dsm 5 powerpoint

8/16/2019 DSM 5 PowerPoint

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• The focus of this overview is major chan esbetween DS!"#V"TR $%&&&' and DS!"($%&)*'.

• +oth or ani ational and conce-tual chan es india noses are included.

• urther, inclusive and detailed chan es ande/-lanations for chan es are available atwww.DS!(.or 01i hli htsof2han es

Overview


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• 3limination of the onl4 a e"based section5Disorders 6suall4 irst Dia nosed in #nfanc4,2hildhood or 7dolescence. Dia noses from thissection have been distributed to other sections

based on disorder cate ories.• 2reation of new sections5 Neurodevelo-mental

Disorders8 9bsessive"2om-ulsive and RelatedDisorders8 Trauma" and Stressor"RelatedDisorders.

Major DSM-5 Changes


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• Sections renamed to better reflect disorders inthe section

• 2han e in the name of dia noses $withminimal chan e in individual dia nosis'

• 2han e in conce-tual a--roach to a set ofdia noses, s-ecificall4 7utism S-ectrumDisorder

• 2han es in definition, criteria for dia noses,

and0or s-ecifiers of the disorder

Major DSM-5 Changes (continued)


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• The term :;eneral medical condition< has beenre-laced throu hout DS!"( with :7nothermedical condition<

• Dia noses are no lon er -laced on the multi"

a/ial s4stem of 7/es #"V• The ;lobal 7ssessment of unctionin Scale

$;7 ' has been eliminated

Major DSM-5 Changes (continued)


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• This cate or4 has been eliminated• Disorders formerl4 in the section have been

distributed in other sections• Neurodevelo-mental Disorders is a new section

that contains man4 of the dia noses from thisold section

Disorders Usually irst Diagnosed

in !n"ancy# Childhood# orAdolescence


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• !ental Retardation dia nosis has beenre-laced with #ntellectual Disabilit4

• +oth co nitive ca-acit4 $#=' and ada-tivefunctionin are assessed with severit4 based

on ada-tive functionin rather than #=

!ntellectual Disa$ility


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). Lan ua e Disorder $combines 3/-ressive and!i/ed Rece-tive"3/-ressive Disorder'

%. S-eech Sound Disorder $re-lacesPhonolo ical Disorder'

*. 2hildhood 9nset luenc4 Disorder $formerl4Stutterin '

>. Social Pra matic Disorder $New'

Co%%unication Disorders is a

category in &eurodevelo'%entalDisorders that includes:


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• 7 conce-tual chan e defines 7utism S-ectrumDisorder as a sin le condition with differentlevels of s4m-tom severit4 ? % s4m-tomcate ories are5 social communication @interaction8 and re-etitive, behavior, interests,@ activities

• 3ncom-asses -revious dia noses of 7utisticDisorder, 7s-er erAs Disorder, 2hildhoodDisinte rative Disorder, and Pervasive

Develo-mental Disorder N9S

Autis% S'ectru% Disorder


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• 7ttention Deficit014-eractivit4 Disorder• S-ecific Learnin Disorder $includes former

readin , math, written e/-ression, and N9S

dia noses'• !otor Disorders $includes Develo-mental

2oordination Disorder, Stereot4-ic !ovementDisorder, TouretteAs Disorder, and other vocaland motor tics, @ uns-ecified disorders'

Additional &eurodevelo'%ental

Disorder Diagnoses


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• 3limination of -aranoid, undifferentiated,disor ani ed, and residual subt4-es

• Delusional Disorder ? can now include bi arre

delusion$s'• Schi oaffective Disorder ? major mood e-isode

must be -resent for a majorit4 of the totalduration of disorder

Schi o'hrenia S'ectru% and othersychotic Disorders


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• 2riteria for mania and h4-omania now includechan es in activit4 and ener 4 as well as moodchan es

• 2han es in dia nosis of +i-olar Disorder in

children on slide B)*

*i'olar and +elated Disorders


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• Disru-tive !ood D4sre ulation Disorder ? forchildren under a e )C who have -ersistentirritabilit4 and fre uent e/treme out of controlbehavior $to address concerns about -otential

overdia nosis of +i-olar Disorder'• Persistent De-ressive Disorder $re-laces

D4sth4mic Disorder'• +ereavement no lon er e/cluded from

de-ression dia nosis

De'ressive Disorders


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• PTSD moved to new section called Trauma andStressor Related Disorders

