Clinician’s Digest I


DSM-5 Ready for Release

March/April 2013


At the turn of the millennium, the American Psychiatric Association (APA) began a massive undertaking to expand the scientific basis for psychiatric diagnoses with an update to their Diagnostic and Statistical Manual of Mental Disorders (DSM). This vital publication hasn’t had a systematic evaluation or overhaul since DSM-IV was released in the mid-1990s, aside from a minor text revision released in 2000 (DSM-IV-TR). Now, following more than a decade’s worth of work and a reported $25 million in expenditures, revisions to the DSM are finalized and ready to hit the market in May of this year. What changes can you expect when DSM-5 comes to a bookshelf near you?

The most immediately obvious change is the sheer weight of the volume. Like the Harry Potter or Twilight book series, the DSM has ballooned in size with every edition. The current manual is 943 pages, hefty in comparison to the svelte 130 pages of the series’ maiden version. DSM-5 boasts added diagnostic entities, expanded scientific justifications, and an extensive list of proposed research initiatives. True to its size, the book comes with a whopping price tag. Although DSM-IV and DSM-IV-TR were released at a cost of $65 and $84 respectively, this edition has hit the market for preorder at a listing price of $199 in hardcover and $149 in paperback.

Among the more substantive changes, the content has been…

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