NAMI article on the DSM-5

7 Aug

This is an article from NAMI (National Alliance for the Mentally Ill) about revisions to the DSM (Diagnostic Statistical Manual of Mental Disorders) meaning the book that contains the criteria to diagnose certain disorders.  The article has some interesting points I’ll name here and the link at the bottom for further reference if interested.

  • The new manual will do away with the axis system, and instead be groped by 20 similarly typed disorders.  I think this is good, the other day I was trying to explain the axis system to my sister and she couldn’t get it and it was hard to explain.  Also interestingly my current diagnosis Schizoaffective Disorder would fall into the category Schizophrenia and psychotic spectrum disorders.
  • Another change (and contraversioal) is the elimination of Aspergers and it to be placed into Autistic Spectrum Disorder.  This may resort in fewer diagnosis the article also mentions.
  • Another change will be to the personality disorder category eliminating Schizoid, Paranoid, Histrionic and Dependent personality disorder.  this is their reasoning:  “Researchers feel that people in these categories rarely needed professional help and that many of their symptoms could be better described by the remaining personality disorders”

And for the link:


2 Responses to “NAMI article on the DSM-5”

  1. Gledwood August 13, 2012 at 7:14 AM #

    I’m schizoaffective, and I think mine should go in the mood disorders section. I noticed that when schizoaffective disorder is mentioned in research, they often subdivide it into “affective” and “schizophrenic” subtypes. Also I doubt that depressive schizoaffective and the bipolar type are even variations on the same illness. I have a friend with the depression-only type and her experience would be better described as paranoid schizophrenia with occasional severe depressive episodes. Mine is much more like recurrent rapid-cycling bipolar with some schizophrenic symptoms thrown in.
    As for the axis system, I never even TRIED to understand that.
    I have known a few people with personality disorders BTW and their behaviour is just whacky. Far harder to understand than that of a person with psychosis. They’re in the state they’re in all the time, constantly, for years on end. Eg I can think of 3 or 4 people who were far more paranoid than me (to an annoying degree) convinced their phones were bugged etc (and I said to them SO WHAT if someone is listening in ~ what are they going to do with the information anyway?? ~ but they wouldn’t listen to me) then I get psychotic and go far, far more paranoid than they ever do. And yet it’s me usually being the rational one telling them how cuckoo their thinking actually is. Ridiculous ridiculous ridiculous..! 😉

    • mm172001 August 13, 2012 at 5:14 PM #

      My schizoaffective I consider more of a mood disorder since that’s the part that’s hardest to treat and effects my life more. I agree with your thoughts that some schizoafective people seem more schizophrenic, although I’m not even sure I’ve met any depressive types.
      As regards to personality disorders, being a person with one probably effects me view but I do agree with you about certain personality disorders, like schizoid, schizotypal, and histionic.

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