Le guide de terrain clinique HiBoop est un glossaire consultable de la terminologie, des acronymes et des modèles de soins en santé mentale. Des modalités de traitement comme la TCC et la TCD aux mesures cliniques comme le PHQ-9 et le GAD-7, nous fournissons des définitions claires pour soutenir les équipes de soins de santé.
Cette ressource aide les cliniciens et les administrateurs à décoder le langage complexe des soins de santé mentale, y compris les codes d'assurance, les normes réglementaires et les concepts de pratique fondés sur des données probantes. Notre glossaire est organisé à partir de sources faisant autorité, notamment le DSM-5-TR et la CIM-11.
Le clinique
Guide pratique
Presque aussi amusant que Wordle, la quantité écrasante d'acronymes dans le domaine des soins peut être un défi. Il n'est en aucun cas complet, mais nous avons compilé les termes les plus courants du DSM-5-TR et de la CIM-11, ainsi que d'autres sources académiques faisant autorité.
Pleins feux sur la clinique
Anhedonia
The inability to feel pleasure from activities usually found enjoyable.
Clinical Concepts
Glossaire clinique
Parcourez toute la terminologie clinique, les outils d'évaluation et les concepts de santé mentale en un seul endroit.
AANP
American Association of Nurse Practitioners.
Advocacy: Pushes for full practice authority for NPs and PMHNPs.
ACA
American Counseling Association. Represents LPCs and LMHCs.
Focus: Emphasizes a developmental and wellness model of mental health.
ACOS-SELF
Adult ADHD Clinical Outcome Scale - Self-Report.
A new outcome measure (Adamis 2024) specifically for adult ADHD clinical tracking.
ACT
Acceptance and Commitment Therapy. Uses mindfulness and values to increase psychological flexibility.
Differentiation: Teaches clients to 'defuse' from thoughts and pursue value-driven actions despite symptoms.
ADHD
ICD11 6A05Concept de base
Attention-Deficit/Hyperactivity Disorder. A persistent pattern of inattention and/or hyperactivity.
Lifespan: A neurodevelopmental condition often persisting into adulthood, impacting executive function.
Affect
The external expression of emotion observed by the clinician.
Observations: Described as Full, Flat, Blunted, Labile, or Incongruent.
Akathisia
Subjective feeling of inner restlessness and inability to stay still.
Side Effect: A common and highly distressing reaction to antipsychotics.
Alogia
Significant reduction in the quantity or content of speech.
A negative symptom of schizophrenia reflecting a disruption in thought process.
AMA
American Medical Association. Largest US physician organization.
Billing: Owns the CPT code set used for all medical and psych billing.
ANCC
American Nurses Credentialing Center.
Certifies PMHNP-BCs (Psychiatric-Mental Health Nurse Practitioners).
Anhedonia
The inability to feel pleasure from activities usually found enjoyable.
Clinical Marker: A core symptom of MDD and a negative symptom of Schizophrenia.
Anosognosia
Neurological deficit in self-awareness of one's own illness.
Major cause of treatment non-adherence in schizophrenia and bipolar.
AQ
Autism Spectrum Quotient.
A 50-item self-report scale measuring autistic traits in adults.
ASD
ICD11 6A02Concept de base
Autism Spectrum Disorder. Challenges with social communication and restricted/repetitive behaviors.
Spectrum: Broad range of support needs. ICD-11 consolidated Asperger's and PDD-NOS into this single category.
ASRS
Concept de base
Adult ADHD Self-Report Scale. A 6-item screening tool developed by the World Health Organization.
Clinical Utility: High sensitivity for adult symptoms. Often the first step in ADHD assessment.
ASSIST-3
The Alcohol, Smoking and Substance Involvement Screening Test. A 10-item World Health Organization screening tool.
Clinical Utility: Used in primary care to detect risky substance use. Developed by an international team of researchers under the World Health Organization.
AUDIT
Concept de base
Alcohol Use Disorders Identification Test. A 10-item World Health Organization screening tool.
Criterion Standard: Best tool for detecting risky drinking patterns before dependence.
Avolition
Severe lack of initiative or motivation to accomplish tasks.
A negative symptom often seen in schizophrenia and severe depression.
BAA
Concept de base
Business Associate Agreement. Contract required when a vendor handles PHI.
Vendor Management: Ensures that third-party tools (like HiBoop) meet HIPAA security standards.
