One ICD-10 diagnosis- different conflicts: Using the OPD-CA as tool for treatment planning

The diagnostic assessment with DSM-5 or ICD-10 of patients is necessary in psychiatry and psychotherapy, but there are also other important concepts that are necessary the indication and treatment planning. The following article describes the diagnosis based on the OPD-CA, in which, among other things, allows to assess intrapsychic conflicts that impede development and need to be dealt with in therapy. Two cases are presented that have the same diagnosis, F93, but have very different psychodynamic conflicts and also different therapy requirements. The consequences for the subsequent therapy are discussed.