DSM-5-TR: New Updates to the DSM-5 Explained

Summary

This video offers a detailed overview of the updates to the DSM-5, published in March 2022. It introduces a new disorder, Prolonged Grief Disorder, and incorporates ICD-10 codes, including new ones for suicidal behavior and non-suicidal self-injury. The revision emphasizes cultural sensitivity, updates diagnostic criteria for over 70 disorders, and focuses on the impact of racism and discrimination on mental health. It also refines language to be more inclusive and avoids binary classifications in gender-related assessments.

Takeaways

• 📚 The video is a summary of key changes to the DSM-5, published in March 2022, and is aimed at students and mental health professionals.
• 🔗 The presentation is not affiliated with the American Psychiatric Association (APA) and is based on direct sources without endorsement.
• 🆕 A new disorder, Prolonged Grief Disorder, has been added to the DSM-5, previously listed as a condition for further study.
• 📉 The DSM-5 has transitioned from using ICD-9 to solely ICD-10 codes, aligning with the U.S.'s official coding system.
• ➕ Two new ICD codes have been introduced: one for suicidal behavior and another for non-suicidal self-injury.
• 👶 Criteria and disorder descriptions have been updated for over 70 disorders to better capture the experiences and symptoms of children.
• 🌐 Increased attention has been given to cultural, racial, and discrimination factors in the diagnosis and manifestations of mental disorders.
• 🏥 The term 'racialized' is used to emphasize the socially constructed nature of race, and terms like 'minority' and 'non-white' are avoided to prevent perpetuating social hierarchies.
• 📊 The WHO Disability Assessment Schedule (WHODAS 2.0) has been updated with clarifications on calculating summary scores.
• 🔍 The conditions for further study section has been updated, with Persistent Complex Bereavement Disorder now recognized as Prolonged Grief Disorder.

Q & A

What is the TR in the context of the DSM-5?

The TR stands for Text Revision and refers to the updated fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) with the most current text updates based on scientific literature and expert input.

Why was the TR of the DSM-5 developed?

The TR was developed to incorporate new scientific findings and expert input to improve the classification and diagnosis of mental disorders, and to ensure the manual remains current and relevant.

How many new codes were added for suicidal behavior and non-suicidal self-injury in the TR?

Two new codes were added, one for suicidal behavior and one for non-suicidal self-injury.

What is the significance of the change from ICD-9 to ICD-10 in the TR?

The change to ICD-10 reflects the official coding system shift in the U.S. and streamlines the DSM-5 TR to align with the current international standard for disease classification.

What is the new disorder added in the TR?

Prolonged Grief Disorder is the new disorder added to the TR, which was previously listed as a condition for further study in the DSM-5.

How does the TR address the impact of racism and discrimination on mental disorders?

The TR reviews the impact of racism and discrimination on the diagnosis and manifestations of mental disorders, and it includes attention to the risk of misdiagnosis in historically marginalized or socially oppressed groups.

What changes were made to the criteria for Autism Spectrum Disorder in the TR?

The criterion A for Autism Spectrum Disorder was revised for clarity, changing from 'as manifested by the following' to 'as manifested by all of the following'.

How does the TR update the language used in the description of Gender Dysphoria?

The TR updates the language in Gender Dysphoria to be more culturally sensitive, changing terms like 'desired gender' to 'experienced gender' and 'cross-sex medical procedure' to 'gender affirming medical procedure'.

What is the purpose of the section on 'Assessment Measures' in the TR?

The 'Assessment Measures' section in the TR offers tools and techniques to help clinicians understand the cultural context of mental disorders and facilitate further study of proposed emerging diagnoses.

What changes were made to the cultural context and conditions for further study in the TR?

The TR includes more specific language for diagnostics relevant to children, revisions to ensure non-stigmatizing and non-generalizing language, and an outline for a more systematic person-centered cultural assessment.

Why was the term 'racialized' used instead of 'race' or 'racial' in the TR?

The term 'racialized' was used to highlight the socially constructed nature of race, moving away from terms that may perpetuate social hierarchies.