Feb. 10, 2010 - The first draft of the new psychiatric manual -- the DSM-V, to be finalized in 2013 -- makes major changes in how a wide range of mental illnesses will be diagnosed.
Nothing is set in stone, says the American Psychiatric Association (APA) task force that is writing the new diagnostic "bible" -- the Diagnostic and Statistical Manual of Mental Disorders Version V, which will replace the DSM-IV written in 1994.
But some of the changes would be radical:
- Say good-bye to Asperger's syndrome -- it would now be at the mild end of the "autism spectrum disorder"
- Say hello to "temper dysregulation with dysphoria" or TDD, a new category of mood disorder for some children now lumped together with those suffering the more severe bipolar disorder.
- Say good-bye to "substance abuse" and "substance dependence." Addiction disorders would be named after the addictive substance, such as "cannabis-use disorder" and "alcohol-use disorder."
- A new category of "risk syndromes" would diagnose troubled teens with symptoms such as disordered thinking as having "psychosis risk syndrome."
Public comments are welcome until April 20, and the new diagnoses will be tested in three sets of field trials before the DSM-V becomes final.
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