4.13.0.0 Psychoso­cial/Emotional Disor­ders

4.13.1.0 In­tro­duc­tion

Preva­lence of clin­i­cally significant psy­chopathol­o­gy di­ag­noses are con­sid­erably more com­mon in peo­ple with di­a­betes than in those with­out the dis­ease (83). Symp­toms, both clin­i­cal and subclin­i­cal, that in­ter­fere with the per­son’s abil­i­ty to carry out daily di­a­betes self-‍man­age­ment tasks must be ad­dressed. Pro­viders should con­sid­er an as­sessment of symp­toms of de­pres­sion, anx­i­ety, and dis­or­dered eat­ing and of cog­ni­tive ca­pac­i­ties using pa­tient-‍ap­pro­pri­ate stan­dardized/val­i­dat­ed tools at the ini­tial visit, at pe­ri­od­ic in­ter­vals, and when there is a change in dis­ease, treat­ment, or life cir­cum­stance. In­clud­ing care­givers and fam­i­ly mem­bers in this as­sessment is rec­om­mend­ed. Di­a­betes dis­tress is ad­dressed in Sec­tion 5 “Lifestyle Man­age­ment,” as this state is very com­mon and dis­tinct from the psy­cho­log­i­cal disor­ders dis­cussed below (84).