DSM-5 November Round up #1

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

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Commentary, Dx Summit

Attenuated Psychosis Syndrome Was Not Actually Removed from DSM-5

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.

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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

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Commentary by Athena Bryan for Brown Political Review:

A Tale of Two Codices: the DSM, ICD and Definition of Mental Illness in America

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.

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Three DSM-5 Somatic symptom disorder related items:

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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:

Editorial: Somatic symptoms: beyond ‘medically unexplained’

Abstract:

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.

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Slide presentation: Francis Creed, University of Manchester, UK:

Can we now explain medically unexplained symptoms?

Francis Creed | Exeter, June 13, 2013 | PDF format

or open PDF [1.5MB] here Creed June 2013 slide presentation

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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

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DSM-5 released: professional and campaigning reaction: Round up #7

Post #262 Shortlink: http://wp.me/pKrrB-3cF

DSM-5 released: professional and campaigning reaction: Round up #7

A considerable amount of media coverage and commentary on DSM-5 has been published since posting Round up #6, on May 24. Occupied with other matters, I shall likely not catch-up. The world will continue to turn.

Here, though, are some recent commentaries from psychiatry and psychology professionals; a report from Prof Sir Simon Wessely on last week’s Institute of Psychiatry’s two day DSM-5 Conference; below that, new Online Assessment Measures documents from the APA’s DSM-5 Resource pages, including Somatic Symptom assessment instruments for 6-17 year olds, and a clarification from CMS on HIPAA and the status of the DSM-5 code sets.

Via Patrick Landman

Pédopsychiatre, Psychiatre, Président d’Initiative Pour une Clinique du Sujet Stop-Dsm, Psychanalyste Membre d’Espace Analytiquea

A statement written and signed by prominent French psychiatrists in response to recent comments by APA President-Elect, Jeffrey Lieberman, was issued, yesterday:

Full text on the STOP-DSM campaign website:

To oppose the DSM-5 is not to oppose psychiatry

Recently, some of the DSM-5 supporters have been trying to portray the opposition against the fifth edition of this manual of the American Psychiatric Association as an opposition to psychiatry and a form of antipsychiatry. This political argument aims to discredit the movement and to subsume it in its entirety, including its numerous variations, under a single label, one that can easily be identified and connected with a certain history, the sixties. Such specious rhetoric allows its authors not to have to respond to serious and well-documented arguments of the DSM-5 critics. In reality, its many opponents from Europe, Australia, South America and even the United States include a great number of psychiatrists, clinical psychologists, social workers and other mental health practitioners… Read on


Report on the website of South London and Maudsely NHS Foundation Trust from Prof Sir Simon Wessely on the Institute of Psychiatry’s recent DSM-5 Conference.

Prof Wessely is Head of the Department of Psychological Medicine and Vice Dean, Institute of Psychiatry, King’s College London. 

DSM-5 at the IoP

Monday June 10, 2013

The latest and fifth version of the Diagnostic and Statistical Manual of the American Psychiatric Association (APA), invariably known as the DSM, was published on 18 May 2013. To mark the occasion, we hosted an international conference at the Institute of Psychiatry from 3-4 June. This was the first such meeting since the launch and the first platform for Professor David Kupfer, Chair of Psychiatry at the Western Psychiatric Institute in Pittsburgh, but more importantly for us, the man who has directed the compilation and development of DSM-5, and who is justly regarded as its architect…

…I used the somatoform disorders as an example of where “DSM feared to tread”. The latest attempt to come up with something that is both empirically rigorous but also suitable for real world use in this particular area represents a small step forward, at least in simplifying an area of previous mind numbing complexity, but I suggested, was unlikely to represent real progress. This is because the DSM (and for that matter the ICD) are both diagnostic systems that are written by psychiatrists but which in this area need to be used by physicians, who ignore them, and concern patients who don’t like them, often fiercely so… Full Text


Essay by Sarah Kamens MA on the Dx Summit platform

DSM-5′s Somatic Symptom Disorder: From Medical Enigma to Psychiatric Sphinx

Sarah Kamens is a Ph.D. candidate in clinical psychology at Fordham University and in media & communications at the European Graduate School (EGS). Her work focuses on diagnostic discourse and sociopolitics in the psy disciplines.


