DSM 5 TR Update for Mental Health Professionals (Abridged Version)

Dr. Aaron Norton

13 May 202282:31

EducationalLearning

32 Likes 10 Comments

TLDRThe webinar discusses the DSM-5 TR, the newest edition of the Diagnostic and Statistical Manual of Mental Disorders. It highlights the changes from previous editions, including one new disorder, Prolonged Grief Disorder, and updates to diagnostic criteria and terminology to better reflect socio-cultural shifts and ethno-racial equity. The webinar also addresses the controversy surrounding the term 'Latinx' and its usage in the DSM-5 TR, emphasizing the importance of cultural sensitivity in mental health diagnosis and treatment.

Takeaways

📚 The DSM-5 TR is an update to the DSM-5, with changes including one new disorder, updated diagnostic criteria, and fixed errors.
🌟 The National Board of Forensic Evaluators (NBFE) is a non-profit organization endorsed by several mental health associations, offering training and certification in forensic mental health.
📈 DSM-5 TR includes updated statistical information to reflect the latest research, moving away from ICD-9 codes and focusing solely on ICD-10 codes.
🔄 Changes in terminology were made to address ethnoracial equity and inclusion, such as replacing 'race' with 'racialized' and 'Hispanic/Latino' with 'Latinx'.
🧠 The only new mental disorder introduced in DSM-5 TR is Prolonged Grief Disorder, which was previously listed in Section 3 of DSM-5 as Persistent Complex Bereavement Disorder.
🤝 The DSM-5 TR was developed through a collaborative effort involving over 200 multi-disciplinary subject matter experts, including psychiatrists, psychologists, and other mental health professionals.
🌐 The revision process for DSM-5 TR involved reviewing and updating literature from the past decade, ensuring the content is current and relevant.
📝 The diagnostic criteria for existing disorders were revised to be more clear and to address diagnostic discrepancies.
💡 DSM-5 TR includes updated cultural considerations, recognizing the impact of culture, race, and ethnicity on mental health disorders and diagnosis.
🔄 The term 'Prolonged Grief Disorder' replaces previous terms like 'Complicated Grief' and is characterized by intense yearning, emotional pain, and preoccupation with the deceased.
📊 The DSM-5 TR reflects ongoing debates and considerations around gender and identity, with changes made to better represent non-binary and diverse experiences.

Q & A

What is the primary focus of the DSM-5 TR?
-The primary focus of the DSM-5 TR is to update the text, including information on prevalence and statistics rates, to reflect the latest research and data from the past 10 years.
What is the significance of the term 'racialized' as used in the DSM-5 TR?
-The term 'racialized' is used to acknowledge that race is a socially constructed concept that involves more than just physical characteristics, including culture and other factors.
What is the new disorder added in the DSM-5 TR?
-The only new disorder added in the DSM-5 TR is Prolonged Grief Disorder.
How has the term 'Latinx' been received in the DSM-5 TR?
-The term 'Latinx' has been controversial, with many Latin Americans not recognizing or using it, and some finding it offensive. It is intended to be more inclusive of non-binary individuals but has faced criticism for not being traditionally used in Spanish and for potentially imposing a non-Latin American concept onto the language and culture.
What changes were made to the diagnostic criteria for Autism Spectrum Disorder in the DSM-5 TR?
-The DSM-5 TR clarified the diagnostic criteria for Autism Spectrum Disorder to maintain a high diagnostic threshold and address concerns about overdiagnosis.
What is the rationale behind removing the ICD-9 codes from the DSM-5 TR?
-The ICD-9 codes were removed from the DSM-5 TR because they are no longer in use, as the transition to ICD-10 was completed in October 2015.
How does the DSM-5 TR address cultural considerations in its revisions?
-The DSM-5 TR includes updated language and diagnostic criteria to be more culturally sensitive and inclusive, as well as the work of the Ethno-Racial Equity and Inclusion Work Group to address disparities in diagnosis and treatment.
What is the significance of the change from 'desired gender' to 'experienced gender' in the DSM-5 TR?
-The change from 'desired gender' to 'experienced gender' is meant to reflect the understanding that gender is a social construct, not a biological determinant, and the term 'experienced' better captures an individual's personal identification with their gender.
What is the role of the DSM-5 Task Force, DSM Steering Committee, and Revision Subcommittee in the DSM revision process?
-The DSM-5 Task Force created the DSM-5, the DSM Steering Committee oversees the overall process, and the Revision Subcommittee is responsible for specific updates and revisions to the diagnostic criteria and text.
How does the DSM-5 TR handle the diagnosis of conditions not yet fully recognized as disorders?
-The DSM-5 TR includes conditions like Suicidal Behavior and Non-Suicidal Self-Injury as diagnoses with assigned codes in the 'Other Conditions That May Be a Focus of Clinical Attention' chapter, allowing for better tracking and communication of these conditions without labeling them as full disorders.

