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Old Feb 24, 2016, 05:04 PM
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amandalouise amandalouise is offline
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for those that are confused because of losing this diagnosis or that one or being diagnosed with something they didnt think they had or are trying to self diagnose ....

if you are here in america (USA) in 2013 the mental health system including diagnosis labeling, symptoms, testing procedures and tests have gone through massive changes.

for example you may find on the internet a diagnosis label containing the letters ....nos.... thats one of the huge changes here in america. the "nos" diagnosis's no longer exist. every nos diagnosis has been thrown out. everything they were has been added to other mental disorders or have been developed into a completely new mental disorder.

those here in america with a past diagnosis containing nos have no fear. its an easy fix, just contact your treatment providers and they will tell you what your new diagnosis label is, it may be just a matter of removing the letters nos or you may have a completely new diagnosis label that better explains your problems.

heres where I see posters confusion if it doesnt exist why do I keep seeing the non existent mental disorders on the internet....

because whats on the internet remains on the internet forever, thats how cyberspace works. and because other countries outside the USA may still use the diagnostic labels containing nos. each country has their own standards and what they call each mental disorder. it may not match with the USA if they are not using the DSM 5 to diagnose their patients.

tip for those who feel they need to self diagnose (hey we all know someone somewhere in life right) or are confused there is now a complete listing of what mental disorders recognized here in america. (what that means is if you go to a treatment provider and go through the diagnostics these are the mental disorders that treatment providers must use in diagnosing someone here in america.)

you find the list by typing into your search bar the words... DSM 5 table of contents.

example if someone is looking for say eating disorders here in america they type in DSM 5 table of contents, then scan down the list of mental disorders to feeding and eating disorders category. if someone is looking for PTSD related mental disorders they type in DSM 5 table of contents then scan down through the list of mental disorders until they come to the trauma and stress related mental disorders.

my point of making this post is that I find in my posting I have been suggesting more often then not that someone to contact their treatment providers when I see a nos disorder in their list of mental disorders or posts. and they are here in america. i do this because with the new standards new treatments are now available that were not available because of the nos labeling. I hate seeing people struggling when so much can be done to help them just by getting their past diagnosis's updated to the new standards, labels and treatments.

so I got to wondering that maybe its not widely known yet that the nos diagnosis's are gone now in america and that with out this diagnosis label theres more out there.

people with past nos no longer have to feel they dont fit in anywhere. you do fit in now with the new diagnostics and there is help out there for you.

Im posting from my work computer so i am unable to attach the link (it will download on the work computer) to the dsm 5 table of contents. sorry for that.
Thanks for this!
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  #2  
Old Feb 25, 2016, 02:43 PM
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for those that can not or do not want to download the information on the computer here is the DSM 5 table of contents list of mental disorders here in the USA. the categories are in bold and the mental disorders in that category are listed underneath the bold title.

Section II: Diagnostic Criteria and Codes

Neurodevelopmental Disorders
Intellectual Disabilities

Intellectual Disability (Intellectual Developmental Disorder)
Global Developmental Delay
Unspecified Intellectual Disability (Intellectual Developmental Disorder)

Communication Disorders
Language Disorder
Speech Sound Disorder (previously Phonological Disorder)
Childhood-Onset Fluency Disorder (Stuttering)
Social (Pragmatic) Communication Disorder
Unspecified Communication Disorder

Autism Spectrum Disorder
Autism Spectrum Disorder

Attention-Deficit/Hyperactivity Disorder
Attention-Deficit/Hyperactivity Disorder
Other Specified Attention-Deficit/Hyperactivity Disorder
Unspecified Attention-Deficit/Hyperactivity Disorder

Specific Learning Disorder
Specific Learning Disorder

Motor Disorders
Developmental Coordination Disorder
Stereotypic Movement Disorder
Tic Disorders
Tourette’s Disorder
Persistent (Chronic) Motor or Vocal Tic Disorder
Provisional Tic Disorder
Other Specified Tic Disorder
Unspecified Tic Disorder

Other Neurodevelopmental Disorders
Other Specified Neurodevelopmental Disorder
Unspecified Neurodevelopmental Disorder

2 • DSM-5 Table of Contents

Schizophrenia Spectrum and Other Psychotic Disorders
Schizotypal (Personality) Disorder
Delusional Disorder
Brief Psychotic Disorder
Schizophreniform Disorder
Schizophrenia
Schizoaffective Disorder
Substance/Medication-Induced Psychotic Disorder
Psychotic Disorder Due to Another Medical Condition

