Diagnostic and Statistical Manual of Mental Disorders DSM-5

by American Psychiatric Association

This new edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5(R)), used by clinicians and researchers to diagnose and classify mental disorders, is the product of more than 10 years of effort by hundreds of international experts in all aspects of mental health. Their dedication and hard work have yielded an authoritative volume that defines and classifies mental disorders in order to improve diagnoses, treatment, and research.

The criteria are concise and explicit, intended to facilitate an objective assessment of symptom presentations in a variety of clinical settings -- inpatient, outpatient, partial hospital, consultation-liaison, clinical, private practice, and primary care. New features and enhancements make DSM-5(R) easier to use across all settings:

- The chapter organization reflects a lifespan approach, with disorders typically diagnosed in childhood (such as neurodevelopmental disorders) at the beginning of the manual, and those more typical of older adults (such as neurocognitive disorders) placed at the end. Also included are age-related factors specific to diagnosis. - The latest findings in neuroimaging and genetics have been integrated into each disorder along with gender and cultural considerations.- The revised organizational structure recognizes symptoms that span multiple diagnostic categories, providing new clinical insight in diagnosis. - Specific criteria have been streamlined, consolidated, or clarified to be consistent with clinical practice (including the consolidation of autism disorder, Asperger's syndrome, and pervasive developmental disorder into autism spectrum disorder; the streamlined classification of bipolar and depressive disorders; the restructuring of substance use disorders for consistency and clarity; and the enhanced specificity for major and mild neurocognitive disorders).- Dimensional assessments for research and validation of clinical results have been provided.- Both ICD-9-CM and ICD-10-CM codes are included for each disorder, and the organizational structure is consistent with the new ICD-11 in development.

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, is the most comprehensive, current, and critical resource for clinical practice available to today's mental health clinicians and researchers of all orientations. The information contained in the manual is also valuable to other physicians and health professionals, including psychologists, counselors, nurses, and occupational and rehabilitation therapists, as well as social workers and forensic and legal specialists.

Genres: Psychology, Nonfiction, Reference, Counselling, Mental Health, Psychiatry, School

947 pages, Hardcover

First published May 27, 2013

About the author

APA is an organization of psychiatrists working together to ensure humane care and effective treatment for all persons with mental illness, including substance use disorders.

Reviews

[Justin Dixon · Rating 4 out of 5]

Terrible plot, no character development. Still good though.

[Ben Carter · Rating 4 out of 5]

After reading through some of these reviews I think that it is safe to say that this manual is very easily misunderstood. The two main critiques seem to be that a) Big pharma and the insurance companies had their hands all over it, and b) we are pathologizing normal human behavior.

To address point a, there is not much to be said. It was pretty well established that they were involved. But to suggest that the whole manual is crap because of this is to give no credit to the scientists apart of the individual task forces. Do you really think that they would all roll over and let industry dictate science? If you think yes, then you don't know much about science or scientists.

To address point b, there are lots of problems with that critique. First, if you only read the few diagnosis that you care about, you are not trained to identify "clinically significant distress or impairment", or you don't have any idea why that's important, then you don't have the proper level of reference to to make this claim. The most often over looked section in ever diagnosis is the prevalence rate. This is where the pertinent data on prevalence in the general/clinical population is compiled. Most rates are not above single digits, and when you combine this with the high rates of comorbidity, the DSM does not seem to suggest that everyone could be diagnosed with a mental disorder, as many people seem to think.

Lastly, I want to say that, yes, psychopharmological drugs are over prescribed, and yes, some normal human behavior can be interpreted as pathological. But these are MISUSES of the DSM, and not a flaw of the manual in itself. The DSM makes it pretty clear in every diagnosis that unless you are a qualified mental health professional, you should probably not be diagnosing people all willy nilly. I'm looking at you GPs. My final note is that just because you are not a psychologist or counselor that does not mean you cannot read and understand this book. But if you approach this trying to find fault so you can dismiss the DSM you will find what you are looking for.

[Diogenes Grief · Rating 1 out of 5]

I bestow upon the DSM a 1-star rating. I am a graduate student in a Counseling program, but I am postmodern in my approach and philosophy. To me, the DSM as a THING is the epitome of medical capitalism. If you were to research the creation and manipulation of the DSM over the course of its relatively short lifespan, you'd see the puppet strings reach into the clouds of both Big Pharma and the ultra-powerful insurance consortium. This book directly affects the lives of basically everyone on the planet as a "Westernized" methodology for mental health care sifts into all corners of the globe in the twenty-first century. Psychology is a highly soft science riddled with subjectivities, and the DSM is the cookbook for creating ailments that feed the insurance companies, medical professions, and multinational pharmaceutical industries, all the while hiding beneath a thinly veiled "responsibility" to the millions, if not billions, of people who could use some form of mental health care without being diagnosed, labeled, stigmatized, and marginalized by the almighty and plastic powers that be.

