The most recent update to the manual, called the DSM-5, came out in 2013 with new disorders and adjustments to already existing ones. The newest version of the DSM was considered to be one of the most anticipated and controversial updates in its history. Some changes left even the most seasoned clinicians puzzled. The following is a list of some of the more notable additions.
Many women have read about this “new” disorder and known for sure that the APA is an organization dominated by men. This one has been plaguing many women since the caveman days. It’s a thing as of 2013, so we suppose that’s progress.
Basically, Premenstrual Dysphoric Disorder (PMDD) is a severe form of PMS. Experts admit it effects up to 10% of women, and if you have a history of depression, you’re risk is much higher.
Symptoms include mood swings, tension, fatigue, sleep issues, anger, hopelessness, bloating, difficulty concentrating, and a bunch of other horrible things. Men, generally speaking, are likely to have a hard time understanding just how debilitating PMDD can be. Women, however, probably have no problem understanding why this is finally considered a disorder.
5. Binge Eating Disorder
The older version of the DSM never mentioned Binge Eating Disorder. Instead it included Bulimia, which meant that a person not only had to binge on food, but also had to do something to get rid of it. The DSM-5 now has Binge Eating Disorder as its own diagnosis, which includes eating more food than most people would in a short period of time. The person feels out of control during the binge and does so at least once a week for three months.
The DSM leaves one big question open to interpretation: what exactly does it take to eat more food than most people would in a short period of time? Does this mean chowing down on three slices of pizza in 20 minutes puts you in this category? Should an average amount of food for a 250 pound football player be the same as someone half his size? It seems that the DSM may want to clarify exactly what they mean by this, but for now it puts many college freshman in question.
4. Disruptive Mood Dysregulation Disorder
Children and temper tantrums go together like peas and carrots, but now the amount and intensity of temper tantrums can put some kids in the category of Disruptive Mood Dysregulation Disorder (DMDD). Kids with DMDD show angry outbursts or temper tantrums more than three times a week. They tend to be irritable most of the day, almost every day. Let’s hope there are no psychologists observing children in a toy store.
3. Excoriation Disorder
Excoriation Disorder, also known as skin-picking, is next on the list. Those afflicted tend to rub their skin raw or cause wounds by obsessive scratching. For it to be a disorder, the person has to have tried multiple times to stop said picking without success.
Also, the picking cannot be caused by another disorder or from drug use. For example, many crystal meth users pick at the skin while they’re under the influence. You may remember seeing Excoriation Disorder portrayed in the movie Black Swan by Nina Sayers, played by Natalie Portman, who also battled obsessive compulsive disorder.
2. Separation Anxiety Disorder
While the idea of separation anxiety is not new, it’s inclusion in DSM-5 as a disorder is. Many parents are probably wondering why nobody thought of this before, but better late than never. Symptoms include extreme anxiety when a person is separated from home or someone to whom they are especially attached, like a parent or sibling. Distress, nightmares, and an intense fear of being alone are also common.
Symptoms have to start before a person turns 18 and they have to last for at least four weeks. Preschool and kindergarten teachers on the first day of school beware! You may have a lot of diagnosing to do!
1. Caffeine Withdrawal
Ever wake up with a pounding headache, only to realize it’s because you forgot to have your morning coffee? The DSM-5 says Caffeine Withdrawal is now a disorder.
Caffeine Withdrawal can happen when a person abruptly stops or reduces their caffeine intake after a long period of heavy use. Symptoms may include headaches, fatigue or drowsiness, irritability, problems with concentration, and flu-like symptoms. Starbucks may have just lost a ton of customers! On the other hand, 90% of the country now has a new excuse for work.
Each one of these conditions is treatable, manageable, and fairly common. Psychotherapy, a good diet and exercise, and certain antidepressant medications can work wonders. If you or anyone you know suffers from any of these conditions, please know that help is out there.
First, make an appointment with your doctor and describe your symptoms. Second, ask for a treatment plan. You might consider starting with the least invasive of interventions – changing your diet, getting plenty of sleep, increasing your exercise. If this fails to stem the tide of your symptoms, your doctor can refer you to a good therapist. So much of what ails us begins with our thoughts and our beliefs. Counseling is an effective, proven manner of dealing with any number of different conditions.
Go here If you’re interested in learning more about the changes in the DSM5. Please leave a comment below. We’d like to know what you think about these changes, and if you think we should have talked about any others.