Psychiatry 'bible' structure overhauled
May 4th, 2011
05:44 PM ET

Psychiatry 'bible' structure overhauled

Reflecting a new understanding of many mental illnesses, the proposed organization for the newest edition of the "bible" of psychiatry is now open for public comment at dsm5.org.

The American Psychiatric Association this week released its vision for the next Diagnostic and Statistical Manual of Mental Disorders (DSM V). The updates incorporate insights from research since 1994,  the last time the manual was issued with substantial changes, the organization said. Publication of the DSM V is scheduled for 2013.

An earlier version of proposed information for the DSM V was released in February 2010. Tuesday, the American Psychiatric Association put out a more specific framework for how the new manual would be organized, showing connections between disorders that were previously unlinked. The goals are to call attention to commonalities and underlying vulnerabilities in certain groups of conditions, and to spur further research in those areas, said Dr. Darrel Regier, director of the Division of Research at the American Psychiatric Association.

"This organizational framework is trying to emphasize that we don’t have strict divisions between disorders," Regier said.

For instance, Asperger's syndrome, a high-functioning form of autism, instead of being its own diagnosis, would now fall under the broader “austism spectrum disorders.” This move has some parents unhappy because "autism" sounds scarier than Asperger's, which has taken on its own identity in that community, and because children with Asperger's have specific educational needs that are different from kids with more severe autism.

But the association has heard from other parents frustrated that their children with Asperger's are denied special education benefits reserved for autism, Regier said. And biologically speaking, Asperger's is a form of autism, doctors say.

There are many other notable changes. For instance, binge eating now gets an official diagnosis as an eating disorder. Anorexia has been redefined so that it doesn't necessarily include amenorrhea, since there are some women with this eating disorder who do have some menstrual activity. These revisions and others may help patients previously classified as "eating disorder not otherwise specified" (EDNOS), which had rendered some people ineligible for adequate insurance coverage for proper care.

And "Obsessive-Compulsive and Related Disorders" is now its own category, which includes OCD in addition to separate diagnoses of hoarding, skin-picking disorder, hair-pulling disorder (trichotillomania), and body dysmorphic disorder, among others. The rationale is that these conditions are all related, but are distinct and may require different treatments. For example, people with hoarding won't necessarily respond to the same psychotherapy or medication typically given for OCD, Regier said.

The revisions will be open for comment until June 15. Field trials will take place over the summer to test out the revisions in clinical settings. The American Psychiatric Association hopes to put out its next update on the DSM V after January 1, 2012, Regier said.

soundoff (118 Responses)
  1. FgrsEncox

    generic viagra with dapoxetine viagra pfizer viagra 4 pack

    December 12, 2020 at 12:52 | Report abuse | Reply
  2. FsfgEncox

    cialis paypal viagra viagra online buy viagra online

    December 13, 2020 at 05:35 | Report abuse | Reply
  3. FhsnZisse

    next day shipping viagra cheap viagra express shipping mail order viagra

    December 14, 2020 at 14:49 | Report abuse | Reply
  4. bitcoin to paypal

    Transfer from bitcoin to paypal very fast and low cost.


    December 15, 2020 at 18:53 | Report abuse | Reply
  5. DvnjZisse

    where to buy viagra in us overnight delivery viagra in india chennai viagra online canada discover card

    December 16, 2020 at 20:16 | Report abuse | Reply
  6. zortilonrel

    Does your blog have a contact page? I'm having trouble locating it but, I'd like to send you an email. I've got some recommendations for your blog you might be interested in hearing. Either way, great site and I look forward to seeing it expand over time.


    January 4, 2021 at 13:08 | Report abuse | Reply
  7. NllpZisse

    erectile dysfunction pills best drugstore bb cream rx

    January 9, 2021 at 14:20 | Report abuse | Reply
  8. KhthMile

    canada drugs online erectile dysfunction treatment 24 hour pharmacy

    January 9, 2021 at 15:01 | Report abuse | Reply
  9. AqwsEncox

    online pharmacy no prescription best drugstore eyeliner pharmacy rx

    January 10, 2021 at 08:52 | Report abuse | Reply
  10. FgvdZisse

    drug store news ce pharmacy rx one best canadian pharmacy

    January 10, 2021 at 12:45 | Report abuse | Reply
  11. FwsxEncox

    24 hr pharmacy near me pharmacy online pharmacy reviews

    January 11, 2021 at 07:54 | Report abuse | Reply
  12. JtmfEncox

    best online canadian pharmacy online pharmacies pharmacy orlando

    January 11, 2021 at 13:25 | Report abuse | Reply
  13. LokuEncox

    ed pills that work quickly on line pharmacy erectile dysfunction

    January 13, 2021 at 08:39 | Report abuse | Reply
  14. NlbxZisse

    online generic viagra canadian drugs real viagra viagra online adelaide viagra on line purchase buy viagraa online viagra usa viagra prescription filled online cialis vs levitra vs viagra which one is better viagra for sale us viagra with dapoxetine online indianapolis viagra viagra with dapoxetine without a prescription buy cheap viagra i want buy viagra in mumbai wats rate wo is shop viagra onlilne

    January 13, 2021 at 18:35 | Report abuse | Reply
  15. KlioMile

    viagra for women cheap generic viagra online australia online viagra 2 day shipping where to buy viagra in toronto quickly does insurance cover viagra viagra cheap 100mg viagra livraison 24h online viagra reviews viagra overnight watch viagra at work using viagra united states viagra online viagra super active viagra for sale malaysia best viagra alternatives

    January 14, 2021 at 10:07 | Report abuse | Reply
  16. FgnhZisse

    jeneric viagra for sale professional viagra cialis viagra professional buy cheap viagra in canada viagra with depoxatine overnight shipping viagra for sale no prescription buy viagra viagra for sale sa viagra online\\ canadian viagra pharmacy viagra online south africa viagra 25 or 50? viagra for women for sale generic drugs viagra the truth about super viagra

    January 14, 2021 at 16:24 | Report abuse | Reply
  17. NlbxZisse

    brand cialis usa cialis canada no prescription cialis with dapoxetine australia overnight delivery http://cialijomen.com/ – original cialis product dapoxetine ’

    January 18, 2021 at 19:16 | Report abuse | Reply
  18. KbctMile

    what is brand cialis where to buy cialis in australia cialis in malaysia http://mycialedst.com/ – where to buy cialis online ’

    January 19, 2021 at 10:17 | Report abuse | Reply
  19. FbdhZisse

    cialis online canada paypal cialis without persriction health plus cialis http://21cialismen.com/ – buy cialis 36 hour online ’

    January 19, 2021 at 17:03 | Report abuse | Reply
  20. AqbvEncox

    buying viagra online in netherland,paypal viagra cheap online order ggeneric viagra for sale http://acialaarx.com/ – brand viagra australia ’

    January 20, 2021 at 03:41 | Report abuse | Reply
  21. JbdcEncox

    online viagra australia paypal average age for viagra viagra free trial online http://llviabest.com/ – viagra without a rx ’

    January 21, 2021 at 06:52 | Report abuse | Reply
  22. LcxEncox

    viagragel 4 pack viagra viagra without prescription needed http://genqpviag.com/ – viagra without prescription ’

    January 23, 2021 at 00:02 | Report abuse | Reply
1 2

Leave a Reply to someoneelse


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.