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New Diagnostic Guidelines for Mental Illnesses Proposed
Date:2/10/2010

," he explained.
  • The DSM-5, as proposed, would also include a "risk syndrome," to identify people at risk for certain disorders such as psychosis and dementia, which now becomes minor neurocognitive impairment and major neurocognitive impairment. This controversial feature (critics have said this practice unfairly labels and stigmatizes people) would allow for early intervention in people fitting the criteria.
  • Experts recommended using two different scales to assess suicide risk, one for adults and one for adolescents, intended to better identify at-risk individuals.
  • The new disorder, "temper dysregulation with dysphoria," would be added to the mood disorders section. TDD would include both behavioral and mood problems and, hopefully, will avoid overdiagnosis of juvenile bipolar disorder. "The diagnosis of juvenile bipolar disorder is being given rather too frequently," said Dr. David Shaffer, a member of the Disorders in Childhood and Adolescence Work Group and a professor of child psychiatry and of pediatrics at Columbia University. "The new diagnosis captures both the behavioral disturbance and the mood upset. We hope people contemplating a diagnosis of bipolar disorder will think again."
  • Binge eating would become the newest eating disorder. "We're quite confident that, compared to other folks, these people are more distressed, have more symptoms of anxiety and mood disturbance, indications that their treatment may be better provided if it's done in a somewhat different way than with other folks with similar weight problems," said Dr. B. Timothy Walsh, chair of the Eating Disorders Work Group and a professor of pediatric psychopharmacology at New York State Psychiatric Institute. The DSM-5 would also include better criteria for diagnosing anorexia nervosa and bulimia nervosa.
  • The DSM-4 was widely criticized for "overpathologizing" ordinary and expected human experiences and e
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