Presented by David J. Kupfer, MD Chair of the DSM-5 Task Force CARNEGIE LIBRARY OF PITTSBURGH SATURDAY, OCTOBER 26, 2013 The Making of the DSM-5

Why we need DSM 2 Provides a common language to use to understand and communicate about mental disorders

Goal of DSM-5 Revisions 3

DSM-5 Key Dates 4 DSM-5’s 14-year revision process involved more than 1,500 mental health and medical experts from around the world May 18, 2013 DSM-5 published

Overarching Changes  Used the strongest scientific evidence to support changes to diagnostic criteria  Revised chapter order based on underlying vulnerabilities and symptom characteristics  Organized manual in sequence with developmental lifespan  Decreased the number of “Not Otherwise Specified” diagnoses through greater criteria specificity  Aligned manual with international classifications 6

Disorder Specific Changes 7

Autism Spectrum Disorder 8

Attention-Deficit/Hyperactivity Disorder 9

Disruptive Mood Dysregulation Disorder 10

Major Depressive Disorder / Bereavement Exclusion 11

Hoarding 12 Listed as a distinct disorder within the Obsessive- Compulsive and Related Disorders chapter  Many severe cases of hoarding are not accompanied by obsessive or compulsive behavior, warranting listing as a distinct disorder

Mild Neurocognitive Disorder 13

Substance Use Disorders 14

Section III 15 Section III introduces emerging measures and models to assist clinicians in their evaluation of patients Outlines conditions in need further study before inclusion in Section II of the manual Addresses how cultural influences can impact diagnosis and treatment Includes assessment tools and cross- cutting symptom measures

Future Forward The best clinical tool available for diagnosing mental disorders  Clinical utility of the manual is unparalleled DSM-5 was revised to be a “living document”  Manual will continue to update its criteria to reflect the most up to date science 16