Advertisement

Doing Life Together

Doing Life Together

Why Should You Care About the Controversial DSM V?

The Diagnostic and Statistical Manual (DSM), version 5, is finally out after years of debate and posturing. This book is considered the “Bible” of psychiatry. It is the one used by all clinicians and doctors to give diagnoses so insurance companies will pay for mental health benefits and so treatment can be directed. It is part science and part art and that can be a problem. For example, in 1968, the DSM voted out Narcissistic Personality Disorder, then in 1980, it was voted back in–not something you see with disease. For example, does bronchitis get voted in and out of disease?

The 947 page manual contains revisions that have been controversial. So much so that The National Institute of Mental Health has turned its back on the DSMV and is working on its own diagnostic system for 2020, claiming to bring more precision to biological markers of mental illness. But DSM V has already attempted that and found it to be more challenging than anticipated. Still, NIMH feels the DSM-V lacks validity and won’t use it in its funded studies.

Advertisement

Even though psychiatry is moving to a more neurobiological model, there is still so much we don’t know. And while we know psychotherapy is effective in so many cases, psychotherapy would be marginalized in a more neurobiological model. Already, it is tough getting reimbursement for helpful therapies like marital and family.

Part of the controversy includes dropping Asperger’s syndrome and child disintegrative disorder. They are included under the blanket autism diagnosis.

Bereavement will now be excluded, making it difficult to distinguish between “normal” grief and depression.

Binge Eating Disorder becomes a full fledge diagnosis that most of us would probably qualify for at some point!

And on it goes…

Advertisement

The reason this manual is so important is because it affects who gets treatment.

What most therapists do is find a diagnosis that seems to fit so people can use the code to pay for their treatment. Then a therapist goes about the business of working with people to solve problems and help them live better. Most therapists will reluctantly embrace the DSMV because of its necessity to service provision. But that doesn’t mean we are excited about the changes.

 
Previous Posts

I Spend, She Saves: 6 Tips on What To Do About Money
It's a common scenario, one person in a couple is a spender, the other wants to save. Fighting over money puts strain on even the best relationship. So how do you work through what seems like a major difference in approaching life? The key is ...

posted 6:00:31am Apr. 27, 2015 | read full post »

When Healing Doesn't Seem to Come
I'm often asked on the radio if I believe that God heals. Yes, I do. I've seen God heal in my own life and the lives of my clients. Let's keep in mind that God heals in many ways. Sometimes it is a supernatural touch, other times he uses doctors ...

posted 6:00:59am Apr. 24, 2015 | read full post »

5 Important Points When Dealing With a High Conflict Person
We all have that person in our lives that drives us crazy and personalizes conflict, making it difficult to handle. Here are five points to keep in mind when dealing with a high conflict person. Choose your battles. Since most ...

posted 6:00:25am Apr. 22, 2015 | read full post »

The Consequences of Holding a Grudge
A grudge involves holding resentment because of some real or imagined wrong. A grudge develops when you don’t like the way a conflict ended. Nursing a grudge can lead to revenge. Consider the story of John the Baptist in Mark 6 of the ...

posted 6:00:42am Apr. 20, 2015 | read full post »

Angry: 7 Steps to Regain Control
Anger is a powerful emotion that needs to be controlled. If you struggle with anger, consider these steps to regain control. Admit that you are out of control. While anger is a normal emotion and not a sin, anger expression can be sinful. If ...

posted 6:00:25am Apr. 17, 2015 | read full post »

Advertisement


Report as Inappropriate

You are reporting this content because it violates the Terms of Service.

All reported content is logged for investigation.