DIAGNOSTIC SUGGESTIONS
| ICD-10-CM | DSM-5 Disorder, Condition, or Problem |
|---|---|
| F91.x | Conduct disorder |
| F91.3 | Oppositional defiant disorder |
| F43.24 | Adjustment disorder, With disturbance of conduct |
| F63.81 | Intermittent explosive disorder |
| Z72.811 | Adult antisocial behavior |
| F60.2 | Antisocial personality disorder |
| F60.3 | Borderline personality disorder |
| F60.81 | Narcissistic personality disorder |
Note
1 
ANXIETY
BEHAVIORAL DEFINITIONS
1 Excessive and/or unrealistic worry that is difficult to control occurring more days than not for at least six months about two or more events or activities.
2 Excessive and/or unrealistic worry that is difficult to control and in response to a recent stressor(s).
3 Excessive and/or unrealistic worry.
4 Motor tension (e.g. restlessness, tiredness, shakiness, muscle tension).
5 Autonomic hyperactivity (e.g. palpitations, shortness of breath, dry mouth, trouble swallowing, nausea, diarrhea).
6 Hypervigilance (e.g. feeling constantly on edge, experiencing concentration difficulties, having trouble falling or staying asleep, exhibiting a general state of irritability).
7 Demonstrates excessive worry regarding several life circumstances that is driven largely by cognitive biases.
8 Abuses substances in response to excessive anxiety.
9 Abuses substances in an attempt to control anxiety symptoms (i.e. self-medicates).
LONG-TERM GOALS
1 Maintain a program of recovery, free from addiction and excessive anxiety.
2 End addiction as a means of escaping anxiety and practice constructive coping behaviors.
3 Reduce overall frequency, intensity, and duration of the anxiety so that daily functioning is not impaired.
4 Stabilize anxiety level while increasing ability to function on a daily basis.
5 Resolve the core conflict that is the source of anxiety.
6 Enhance ability to cope effectively with the full variety of life's worries and anxieties.
7 Learn and implement coping skills that result in a reduction of anxiety and worry and improvement in daily functioning.
| SHORT-TERM OBJECTIVES | THERAPEUTIC INTERVENTIONS |
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Establish rapport with the client toward building a strong therapeutic alliance; convey caring, support, warmth, and empathy; provide nonjudgmental support and develop a level of trust with the client toward him/her/their feeling safe to discuss his/her/their generalized anxiety and its impact on his/her/their life. |
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