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Tag Archives: dsm-5
DSM-5: Emphasis on the EPISODIC nature of Bipolar Disorder in kids
During the latter decades of the 20th century, this contention by researchers that severe, nonepisodic irritability is a manifestation of pediatric mania coincided with an upsurge in the rates at which clinicians assigned the diagnosis of bipolar disorder to their pediatric patients. This sharp increase in rates appears to be attributable to clinicians combining at least two clinical presentations into a single category. That is, both classic, episodic presentations of mania and non-episodic presentations of severe irritability have been labeled as bipolar disorder in children. In DSM-5, the term bipolar disorder is explicitly reserved for episodic presentations of bipolar symptoms.
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Disruptive Mood Dysregulation Disorder (DMDD)…A necessary response to the “bipolar” epidemic
Adding diagnostic criteria to the DSM-5 for DMDD is a significant plus for kids if the new guidelines help clinicians to be more thoughtful in evaluating kids with moodiness and irritability. Continue reading
The “R-word” has been banished…new criteria for intellectual disability
The most important change in the new criteria involves a decrease in the emphasis upon intelligence tests in the classification of intellectual disability in favor of a severity of impairment classification based upon adaptive functioning along with intelligence testing. Continue reading
ADHD…DSM-5 criteria validate what’s being done in practice
The most important revisions in the diagnostic criteria take into account the reality that symptoms of ADHD persist into adulthood for many with the disorder, and that the functional impairment associated with ADHD may not be readily apparent for many kids prior to the teen years. Continue reading
Posted in ADHD, Key Ministry, Mental Health
Tagged ADHD, children, diagnostic criteria, dsm-5, medication, mental health, prevalence, teens
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First impressions of the DSM-5
The weakness is its lack of validity. Unlike our definitions of ischemic heart disease, lymphoma, or AIDS, the DSM diagnoses are based on a consensus about clusters of clinical symptoms, not any objective laboratory measure. In the rest of medicine, this would be equivalent to creating diagnostic systems based on the nature of chest pain or the quality of fever. Indeed, symptom-based diagnosis, once common in other areas of medicine, has been largely replaced in the past half century as we have understood that symptoms alone rarely indicate the best choice of treatment. Continue reading
Posted in Controversies, Mental Health
Tagged children, Dr. Thomas Insel, dsm-5, families, first impressions, mental health, NIMH, psychiatry, teens
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No Labels…Tying it All Together
Bottom line…We can minister effectively to kids with disabilities and their families without requiring knowledge of diagnoses that may or may not be accurate or by defining children and their adults by their disability as opposed to by who they are in God’s Kingdom. Continue reading
The Purpose of Diagnostic Criteria
Think about this…Diagnosis is ultimately used as a tool to facilitate the treatment of patients/clients with identifiable medical/psychiatric disorders.
Does the church treat kids with disabilities? Or do we disciple them? Continue reading
Posted in Autism, Controversies, Key Ministry
Tagged Autism, church, diagnosis, Dr. Fred Volkmar, dsm-5, Key Ministry, Stephen Grcevich MD
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Church4EveryChild 