Spiked Review of Books

‘This manual is, frankly, a disaster for children’

Christopher Lane talks to spiked about the new edition of the bible of psychiatry – ‘a legal document facilitating the medication of millions’.

by Helene Guldberg


http://www.psychiatry.org/dsm5

DSM-5 Online Assessment Measures

APA is inviting clinicians and researchers to provide feedback on the instruments’ usefulness in characterizing patient status and improving patient care. There are a large number of documents that can be downloaded from the link above, including:

For Adults

LEVEL 2–Somatic Symptom–Adult (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15])

For Parents of Children Ages 6–17

LEVEL 2—Somatic Symptom—Parent/Guardian of Child Age 6-17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15])

For Children Ages 11–17

LEVEL 2—Somatic Symptom—Parent/Guardian of Child Age 11-17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15])

Clinician-Rated

Clinician-Rated Severity of Somatic Symptom Disorder


Finally, a note on the FAQ pages of the CMS.gov website which clarifies the non official status of DSM-5 code sets:

Frequently Asked Questions

(FAQ1817)

[Q] In current practice by the mental health field, many clinicians use the DSM-IV in diagnosing mental disorders. As of May 19, 2013, the DSM-5 was released. Can these clinicians continue current practice and use the DSM-IV and DSM-5 diagnostic criteria?

[A] Yes. The Introductory material to the DSM-IV and DSM-5 code set indicates that the DSM-IV and DSM-5 are “compatible” with the ICD-9-CM diagnosis codes. The updated DSM-5 codes are crosswalked to both ICD-9-CM and ICD-10-CM. As of October 1, 2014, the ICD-10-CM code set is the HIPAA adopted standard and required for reporting diagnosis for dates of service on and after October 1, 2014.

Neither the DSM-IV nor DSM-5 is a HIPAA adopted code set and may not be used in HIPAA standard transactions. It is expected that clinicians may continue to base their diagnostic decisions on the DSM-IV/DSM-5 criteria, and, if so, to crosswalk those decisions to the appropriate ICD-9-CM and, as of October 1, 2014, ICD-10 CM codes. In addition, it is still perfectly permissible for providers and others to use the DSM-IV and DSM-5 codes, descriptors and diagnostic criteria for other purposes, including medical records, quality assessment, medical review, consultation and patient communications.

Dates when the DSM-IV may no longer be used by mental health providers will be determined by the maintainer of the DSM-IV/DSM-5 code set, the American Psychiatric Association, http://www.dsm5.org

(FAQ1817)

DSM-5 released: Media, professional and advocacy reaction: Round up #6

Post #256 Shortlink: http://wp.me/pKrrB-34A

For earlier responses to the release of DSM-5 see Round up Posts #255, #254, #253, #252, #251 and #249

On May 16, CDC published a new report on children’s mental health which I am including in this DSM-5 round up.

Washington Post: CDC says 20 percent of U.S. children have mental health disorders Tony Pugh, May 19, 2013

Up to one in five American youngsters — about 7 million to 12 million, by one estimate — experience a mental health disorder each year, according to a new report billed as the first comprehensive look at the mental health status of children in the country.

CDC article on new Report released May 16, 2013 can be accessed here:

http://www.cdc.gov/features/childrensmentalhealth/

Report in text format here: Children’s Mental Health – New Report

Report in PDF format here: PDF Children’s Mental Health – New Report

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Thompson Reuters News & Insight: Lawyers worry new measure of mental retardation could prompt more executions Elizabeth Dilts, May 13, 2013


Lexology, US: “DSM-5 anxiety” may be new disorder for employers trying to navigate ADA Squire Sanders, Ryan A. Sobel, May 22, 2013


Pacific Standard, US: Now That the ‘DSM-5′ Is Out Can We Start Talking About the Effect It Will Have? Michael Dahr, May 23, 2013

The newly revised, hotly contested book of psychiatric diagnoses is finally here. How will it change the way we consider and treat substance use problems?

Michael Dahr is a medical and science writer who has written for Livescience.com, Science & Medicine, Iowa Outdoors, and various medical and research institutions.

