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Latest Edition of Psychiatry's 'Bible' Launched Amid Controversy
Date:5/18/2013

t of symptoms before age 7 to be diagnosed with ADHD. The new version now says 12 is the latest age at which ADHD symptoms can manifest themselves. The DSM-5 also reduces the number of criteria needed to arrive at a diagnoses of adult ADHD from six to five.
  • A new diagnostic category for children who are hostile or acting out. The DSM-5 includes a new category called disruptive mood dysregulation disorder, which would apply to children who have extreme irritability but fall short of the standards for bipolar disorder or depression. The category was created to deal with the upswing in bipolar diagnoses among children, but there is concern that some clinicians will label a simple childhood temper tantrum as a treatable mental illness.
  • Breaking out obsessive-compulsive disorders into their own category. Obsessions such as hoarding, hair-pulling and skin-picking had been considered anxiety disorders, but in the DSM-5 they will have their own category. Critics are concerned that this change has more to do with reality television's recent focus on hoarders than with the need for a new category of mental illness.
  • Lieberman called the DSM-5 "a reflection of the state of our scientific knowledge," and strongly disagreed with the notion that over-diagnosis and overmedication will be the end result of the manual's new standards.

    "This doesn't reflect any expansion of the people who would be diagnosed. It just classifies them in a more concise and accurate way," he said. "The goal of the DSM is not to expand the number [of people] who receive diagnoses who don't warrant them. The reality is that there is tremendous under-treatment of people with real needs, and this new revision will help."

    Reflecting on the strong reaction to the changes, Lieberman said it may go hand-in-hand with the public's uneasiness with mental illness.

    "I think there's a strong stigma factor associated with mental illness," he said. "There are people who are e
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