The DSM-5-TR: What's Changed

Informative, efficient, and effective, these microlearning immersive media segments ensure practitioners are trained and up-to-date on everything new in the DSM-5-TR. When engaged in these activities, viewers are exposed to complete and concise explanations of the various revisions and changes established in the DSM-5-TR. These lessons are produced to be easily understood and applied, and they also provide background and context for how and why the revisions were added so the viewer can more-readily grasp the ?why? of it all. Along with segments on changes to criteria and terminology, a new disorder is added to the DSM, and background on how the DSM-5-TR was created, there are also important lessons regarding the accurate compilation of client progress notes and other critical documentation, and revisions to coding information, which could have significant impact on how effective a practitioner is with insurance and billing practices.
  • With the release of the DSM-5-TR, there are numerous changes and revisions to consider. This video provides an overview of these changes and explores the reason for the updates made. The role of the DSM in mental health practice is also showcased.  
  • As time goes on, the commonly accepted names of certain disorders are altered to fit what's most current in the field. This is the case for Social Anxiety Disorder, which had been called "Social Phobia" and "Social Phobia (Social Anxiety Disorder)" in previous editions.  
  • When the DSM-5 came out, it replaced the previous DSM IV grouping for Mood Disorders with two separate categories, ?bipolar and related disorders? and ?depressive disorders." In addition to the two disorders being separated, the text for certain criteria was changed as well, which resulted in misleading language that could have been misinterpreted. This has been remedied in the revised manual.  
  • A number of disorders in this category saw major and minor revisions in the DSM-5-TR. These disorders, including Depressive Disorder Due to Another Medical Condition, Major Depressive Disorder, Other Specified Depressive Disorder, Persistent Depressive Disorder, and Unspecified Mood Disorder, all saw changes that could greatly impact the approach to diagnosis. Additionally, a newly explored disorder, Prolonged Grief Disorder, was added.  
  • In the years since the publishing of the DSM-5, it was found that some cases of "Other Specified Feeding Disorder" were being misclassified as a result of the example given for "Atypical Anorexia Nervosa." It was unclear as written and led many clinicians to misinterpret the intent of the example. To remedy the problem, the DSM-5-TR example text was adjusted to provide clarity and flexibility in how the disorder would be diagnosed and classified.  
  • Social and scientific standards change over time, which directly impacts the ways clinicians and professionals approach certain disorders they encounter in their practice. As these changes become widely accepted and approved, the DSM seeks to modify the ways the disorders are represented within its pages. In the time between the publishing of the DSM-5 and the DSM-5-TR, a major shift in how we view and identify "Gender Dysphoria" has occurred. In response, a number of significant revisions were made.  
  • There were a number of changes made to disorders falling under the Neurocognitive Disorders category when the DSM-5-TR was published. Disorders such as Functional Neurological Symptom Disorder (Conversion Disorder), Delirium, Olfactory Reference Disorder (Olfactory Reference Syndrome), and Other Specified Delirium Disorder were altered in various ways to comply with the evolving state, perception, and use of these disorders and their definitions within the Mental Health Community.  
  • Two disorders categorized within the Neurodevelopmental Disorders chapter of the manual saw alterations with the publishing of the DSM-5-TR. These disorders, Autism Spectrum Disorder and Intellectual Developmental Disorder (Intellectual Disability), saw minor changes that could have a big impact on how practitioners utilize the manual to diagnose patients.  
  • Sometimes it only takes one word to change the meaning of an entire idea being expressed. This was the case with the DSM-5 entry for "Other Specified Schizophrenia", where the use of the word "partner" was interpreted in a number of ways by clinicians, causing inconsistent diagnosis. For the publishing of the DSM-5-TR, the word was replaced to create better clarity and understanding.  
  • Within the category of Sleep-Wake Disorders, changes were made to the text for "Narcolepsy" in the DSM-5-TR in order to align more closely with other commonly used resources, such as the International Classification of Sleep Disorders, 3d edition (ICSD 3) and International Classification of Diseases, 11th edition (ICD-11).  
  • For the publishing of the DSM-5-TR, it was decided that there should be additional Diagnostic Codes included representing Suicidal Behavior and Nonsuicidal Self-Injury.  
  • After the committee discovered a redundant clarifying note in the criteria for "Post-traumatic Stress Disorder", it was decided that the removal of the note would reduce confusion and eliminate unnecessary text from the manual.  
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