The Conversation: DSM-5 won’t increase mental health work claims – here’s why Nick Glozier, May 23, 2013

Professor of Psychological Medicine, BMRI & Discipline of Psychiatry at University of Sydney


Times Higher Education: Psychiatry’s cause for anxiety Matthew Reisz, May 23, 2013

Focus on people, not technology or the DSM, to treat mental illness, Tom Burns tells Matthew Reisz


Telegraph, UK: Why are women still considered more insane than men? Will Nicholl, May, 23, 2013


ABC Australia: The Pulse DSM-5: why all the fuss? Claudine Ryan, May 23, 2013

…Dr Maria Tomasic, president of the Royal Australian and New Zealand College of Psychiatrists, says the DSM-5 is a useful tool designed to be used by medical professionals who understand its limitations. “We are concerned about the use of classification systems such as the DSM-5 by institutions such as courts or government bodies who often do not understand the complexity of diagnosis, and seek to simplify difficult decisions about funding or eligibility…”

[Professor Perminder] Sachdev says “it should not be used as a legal document or to help bench-mark social services and welfare payments, nor is it suitable for use in seven-minute consultations in a GPs office”.


Wood TV, US: Shrinks, critics face off over psychiatric manual Associated Press Medical Writer Lindsey Tanner, May 22, 2013


The Take Away, US: Presenter John Hockenberry

The show is a co-production of WNYC Radio and Public Radio International, in collaboration with New York Times Radio and WGBH Boston.

Listen again The DSM and Mental Health in America, May 22, 2013

Guest: Allen Frances, MD | Produced by: Nikolay Nikolov and Jillian Weinberger

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Listen again In Defense of the DSM-5 May 23, 2013

Guest: Jeffrey Lieberman, MD | Produced by: Kristen Meinzer

…the incoming president of the American Psychiatry Association, which revises the DSM, says the criticism is unwarranted. His name is Jeffrey Lieberman, MD, and he’s also chairman of psychiatry at Columbia University.

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From Dx Summit platform

Counselors for Social Justice Position Statement on DSM-5 (first published August, 2011)

For earlier responses to the release of DSM-5 see Posts #255, #254, #253, #252, #251 and #249

DSM-5 released: Media, professional and advocacy reaction: Round up #5

Post #255 Shortlink: http://wp.me/pKrrB-346

For earlier responses to the release of DSM-5 see Posts #254, #253, #252, #251 and #249

Division of Clinical Psychology

Earlier this month, the Division of Clinical Psychology (DCP), a division of the British Psychological Society, published a Position Statement on the “Classification of Behaviour and Experience in Relation to Functional Psychiatric Diagnoses, Time for a Paradigm Shift.”

Lucy Johnstone, who helped formulate the DCP’s Position Statement, contributed to a BBC Radio 3 broadcast, last night.

BBC Radio 3

Duration: 45 minutes | One year left to listen | First broadcast: Wednesday 22 May 2013

Night Waves May 22, 2013

Segment starts at 23:45 mins in and runs for 15 mins

Khaled Hosseini, Man Booker International Prize, Disgraced, the Future of Psychiatry, with Rana Mitter

“The British Psychological Society’s division of clinical psychology is calling for a ‘paradigm shift’ in psychiatry away from diagnosis. They claim treating ‘mental distress’ as an illness stigmatises sufferers and leads us to ignore more complicated social dimensions to conditions like depression or schizophrenia. So what is the way forward for psychiatry? Rana is joined by Lucy Johnstone who helped formulate the BPS’s position, consultant psychiatrist Tom Burns, and the historian of psychiatry Matthew Smith.”


Critical Psychiatry Network

The Critical Psychiatry Network (CPN) has issued a statement on DSM-5, dated May 22, 2013. The Statement can be downloaded from this page or the PDF opened, here, on Dx Revision Watch: CPN statement on DSM-5


Social Justice Solutions

“Is a social worker conceived and operated organization born out of the Stony Brook School of Social Welfare’s commitment to active participation in creating a socially just world.”

In DSM-5: A Call to Opposition for Social Workers, Georgianna Dolan-Reilly, LMSW, calls on the organization’s constituency to oppose DSM-5sign the Open Letter developed by the Society for Humanistic Psychology, Division 32 of the American Psychological Association, and criticizes the National Association of Social Workers (NASW) for not issuing its position on DSM-5.


Social Work Helper

Follow Up Interview with Dr Allen Frances: Dishing the Dirt on the DSM 5 Deona Hooper, MSW May 20, 2013

Article links to: Mother Jones: Psychiatry’s New Diagnostic Manual: “Don’t Buy It. Don’t Use It. Don’t Teach It.” By Michael Mechanic, May 14, 2013, which I don’t think has been previously posted.


