New

diagnoses to know:
Autistic Spectrum Disorder
Specific Learning Disorder
Speech Sound Disorder
(Phonological disorder)
Childhood-onset Fluency
Disorder (Stuttering)
Social Communication Disorder
Specific Learning Disorder
Disruptive Mood Dysregulation
Disorder
Premenstrual Dysphoric
Disorder (PMDD)
Hoarding Disorder

Excoriation Disorder
Illness Anxiety Disorder
Psychological Factors Affecting
Other Medical Conditions
REM Behavior Disorder
Restless Legs Syndrome
Genito-Pelvic Pain/Penetration
Disorder
Gambling Disorder
Major Neurocognitive Disorder
Paraphilia Disorder (vs.
Paraphilia)

ALL DSM-V CHANGES:

Mental Retardation Intellectual Disability
o Low IQ and low adaptive functioning
o Severity is based on adaptive functioning, not IQ
New Section: Communication Disorders
o Language Disorder
o Speech Sound Disorder (Phonological disorder)
o Childhood-onset Fluency Disorder (Stuttering)
o Social Communication Disorder
Deficits in social use of verbal/nonverbal communication
NO stereotyped/repetitive behaviors (as found in Autistic
Spectrum Disorder)
Autism Autistic Spectrum Disorder (ASD)
o Aspergers, Retts, Childhood Disintegrative Disorder now incorporated
into ASD
o Same definition: stereotyped/repetitive behaviors + deficits in social
use of communication
ADHD
o Same requirement of 6 of 12 symptoms grouped into 2 categories
(inattention & Hyperactivity/impulsivity)
o Onset is now before age 12 (instead of age 7)
o Can be co-diagnosed with ASD
o Adult ADHD requires only five symptoms instead of six in children
New Section: Specific Learning Disorder
o Combines disorders of reading, mathematics, written expression, and
learning disorder NOS
Schizophrenia
o Two Criterion A symptoms now required for diagnosis
o One of criterion A symptoms must be one of three symptoms:
Delusions, Hallucinations, or Disorganized Speech
o Subtypes of Schizophrenia (Paranoid, Disorganized, etc.) are eliminated
Schizoaffective Disorder

Mood disorder must be present for more than the period of time the
two Criterion A symptoms of Schizophrenia has been found
Delusional Disorder
o The belief can be nonbizarre or bizarre
New Mood Disorder: Disruptive Mood Dysregulation Disorder
o Bipolar disorder in children Onset must be before age 18
o Persistent irritability, frequent episodes of severe behavioral dyscontrol
New Mood Disorder: Premenstrual Dysphoric Disorder (PMDD)
o Moved from Appendix to Main Body of DSM
Bereavement
o Symptoms lasting less than 2 months since death of loved one has
been eliminated
o Bereavement becomes Depression if suffering, feelings of
worthlessness, suicidal ideation, poorer somatic health,
worse interpersonal and work functioning
Examples: Isolation of self from others, Work/marital/familial
issues, patient planning to meet with dead loved one
(suicide), severe weight loss (ex. 25 lbs in 1 month not by
medical condition)
Phobias
o Eliminate requirement that patient knows their phobia is excessive
or irrational
Panic Disorder & Agoraphobia
o Now unlinked can be diagnosed with either or both
Social Phobia
o Now requires >6 months of symptoms
Now an Anxiety Disorder: Separation Anxiety Disorder
o Onset before Age 18
o Separation Anxiety lasting longer than 6 months in duration
Now an Anxiety Disorder: Selective Mutism
New Section: Obsessive-Compulsive & Related Disorders
o Includes OCD!
o New Disorder: Hoarding Disorder
The show Hoarders = Symptoms
Related to OCD Obsession = desire hold items for long
periods of time, compulsions = holding items, and letting
items go causes severe distress
o New Disorder: Excoriation Disorder
Skin-Picking
o New specifier in section: With good/poor/no insight
o OCD can now be substance induced
Acute Stress Disorder/PTSD
o Specifier for how the patient experienced event (directly, witnessed, or
indirectly)
Dissociative Disorders
o

Fugue (moving to another location and forgetting previous events) is

now a specifier of dissociative amnesia
o Gaps in recall may be for everyday events, not just traumatic events
Hypochondriasis is now Illness Anxiety Disorder
New Somatic Symptom Disorder: Psychological Factors Affecting Other
Medical Conditions
Anorexia Nervosa
o Amenorrhea has been eliminated as a criterion (to allow males
and women on long-term contraceptives the diagnosis)
Bulimia Nervosa
o Requirement of binge eating w/ compensation reduced to once a week
(instead of twice)
o Binge Eating Disorder: Also only once a week (with no compensation)
Sleep Disorders
o Primary Insomnia now called Insomnia Disorder
o Narcolepsy is now associated with Hypocretin Deficiency
o New Disorder: REM Behavior Disorder
Acting out vivid dreams with sudden movements like
thrashing, running off the bed, and punching (vs. Nightmare:
REM, can remember dream but does not move)
o New Disorder: Restless Legs Syndrome
Sexual Disorders
o All Sexual Dysfunctions require >6 month requirement
o New Disorder: Genito-Pelvic Pain/Penetration Disorder
Merges Dyspareunia and Vaginismus together
Gender Identity Disorder is now its own section, called Gender Dysphoria
Intermittent Explosive Disorder
o Now includes verbal and noninjurious aggression (along with physical
aggression)
o Now must require impairment in daily functioning or financial/legal
consequences
Addictive Disorders
o New Addictive Disorder: Gambling Disorder
Excessive gambling (duh), that impairs daily functioning, can
have financial consequences
o Abuse and Dependence are now merged in the diagnosis of a
substance use disorder
o Cannabis and Caffeine Withdrawal are now disorders
o Severity specifier
Cognitive Disorders
o New Disorder: Major Neurocognitive Disorder
Combines Dementia and Amnesic disorder
Specifiers for specific diagnosis: Alzheimers, Frontotemporal,
Pick, HIV, Hungtington, etc.
There is now a difference between Paraphilia and Paraphilia Disorder
o Disorder
=
causes
mental
distress/impairment
of
daily
functioning/harm to others
o