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Service users and those who support them, such as family or friends, have an expectation that a clinical or health diagnosis will offer insight into the cause of their symptoms. Diagnosis is expected to allow both prediction of prognosis and determination of treatment options. However, current widely used psychiatric diagnostic systems do not usually provide links to cause or prognosis. This is explicitly stated in the introductions to the two major current systems, the Diagnostic and Statistical Manual of the American Psychiatric Association (APA, 2000) and the 10th revision of the International Classification of Diseases (WHO, 1992).

Utilizing Psychiatric Diagnosis and Formulation in the Clinical Process: Meeting the Needs and Expectations of Service Users