Catatonia
Catatonia Associated With Another Mental Disorder (Catatonia Specifier)
Catatonic Disorder Due to Another Medical Condition
Unspecified Catatonia
Other Specified Schizophrenia Spectrum and Other Psychotic Disorder
Unspecified Schizophrenia Spectrum and Other Psychotic Disorder

Bipolar and Related Disorders
Bipolar I Disorder
Bipolar II Disorder
Cyclothymic Disorder
Substance/Medication-Induced Bipolar and Related Disorder
Bipolar and Related Disorder Due to Another Medical Condition
Other Specified Bipolar and Related Disorder
Unspecified Bipolar and Related Disorder

Depressive Disorders
Disruptive Mood Dysregulation Disorder
Major Depressive Disorder, Single and Recurrent Episodes
Persistent Depressive Disorder (Dysthymia)
Premenstrual Dysphoric Disorder
Substance/Medication-Induced Depressive Disorder
Depressive Disorder Due to Another Medical Condition
Other Specified Depressive Disorder
Unspecified Depressive Disorder

Anxiety Disorders
Separation Anxiety Disorder
Selective Mutism
Specific Phobia
Social Anxiety Disorder (Social Phobia)
Panic Disorder
Panic Attack (Specifier)
Agoraphobia
Generalized Anxiety Disorder

DSM-5 Table of Contents • 3

Substance/Medication-Induced Anxiety Disorder
Anxiety Disorder Due to Another Medical Condition
Other Specified Anxiety Disorder
Unspecified Anxiety Disorder

Obsessive-Compulsive and Related Disorders
Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomania (Hair-Pulling Disorder)
Excoriation (Skin-Picking) Disorder
Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
Obsessive-Compulsive and Related Disorder Due to Another Medical Condition
Other Specified Obsessive-Compulsive and Related Disorder
Unspecified Obsessive-Compulsive and Related Disorder

Trauma- and Stressor-Related Disorders
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
Posttraumatic Stress Disorder
Acute Stress Disorder
Adjustment Disorders
Other Specified Trauma- and Stressor-Related Disorder
Unspecified Trauma- and Stressor-Related Disorder

Dissociative Disorders
Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder

Somatic Symptom and Related Disorders
Somatic Symptom Disorder
Illness Anxiety Disorder
Conversion Disorder (Functional Neurological Symptom Disorder)
Psychological Factors Affecting Other Medical Conditions
Factitious Disorder
Other Specified Somatic Symptom and Related Disorder
Unspecified Somatic Symptom and Related Disorder

Feeding and Eating Disorders
Pica
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder
Anorexia Nervosa

4 • DSM-5 Table of Contents

Bulimia Nervosa
Binge-Eating Disorder
Other Specified Feeding or Eating Disorder
Unspecified Feeding or Eating Disorder

Elimination Disorders
Enuresis
Encopresis
Other Specified Elimination Disorder
Unspecified Elimination Disorder

Sleep-Wake Disorders
Insomnia Disorder
Hypersomnolence Disorder
Narcolepsy

Breathing-Related Sleep Disorders
Obstructive Sleep Apnea Hypopnea
Central Sleep Apnea
Sleep-Related Hypoventilation
Circadian Rhythm Sleep-Wake Disorders

Parasomnias
Non–Rapid Eye Movement Sleep Arousal Disorders
Sleepwalking
Sleep Terrors
Nightmare Disorder
Rapid Eye Movement Sleep Behavior Disorder
Restless Legs Syndrome
Substance/Medication-Induced Sleep Disorder
Other Specified Insomnia Disorder
Unspecified Insomnia Disorder
Other Specified Hypersomnolence Disorder
Unspecified Hypersomnolence Disorder
Other Specified Sleep-Wake Disorder
Unspecified Sleep-Wake Disorder

Sexual Dysfunctions
Delayed Ejaculation
Erectile Disorder
Female Orgasmic Disorder
Female Sexual Interest/Arousal Disorder
Genito-Pelvic Pain/Penetration Disorder

DSM-5 Table of Contents • 5

Male Hypoactive Sexual Desire Disorder
Premature (Early) Ejaculation
Substance/Medication-Induced Sexual Dysfunction
Other Specified Sexual Dysfunction
Unspecified Sexual Dysfunction

Gender Dysphoria
Gender Dysphoria
Other Specified Gender Dysphoria
Unspecified Gender Dysphoria

Disruptive, Impulse-Control, and Conduct Disorders
Oppositional Defiant Disorder
Intermittent Explosive Disorder
Conduct Disorder
Antisocial Personality Disorder
Pyromania
Kleptomania
Other Specified Disruptive, Impulse-Control, and Conduct Disorder
Unspecified Disruptive, Impulse-Control, and Conduct Disorder

