The DSM-5

The Diagnostic and Statistical Manual of Mental Disorders is now in its Fifth Edition. The DSM-IV was published in 1994. The DSM-5 was released this May 2013.

Some significant changes have been made to the category of Dissociative Disorders and to the definition of Depersonalization Disorder.

The following is a brief summary of these changes.

“Major changes in dissociative disorders in DSM-5 include the following:

1) derealization is included in the name and symptom structure of what previously was called depersonalization disorder and is now called depersonalization/derealization disorder

2) dissociative fugue is now a specifier of dissociative amnesia rather than a separate diagnosis, and

3) the criteria for dissociative identity disorder have been changed to indicate that symptoms of disruption of identity may be reported as well as observed, and that gaps in the recall of events may occur for everyday and not just traumatic events.”

See the DSM-5 Website (here) for further information. I will be updating information directly from the textbook over the next few months.

Link Updates and Diagnoses Defined

For those battling mental disorders and the stigma associated with them, it seems psychiatry and neurology are working at a snail’s pace. However, as I’ve noted so many times, the brain is the most complex organ in the body and advances in neurology and all medicine contribute to the understanding of all illnesses.

The “current” DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) was released in 1994. It was in essence out of date before it was published. The DSM-5 will most likely be coming out in 2013. The DSM is uniquely associated with the United States, in part because of Freud’s tremendous influence here. Another document, The ICD (The World Health Organization’s International Classification of Diseases) includes many disorders noted in the DSM, but has coded them differently and placed certain disorders in different categories -- though in many ways their definitions are identical indicating the universality of such disorders in individuals worldwide.

The ICD first included psychiatric disorders in 1949, the first DSM was published in 1952. As in all medical fields technology has increased our understanding of all diseases. And the changes can be dramatic.
It is my belief that the DSM will become part of the WHO’s ICD and there will be no DSM-6. We do need more universal codification in many diagnostic categories in the DSM and ICD, and this is currently are a matter of bitter debate.


Now, see more for updated links on the disorders I have, and have discussed in my symptom section. I again cannot say with certainty which contributed more to my illnesses -- Nature or Nurture. But Nature and Nurture are inextricably linked. This again refers back to the Stress-Diathesis model of ANY illness.

Caveat Emptor: If this were an official research paper I would have detailed citations for the information provided. Do not rely on this general information as detailed or fully acurate. I am only attempting to illustrate the complexity of diagnosing mental disorders. Read More...

Participate in Editing the DSM-5

The American Psychiatric Association is again revising the old Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 1994). The DSM-5 will hopefully be published in 2013.

Certain brain disorders are being redefined and their diagnostic criteria being clarified. Depersonalization Disorder, for the first time, will be recognized as a disorder that can be COMORBID with other disorders -- not simply a secondary symptom.

We all need to participate to support this change, and reiterate the need for education of physicians and other mental health professionals who seem very ill-informed on our disorder. It is important we speak up in numbers. Depersonalization Disorder is far more common than believed. Help make this known to the APA. This will subsequently affect (and be reflected in) the updated ICD (International Classification of Medical Disorders.)

We must be heard! Read on and follow the link to participate. Read More...