Friday, March 18, 2022

APA Releases DSM-5-TR—Fully Revised Version of DSM

Today APA released the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). The manual, which the APA has published and updated since 1952, defines and classifies mental disorders in order to improve diagnosis, treatment, and research.

Developed with the help of more than 200 subject matter experts, DSM-5-TR includes the fully revised text and references of DSM-5, all of the updates that have been made to DSM-5 since 2013, and updated diagnostic criteria and ICD-10-CM insurance codes. It features a new disorder, prolonged grief disorder, as well as codes for suicidal behavior and nonsuicidal self-injury. The category “Unspecified Mood Disorder” was restored in DSM-5-TR for mixed mood presentations that do not meet criteria for a bipolar or depressive disorder.

Diagnostic criteria have been revised for several disorders, primarily for clarification. These include changes in the criteria sets for the following diagnoses:

  • Autism spectrum disorder
  • Manic episode
  • Bipolar I and bipolar II disorder
  • Cyclothymic disorder
  • Major depressive disorder
  • Persistent depressive disorder
  • PTSD in children
  • Avoidant-restrictive food intake disorder
  • Delirium
  • Substance/medication-induced mental disorders
  • Attenuated psychosis syndrome (in the chapter “Conditions for Further Study”)

For the first time in the history of DSM, two groups—the Ethnoracial Equity and Inclusion Work Group and the Cross-Cutting Culture Review Group, composed of more than 40 experts—provide a comprehensive review and update of the impact of culture, race, and racism on diagnosis.

“This text revision reflects the most recent updates in the literature with the added lens of ethno-cultural and racial constructs in diagnosis as well as sex and gender constructions,” said APA President Vivian Pender, M.D., in a statement. “It will be a powerful tool in the hands of psychiatrists and other mental health clinicians as we work to diagnose and treat our patients. In producing this volume, APA continues to advance the science of the mind.”

“Two hundred expert researchers and practitioners put in countless hours to ensure that the DSM-5-TR is an indispensable contribution to our understanding of mental illness,” said APA CEO and Medical Director Saul Levin, M.D., M.P.A. “We are grateful to all who contributed to its production and look forward to seeing it used by researchers, clinicians, and students worldwide.”

For related information, see the Psychiatric News articles “Updated DSM-5 Text Revisions to Be Released in March,” “Impact of Culture, Race, Social Determinants Reflected Throughout New DSM-5-TR,” and “Facts About DSM-5-TR.”

APA members may purchase the manual at a discount on APA Publishing’s website.

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