Presentation on theme: "Diagnostic and Statistical Manual of Mental Disorders (5th edition)"— Presentation transcript:
1Diagnostic and Statistical Manual of Mental Disorders (5th edition) DSM-5Diagnostic and Statistical Manual of Mental Disorders (5th edition)2013
2HISTORY OF CLASSIFICATION AND DIAGNOSIS Mid 1950sWHO (World Health Organization) published ICD (International Causes of Death; now International Statistical Classification of Diseases and Related Health ProblemsICD-10 (more universally used today for billing)DSM-5 now cross lists classification numbers from ICD 10
3HISTORY OF CLASSIFICATION AND DIAGNOSIS APA (American Psychiatric Association) published DSM I in 1952DSM II in 1968DSM III in 1980DSM IIIR in 1987DSM IV in 1994DSM IV-TR – “text revision” in 2000DSM-5 in 2013BASED on MEDICAL MODEL
4About the DSM-5 What is it? The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a publication of the American Psychiatric Association (APA), a society of psychiatric physicians.Who writes it?The APA created the DSM, which contains sets of diagnostic criteria (symptoms being experienced) grouped into categories (disorders) to assist clinicians with effective diagnoses and care of people with mental health disorders. There are several diagnostic criteria manuals used worldwide, but the DSM is the one used most commonly in the United States.
5About the DSM-5 Who uses it? Following an assessment, doctors (GPs, psychiatrists, psychologists) are usually the people who will use the criteria from the DSM to match against an individual’s symptoms.This matching process will help them decide whether the individual meets the diagnosis for a mental health disorder.
6More about the DSM-5 Why is there a revised edition? Periodically the APA updates the information in the DSM based on feedback from working people within mental health treatment, and following extensive working committee discussions with specialists who diagnose/treat the various disorders.The latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was released in May 2013.
7DSM-5 Organization Developmental Lifespan DSM-5 is organized in sequence with the developmental lifespan.This organization is evident in every chapter and within individual diagnostic categories, with disorders typically diagnosed in childhood detailed first, followed by those in adolescence, adulthood and later life.Disorders previously addressed in a single “infancy, childhood and adolescence” chapter are now integrated throughout the manual.
8DSM-5 Diagnostic Categories Neurodevelopmental DisordersSchizophrenia Spectrum and Other Psychotic DisordersBipolar and Related DisordersDepressive DisordersAnxiety Disorders
9Diagnostic Categories Continued Obsessive-Compulsive and Related DisordersTrauma and Stressor Related DisordersDissociative DisordersSomatic Symptom DisordersFeeding and Eating DisordersElimination Disorders
10More Diagnostic Categories Sleep-Wake DisordersSexual DysfunctionsGender DysphoriaDisruptive, Impulse Control, and Conduct DisordersSubstance Use and Addictive DisordersNeurocognitive DisordersPersonality DisordersParaphilic DisordersOther Disorders (click on link for details)
11DSM-5 Google Playstore/Play Books for $16.19! https://play.google.com/store/books/details/American_Psychiatric_Association_DSM_5?id=pZlSAQAAQBAJThe complete DSM-5 accessible on any mobile device. Searchable, bookmarks, notes. Cannot copy or print.
13Neurodevelopmental Disorders Intellectual Disability (Intellectual Developmental Disorder)Diagnostic criteria for intellectual disability (intellectual developmental disorder) emphasize the need for an assessment of both cognitive capacity (IQ) and adaptive functioning.Severity is determined by adaptive functioning rather than IQ score. The term mental retardation was used in DSM-IV. However, intellectual disability is the term that has come into common use over the past two decades among medical, educational, and other professionals
14Neurodevelopmental Disorders COMMUNICATION DISORDERSThe DSM-5 communication disorders include language disorder (which combines DSM-IV expressive and mixed receptive-expressive language disorders),speech sound disorder (a new name for phonological disorder),childhood-onset fluency disorder (a new name for stuttering).social (pragmatic) communication disorder, a new condition for persistent difficulties in the social uses of verbal and nonverbal communication.
15Neurodevelopmental Continued Autism Spectrum DisorderA new DSM-5 name that reflects a scientific consensus that four previously separate disorders (autistic disorder [autism], Asperger’s disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified) are actually a single condition with different levels of symptom severity in two core domains1) deficits in social communication and social interaction and2) restricted repetitive behaviors, interests, and activities (RRBs).both components are required for diagnosissocial communication disorder is diagnosed if no RRBs are present.
16Neurodevelopmental Attention-Deficit/Hyperactivity Disorder Specific Learning DisorderCombines DSM-IV reading disorder, mathematics disorder, disorder of written expression, and learning disorder not otherwise specifiedMotor Disordersdevelopmental coordination disorderstereotypic movement disorderTourette’s disorderpersistent (chronic) motor or vocal tic disorderprovisional tic disorderother specified tic disorderand unspecified tic disorder