As every other medical field has been driven by high tech and dynamic science, psychiatry has spent decades refining the art of trial and error. With more patients every year suffering from mental health disorders, it's time to take the lessons we've learned in the rest of medicine.
If DSM diagnosis doesn't inform treatment, what good is it? The answer is one, to facilitate the exchange of money between payers and providers, and two, to create silos for focused research. With the NIMH announcement, scratch number two.
We still have to rely on DSM to diagnose illness, but thanks to Dr. Insel the end of that state of affairs is a step closer. The identification and treatment of mental illness is about to leave the realm of psychiatry and enter the science of neurology.
We have entered a truly remarkable silly season of interacting absurdities committed by the American Psychiatric Association, the National Institute of Mental Health, and the British Psychological Society. May, it turns out, is the cruelest month for mental health.
DSM-V, the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, is due for publication in May. Here's a sneak preview of some new mental disorder categories.
We are spending tens of billions of dollars plying the worried well with unnecessary and expensive drugs; while at the very same time ignoring the desperate needs of those who really could benefit from psychiatric diagnosis and treatment.
The DSM-5 makes a significant change to the diagnostic criteria from previous editions by shifting the emphasis from medically-unexplained symptoms to the impact of those symptoms on a person's thoughts, feelings and actions.
You may have already heard our big news in psychiatry: The first major revision of the Diagnostic and Statistical Manual (DSM) since the mid-1990s has just been approved by American Psychiatric Association's Board of Trustees. And the new DSM-5 will be published in May.
Trans persons are no longer classified by the medical community as mentally ill, this decision coming 39 years after homosexuality was declassified as a mental illness. I have been involved in many civil rights campaigns, but as a physician, none has mattered more to me than this one.
On Saturday, the APA approved changes to the diagnostic criteria for Gender Identity Disorder. Many trans advocates celebrated the changes, but there are also many advocates with important questions about what it will mean for trans communities and advocacy moving forward.
In a recent piece on The Huffington Post, Allen Frances, M.D., demonstrates either an embarrassing lack of knowledge and understanding of financial reporting or an intentional misrepresentation of facts in his continuing effort to attack the forthcoming DSM-5.
Nothing can illustrate how far DSM 5 has gone off track better than the words spoken in its defense by DSM 5 leadership. Here are the 10 most wrong-headed quotations, and I have annotated them with my own thoughts.
The American Psychiatric Association plans to release the newest edition of America's psychiatric bible, the DSM, in 2013. The effort to determine what constitutes normal and abnormal behavior in America is apparently an ongoing process.
There has been a lot of smoke from the DSM fires. The field trials should help all concerned see through the smoke and into the embers of advancing the complex and continuous process of improving what we know about diagnosis in psychiatry.
My concern is that if we add grief, or internet addiction or "Facebook depression" to an already-growing number of diagnoses, we are likely to find that nearly everyone on this planet suffers from mental illness.