Click Here for Important Note for DSM-5 Field Trials Participants
The 2nd period for submitting comments and suggestions to the web site regarding the proposed diagnostic criteria revisions, and the newly proposed organizational structure for DSM-5 took place from May 4th-July 15th. We are appreciative of your ongoing interest in contributing to this process. During our first comment period, we received over 8600 comments from you, our viewers. We encourage you to spend time on this site to investigate the myriad ways your comments helped shape some of the recent updates to the proposed diagnostic criteria. During the second comment period, we received over 2000 comments and our work groups are actively reviewing your input. Thank you for taking the time to provide your insights, experiences, and expertise toward these important issues.
What Specifically Has Changed on This Site?
You will notice several changes to this Web site since we first launched in February 2010. Numerous disorders contain updated criteria. For example, nearly all of the Bipolar and Related Disorders contain updates. We have also posted several newly proposed disorders, such as Premenstrual Dysphoric Disorder. Furthermore, we have added many diagnostic-specific severity measures, including the Anxiety, Obsessive-Compulsive-Related, and Trauma-Related Disorders. A detailed listing of all changes to DSM5.org that have taken place since February 2010 can be found on the Recent Updates page.
The criteria presented here represent the latest draft diagnoses, which we have taken into the field for real life testing prior to making any final decisions about inclusion in DSM-5. These field trials are being conducted in two major types of settings: 1) a series of large, academic-medical institutions, and 2) a wide selection of clinical practice settings, such as solo and small group practices. You can learn more about the DSM-5 Field Trials and these settings here. We would like to emphasize that the field trials conducted in large, academic-medical settings are currently underway, and as such, the disorders being tested in those settings will undergo no further changes until after field testing is complete later this year. You can find a list of these disorders by visiting the Field Trials section of this site.
One of the more noticeable changes featured here concerns proposed revisions to DSM’s organizational structure. As you can see below, and by visiting the section on our Proposed DSM-5 Organizational Structure, we have developed a revised chapter structure for the diagnostic categories in DSM. Those familiar with DSM-IV will recognize numerous similarities between our proposed organizational structure and the one currently in place. However, there are some important changes, such as the deletion of the single, isolated chapter for childhood and adolescent psychiatric disorders in favor of a more developmental approach which integrates these disorders into relevant chapters across the entire DSM.
Is There Opportunity to Provide Further Comments?
Beginning May 4th, 2011, we asked you, our visitors, to review and comment on the proposed DSM-5 organizational structure and criteria changes. Please note that this 2nd commenting period ended on June 15, 2011. We received over 2000 comments during this 2nd posting, and the DSM work groups have reviewed these, as well as other information that has been obtained since the draft criteria were last posted.
It is important to remember that the proposed chapter structure featured here is only a draft. These proposed headings were reviewed by the DSM-5 Task Force in November 2010. An article by APA Past-President Carol A. Bernstein, M.D., published in Psychiatric News, provides an informative background as to why they were developed. Furthermore, the proposed diagnostic criteria revisions on this site are also not final. They are receiving ongoing review by the DSM-5 Task Force and the APA Board of Trustees. Many of the diagnostic criteria sets were tested in the DSM-5 field trials in academic sites, and all criteria sets will be eligible for use in the field trials in routine clinical practice settings. Results from these field trials may inform further changes in the diagnostic criteria.
The 2nd commenting period was not the final opportunity for you to submit feedback. In spring 2012, we will open the site for a third and final round of comments from visitors, which will again be systematically reviewed by each of the work groups for consideration of additional changes.
Schizophrenia Spectrum and Other Psychotic Disorders
Bipolar and Related Disorders
Obsessive-Compulsive and Related Disorders
Trauma and Stressor Related Disorders
Somatic Symptom Disorders
Feeding and Eating Disorders
Disruptive, Impulse Control, and Conduct Disorders
Substance Use and Addictive Disorders