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Tag Archives: dsm-5
The tragic flaw in the DSM-5 is that the new diagnostic criteria have been declared “dead on arrival” by the leaders of the organization positioned to fund the research necessary to direct clinical care. Continue reading
Separation Anxiety Disorder is the most common anxiety disorder among kids ages 12 years and under. Separation Anxiety (along with Selective Mutism) was removed from the category of Disorders Usually First Diagnosed in Infancy, Childhood and Adolescence and included among anxiety disorders. The similarities between separation anxiety and selective mutism and other anxiety disorders led to the decision to include them in this category. Other data leading to the inclusion of separation anxiety was the observation that 0.9-1.9% of adults meet criteria for the condition during any twelve month period.
My problem with the diagnosis of Oppositional Defiant Disorder (ODD) is that establishing the diagnosis doesn’t tell you anything about what to do to treat it. Consider it a “lite” version of Disruptive Mood Dysregulation Disorder without the severe, protracted tantrums or meltdowns.
Given the outsized role these conditions play in children’s mental health, the DSM-5 diagnostic criteria for specific learning disorder represent a major fail for the field. Continue reading
Most importantly for the sake of our discussion, the symptom thresholds for establishing a diagnosis in children and teens have been changed to take into account differences in the ways that trauma is manifested in kids, and a unique set of diagnostic criteria have been established for identification of PTSD in kids ages six and under.
Some of the conditions included in this new category (in addition to OCD) include…Body Dysmorphic Disorder, Hoarding Disorder, Trichotillomania (Hair-Pulling Disorder) and Excoriation (skin-picking) Disorder. Continue reading
From a clinician’s standpoint, kids with Asperger’s are VERY different from kids with “classic” autism. Kids with Asperger’s have the intelligence and language skills to very effectively communicate their thoughts and perceptions. They also have a far greater capacity for self-awareness of their social deficits…and are far more amenable to treatment interventions to ameliorate their weaknesses in social situations. They’re so different that the vast preponderance of kids with traditional autism in our community receiving medical intervention are seen by developmental pediatricians and pediatric neurologists, not child psychiatrists. Continue reading