Differences Between DSM V & DSM IV-TR

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Neurodevelopmental Disorders
1) Intellectual Disability *Mental Retardation
- adaptive functioning is the severity scale *IQ
2) Language Disorder
- receptive-expressive language disorders
3) Speech Sound Disorder *Phonological Disorder
4) Child-Onset Fluency Disorder *Stuttering
5) Social (Pragmatic) Communication Disorder *subset of autism spectrum disorder
- persistent difficulties in social cues of verbal and nonverbal communication
- not coexist with stereotypic behaviors
6) Autism Spectrum Disorder
- combined autism, asperger's, childhood disentegrative disorder, and PDD-NOS into one spectrum *categorically distinct from each other
- criteria: 1 deficits in communication, 2 restricted repetitive behaviors
7) Attention-Deficit / Hyperactive Disorder
- present prior age 12 *prior age 7
- comorbid ASD diagnosis now allowed
- adult: 5 symptoms, children: 6 symptoms
8) Specific Learning Disorders
- combined diagnosis on reading, math, written, learning disorders *distinct from each other
- NOS if dyslexia or dyscalculia

Schizophrenia Spectrum & other Psychotic Disorders
1) Schizophrenia
- elimination of bizarre delusions and 1st rank auditory (2 or more voice conversing)
- elimination of subtypes *paranoid, catatonic, disorganized, undifferentiated
2) Schizoaffective Disorder
- major mood episode present after criterion A has been met
3) Delusional Disorder
- no need to be non-bizarre
- merged with shared delusional disorder
4) Catatonia
- used as specifier, separate diagnosis
- requires 3/12 symptoms *2/5 symptoms

Bipolar and other Related Disorders
1) Bipolar Disorders
- changes in activity, energy, and mood *Bipolar I Disorder: mixed mania and depressive episode
- no need for simultaneous mania and depressive episode
- anxious distress added

Depressive Disorders
1) Major Depressive Disorder
- almost as is
- 3 manic symptoms now possible using "w/ mixed features
- can give diagnosis durinh bereavement
- suicidal and anxious distress added

Anxiety Disorders
1) Agoraphobia, Specific Phobia, Social Anxiety Disorder (Social Phobia)
- no more anxiety as excessive unreasonable bcoz clients overestimate danger
- 6 months duration for all ages *under age 18
2) Panic Attack
- as is
- types: unexpexted & expected *situationally/cued, situationally predisposed, and unexpected/uncued
3) Panic Disorder
- distinct from Agoraphobia (no more with or without)
4) Separation Anxiety Disorders
- regardless of age
- duration of 6 months or more for adults *limited to age 18 below
5) Selective Mutism
- classified as anxiety disorder *disorder during infancy, childhood, or adolescence

Obsessive-Compulsive and Related Disorders
- now separated from anxiety disorders
- tic related symptoms included
1) Body Dysmorphic Disorder
- repetitive acts in response to flaws
- with muscle dysmorphia added
- delusions about body defects NOT delusional disorder or somatic type
2) Hoarding Disorder
- now distinct from OCD and OCPD
3) Trichotillomania (hair-pulling disorder)
- now included under OCD *included under impulse-control disorders
4) Excoriation (skin-picking)
- newly added
5) Other specified OCD
- body-focused repetitive behavior disorder (nail-bitting, lip biting, cheek chewing)
- obsessional jealousy

Trauma and Stress-Related Disorders
1) Acute Stress Disorder
- 9/14 symptoms in the ff: intrusion, negative mood, dissociation, avoidance, and arousal
- subjective reaction to traumatic events removed
2) Adjustment Disorders
- heterogenous array of stress response syndrome after the distressing event *residual category
3) Posttraumatic Stress Disorder
- experienced directly, witnessed, or experienced indirectly should be indicated
- subjective reaction to traumatic events removed
- 4 cluster of symptoms: re-experiencing, avoidance, numbing, and arousal changes *3 clusters; avoidance/numbing
- diagnostic threshold for children lowered, separate criteria for age 6 and below
4) Reactive Attachment Disorder
- distinct from Social Engagement Disorder (resembles ADHD)

Dissociative Disorders
1) Dissociative Fugue
- no longer separate from dissociative disorders
- specifier for dissociative amnesia
2) Dissociative Identity Disoders
- pathological possession or possesion-form phenomena are included

Somatic Symptoms and Related Disorders *Somatoform Disorder
- somatization disorder, hypocondriasis, pain disorder, and undifferentiated somatoform disorder removed
1) Illness Anxiety Disorder *Hypocondriasis
- high health anxiety without somatic symptoms
2) Conversion Disorder (Functional Neurological Symptom Disorder)
- emphasis on neurological findings

Feeding & Eating Disorders
- now includes individual of any age *distinct from feeding disorders for children
1) Avoidant/Restrictive Food Intake Disorder *feeding disorder of infancy or early childhood
2) Anorexia Nervosa
- as is
- amenorrhea has been eliminated
3) Bulimia Nervosa
- binge eating decreased from twice to once a week *twice weekly
4) Binge-Eating Disorder
- separate diagnosis *apendix B for further study

Sexual Dysfunctions
- all dysfunctions requires a minimum of 6 months duration
1) Female Sexual Interest/Arousal Disorder
- now merged *distinct
2) Genito-pelvic Pain/Penetration Disorder
- now merged *vaginismus and dyspareunia are distinct
3) Gender Dysphoria *Gender Identity Disorder
- change in conceptualization to gender incongruence

Substance-Related and Addictive Disorders
- substance abuse and dependence are now merged
1) Gambling Disorder
- included with substance-related disorders

Neurocognitive Disorders
1) Major Neurocognitive Disorder *Dementia
2) Mild Neurocognitve Disorder *subthreshold dementia
3) Personality Disorders
- as is

Paraphilic Disorder *Paraphilia
- not mental disorder unless they cause distress to the person
- criterion A: qualitative nature
- criterion B: negative consequences of behavior

Reviewer: Abnormal PsychologyStories to obsess over. Discover now