DSM IV-TR

A little history 1800s common “diagnoses” were idiocy and insane Data gathering in 1900s, leading to DSM in (II), 1980 (III), 1987 (IIIR), 1994 (IV), 2000 (IV-TR), DSM 5 in 2013

The 5 Axes I.Mental Disorder II.Personality Disorders and/or Mental Retardation III.Physical illness or Medical Conditions IV.Psychosocial Stressors V.Global Assessment of Functioning

The 5 Axes – An Example I.Major Depression, II.No diagnosis III.Type II diabetes IV.Family member was victimized in violent crime, trial is ongoing V.75 current; 95 past year.

Concerns re: diagnosis 1.Diagnosis involves interpretation-it’s not absolute and misdiagnosis occurs. 2.Labeling can have negative effects on a person’s self concept and self-esteem 3.Labeling and stigma can lead to prejudice and discrimination. 4.Provides a forum for an ever-expanding list of disorders. Increased pathologizing as opposed to seeing “problems in living.”

Benefits of diagnosis 1.Universality of diagnosis-we’re all talking from the same page. 2.Conducive to research. 3.Validation of the disorder for benefit of the patient/family, etc. 4.Validation of the disorder to justify benefits.

Search and Find In your small group…. 1.How many different categories of disorders are in the DSM IV-TR? 2.Look at the criteria for any five different disorders and identify one thing common to all of them. 3.What category is trichotillamania in and how did you figure this out? 4.What do the initials “NOS” mean? 5.How many different disorders are listed in the Anxiety Disorders category? 6.What do you find particularly interesting in the DSM IV TR?

Changes in the DSM 5 Addiction and Related Disorders