Below is a list of updates made to this Web site, including changes in draft criteria and other proposed revisions, since its initial launch in February 2010. Between now and June 15, 2011, we welcome your comments and questions on these changes. Work group members will review all comments, and after completion of the DSM-5 Field Trials later this year, a third round of revisions will be made, followed by a third opportunity to submit feedback. At that time, this page will be updated to orient visitors to areas of the Web site that have changed.

 DSM Changes

• Revised structural organization of diagnostic chapters
• Continual update of DSM-5 Timeline as needed
• Expanded FAQ
• Updated list of DSM-5 research planning conference monographs
• Updated list of DSM-5 journal publications
• Updated list of DSM-5 member presentations
• Addition of a section on DSM-5 Field Trials, including detailed documentation on design, protocols, listing of field trial sites, and the ability for visitors to register as potential volunteer participants in the routine clinical practice design
• Addition of new press releases as they occur

Disorder-Specific Changes

Adjustment Disorders

Criteria changes:

·        Adjustment Disorder – deletion of the bereavement exclusion criterion and addition of a subtype of “Related to Bereavement”

Anxiety Disorders

Criteria changes:

·        Posttraumatic Stress Disorder

·        Acute Stress Disorder

·        Obsessive Compulsive Disorder

·        Hoarding Disorder

·        Olfactory Reference Syndrome

·        Skin Picking Disorder

·        Specific Phobia

·        Social Anxiety Disorder (Social Phobia) – minor wording changes and addition of a subtype of Selective Mutism

·        Generalized Anxiety Disorder – 1) change of the proposed name from Generalized Anxiety and Worry Disorder to Generalized Anxiety Disorder; 2) change of the number of symptoms in criterion C (i.e., put all 6 symptoms from DSM-IV back to criterion C); 3) some minor wording changes

·        Panic Attack

·        Agoraphobia

·        Panic Disorder

 Severity scale updates:

·        The previously proposed severity scales for Anxiety Disorders have been updated.

Delirium, Dementia, Amnestic, and Other Cognitive Disorders (Neurocognitive Disorders)

Criteria changes:

·        Mild Neurocognitive Disorder – now allows “equivalent clinical judgment” where neuropsych testing is not available or practical, name changed from Minor to Mild, and minor wording changes to other criteria

·        Major Neurocognitive Disorder – now allows “equivalent clinical judgment” where neuropsych testing is not available or practical and minor wording changes to other criteria

 Post-launch addition of proposed criteria to the following DSM-IV disorders:

·        Traumatic Brain Injury Subtype

·        Additional subtype criteria are likely to be available by launch in April

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

Addition of the following disorders new to DSM-5:

·        Language Impairment

·        Late Language Emergence

·        Specific Language Impairment

·        Social Communication Disorder

·        Voice Disorder

·        Elimination of the following DSM-IV disorders:

·        Expressive Language Disorder

·        Mixed Receptive-Expressive Language Disorder

·        Communication Disorder Not Otherwise Specified (now diagnosable under Language Impairment umbrella category)

 Post-launch addition of proposed criteria to the following DSM-IV disorders:

·        ADHD

·        Phonological Disorder (now Speech Sound Disorder)

·        Stuttering (now Childhood Onset Fluency Disorder)

 Criteria changes:

·        Intellectual Disability (soon to be called Intellectual Developmental Disorder) – removed the requirement for testing to demonstrate adaptive functioning deficit and removed suggestion that 2 std is the appropriate cut-off for adaptive functioning deficit based on new data analyses

·        Autism Spectrum Disorder – reinstated examples in criteria to add clarity and changed wording in most criteria to add clarity; added severity

·        Separation Anxiety Disorder  - criteria and severity scale updates

·        Stereotypic Movement Disorder- criteria and severity scale updates

·        Tourette’s Disorder- criteria and severity scale updates

·        Chronic Motor or Vocal Tic Disorder - criteria and severity scale updates

·        Provisional Tic Disorder - criteria and severity scale updates

·        Tic Disorder Not Otherwise Specified

Dissociative Disorders

Criteria changes:

·        Dissociative Amnesia

·        Depersonalization /Derealization Disorder

·        Dissociative Disorder Not Otherwise Specified

 Severity scale updates:

·        The severity scales for proposed Dissociative Disorders have been updated.