• 92D moved to new section called 9bsessive"2om-ulsive and Related Disorders

•

Social 7n/iet4 Disorder $re-laces SocialPhobia'• Panic Disorder with 7 ora-hobia ? now %

dia noses, no lon er one dia nosis• Se-aration 7n/iet4 Disorder ? moved from the

old irst Dia nosed in #nfanc4Esection

An,iety Disorders


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• 9bsessive"2om-ulsive Disorder ? moved from7n/iet4 Disorder section

• New Dia nosis5 1oardin Disorder• +od4 D4smor-hic Disorder ? moved from old

Somatoform Disorder section• Trichotillomania• Skin"-ickin Disorder• Substance"induced 92D and 92D due to

another medical condition

O$sessive-Co%'ulsive and +elatedDisorders


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• Reactive 7ttachment Disorder ? moved fromthe old irst Dia nosed in #nfanc4Esection

• Disinhibited Social 3n a ement Disorder• PTSD ? moved from 7n/iet4 Disorders section• 7cute Stress Disorder ? moved from 7n/iet4

Disorder Section• 7djustment Disorders ? old section of

7djustment Disorders eliminated

rau%a and Stressor-+elated Disorders


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• De-ersonali ation0Dereali ation Disorder ?conce-ts of de-ersonali ation and dereali ationcombined to re-lace former De-ersonali ationDisorder

• Dissociative u ue ? now a s-ecifier underDissociative 7mnesia instead of a stand"alonedia nosis

Dissociative Disorders


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• ormerl4 called Somatoform Disorders• Somatic S4m-tom Disorder $re-laces

Somati ation Disorder'• #llness 7n/iet4 Disorder $re-laces

14-ochondirasis'• 2onversion Disorder ? also called unctional

Neurolo ical S4m-tom Disorder• actitious Disorder5 #m-osed on self or

#m-osed on other collo uiall4 known as!unchausenAs S4ndrome and !unchausenAs b4-ro/4'

So%atic Sy%'to% and +elated Disorders


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• 7dult dia noses of 7nore/ia Nervosa and+ulimia Nervosa are essentiall4 unchan ed

• New Dia nosis5 +in e 3atin Disorder• New Dia nosis5 7voidant0Restrictive ood

#ntake Disorder• Pica and Rumination Disorder " moved from

former irst Dia nosed in #nfanc4Esection

eeding and .ating Disorders


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• 2onduct Disorder and 9--ositional DefiantDisorder ? moved from former irst Dia nosedin #nfanc4Esection

•

#ntermittent 3/-losive Disorder, Fle-tomania,@ P4romania ? moved from former #m-ulse"2ontrol Disorder section

Disru'tive# !%'ulse-Control# andConduct Disorders


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• ;amblin ? moved from former #m-ulse"2ontrol Disorder section

• No lon er a se-aration of substance abuse andde-endence

• 2ate ories reduced b4 combininam-hetamine and cocaine into stimulants8-henc4clidine included in hallucino ens8 andnicotine e/-anded to tobacco

Su$stance-+elated and AddictiveDisorders


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•

ormerl4 Delirium, Dementia, and 7mnesticand other 2o nitive Disorders section

• Delirium remains in section• 7mnestic Disorder and Dementia are now in a

new cate or4 called !ild or !ajorNeuroco nitive Disorder s-ecified accordin toetiolo 4 $vascular, 1#V #nfection, Traumatic+rain #njur4, 7l heimerAs ParkinsonAs1untin tonAs, Prion, other medical condition,

multi-le etiolo ies', location $ rontotem-oral',or characteristics $with Lew4 +odies'

&eurocognitive Disorders


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• Personalit4 Disorder dia noses remainunchan ed in Section ##

• 7nother alternative a--roach is -ro-osed inSection ### to be used for further stud48 it

contains chan es -ro-osed in drafts of DS!"(which were not ultimatel4 acce-ted

• The alternate section has G rather than )&dia noses with criteria focusin on-ersonalit4 traits and -ersonalit4 functionin

ersonality Disorders


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• or chan es in criteria, definitions, or s-ecifiersthat are routinel4 used b4 clinicians makindia noses, see the websitewww.DS!(01i hli htsof2han es

Additional Changes

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