I understand my stance is easy and does not come close to fully addressing the Gordian knot of this issue. Nevertheless, the 1-star stands strong.

[Heather · Rating 3 out of 5]

Ending sucked

[Nina · Rating 2 out of 5]

Relatable, but dense. Pretty dull, too. No plot, characters were all very 2D, and there was a lot of telling, not showing. There was also no dialogue, which is something I look for in a good book.

[Jennifer Lane · Rating 4 out of 5]

As a psychologist, I use this manual often.

So far, what I like:

* No more multiaxial diagnosis! *cheers* I really don't think Axes III, IV, and V added much so I'm glad to see them gone.

* The Major Depressive Disorder specifier of "Anxious Distress". It seems somewhat common to see depression and anxiety co-occur, and this is a better way to diagnose depressed folks with an anxious edge.

* Adding the "Negative Thoughts/Mood" criterion to the diagnosis for Post-Traumatic Stress Disorder. Finally an acknowledgement of the ubiquitous "It's my fault" or "I'm bad" beliefs that occur after trauma.

* Adding Binge Eating Disorder as a diagnosis, and making the Anorexia Nervosa and Bulimia Nervosa diagnoses less stringent/ more real world. It's nice not to diagnose 2/3 of eating disorder clients with the vague Eating Disorder Not Otherwise Specified.

I haven't found changes I dislike yet, though as I get to know the new manual better, those may be forthcoming.

[Robert Weckesser · Rating 4 out of 5]

Great for Self Diagnosis.

Even better for diagnosing friends and family members as borderline narcissists.

[Maricarmen]

991 pages and 75+ case studies later...finishing this whole thing is a disorder in and of itself

[Owlseyes]

I am in awe; what legitimacy could the moon possibly have, when "ordering" a man to kill?? Can that happen? But now psychiatrists say it has/can. The DSM has been updated to incorporate the "lunar motivated homicidal impulse syndrome".*

Some time ago a psychologist tried a "similar" coup, this time around focusing, as so many did/do, on "the Donald". Who knows, maybe the DSM will incorporate, as well, the Epstein "diagnosis": "Sympathetic audience control and a small time window"**

*https://www.theonion.com/dsm-5-update...
**https://eu.usatoday.com/story/opinion...


Further on mental disorders:
https://numerons.files.wordpress.com/...


"The DSM is a joke"
Thomas Szasz
Check here: https://www.goodreads.com/review/show...


UPDATE

I can hardly wait for DSM-6: it will surely include "denialism" as a mental condition. I guess. Beware if you're old and you have high analytical skills.

Ha, it's Friday, today

[Krista · Rating 4 out of 5]

You can't exactly "read" this, but you certainly need to understand it if you're going to work in mental health.

[Sascha Farnell · Rating 5 out of 5]

Grippingly excellent. Psychological thriller. Suspenseful, with an epic twist at the end that I did not see coming! It’s easy to see how Stephen King won a Pulitzer for this masterpiece. Extraordinarily written.

*edit* Stephen King apparently did not write this. What the f-ck did I just read then?

**********************************************
I do jest.
The truth is, I purchased the DSM-V for university and by chapter six I had already diagnosed myself with 17 different mental disorders & behavioural comorbidities. I was shocked to say the least.



My therapist said I only had 16.
Just paid for itself... (handy innit)

[Nadine]

Although this book has no real plot, I definitely related to a few (a lot) of the characters in this book

[Sara · Rating 5 out of 5]

A great tool, will read again! And again. And again.

[Jaq]

Ma quindi esistono persone al mondo normali?

[Jessica · Rating 1 out of 5]

I started reading this book to "find myself" and all this taught me was that I was mentally unstable??

[Irene Goodfellow]

Considero que a lo largo del año lo he estado leyendo diagonalmente en contra de mi voluntad, así que lo meto únicamente por incluirlo las estadísticas por desfogarme. Solo me gustaría reivindicar la inutilidad que supone aprenderse los criterios de memoria como han buscado mis profesores, y que esto es al final del día es solo un manual, una guía. Nadie que se haga llamar psicólogo o psiquiatra debería diagnosticar con este libro en mano marcando casillas, y es absurdo diagnosticarse nada a uno mismo leyendo las condiciones que se nombran sin una visión profesional. A cualquiera que le interese el tema de las enfermedades psiquiátricas le recomendaría leer sobre los orígenes de este manual americano tan famoso, pues no está exento de controversias en la comunidad científica mundial.

