This included homosexuality which the DSM-1 classified as a “sociopathicpersonality disturbance.”
As with the DSM-I, the symptoms of these disorders were not always clearly defined.
DSM-IV
The DSM-IV published in 1994 listed 410 disorders in 886 pages.
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DSM-5
The DSM-5 published in 2013 was not a major revision of the DSM-4.
Rather, it focused largely on deleting numerous subtypes that caused overlaps in diagnoses and sowed confusion among clinicians.
From the 410 conditions listed in the DSM-4, the DSM-5 offered 298.
Others may be more complex.
Other changes include:
What Is the DSM-5 Used For?
The DSM-5 serves as the principal authority for psychiatric diagnoses in the United States.
The DSM-5 contains descriptions, symptoms, and other criteria to help clinicians make reliable diagnoses of mental disorders.
However, itdoes notinclude information or guidelines for the treatment of any disorder.
Based on the ICD-10 code of a DSM-5 diagnosis, a treatment may be approved or denied.
While the DSM-5 focuses on mental disorders, conditions involving the mind and brain are often inseparable.
Some criteria are behavioral (like repetitive behaviors) while others may be emotional (like distress).
There will also be a specific period during which a person must experience symptoms to make it be diagnosed.
The DSM-5 also offers a category called “unspecified disorder” which allows a clinician to forgo specification.
The DSM-5 Checklist
The DSM-5 checklist is a list of diagnostic criteria for each classified mental disorder.
The checklist is structured as a questionnaire and administered by a trained clinician during a one-on-one interview.
Each of these responses is assigned a numerical score.
The scores are then added up and interpreted by the clinician.
American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR).
Washington, DC: APA; 2022.
American Psychiatric Association.DSM history.
Substance Abuse and Mental Health Services Administration.2.
DSM-IV to DSM-5 changes: overview.
In:DSM-5 Changes: Implications for Child Serious Emotional Disturbance.Rockville, MD: SAMHSA; 2016.
Lingiardi V, McWilliams N.The Psychodynamic Diagnostic Manual - 2nd edition (PDM-2).World Psychiatry.
