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

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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

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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

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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

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Introducing Amy Simpson…guest blogger for Mental Health Month

I’ll be doing a short series next week in honor of Children’s Mental Health Week examining the obstacles to fixing our country’s broken system of providing care for kids and teens with mental illness and their families and exploring ways in which the church might play a redemptive role in supporting families in need of care. Later in the month (or whenever it becomes available), we’ll be launching a series based upon the publication of the DSM-5, the new Diagnostic and Statistical Manual of Mental Disorders. Continue reading

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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

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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

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