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Differential Diagnosis

Question 1: Is it real?
This serves to rule out malingering and factitious disorder

Question 2: Is it due to substances?


This serves to rule out substance etiology (including illicit drugs and medications)

Question 3: Is it due to a medical illness?


This serves to rule out a diagnosis of a disorder due to a general medical condition (including
illicit drugs and medications)

Question 4: Does it impair functioning?


If not, does it cause significant distress to the individual or others?

Question 5: What’s the most likely diagnosis?


Determine the Specific Primary Disorder

Question 6: Is it due to adjustment?


Differentiate Adjustment Disorders from the Residual Other Specified or Unspecified Disorders

Rule out other disorders

Establish the Boundary with No Mental Disorder

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