Clinical

Front 1

The diagnostic criterion for substance abuse:

Back 1

1. Failure to fulfill major role obligations at work, school, or home (such as repeated absences or poor work performance related to substance use; substance-related absences,
suspensions, or expulsions from school; or neglect of children or household).

2. Physically hazardous (such as driving an automobile or
operating a machine when impaired by substance use)

3. Legal problems (such as arrests for substance related disorderly conduct)

4. Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance (for example, arguments with spouse about consequences of
intoxication and physical fights).

Alternatively, the symptoms have never met the criteria for substance dependence for this class of substance.

Front 2

Elizabeth Coubler Ross stages of dying and preparing for the death

Back 2

Denying
Anger
Bargaining
Depression
Acceptance

Front 3

Five stages of grief Coubler Ross:

Back 3

1 - Denial is a conscious or unconscious refusal to accept facts, information, reality, etc., relating to the situation concerned. It's a defence mechanism and perfectly natural. Some people can become locked in this stage when dealing with a traumatic change that can be ignored. Death of course is not particularly easy to avoid or evade indefinitely.

2 - Anger can manifest in different ways. People dealing with emotional upset can be angry with themselves, and/or with others, especially those close to them. Knowing this helps keep detached and non-judgemental when experiencing the anger of someone who is very upset.

3 - Traditionally the bargaining stage for people facing death can involve attempting to bargain with whatever God the person believes in. People facing less serious trauma can bargain or seek to negotiate a compromise. For example "Can we still be friends?.." when facing a break-up. Bargaining rarely provides a sustainable solution, especially if it's a matter of life or death.

4 - Depression referred to as preparatory grieving. In a way it's the dress rehearsal or the practice run for the 'aftermath' although this stage means different things depending on whom it involves. It's a sort of acceptance with emotional attachment. It's natural to feel sadness and regret, fear, uncertainty, etc. It shows that the person has at least begun to accept the reality.

5 - Acceptance Again this stage definitely varies according to the person's situation, although broadly it is an indication that there is some emotional detachment and objectivity. People dying can enter this stage a long time before the people they leave behind, who must necessarily pass through their own individual stages of dealing with the grief.

Front 4

Generalized anxiety disorder criterion

Back 4

You are excessively anxious, worry about all kinds of things, and find it difficult to control the worry.


Along with anxiety and worry, you have at least three of the following six symptoms:

(1) You feel restless or on edge.
(2) You get tired easily.
(3) You have trouble concentrating or your mind goes blank.
(4) You feel irritable.
(5) Your muscles are tense.
(6) You have trouble falling or staying asleep.


The anxiety is not related to substance or medication use, to having a medical illness, or to having another psychiatric disorder.

Front 5

Diagnostic Criteria for Conversion Disorder

Back 5

One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition.

Psychological factors are judged to be associated with the symptom or deficit because the initiation or exacerbation of the symptom or deficit is preceded by conflicts or other stressors.

The symptom or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering).

The symptom or deficit cannot, after appropriate investigation, be fully explained by a general medical condition, or by the direct effects of a substance, or as a culturally sanctioned behavior or experience.

The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.

The symptom or deficit is not limited to pain or sexual dysfunction, does not occur exclusively during the course of the Somatization Disorder, and is not better accounted for by another mental disorder.