Are psychs still using IV?
All the Consultative Exams I see still have the 5 axis diagnosis. Oddly I can't recall if they state DSM IV or V. I've reviewed a CE conducted as recently as 4/30 that had the 5 Axis listed.
My work doesn't require much working knowledge, rather it is simply to categorize based on the diagnosis for programmatic purposes.
social worker? I love you folks to death. seriously.
A lot of psychiatrists are still clinging to the DSM IV. Officially, some major institutions are finally losing the DSM IV nomenclature.
That being said, the DSM V was not the exciting paradigm shift many had hoped for. A good psychiatrist once advised me that the DSM was really a book of medical coding and categorization, but that the reality of the practice existed far beyond the bounds of the DSM, and that you merely had to know it in order to support the specific treatment that a patient required (at least that's what I came to understand in working with him. He had trained in the UK after first training in medicine abroad)
I'm also confused by this thread as talking about bipolar disorder and borderline personality disorder.
bipolar disorder is fairly straightforward to treat, and the side effects of the medication are hardly unbearable (in fact, one of the more popular ones is used to treat people with varying levels of seizure disorders like epilepsy.
Borderline personality disorder, on the other hand, is an incredibly fascinating diagnosis which initially was entirely based in the psychoanalytic paradigm, and only recently has been touched by the advanced imaging and brain receptor modeling from neuroscience. That being said, therapy works quite well at retraining the brain, and there are, despite objections from other physicians, a host of psychopharmacological options which can be very effective.
I worked at an emergent treatment facility earlier this year that still had the DSM IV forms around just because it was easier for many to use. Shedding the Axial approach was an interesting decision, and I think it has a broader effect of avoiding stereotyping and stigma from the bottom up.