of

Medicine, 351, 675-682.

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Class 6: September 24th – Anxiety Disorders (Separation Anxiety, Selective Mutism, Specific

Phobia, Social Anxiety Disorder, Panic Disorder, Agorophobia, Generalized Anxiety

Disorder) and Obsessive-Compulsive and Related Disorders (Body Dysmophic Disorder,

Hoarding, Skin Picking, Trichotillomania, and Obssessive-Compulsive Disorder)


1. Read “Trauma and Stressor-Related Disorders” and “Dissociative Disorders” chapters

in DSM-5, pp. 265-290 and 291-307.

2. Select 2-3 case studies and read and annotate them. Good choices would be

(instuctor will distribute):

Schwartzberg, S.S. Chapter 1, Posttraumatic Stress Disorder

Schwartzberg, S.S.: Chapter 5, Conversion Disorder

Schwartzberg, S.S.: Chapter 6, Dissociative Identity Disorder

Class 7: October 1st- Trauma and Stressor-Related Disorders (Reactive Attachment Disorder,

Disinhibited Social Engagement Disorder, PTSD, Acute Stress Reaction, Adjustment

Disorder) and Dissociative Disorders (Dissociative Identity Disorder, Dissociative

Amnesia, Depersonalization/Derealization Disorder).


1. Read “Somatic Symptom and Related Disorders” and “Feeding and Eating Disorders”

chapters in DSM-5, pp. 309-327 and pp. 329-354.


Mehler, P.S. (2003). Bulimia nervosa. New England Journal of Medicine, 349, 875-

881.

Yager, J., & Anderson, A.E. (2005). Anorexia nervosa. New England Journal of

Medicine, 353, 1481-1488.

Schwartzberg, S.S.: Chapter 7, Bulimia Nervosa (instructor will distribute)

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Class 8: October 8th--Somatic Symptom and Related Disorders and Feeding and Eating

Disorders


1. Read “Elimination Disorders” and “Sleep-Wake Disorders” chapters of DSM-5, pp.

355-360 and 361-422.

2. Select 2-3 case studies and read and annotate them.

Class 9: October 15th—Elimination Disorders (Enuresis, Encopresis, etc. and Sleep-Wake

Disorders (Insomnia, Hypersomnolence Disorder, Narcolepsy, Obstructive Sleep Apnea

Hypopnea, Central Sleep Apnea, Sleep-Related Hypoventilation, Parasomnias, etc.)

Midterm Exam


1. Read “Sexual Dysfunctions,” “Gender Dysphoria,” and “Paraphilic Disorders”

chapters in DSM-5, pps. 423-450, 451-454, and 685-705, respectively.

2. Select 2-3 case studies and read and annotate them. Consider Chapter 12 in

Schwartzberg, Male Erectile Disorder, pp. 166-180. (instructor will distribute)

Class 10: October 22nd—Sexual Dysfunctions, Gender Dysphoria and Paraphilic Disorders


1. Read “Substance-Related and Addictive Disorders” chapter in DSM-5, pp. 481-589.

2. Select 2-3 case studies and read and annotate them. Consider the following cases:

Schwartzberg, S.S. Case 10: Heroin (Opioid) Dependence (instructor will distribute)

Davis, C., & Carter, J.C. (2009). Compulsive overeating as an addiction disorder: A

review of theory and evidence. Appetite, 53, 1-8.

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O’Brien, C.P. (2008). A 50-year-old woman addiction to heroin: A review of the

treatment of heroin addiction. Journal of the American Medical Association,

300, 314-321.

Knight, J.R. (2004). A 35-year-old physician with opioid dependence. Journal of the


Friedmann, P.D. (2013). Alcohol use in adults. The New England Journal of

Medicine, 368, 365-373.

Karim, R., & Chaudhri, P. (2012). Behavioral addictions: An overview. Journal of

Psychoactive Drugs, 44, 5-17.

Lejoyeux, M., & Weinstein, A. (2010). Compulsive buying. The American Journal

of Drug and Alcohol Abuse, 36, 248-253.

