Mh Progress Notes

[hurryupnwait]

Hi All

In my mental health notes it states.

Axis 1 depression NOS, R/O mood, D/O secondary to GMC,

Anyone have any idea what this means?

Happy Trails

Paul

[rentalguy1]

Depression NOS (not otherwise specified) = a depression diagnosis that doesn't neatly fit into a set of DSM-IV diagnostic criteria.

R/O (rule out) mood, D/O secondary to GMC (general medical condition). This can be interpreted two different ways as written. It can either mean that they are attempting to rule out a diagnosis of mood disorder due to a general medical condition, or that they are attributing your diagnosis of a non-specific depression to a general medical condition. The reason they would do the former is because you meet little or none of the diagnostic criteria for the mood disorder. The reason for the latter would mean that you have several symptoms of the mood disorder, but not enough to give a solid DSM-IV diagnosis.

I would seek clarity from my MH doc on this.

[hurryupnwait]

Depression NOS (not otherwise specified) = a depression diagnosis that doesn't neatly fit into a set of DSM-IV diagnostic criteria.

R/O (rule out) mood, D/O secondary to GMC (general medical condition). This can be interpreted two different ways as written. It can either mean that they are attempting to rule out a diagnosis of mood disorder due to a general medical condition, or that they are attributing your diagnosis of a non-specific depression to a general medical condition. The reason they would do the former is because you meet little or none of the diagnostic criteria for the mood disorder. The reason for the latter would mean that you have several symptoms of the mood disorder, but not enough to give a solid DSM-IV diagnosis.

I would seek clarity from my MH doc on this.

Here is what the pdoc wrote

Axis 1 depression NOS <..... this is the part I do not understand

R/O mood D/O to GMC <.....

Axis 11 Deferred

Axis 111 Chronic back pain

Axis 1V Moderate

Axis V present GAF 50, Last GAF score: none

Edited December 5, 2008 by hurryupnwait

[rentalguy1]

Axis I: same as previous post

Axis II: deferred until a personality disorder presents itself. This is the typical comment entered for this axis if a personality disorder is not present.

Axis III: The general medical condition(s) that you suffer from which contribute to the Axis I diagnosis.

Axis IV: There are moderate psychosocial and environmental factors effecting you. This is not a very good entry for this axis. It is supposed to be specific items such as, recent divorce, death of a spouse/child/parent, financial difficulties, etc.

Axis V: Global assessment of functioning score. A current snapshot of your overall mental health picture. A score of 50 represents Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job). It is one point past the border for moderate symptoms.

[hurryupnwait]

where did your progress notes come from?

From a post graduate 4 th year resident psychiatrist at the VAMC. I got them from the Release of Information office.

[purple]

seems like an incomplete note...at your next appt maybe you can ask this "doc" to explain it and see what he/she says.

i'm guessing your VA is also a teaching hospital??

[Wings]

x

x

x

You got a bonafide Depression going on, and they haven't decided yet if the depression is severe enough to warrant a major depression (mood disorder) diagnosis. At present they are calling it Depression, not major depression, but that could change. This is a compensatable medical condition, are you going to, or have you filed a claim for Depression? ~Wings