Six diagnostic-cluster modules. Each one is a reasoning-focused grid + decision tree: pocket-ready, study-only, designed to sit beside the official APA DSM-5-TR.
Module 1 · Depressive Disorders
Depressive Disorders
Reference grid + decision tree
Major depressive, persistent depressive, disruptive mood dysregulation, premenstrual dysphoric, substance/medication-induced depressive, and depressive disorder due to another medical condition. Reasoning-focused: what discriminates, what hedges, what to cross-check.
- Duration anchors at a glance: 2-week / 2-year / cyclical thresholds with cross-references
- MDD vs persistent depressive disorder discriminators (course, severity, specifier overlap)
- Adjustment disorder with depressed mood: when it fits, when it doesn't
- Specifier guidance: melancholic, atypical, anxious distress, peripartum, seasonal pattern
- Cross-check prompts: bipolar mixed features, bereavement, medical aetiology rule-outs
Module 2 · Anxiety Disorders
Anxiety Disorders
Reference grid + decision tree
Generalised anxiety, panic, agoraphobia, social anxiety, specific phobia, separation anxiety, selective mutism, substance/medication-induced anxiety. What overlaps with depression, OCD, trauma. What rules each in vs out.
- GAD vs adjustment vs MDD-with-anxious-distress: the discriminator that holds up
- Panic disorder vs agoraphobia vs PTSD: focus and trigger heuristics
- Social anxiety vs avoidant personality: pervasiveness, ego-syntonic test
- Duration anchors: 6-month thresholds, persistence requirements, age-specific notes
- Cardiac / endocrine / substance rule-outs before settling on a primary anxiety Dx
Module 3 · Trauma & Stressor-Related
Trauma & Stressor-Related Disorders
Reference grid + decision tree
PTSD, acute stress, adjustment disorder, reactive attachment, disinhibited social engagement, prolonged grief. Time-course discriminators, dissociative-symptoms specifier, cultural-formulation prompts.
- PTSD vs acute stress disorder: the 3-day / 1-month / >1-month time map
- Adjustment disorder when it fits, and when it under-codes a presentation
- Prolonged grief disorder: 12-month threshold and the with-impairment hedge
- PTSD with dissociative symptoms: when the specifier changes management
- Trauma-related vs primary anxiety vs depressive: onset relative to stressor
Module 4 · OCD-Related
Obsessive-Compulsive & Related Disorders
Reference grid + decision tree
OCD, body dysmorphic disorder, hoarding, trichotillomania, excoriation, substance/medication-induced OC-related, and OC-related due to another medical condition. Insight specifier, tic-related specifier, the OCD-vs-anxiety boundary.
- OCD vs anxiety with intrusive worry: the compulsion test
- BDD vs anorexia: preoccupation focus and gating insight specifier
- Hoarding disorder: distinct from OCD-with-hoarding-symptoms
- Insight specifier: good/fair vs poor vs absent/delusional implications
- Substance / medical rule-outs before settling on OCD-related Dx
Module 5 · Bipolar-Related Disorders
Bipolar & Related Disorders
Reference grid + decision tree
Bipolar I, bipolar II, cyclothymic, substance/medication-induced bipolar, bipolar due to another medical condition. Mania vs hypomania thresholds, mixed-features specifier, the unipolar-vs-bipolar discrimination.
- Mania vs hypomania: 7-day vs 4-day, severity and impairment thresholds
- Bipolar II vs cyclothymic: duration + episode-completeness map
- MDD with mixed features vs bipolar II: the discrimination clinicians most miss
- Substance / medical aetiology: stimulant-induced vs primary bipolar I
- Rapid cycling, anxious distress, peripartum specifiers: when each applies
Module 6 · Differential Decision Trees
Applied Differential Decision Trees
Worked decision trees + cross-cluster cards
How clinicians actually move from presentation to formulation. Cross-cluster decision trees for the most-confused diagnostic boundaries. Hedging language modelled: what to put in the report, what to leave to supervision.
- Anxious-depressed presentation: primary mood vs primary anxiety vs adjustment
- Psychotic-mood overlap: bipolar with psychotic features vs schizoaffective vs schizophrenia
- Trauma-presenting-as-anxiety: when to lift trauma to primary
- Substance-induced vs primary: the specific cross-checks that change the formulation
- When to defer and request a second opinion: explicit decision points