Nejad, S.H., et al. (2012). Case 39-2012: A 55-year-old man with alcoholism,

recurrent seizures, and agitation. The New England Journal of Medicine, 367,

2428-34.

Class 11: October 29th—Substance Use Disorders


1. Read “Neurocognitive Disorders” chapter in DSM-5, pp. 591-643.

2. Select 2-3 case studies and read and annotate them. Consider the following

cases:

Schwartzberg, SS. Chapter 14: Dementia of the Alzheimer’s Type (instructor

will distribute)

Breitbart, W., & Alici, Y. (2008). Agitation and delirium at the end of life:

“We couldn’t manage him.” Journal of the American Medical

Association, 300, 2898-2911.

Widera, E., et al. (2011). Finances in the older patient with cognitive

impairment: “He didn’t want me to take over.” Journal of the


Mitchell, S.L. (2007). A 93-year-old man with advanced dementia and eating

problems. Journal of the American Medical Association, 298, 2527-

2536.

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Ellison, J.M. (2008). A 60-year-old woman with mild memory impairment:

Review of mild cognitive impairment. Journal of the American


Ritchie, C.S., Roth, D.L., & Allman, R.M. (2011). Living with an aging

parent: “It was a beautiful invitation.” Journal of the American


Mosqueda, L., & Dong, X. (2011). Elder abuse and self-neglect: “I don’t care

anything about going to the doctor, to be honest….”

Marcantonio, E.R. (2012). Postoperative delirium: A 76-year-old woman

with delirium following surgery. Journal of the American Medical

Association, 308, 73-81.

Gauthier, S., et al. (2006). Mild cognitive impairment. The Lancet, 367,

1262-1270.

Class 12: November 5th—Neurocognitive Disorders (Delirium, Major and Mild

Neurocognitive Disorder due to Alzheimer’s Disease, Frontotemporal Dementia,

Dementia with Lewy Bodies, Vascular Dementia, Dementia due to HIV, TBI,

Parkinson’s, Huntington’s and other Diseases).


1. Read “Personality Disorders” chapter in DSM-5, pp. 645-684.

2. Select 2-3 case studies and read and annotate them. Consider the following cases:

Schwartzberg, S.S.: Chapter 8, Narcissistic Personality Disorder (instructor will

distribute)

Schwartzberg, S.S.: Chapter 9, Borderline Personality Disorder (instructor will

distribute)

Oldham, J.M. (2002). A 44-year-old woman with borderline personality disorder.

Journal of the American Medical Association, 287, 1029-1037.

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Class 13: November 12th—Personality Disorders (Paranoid, Schizoid, Schizotypal, ASPD,

Borderline, Histrionic, Narcissistic, Avoidant, Dependent, Obsessive-Compulsive

Personality)


1. Read “Disruptive, Impulse-Control, and Conduct Disorders” and “Other Mental

Disorders” chapters in DSM-5, pp. 461-480 and pp. 707-708.

2. Read 2-3 case studies and annotate them. Consider the following case:

Jacobs, D.G. (2000). A 52-year-old suicidal man. Journal of the American Medical

Association, 283, 2693-2699.

Class 14: November 19th—Disruptive, Impulse Control, and Conduct Disorders (ODD, CD,

ASPD, Pyromania, Intermittent Explosive Disorder, etc.)


1. “Read Medication-Induced Movement Disorders and Other Adverse Effects of

Medication” and “Other Conditions that May be a Focus of Clinical Attention”

chapters in DSM-5, pps. 709-714 and pp. 715-727.

2. Read 2-3 case studies and annotate them

Class 15: November 26th—Medication-Induced Disorders and Other Adverse Effects of

Medications and Psychosocial and Developmental Conditions that May Affect Treatment


1. Read all of Section III in DSM-5 including the chapters on Assessment Measures,

Cultural Formulation, Alternative DSM-5 Model for Personality Disorders,

Conditions for Further Study, and read through the list of Appendices that follows,

pp. 733-806.

2. Read 2-3 case studies and annotate them

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Class 16: December 3rd—Section III and Appendices, Students’ Book Review Presentations,

Final Exam, Turn in Annotated Case Studies, Turn in Book Review

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Howard syllabus - School of Social Work - The University of North

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