The Diagnostic and Statistical Manual of Mental Disorders (DSM) has been used for decades as a guidebook for the diagnosis of mental disorders in clinical settings. As disorders and diagnoses evolve, new versions of the manual are published. This tends to happen every 10 years or so with the first manual (DSM-I) having been published in 1952. For the purpose of this discussion, we will look at the DSM-IV, which was published originally in 1994, and the latest version, DSM-5, that was published in May of 2013. Each version of the DSM contains “three major components: the diagnostic classification, the diagnostic criteria sets, and the descriptive text” (American Psychiatric Association, 2012). Within the diagnostic classification you will find a list of disorders and codes which professionals in the health care field use when a diagnosis is made. The diagnostic criteria will list symptoms of disorders and inform practitioners how long a patient should display those symptoms in order to meet the criteria for diagnosis of a disorder. Lastly, the descriptive text will describe disorders in detail, including topics such as “Prevalence” and “Differential Diagnosis” (APA, 2012). The recent update of the DSM from version IV-TR to 5 has been controversial for many reasons. Some of these reasons include the overall structure of the DSM to the removal of certain disorders from the manual.
One change that has been met with disdain is the removal of the multi-axial system of assessment contained in the DSM-IV. The multi-axial system was an assessment format with five different axes listed in numerical order. The different axes included the following topics: Axis I – major mental disorders, Axis II – personality disorders and ment...
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...spective offers, “the DSM-5 balances the dimensional and categorical frameworks better than any previous version” (Ozonoff, 2012, p. 1093).
I have to admit; during the research of this paper was the first time I have ever held a Diagnostic and Statistical Manual of Mental Disorders in my hands. After comparing the overall structure of the two versions, DSM-IV and DSM-5, I would conclude that the DSM-5 layout is more user friendly. Many of the changes seem to be a step in the right direction and will hopefully inspire new research that gives new insight into mental disorders. Change is usually met with resistance in any form because it causes individuals to step out of their comfort zone. If clinicians and practitioners can get over the initial hump of being awkward to use, I’m sure the DSM-5 will improve the process of diagnosing and treating mental disorders.
Considering the information provided in the case of Mr. Jock, and after aligning all symptoms and signs to the DSM-5 criteria, the patient should receive the diagnosis of Bipolar I, current episode manic, severe severity, with mood congruent psychotic features, with catatonia.
The DSM-5 lists approximately 400 mental disorders, each one explains the criteria for diagnosing the disorder and key clinical features, and sometimes describes features that are often times not related to the disorder. The classification is further explained by the background information such as: research findings, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications, predisposing factors, and family patterns (Comer, 2013, pp.100).... ... middle of paper ... ...
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Frances, A., & Ross, R. (1996). DSM-IV case studies a clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press, Inc.
Their dedication and hard work have been combined together in the new edition DSM-5 that defines and classifies mental disorder in order to improve treatment, diagnoses and research. DSM-5 has no greater changes from DSM-IV-TR. However, there are some new disorders introduced and reclassified. The multiaxial system has been removed in DSM-5 because Axis I, II and II have been combined into the descriptions of the disorders. DSM-5 approved the posttraumatic stress disorder (PTSD), which is a self-report scale develop based on data. DSM-5 focuses to make better characterize symptoms for groups of people who are seeking for clinical help. These symptoms were not defined well in DSM-IV and are less likely to have access to the
5) Diagnostic and Statistical Manual of Mental Disorders, an online version of the resource book.
It can be said that there are numerous tests that have been created by psychologists all over the world, but of all those tests how many are as unique as the Millon? Through rigorous research and reading I have selected the Millon Clinical Multiaxial Inventory-III test. The Millon Clinical Multiaxical Inventory (3rded: MCMI-III) is a widely used psychological assessment of clinical and personality disorders (Grove, W. M., 2009). This test, now on its 3rd edition, has embodied several innovative ideas in personality and psychopathology assessment (Grove, 2003). Moving in-between the 3rd and 4th editions was a once in a lifetime opportunity and amazing learning experience. Through analysis of the MCMI-III manual and other sources this test can be explained and examined in depth helping to better understand this influential psychological assessment tool.
The DSM has been found to be somewhat bias. There are some pros and cons to the DSM as well. Some have found that it leads to uniform and improved diagnosis, improves informed professional communication through uniformity, and provides the basis for a comprehensive educational tool. While others believe it can lead to diagnostic labels, by providing limited information on the relationship between environmental considerations and aspects of the mental health condition. Lastly, it does not describe intervention strategies (Wakefield,
Kahn, Ada P., and Jan Fawcett. The Encyclopedia of Mental Health. 2nd ed. New York: Facts On File, 2001.
McGrath, E. C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., Wittchen, H-U., & Kendler, K.S.(2007).Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 3-14.
Diagnostic and statistical manual of mental disorders: DSM-5. (5th ed.). (2013). Washington, D.C.: American Psychiatric Association.
Identification of any psychosocial or contextual factors to be considered, as outlined in the DSM-5
Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., Sar, V., Simeon, D., Vermetten, E., & ... Dell, P. F. (2011). Dissociative disorders in DSM-5. Depression & Anxiety (1091-4269), 28(9), 824-852. doi:10.1002/da.20874
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Kessler, R., Chiu, W., Demler, O., & Walters, E. (2005, June). The Numbers Count: Mental Disorders in America. Retrieved Febuary 13, 2011, from National Institute of Mental Health: http://www.nimh.nih.gov