Science Live Chat: Does ‘Psychiatry’s Bible’ Need to Be Rewritten? (Video)

Talk to experts in a live Google Hangout about the controversy over the DSM-5 Emily Underwood, May 20, 2013

With Frank Farley, William Eaton and Allen Frances

Join us on Thursday, 23 May, at 3 p.m. EDT on this page for a live Google Hangout to chat with experts about the fate of the DSM. Be sure to leave your questions for our guests in the comment box below. [See site for more details]


New Internationalist: Corporates cashing in on mental-health diagnosis Adam McGibbon, May 21, 2013


Pittsburgh Post-Gazette: Critics blast new manual on mental disorders David Templeton, May 21, 2013

Interview with Brent Dean Robbins, who heads the Psychology Department at Point Park University, is a leading critic of DSM-5 and committee member of the recently launched, Global Summit on Diagnostic Alternatives: An Online Platform for Rethinking Mental Health http://dxsummit.org/


AHRP: Two NIMH Directors Debunk DSM & Deplore Psychiatry’s Unscientific Modus Operandi Vera Sharav, May 8, 2013


San Francisco Weekly: Brain Distrust: Shrinks and Scientologists Find Weird Common Ground Over the DSM-5 Joe Eskenazi, May 22, 2013


Counterpunch, US: Taking on Big Pharma A Mental Health Declaration of Independence Bruce E Levine, May 21, 2013


Economist, US: The DSM-5 Attention, everyone CH, May 22, 2013


New York Times: Mind: The Book Stops Here Richard A Friedman, MD, May 20, 2013


Lexology, US: Employers beware: psychiatry’s latest Diagnostic Manual (DSM-5) creates new mental disorders, expands others, Hunton & Williams LLP, May 20, 2013


Education Week, US: Revised Psychiatric Disorders ‘Bible’ Changes Disability Definitions Christina Samuels on May 20, 2013


Human Resource Executive Online, US: New Mental-Health Manual Likely to Impact HR James J McDonald, Jr., May 22, 2013

Making accommodations for employees with mental disabilities has never been easy, and it’s about to get more difficult with the release of the American Psychiatric Association’s new manual of mental disorders.


Fox News, US: The new DSM-5 fails to accurately describe mental illness Dr Keith Ablow, May 22, 2013


Huffington Post: The Role of Biological Tests in Psychiatric Diagnosis Allen Frances, MD, May 22, 2013


Slate, US: You Do Not Have Asperger’s Amy S F Lutz, May 22, 2013

What psychiatry’s new diagnostic manual means for people on the autism spectrum

For earlier responses to the release of DSM-5 see Posts #254, #253, #252, #251 and #249

DSM-5 released: Media, professional and advocacy reaction: Round up #4

Post #254 Shortlink: http://wp.me/pKrrB-33A

For earlier responses to the release of DSM-5 see Posts #253, #252, #251 and #249

The colour of money

If you want to view the WHO’s ICD-10 “Blue Book” or the “Green Book”, the ICD-10 Tabular List Version: 2010 or the forthcoming US ICD-10-CM you can do so for free, online.

If you want to view the “Purple Book” it’s going to set you back $199 in hardcover and $149 in paperback.

American Psychiatric Association has never given free access to the DSM. According to Task Force chair, David J Kupfer, no change is planned to that policy. An online version is in the pipeline but it won’t be free.

“A digital version is promised within a few months through a secure website and also as mobile device applications. Revisions will be more frequent and most likely would be distributed only electronically…” (APA Leaders Defend New Diagnostic Guide John Gever, Medscape Today, May 18, 2013)

The finalized criteria sets and the texts that accompany the disorder sections are nailed down with copyright permissions and restrictions.

What resources are available for free?

On this page of the American Psychiatric Association’s website, you can view the DSM-5 Table of Contents, a document titled Insurance Implications for DSM-5, Psychiatric News articles, disorder descriptions and rationales fact sheets, videos and a document called Highlights of Changes from DSM-IV to DSM-5. New documents are being added to this page every few weeks.

The DSM-5 Development site, from which the third draft was removed, last November, will remain online. Currently undergoing reorganization, APA says the platform will serve as a resource for clinicians, researchers, insurers, and patients.

