DSM

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DSM

used by healthcare
professionals in the United
States and much of the
world as the authoritative
guide to diagnosis of mental
disorders.

It contains descriptions, symptoms, and other criteria necessary


Published by the American
for diagnosing mental health disorders. 
Psychiatric Association (APA)
HISTORY
PROCESS THAT LEAD TO THE NEW MANUAL

• 13 Scientific conferences were held


• Supported by National Institute of Mental Health
• 400 international scientists were involved
• 160 world renowned clinicians (neuroscience, biology, genetics,
statistics, epidemiology, social and behavioral sciences, public health,
psychiatry, psychology, pediatrics , nursing etc.) and researchers
reviewed the literature.
• Finally approved by APA on Dec 1st
DSM-IV-TR Multiaxial System
The DSM-IV was originally published in 1994 and listed more
than 250 mental disorders.
An updated version, called the DSM-IV-TR, was published in
2000.
This version utilized a multiaxial or multidimensional
approach for diagnosing mental disorders. 
• The multiaxial approach was intended to help clinicians and
psychiatrists make comprehensive evaluations of a client's level of
functioning, because mental illnesses often impact many different life
areas.

• It described disorders using five DSM "axes" or dimensions to ensure


that all factors—psychological, biological, and environmental—were
considered when making a mental health diagnosis.
Axis I – Clinical Syndromes
Axis I consisted of mental health and substance use disorders
that cause significant impairment. Disorders were grouped into
different categories such as mood disorders, anxiety disorders,
or eating disorders.
Axis II – Personality Disorders and Mental
Retardation
Axis II was reserved for mental retardation and personality
disorders, such as antisocial personality disorder and histrionic
personality disorder.
Axis III – General Medical Conditions
Axis III was used for medical conditions that influence or worsen Axis I
and Axis II disorders. Some examples include HIV/AIDS and brain
injuries.
Axis IV – Psychosocial and Environmental
Problems
Any social or environmental problems that may impact Axis I or Axis II
disorders were accounted for in this axis. These include such things as
unemployment, relocation, divorce, or the death of a loved one.
Axis V – Global Assessment of Functioning
Axis V is where the clinician gives their impression of the client's
overall level of functioning. Based on this assessment, clinicians could
better understand how the other four axes interacted and the effect on
the individual's life.
Changes in the DSM-5
The DSM-5 contains a number of significant changes from the earlier
DSM-IV and DSM-IV-TR. The most immediately obvious change is the
shift from using Roman numerals to Arabic numbers in the name.
• Perhaps most notably, the DSM-5 eliminated the multiaxial system.
Instead, the DSM-5 lists categories of disorders along with a number
of different related disorders.
• Example categories in the DSM-5 include anxiety disorders, bipolar
and related disorders, depressive disorders, feeding and eating
disorders, obsessive-compulsive and related disorders, and personality
disorders.

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