BAARS-IV
Barkley Adult ADHD Rating Scale-IV.
An authoritative 18-item scale for current and retrospective ADHD assessment (Barkley 2011).
BBGS
Brief Biosocial Gambling Screen.
A 3-item screener for gambling disorder derived from the DSM-IV criteria.
BES
Binge Eating Scale. A 16-item self-report questionnaire (Gormally 1982) rating binge eating severity: eight items on eating behaviour and eight on the feelings and thoughts around a binge. Item weights run 0 to 3 for a total of 0 to 46.
Severity ranges (Marcus, Wing and Hopkins 1988): 17 or less none to minimal, 18 to 26 moderate, 27 or more severe. Built for adults with obesity and used as a screen for binge eating disorder, not a diagnosis. Accuracy depends on the setting: in bariatric surgery candidates assessed against DSM-5, a cutoff of 15 classified as well as or better than 17 (Jeong 2023), so confirm a positive screen with a clinical interview.
Bipolar I
ICD11 6A60Concept de base
Defined by at least one manic episode lasting >7 days or requiring hospitalization.
Severity: Mania causes marked impairment. Psychosis is common during episodes.
Bipolar II
ICD11 6A61Concept de base
Defined by a pattern of depressive episodes and hypomanic episodes.
Distinction: Hypomania is less severe than full mania and does not cause marked functional impairment.
BPD
ICD11 6D11.5Concept de base
Borderline Personality Disorder. Pervasive instability in relationships, self-image, and affect.
Clinical Focus: Intense fear of abandonment and chronic feelings of emptiness. DBT is the first-line, evidence-based treatment.
C-SSRS
Concept de base
Columbia-Suicide Severity Rating Scale. The criterion standard for risk assessment.
Clinical Priority: Standardizes the assessment of suicidal ideation and behavior intensity.
CAGE-AID
CAGE Adapted to Include Drugs. The four CAGE questions (cut down, annoyed, guilty, eye-opener) asked about drinking and drug use together, answered yes or no for a total of 0 to 4.
In the primary care validation (Brown and Rounds 1995), one or more yes answers gave sensitivity 79% and specificity 77%; two or more gave 70% and 85%. A positive screen calls for a fuller substance use assessment. For adolescents, the CRAFFT was built for that age group.
CAMH
Centre for Addiction and Mental Health. Canada's leading hospital.
Research: Combines clinical care and policy development in Toronto.
Catatonia
Profoundly disturbed motor behavior, from stupor to agitation.
Occurs in both Mood Disorders and Schizophrenia. A clinical emergency.
CBT
Concept de base
Cognitive Behavioral Therapy. A structured, goal-oriented talk therapy that explores the connection between thoughts, feelings, and behaviors.
Clinical Standard: First-line treatment for anxiety and depression. Focuses on identifying cognitive distortions and using behavioral activation.
CCPA
Canadian Counselling and Psychotherapy Association.
Certification: Issues the CCC (Canadian Certified Counsellor) designation.
CDC
Child Dissociative Checklist (Version 3). A 20-item observer-report checklist (Putnam 1993) that a parent or other adult who knows the child completes about the child now or within the past 12 months. Items are rated 0 to 2 for a total of 0 to 40.
Scoring notes (Putnam, Version 3): any score above 12 is suspicious and a score above 19 is cause for concern of a serious dissociative disorder. Its authors describe it as a clinical screening and research measure, not a diagnostic tool, so a high score calls for a full assessment by a clinician experienced with dissociation in children.
Circumstantiality
Providing excessive detail before eventually reaching the point.
Distinguished from tangentiality by the eventual return to the original topic.
CMHA
Canadian Mental Health Association. National advocacy org.
Community: Provides local services and housing across Canada.
Comorbidity
Concept de base
The simultaneous presence of two or more diseases or medical conditions in a patient.
Impact: The rule in mental health (e.g., Anxiety + Depression). Increases treatment complexity.
Compassion Fatigue
Physical and mental exhaustion from caring for others.
Provider Health: Leads to a reduced capacity for empathy and nurturing.
Countertransference
The therapist's emotional reaction or entanglement with a client.
Practice: Must be monitored to ensure it doesn't impact clinical objectivity.
CPA
Canadian Psychological Association.
Accredits psychology programs and advocates for national policy.
CPT
Cognitive Processing Therapy. A structured, 12-session, trauma-focused CBT protocol for PTSD, targeting 'stuck points' — maladaptive thoughts that block recovery.