[Etienne · Rating 5 out of 5]

Not read cover to cover even if I intent to one day and I will edit this review when this is done.

This is a gift I did to myself! I always wanted to own the DSM since I study a bit of psychology and neuropsychology at the university (it was the DSM-4 at the time). Having it now and browsing through it just made me remember how much I enjoy those classes and how much I would have love to study it more and even be a psychiatrist.

Obviously solidly build, easy to search in it since all is very well categorize and classify. Perfect reference book!

[Anders Demitz-Helin · Rating 4 out of 5]

Still a lot to wish for, but hell of a trip anyway.

[Madeleine Scully · Rating 2 out of 5]

major flop, too heavy, im just a girl, doesn’t fit in my tote bag :(

[Macha]

No character development. Terrible plot. A whole chapter was written about me without my approval 😤 I will be suing…

[Spencer · Rating 3 out of 5]

Has there ever been a book that tries harder to come off as objective? I haven't read it if there is. Maybe I would believe it if i had 8 more years of school to convince me its true. But I got a bad gut feeling about this. Its implied in the title: "fifth edition", that our ideas about mental health have changed a bit in the last hundred years and will likely change in the future. But i do respect this book more than i did before i read it in its entirety.

the word "disorder" is whats at stake. It sounds like something you cant control, or aren't responsible for. Someone who has schizophrenia and regularly hallucinates certainly does seem like a victim. But to say a jerk isn't willfully selfish, but someone suffering from antisocial personality disorder, well. . .maybe it is the case that 3% of the population is so arrogant that it causes problems and distress in their lives and we should call it narcissistic personality disorder, (as the DSM does). But I was happy to read that they do admit that what is an affront to the order of one society may not be a violation of the taboos or norms of another and thus the term disorder is relative.

Now i admit I dont have a phd in this stuff but if im not mistaken i have:
mild depression
mild anxiety
mild intellectual disability disorder
mild social anxiety disorder
mild autism spectrum disorder
mild panic disorder
mild neurocognitive disorder
mild general personality disorder
just a touch of anhedonia
and a survivor of:
childhood OCD
and nightmare disorder

but i have never had rumination disorder- wherein you chew your own cud
(thank goodness!)

here are some sweet "facts":

boys are 50% more likely to be retarded
85% of stutterers start by age 6, and 75% recover
heritability rates for autism range from 37-90%
low birth rate gives a 2 to 3 fold risk for ADHD
5% of kids have ADHD
10% of kids have a learning disorder and they are 7xs as likely to have one if a close relative has one
tourettes is 3xs more prevalent in males
you are less likely to get schizophrenia if you were born in the fall and live rurally
3% of men are pedophiles
10% of women have never had an orgasm
7% of the population is depressed
females are twice as likely as men to have depression or anxiety
8% of U.S. has a phobia, and 16% of teens do
only 3% of people in 3rd world countries have phobias
7% of U.S. has social anxiety disorder but only 2.5% of Europe
11% of U.S. had a panic attack in the last year, 3 % of Europe
compulsive hair pulling (trichotillomania) is 10:1 more likely in women
5% of people are hypochondriacs
over 1% of young women are bulemic
1/3 of adults have insomnia
girls are more likley to wet their pants during the day, boys are more likely to wet their pants at night
male transvestites are more likely to have an older brother
a girl being a tomboy is less likely an indicator of future sexual inclinations than is a boy being effeminate
10% of e. europe are alchoholics (highest) 1% in africa (lowest)
1 in 5 emergency room admissions are alchohol related
females outnumber male kleptomaniacs 3:1

[Jason Dias · Rating 1 out of 5]

There are serious epistemological problems with this work, maybe best elucidated by Allen Frances (http://www.huffingtonpost.com/allen-f...). It is a move from the DSM-IV's theoretical agnosticism to a more definite theoretical framework - one influenced by money and specifically big pharma money. We have new diagnoses without adequate scientific basis and the broadening of some categories to the point of absurdity, as well as a definitive move towards making problems of living into problems of brain chemistry. The solutions to these problems are increasingly those of medicine rather than of compassion.