Substance-Related and Addictive Disorders
Substance-Related Disorders
Substance Use Disorders
Substance-Induced Disorders
Substance Intoxication and Withdrawal
Substance/Medication-Induced Mental Disorders
Alcohol-Related Disorders
Alcohol Use Disorder
Alcohol Intoxication
Alcohol Withdrawal
Other Alcohol-Induced Disorders
Unspecified Alcohol-Related Disorder
Caffeine-Related Disorders
Caffeine Intoxication
Caffeine Withdrawal
Other Caffeine-Induced Disorders
Unspecified Caffeine-Related Disorder
Cannabis-Related Disorders
Cannabis Use Disorder
Cannabis Intoxication
Cannabis Withdrawal
Other Cannabis-Induced Disorders

6 • DSM-5 Table of Contents

Unspecified Cannabis-Related Disorder
Hallucinogen-Related Disorders
Phencyclidine Use Disorder
Other Hallucinogen Use Disorder
Phencyclidine Intoxication
Other Hallucinogen Intoxication
Hallucinogen Persisting Perception Disorder
Other Phencyclidine-Induced Disorders
Other Hallucinogen-Induced Disorders
Unspecified Phencyclidine-Related Disorder
Unspecified Hallucinogen-Related Disorder

Inhalant-Related Disorders
Inhalant Use Disorder
Inhalant Intoxication
Other Inhalant-Induced Disorders
Unspecified Inhalant-Related Disorder

Opioid-Related Disorders
Opioid Use Disorder
Opioid Intoxication
Opioid Withdrawal
Other Opioid-Induced Disorders
Unspecified Opioid-Related Disorder

Sedative-, Hypnotic-, or Anxiolytic-Related Disorders
Sedative, Hypnotic, or Anxiolytic Use Disorder
Sedative, Hypnotic, or Anxiolytic Intoxication
Sedative, Hypnotic, or Anxiolytic Withdrawal
Other Sedative-, Hypnotic-, or Anxiolytic-Induced Disorders
Unspecified Sedative-, Hypnotic-, or Anxiolytic-Related Disorder

Stimulant-Related Disorders
Stimulant Use Disorder
Stimulant Intoxication
Stimulant Withdrawal
Other Stimulant-Induced Disorders
Unspecified Stimulant-Related Disorder

Tobacco-Related Disorders
Tobacco Use Disorder
Tobacco Withdrawal
Other Tobacco-Induced Disorders
Unspecified Tobacco-Related Disorder

DSM-5 Table of Contents • 7

Other (or Unknown) Substance–Related Disorders
Other (or Unknown) Substance Use Disorder
Other (or Unknown) Substance Intoxication
Other (or Unknown) Substance Withdrawal
Other (or Unknown) Substance–Induced Disorders
Unspecified Other (or Unknown) Substance–Related Disorder

Non-Substance-Related Disorders
Gambling Disorder

Neurocognitive Disorders
Delirium
Other Specified Delirium
Unspecified Delirium

Major and Mild Neurocognitive Disorders
Major Neurocognitive Disorder
Mild Neurocognitive Disorder
Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease
Major or Mild Frontotemporal Neurocognitive Disorder
Major or Mild Neurocognitive Disorder With Lewy Bodies
Major or Mild Vascular Neurocognitive Disorder
Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury
Substance/Medication-Induced Major or Mild Neurocognitive Disorder
Major or Mild Neurocognitive Disorder Due to HIV Infection
Major or Mild Neurocognitive Disorder Due to Prion Disease
Major or Mild Neurocognitive Disorder Due to Parkinson’s Disease
Major or Mild Neurocognitive Disorder Due to Huntington’s Disease
Major or Mild Neurocognitive Disorder Due to Another Medical Condition
Major or Mild Neurocognitive Disorder Due to Multiple Etiologies
Unspecified Neurocognitive Disorder

Personality Disorders
General Personality Disorder
Cluster A Personality Disorders
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Cluster B Personality Disorders
Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Cluster C Personality Disorders
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder

8 • DSM-5 Table of Contents
Other Personality Disorders
Personality Change Due to Another Medical Condition
Other Specified Personality Disorder
Unspecified Personality Disorder

Paraphilic Disorders
Voyeuristic Disorder
Exhibitionistic Disorder
Frotteuristic Disorder
Sexual Masochism Disorder
Sexual Sadism Disorder
Pedophilic Disorder
Fetishistic Disorder
Transvestic Disorder
Other Specified Paraphilic Disorder
Unspecified Paraphilic Disorder

