1. DSM and the ICD 1

2. 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.

3. 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

4. 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

5. 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

6. 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:
13 Work groups in process
Task force of 27 members is overseeing the process 6

7. 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

8. 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

9. 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

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