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Transcript
Defining and Indentifying Psychological Disordeers DSM IV • The Diagnostic and Statistical Manual of Mental Disorders (DSM) is published by the American Psychiatric Association – provides a common language and standard criteria for the classification of mental disorders. – It is used in the United States and in varying degrees around the world, by clinicians, researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, and policy makers. • The DSM has attracted controversy and criticism as well as praise. – There have been five revisions since it was first published in 1952, gradually including more mental disorders • ADD was included in the last revision – some disorders have been removed and are no longer considered to be mental disorders – The DSM V will be completed in the next couple of years • Latest controversies center around giving out too many diagnoses and too many medications Tourette Syndrome: An example of a disorder in the DSM IV • Tourette's is one of several tic disorders, which are classified by the Diagnostic and Statistical Manual of Mental Disorders • Tourette's is diagnosed when multiple motor (movement) tics, and at least one phonic (vocal) tic, are present for more than a year. • Although Tourette's is a more severe type of tic disorder (on the spectrum of tic disorders), most cases are mild. The severity of symptoms varies widely among people with Tourette's, and mild cases may be undetected. Using the DSM IV • Many mental health professionals use the manual to determine and help communicate a patient's diagnosis after an evaluation • hospitals, clinics, and insurance companies in the US also generally require a 'five axis' DSM diagnosis of all the patients treated • The DSM can be used clinically in this way, and also to categorize patients using diagnostic criteria for research purposes.
