DSM-5: Changes to the Diagnostic and Statistical Manual of Mental Disorders

DSM-5Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard classification of mental disorders used by mental health professionals in the United States. It contains a listing of diagnostic criteria for every psychiatric disorder recognized by the U.S. health care system.

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Revisions Published in 2013

The American Psychiatric Association has announced that DSM-5, the new edition of the Diagnostic and Statistical Manual of Mental Disorders, incorporates significant scientific advances in more precisely identifying and diagnosing mental disorders. DSM-5 provides a common language for patients, caregivers, and clinicians to communicate about the disorders. 

Some of the categories for anxiety disorders have changed. These changes will not affect your ability to find treatment or your current health insurance. Ask your therapist or doctor about how the new criteria may provide a more accurate way to characterize symptoms and assess severity.

Anxiety and Depression Refinements

Much has remained the same in the areas of anxiety and depression, with refinements of criteria and symptoms across the lifespan. Some disorders included in the broad category of anxiety disorders are now in three sequential chapters: Anxiety Disorders, Obsessive-Compulsive and Related Disorders, and Trauma- and Stressor-Related Disorders. This move emphasizes the distinctiveness of each category while signaling their interconnectedness. (See list below.)

One significant change is the developmental approach and examination of disorders across the lifespan, including children and older adults. Some conditions are grouped together as syndromes because the symptoms are not sufficiently distinct to separate the disorders. Others have been split apart into distinct groups.

The DSM-5 is not a treatment guide, and it will not affect the availability of treatments for patients and their loved ones.

DSM-5 Disorders

Anxiety Disorders
Separation Anxiety Disorder
Selective Mutism
Specific Phobia
Social Anxiety Disorder (Social Phobia)
Panic Disorder
Panic Attack (Specifier)
Agoraphobia
Generalized Anxiety Disorder
Substance/Medication-Induced Anxiety Disorder
Anxiety Disorder Due to Another Medical Condition
Other Specified Anxiety Disorder
Unspecified Anxiety Disorder

Obsessive-Compulsive and Related Disorders
Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomania (Hair-Pulling Disorder)
Excoriation (Skin-Picking) Disorder
Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
Obsessive-Compulsive and Related Disorder Due to Another Medical Condition
Other Specified Obsessive-Compulsive and Related Disorder
Unspecified Obsessive-Compulsive and Related Disorder

Trauma- and Stressor-Related Disorders
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
Posttraumatic Stress Disorder
Acute Stress Disorder
Adjustment Disorders
Other Specified Trauma- and Stressor-Related Disorder
Unspecified Trauma- and Stressor-Related Disorder

Depressive Disorders
Disruptive Mood Dysregulation Disorder
Major Depressive Disorder, Single and Recurrent Episodes
Persistent Depressive Disorder (Dysthymia)
Premenstrual Dysphoric Disorder
Substance/Medication-Induced Depressive Disorder
Depressive Disorder Due to Another Medical Condition
Other Specified Depressive Disorder
Unspecified Depressive Disorder

Somatic Symptom and Related Disorders
Illness Anxiety Disorder
(additional disorders not listed)

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