DSM 5 in Practice 9/16/2013. Susan Marie, PMHNP, PhD, BC. Focus on primary care usage. Relationship to ICD 9/10. Conceptual changes

Transcription

1 DSM 5 in Practice Susan Marie, PMHNP, PhD, BC Focus on primary care usage Relationship to ICD 9/10 Conceptual changes No multiaxial system No onset in childhood section Substance Induced/Medication Induced Other Specified Unspecified Severity & Disability assessment WHODAS 2.0 1

2 Intellectual Disability Communication Disorder Autism Spectrum Disorder A-D/HD Specific Learning Disorder Motor Disorders Schizophrenia Schizotypal Disorder Delusional Disorder Brief Psychotic Disorder Schizophreniform Disorder Schizoaffective Disorder Substance/Medication Induced Psychotic Disorder due to Other Medical Catatonic Disorder Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Substance/Medication Induced Other Specified Unspecified 2

3 Disruptive Mood Dysregulation Disorder Major Depressive Disorder Persistent Depressive Disorder Premenstrual Dysphoric Disorder Separation Anxiety Disorder Selective Mutism Specific Phobia Social Anxiety Disorder Panic Disorder Agoraphobia Generalized Anxiety Disorder 3

4 Obsessive Compulsive Disorder Body Dysmorphic Disorder Hoarding Disorder Trichotillomania Disorder Excoriation Disorder Reactive Attachment Disorder Disinhibited Social Engagement Disorder Posttraumatic Stress Disorder Acute Stress Disorder Adjustment Disorders Dissociative Identity Disorder Dissociative Amnesia Depersonalization/Derealization Disorder 4

5 Somatic Symptom Disorder Illness Anxiety Disorder Conversion Disorder Psychological Factors Affecting Other Medical Conditions Factitious Disorder Pica Rumination Disorder Avoidant/Restrictive Food Intake Disorder Anorexia Nervosa Bulimia Nervosa Binge-Eating Disorder Enuresis Encopresis 5

6 Insomnia Disorder Hypersomnolence Disorder Narcolepsy Breathing Related Sleep Disorders Obstructive/Central Sleep Apnea Circadian Rhythm Sleep-Wake Disorders Parasomnias Nightmare Disorder, Restless Legs Syndrome, Rapid Eye Movement Sleep Behavior Disorder Delayed Ejaculation Erectile Disorder Female Orgastic Disorder Female Sexual Interest/Arousal Disorder Genito-Pelvic Pain/Penetration Disorder Male Hypoactive Sexual Desire Disorder Premature Ejaculation Gender Dysphoria 6

7 Oppositional Defiant Disorder Intermittent Explosive Disorder Conduct Disorder Antisocial Personality Disorder Pyromania Kleptomania Substance Related Disorders Use Disorder Intoxication Withdrawal Gambling Disorder Delirium Major /Mild NCD due to Alzheimer s Major/Mild NCD due to Frontotemporal Lobar Degeneration With LewyBodies Due to Traumatic Brain Injury, HIV, Priori Disease, Parkinsons, or Huntingtons Major/Mild Vascular NCD 7

8 Cluster A Paranoid, Schizoid, & Schizotypal Cluster B Antisocial, Borderline, Histrionic, Narcissistic Cluster C Avoidant, Dependent, Obsessive-Compulsive Voyeuristic Disorder Exhibitionistic Disorder Frotteuristic Disorder Sexual Masochism/Sadism Disorder Pedophilic Disorder Fettishistic Disorder Transvestic Disorder Neuroleptic-Induced Parkinsonism Neuroleptic Malignant Syndrome Acute Dystonia Acute Akathisia Tardive Dyskinesia, Dystonia, Akathisia Postural Tremor Antidepressant Discontinuation Syndrome 8

9 9