VA/DoD Guideline: Strongly recommended for PTSD. Addresses the five stuck point themes: Safety, Trust, Power/Control, Esteem, and Intimacy. Outcomes tracked session-by-session with PCL-5.
CPTSD
ICD11 6B41Complex PTSD. Resulting from prolonged, repeated trauma from which escape is difficult.
ICD-11 Innovation: Adds Disturbances in Self-Organization (DSO) to standard PTSD symptoms.
Credentialing
Concept de base
The process of verifying a provider's qualifications to participate in an insurance network.
Administrative: Can take 90-120 days. CAQH is the primary database used for this in the US.
DBT
Concept de base
Dialectical Behavior Therapy. A specialized CBT for emotional regulation, balancing acceptance and change.
Clinical Utility: Core for BPD and chronic suicidality. Modules: Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness.
DES-B
Brief Dissociative Experiences Scale.
An 8-item brief version of the DES included as an emerging measure in DSM-5.
DES-II
Dissociative Experiences Scale, second version. A 28-item self-report scale of how often dissociative experiences (amnesia, depersonalization, absorption) occur in daily life. Each item is rated 0 to 100%, and the score is the mean of all items, 0 to 100.
A score of 30 or more is the usual screening threshold (Carlson 1993). In that multicentre study, 17% of people scoring 30 or more had multiple personality disorder (now dissociative identity disorder) and 99% of those below 30 did not, so a high score calls for a structured interview rather than a diagnosis. The 8-item DES-B is the brief form.
Differential Diagnosis
Concept de base
Process of distinguishing between conditions with similar symptoms.
Clinical Logic: Essential for choosing the right protocol (e.g., Bipolar vs. ADHD).
Dissociation
Mental process of disconnecting from thoughts, feelings, or identity.
Trauma Response: A spectrum from mild (daydreaming) to severe (DID).
DSM-5-TR
Concept de base
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision.
Clinical Standard: Published by the American Psychiatric Association (2022). The primary diagnostic authority used in our platform.
Echolalia
Pathological repetition of words spoken by another person.
Associated with Autism, Tourette's, and Schizophrenia.
ECT
Electroconvulsive Therapy. A medical treatment involving brief electrical stimulation of the brain while under anesthesia.
Clinical Note: Highly effective for severe, treatment-resistant depression and catatonia. Modern ECT is safe and controlled.
EMDR
Eye Movement Desensitization and Reprocessing. A therapy designed to alleviate distress associated with traumatic memories.
Mechanism: Uses bilateral stimulation to help the brain reprocess traumatic information without extensive verbal recounting.
EPDS
Edinburgh Postnatal Depression Scale. A 10-item perinatal screening tool.
Safety: Crucial for early detection of postpartum depression in the first year.
ERP
Exposure and Response Prevention. The first-line evidence-based approach for treating Obsessive-Compulsive Disorder (OCD).
Mechanism: Gradual exposure to triggers while refraining from compulsions to break the reinforcement cycle.
ERQ
Emotion Regulation Questionnaire. A 10-item self-report measure (Gross and John 2003) of the habitual use of two strategies: cognitive reappraisal (6 items) and expressive suppression (4 items), each item rated 1 to 7.
Scored as two separate subscale scores with no total and no reverse-scored items. The authors set no clinical cutoffs, so the ERQ is used to compare the two strategies and to track change, for example across emotion regulation work in DBT or CBT.
ESQ-R
Executive Skills Questionnaire-Revised.
A 25-item tool measuring executive function strengths and weaknesses.
Euthymic
A normal, tranquil mental state that is neither manic nor depressed.
Baseline Goal: The desired state for mood disorder maintenance therapy.
Exposure Therapy
A psychological treatment to help people confront their fears by breaking the pattern of avoidance.
Mechanism: Works via 'habituation' and 'inhibitory learning'. First-line evidence-based approach for Phobias and PTSD.
Family Systems
Therapy viewing the family as an integrated emotional unit.
Focus: Targets interactions between members rather than individuals.
FDA
Food and Drug Administration. Regulates drugs and medical software.
Role: Approves psychotropics and Digital Therapeutics (DTx).
Flight of Ideas
Rapid, continuous shifting of topics in pressurized speech.
A primary symptom of mania. Connections are discernable but frantic.
Functional Impairment
Concept de base
The degree to which symptoms interfere with daily life (work, school, home).