Outlines

00:00

🎤 Introduction to DSM-5 TR Webinar

The speaker welcomes participants to the National Board of Forensic Evaluators' webinar on the DSM-5 TR, highlighting the significance of the new edition and its differences from previous versions. The speaker introduces the National Board, its services, and offers contact information for further inquiries. The webinar aims to provide a comprehensive understanding of the DSM-5 TR, including its history, updates, and the introduction of Prolonged Grief Disorder.

05:02

📈 DSM-5 TR Changes and Statistics

The speaker discusses the evolution of the DSM from its first edition in 1952 to the current DSM-5 TR, emphasizing the increase in diagnostic categories and the shift towards a more scientific and research-informed diagnostic process. The speaker explains the changes in the DSM-5 TR, including the addition of one new disorder, updates to diagnostic criteria, and the removal of ICD-9 codes, reflecting a decade of new research and statistics.

10:03

🌐 Cultural Considerations in DSM-5 TR

The speaker addresses the DSM-5 TR's efforts to incorporate cultural issues, including the work of expert groups on culture, sex, gender, suicide, and forensics. The speaker notes the replacement of terms like 'race' with 'racialized' and the introduction of 'ethnoracial' to better reflect the complexity of racial and ethnic identities. The speaker also discusses the controversy surrounding the term 'Latinx' and its use in the DSM-5 TR.

15:04

🧬 Terminology and Disorder Updates in DSM-5 TR

The speaker delves into specific terminology changes in the DSM-5 TR, such as the replacement of 'Caucasian' with 'non-Latinx white' and the shift from 'Hispanic' to 'Latino.' The speaker also outlines updates to disorder diagnoses, including changes to Autism Spectrum Disorder, Disruptive Mood Dysregulation Disorder, and Post-Traumatic Stress Disorder (PTSD), aiming to provide clarity and maintain diagnostic thresholds.

20:06

📚 DSM-5 TR Diagnostic Criteria and specifiers

The speaker continues discussing updates to diagnostic criteria in the DSM-5 TR, including changes to specifiers for various disorders. The speaker explains the rationale behind these changes, such as the addition of severity specifiers for bipolar disorder and the clarification of criteria for Major Depressive Disorder. The speaker also mentions the addition of Suicide Behavior and Non-Suicidal Self-Injury as diagnosable conditions, reflecting a shift in how these behaviors are clinically understood and coded.

25:07

🤝 Case Study: Prolonged Grief Disorder

The speaker presents a case study of 'Francesca,' a woman grieving the suicide of her son, to illustrate the application of the new Prolonged Grief Disorder diagnosis in the DSM-5 TR. The speaker walks through Francesca's symptoms and experiences, comparing them against the diagnostic criteria for Prolonged Grief Disorder, and discusses the potential benefits of recognizing this as a distinct disorder.

30:08

🌟 DSM-5 TR and Future Considerations

The speaker concludes the webinar by discussing the hesitation within the psychiatric community to add new disorders to the DSM, due to the potential for pathologizing normal experiences and the difficulty of removing diagnoses once they are established. The speaker reflects on the process of adding Prolonged Grief Disorder to the DSM-5 TR and the evidence supporting its inclusion, emphasizing the importance of ongoing research and discussion in the field of mental health.

Mindmap

Keywords

💡DSM-5 TR

The DSM-5 TR (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision) is a manual published by the American Psychiatric Association, providing standardized criteria for the classification of mental disorders. It is a critical resource for mental health professionals. In the video, the DSM-5 TR is discussed as an update to the DSM-5, with changes in diagnostic criteria and the addition of new disorders.

💡Prolonged Grief Disorder

Prolonged Grief Disorder is a new mental health condition included in the DSM-5 TR. It is characterized by an intense yearning or longing for the deceased, often accompanied by emotional pain and preoccupation with thoughts or memories of the deceased. This disorder is distinct from typical grieving processes, as it persists beyond what is considered a culturally normative period of mourning and causes significant distress or impairment in functioning.

