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Ic-11 Practice Of General Insurance Pdf Download ((LINK))
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All WHO member countries are expected to migrate from the ICD-10 to the ICD-11 Classification of Mental Disorders, which will be used for coding purposes, national statistics, and billing for health insurance companies [1]. This migration is particularly pertinent for European countries, which have been designated to be the first in this enterprise, starting from January 2022. While many diagnoses remain largely unchanged, a fundamentally different approach to classification of personality disorders (PD) is introduced in ICD-11 [2, 3]. Instead of diagnosing PDs according to familiar categorical types, the practitioner must now focus on general impairments of self- and interpersonal functioning, which can be classified according to their overall severity (i.e., Mild Personality Disorder, Moderate Personality Disorder, Severe Personality Disorder). Alternatively, the user can assign a sub-threshold Personality Difficulty code (comparable to ICD-10 Z73.1 accentuated personality traits). In order to further characterize individual features, the practitioner also has the option to specify one or more trait domain specifier that contribute to the individual expression of personality dysfunction. These trait domains are: Negative Affectivity, Detachment, Dissociality, Disinhibition, Anankastia. Finally, with the purpose of facilitating the identification of individuals who may respond to evidence-based treatments according to international and national guidelines [4], a Borderline Pattern specifier has been included, which is based on the DSM-5 Borderline PD diagnostic criteria. Given this dramatic shift in practice and research, we take the opportunity in this article to inform and describe the nature of this profound and paradigmatic change to a diagnostic system of personality disorder marked by the concepts of severity and trait domains, and highlight challenges and opportunities that arise in the discussion and implementation of these changes. 2b1af7f3a8
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