There are better ways - many better ways - to approach problems of living such as grief, sadness, attentional problems and non-consensus reality interactions than prescribing drugs. The drug companies often provide the only evidence for our epistemologies: that brain chemistry imbalances cause mental illnesses. These statements are extremely problematic not only for their lack of scientific validation but for their consequences - such as a grieving person being offered drugs of dubious efficacy and with high side effect profiles as a first intervention.

[Shay · Rating 4 out of 5]

IT'S OVER D: SUMMER SEMESTER IS OVER...I SURVIVED

[Audrey Campbell · Rating 4 out of 5]

i read this trying to find a diagnosis for one of my teachers

[Ali Taheri · Rating 4 out of 5]

راهنمای تشخیصی و آماری اختلال های روانی ۵

دی اس ام یک راهنمای جامع و مفید برای بالینگران حوزه بهداشت روان است که خیلی ها اون رو به عنوان انجیل روانپزشکان و روانشناسان بالینی میشناسند.

دی اس ام ۵ که در حال حاضر به عنوان آخرین نسخه شناخته میشود دارای تغییراتی عمده نسبت به نسخه قبل میباشد. که مهم ترین تغییرات شامل:

۱-در نسخه ۴ از سیستم طبقه بندی مقوله ای استفاده میشد ،اما در نسخه ۵ علاوه بر آن ،طبقه بندی ابعادی هم به آن اضافه شده است.
۲-استفاده کردن از عنوان اختلالات معین و نامعین در نسخه ۵
۳-تفاوت دیگر نسخه ۵ ،اهمیت دادن به مسائل فرهنگی در تشخیص اختلالات است که باعث اجتناب بالینگر از تشخیص نادرست و ارتباط درمانی بهتر میشود.

عناوین اختلالاتی که در کتاب مطرح شده شامل:

۱-اختلالات رشدی عصبی
۲-طیف اسکیزوفرنیا و سایر اختلالات  روان پریشانه
۳-اختلالات دوقطبی و اختلالات مرتبط
۴-اختلالات افسردگی
۵-اختلالات اضطرابی
۶-اختلالات وسواسی جبری و اختلالات مرتبط
۷-اختلالات مرتبط با سانحه و عوامل استرس زا
۸-اختلالات تجزیه ای
۹-اختلال علائم جسمی و اختلالات مرتبط
۱۰-اختلالات تغذیه و خوردن
۱۱-اختلالات دفعی
۱۲-اختلالات خواب_بیداری
۱۳-اختلالات عملکردی جنسی
۱۴-نارضایتی جنسی
۱۵-اختلالات کنترل تکانه، رفتار های ایذایی و سلوک
۱۶-اختلالات اعتیاد و مرتبط مواد
۱۷-اختلالات عصب شناختی
۱۸-اختلالات شخصیت
۱۹-اختلالات پارافیلیک
۲۰-سایر اختلالات روان

پ.ن۱:ترجمه دکتر فرزین رضایی،دکتر علی فخرایی،دکتر آتوسا فرمند،علی نیلوفری، دکتر ژانت هاشمی آذر، دکتر فرهاد شاملو

پ.ن۲:بخش عمده ای از کتاب به همراه دوستان عزیزم به صورت گروهی مطالعه شد.

آذر ماه ۱۴۰۰

[Sara · Rating 4 out of 5]

یه سری مبانی تشخیصی داره عوض میشه ، دسته بندی یه سری بیماری ها هم داره عوض میشه. ولی خب فعلن سیستم آموزش بیمارستان ما طبق همین پنج بود.
( یه سری تیکه هاشو هم ترجمه خوندم، ترجمه دکتر شاملو، که یکی از استادای خودمون هم بود ترم های اول)

[Sydney Koenig · Rating 3 out of 5]

Mid

[Selena (Fae✨inmysparetime) · Rating 3 out of 5]

Can one rate the DSM? Maybe…as a body of work it’s extensive and involves in-depth swaths of research. Impressive in that way it’s a 4. As a clinicians guide it is one of the unholy grails. There is a need for an update, things need to be added and golly things need to be taken out— the paraphilia’s need a big rethink transvestism disorder really?! (living in the 🦖 ages with most of those ones). So maybe just for the Jurassic aspect of the thinking behind some of the sexual classifications a 3.

[Lynn]

No, I didn't read every word. I read all the introductory material and all the reasons for the changes and all the changed stuff. As a nosology, it's cumbersome and sometimes awkward, but at the moment it's what we have. Read Nancy McWilliams and add that to your diagnostic understandings is my recommendation, folks.

[Blaze-Pascal · Rating 2 out of 5]

Give me back my multiaxial framework... I respectfully disagree with the changes from the DSM IV. Important book tho. People are not objects.