Assessment: Often measured by WHODAS. A key criteria for many DSM-5 diagnoses.
GAD
ICD11 6B00Concept de base
Generalized Anxiety Disorder. Excessive, uncontrollable worry about various events or activities.
Physicality: Often presents with muscle tension, fatigue, and sleep disturbance for at least 6 months.
GAD-7
LOINC 69737-5Concept de base
Generalized Anxiety Disorder-7. A 7-item anxiety severity scale.
Clinical Utility: Highly sensitive to change. Essential for monitoring treatment progress.
Gestalt Therapy
A humanistic therapy focusing on here-and-now awareness.
Technique: Uses the 'Empty Chair' to resolve unfinished business.
Group Therapy
Concept de base
Therapy conducted with multiple patients sharing similar issues.
Benefit: Leverages social learning and reduced isolation (Yalom's factors).
Harm Reduction
Practical strategies to reduce negative consequences of drug use.
Public Health: Focuses on safety (e.g., needle exchange) over abstinence.
HCL-33
Hypomania Checklist-33. A 33-item self-report checklist of symptoms during a past 'high' period, used to screen depressed clients for bipolar disorder.
Cutoffs vary by population: 15 best separated bipolar disorder from major depressive disorder in Chinese adults (14 for bipolar I and 13 for bipolar II; Feng 2016), and 18 in adolescents (Zhang 2021). Sensitivity was modest (0.62 for bipolar disorder overall), so a negative screen does not rule out bipolar disorder.
HIPAA
Concept de base
Health Insurance Portability and Accountability Act. US law protecting patient data privacy.
Compliance: Requires specific technical, physical, and administrative safeguards for PHI.
IADL
Instrumental Activities of Daily Living.
The Lawton-Brody scale measuring functional capacity in older adults.
ICD-11
Concept de base
International Classification of Diseases, 11th Revision.
Global Standard: Endorsed by the World Health Assembly in 2019 and effective since 2022. Used for international clinical reporting and billing.
IFS
Internal Family Systems. A therapy identifying multiple sub-personalities or 'parts' within a mental system.
Framework: Views the mind as a system of Exiles, Managers, and Firefighters led by the core 'Self'.
IOP
Concept de base
Intensive Outpatient Program. 9-19 hours of structured care per week.
Level of Care: Patients live at home but attend daily groups.
IPT
Interpersonal Therapy. A brief, attachment-focused psychotherapy centering on resolving interpersonal problems.
Indication: Highly effective for depression triggered by life events such as grief or role transitions.
IQCODE-SR
Self-Report Informant Questionnaire on Cognitive Decline in the Elderly.
A 16-item version of Jorm's IQCODE adapted for self-report by the patient.
KAP
Ketamine-Assisted Psychotherapy. The use of low-dose ketamine within a psychotherapeutic framework.
Emerging Field: Rapid-acting treatment for depression and PTSD, leveraging the 'neuroplastic window' created by ketamine.
Labile
Rapidly shifting or changing emotional states.
Observation: A sign of mania, BPD, or neurological impairment.
LOINC Panel
LOINCA collection of related clinical observations or questions grouped together (e.g., the PHQ-9 is a LOINC Panel).
Technical: Provides a standardized way for different EHRs to understand that a set of scores belongs to a specific validated instrument.
MBSR
Mindfulness-Based Stress Reduction. An 8-week program offering mindfulness training for stress and pain.
Origin: Developed by Jon Kabat-Zinn. Secular and standardized, widely used in clinical settings.
MDD
ICD11 6A70Concept de base
Major Depressive Disorder. A condition of pervasive low mood, low self-esteem, and loss of interest.
Criteria: At least 2 weeks of 5+ symptoms. The leading cause of disability worldwide.
MDQ
Mood Disorder Questionnaire. A brief screener for Bipolar Spectrum.
Clinical Distinction: Helps prevent the misdiagnosis of Bipolar as Unipolar Depression.
Measurement-Based Care
Concept de base
The systematic use of validated data to monitor treatment progress and guide decisions.
Efficacy: Proven to improve patient outcomes by up to 40% and reduce time to remission.
Medical Necessity
Concept de base
The legal/clinical standard for whether a service is appropriate and justified.
Clinical Evidence: Insurers use this to decide whether to pay for a specific level of care.
Mentalization
The capacity to understand the mental state of self and others.
