DSM Comparison Chart DSM-5 (Revisions in bold)

Transcription

1 DSM Comparison Chart DSM-IV-TR DSM-5 (Revisions in bold) Multi-axial system s Usually First Diagnosed in Infancy, Childhood and Adolescence Single line diagnosis with specifiers Neurodevelopmental s Mental Retardation 319 Intellectual Disability (specify adaptive functioning) 317 Mild Moderate severe Profound Expressive and Mixed Receptive Language s Communication s Language s Speech and Sound s Childhood-Onset Fluency (stuttering) Social (Pragmatic) Communication Autism Autism Spectrum (ASD) with severity levels of Level 1- requires support to Level 2- requires substantial support to Level 3- requires very substantial support on both social communication and repetitive behaviors Asperger s Childhood Disintegrative Attention Deficit Hyperactivity Attention Deficit Hyperactivity, Combined presentation severity levels of mild, moderate, severe Predominately inattentive presentation; mild, moderate, severe Predominantly hyperactive/impulsive presentation of mild, moderate and severe Learning s Specific Learning s with specifiers of mild, moderate, severe and skill deficit Reading with impairment in reading Mathematics with impairment in written expression of Written Expression with impairment in math Learning Not Otherwise Specified

2 s Usually First Diagnosed in Infancy, Childhood and Adolescence Motor Skills Neurodevelopmental s Motor s Developmental Coordination Developmental Stereotypes Movement Tourette s s Persistent/Chronic Motor or Vocal Tic Provisional Tic Schizophrenia and Other Psychotic s Schizophrenia Spectrum and Other Psychotic s Schizophrenia Subtypes Disorganized Type Delusional with specifiers Paranoid Type Brief Psychotic Schizophreniform Schizophrenia Schizoaffective with Bipolar Type Schizoaffective with Depressive Type Mood s Bipolar and Related s Bi-polar 1, mixed episode Bipolar 1, mild, manic Bipolar 1, moderate, depressed Mood s Depressive s Dysthymic Persistent Depressive with depression and severity index (dysthymia) Disruptive Mood Dysregulation Premenstrual Dysphonic

3 Anxiety s Anxiety s Panic with Agoraphobia Panic Obsessive Compulsive Separation Anxiety Impulse-Control s Not Elsewhere Classified Agoraphobia Obsessive-Compulsive and Related s with specifiers of good or fair, poor and absent, insight and delusional beliefs Trichotillomania (hair pulling) Trichotillomania Impulse Control Pathological Gambling OC Hoarding Body Dysmorphic Excoriation (skin picking) Anxiety s Trauma and Stressor-Related s Acute Stress Acute Stress Criterion A whether qualifying traumatic events were directly experienced, witnessed or experienced indirectly, not included; 9 out of 14 symptoms of intrusion, negative mood, disassociation, avoidance and arousal Adjustment s PTSD three major symptom clusters of re-experiencing, avoiding/numbing and arousal; subjective reaction Selected Mutism s Usually First Diagnosed in Infancy Reactive Attachment - two subtypes of emotionally withdrawn/inhibited and indiscrimately social engagement Adjustment s with specifiers remain the same but added as a stress related disorder PTSD - four symptom clusters: avoidance, persistent negative alterations, alterations in arousal and reactivity, subjective reaction, added separate criterion for children under 6 years Selected Mutism in the anxiety section RAD - two distinct disorders: reactive attachment with specifiers of persistent and severe Disinhibited Social Engagement with specifiers of persistent and severe

4 Dissociative s Dissociative s Dissociative Identity A. Depersonalization/Derealization Dissociative s Depersonalization disorder DID - Cluster A expands to certain possession - form phenomena and functional neurological symptoms Somazation Somatic Symptom and Related s Somazation A. Removed somatization disorder, hypochondriasis, pain disorder, and undifferentiated somatoform dismoved B. New somatic symptom disorder with specifiers Hypochondriasis Pain Undifferentiated Somatofam Eating s Feeding and Eating s Anorexia Nervosa Anorexia Nervosa ; restricting, moderate Bulimia Nervosa; mild, partial remission Avoidant/Restrictive Food Intake s of Infancy, Childhood, Adolescence Elimination Enuresis Enuresis Sleep Wake s Sleep Wake s Primary Insomnia Insomnia

5 Sexual Dysfunctions Sexual dysfunction due to a medical condition in a female Sexual dysfunction due to a medical condition in a male Sexual Dysfunctions New female sexual interest/arousal disorder New Genito-pelvic/penetration disorder New Sexual Dysfunction due to a medical condition - removed Sexual and Gender Identity s Gender Dysphoria Gender Identity in Children Gender Dysphoria in Children s Usually First Diagnosed in Infancy Disruptive Impulse-Control and Conduct s Oppositional Defiant Oppositional Defiant Childhood-onset type Three types of symptoms: angry/irritable mood, argumentative/defiant, and vindictiveness No exclusion criteria Normal developmental criteria are offered. Severity ratings of mild, moderate, and severe are needed Conduct Adolescent on set type Intermittent Explosive Intermittent Explosive Substance-Related Substance-Related and Addictive s Alcohol Abuse Alcohol Use Alcohol-Related Not Otherwise Specified Gambling Unspecified Alcohol Mild-Related Neurocognitive s (620) (F0.81) Parkinson s Disease Major Neurological due to Parkinson s Disease

6 Personality s Personality s (no changes) Sexual and Gender Identity s Paraphillic s Added in a controlled environment and full remission