DSM and the ICD 1.

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Presentation transcript:

DSM and the ICD 1

Using the DSM-IV-TR The DSM-IV-TR (2000) replaced the DSM-IV and the DSM-III-R with coding changes remaining the same since January 1995. Next edition scheduled for May 2013. Use of the DSM is recommended for trained professionals.

Major Changes in the DSM-IV-TR (2000) Cultural Issues and Cultural-bound Syndromes Research and Clinical Field Trials Clinical Findings and Supportive Information DSM-5 expected publication 2013

Cultural Issues Culture-bound Syndromes: these conditions resemble the symptoms of a mental disorder but are related directly to the cultural context as relevant to clinical care brain fag ataque de nervios rootwork 4

data analysis and re-analysis field trials Research Changes: literature reviews data analysis and re-analysis field trials DSM-IV-TR clearly reflects the importance of research to differentiate the diagnostic categories. 5

Task force of 27 members is overseeing the process Research Changes: DSM-5 “Still Very Much a Work in Progress” For a short-time period (till April 20, 2010) the proposed criteria were available for public comment: http://www.dsm5.org 13 Work groups in process Task force of 27 members is overseeing the process 6

Overview of Suggested Changes for DSM-5 Possibly eliminate Axis I, II, and III Use a dimensional system where various disorders will be coded as mild, moderate, and severe Introduce new suicide assessment scales, one for adolescents and one for adults Several new disorders proposed and some name changes to existing disorders Personality disorders will be completely restructured 7

DSM-5: Areas for Further Study Appendix for Behavioral Addictions Gambling (thus far is the sole disorder) Internet Addiction (is being considered) Introducing a new section on suicide scales to help assess adults and adolescents 8

DSM-5: Areas for Further Study New “risk syndromes” category designed to help clinicians identify stages of some serious mental health disorders with scales that include research-based criteria 9

Clinical Findings and Supportive Information Diagnosis Deferred: information is inadequate to make a formal diagnostic judgment. Rule Out 10