American Psychiatric Association releases DSM-5

May 17, 2013

ARLINGTON, Va. (May 17, 2013) - The American Psychiatric Association (APA) today announced the release of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The manual's publication marks an important milestone--revising the classifications and criteria of mental disorders for the first time since 1994 to reflect nearly two decades of scientific advances and clinical experience.

DSM-5 is the guidebook used by clinicians and researchers to diagnose and classify mental disorders in this country as well as around the world. The new edition is available first in print, with an electronic version to be offered later this year. Both versions, as well as supplementary publications from the DSM-5 Collection, can be ordered at

"The changes to the manual will help clinicians more precisely identify mental disorders and improve diagnosis while maintaining the continuity of care," said David J. Kupfer, MD, chair of the DSM-5 Task Force. "We expect these changes to help clinicians better serve patients and to deepen our understanding of these disorders based on new research."

Organization of DSM-5

DSM-5 is different from its predecessors in fundamental ways. The revised chapter organization signals how disorders may relate to each other based on underlying vulnerabilities or symptom characteristics. It also breaks out some disorders because of greater understanding of their basic causes. As an example, the previous single chapter on "Anxiety disorders, including obsessive compulsive disorder and posttraumatic stress disorder" now is three sequential chapters detailing Anxiety Disorders, Obsessive-Compulsive and Related Disorders, and Trauma- and Stressor-Related Disorders. This move both emphasizes the distinctiveness of the categories covered while signaling their interconnectedness. (The table of contents for DSM-5 is included in Attachment A.)

Throughout the manual, disorders are framed in the context of age, gender, and cultural expectations. In fact, disorders now are organized along a developmental lifespan within each chapter; conditions first evident in childhood and adolescence are no longer set apart but integrated throughout the manual. And although DSM-5 includes several new categories--such as binge eating disorder, disruptive mood dysregulation disorder, and hoarding disorder--the new manual will have approximately the same number of disorders as DSM-IV.

More Precise Diagnoses

Many of the changes in DSM-5 were adjustments made to better characterize disorder symptoms in terms of appearance, duration or severity. Certain conditions were combined because of the recognized overlap between some categories or, in the case of autism spectrum disorder, because the relationships among categories clearly placed them along a single continuum. In Section III, which is new to the manual, several conditions are introduced that warrant more research before they might be considered as formal disorders for the main book. Two such conditions-suicidal behavioral disorder and nonsuicidal self injury-reflect DSM-5's increased recognition of suicidal ideation and its related issues. Their inclusion in Section III should help to determine if they have clinical utility and their diagnostic criteria can be used reliably.

The Development Process

The product of the most comprehensive and transparent development process in APA history, the new book represents the strongest science and the contributions of more than 1,500 U.S. and international experts from a diversity of mental health and medical fields. Draft diagnostic criteria were made available online as part of three open-comment periods that drew more than 13,000 responses from consumers, advocates, mental health and medical professionals and organizations. Every response was reviewed and considered by the Task Force and DSM-5 Work Groups.

"When the APA set out to revise DSM, we wanted to facilitate the broadest participation possible to ensure we captured a diversity of opinions. We also wanted to strengthen the final manual for clinicians, patients and researchers," said Dilip Jeste, MD, president of APA. "We have achieved both goals and expect DSM to have immediate utility for clinicians and benefit for patients."

APA is looking to make future revision processes more responsive to breakthroughs in research with incremental updates until a new edition is required. Since the research base of mental disorders is evolving at different rates for different disorders, diagnostic guidelines will not be tied to a static publication date but rather to scientific advances.
More information on changes to DSM-5 and how to purchase the manual and other products from the DSM-5 Collection can be found at

The American Psychiatric Association is a national medical specialty society whose physician members specialize in the diagnosis, treatment, prevention and research of mental illnesses, including substance use disorders. Visit the APA at

DSM-5 Table of Contents

Section I: DSM-5 BasicsSection II: Categorical diagnosesSection III: Emerging Measures and ModelsAppendix

The Reis Group

Related Mental Health Articles from Brightsurf:

Mental health strained by disaster
A new study found that suicide rates increase during all types of disasters -- including severe storms, floods, hurricanes and ice storms -- with the largest overall increase occurring two years after a disaster.

The mental health impact of pandemics for front line health care staff
New research shows the impact that pandemics have on the mental health of front-line health care staff.

World Mental Health Day -- CACTUS releases report of largest researcher mental health survey
On the occasion of 'World Mental Health Day' 2020, CACTUS, a global scientific communications company, has released a global survey on mental health, wellbeing and fulfilment in academia.

Mental illness, mental health care use among police officers
A survey study of Texas police officers examines how common mental illness and mental health care use are in a large urban department.

COVID-19 outbreak and mental health
The use of online platforms to guide effective consumption of information, facilitate social support and continue mental health care delivery during the COVID-19 pandemic is discussed in this Viewpoint.

COVID-19 may have consequences for mental health
The COVID-19 pandemic appears to be adversely affecting mental health among hospitalised patients, the healthcare professionals treating them and the general population.

Mental health outcomes among health care workers during COVID-19 pandemic in Italy
Symptoms of posttraumatic stress disorder, depression, anxiety and insomnia among health care workers in Italy during the COVID-19 pandemic are reported in this observational study.

Mental ill health 'substantial health concern' among police, finds international study
Mental health issues among police officers are a 'substantial health concern,' with around 1 in 4 potentially drinking at hazardous levels and around 1 in 7 meeting the criteria for post traumatic stress disorder and depression, finds a pooled data analysis of the available international evidence, published online in Occupational & Environmental Medicine.

Examining health insurance nondiscrimination policies with mental health among gender minority individuals
A large private health insurance database was used to examine the association between between health insurance nondiscrimination policies and mental health outcomes for gender minority individuals.

Mental health care for adolescents
Researchers examined changes over time in the kinds of mental health problems for which adolescents in the United States received care and where they got that care in this survey study with findings that should be interpreted within the context of several limitations including self-reported information.

Read More: Mental Health News and Mental Health Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to