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Overview
The focus of this overview is major changes
between DSM-IV-TR (2000) and DSM-5
(2013).
Both organizational and conceptual changes in
diagnoses are included.
Further, inclusive and detailed changes and
explanations for changes are available at
www.DSM5.org/HighlightsofChanges
Intellectual Disability
Mental Retardation diagnosis has been
replaced with Intellectual Disability
Both cognitive capacity (IQ) and adaptive
functioning are assessed with severity based
on adaptive functioning rather than IQ
Communication Disorders is a
category in Neurodevelopmental
Disorders that includes:
1. Language Disorder (combines Expressive and
Mixed Receptive-Expressive Disorder)
2. Speech Sound Disorder (replaces
Phonological Disorder)
3. Childhood Onset Fluency Disorder (formerly
Stuttering)
4. Social Pragmatic Disorder (New)
Additional Neurodevelopmental
Disorder Diagnoses
Attention Deficit/Hyperactivity Disorder
Specific Learning Disorder (includes former
reading, math, written expression, and NOS
diagnoses)
Motor Disorders (includes Developmental
Coordination Disorder, Stereotypic Movement
Disorder, Tourettes Disorder, and other vocal
and motor tics, & unspecified disorders)
Depressive Disorders
Disruptive Mood Dysregulation Disorder for
children under age 18 who have persistent
irritability and frequent extreme out of control
behavior (to address concerns about potential
overdiagnosis of Bipolar Disorder)
Persistent Depressive Disorder (replaces
Dysthymic Disorder)
Bereavement no longer excluded from
depression diagnosis
Anxiety Disorders
PTSD moved to new section called Trauma and
Stressor Related Disorders
OCD moved to new section called ObsessiveCompulsive and Related Disorders
Social Anxiety Disorder (replaces Social
Phobia)
Panic Disorder with Agoraphobia now 2
diagnoses, no longer one diagnosis
Separation Anxiety Disorder moved from the
old First Diagnosed in Infancysection
Dissociative Disorders
Depersonalization/Derealization Disorder
concepts of depersonalization and derealization
combined to replace former Depersonalization
Disorder
Dissociative Fugue now a specifier under
Dissociative Amnesia instead of a stand-alone
diagnosis
Neurocognitive Disorders
Formerly Delirium, Dementia, and Amnestic
and other Cognitive Disorders section
Delirium remains in section
Amnestic Disorder and Dementia are now in a
new category called Mild or Major
Neurocognitive Disorder specified according to
etiology (vascular, HIV Infection, Traumatic
Brain Injury, Alzheimers Parkinsons
Huntingtons, Prion, other medical condition,
multiple etiologies), location (Frontotemporal),
or characteristics (with Lewy Bodies)
Personality Disorders
Additional Changes
For changes in criteria, definitions, or specifiers
that are routinely used by clinicians making
diagnoses, see the website
www.DSM5/HighlightsofChanges