Trauma-based & Family Psychotherapy For Angry, Anxious, Depressed, and Frustrated Families

3 Changes in The DSM-5 All Families Should Know About

English: Subject: Quinn, an ~18 month old boy ...
English: Subject: Quinn, an ~18 month old boy with autism, obsessively stacking cans. Date: Late 2002. Place: Walnut Creek, California. Photographer: Andwhatsnext. Scanned photograph. Credit: Copyright (c) 2003 by Nancy J Price (aka Mom). This is an edited version of Image:Autism-stacking-cans.jpg. (Photo credit: Wikipedia)

The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) was released to the public, May 17, 2013. After years of frequent debates, arguments, and disagreements, the DSM-V is now ready to be further critiqued. Unfortunately, the DSM-5 has already caused a storm of debates, many of which you have already heard. For therapists and many other mental health professionals, the DSM-V is nothing more than a caricature of the field. In an attempt to progress the field, we have taken 70 steps back. Despite this unsettling revision, the way to stay ahead of this manual is to become knowledgeable about it. Below are 3 changes that will cause great controversy in clinical and hospital settings.

Every parent, family, and caregiver should know about:

1.)    Asperger’s Syndrome: This category has been changed to reflect modern day thinking on autism spectrum disorders (ASDs). Parents of children with Asperger’s Syndrome are quite upset with this change. Asperger’s Syndrome will now be listed under ASDs as opposed to being a separate category. Many parents appreciated the fact that kids with Asperger’s Syndrome were differentiated from kids with more severe social, behavioral, and emotional problems such as lower functioning autism. With this change, kids with Asperger’s Syndrome will now be classified with kids who have autism.

2.)    Social Communication Disorder: This “diagnosis” is supposed to reflect a middle ground for kids who do not meet the diagnostic criteria for an ASD, yet still has extreme issues with social issues and communication. This category is separate from social anxiety disorder.

3.)    Disruptive Mood Dysregulation Disorder: The purpose for this category, according to the American Psychiatric Association, is to prevent over-diagnosis and over-treatment of bipolar disorder in youngsters. The problem with this category is that children will be labeled “mentally ill” if they have temper tantrums for more than 3-4 times per week. What child doesn’t have a temper tantrum during the week? Some kids are simply moody, while others are of a rough temperament. This category is likely to lead to over-diagnosis, over-treatment, and misdiagnosis.

Despite the addition of “mild neuro-cognitive disorder” (normal forgetfulness turned psychiatric disorder) and the removal of narcissistic personality disorder (it will no longer be a clinical diagnosis of concern), the DSM continues to receive universal attention and respect from forerunners in the field such as the American Psychological Association, American Psychiatric Association, and various other associations. It’s obvious that it is difficult to remove support of a manual that has developed itself to be “powerful” over time.

There is no doubt that families will encounter more psychiatric diagnoses than ever before and will more than likely experience greater labeling than in past years.

Many people are unsure about the manual’s multiple revisions. In fact, according to Dr. Frances, the author of “Saving Normal” :

…”It is impossible to define “normal”…, let alone “mental disorder.” …Mental disorders should be diagnosed only when a person’s symptoms are obvious, severe and haven’t gone away on their own. Watchful waiting should be the first step in treatment, and medication a last resort. A wise, and increasingly rare, approach.”

I encourage you to stay connected and educate yourself about the DSM as much as you can. When you enter a clinical setting, you will be in a better position to understand how it’s being used.

All the best

References

Wall Street Journal. (2013). How psychiatry went crazy: The “bible” of psychiatric diagnosis shapes-and-deforms-both treatment and policy. Retrieved May 21, 2013 from, http://online.wsj.com/article/SB10001424127887323716304578481222760113886.html

   
As always, I wish you well
Tàmara 
 
Share


*CORONA VIRUS UPDATE1050 Lincoln Way, Ste 1 - Pittsburgh PA

As we get closer to the middle of May states across the nation are passing laws, reducing restrictions, and enacting new regulations to help support the transition from stay-at-home orders to the normal flow of life again.

Unfortunately, Gov. Wolf hasn't reduced the mask wearing restrictions in Allegheny County. However, he has announced most of Western PA will be moving to the yellow phase beginning May 15. This means that we can slowly regain some normalcy.

But until the mask wearing restrictions are reduced or eliminated Anchored Child & Family Counseling will remain closed. I will be making small transitions back to the office over the course of summer and seeing some clients in-person based on need.The office will be open starting June 17, 2020 with the goal of remaining open until/if state laws change in response to Corona virus restrictions.

In the meantime, I will be continuing teletherapy sessions until mid-June. My office assistant and I will be monitoring your insurance policy to ensure that you will be covered for teletherapy and that your copayments will be waived. At this time, it appears that all major insurance companies (UPMC, Highmark, Aetna, Optum/United, and Cigna) are continuing to provide coverage for teletherapy.

Please check www.anchoredinknowledge.com (the practice website) for updates and my business facebook page at: https://www.facebook.com/anchoredchild.

Please continue to stay safe!
Thank you

Tamara

Támara Hill, MS, NCC, CCTP, LPC

Licensed Child & Family Therapist
National Board Certified Counselor
Internationally Certified Trauma Therapist

x Logo: Shield
This Site Is Protected By
Shield