Skin-picking disorder, hoarding disorder and disruptive mood dysregulation disorder are just a few of the new mental disorders that will be added to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) next year.
The DSM is the manual that mental health professionals use to diagnose specific mental health disorders.
The American Psychiatric Association Board of Trustees approved the final revisions to the new DSM on Dec. 1, 2012, and the new manual will be released in the spring of 2013, according to a press release from the APA.
One of the major changes to the DSM that has been causing a widespread discussion is the newly named “autism spectrum disorder.” In the current DSM-IV-TR, there are separate diagnoses of autistic disorder and Asperger’s disorder.
William Shryer, a licensed clinical social worker, said that many people are concerned that Asperger’s disorder will no longer be covered by insurance companies, so many former patients will suffer. However, he states that there is no real reason to believe this, and most likely health insurers will use the already existing code.
Dr. John Oldham, senior vice president and chief of staff at The Menninger Clinic, contributed to changes in the DSM and is a past president of the APA.
He said in an email that the goal of the new edition of the DSM is to lead to more accurate diagnoses and more effective treatment for psychiatric disorders.
Although the changes might make a big impact for some patients, for mental health professionals it could be business as usual.
“For very competent clinicians, the changes really mean nothing as this is more for insurance companies than the folks in the trenches doing the work,” Shryer said. “We shouldn't be treating labels but concerns and symptoms in the patients we see.”
Most of the revisions to the DSM could affect both men and women equally, but one change could solely impact women. Premenstrual dysphoric disorder (PMDD) will now be in Section 2 instead of the appendix, which makes it an official coded diagnosis, Oldham said.