[acb-hsp] DSM-V

[J.Rayl]

Hi.  As some of you may or may not know, the DSMV is the new one which will possibly be published in 2013.  It is slated to be published May, 2013.  However, there are at present 5 lawsuits trying to clock its publication to date.  You might be able to read more about that at www.apa.org, but perhaps not because I think they closed down their site.  In any event, that's where it is now--just took a training.
I'd encourage any of you, especially those of you who must use it or will soon be required to do so, to take trainings on this thing.  There have been some significant changes and we, as clinicians are not going to simply slide into the next DSM-V like those of us did with previous versions.  I remember going from 4 to 4R without even really looking at it, much.
Not happening here.

Some examples:
GAF scales have changed somewhat and now need to be substantiated, where before, we merely slapped them down and assumed everyone would agree.

Personality disorders, especially dissocial (a new one), antisocial and the old conduct Disorder in kids (now can be applied to kids) but must be collatorated by more than one professional observer, documented and for a year--not just slapped down by a clinician.

Bipolar is now divided into:
Bipolar 1, 2 and 3: pretty straight forward and simple, and about half the people diagnosed with it are not going to qualifify now.  They'llhave no DX at all, or the kids will have Disruptive Mood Disorder, or, they'll have what they really do have: Post-traumatic Stress.

And lastly, and I"ll betcha you this is where at least 4 of the lawsuits stem from, Aspergers has been eliminated.  Yeah.
Some criteria of Autism has as well.  Uh huh?
That, my friends, must really hurt.

Oh, they did take out all those subtypes of schizophrenia (which I like because it just confused an already difficult diagnosis)
and they added Attenuated Psychotic Disorder (something like that).
I like that, too.  This is for the many people out there we've been going around calling "schizophrenic" who, quite frankly, are doing quite well, living out one delusional world, but doing darn well in it just the same and don't deserve a whole-encompassing stigmatizing title as far as me, and apparently others, were concerned.

And the last thing you need to know is, you as the clinician will be expected to focus on the problem, not the behavior, and document your outcomes.  In other words, you do not, any longer, treat hording, you treat anxiety.  And you document how you did.
Interesting, and in my opinion, plays right along with managed care and CBT.
There is a high! component on cultural competency too.
For example, hosexual is no longer a mental illness.  Gender Identity Disorder is gone!  
Gender Dysphoric Disorder is there--a person can be dysphoric (depressed or sad) because of problems, discrimination, etc. associated with, but not BECAUSE OF the gender diversity.
(I like it!)

And, (this will hurt) tests have to be culturally sensitive and accessible) before they can be utilized.  Therefore, people who are blind can no longer be diagnosed with "intellectual challenges" (replacement for mental retardation) because they used tests which were not accessible.  <grin>

Farewell and enjoy!

Jessie Rayl
thedogmom63 at frontier.com
www.facebook.com/Eaglewings10
www.pathtogrowth.org
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