". . . It is essential for clinicians to know the DSM language lest they be completely idiosyncratic and unable to communicate meaningfully. It is equally essential that clinicians not worship DSM as some kind of bible or see it as the end, rather than just the beginning of the clinical conversation. The DSM is an essential, but a very small, part of the rich enterprise of clinical psychiatry. . . "Cleverly ending his article with thought-provoking last words . . .
" . . . I fear DSM-5 because it threatens to further medicalize normality and spread psychiatry too thin. Psychiatry is wonderful when done well and within its appropriate limits. . . "
You can learn more about the changes in the DSM-V from their website, here are few of the highlights my artisan friends:
- Re-categorizing learning disorders, including changing the term "mental retardation" to "intellectual disability"
- Getting rid of "Substance abuse/dependence" and creating "addiction and related disorders"
- "Behavioral Addictions" including Gambling, but not Internet or Sex
- New tool to assess suicide risk
- A new category called "risk syndromes" for mild forms of psychosis & cognitive impairment
- Children disorder "temper dysregulation with dysphoria" aka constant negative mood with bursts of rage
- Altering the "eating disorder" category and creating a "binge eating disorder" separate from bulimia
- "Dimensional assessments" for the severity of symptoms that appear in multiple disorders
The Mad Boy