Other Mental Disorders
Other Specified Mental Disorder Due to Another Medical Condition
Unspecified Mental Disorder Due to Another Medical Condition
Other Specified Mental Disorder
Unspecified Mental Disorder

Medication-Induced Movement Disorders and Other Adverse Effects of Medication
Thanks for this!
possum220
  #3  
Old Feb 26, 2016, 12:11 PM
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amandalouise amandalouise is offline
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now to understand a couple changes in the wording of the diagnostic labels....

the terms .....

other specified.....means you have a disorder that is not on the list. the treatment provider must list on your files what that other specified disorder is....

example if conversion disorder was not on the list above, the treatment provider would write the words other specified ..... disorder then next to that they would write conversion disorder. the mental disorders wrote in here under this label must exist here in the USA they cant just slap any old label on you, for example nos diagnosis labeling no longer exists here in the USA so they can not write in that you have a nos disorder.

unspecified ....means a treatment provider feels you are presenting with the symptoms that fit this category but do not meet the full diagnostics for any ....one... of the listed disorders, they do not have to state ....why... you do not meet the diagnostic criteria for any one mental disorder.

example a person being diagnosed for dissociative disorders. they have alternate personalities but the alters do not seem to be that of dissociative type alters. a treatment provider can diagnose the person as having unspecified dissociative disorder and not tell the client that their alters do not fit the DID type alters and not place in the files that the client is presenting as DID but the alters are not dissociative type, and they do not have enough information to make a definitive diagnosis. this term is most if not always used in emergency settings like in the Emergency Room.

in the DSM 5 each of these mental disorders have 5 or more pages that describe and give more information about each mental disorder.

Here in this thread what is contained here is just the basic list of mental disorders for the ...USA....other locations many have other disorders not on the list or labeled differently.

for the in depth information (diagnostic criteria, symptoms, and other data) about each of the mental disorders please contact your treatment providers or your local library's copy of the DSM 5.
  #4  
Old Feb 26, 2016, 01:01 PM
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venusss venusss is offline
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Kinda funny how can a disorder be voted and in out of existence, right?

Sorta funny how people insist it's all sciency and all (don't get me even start on chemical imbalance ****), but then it varies across borders how it is labeled. Does it mean crossing borders makes stuff to your brain that changes your "scientifically proven illnesses"?

It's not even like there is new discoveries, except all the "exciting" ones that fizzle out in few months and we are where we started. DSM is just voted on.

Doesn't say much in favor of psychiatry, does it?
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Thanks for this!
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  #5  
Old Feb 26, 2016, 02:10 PM
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amandalouise amandalouise is offline
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Quote:
Originally Posted by venusss View Post
Kinda funny how can a disorder be voted and in out of existence, right?

Sorta funny how people insist it's all sciency and all (don't get me even start on chemical imbalance ****), but then it varies across borders how it is labeled. Does it mean crossing borders makes stuff to your brain that changes your "scientifically proven illnesses"?

It's not even like there is new discoveries, except all the "exciting" ones that fizzle out in few months and we are where we started. DSM is just voted on.

Doesn't say much in favor of psychiatry, does it?
here is a link where you can contact the american psychiatric association directly to give them your feedback and questions on their process of deciding what mental disorders there are in America and why, they love receiving feedback, suggestions and questions about their book the DSM and mental disorders in the USA.

Contact | psychiatry.org
  #6  
Old Feb 29, 2016, 01:36 PM
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So what will the APA do? Toss their flawed philosophy?

My comment was rather comment on the whole way of labeling and why we should not give so much meaning to our labels.... when they can be voted in and out by bunch of guys who don't cope with them in their lifes but have Pharma money influencing their decision.
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  #7  
Old Feb 29, 2016, 03:08 PM
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amandalouise amandalouise is offline
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Quote:
Originally Posted by venusss View Post
So what will the APA do? Toss their flawed philosophy?

My comment was rather comment on the whole way of labeling and why we should not give so much meaning to our labels.... when they can be voted in and out by bunch of guys who don't cope with them in their lifes but have Pharma money influencing their decision.
short version there was no voting process in this. you can read at dsm5.org about the process and how the mentally ill, treatment providers and american's in general had ample opportunity to take part in the process (either through surveys, direct contact, the periodic census taking america goes through every few years.....) of what finally after 10 plus years of this process became the list above.

the list above isnt for everyone. this is just for those in the USA or other locations that use the DSM 5 for diagnostic purposes.

how much meaning someone puts in their mental disorders is up to each individual person. some welcome their diagnosis because it answers questions and opens the door for better treatment options others may not put any meaning into their mental disorders and others may be somewhere in between the two.
  #8  
Old Nov 17, 2016, 05:34 PM
UglyDucky UglyDucky is offline
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Quote:
Originally Posted by amandalouise View Post
for those that are confused because of losing this diagnosis or that one or being diagnosed with something they didnt think they had or are trying to self diagnose ....

