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Evaluation and Management of Treatment-Resistant Schizophrenia - The Journal of Clinical Psychiatry

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Evaluation and Management of Treatment-Resistant Schizophrenia  The Journal of Clinical Psychiatry

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Traditionally, our holistic emphasis on a wellness model as opposed to a medical model has been touted as a unique aspect of our professional identity as counselors. Many counselors feel more comfortable with humanistic, existentialist and postmodern theories that seem to clash with the medical model. The Diagnostic and Statistical Manual of Mental Disorders ( DSM ), published by the American Psychiatric Association (APA), is one of the most salient symbols of that model, so why should we care about it? The ability to diagnose using a medical model is integral to much of what we want for our profession, such as Medicare parity, licensure portability, fair and equal access to psychological tests, and integrated care. For this reason, counseling associations have advocated relentlessly for state legislators to include the diagnosis of mental disorders in the scope of practice of licensed counselors. According to the National Conference of State Legislature's

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