DSM-5 November Round up #1
November 27, 2013
Post #285 Shortlink: http://wp.me/pKrrB-3zQ
Recent documents issued by the American Psychiatric Association at DSM-5 Development
Coding Changes Update: Important Coding and Criteria Updates: UPDATED 11/22/13
APA Statement issued 10.31.13: Statement on DSM-5 Text Error Pedophilic disorder text error to be corrected
Text Corrections: DSM-5 Paraphilic Disorders 10/31/13
Criteria Update: Updates to DSM-5 Adjustment Disorders: 10/15/13
Coding Changes Update: Neurocognitive Disorders Coding Updates: UPDATED 10/18/13
Psychiatric News Article: ICD Codes for Some DSM-5 Diagnoses Updated, Mark Moran, 10/7/13
Commentary, Dx Summit
by Sarah Kamens
Note from Dx Revision Watch: Here is another codable diagnosis slipped in by APA before going to press. Between closure of the third DSM-5 draft review and publication of the final code sets a “Brief somatic symptom disorder,” where duration of symptoms is less than 6 months, was added under new category, “Other specified Somatic Symptom and Related Disorder” cross-walked to ICD 300.89 (F45.8) [DSM-5, Page 327]. This “Other specified” category can be used for symptom presentations that do not meet the full criteria for any of the disorders in the Somatic symptom and related disorders diagnostic class.
This means that as little as a single, distressing physical symptom + just one psychobehavioural symptom from the Somatic symptom disorder “B type” criteria, with less than 6 months chronicity would meet criteria for a codable mental disorder. A “Brief illness anxiety disorder” diagnosis of less than 6 months duration has also been inserted under this code – neither of which were in the third draft.
Commentary from Christopher Lane, Ph.D., at Side Effects, Psychology Today:
The OECD Warns on Antidepressant Overprescribing Antidepressant consumption not matched by an increase in global diagnoses
Christopher Lane | November 22, 2013
Commentary by Athena Bryan for Brown Political Review:
Athena Bryan | November 21, 2013
Note from Dx Revision Watch: I have added a comment to this article, noting that APA has proposed the following new DSM-5 disorders for inclusion in the forthcoming U.S. specific ICD-10-CM via the September 18-19, 2013 meeting of the ICD-9-CM Coordination and Maintenance Committee: Binge eating disorder (BED); Disruptive mood dysregulation disorder (DMDD); Social (pragmatic) communication disorder; Hoarding disorder; Excoriation (skin picking) disorder; Premenstrual dysphoric disorder (PMDD); that DSM-5′s new constructs, Somatic symptom disorder (SSD) and Illness anxiety disorder were also proposed for insertion into the ICD-10-CM Tabular List and Index; that the ICD-10-CM is a “clinical modification” of WHO’s ICD-10 and is scheduled for U.S. implementation in October 2014; that its development from the ICD-10 has been the responsibility of NCHS.
Three DSM-5 Somatic symptom disorder related items:
Editorial British Journal of Psychiatry:
Editorial: Michael Sharpe, DSM-5 Somatic symptom disorder Work Group member BJP November 2013 203:320-321; doi: 10.1192/bjp.bp.112.122523:
Somatic symptoms may be classified as either ‘medically explained’ or ‘medically unexplained’ – the former being considered medical and the latter psychiatric. In healthcare systems focused on disease, this distinction has pragmatic value. However, new scientific evidence and psychiatric classification urge a more integrated approach with important implications for psychiatry.
Note from Dx Revision Watch: Unless NCHS rejects the proposal submitted at the September 18-19, 2013 meeting of the ICD-9-CM Coordination and Maintenance Committee, Somatic symptom disorder is destined for insertion into the ICD-10-CM Tabular List under F45 Somatoform Disorders as an inclusion term to F45.1 Undifferentiated somatoform disorder and for adding to the Alphabetic Index. See http://wp.me/pKrrB-3×1.
Slide presentation: Francis Creed, University of Manchester, UK:
Francis Creed | Exeter, June 13, 2013 | PDF format
or open PDF [1.5MB] here Creed June 2013 slide presentation
Book chapter: Polypharmacy in Psychiatry Practice, Volume I: Multiple Medication Use Strategies:
Polypharmacy in Psychiatry Practice, Volume I: Multiple Medication Use Strategies, Ritsner, Michael S (Ed.) 2013, XVII, 287 p ISBN: 978-94-007-5804-9 (Print) 978-94-007-5805-6 (Online)
Chapter 11: Multiple Medication Use in Somatic Symptom Disorders: From Augmentation to Diminution Strategies
Most of Chapter 11, Pages 243-254 (pp 247-249 omitted) can be previewed on Google Books here