if you are here in america (USA) in 2013 the mental health system including diagnosis labeling, symptoms, testing procedures and tests have gone through massive changes.

for example you may find on the internet a diagnosis label containing the letters ....nos.... thats one of the huge changes here in america. the "nos" diagnosis's no longer exist. every nos diagnosis has been thrown out. everything they were has been added to other mental disorders or have been developed into a completely new mental disorder.

those here in america with a past diagnosis containing nos have no fear. its an easy fix, just contact your treatment providers and they will tell you what your new diagnosis label is, it may be just a matter of removing the letters nos or you may have a completely new diagnosis label that better explains your problems.

heres where I see posters confusion if it doesnt exist why do I keep seeing the non existent mental disorders on the internet....

because whats on the internet remains on the internet forever, thats how cyberspace works. and because other countries outside the USA may still use the diagnostic labels containing nos. each country has their own standards and what they call each mental disorder. it may not match with the USA if they are not using the DSM 5 to diagnose their patients.

tip for those who feel they need to self diagnose (hey we all know someone somewhere in life right) or are confused there is now a complete listing of what mental disorders recognized here in america. (what that means is if you go to a treatment provider and go through the diagnostics these are the mental disorders that treatment providers must use in diagnosing someone here in america.)

you find the list by typing into your search bar the words... DSM 5 table of contents.

example if someone is looking for say eating disorders here in america they type in DSM 5 table of contents, then scan down the list of mental disorders to feeding and eating disorders category. if someone is looking for PTSD related mental disorders they type in DSM 5 table of contents then scan down through the list of mental disorders until they come to the trauma and stress related mental disorders.

my point of making this post is that I find in my posting I have been suggesting more often then not that someone to contact their treatment providers when I see a nos disorder in their list of mental disorders or posts. and they are here in america. i do this because with the new standards new treatments are now available that were not available because of the nos labeling. I hate seeing people struggling when so much can be done to help them just by getting their past diagnosis's updated to the new standards, labels and treatments.

so I got to wondering that maybe its not widely known yet that the nos diagnosis's are gone now in america and that with out this diagnosis label theres more out there.

people with past nos no longer have to feel they dont fit in anywhere. you do fit in now with the new diagnostics and there is help out there for you.

Im posting from my work computer so i am unable to attach the link (it will download on the work computer) to the dsm 5 table of contents. sorry for that.
Thanks, so much, for the detailed information you provided. I wanted to add to what you said by noting that I was tested professionally in 2015. The PhD who tested me used the DSM-4 codes, though DSM-5 was out and being used. He disagreed w/how my particular diagnosis was represented in the newer manual. I was dx'd w/a NOS dx and didn't at all feel I was being "left out;" others may well feel differently. The NOS dx for me indicated that the impairment was not as severe as how the DSM-5 indicated. There is still use for the DSM-4...
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Thanks for this!
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  #9  
Old Nov 17, 2016, 06:32 PM
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ScientiaOmnisEst ScientiaOmnisEst is offline
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People love to bash the DSM and psychiatry/psychology in general for labeling normal behavior as a disorder, and for ever-expanding the list of mental conditions. I'm looking through these and I'm surprised by how many of these are really quite medical in nature (anything neurocognitive, or severe withdrawal symptoms). I wasa little weirded out by how various types of withdrawal are listed with psychological problems, but then again, it could just be a formality.

That said:

Quote:
Breathing-Related Sleep Disorders
Obstructive Sleep Apnea Hypopnea
Central Sleep Apnea
Sleep-Related Hypoventilation
Circadian Rhythm Sleep-Wake Disorders
Why are these on a list of psychological disorders? These are medical problems.

Quote:
Oppositional Defiant Disorder
I'm still not convinced this exists. At best, it's a lack of discipline and boundaries. At worst (and more likely), it's some other disorder or combination of disorders.

Quote:
Conduct Disorder
How is this different from anything else in the conduct disorder section?