Treatment: MBT is evidence-based for BPD and trauma.
MHA
Mental Health America. Leading community-based nonprofit.
Prevention: Focuses on early intervention ('Before Stage 4').
mhGAP
Concept de base
Mental Health Gap Action Programme. World Health Organization's evidence-based guide for non-specialized health settings.
Global Standard: Version 2.0 provides clinical protocols for scaling up care for mental, neurological, and substance use disorders.
MI
Concept de base
Motivational Interviewing. A counseling method used to resolve ambivalence and find internal motivation for change.
Clinical Utility: Essential for substance use disorders and medication adherence using OARS skills.
MID
Multidimensional Inventory of Dissociation.
A comprehensive 218-item tool (v6.0) for assessing pathological dissociation and DID.
Mindfulness
Concept de base
Non-judgmental awareness of the present moment.
Evidence-Based: Core skill in DBT, ACT, and relapse prevention.
Modifier 95
A billing modifier used to indicate that a service was performed via synchronous telemedicine (audio and video).
Telehealth: Essential for ensuring correct reimbursement for virtual sessions during and after the PHE.
NAMI
National Alliance on Mental Illness. Largest US grassroots group.
Support: Focuses on peer-led education and family-to-family support.
Narrative Therapy
A therapy separating the person from the problem (externalizing).
Technique: Empowers clients to rewrite their life stories.
NASW
National Association of Social Workers. Largest social work org.
Standards: Sets the ethical code and LCSW credentialing standards.
NBCC
National Board for Certified Counselors. Premier credentialing body.
Licensure: Issues the NCC credential and manages the NCMHCE exam.
Network
Concept de base
Providers who have contracted with an insurer for set rates.
Financial: In-network care has much lower cost-sharing for patients.
Neurofeedback
Real-time training of brainwave activity via EEG.
Indication: Used for ADHD and Anxiety to improve self-regulation.
OCD
ICD11 6B20Concept de base
Obsessive-Compulsive Disorder. Recurring unwanted thoughts driving repetitive behaviors.
Cycle: Compulsions are used to neutralize anxiety but create a self-reinforcing loop of distress.
OON
Concept de base
Out-of-Network. Providers who do not have a contract with a specific insurance plan.
Access: OON providers often issue Superbills so patients can seek partial reimbursement.
ORT
Opioid Risk Tool.
A 5-item screener for predicting aberrant drug-related behaviors in chronic pain patients.
Outpatient
Concept de base
The least restrictive level of care (1-2 sessions weekly).
Standard: The baseline for most mental health treatment delivery.
Parity Act
Concept de base
Mental Health Parity and Addiction Equity Act (MHPAEA).
US Law: Requires insurers to cover mental health at the same level as medical/surgical care.
PASS
Perinatal Anxiety Screening Scale. A 31-item self-report screen (Somerville 2014) for anxiety as it presents in pregnancy and after birth. Items are rated 0 to 3 for the past month, for a total of 0 to 93, with four subscales.
A total of 26 or more is the clinical cutoff (Somerville 2014; confirmed in an Italian sample, Koukopoulos 2021). Severity ranges (Somerville 2015): 0 to 20 minimal, 21 to 41 mild to moderate, 42 to 93 severe. At its optimal cutoff it identified 68% of women with a diagnosed anxiety disorder, against 36% for the EPDS anxiety subscale. Not public domain: copyright belongs to the State of Western Australia (WA Department of Health).
PCL-5
Concept de base
PTSD Checklist for DSM-5. A 20-item self-report measure.
Indication: Used for screening and providing a provisional PTSD diagnosis.
PDSS
Panic Disorder Severity Scale. A 7-item clinician-rated scale (Shear 1997) of overall panic disorder severity, covering panic frequency and distress, anticipatory anxiety, avoidance and impairment. Items are rated 0 to 4 for a total of 0 to 28. A self-report form (PDSS-SR) is also validated.
Built to track severity in clients with an established panic disorder diagnosis. Furukawa (2009) proposes remission at a total of 5 or less and response at a 40% or greater drop from baseline. A cutoff of 8 identified current panic disorder with sensitivity 83.3% and specificity 64% (Shear 2001). Not public domain: copyright M. Katherine Shear.
Personality Difficulty
ICD-11 term for pronounced traits below the disorder threshold.
Usage: Traits that impact care but do not cause pervasive impairment.
