And I know all of these things are expensive, I promise you can already find them used on Amazon, kinda blows my mind, (laughs) I think some people must've just run right out and bought them and started selling them on Amazon, good for them. The Pocket Guide, which I make reference to in this quote, gives you some coaching and some awesome diagnostic questions, DSM-5 style. So you're getting the questions that some brilliant bunch of clinicians put together and you can just crack the book open like I did recently when I had a gentleman sitting across from me whose wife said that he had a sexual disorder and I got a distinct impression, after 23 years, I get lots of distinct impressions, because of patterns that I see people manifesting, I got the distinct impression that this person might be narcissistic and I thought, "Okay, let's just use this Pocket Guide right now," so I said, "Would you be willing to answer a few other questions besides just the addiction questions that you wanted to start out with?" He said, "Sure." I asked him the nine diagnostic questions of Narcissistic Personality Disorder out of the DSM-5 Diagnostic Exam Pocket Guide, he answered yes to six out of nine of them without blinking, and if you or I were asked those questions, in most cases we would be offended, we would be saying, "Well, of course not!" and he answered them very matter of factly, as if, "Why are you asking me these things?"
"Of course I deserve these things." "Of course I need to be with smarter people and I'm a special kinda guy," so I'm just saying, with good diagnostic questions at your hip ready to use, you're gonna really enjoy some of the new DSM-5 material. So because DSM-5 is non-axial, we're no longer gonna be talking about the five axes, we're gonna be talking more about the dimensions that the person is exhibiting and we're going to focus on intoxication, withdrawal, and substance-induced categories, so it's use, intoxication, withdrawal and substance-induced, instead of the previous where we had our little continuum lined out of use, abuse, dependence, et cetera. So start paying attention to the language. You wanna add anything, Denise E. on the language that you're noticing? - [Voiceover] No, I think you covered it really well.
Thank you. - [Voiceover] Sure. So now if you want to diagnose someone with alcohol addiction, you're gonna be calling it Alcohol Use Disorder and the first resistance I had when I read that was, well, it's not just alcohol use, but the reason that it is being called that in my mind, is because as the definition says in red, that's right out of the book, the problematic pattern of alcohol use, leading to clinically significant impairment or distress, very important phrase, as manifested by at least two criteria occurring within a 12 month period. And then you read the 11 criteria and you form your diagnostic impression. So they're either gonna have alcohol use disorder, mild, having two or three diagnostic criteria present and they still have the DSM-5 numerology of 305.00 and there's your ICD-9, F10.10. If they answered yes to four or five of the criteria, then it's alcohol use disorder, moderate, 303.90, and again ICD-9 F10.20, and if they have six or more criteria, it's alcohol use disorder, severe and it's still 303.90, and F10.20, so you're gonna be able to talk about mild, moderate or severe alcohol usage disorder and I think this is a a blessing because I think this is gonna include more people that we would've previously said, "No program for you, no diagnosis, you just didn't quite make the cutoff for this or that service or this or that reimbursement."
I think this is gonna be helpful in a lot of the cases to get people help that they need if they've got additional severity disorders. - [Voiceover] Exactly. Exactly. - [Voiceover] And then the modifiers are whether they're in early remission, which is having no criteria, zero diagnostic criteria for 90 days, so they have to have at least three months clean, but less than 12 months to be in early remission.