Quote:
Paraphilic Disorders
Voyeuristic Disorder
Exhibitionistic Disorder
Frotteuristic Disorder
Sexual Masochism Disorder
Sexual Sadism Disorder
Pedophilic Disorder
Fetishistic Disorder
Transvestic Disorder
Other Specified Paraphilic Disorder
Unspecified Paraphilic Disorder
Oh America, labeling people's sexual eccentricities as mental disorders. With the exception of pedophilia (which can actually lead to harm towards others), I don't see how any of these are disorders. What consenting adults want to do in their bedrooms is no one's business, so I don't see it can be a mental disorder.
Thanks for this!
Takeshi, TimTheEnchanter
  #10  
Old Nov 17, 2016, 07:33 PM
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amandalouise amandalouise is offline
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Quote:
Originally Posted by UglyDucky View Post
Thanks, so much, for the detailed information you provided. I wanted to add to what you said by noting that I was tested professionally in 2015. The PhD who tested me used the DSM-4 codes, though DSM-5 was out and being used. He disagreed w/how my particular diagnosis was represented in the newer manual. I was dx'd w/a NOS dx and didn't at all feel I was being "left out;" others may well feel differently. The NOS dx for me indicated that the impairment was not as severe as how the DSM-5 indicated. There is still use for the DSM-4...
from what I understand is that there was a 2-5 year transitional period during which treatment providers were .....transitioning..... their clients and caseloads over to the new diagnostics which may be in part why your treatment provider is still using the outdated diagnostics and outdated mental disorder listing.

So please dont be surprised if in the next year or two your treatment provider makes changes to your files stating the DSM 5 equivalent of your present diagnosis of leaving off the nos. that is if you are located with in the USA, outside the USA they may or may not be using the DSM 5.

most if not all treatment providers in the USA are now on the DSM 5, at least thats what those that attended the recent seminar\ workshop I attended. those in attendance were from various states around the USA.

here in NY all treatment providers are now on the DSM 5 standards according to the last mental health statistical reports from the state.

Last edited by amandalouise; Nov 17, 2016 at 08:43 PM.
  #11  
Old Nov 17, 2016, 07:37 PM
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Originally Posted by ScientiaOmnisEst View Post
People love to bash the DSM and psychiatry/psychology in general for labeling normal behavior as a disorder, and for ever-expanding the list of mental conditions. I'm looking through these and I'm surprised by how many of these are really quite medical in nature (anything neurocognitive, or severe withdrawal symptoms). I wasa little weirded out by how various types of withdrawal are listed with psychological problems, but then again, it could just be a formality.

That said:


Why are these on a list of psychological disorders? These are medical problems.


I'm still not convinced this exists. At best, it's a lack of discipline and boundaries. At worst (and more likely), it's some other disorder or combination of disorders.

How is this different from anything else in the conduct disorder section?


Oh America, labeling people's sexual eccentricities as mental disorders. With the exception of pedophilia (which can actually lead to harm towards others), I don't see how any of these are disorders. What consenting adults want to do in their bedrooms is no one's business, so I don't see it can be a mental disorder.
Im sorry for questions as to why the american Psychiatric Association has chosen to list what as a mental disorder and in what categories you will need to contact the American Psychiatric Association.
  #12  
Old Nov 17, 2016, 08:48 PM
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I'm confused...isn't NOS (for example, Bipolar NOS) 'not otherwise specified'?
  #13  
Old Nov 18, 2016, 12:49 AM
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Originally Posted by LauraBeth View Post
I'm confused...isn't NOS (for example, Bipolar NOS) 'not otherwise specified'?
in may 2013 america changed over to a new listing of mental disorders. the labeling NOS was discontinued, now there is a whole new listing of mental disorders that do not include NOS.

using your example (bipolar disorder nos)...

depending upon ones own individualized symptoms\problems and accompanying symptoms\problems..... what used to be called bipolar disorder nos would transfer over to one of the following ....

Bipolar and Related Disorders

Bipolar I Disorder
Bipolar II Disorder
Cyclothymic Disorder
Substance/Medication-Induced Bipolar and Related Disorder
Bipolar and Related Disorder Due to Another Medical Condition
Other Specified Bipolar and Related Disorder
Unspecified Bipolar and Related Disorder

(the term unspecified with a mental disorder is now used for emergency diagnosis situations like someone who is in crisis in the ER then when the patient sees their regular treatment provider the diagnosis changes from unspecified to one of the other mental disorders in the same category.)

the term other specified means the treatment provider thinks another bipolar disorder or bipolar disorder symptom you have but not others that would get you diagnosed with one of the others. when a treatment provider uses this label they must specify what other bipolar related mental disorder symptom you have...

example my bipolar disorder is called bipolar disorder with psychotic features. (the other specified part of my diagnosis is psychotic features) which means when my meds are not working besides having mania, hypo mania and depression I get hallucinations and delusions. my psychosis symptoms do not fall into the category of schizophrenia and psychosis disorders because its related to my having bipolar disorder.

in other words the new diagnostics and labeling system allows treatment providers to mix and match to make a better diagnosis and treatment options.

if you would like to know what your nos diagnostics\ diagnosis transfers over to in the new presently used standards you can contact your own treatment provider.
Thanks for this!
*Laurie*
  #14  
Old Nov 19, 2016, 08:01 AM
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pachyderm pachyderm is offline
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Quote:
Originally Posted by amandalouise View Post
tip for those who feel they need to self diagnose (hey we all know someone somewhere in life right)...
I am one of those who has had to self diagnose, because I felt (I think correctly) that the treaters got it wrong, did not listen to me when I talked to them.

