Diagnostic Process & DSM-5-TR

What is the DSM-5-TR?

The most current revision of the DSM-5 with updated text, a new diagnosis, coding updates, and revisions to criteria for over 70 disorders

Who publishes the DSM?

The American Psychiatric Association (APA)

When was DSM-5 published

2013

What was new about the DSM-5 title?

Dropped Roman numeral

What were the major changes in DSM-5?

Aligned with ICD-11

Modifications of spectrum disorders

Changed “mental retardation” → “intellectual disability”

Improved assessment methods

Discontinued five-axis system

What approach replaced the strict categorical model in DSM-5?

Dimensional approach

What does the dimensional approach allow clinicians to do?

Assess the severity of a condition rather than only presence/absence

Examples of spectrum changes in DSM-5

Autism Spectrum Disorder (combines 4 categorical disorders)

Substance Use Disorder (combines abuse & dependence into one spectrum with 11 symptoms)

When was DSM-5-TR released?

2022

What was added to the DSM-5-TR?

Prolonged Grief Disorder

How many subject matter experts contributed to DSM-5-TR?

More than 200

What coding updates were included in DSM-5-TR?

ICD-10-CM codes for suicidal behavior and nonsuicidal self-injury

What additional focus was included in DSM-5-TR?

The impact of racism and discrimination on diagnosis and mental disorders

Purpose of DSM-5

Provides a standardized classification system for mental disorders, used for diagnosis and research.