Using DSM-IV primary care version: a guide to psychiatric diagnosis in primary care

Am Fam Physician. 1998 Oct 15;58(6):1347-52.


The prevalence of patients with psychiatric disorders in primary care settings indicates that family physicians have a need for a diagnostic manual suited to the realities of their practice. This article reviews the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., primary care version (DSM-IV-PC) and highlights the ways it accommodates the clinical needs of family physicians. DSM-IV-PC emphasizes the use of nine diagnostic algorithms for the most prevalent psychiatric disorders in primary care. The authors review the conceptual similarities between DSM-IV and DSM-IV-PC and the diagnostic features that are unique to DSM-IV-PC, and offer an illustrative case that incorporates a DSM-IV-PC approach to diagnosis. The authors also outline clinical and technical issues that remain unresolved in DSM-IV-PC.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Algorithms
  • Anxiety / diagnosis
  • Diagnosis, Differential
  • Female
  • Humans
  • Mental Disorders / diagnosis*
  • Mental Disorders / epidemiology
  • Prevalence
  • Primary Health Care*
  • United States / epidemiology