Eating Disorders

Criteria changes:

·        Binge Eating Disorder

·        Anorexia Nervosa – reworded criteria for clarity; eliminated requirement for amenorrhea; 

·        Bulimia Nervosa – reduced requirement for binge/purge frequency

·        Eating Disorder Not Otherwise Specified (being renamed Feeding and Eating Conditions Not Elsewhere Classified) – added descriptions of several conditions of potential clinical significance

Impulse-Control Disorders Not Elsewhere Classified

Criteria changes:

·        Hair-Pulling Disorder (Trichotillomania) - criteria and severity scale updates

Factitious Disorders

Criteria changes:

·        Factitious Disorder

Mood Disorders

Addition of the following disorders to DSM-5:

·        Premenstrual Dysphoric Disorder

·        Mixed Features Specifier

·        Mixed Anxiety Depression

·        Elimination of the following DSM-IV disorders:

·        Mixed Episode (being replaced by Mixed Features Specifier)

·        Bipolar I Disorder – Single Manic Episode

·        Mood Disorder Not Otherwise Specified

 Criteria changes:

·        Cyclothymic Disorder

·        Bipolar I Disorder – Current or Most Recent Episode Hypomanic

·        Bipolar I Disorder – Current or Most Recent Episode Manic

·        Bipolar I Disorder – Current or Most Recent Episode Depressed – changed criteria A to include at least 3 major symptoms of Major Depression of which one of the symptoms is depressed mood or anhedonia

·        Bipolar I Disorder– Current or Most Recent Episode Unspecified

·        Bipolar II Disorder – Current or Most Recent Episode Hypomanic – separated from Bipolar II Disorder – Current or Most Recent Episode Depressed

·        Bipolar II Disorder – Current or Most Recent Episode Depressed – separated from Bipolar II Disorder – Current or most Recent Episode Hypomanic

·        Bipolar Disorder Not Otherwise Specified

·        Major Depressive Disorder, Single Episode

·        Major Depressive Disorder, Recurrent

·        Dysthymic Disorder (Chronic Depressive Disorder)

·        Depressive Disorder Not Otherwise Specified

Personality Disorders

Criteria changes:

·        Schizotypal Personality Disorder

·        Antisocial Personality Disorder

·        Borderline Personality Disorder

·        Avoidant Personality Disorder

·        Obsessive-Compulsive Personality Disorder

·        General Criteria for Personality Disorders

·        Levels of Personality Functioning

·        Personality Trait Domains

Schizophrenia and Other Psychotic Disorders

Criteria changes:

·        Attenuated Psychosis Syndrome

·        Catatonia Specifier – changed disorders this specifier applies to

·        Schizoaffective Disorder

·        Delusional Disorder

·        Brief Psychotic Disorder

·        Schizophrenia – changed criteria A; removal of reference to Mixed Episode

Sexual and Gender Identity Disorders

Criteria changes:

·        Hypersexual Disorder

·        Paraphilic Coercive Disorder

·        Sexual Interest/Arousal Disorder in Women

·        Genito-Pelvic Pain Penetration Disorder

·        Sexual Dysfunction Due to a General Medical Condition

·        Sexual Aversion Disorder

·        Substance-Induced Sexual Dysfunction

·        Gender Identity Disorder in Adolescents or Adults (Gender Incongruence [in Adolescents or Adults])

·        Exhibitionism (Exhibitionistic Disorder)

·        Fetishism (Fetishistic Disorder)

·        Frotteurism (Frotteuristic Disorder)

·        Pedophilia (Pedophilic Disorder)

·        Sexual Masochism (Sexual Masochism Disorder)

·        Sexual Sadism (Sexual Sadism Disorder)

·        Transvestic Fetishism (Transvestic Disorder)

·        Voyeurism (Voyeuristic Disorder)

·        Paraphilia Not Otherwise Specified (Paraphilic Disorders Not Otherwise Specified)

·        Hypoactive Sexual Desire Disorder (renamed Hypoactive Sexual Desire Disorder in Men) – made exclusive to men

·        Male Erective Disorder (renamed to Erectile Disorder)

·        Female Orgasmic Disorder

·        Male Orgasmic Disorder (renamed to Delayed Ejaculation)

·        Premature Ejaculation (renamed Early Ejaculation)

·        Sexual Dysfunction Not Otherwise Specified (Sexual Dysfunction Not Elsewhere Classified)

Sleep Disorders

Criteria changes:

·        Restless Leg Syndrome

·        Primary Insomnia – changes to capture pediatric or developmental symptoms

Somatoform Disorders

Addition of the following disorders to DSM-5:

·        Simple Somatic Symptom Disorder

·        Illness Anxiety Disorder

 Elimination of the following DSM-IV disorders:

·        Hypochondriasis (being replaced by Illness Anxiety Disorder)

 Criteria changes:

·        Body Dysmorphic Disorder - criteria and severity scale updates

·        Complex Somatic Symptom Disorder – multiple changes to criteria and optional specifiers

·        Conversion Disorder (renamed Functional Neurological Symptoms) – addition of criterion D

Substance-Related Disorders

Addition of new Substance-Induced Disorders criteria pending