Showing posts with label mental. Show all posts
Showing posts with label mental. Show all posts
New additions to Diagnostic and Statistical Manual of Mental Disorders
(DSM-5)

New additions to Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

From TIME:

Doctors use the the Diagnostic and Statistical Manual of Mental Disorders (DSM)'s definitions to diagnose more 300 other conditions. Insurance companies use it to justify reimbursements; without a DSM code, mental-health patients and doctors usually don't get paid. DSM-5 is already so famous that it has its own website: http://dsm5.org

On Dec. 1, the American Psychiatric Association approved the fifth edition of the DSM which took 13 years and 1,500 mental-health experts to complete. They tried to approach mental disorders less as discrete illnesses, like leukemia, and more as problems on a continuum, like hypertension.

Here are a few of the new additions in DSM-5:

- Hoarding is included as a diagnosis, meaning those who can't get rid of ephemera can now seek reimbursement for therapy

- Binge eating was in the appendix for more than a decade, but now it's an official diagnosis

- Bereavement. The previous DSM said those in mourning don't necessarily qualify for depression therapy or medication. DSM-5 eliminates that exclusion.

- Excoriation, or skin picking, should be considered a mental illness according to DSM-5

References:

Redefining Mental Illness. TIME, 2012.

Effect of deployment on mental health of soldiers: common disorders and alcohol misuse more frequent than PTSD

This Lancet study examined the consequences of deployment to Iraq and Afghanistan on the mental health of UK armed forces from 2003 to 2009.

9990 (56%) participants completed the study questionnaire (roughly 8000 regulars, 1700 reservists).

The prevalence was:

- 19·7% for symptoms of common mental disorders
- 13% for alcohol misuse
- 4% for post-traumatic stress disorder (PTSD)

Deployment to Iraq or Afghanistan was significantly associated with alcohol misuse for regulars (odds ratio 1·22) and with post-traumatic stress disorder (PTSD) for reservists (2·83)

Symptoms of common mental disorders and alcohol misuse remain the most frequently reported mental disorders in UK armed forces personnel, whereas the prevalence of post-traumatic stress disorder (PTSD) was low.

References:
Image source: The Los Angeles Times.