There is now a tab page Ask Questions or Provide Feedback with a form for submitting questions and feedback. The page states that as frequent questions are received the answers will be continually added to the FAQ pages.

Down the right hand side of the DSM-5 Development Home Page are links for disorder description and rationale documents for some new and existing disorders. (Note that at the time of writing, not all the links are live links, so you may need to hop to this page, in order to open some of the PDFs.)

At the top of the list of links, there is a new document, Important Coding Corrections and an Insurance Implications FAQ.

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No position statement issued yet from the American Psychological Association, but a Practice Central Update around DSM-5, ICD-10-CM and the cross-walk has been published: Nine frequently asked questions about DSM-5 and ICD-10-CM Practice Research and Policy staff, May 16.

Quick primer on cross-walk from a coding industry site, here: For Mental Health, how do DSM-5, CPT and ICD-10 Codes Interact?

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Medscape Medical News – A Guide to DSM-5

Today, Medscape Medical News has published a 15 section guide highlighting the major additions and revisions in the new DSM-5.

Medscape Medical News from The American Psychiatric Association’s 2013 Annual Meeting

This coverage is not sanctioned by, nor a part of, the American Psychiatric Association.

Medscape Psychiatry: A Guide to DSM-5 Bret S. Stetka, MD, Christoph U. Correll, MD, May 21, 2013


Psychiatric Times > APA Annual Meeting Conference reports

Experts Discuss Changes, Updates in DSM-5

Heidi Anne Duerr, MPH | 22 May 2013

Includes summary of revision of DSM-IV’s Somatoform Disorders to Somatic Symptom and Related Disorders for DSM-5.

“One thing that has not completely changed is the inherent ambiguity in these diagnoses…It will be up to each clinician to determine what “excessive” or “disproportionate” means in terms of pathological response.”

Registration for access to this article may be required.

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Other coverage

Jeffrey A Lieberman gets a little hot under the collar over “misguided and misleading ideologues and self-promoters…spreading scientific anarchy” in a guest blog for Scientific American:

Scientific American Guest Blog | Jeffrey A Lieberman, May 20, 2013

DSM-5: Caught between Mental Illness Stigma and Anti-Psychiatry Prejudice

Dr. Lieberman was installed as President-elect of the American Psychiatric Association (APA); he will serve as APA President from May 2013 to May 2014.

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Three radio and TV broadcasts


PBS Newshour | ANALYSIS AIR DATE: May 20, 2013 | Presenter Judy Woodruff

What DSM-5, Updated Mental Health ‘Bible,’ Means for Diagnosing Patients

Transcript plus Listen again on mp3

SUMMARY

The American Psychiatric Association released a new edition of the DSM, which doctors use to diagnose and treat mental disorders. Judy Woodruff discusses the changes and implications for both patients and professionals with Dr. Michael First of Columbia University and Dr. Steven Hyman of the Broad Institute.


World News Australia Radio | May 22, 2013, 9:00 am – Source: Kerri Worthington, SBS

Controversy over ‘psychiatry bible’

Transcript plus Listen again on mp3

Quotes from Associate Profressor Tim Carey, also Professors Helen Christensen, executive director of the Black Dog Institute, Perminder Sachder and Gordon Parker

An update to a highly influential mental health manual, the so-called bible of psychiatry, has been unveiled to criticism from both within and without the profession.


ABC Australian Broadcasting Corporation | May 20, 2013 | Reporter: Emma Alberici

Normal behaviour defined as mental illness

Transcript plus 15.58 mins Video available to watch again

Allen Frances, MD, talks to Emma Alberici on DSM-5 and diagnostic inflation.

For earlier responses to the release of DSM-5 see Posts #253, #252, #251 and #249

DSM-5 released: Media, professional and advocacy reaction: Round up #3

Post #253 Shortlink: http://wp.me/pKrrB-332

For earlier responses to release of DSM-5 see Posts #252, #251 and #249

The Conversation

Two visions for understanding illness: DSM and the International Classification of Diseases
James Bradley, Lecturer in History of Medicine/Life Science at University of Melbourne, May 22, 2013

DSM-5 tells us more about psychiatry than psychiatrists
Prof, Sir Simon Wessely, Professor of Psychological Medicine at King’s College London, May 20, 2013

Under new psychiatric guidebook we might all be labelled mad
Allen Frances, Professor Emeritus of Psychiatry at Duke University, May 20, 2013

