Read them if u want each and every detail of changes made in DSM-V.
These are overall changes made in Diagnostic and Statistical Manual of Mental Disorders-V.
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, abbreviated as DSM-5, is the 2013 update to the American Psychiatric Association's (APA) classification and diagnostic tool.
DSM-5 has discarded the multiaxial system of diagnosis (formerly Axis I, Axis II, Axis III), listing all disorders in Section II. It has replaced Axis IV with significant psychosocial and contextual features and dropped Axis V (Global Assessment of Functioning, known as GAF).
The phrase "general medical condition" is replaced in DSM-V with "another medical condition".
There are three major sections of the DSM-5
Section I
It includes introduction and clear information on how to use the DSM.
Section II
It provides information and categorical diagnoses.
Neurodevelopmental disorders
The term "Mental retardation" is replaced with intellectual disability (intellectual developmental disorder).
Communication disorders include language disorders (which combines DSM-IV expressive and mixed expressive receptive disorder, speech sound disorder( a new name for phonological disorder), childhood-onset fluency disorder (a new name for stuttering). It also includes social (pragmatic) communication disorder, a new condition characterized by persistent difficulties in the social uses of verbal and nonverbal communication.
Autism Spectrum disorder is a new DSM-V name that reflects a scientific concensus that four previously separate disorders are actually a single condition with different levels of symptom severity in two core domains. Autism spectrum disorder now incorporates Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified (PDD-NOS).
Specific learning disorder combines reading disorder, mathematics disorder, disorder of written expression, and learning disorder not otherwise specified. Because learning deficits in these areas commonly occur together.
Motor disorders include developmental coordination disorder, stereotypic movement disorder, Tourette's disorder, persistent (chronic) motor or vocal tic disorder, provisional tic disorder and other specified and unspecified tic disorders.
Schizophrenia spectrum and other psychotic disorders
All subtypes of schizophrenia were deleted (paranoid, disorganized, catatonic, undifferentiated, and residual).
A major mood episode is required for schizoaffective disorder (for a majority of the disorder's duration after criterion A is met).
Criteria for delusional disorder changed, and, in DSM-5, delusional disorder is no longer separate from shared delusional disorder.
In DSM-5, catatonia in all contexts requires 3 of a total of 12 symptoms. Catatonia may be a specifier for depressive, bipolar, and psychotic disorders; part of another medical condition; or an other specified diagnosis.
Bipolar and related disorders
New specifier "with mixed features" can be applied to bipolar I disorder, bipolar II disorder, bipolar disorder NED (previously called "NOS") and MDD
Allows other specified bipolar and related disorder for particular conditions.
Anxiety symptoms are a specifier added to bipolar disorder and to depressive disorders (but are not part of the bipolar diagnostic criteria).
Depressive disorders
The bereavement exclusion in DSM-IV was removed from depressive disorders in DSM-5.
New disruptive mood dysregulation disorder for children up to age 18 years.
Specifiers were added for mixed symptoms and for anxiety, along with guidance to physicians for suicidality.
Anxiety disorders
For the various forms of phobias and anxiety disorders, DSM-5 removes the requirement that the subject (formerly, over 18 years old) "must recognize that their fear and anxiety are excessive or unreasonable". Also, the duration of at least 6 months now applies to everyone (not only to children).
Panic attack became a specifier for all DSM-5 disorders.
Panic disorder and agoraphobia became two separate disorders in DSM-5.
Specific types of phobias became specifiers but are otherwise unchanged.
The generalized specifier for social anxiety disorder (formerly, social phobia) changed in favor of a performance only (i.e., public speaking or performance) specifier.
Separation anxiety disorder and selective mutism are now classified as anxiety disorders (rather than disorders of early onset).
Obsessive-compulsive and related disorders
A new chapter on obsessive-compulsive and related disorders includes four new disorders: excoriation (skin-picking) disorder, hoarding disorder, substance-/medication-induced obsessive-compulsive and related disorder, and obsessive-compulsive and related disorder due to another medical condition.
Trichotillomania (hair-pulling disorder) moved from "impulse-control disorders not elsewhere classified" in DSM-IV, to an obsessive-compulsive disorder in DSM-5.
A specifier was expanded (and added to body dysmorphic disorder and hoarding disorder) to allow for good or fair insight, poor insight, and "absent insight/delusional" (i.e., complete conviction that obsessive-compulsive disorder beliefs are true).
Criteria were added to body dysmorphic disorder to describe repetitive behaviors or mental acts that may arise with perceived defects or flaws in physical appearance.
