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DSM IV-TR

DSM IV-TR. A little history. 1800s common “diagnoses” were idiocy and insane Data gathering in 1900s, leading to DSM in 1952 1968 (II), 1980 (III), 1987 (IIIR), 1994 (IV), 2000 (IV-TR), DSM 5 in 2013. The 5 Axes. Mental Disorder Personality Disorders and/or Mental Retardation

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DSM IV-TR

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  1. DSM IV-TR

  2. A little history • 1800s common “diagnoses” were idiocy and insane • Data gathering in 1900s, leading to DSM in 1952 • 1968 (II), 1980 (III), 1987 (IIIR), 1994 (IV), 2000 (IV-TR), DSM 5 in 2013

  3. The 5 Axes • Mental Disorder • Personality Disorders and/or Mental Retardation • Physical illness or Medical Conditions • Psychosocial Stressors • Global Assessment of Functioning

  4. The 5 Axes – An Example • Major Depression, 296.2 • No diagnosis • Type II diabetes • Family member was victimized in violent crime, trial is ongoing • 75 current; 95 past year.

  5. Concerns re: diagnosis • Diagnosis involves interpretation-it’s not absolute and misdiagnosis occurs. • Labeling can have negative effects on a person’s self concept and self-esteem • Labeling and stigma can lead to prejudice and discrimination. • Provides a forum for an ever-expanding list of disorders. Increased pathologizing as opposed to seeing “problems in living.”

  6. Benefits of diagnosis • Universality of diagnosis-we’re all talking from the same page. • Conducive to research. • Validation of the disorder for benefit of the patient/family, etc. • Validation of the disorder to justify benefits.

  7. Search and Find In your small group…. • How many different categories of disorders are in the DSM IV-TR? • Look at the criteria for any five different disorders and identify one thing common to all of them. • What category is trichotillamania in and how did you figure this out? • What do the initials “NOS” mean? • How many different disorders are listed in the Anxiety Disorders category? • What do you find particularly interesting in the DSM IV TR?

  8. Changes in the DSM 5 • Addiction and Related Disorders

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