They are not perfect. Far from it.
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  #15  
Old Nov 19, 2016, 09:57 AM
avlady avlady is offline
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Thank you sooo much for this post it is enlightning!!
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  #16  
Old Nov 19, 2016, 05:23 PM
Cyllya Cyllya is offline
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My beef with the DSM is that each condition is defined primarily by symptoms or behaviors--and to make it worse, their understanding of the symptoms seems kind of sketchy at times. (Compare the way it's often done for non-psychiatric conditions: Your doctor might diagnose/treat you based purely on symptoms, but a more objective definition of the disease exists. This matters for treatment research and for situations where the symptom-based diagnosis is more complicated.) But, the DSM5 didn't make it any worse than the DSM4, and the ICD, which is used in other parts of the world, has the same problem.

I've heard the National Institute of Mental Health is working on their own system, which will be based on biomarkers, but it won't be ready for like ten years. (Well, it was announce around the time the DSM5 came out, so maybe we're down to seven years now.)

Anyhow, if anyone's interested in knowing the specifics of each condition (for curiosity or for self-diagnostic purposes), both the PsychCentral main site and Wikipedia are a convenient places to start, especially for the more well-known conditions. They don't generally have the full DSM text because it's copyrighted. However, sometimes you can do an internet search of a condition name followed by "dsm5 criteria" to find quoted text.

I'm guessing you could find the DSM5 in a library too, but I haven't tried. It costs like $200 if you want to buy it.

Quote:
Originally Posted by ScientiaOmnisEst View Post
People love to bash the DSM and psychiatry/psychology in general for labeling normal behavior as a disorder, and for ever-expanding the list of mental conditions. I'm looking through these and I'm surprised by how many of these are really quite medical in nature (anything neurocognitive, or severe withdrawal symptoms). I wasa little weirded out by how various types of withdrawal are listed with psychological problems, but then again, it could just be a formality.
Keep in mind, the DSM is for psychiatry (it's published by the American Psychiatric Association) and psychiatry is a medical specialty focusing on mental illness, and mental illnesses are "health conditions involving changes in thinking, emotion or behavior (or a combination of these)." (That is the definition of mental illness off the APA website, but other sources should agree with them. Actually, I liked Wikipedia's "abnormalities related to mood, behaviour, cognition, and perceptions.")

So neurocognitive problems and withdrawal symptoms make sense to be considered mental illness/psychiatric. Probably even more so than some other things that are sometimes considered psychiatric, e.g. being sad because sad things have happened.

Quote:
Why are these on a list of psychological disorders? These are medical problems.
I was surprised to see the apnea/hyponea conditions too, but I looked them up, and it seems like those terms refer more to the psychiatric problems caused by the lack of sleep, not the physical problems which cause the lack of sleep. I guess the circadian rhythm stuff makes sense--if it's not psychiatric, what is it?

Quote:
Originally Posted by ScientiaOmnisEst View Post
I'm still not convinced this exists. At best, it's a lack of discipline and boundaries. At worst (and more likely), it's some other disorder or combination of disorders.
"Lack of discipline and boundaries" isn't going to cause a severe problem like Oppositional Defiant Disorder, unless maybe we're talking the kind of terrible parenting that can typically cause a variety of psychiatric disorders.

It does sound a lot like a mood disorder.

Quote:
Originally Posted by ScientiaOmnisEst View Post
Quote:
Paraphilic Disorders
Voyeuristic Disorder
Exhibitionistic Disorder
Frotteuristic Disorder
Sexual Masochism Disorder
Sexual Sadism Disorder
Pedophilic Disorder
Fetishistic Disorder
Transvestic Disorder
Other Specified Paraphilic Disorder
Unspecified Paraphilic Disorder
Oh America, labeling people's sexual eccentricities as mental disorders. With the exception of pedophilia (which can actually lead to harm towards others), I don't see how any of these are disorders. What consenting adults want to do in their bedrooms is no one's business, so I don't see it can be a mental disorder.
The diagnostic criteria for those conditions entails way more than just having weird tastes. Heck, you said yourself "consenting adults" and "in their bedrooms" but Voyeuristic Disorder specifically involves spying on unsuspecting people and Exhibitionistic Disorder involves exposing one's own sexual body parts to non-consenting people.