The DSM-IV specifier “with obsessive-compulsive symptoms” moved from anxiety disorders to this new category for obsessive-compulsive and related disorders.
In DSM-5, other specified obsessive-compulsive and related disorder can include body-focused repetitive behavior disorder (behaviors like nail biting, lip biting, and cheek chewing, other than hair pulling and skin picking), obsessional jealousy, and unspecified obsessive-compulsive and related disorder.
Trauma- and stressor-related disorders
Posttraumatic stress disorder (PTSD) is now included in a new section titled "Trauma- and Stressor-Related Disorders."
The PTSD diagnostic clusters were reorganized and expanded from a total of three clusters to four based on the results of confirmatory factor analytic research conducted since the publication of DSM-IV.
Separate criteria were added for children six years old or younger.
For the diagnosis of acute stress disorder and PTSD, the stressor criteria (Criterion A1 in DSM-IV) was modified to some extent, and the requirement for specific subjective emotional reactions (Criterion A2 in DSM-IV) was eliminated because it lacked empirical support for its utility and predictive validity and resulted in certain groups, e.g., military personnel involved in combat, law enforcement officers and other first responders, lacking only the A2 criteria for a PTSD diagnosis because their training prepared them to not react emotionally to traumatic events.
Two new disorders that were formerly subtypes were named: reactive attachment disorder and disinhibited social engagement disorder.
Adjustment disorders were moved to this new section and reconceptualized as stress-response syndromes. DSM-IV subtypes for depressed mood, anxious symptoms, and disturbed conduct are unchanged.
Dissociative disorders
Depersonalization disorder is now called depersonalization/derealization disorder.
Dissociative fugue became a specifier for dissociative amnesia.
In DSM-5, criteria were expanded in dissociative identity disorder to include "possession-form phenomena and functional neurological symptoms" and to say that "transitions in identity may be observable by others or self-reported". Criterion B was also modified for people who can't recall everyday events (not only trauma).
Somatic symptom and related disorders
Somatoform disorders are now called somatic symptom and related disorders. Diagnoses of somatization disorder, hypochondriasis, pain disorder, and undifferentiated somatoform disorder were deleted in DSM-5. In DSM-5, people with chronic pain can be diagnosed with somatic symptom disorder with predominant pain; or psychological factors that affect other medical conditions; or with an adjustment disorder.
Somatization disorder and undifferentiated somatoform disorder were combined to become somatic symptom disorder, a diagnosis which no longer requires a specific number of somatic symptoms.
In DSM-5, somatic symptom and related disorders are defined by positive symptoms, and minimize the use of medically unexplained symptoms except in the cases of conversion disorder and pseudocyesis specifically.
"Psychological factors affecting other medical conditions" (formerly found in the DSM-IV chapter "Other Conditions That May Be a Focus of Clinical Attention") is termed a new mental disorder.
Criteria for conversion disorder (functional neurological symptom disorder) were changed.
Feeding and eating disorders
Criteria for pica and rumination disorder were changed and can now refer to people of any age.
Requirements for bulimia nervosa and binge eating disorder were changed from "at least twice weekly for 6 months to at least once weekly over the last 3 months".
Anorexia nervosa no longer has a requirement of amenorrhea and its criteria were changed.
What in DSM-IV was called "feeding disorder of infancy or early childhood" and rarely used, is now called avoidant/restrictive food intake disorder with expanded criteria.
Sleep-wake disorders
"Sleep disorders related to another mental disorder, and sleep disorders related to a general medical condition" were deleted from DSM-IV.
Primary insomnia became insomnia disorder in DSM-5, and narcolepsy is separate from other hypersomnolence.
In DSM-5, there are three breathing-related sleep disorders: obstructive sleep apnea hypopnea, central sleep apnea, and sleep-related hypoventilation.
Circadian rhythm sleep-wake disorders were expanded to include advanced sleep phase syndrome, irregular sleep-wake type, and non-24-hour sleep-wake type. Jet lag was removed.
Listed under "dyssomnia not otherwise specified" in DSM-IV, rapid eye movement sleep behavior disorder and restless legs syndrome are each a disorder in DSM-5.
Sexual dysfunctions
DSM-5 has sex-specific sexual dysfunctions.
For females, sexual desire and arousal disorders are combined into female sexual interest/arousal disorder.
DSM-5 sexual dysfunctions (except substance-/medication-induced sexual dysfunction) now require a duration of approximately 6 months and more exact severity criteria.
