DSM-5 drafts

Update @ May 3, 2012: APA launched a third and final stakeholder review of proposed revisions to DSM categories and criteria on May 2. The public review and comment period is open until June 15. See this post for information.

American Psychiatric Association (APA) releases third draft of DSM-5 for final stakeholder review and comment

APA Press Release No 24 DSM-5 Draft Criteria Open for Public Comment

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The lastest information on a date for the third and final public review is “no later than May 2012” Darrel Regier, MD, Task Force Vice- Chair

Update @ February 7, 2012

APA Board Materials Packet – December 10-11, 2011

This document from the December 2011 APA Board Meeting “Board packet” sets out the DSM-5 Development program from December 2011 until May 2013:

Download Item 11.A – DSM-5 Task Force Report  from:

http://www.psych.org/Departments/GOV/December-2011-Board-of-Trustees-Meeting.aspx

or open here: Item 11.A – DSM Task Force Report

This report contains:

An overview of DSM-5 text development activities; Current progress and timeline for the DSM field trials;
Scientific Oversight Committee’s (SOC) current progress and timeline for DSM field trials;
Scientific Oversight Committee’s progress in reviewing proposed DSM-5 disorders;
Overview of a Clinical and Public Health (CPH) review process that is to take place in conjunction with the Scientific Oversight Committee’s review;
Plans for the remainder of 2011 and for 2012.

Under Plans for 2012 it reports:

That the primary focus for 2012 will be on completion of initial draft text for all proposed DSM-5 disorders and data analysis of information gathered from the Large Academic Site and the Routine Clinical Practice (RCP) Field Trials.

That all of the text will receive editorial review throughout December and January.

That a penultimate draft of DSM-5 will be presented to the DSM-5 Task Force for their recommendations by February 1, though portions, it says, will be provided beginning in December, as these become available. That the SOC and CPH will continue to conduct reviews through Spring of 2012.

That DSM criteria and text will continue to undergo changes based on reviews and recommendations of these various parties as well on comments received from a third public posting of the DSM-5 criteria on the DSM5.org web site, slated for May, 2012.

That the final draft of DSM-5 will be submitted to the APA Assembly and to the Board of Trustees in Fall of 2012 and submitted to APPI press for publication by December 31.

This report provides further confirmation that in December, it was anticipated the third and final public review of proposals for changes to DSM-IV categories and criteria would be held in May, this year.

DSM-5 stakeholder review and comment exercises

First draft: The American Psychiatric Association (APA) released its first draft proposals for changes to DSM-IV diagnostic categories and criteria on a new APA website, DSM-5 Development, on February 10, 2010. Stakeholder comments were accepted, via the website, until April 20. Over 8,600 comments were reported as having been received by the Task Force and 13 Work Groups in response to this first review.

Second draft: The second draft was published on May 4, 2011, with no prior announcement or news release. The comment period ran until June 15. This was extended on the closing day for a further month, until July 15. Around 2,120 comments were reported as having been received.

According to Task Force Chair, Dr. David Kupfer, MD, the specific diagnostic categories that received the most feedback during the second public review and feedback exercise were sexual and gender identity disorders, followed closely by somatic symptom disorders and anxiety disorders.

Current proposals: Current proposals can be found on the DSM-5 Development website. Note that since the May 2011 stakeholder review and feedback exercise, there will have been revisions to criteria for some categories, to the proposed section placement of some categories and also to the text of some of the Disorder Description and Rationale/Validity PDF documents that accompany a number of category proposals. So please refer to the DSM-5 Development site for the most recent proposals.

Third draft: A third and final draft had been timelined for January-February 2012. This is now expected by May 2012, at the latest, due to delays in the completion of the clinical setting field trials.

DSM-5 Development Timeline: Go here for DSM-5 Development Timeline

Third and final draft

When dates for the third and final draft review becomes available, I will update this page.

As soon as the third draft is posted on the DSM-5 Development website, a notice and links will be posted on this site with instructions on how to register with APA for submitting comment; alerts will also go out on ME agenda on Facebook, Twitter @MEagenda using hashtag #DSM5thirddraft, on Co-Cure Listerv and Phoenix Rising Forum. The custom URL for this page is http://tinyurl.com/third-draft

For the previous two feedback exercises, comments from individuals or on behalf of organizations were accepted via a registration process on the DSM-5 website, for which a valid email address is required for validation purposes. Comments were uploaded via a WYSIWYG/html editor.

These review and feedback exercises are open to all stakeholders in DSM-5  – medical professionals, clinicians, researchers, psychiatrists, psychologists, allied mental health and health professionals, counselors, social workers, OTs, lawyers, teachers, patients and their families, caregivers, advocates and patient organizations.

These public reviews are not run as formal consultation exercises and the Task Force does not publish lists of the names of the professional bodies, organizations, institutions and individuals who have submitted feedback; nor does it usually publish any responses the APA or Task Force might have made.

After the third review period has closed, it isn’t known whether the proposals, as published, will be updated to reflect any edits and revisions made in response to public and professional feedback following closure of the review and before going to press. Nor is it known whether any textual content already drafted will be made available as part of the review.

Current Proposals

Links for the category proposals below can be found at the foot of the DSM-5 Development home page or from the DSM-5 Development site Proposed Revisions dropdown tab.

Neurodevelopmental Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Bipolar and Related Disorders
Depressive Disorders
Anxiety Disorders
Obsessive-Compulsive and Related Disorders
Trauma and Stressor Related Disorders
Dissociative Disorders
Somatic Symptom Disorders
Feeding and Eating Disorders
Elimination Disorders
Sleep-Wake Disorders
Sexual Dysfunctions
Gender Dysphoria
Disruptive, Impulse Control, and Conduct Disorders
Substance Use and Addictive Disorders
Neurocognitive Disorders
Personality Disorders
Paraphilias
Other Disorders
Proposed DSM-5 Organizational Structure and Disorder Names
Proposed Mental Disorder Definition
Conditions Proposed by Outside Sources
Other Clinical Conditions that may be the Focus of Clinical Attention

See Recent Updates to Proposed Revisions for DSM-5

for a list of updates made to the DSM-5 Development site, including changes in draft criteria and other proposed revisions. Some criteria and category descriptions have been updated since the closure of the May-July 2011 stakeholder review period – so please don’t rely on material found on websites or forums.

Some categories, for example, the Somatic Symptom Disorders, have PDF documents associated with them for Disorder Descriptions and Rationale/Validity Propositions. These PDF documents may have also been subject to revision and edits since they were published on the DSM-5 site in May 2011.

APA Resources  

Recent Updates  |  Recent Updates to Proposed Revisions for DSM-5
DSM-5 Field Trials  |

DSM-5 Task Force  |  Includes biosketches and disclosures
DSM-5 Work Groups  |  Includes biosketches and disclosures
Somatic Symptoms Disorders Work Group Includes biosketches and disclosures
Somatic Presentations of Mental Disorders  |  Beijing Symposium (September 6-8, 2006)
Publications from DSM Development   |  Sections: Somatoform Disorders, Task Force Publications

DSM-5 Development News

Newsroom  |
Press Releases  |
Commentaries, Responses and Other DSM-5 News  |
Media Contact  |
Frequently Asked Questions  |

Last updated: May 2, 2012

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