DSM-5 Task Force Ponders Round 2 of Public Feedback

Parent Cafe
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<p>[Medscape:</a> Medscape Access](<a href=“http://www.medscape.com/viewarticle/748835]Medscape:”>DSM-5 Task Force Ponders Round 2 of Public Feedback)</p>

<p>"According to Dr. Kupfer, the specific diagnostic categories that received the most feedback were sexual and gender identity disorders, followed closely by somatic symptom and anxiety disorders.
Dr. David Kupfer
“In addition, the Neurodevelopmental Work Group continued to receive commentary on the issue of autism. But I think it was much, much less than it had received previously. After that, there was a reasonable drop-off in the other groups,” he said.</p>

<p>Substance abuse and mood disorders received the next highest number"</p>

<p>[Home</a> | APA DSM-5](<a href=“http://www.dsm5.org/Pages/Default.aspx]Home”>http://www.dsm5.org/Pages/Default.aspx)</p>

<p>Any of you weigh in?</p>

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<p>I am glad to see them eliminating “addiction” from the DSM-5, though they have overlapping patterns of cravings, tolerance, withdrawal included in the catch-all list, and then a separate check-off for physiological dependence. I’m not sure how helpful that is (but it’s better than the old one.)</p>

<p>No more loose talk about sex addiction or food addiction, etc.</p>

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<p>I heard the DSM-5 was eliminating NPD (Narcissistic Personality Disorder). Is that correct? Another question – in terms of deciding what gets included and what gets excluded, it probably has a huge impact on insurance company’s willingness or ability to pay for certain disorders – i.e., if it’s in the DSM-5, then it might be covered, but if it’s not, it isn’t. Is that correct?</p>

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<p>Insurance companies can and do deny coverage of treatments for some diagnosis in the DSM.</p>

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<p>I’ve heard that DSM-5 moves away from the “checklist of symptoms” approach currently in use. Is that true? If true, what is your thinking about that?</p>

<p>Thanks!</p>

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<p>In the case of substance abuse, they actually expanded the checklist approach:</p>

<p>[Proposed</a> Revision | APA DSM-5](<a href=“http://www.dsm5.org/ProposedRevision/Pages/proposedrevision.aspx?rid=431]Proposed”>http://www.dsm5.org/ProposedRevision/Pages/proposedrevision.aspx?rid=431)</p>

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<p>“I’ve heard that DSM-5 moves away from the “checklist of symptoms” approach currently in use. Is that true? If true, what is your thinking about that?”</p>

<p>I have not heard that, I will have to check it out. I believe there are discussions of “continuums” or similar…what is that I always read here on CC…“so and so is on the spectrum”? I suppose that could be related. FWIW, most specialists have never had a “checklist of symptoms” approach. If you read carefully, DSM was never intended to be used as a checklist for diagnosis. I think we have the internet, drug companies, and maybe the primary care doctors they …harass…no that’s not the word…is it “detail”?..to thank for that. I think of the DSM as primarily for agreement among researchers, and to an extent, for clinicians to understand the type of patients that are included in the research. </p>

<p>NOT a fan, but not sure I’m a fan of the “spectrum” idea either.</p>