Explainer: What is the DSM?
Peter Kinderman, Professor of Clinical Psychology at University of Liverpool, May 20, 2013

Mental disorders: debunking some myths of the DSM-5
Perminder Sachdev, Scientia Professor of Neuropsychiatry, Centre for Healthy Brain Ageing (CHeBA), School of Psychiatry at University of New South Wales, April 18, 2013

Five new mental disorders you could have under DSM-5, May 20, 2013
Authors: Christopher Fairburn, Professor of Psychiatry at University of Oxford; Christopher Lane, Professor of English at Northwestern University; David Mataix-Cols, Professor and Honorary Consultant Clinical Psychologist at King’s College London; Jon Grant; Professor of Psychiatry and Behavioral Neuroscience at University of Chicago; Karen M. von Deneen, Associate Professor at Xidian University

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The Dana Foundation: Psychiatric Drug Development: Diagnosing a Crisis Steven E Hyman, MD, April 02, 2013

Steven E Hyman, MD, resigned from the DSM-5 Task Force in 2012. Dr Hyman remains listed as Chair of the APA-WHO International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders

Update: Commentary by Bernard Carroll at Health Care Renewal, April 6, 2013


Blogs Psych Central: Video NIMH’s Thomas Insel on a New Understanding of the Brain Sandra Kiume, April 2013

Video: 13:04 mins

NIMH’s Thomas Insel on a New Understanding of the Brain By Sandra Kiume

Director of the National Institute for Mental Health Thomas Insel gives a TED Talk on the new domain criteria research direction, and how an important first step is to reframe mental illness as brain disorders.

By doing so, diverse fields like psychology, cognitive science, molecular neuroscience, genetics, psychiatry, and more can work together toward a new understanding of the mind.


NIMH: Mental Disorders as Brain Disorders: Thomas Insel at TEDxCaltech, April 23, 2013

Video 15:05 mins


Psycritic: What If the NIMH Succeeds? What Then? May 11, 2013

A child psychiatrist takes a critical look at psychiatry, the news, culture, etc


Jonathan Turley: From DSM-I to DSM-5 in the Legal System: Mental Illness Issues in the Courtroom Charlton Stanley (Otteray Scribe), guest blogger, May 19


Canada.com: Infighting, boycotts, resignations: Psychiatry faces another crisis of confidence Sharon Kirkey, Postmedia News, May 17

Includes Allen Frances video


Radio New Zealand: New reference manual issued by Psychiatric Assn May 19


Healio Psychiatric Annals: APA President-Elect: ‘Our time is now’ May 19


Los Angeles Times Review of Books: Andrew Scull on The Book of Woe: The DSM and the Unmaking of Psychiatry and Hippocrates Cried : The Decline of American Psychiatry Andrew Scull, May 19

Delusions of Progress: Psychiatry’s Diagnostic Manual

Essay length article that includes reference to the legal threats issued on behalf of American Psychiatric Publishing against Dx Revision Watch site, in December 2011.


Truth Dig: British Psychologists Find Fault With DSM-V Alexander Reed Kelly, May 16

England’s Division of Clinical Psychology, which represents more than 10,000 practitioners, has criticized the latest edition of the field’s leading diagnostic manual for its categorizing of normal behaviors—such as shyness in children and depression after the death of a loved one—as medical problems treatable with drugs…


New York Post: We’re all mad here, New psychiatry manual turns ordinary American life into mental disorders Allen Frances, MD, May 18

Millions of people who went to sleep last night thinking they were normal woke up this morning with a new mental disorder…


Medscape Medical News, Psychiatry: Use DSM-5 ‘Cautiously, If at All,’ DSM-IV Chair Advises Pam Harrison, May 17

“I believe that the American Psychiatric Association (APA)’s financial conflict of interest, generated by DSM publishing profits needed to fill its budget deficit, led to premature publication of an incompletely tested and poorly edited product,” Dr. Frances states.

“The problems associated with the DSM-5 prove that the APA should no longer hold a monopoly on psychiatric diagnosis…. The codes needed for reimbursement are available for free on the Internet.”


Spiked Online, UK: Our brains aren’t moulded by abuse Ken McLaughlin. May 16

So, is mental distress caused by faulty genes or by past experiences of childhood abuse? Maybe it’s neither.


For earlier responses to release of DSM-5 see Posts #252, #251 and #249
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