Description
The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) is a classification of mental disorders with associated criteria designed to facilitate more reliable diagnoses of these disorders. With successive editions over the past 60 years, it has become a standard reference for clinical practice in the mental health field. Since a complete description of the underlying pathological processes is not possible for most mental disorders, it is important to emphasize that the current diagnostic criteria are the best available description of how mental disorders are expressed and can be recognized by trained clinicians. DSM is intended to serve as a practical, functional, and flexible guide for organizing information that can aid in the accurate diagnosis and treatment of mental disorders. It is a tool for clinicians, an essential educational resource for students and practitioners, and a reference for researchers in the field.
Although this edition of DSM was designed first and foremost to be a useful guide to clinical practice, as an official nomenclature it must be applicable in a wide diversity of contexts. DSM has been used by clinicians and researchers from different orientations (biological, psychodynamic, cognitive, behavioral, interpersonal, family/systems), all of whom strive for a common language to communicate the essential characteristics of mental disorders presented by their patients. The information is of value to all professionals associated with various aspects of mental health care, including psychiatrists, other physicians, psychologists, social workers, nurses, counselors, forensic and legal specialists, occupational and rehabilitation therapists, and other health professionals. The criteria are concise and explicit and intended to facilitate an objective assessment of symptom presentations in a variety of clinical settings—inpatient, outpatient, partial hospital, consultation- liaison, clinical, private practice, and primary care—as well in general community epidemiological studies of mental disorders. DSM-5 is also a tool for collecting and communicating accurate public health statistics on mental disorder morbidity and mortality
rates. Finally, the criteria and corresponding text serve as a textbook for students early in their profession who need a structured way to understand and diagnose mental disorders as well as for seasoned professionals encountering rare disorders for the first time. Fortunately, all of these uses are mutually compatible.
These diverse needs and interests were taken into consideration in planning DSM-5. The classification of disorders is harmonized with the World Health Organization’s International Classification of Diseases (ICD), the official coding system used in the United States, so that the DSM criteria define disorders identified by ICD diagnostic names and code numbers. In DSM-5, both ICD-9-CM and ICD-IO-CM codes (the latter scheduled for adoption in October 2014) are attached to the relevant disorders in the classification.
Contents
DSM-5 Classification…………………………………………………………xiii
Preface…………………………………………………………………………….. xli
Section I DSM-5 Basics
Introduction……………………………………………………………………….. 5
Use of the Manual………………………………………………………………19
Cautionary Statement for Forensic Use of DSM-5………………… 25
Section II Diagnostic Criteria and Codes
Neurodevelopmental Disorders………………………………………….. 31
Schizophrenia Spectrum and Other Psychotic Disorders……….87
Bipolar and Related Disorders………………………………………….. 123
Depressive Disorders……………………………………………………….155
Anxiety Disorders………………………………………………………………189
Obsessive-Compulsive and Related Disorders………………….. 235
Trauma- and Stressor-Related Disorders……………………………265
Dissociative Disorders……………………………………………………..291
Somatic Symptom and Related Disorders…………………………. 309
Feeding and Eating Disorders………………………………………….. 329
Elimination Disorders……………………………………………………….355
Sleep-Wake Disorders……………………………………………………….361
Sexual Dysfunctions…………………………………………………………423
Gender Dysphoria…………………………………………………………….451
Disruptive, Impulse-Control, and Conduct Disorders…………..461
Substance-Related and Addictive Disorders……………………… 481
Neurocognitive Disorders…………………………………………………. 591
Personality Disorders……………………………………………………….645
Paraphilic Disorders…………………………………………………………685
Other Mental Disorders…………………………………………………… 707
Medication-Induced Movement Disorders
and Other Adverse Effects of Medication……………………….. 709
Other Conditions That May Be a Focus of Clinical Attention .. 715
Section III Emerging Measures and Models
Assessment Measures…………………………………………………….. 733
Cultural Formulation…………………………………………………………749
Alternative DSM-5 Model for Personality Disorders…………….761
Conditions for Further Study……………………………………………. 783
Appendix
Highlights of Changes From DSM-IV to DSM-5………………….. 809
Glossary of Technical Terms……………………………………………. 817
Glossary of Cultural Concepts of Distress…………………………. 833
Alphabetical Listing of DSM-5 Diagnoses and Codes
(ICD-9-CM and ICD-10-CM)……………………………………………. 839
Numerical Listing of DSM-5 Diagnoses and Codes
(ICD-9-CM)………………………………………………………………….. 863
Numerical Listing of DSM-5 Diagnoses and Codes
(ICD-10-CM)………………………………………………………………….877
DSM-5 Advisors and Other Contributors…………………………… 897
Index………………………………………………………………………………. 917