Hi,
Here is the link to a draft copy.
http://www.dsm5.org/Pages/Default.aspx
DSM-5: The Future of Psychiatric Diagnosis
Here is a link to rethinking dx of Mixed Episode
http://www.dsm5.org/ProposedRevision...n.aspx?rid=428
Quote:
A) If predominantly Manic or Hypomanic, full criteria are met for a Manic Episode (see Criteria for Manic Episode) or Hypomanic Episode (see Criteria for Hypomanic Episode), and at least 2-3 of the following symptoms are present nearly every day for at least a one week period. Symptoms must be unusual or uncharacteristic of the person’s usual behavior:
PLACEHOLDER SYMPTOM LIST
- depressed/down,
- decreased interest/pleasure,
- psychomotor retardation
- fatigue,
- worthlessness/guilt,
- death/suicide.
B) If predominantly Depressed, full criteria are met for a Major Depressive Episode (see Criteria for Major Depressive Episode), and at least 2-3 of the following symptoms are present nearly every day for at least a one week period. Symptoms must be unusual or uncharacteristic of the person’s usual behavior.
PLACEHOLDER SYMPTOM LIST
- expansive or irritable (considerable discussion whether irritability belongs on this list)
- grandiose
- increased/pressured speech,
- flight of ideas or racing thoughts without depressive content
- increased or excessive involvement in activities that have high potential for painful consequences.
- Increased goal directed activity
-Increased energy
- Decreased need for sleep [We need language to help clinicians decide difference between decreased need for sleep, and inability to sleep – maybe “feels rested on less than normal amount of sleep”]
C) For those who meet full episode criteria for both Mania and Depression, they should be labeled as having a Manic Episode, with mixed features, due to the marked impairment and clinical severity of full mania.
|
Here is a link to the article the Washington Post that explains some other disorders in the DSM-5:
http://www.washingtonpost.com/wp-dyn...000005_pf.html
Changes proposed in how psychiatrists diagnose
Quote:
Sure to generate debate, the draft also proposes diagnosing people as being at high risk of developing some serious mental disorders - such as dementia or schizophrenia - based on early symptoms, even though there's no way to know who will worsen into full-blown illness. It's a category the psychiatrist group's own leaders say must be used with caution, as scientists don't yet have treatments to lower that risk but also don't want to miss people on the cusp of needing care.
Another change: The draft sets scales to estimate both adults and teens most at risk of suicide, stressing that suicide occurs with numerous mental illnesses, not just depression.
But overall the manual's biggest changes eliminate diagnoses that it contends are essentially subtypes of broader illnesses - and urge doctors to concentrate more on the severity of their patients' symptoms. Thus the draft sets "autism spectrum disorders" as the diagnosis that encompasses a full range of autistic brain conditions - from mild social impairment to more severe autism's lack of eye contact, repetitive behavior and poor communication - instead of differentiating between the terms autism, Asperger's or "pervasive developmental disorder" as doctors do today.
The psychiatric group expects that overarching change could actually lower the numbers of people thought to suffer from mental disorders.
|