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DSM-5 Debate: Committee Backs Off Some Changes, Re-Opens Comments

This is an important article on ‘Time Healthland‘ which came to my notice through one of our member’s blog Manic Muses – many thanks for that 🙂

In essence from what I can make out…

1. They have dropped the plans to include “attenuated psychosis syndrome,”

The article reads…

One of the new diagnoses that the editors chose to exclude is “attenuated psychosis syndrome,” a condition designated to describe youth who are at high risk of developing schizophrenia — before they develop the full-fledged disorder.

Problem is that only 8% of those categorized as “high risk” because they having close relatives with the disorder or have suggestive symptoms actually went on to develop schizophrenia, according to a recent study. Many critics of the new diagnosis feared that it would legitimize the potentially dangerous practice of administering powerful antipsychotic drugs to youths. With every major manufacturer of antipsychotics already paying out hundreds of millions or billions of dollars in fines for mismarketing these medications to youth and the elderly, the problem of overprescribing is already rampant — particularly in vulnerable populations like foster care children.

Additionally the article comments on the elimination of the diagnosis of Asperger’s syndrome
Read more: http://healthland.time.com/2012/05/03/dsm-5-debate-committee-backs-off-some-changes-re-opens-comments/#ixzz1tv0YqJCB

2. The committee has chosen not to include â€śmixed anxiety depressive disorder”
The article reads…

The committee also dropped a new diagnosis called “mixed anxiety depressive disorder,” an unnecessary designation that could have further encouraged prescription of medications. (It also made for a seriously unfortunate acronym.)

The article also comments on “the elimination of the diagnosis of Asperger’s syndrome”as well as the “provision to collapse two currently separate diagnoses, “substance abuse” and “substance dependence,” into “substance use disorder,”

What is perhaps the most relevant to our members and readers is the news that they have re-opened the discussion and that “The public is invited to make comments on these and other changes on the DSM-5 website from now until June 15. The new edition is still slated for publication in May 2013.”

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