DSM-5 Overview of DSM-4 Changes

By BarCharts, Inc.

Easily accessible overview of highly relevant changes from the fourth edition to the fifth edition of the Diagnostic and Statistical Manual of Mental Health Disorders (DSM) handbook used by health care professionals as a guide to diagnosing mental disorders. Changes and disorders are summarized for quick reference for use by students and/or professionals in the field.
Topics summarized include:

• Structural and Organizational Revisions
• Changes in Terminology
• Neurodevelopment Disorders
• Schizophrenia Spectrum and Other Psychotic Disorders
• Bipolar and Related Disorders
• Depressive Disorders
• Obsessive Compulsive and Related Disorders
• Anxiety Disorders
• Trauma and Stressor Related Disorders
• Dissociative Disorders
• Somatic Symptom and Related Disorders
• Feeding and Eating Disorders
• Sleep-Wake Disorders
• Sexual Dysfunctions
• Disruptive, Impulse-Control, and Conduct Disorders
• Substance Abuse and Addictive Disorders
• Neurocognitive Disorders
• Personality Disorders
• Paraphilic Disorders

• Language: English
• Publisher: BarCharts, Inc.
• Release date: May 1, 2018
• ISBN: 9781423237266

Book preview

Table of Contents

Structural And Organizational Revisions

Changes In Terminology

Neurodevelopmental Disorders

Schizophrenia Spectrum And Other Psychotic Disorders

Bipolar And Related Disorders

Depressive Disorders

Anxiety Disorders

Obsessive-Compulsive And Related Disorders

Trauma- And Stressor-Related Disorders

Dissociative Disorders

Somatic Symptom And Related Disorders

Feeding And Eating Disorders

Sleep-Wake Disorders

Sexual Dysfunctions

Gender Dysphoria

Disruptive, Impulse-Control, And Conduct Disorders

Substance-Related And Addictive Disorders

Neurocognitive Disorders

Personality Disorders

Paraphilic Disorders

STRUCTURAL AND ORGANIZATIONAL REVISIONS

The DSM-5 requires the concurrent determination of coexisting medical and mental conditions. ƒ

The DSM-4 TR’s organization and structure did not adequately address commonalities in symptoms of related disorders or diagnostic groups: for instance, psychotic disorders and bipolar disorders, or internalizing disorders such as depression, anxiety, and somatic and externalizing disorders such as impulse control, conduct disorders, and substance abuse. The DSM-5 has superior organization within and between diagnostic chapters, thus better manifesting these shared features and symptoms. ƒ

The DSM-4 TR does not devote enough attention to a lifespan perspective, nor are symptom manifestations across a developmental span or cultural perspectives considered enough. The DSM-5 corrects this deficiency by devoting more attention to age and development as ingredients to diagnosis and classification. Furthermore, there is greater sensitivity to cultural factors and variations as they relate to symptom manifestation. ƒ

The DSM-5 takes a greater account of new research results in neuroscience and better integrates their relevance to diagnosis and treatment. ƒ

The DSM-5’s organization and structure is more adaptable to accommodate new information from psychiatry and neuroscience, thus making it less likely to become out of date. ƒ

The previously utilized 5-axial diagnostic system of the DSM-4 TR has been removed from the DSM-5 and replaced by nonaxial documentation of diagnosis that properly recognizes significant contextual, disability, and psychosocial factors. These changes reflect WHO (World Health Organization) and ICD (International Classification of Diseases) guidelines for greater consideration of the level of a person’s functioning as distinguished from diagnosis and symptom manifestation. ƒ

The DSM-5 combines the former axes I, II, and III of the DSM-4 TR with separate notations for psychosocial and contextual factors (formerly axis IV) and disability (formerly axis V). This dimensional approach to diagnosis allows for clinically rating disorders over a continuum of severity, thus largely eliminating the need for not otherwise specified (NOS) diagnosis, termed not elsewhere defined (NED) conditions in the DSM-5. The