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Chapter 3. Differential Diagnosis by the Tables

DOI: 10.1176/appi.books.9781585629992.671751
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In contrast to the 29 decision trees included in Chapter 2, which use presenting symptoms as their starting points, the entry points to the 66 differential diagnosis tables included in this chapter are the DSM-5 disorders themselves. Although the practice of quickly arriving at a working diagnosis based on the gestalt of the patient has its pitfalls in terms of prematurely closing the clinician’s mind to other equally valid possible diagnostic contenders, this is likely the method most often used by experienced clinicians. To help ensure that your working diagnosis is in fact the best diagnostic fit for your patient’s clinical presentation, the disorder-oriented differential diagnosis tables can be invaluable in providing a comprehensive listing of those DSM-5 disorders that share important features with your initial working diagnosis so that these disorders can be considered and ruled out.

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Differential diagnostic tables grouped by DSM-5 diagnostic class
3.1.1 Differential Diagnosis for Intellectual Disability (Intellectual Developmental Disorder)
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3.1.2 Differential Diagnosis for Communication Disorders
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3.1.3 Differential Diagnosis for Autism Spectrum Disorder
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3.1.4 Differential Diagnosis for Attention-Deficit/Hyperactivity Disorder
3.1.5 Differential Diagnosis for Specific Learning Disorder
3.1.6 Differential Diagnosis for Tic Disorders
3.2.1 Differential Diagnosis for Schizophrenia or Schizophreniform Disordera
3.2.2 Differential Diagnosis for Schizoaffective Disorder
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3.2.3 Differential Diagnosis for Delusional Disorder
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3.2.4 Differential Diagnosis for Brief Psychotic Disorder
3.2.5 Differential Diagnosis for Unspecified Catatonia
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3.3.1 Differential Diagnosis for Bipolar I Disorder
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3.3.2 Differential Diagnosis for Bipolar II Disorder
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3.3.3 Differential Diagnosis for Cyclothymic Disorder
3.4.1 Differential Diagnosis for Major Depressive Disorder
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3.4.2 Differential Diagnosis for Persistent Depressive Disorder (Dysthymia)
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3.4.3 Differential Diagnosis for Premenstrual Dysphoric Disorder
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3.4.4 Differential Diagnosis for Disruptive Mood Dysregulation Disorder
3.5.1 Differential Diagnosis for Separation Anxiety Disorder
3.5.2 Differential Diagnosis for Selective Mutism
3.5.3 Differential Diagnosis for Specific Phobia
3.5.4 Differential Diagnosis for Social Anxiety Disorder (Social Phobia)
3.5.5 Differential Diagnosis for Panic Disorder
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3.5.6 Differential Diagnosis for Agoraphobia
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3.5.7 Differential Diagnosis for Generalized Anxiety Disorder
3.6.1 Differential Diagnosis for Obsessive-Compulsive Disorder
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3.6.2 Differential Diagnosis for Body Dysmorphic Disorder
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3.6.3 Differential Diagnosis for Hoarding Disorder
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3.6.4 Differential Diagnosis for Trichotillomania (Hair-Pulling Disorder)
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3.6.5 Differential Diagnosis for Excoriation (Skin-Picking) Disorder
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3.7.1 Differential Diagnosis for Posttraumatic Stress Disorder or Acute Stress Disordera
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3.7.2 Differential Diagnosis for Adjustment Disorder
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3.8.1 Differential Diagnosis for Dissociative Amnesia
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3.8.2 Differential Diagnosis for Depersonalization/Derealization Disorder
3.9.1 Differential Diagnosis for Somatic Symptom Disorder
3.9.2 Differential Diagnosis for Illness Anxiety Disorder
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3.9.3 Differential Diagnosis for Conversion Disorder (Functional Neurological Symptom Disorder)
3.9.4 Differential Diagnosis for Psychological Factors Affecting Other Medical Conditions
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3.9.5 Differential Diagnosis for Factitious Disordera
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3.10.1 Differential Diagnosis for Avoidant/Restrictive Food Intake Disorder
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3.10.2 Differential Diagnosis for Anorexia Nervosa
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3.10.3 Differential Diagnosis for Bulimia Nervosa
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3.10.4 Differential Diagnosis for Binge-Eating Disorder
3.11.1 Differential Diagnosis for Insomnia Disorder
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3.11.2 Differential Diagnosis for Hypersomnolence Disorder
3.12.1 Differential Diagnosis for Sexual Dysfunctions
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3.13.1 Differential Diagnosis for Gender Dysphoria
3.14.1 Differential Diagnosis for Oppositional Defiant Disorder
3.14.2 Differential Diagnosis for Intermittent Explosive Disorder
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3.14.3 Differential Diagnosis for Conduct Disorder
3.15.1 Differential Diagnosis for Substance Use Disorders
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3.15.2 Differential Diagnosis for Gambling Disorder
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3.16.1 Differential Diagnosis for Delirium
3.16.2 Differential Diagnosis for Major or Mild Neurocognitive Disordera
3.17.1 Differential Diagnosis for Paranoid Personality Disorder
3.17.2 Differential Diagnosis for Schizoid Personality Disorder
3.17.3 Differential Diagnosis for Schizotypal Personality Disorder
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3.17.4 Differential Diagnosis for Antisocial Personality Disorder
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3.17.5 Differential Diagnosis for Borderline Personality Disorder
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3.17.6 Differential Diagnosis for Histrionic Personality Disorder
3.17.7 Differential Diagnosis for Narcissistic Personality Disorder
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3.17.8 Differential Diagnosis for Avoidant Personality Disorder
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3.17.9 Differential Diagnosis for Dependent Personality Disorder
3.17.10 Differential Diagnosis for Obsessive-Compulsive Personality Disorder
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3.17.11 Differential Diagnosis for Personality Change Due to Another Medical Condition
3.18.1 Differential Diagnosis for Paraphilic Disorders

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