Jon comer death cause

Diagnosis of somatic symptom disorder may be given to people who are overly anxious about their medical problems (page 257).

Clinicians no longer need to distin- guish hysteri- cal symptoms from medical symptoms.

People with a

serious medi- cal disease, such as cancer, may receive a psychiatric di- agnosis.

Diagnosis of major depressive disorder may be given to recently bereaved people (page 196).

Clinicians can more quickly spot and treat clini- cal depression among griev- ing people.

People experi-

encing normal grief reactions may receive a psychiatric di- agnosis.

Previous category of

Asperger’s disorder has been eliminated (page 486).

Better alterna- tive diagnoses may now be assigned to people with severe social impairments.

Individu- als may

no longer qual- ify for special educational services if they lose the As- perger’s label.

The new category substance use disorder combines substance abuse and substance dependence into one disorder (page 314).

Patterns of sub- stance abuse and substance dependence were often indistinguish- able.

Sub- stance

abuse and sub- stance depen- dence may re- quire different treatments.

Top DSM-5 DebaTeS Many of the DSM-5 changes have provoked debate. Several have been particularly controversial in some clinical circles.

Who DevelopeD DSM-5?

* World Health Organization ** National Institute of Mental Health

Field Testing DSM-5 From 2010 to 2012, DSM-5 researchers conducted field studies to see how well clinicians could apply the new criteria.

Disorders tested: 23

Clinical participants: 3,646

Clinicians: 879 (APA, 2013; Clarke et al., 2013; Regier et al., 2013)

Two-thirds of the DSM-5 work group members were psychiatrists and one-third were psychologists.

(APA, 2013)

Work groups (pathology groups)

13 160 persons

12 persons per group

Task force (oversight committee)

30 persons

New Categories Hoarding disorder (page 143)

Excoriation disorder (page 143)

Persistent depressive disorder (page 187)

Premenstrual dysphoric disorder (page 209)

Disruptive mood dysregulation disorder (page 472)

Somatic symptom disorder (page 255)

Binge eating disorder (page 288)

Mild neurocognitive disorder (page 511)

WhaT’S NeW iN DSM-5? DSM-5 features a number of changes, new categories, and eliminations. Many of the changes have been controversial.

Name Changes OLD NEW

Mental Retardation

Intellectual Disability (page 489)

Dementia Major Neurocognitive Disorder (page 511)

Hypochondriasis Illness Anxiety Disorder (page 261)

Male Orgasmic Disorder

Delayed Ejaculation (page 355)

Gender Identity Disorder

Gender Dysphoria (page 376)

Dropped Categories Dissociative fugue (page 168)

Asperger’s disorder (page 486)

Sexual aversion disorder (page 348)

Substance abuse (page 314)

Substance dependence (page 314)

CoMpeTiTorS Both within North America and around the world, the DSM faces competition from 2 other diagnostic systems—the International Classification of Disorders

(ICD) and Research Domain Criteria (RDoC).

DSM

ICD

RDoC

Producer Disorders Criteria

APA Psychological Detailed

WHO* Psychological/

medical Brief

NIMH** Psychological Neuro/scanning

Gambling disorder is considered an addiction (page 342).

Excessive gambling and substance addictions often share similar brain dysfunc- tioning.

Many other be-

haviors pursued excessively, such as sex, Internet use, and shopping, could eventually be considered behavioral ad- dictions.

Mild neurocognitive disorder is added as a category (page 515).

This diag-nosis may help clinicians identify early symptoms of Alzheimer’s dis- ease.

People with nor-

mal age-related forgetfulness may receive a psychiatric diag- nosis.

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