New in DSM-5 is genito-pelvic pain/penetration disorder which combines vaginismus and dyspareunia from DSM-IV.
Sexual aversion disorder was deleted.
DSM-5 subtypes for all disorders includes only "lifelong versus acquired" and "generalized versus situational" (one subtype was deleted from DSM-IV).
In DSM-5, two subtypes were deleted: "sexual dysfunction due to a general medical condition" and "due to psychological versus combined factors".
Gender dysphoria
DSM-IV gender identity disorder is similar to, but not the same as, gender dysphoria in DSM-5. Separate criteria for children, adolescents and adults that are appropriate for varying developmental states are added.
Subtypes of gender identity disorder based on sexual orientation were deleted.
Among other wording changes, criterion A and criterion B (cross-gender identification, and aversion toward one’s gender) were combined. Along with these changes comes the creation of a separate gender dysphoria in children as well as one for adults and adolescents. The grouping has been moved out of the sexual disorders category and into its own. The name change was made in part due to stigmatization of the term "disorder" and the relatively common use of "gender dysphoria" in the GID literature and among specialists in the area. The creation of a specific diagnosis for children reflects the lesser ability of children to have insight into what they are experiencing and ability to express it in the event that they have insight.
Disruptive, impulse-control, and conduct disorders
Some of these disorders were formerly part of the chapter on early diagnosis, oppositional defiant disorder; conduct disorder; and disruptive behavior disorder not otherwise specified became other specified and unspecified disruptive disorder, impulse-control disorder, and conduct disorders. Intermittent explosive disorder, pyromania, and kleptomania moved to this chapter from the DSM-IV chapter "Impulse-Control Disorders Not Otherwise Specified".
Antisocial personality disorder is listed here and in the chapter on personality (neurocognitive) disorders (but ADHD is listed under neurodevelopmental disorders).
Symptoms for oppositional defiant disorder are of three types: angry/irritable mood, argumentative/defiant behavior, and vindictiveness. The conduct disorder exclusion is deleted. The criteria were also changed with a note on frequency requirements and a measure of severity.
Criteria for conduct disorder are unchanged for the most part from DSM-IV. A specifier was added for people with limited "prosocial emotion".
People over the disorder's minimum age of 6 may be diagnosed with intermittent explosive disorder without outbursts of physical aggression. Criteria were added for frequency and to specify "impulsive and/or anger based in nature, and must cause marked distress, cause impairment in occupational or interpersonal functioning, or be associated with negative financial or legal consequences".
Substance-related and addictive disorders
Gambling disorder and tobacco use disorder are new.
Substance abuse and substance dependence have been combined into single substance use disorders specific to each substance of abuse within a new "addictions and related disorders" category."Recurrent legal problems" was deleted and "craving or a strong desire or urge to use a substance" was added to the criteria. The threshold of the number of criteria that must be met was changed. Severity from mild to severe is based on the number of criteria endorsed.
Criteria for cannabis and caffeine withdrawal were added.
New specifiers were added for early and sustained remission along with new specifiers for "in a controlled environment" and "on maintenance therapy".
Neurocognitive disorders
Dementia and amnestic disorder became major or mild neurocognitive disorder.
DSM-5 has a new list of neurocognitive domains. "New separate criteria are now presented" for major or mild NCD due to various conditions. Substance/medication-induced NCD and unspecified NCD are new diagnoses.
Paraphilic disorders
New specifiers "in a controlled environment" and "in remission" were added to criteria for all paraphilic disorders.
Distinguishes between paraphilic behaviors, or paraphilias, and paraphilic disorders. All criteria sets were changed to add the word disorder to all of the paraphilias, for example, pedophilia is now pedophilic disorder. There is no change in the basic diagnostic structure since DSM-III-R; however, people now must meet both qualitative (criterion A) and negative consequences (criterion B) criteria to be diagnosed with a paraphilic disorder. Otherwise they have a paraphilia (and no diagnosis).
Section III
It includes emerging measures and models. It provides self-assessment tools, as well as categories that require more research. An alternative hybrid dimensional-categorical model for personality disorders is included to stimulate further research on this modified classification system.
These conditions and criteria are set forth to encourage future research and are not meant for clinical use.
Attenuated psychosis syndrome
Depressive episodes with short-duration hypomania
Persistent complex bereavement disorder
Caffeine use disorder
Internet gaming disorder
Neurobehavioral disorder associated with prenatal alcohol exposure
Suicidal behavior disorder
Non-suicidal self-injury

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