Download Obsessive Compulsive and Related Disorders

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Document related concepts

Kleptomania wikipedia, lookup

Political abuse of psychiatry in Russia wikipedia, lookup

Anti-psychiatry wikipedia, lookup

Schizoid personality disorder wikipedia, lookup

Bipolar II disorder wikipedia, lookup

Dysthymia wikipedia, lookup

Mental status examination wikipedia, lookup

History of psychiatric institutions wikipedia, lookup

Anxiety disorder wikipedia, lookup

Reactive attachment disorder wikipedia, lookup

Rumination syndrome wikipedia, lookup

Gender dysphoria wikipedia, lookup

Paraphilia wikipedia, lookup

Obsessive–compulsive personality disorder wikipedia, lookup

Glossary of psychiatry wikipedia, lookup

Obsessive–compulsive disorder wikipedia, lookup

Personality disorder wikipedia, lookup

Bipolar disorder wikipedia, lookup

Panic disorder wikipedia, lookup

Factitious disorder imposed on another wikipedia, lookup

Emergency psychiatry wikipedia, lookup

Separation anxiety disorder wikipedia, lookup

Autism spectrum wikipedia, lookup

Depersonalization disorder wikipedia, lookup

Schizoaffective disorder wikipedia, lookup

Generalized anxiety disorder wikipedia, lookup

Conversion disorder wikipedia, lookup

Causes of mental disorders wikipedia, lookup

Mental disorder wikipedia, lookup

Controversy surrounding psychiatry wikipedia, lookup

Pyotr Gannushkin wikipedia, lookup

Antisocial personality disorder wikipedia, lookup

Spectrum disorder wikipedia, lookup

Conduct disorder wikipedia, lookup

Dissociative identity disorder wikipedia, lookup

Child psychopathology wikipedia, lookup

Excoriation disorder wikipedia, lookup

Asperger syndrome wikipedia, lookup

History of psychiatry wikipedia, lookup

Narcissistic personality disorder wikipedia, lookup

Abnormal psychology wikipedia, lookup

Classification of mental disorders wikipedia, lookup

History of mental disorders wikipedia, lookup

Diagnostic and Statistical Manual of Mental Disorders wikipedia, lookup

Transcript
Obsessive Compulsive
and Related Disorders
The upcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) will include a new chapter on Obsessive-Compulsive and Related Disorders to reflect the increasing evidence
of these disorders’ relatedness to one another and distinction from other anxiety disorders, as well as
to help clinicians better identify and treat individuals suffering from these disorders.
Disorders grouped in this new chapter have features in common such as an obsessive preoccupation
and repetitive behaviors. The disorders included in this new chapter have enough similarities to group
them together in the same diagnostic classification but enough important differences between them to
exist as distinct disorders.
Disorders in this chapter include obsessive-compulsive disorder, body dysmorphic disorder and trichotillomania (hair-pulling disorder), as well as two new disorders: hoarding disorder and excoriation (skinpicking) disorder.
Hoarding Disorder
Hoarding disorder is characterized by the persistent difficulty discarding or parting with possessions,
regardless of the value others may attribute to these possessions. The behavior usually has harmful effects—emotional, physical, social, financial, and even legal—for the person suffering from the disorder
and family members. For individuals who hoard, the quantity of their collected items sets them apart
from people with normal collecting behaviors. They accumulate a large number of possessions that
often fill up or clutter active living areas of the home or workplace to the extent that their intended use
is no longer possible.
Symptoms of the disorder cause clinically significant distress or impairment in social, occupational
or other important areas of functioning including maintaining an environment for self and/or others.
While some people who hoard may not be particularly distressed by their behavior, their behavior can
be distressing to other people, such as family members or landlords.
Hoarding disorder is included in DSM-5 because research shows that it is a distinct disorder with distinct treatments. Using DSM-IV, individuals with pathological hoarding behaviors could receive a diagnosis of obsessive-compulsive disorder (OCD), obsessive-compulsive personality disorder, anxiety
disorder not otherwise specified or no diagnosis at all, since many severe cases of hoarding are not
accompanied by obsessive or compulsive behavior. Creating a unique diagnosis in DSM-5 will increase
public awareness, improve identification of cases, and stimulate both research and the development of
specific treatments for hoarding disorder.
This is particularly important as studies show that the prevalence of hoarding disorder is estimated at
approximately two to five percent of the population. These behaviors can often be quite severe and
even threatening. Beyond the mental impact of the disorder, the accumulation of clutter can create a
public health issue by completely filling people’s homes and creating fall and fire hazards.
Excoriation (Skin-Picking) Disorder
Excoriation (skin-picking) disorder is characterized by recurrent skin picking resulting in skin lesions.
Individuals with excoriation disorder must have made repeated attempts to decrease or stop the skin
picking, which must cause clinically significant distress or impairment in social, occupational or other
important areas of functioning. The symptoms must not be better explained by symptoms of another
mental disorder.
This disorder is included in DSM-5 because of substantial scientific literature on excoriation’s prevalence, diagnostic validators and treatment. Studies show that the prevalence of excoriation is estimated
at approximately two to four percent of the population. Resulting problems may include medical issues
such as infections, skin lesions, scarring and physical disfigurement.
Process for a New Diagnosis
New diagnoses were included in DSM-5 only after a comprehensive review of the scientific literature;
full discussion by Work Group members; review by the DSM-5 Task Force, Scientific Review Committee,
and Clinical and Public Health Committee; and, finally, evaluation by the American Psychiatric Association’s Board of Trustees. Trustees approved the final diagnostic criteria for DSM-5 in December 2012.
DSM is the manual used by clinicians and researchers to diagnose and classify mental disorders. The American Psychiatric
Association (APA) will publish DSM-5 in 2013, culminating a 14-year revision process.
APA is a national medical specialty society whose more than 37,000 physician members specialize in the diagnosis, treatment, prevention and research of mental illnesses, including substance use disorders. Visit the APA at www.psychiatry.org .
For more information, please contact APA Communications at 703-907-8640 or [email protected]
© 2013 American Psychiatric Association
Order DSM-5 and DSM-5 Collection
at www.appi.org
2 • Obsessive Compulsive and Related Disorders