💡Mental Health Professionals

Mental health professionals are individuals trained and licensed to provide therapeutic and psychological services. This group includes psychiatrists, psychologists, counselors, and social workers. In the context of the video, mental health professionals are the target audience for the webinar, as they are the primary users of the DSM-5 TR in diagnosing and treating mental disorders.

💡National Board of Forensic Evaluators

The National Board of Forensic Evaluators (NBFE) is a national not-for-profit organization that provides training, certification, and resources for professionals specializing in forensic mental health. The NBFE is recognized by various mental health associations and offers specialized credentials in the field.

💡Forensic Mental Health

Forensic mental health is a specialized area of practice that involves the application of psychological and psychiatric knowledge within the legal system. Professionals in this field often conduct evaluations for court-related matters, such as competency to stand trial, criminal responsibility, and child custody disputes.

💡Diagnostic Criteria

Diagnostic criteria are the specific symptoms and signs, as well as their duration and severity, that are required for a mental health professional to diagnose a particular mental disorder. These criteria are standardized to ensure consistency in diagnosis across different practitioners and settings.

💡Cultural Considerations

Cultural considerations refer to the awareness and understanding of how culture, ethnicity, and societal norms influence the presentation, experience, and interpretation of mental health symptoms and disorders. In the context of the DSM-5 TR, cultural considerations are crucial for accurate diagnosis and treatment, as they help professionals to avoid misinterpretation and stigmatization of culturally diverse populations.

💡Prevalence Rates

Prevalence rates refer to the proportion of a population found to have a certain condition or disorder at a given time. These rates are important for understanding the frequency and impact of mental health disorders within societies and for informing public health policies and resource allocation.

💡Ethno-racial Equity

Ethno-racial equity focuses on fairness and justice in the distribution of resources, opportunities, and treatment for individuals and groups of different ethnicities and races. In the context of the DSM-5 TR, this concept is addressed through updates to language and diagnostic criteria to better serve and represent diverse populations.

💡Spectrum Model

The spectrum model is a conceptual framework used in the DSM-5 to group disorders that share similar features into a continuous range or spectrum, acknowledging that symptoms and severity can vary widely among individuals. This approach helps to recognize the diversity of experiences within a single diagnostic category.

💡ICD-10 Codes

The ICD-10 Codes refer to the International Classification of Diseases, 10th Revision, which is a global standard for diagnosing and reporting diseases and health conditions. The DSM-5 TR uses these codes for classification and communication purposes in the mental health field.

Highlights

The webinar discusses the new edition of the DSM-5, the DSM-5 TR, and its updates.

DSM-5 TR introduces one new mental disorder, Prolonged Grief Disorder.

The National Board of Forensic Evaluators hosts the webinar, providing training and certification in forensic mental health.

The DSM has evolved significantly since its first edition in 1952, with changes in diagnostic criteria and prevalence rates.

The DSM-5 TR includes updates to the language and criteria for existing disorders, aiming for clarity and addressing diagnostic discrepancies.

The DSM-5 TR reflects socio-cultural changes and efforts to address ethno-racial equity and inclusion.

The term 'race' is replaced with 'racialized' in the DSM-5 TR to better represent the social construct of race.

The DSM-5 TR removes the ICD-9 codes, retaining only the ICD-10 codes for diagnosis.

Prolonged Grief Disorder is characterized by an intense yearning or longing for the deceased and preoccupation with thoughts or memories of the deceased.

The diagnosis of Prolonged Grief Disorder requires the death of a close person at least 12 months ago for adults, or 6 months for children and adolescents.

The DSM-5 TR includes changes to the criteria for several existing disorders, such as Autism Spectrum Disorder and Disruptive Mood Dysregulation Disorder.

The webinar addresses the controversy surrounding the term 'Latinx' and its use in the DSM-5 TR.

The DSM-5 TR is the result of work by over 200 multi-disciplinary subject matter experts.

The DSM-5 TR was published in March 2022, updating research and statistics from the past decade.

The webinar provides insights into the rationale behind changes in the DSM-5 TR and the implications for mental health professionals.

The DSM-5 TR includes updated cultural considerations and terminology to better reflect the diversity of the population.

The webinar discusses the importance of understanding the changes in the DSM-5 TR for accurate diagnosis and treatment.

Transcripts

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Related Tags

DSM-5 TR Mental Health Prolonged Grief Cultural Sensitivity Diagnostic Criteria Webinar Insights Forensic Evaluators Psychiatric Trends Healthcare Professionals Mental Health Counselors