All the paraphilic disorders in the DSM-5 have a criteria of "a paraphilia that is currently causing distress or impairment to the individual or a paraphilia whose satisfaction has entailed personal harm, or risk of harm, to others." (This is actually an improvement over the previous DSMs which didn't make a clear distinction.) Even if someone has some weird taste/paraphilia which theoretically entails a lack of consent, that doesn't automatically mean they go around harming people. That's true of pedophilia too.

I think this pretty well illustrates where the general anti-psychiatry argument of pathologizing normal things comes from... People see a diagnostic label like "[perfectly normal thing or quality] Disorder" and for some reason assume psychiatrists are declaring that perfectly normal thing/quality to be a disorder, but they are actually identifying a miserable and potentially life-ruining problem which relates to that normal thing/quality.

There's not much they can do with the names to prevent this problem. One of my diagnoses has a name like "[normal]-Deficit/Hyper[normal] Disorder"--the bad parts in that name outnumber the normal parts three to two--and I still see people thinking it refers to something normal! (I actually dislike the name of ADHD because I feel it's too specific, and likewise the criteria is too narrow, but even if they came up with a name/criteria I liked better, I'm sure it would still have this issue. That, or people wouldn't understand it at all.)

Of course, I'm not saying the APA is immune to accidentally pathologizing normal things due to cultural bias (e.g. homosexuality used to be listed until one of the revisions of the DSM2), but I think it's a much smaller problem than people make it out to be, especially since they specify impairment/distress/etc in the criteria of most things. Even if they mistakenly believe XYZ is bad, you probably won't meet their criteria for XYZ disorder unless XYZ is actually causing some problems. (Of course, a clinician misdiagnosing you with XYZ Disorder because they've personally decided it's a problem is still an issue.)

Quote:
Kinda funny how can a disorder be voted and in out of existence, right?

Sorta funny how people insist it's all sciency and all (don't get me even start on chemical imbalance ****), but then it varies across borders how it is labeled. Does it mean crossing borders makes stuff to your brain that changes your "scientifically proven illnesses"?

It's not even like there is new discoveries, except all the "exciting" ones that fizzle out in few months and we are where we started. DSM is just voted on.

Doesn't say much in favor of psychiatry, does it?
Quote:
My comment was rather comment on the whole way of labeling and why we should not give so much meaning to our labels.... when they can be voted in and out by bunch of guys who don't cope with them in their lifes but have Pharma money influencing their decision.
If think, due to this crappy diagnostic system, people should definitely avoid conflating the diagnostic label with the underlying problem. (If that's what you're saying, I agree with you, but your first post wasn't following that idea.)

For the DSM4-to-DSM5 changes being discussed, they aren't really adding or removing disorders, so much as renaming or recategorizing things. Like, if you used to have "Bipolar Disorder Not Otherwise Specified," you now have "Other Specified Bipolar and Related Disorder" (or possibly one of the other more-specific ones). No one should be looking at that situation and concluding that the nature of your mental health has changed.

My psychiatrist gave me two simultaneous diagnoses for my depression. I only have one depression, as far as I know, but there weren't any diagnostic labels that fully encompassed how it manifests in my case, and I met the criteria for two conditions, so I got both. I guess that's how medical coding works in general, though? Like, I got my records from my PCP, and I saw that there were very frequently things like this:
ASSESSMENT:
719.47 Right Ankle Pain
729.5 Right Foot Pain
845.09 Right Ankle sprain
(In this example, I only had one injury.)

Non-psychiatric diseases are sometimes newly discovered, renamed, or re-categorized, and no one thinks those are fake. (Okay, sometimes people do think they are fake... but can we agree that those people are dumb?)

Acute viral nasopharyngitis (AKA nasopharyngitis AKA viral rhinitis AKA rhinopharyngitis AKA common cold) was described in some documents created in 1550 BC, it was named "cold" in the 16th Century AD, and the actual rhinovirus wasn't discovered until I think the 1900's. Does that mean the common cold doesn't exist?

There have been some news articles declaring a "new" disease called "bagpipe lung," but it's actually a new name for hypersensitivity pneumonitis, which is not new. The patient's exposure to the antigen that causes the condition usually has something to do with their hobby or occupation, so it has all kinds of dumb names like bird fancier's lung, hot tub lung, Maple bark disease, sequoiosis, bagassosis, and detergent worker's disease.

Crossing borders might cause doctors to use a different name for your condition, but even if they call it the same thing in words, they will have a different numerical code for it if they are using a different system.
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