PHI
Concept de base
Protected Health Information. Any identifiable health information.
Security: Highly protected under HIPAA. Breach results in significant legal and financial penalties.
PHP
Concept de base
Partial Hospitalization Program. 20+ hours of care per week.
Bridge: High-intensity day treatment avoiding full inpatient stay.
PHQ-9
LOINC 44261-6Concept de base
Patient Health Questionnaire-9. The standard 9-item depression screener.
Scoring: 10+ suggests moderate depression. Used globally for longitudinal tracking.
Play Therapy
Therapy using play to help children communicate their feelings.
Populations: Developmentally appropriate for children ages 3-12.
PMDD
ICD11 GA34.41Premenstrual Dysphoric Disorder. Severe premenstrual mood lability and irritability.
Indication: Significant functional impairment in the final week before menses. More severe than PMS.
PMQ
Pain Medication Questionnaire.
Assesses potential for misuse of opioid medications in chronic pain populations.
Pressured Speech
Rapid, loud, and difficult to interrupt speech.
Clinical Marker: A hallmark of mania or severe anxiety.
Prior Auth
Concept de base
Insurance approval required before a service is covered.
Admin: A common barrier to specialized care like TMS or Spravato.
Prior Authorization
Concept de base
Requirement by an insurer for a provider to obtain approval before a service is covered.
Workflow: A common administrative hurdle that can delay access to specialized treatments or meds.
Prodromal
The early period before the onset of a full mental disorder.
Prevention: Early detection in this phase can prevent full psychosis.
PSS
Perceived Stress Scale.
A widely used psychological instrument for measuring the perception of stress (Cohen 1983).
Psychodynamic Therapy
Therapy focusing on the psychological roots of emotional suffering, often involving unconscious patterns.
Focus: Uses the therapeutic relationship to explore how past experiences shape current behavior and feelings.
Psychometric Reliability
The degree to which an assessment tool produces stable and consistent results over time.
Clinical Science: High reliability (e.g., test-retest) ensures that changes in scores reflect actual clinical change rather than measurement error.
Psychometric Validity
The extent to which an assessment tool accurately measures what it is intended to measure.
Clinical Science: HiBoop only utilizes instruments with high face and construct validity established in peer-reviewed literature.
PTSD
ICD11 6B40Concept de base
Post-Traumatic Stress Disorder. A disorder developing after exposure to a traumatic event.
Symptoms: Flashbacks, avoidance, negative cognitions, and hyperarousal persisting >1 month.
Recovery Model
Care focused on personal meaning, hope, and empowerment.
Philosophy: Shifts focus from 'cure' to living a satisfying life.
Remission
Concept de base
A period during which symptoms of a disease are significantly reduced or absent.
Goal: Full remission means returning to the premorbid level of functioning.
Residential
Concept de base
24/7 live-in treatment for stable but complex patients.
Indication: Essential for long-term recovery in addiction and TRD.
Resilience
The process of adapting well in the face of adversity or trauma.
Dynamic Skill: Can be learned and strengthened through therapy.
Schizoaffective Disorder
ICD11 6A21Features of both schizophrenia and a mood disorder (depression or mania).
Criteria: Psychotic symptoms must occur for at least 2 weeks in the absence of a mood episode.
Schizophrenia
ICD11 6A00Concept de base
Serious mental disorder with abnormal interpretation of reality and loss of touch with baseline.
Symptoms: Hallucinations, delusions, and disorganized thinking. Early intervention is critical.
SCOFF
Eating Disorder Questionnaire.
A highly sensitive 5-item screening tool for anorexia and bulimia nervosa.
Self-Compassion
Warmth toward oneself in suffering rather than criticism.
Clinical Tool: Proven to reduce shame and increase therapeutic outcomes.
Sensitivity
The ability of a test to correctly identify those with a particular condition (True Positive rate).
Screening: High sensitivity is critical for screening tools (like the C-SSRS) to ensure no at-risk patients are missed.
Serotonin Syndrome
Toxic accumulation of serotonin. A medical emergency.
Signs: Confusion, fever, rigidity. Caused by drug interactions.
SFBT
Solution-Focused Brief Therapy. A goal-focused approach constructing solutions rather than analyzing problems.
Technique: Uses 'The Miracle Question' to identify existing strengths and exceptions to the problem.
SIDAS
Suicidal Ideation Attributes Scale.
A 5-item measure assessing the severity and frequency of suicidal ideation.
