Diagnostic and Statistical Manual of the

The diagnostic criteria for, and general features of, disorders in which anxiety is a prominent component are described in detail in the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-IV, 4th edition (1994)) and are regarded as either phobias or anxiety states ... 

Psychiatry is a subspecialty of medicine that involves the diagnosis and treatment of mental disorders, as defined and classified in the fourth edition of the Diagnostic and Statistical Manual of the American Psychiatric Association (2000 known as DSM-IV-TR). Mental illnesses are biologically based brain diseases that are widespread in the general population and vary in duration and severity. The main burden of mental illness is concentrated in the 6 percent of Americans who suffer from a serious mental illness such as schizophrenia, bipolar disorder, and major depression. 

American Academy of Child and Adolescent Psychiatry Practice parameters for the assessment and treatment of children and adolescents with substance abuse disorders. J Am Acad Child Adolesc Psychiatry 37 122—126, 1998 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000... 

Individuals with a pattern of chronic use of commonly abused substances should be assessed to determine if they meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for substance dependence (addiction).8 Criteria are not defined for each separate abused substance rather, a pattern of behavior common to the abuse or dependence of all drugs of abuse is established. 

Reprinted from the Diagnostic and Statistical Manual of Mental Disorders, Copyright 2000, American Psychiatric Association, with permission.)... 

With a lifetime prevalence of 28.8%, anxiety disorders collectively represent the most prevalent Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-IV-TR)2 class of disorders, with specific phobia (12.5%) and social anxiety disorder (12.1%) being the most common.3 Recent reports from the National Comorbidity Survey Revised (NCS-R) estimate the lifetime and 1-year prevalence of generalized anxiety disorder (GAD) for those 18 years of age and older to be 5.7% and 3.1%, respectively.3,4 Rates for panic disorder (PD) are slightly lower, with an estimated 12-month prevalence of 2.7% and lifetime prevalence of 4.7%. 

The most useful diagnostic criteria for ADHD is the Diagnostic and Statistical Manual of Mental Health Disorders, 4th edition, Text Revision (DSM-IV-TR) (Table 39-1). The DSM-IV-TR defines three subtypes of ADHD (1) predominately inattentive, (2) predominantly hyperactive/impulsive, and (3) combined, in which both inattentive and hyperactive symptoms are evident.11... 

DSM-IV The fourth edition of the American Psychiatric Association s Diagnostic and Statistical Manual of Mental Disorders which along with the tenth edition of the World Health Organisation s International Classification of Diseases (ICD-10) are widely used for psychiatric evaluation, especially in clinical pharmacology. 

Data from American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision. Washington, DC American Psychiatric Association, 2000 429-484 Baldwin DS, Anderson IM, Nutt DJ, et al. Evidence-based guidelines for the pharmacological treatment of anxiety disorders Recommendations from the British Society for Psychopharmacology. J Psychopharmacology 2005 19 567-596 and Katon WJ. Panic disorder. N EnglJ Med 20062554 2560-2567. 

The Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision, classifies bipolar disorders as (1) bipolar I, (2) bipolar II, (3) cyclothymic disorder, and (4) bipolar disorder not otherwise specified. Table 69-3 defines mood disorders by type of episode. Table 69-4 describes the evaluation and diagnostic criteria for mood disorders. 

Major depression is characterized by one or more episodes of major depression, as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (Table 70-1). Symptoms must have been present nearly every day for at least 2 weeks. Patients with major depressive disorder may have one or more recurrent episodes of major depression during their lifetime. 

EVOLUTION OF CLASSIFICATION IN THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS CURRENT PROBLEMS AND PROPOSED ALTERNATIVES... 

The Diagnostic and Statistical Manual of Mental Disorders (DSM) represents the most widely used psychiatric nosology in the United States. From a historical perspective, it appears that the major changes to the DSM have taken place to solve a few specific problems—particularly, problems with reliability. Over time, the DSM has done well in addressing problems related to reliability, but this evolution has raised many criticisms and has created additional problems. In this chapter, the history of the DSM is reviewed, along with the major criticisms that have been raised about its more recent versions. We also suggest taxometric analysis as one method that will prove useful in addressing many of the limitations of the current system. 

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