Diagnostic and statistical manual of mental disorders : DSM-V.
Arlington, VA : American Psychiatric Association, 5th ed. c2013.
KF 3828 A4 2013 — New Materials Cart
Every revision or new edition of the DSM generates criticism but the DSM-V really seems to have rattled mental health practitioners. The DSM-V itself has been called “crazy”.
What is causing all the brouhaha? The DSM-V includes 15 new mental
disorders. Some of the additions such as Hoarding and Caffeine Withdrawal have elicited snickers even from some professionals.
Yet some of these seemingly laughable disorders can cause physical pain and even serious injury to the sufferers. Comedian Mike Birbiglia’s film “Sleep Walk with Me” brought attention the Rapid eye movement sleep behavior disorder. He jumped through a second-story hotel window in a dream about escaping a missile, landing him in the emergency room with glass wounds. “Dream enactment episodes” can result in injury also to the person sharing the same bed. One of the treatments includes removing sharp and other dangerous objects from the bedroom.
Other additions are:
Excoriation Disorder (Skin picking disorder)
Restless Legs Syndrome
Disinhibited Social Engagement Disorder
Often mistaken for ADHD, this disorder may stem from inadequate
caregiving and neglect. This classification allows for different clinical
interventions and treatment plans.
Social (Pragmatic) Communication Disorder
Unrelated to autism (Shyness?)
Disruptive Mood Dysregulation Disorder
Includes extreme, explosive rages. One critic calls it “temper tantrums”.
Premenstrual Dysphoric Disorder
Binge Eating Disorder
Not associated with purging behaviors such as vomiting.
Major Neurocognitive Disorder with Lewy Body Disease and Mild Neurocognitive Disorder
Allows for classification of differing levels of and treatment for
cognitive impairments that are “less disabling” than Alzheimers.
Central Sleep Apnea and Sleep-Related Hypoventilation
DSM-V removes the Bereavement Exclusion allowing clinicians to differentiate between normal grieving associated with a significant loss and a diagnosis of a mental disorder.
DSM-V changes the cut and dry classification of individuals with an IQ below 70 as having an intellectual disability and instead considers IQ scores as one of the factors to consider along with other development standards. This can have an effect on criminal law especially in the sentencing of individuals in capital punishment cases.
This very flexibility is troublesome to some critics who believe that
diagnoses will be made from the clinicians’ subjective reactions rather
than from objective data. Even more problematic is that the DSM-V no longer includes the GAF (Global Assessment of Functioning) score. The method for calculating the GAF is required by the Schedule for Rating Permanent Disabilities published by the California Department of Industrial Relations in January 2005.
It also remains to be seen whether California courts will accept the
DSM-V as authoritative.
Still, the DSM-V, 13 years in the making, is here and likely to stay. But don’t throw out your DSM-IV just yet.