Social Determinants of Health
Concept de base
Non-medical factors like housing and food security that influence health outcomes.
Context: Essential for holistic care. Captured in EHRs via V-codes or Z-codes.
Specificity
The ability of a test to correctly identify those without a particular condition (True Negative rate).
Diagnosis: High specificity helps avoid 'false positives' and unnecessary treatment or stigma.
SPS-R
Skin Picking Scale-Revised. An 8-item self-report measure (Snorrason 2012) of skin picking: a symptom severity subscale (items 1 to 4) and an impairment subscale (items 5 to 8). Items are rated 0 to 4 for a total of 0 to 32.
Used to rate and track excoriation (skin-picking) disorder. The original validation set no ROC-derived cutoff and published thresholds vary: 5 or more in a Polish validation (Kłosowska 2022), and 7 or 9 or more in other studies.
Stark Law
US law prohibiting provider self-referral for designated services.
Compliance: Critical for multi-specialty clinics and ownership models.
SUD
Concept de base
Substance Use Disorder. Inability to control use of a legal or illegal drug or medicine.
Diagnosis: Use despite harmful consequences and physiological changes in brain circuitry.
SWAN
Strengths and Weaknesses of ADHD Symptoms and Normal Behaviour Scale.
A dimensional rating scale for ADHD symptoms in children and adolescents.
Tangentiality
Wandering from the topic and never returning to the point.
A disorder of thought process where answers are only partially relevant.
Tardive Dyskinesia
Involuntary movements from long-term antipsychotic use.
Risk: Often irreversible. Involves repetitive movements of face and tongue.
Telehealth Parity
State laws requiring insurers to pay for telehealth at the same rate as in-person visits.
Policy: Varies by state. Critical for the financial viability of virtual practices.
Therapeutic Alliance
Concept de base
The collaborative relationship between a healthcare professional and a patient.
Outcome: The strongest predictor of successful treatment across all therapy modalities.
TMS
Transcranial Magnetic Stimulation. A non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain.
Indication: FDA-approved for Treatment-Resistant Depression (TRD) and OCD when medications are ineffective.
Trans-diagnostic
Treatment targeting symptoms common to multiple disorders.
E.g., Treating 'Emotional Dysregulation' across BPD, ADHD, and PTSD.
Transference
Redirecting feelings from a past relationship onto the therapist.
Therapeutic Tool: Provides a window into the client's attachment patterns.
Trauma-Informed Care
Concept de base
A framework that assumes a patient is more likely than not to have a history of trauma.
Principles: Safety, Trustworthiness, Peer Support, Collaboration, and Empowerment.
TRD
Treatment-Resistant Depression. MDD that has not responded to at least two adequate antidepressant trials.
Clinical Priority: Requires advanced interventions like Ketamine, TMS, or ECT.
Utilization Review
Payer assessment of the necessity and efficiency of care.
Workflow: Clinicians often have 'peer-to-peer' calls during this process.
VADRS
Vanderbilt ADHD Diagnostic Rating Scale (NICHQ).
Multi-Source: Uses parent and teacher forms to assess symptoms and performance in children 6-12.
Value-Based Care
Reimbursement based on patient outcomes rather than volume.
Future: MBC tools like HiBoop are the foundation of VBC implementation.
Vicarious Trauma
The emotional impact on a therapist from hearing trauma stories.
Self-Care: Represents a shift in the provider's worldview due to exposure.
WFIRS-S
Weiss Functional Impairment Rating Scale - Self-Report.
Measures functional impairment across multiple life domains in adults with ADHD.
Word Salad
Incoherent mixture of random words indicating thought disorder.
Clinically known as Schizophasia. A sign of severe disorganized thinking.
WURS-25
Wender Utah Rating Scale (25-item version).
A retrospective screening tool for childhood ADHD symptoms in adults.
Y-BOCS
Yale-Brown Obsessive Compulsive Scale. The severity benchmark for OCD.
Clinician-Rated: Used to measure symptom type and severity during treatment.
Maîtrisez le langage des soins
HiBoop gère la complexité des codes, des scores et de la conformité afin que vous puissiez vous concentrer sur le patient.
Avis de non-responsabilité : Ce guide de terrain clinique est uniquement à des fins éducatives et ne constitue pas un avis médical, un diagnostic ou un traitement. Consultez toujours un professionnel de la santé qualifié pour les décisions cliniques.