An issue that was commonly reported by those working with the DSM-5 involved situations where a client exhibited signs of Major Depressive Disorder but also meets the criteria for a psychotic disorder. With schizoaffective disorder being the only psychotic disorder that includes mood episodes as a criterion, it was difficult to know what to do when Schizoaffective disorder was ruled out, but other psychotic diagnoses applied. For DSM-5-TR, major revisions in text and classifications were made to give the opportunity to more accurately portray these situations within the confines of the manual.  

The examples provided in DSM entries attempt to provide information and guidance on most potential scenarios and configurations of the disorder. With so many symptoms and possibilities, inevitably it is found that there are some individuals who don't quite fit into the specific examples and have something a little different about their situation. This was the case wIth the "Other Specified Depressive Disorder" entry in DSM-5 and, in response, the committee elected to insert an additional example into the DSM-5-TR.  

Revisions were made for the criteria for "Depressive Disorder Due to Another Medical Condition" in order to make it comply With the newly established categorizations in the DSM-5. The result of those changes was an increase in confusion and a lack of consistency With the intent of the change. To remedy this, the DSM-5-TR has again revised the text for this disorder, connecting it more-effectively With the original revision's intent.  

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 publshing 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.  

When the DSM-5 was reviewed for possible revisions, Criterion A of Delirium was put on the list. The issue is a specific example given within Criterion A that, when read within the context of the symptoms, was found to be confusing. New text was considered and ultimately approved with the hope of providing greater clarity for future use.  

As time goes by and professionals in the field adjust to the realities of their work, terminology and practices evolve and change to align with new perspectives. With the DSM, a major focus is on evolving and changing right along with the mental health field. To that end, wording in the "Other Specified Delirium Disorder" entry was revised to match terminology currently being used by mental health professionals.  

With the ongoing updates and revisions to the DSM, often the names of certain disorders are changed to align more closely with the contemporary views and practices of professionals in the field. This video explores how the disorder came to be known in the DSM-5-TR as "Functional Neurological Symptom Disorder (Conversion Disorder)"  

Traditionally, "Olfactory Reference Disorder (Olfactory Reference Syndrome)" carried a title that seemed innocuous, but was in fact causing confusion and misdiagnosis. Because the traditional title was borrowed from Japanese psychology, some to believed that a cultural element needed to be considered. The DSM-5-TR did away with the confusing terminology and replaced it with clearer, more clinical language.  

When categorization changes were made for the publishing of the DSM-5, the "Mood Disorders" section was reconfigured and effectively eliminated. One consequence of this was the inadvertent removal of the "Unspecified Mood Disorder" entry from the manual. In considering changes to be made for the DSM-5-TR, it was decided to once again include that disorder in the manual.  

An issue resulted from a change made between DSM IV, which had a ?mood disorders? grouping, and DSM-5, where the classification was split into two groupings, ?bipolar and related disorders? and ?depressive disorders.? The change occured in the text of Criterion A: Substance/Medication-Induced Bipolar and Related Disorder which led some clinicians to mistakenly conclude that the disorder required elevated, expansive, or irritable mood or markedly diminished interest or pleasure in all, or almost all, activities.  

The disorder "Persistent Complex Bereavement Disorder? was previously included in the DSM as a ?condition for further study," but it was not until now that it was included as its own entry. Renamed "Prolonged Grief Disorder," the new disorder allows clinicians to officially diagnose individuals experiencing symptoms consistent with the listed criteria.  

When reviewing the DSM-5, it was found that a specific clarifying note in the criteria for "Post-traumatic Stress Disorder" was actually redundant and simply restated information that already existed in the text. It was decided that the removal of this note will not have a negative impact or leave the disorder incomplete. The new definition provides the same information as previously, but in a simpler, more direct manner.  

When the DSM-5 was published previously, there was no revision to the title of "Persistent Depressive Disorder", and it continued to include the parenthetical "Dysthymia." Unfortunately, other changes made for the 5th edition made the inclusion of this word problematic, as it seemed to imply criteria that were no longer a valid part of the definition. with the DSM-5-TR, the parenthetical has been removed.  

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 diagnoses. For the publishing of the DSM-5-TR, the word was replaced to create better clarity and understanding.  

During the review process of the DSM-5, it was found that text used in Criterion A for "Attenuated Psychosis Syndrome" was being misunderstood by a number of professionals in the field. The offending text was officially removed for the DSM-5-TR, but additional text was included to allow for the spirit of the text to still be represented without including the segment that was unclear.  

When an entry in the DSM is consistently misinterpreted or misunderstood, it is critical to revise the offending text in the next edition of the manual. WIth "Avoidant Restrictive Food Intake Disorder," the troubling phrase was deemed unnecessary. For the DSM-5-TR, the confusing text was simply removed.