DSM-5 | DR. GEETANJALI PAREEK



MAIN DSM 5 CATEGORIES


Main DSM-5 categories are as following:


1.    Neurodevelopmental Disorders
2.    Schizophrenia Spectrum and Other Psychotic Disorders
3.    Bipolar and Related Disorders
4.    Depressive Disorders
5.    Anxiety Disorders
6.    Obsessive-Compulsive and Related Disorders
7.    Trauma- and Stressor-Related Disorders
8.    Dissociative Disorders
9.    Somatic Symptom and Related Disorders
10.                       Feeding and Eating Disorders
11.                       Elimination Disorders
12.                       Sleep-Wake Disorders
13.                       Sexual Dysfunctions
14.                       Gender Dysphoria
15.                       Disruptive, Impulse-Control, and Conduct Disorders
16.                       Substance-Related and Addictive Disorders
17.                       Neurocognitive Disorders
18.                       Personality Disorders
19.                       Paraphilic Disorders
20.                       Other Mental Disorders
21.                       Medication-Induced Movement Disorders and
22.                       Other Adverse Effects of Medication
23.                       Other Conditions That May Be a Focus of Clinical Attention

1.     Neurodevelopmental Disorders: It comprises of Intellectual Disability (Intellectual Developmental Disorder), Communication Disorders, Autism Spectrum Disorder, Attention-Deficit/Hyperactivity Disorder, Specific Learning Disorder and Motor Disorders

2.     Schizophrenia Spectrum and Other Psychotic Disorders: It comprises of Schizophrenia, Schizoaffective Disorder, Delusional Disorder and Catatonia

3.     Bipolar and Related Disorders: Bipolar Disorders Other Specified Bipolar and Related Disorder Anxious Distress Specifier form part of this group.

4.     Depressive Disorders: DSM-5 contains several new depressive disorders, including disruptive mood dysregulation disorder and premenstrual dysphoric disorder. Other disorders are Major Depressive Disorder, Bereavement Exclusion and Specifiers for Depressive Disorders

5.    Anxiety Disorders: The DSM-5 chapter on anxiety disorder no longer includes obsessive-compulsive disorder (which is included with the obsessive-compulsive and related disorders) or posttraumatic stress disorder and acute stress disorder (which is included with the trauma- and stressor-related disorders).
a)   Agoraphobia, Specific Phobia, and Social Anxiety Disorder (Social Phobia)
b)   Panic Attack
c)    Panic Disorder and Agoraphobia
d)   Specific Phobia
e)    Social Anxiety Disorder (Social Phobia)
f)      Separation Anxiety Disorder
g)   Selective Mutism

6.    Obsessive-Compulsive and Related Disorders: it includes,
Specifiers for Obsessive-Compulsive and Related Disorders, Body Dysmorphic Disorder, Hoarding Disorder, Trichotillomania (Hair-Pulling Disorder), Excoriation (Skin-Picking) Disorder, Substance/Medication-Induced Obsessive-Compulsive and Related Disorder and Obsessive-Compul­sive and Related Disorder Due to Another Medical Condition, Other Specified and Unspecified Obsessive-Compulsive and Related Disorders.

7.    Trauma- and Stressor-Related Disorders: It comprises of Acute Stress Disorder, Adjustment Disorders, Posttraumatic Stress Disorder and Reactive Attachment Disorder.

8.    Dissociative Disorders: Major changes in dissociative disorders in DSM-5 include the following: 1) derealization is included in the name and symptom structure of what previously was called depersonalization disorder and is now called depersonalization/derealization disorder, 2) dissociative fugue is now a specifier of dissociative amnesia rather than a separate diagnosis, and 3) the criteria for dissociative identity disorder have been changed to indicate that symptoms of disruption of identity may be reported as well as observed, and that gaps in the recall of events may occur for everyday and not just traumatic events. Also, experi­ences of pathological possession in some cultures are included in the description of identity disruption.

9.    Somatic Symptom and Related Disorders: In DSM-5, somatoform disorders are now referred to as somatic symptom and related disorders. The DSM-5 classification reduces the number of these disorders and subcategories to avoid problematic overlap. Diagnoses of somatization disorder, hypochondriasis, pain disorder, and undifferentiated somatoform disorder have been removed. The new category are:
a)   Somatic Symptom Disorder
b)   Medically Unexplained Symptoms
c)    Hypochondriasis and Illness Anxiety Disorder
d)   Pain Disorder
e)    Psychological Factors Affecting Other Medical Conditions and Factitious Disorder
f)       Conversion Disorder (Functional Neurological Symptom Disorder)

10.                       Feeding and Eating Disorders: it consists of:
a)   Pica and Rumination Disorder
b)   Avoidant/Restrictive Food Intake Disorder
c)    Anorexia Nervosa
d)   Bulimia Nervosa
e)    Binge-Eating Disorder
f)       Elimination Disorders

11.                       Sleep-Wake Disorders: it includes-
a.    Breathing-Related Sleep Disorders
b.    Circadian Rhythm Sleep-Wake Disorders
c.     Rapid Eye Movement Sleep Behavior Disorder and
d.    Restless Legs Syndrome

12.                       Sexual Dysfunctions: it comprises of  Genito-Pelvic Pain/Penetration Disorder and Subtypes

13.                      Gender Dysphoria Subtypes and Specifiers

14.              Disruptive, Impulse-Control, and Conduct Disorders

a.    Oppositional Defiant Disorder
b.    Conduct Disorder
c.     Intermittent Explosive Disorder

15.                      Substance-Related and Addictive Disorders including Gambling Disorder

16.              Neurocognitive Disorders
a.    Delirium
b.    Major and Mild Neurocognitive Disorder
c.     Etiological Subtypes
d.    Personality Disorders

17.              Paraphilic Disorders and Specifiers.



REFERENCES:

§     Comer, R. J. (2004). Abnormal psychology. New York: Worth Publishers. (p. 594)
§     Farina, A. (1982). The stigma of mental disorders. In A. G. Miller (Ed.), In the eye of the beholder. New York: Praeger. (pp. 596, 599)
§     Herek, G. M. (2002). Gender gaps in public opinion about lesbians and gay men. Public Opinion Quarterly, 66, 40–66.
§     Tinsley-Li, S., & Jenkins, S. (2007). Impact of race and ethnicity on the expression, assessment, and diagnosis of psychopathology. In M. Hersen, S. M. Turner, & D. C. Beidel (Eds.), Adult psychopathology and diagnosis. Hoboken, NJ: Wiley.
§     Hooley, J. M. (2004). Do psychiatric patients do better clinically if they live with certain kinds of families? Current Directions in Psychological Science, 13(5), 202–205.
§     Nolen-Hoeksema, S. (1990). Sex differences in depression. Stanford, CA: Stanford UniversityPress
§     van Praag, H. M. (2004). Stress, vulnerability and depression. New York: Cambridge University Press.
§     Wakefield, 1992, 2006 Wakefield, M., Reid, Y., Roberts, L., Mullins, R., & Gillies, R. (1998). Smoking and smoking cessation among men whose partners are pregnant: A qualitative study. Social Science Medicine, 47, 657–664.
§     Szasz, T. (1960). The myth of mental illness. American Psychologist, 15, 113–118.
§     Walker, P. L. (2001). A bioarchaeological perspective on the history of violence. Annual Review of Anthropology, 30, 573–596.


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