DSM III DSM IV
CHANGES • Tried using an • In
atheoretical approach
to diagnosis that relies
on specific illness
descriptions given to
clinicians rather than
biological or
psychoanalytical
theories of origin.
• Its precise descriptive
structure and lack of
presumption about a
diagnosis's underlying
etiology. The
multiaxial approach • The
was discovered
advantageous since it
emphasizes a thorough
perspective of the
whole person rather
than a narrow
concentration on the
problem alone.
Concerning this, more
doctors used DSM-III-
R than the ICD system,
which was intended to
be used internationally,
at the start of the 1990s.
• The DSM-III criteria
for determining a the category diagnosis.
disorder were shown in
great clarity and depth,
allowing for research
into their validity and
reliability. This method
was much
incomparable to what
was previously
available since not all
DSM-III categories
attained perfect or even
adequate reliability and
validity.
DSM V
2000, the • Some evaluations don't concentrate
committee made on any one particular ailment but
minor changes to rather examine major symptoms that
several of the are typically present across disorders
criteria and altered in virtually all patients including
the wording that anxiety, depression, and sleep
describes the problems. If there were any
research that symptoms of the presenting
supports the condition, it was intended to monitor
DSM-IV them throughout therapy.
diagnostic • The manual is divided into three
category to main sections. In the first part, the
promote introduction to the manual and its
uniformity. intended use are discussed. Comes
distinction after that is the presentation of the
between diseases diseases themselves in the third part
with a biological of the manual which includes
basis and descriptions of the conditions or
disorders with a disorders that need more research
psychological before being utilized as formal
basis that was diagnoses.
present in earlier • One change in the DSM-5 is the
versions of DSM- addition of a dimensional scale,
IV was eradicated. which makes this evaluation of
severity and impairment more
thorough.
• In order to give clinicians more
information for evaluation,
treatment planning, and treatment
monitoring, dimensions are added to
• Ratings take the disorder-specific
disability into account. On a scale of
0 to 8, with 0 signifying no
impairment and 8 signifying
extremely upsetting or disabling. A
condition has to have a severity
rating of at least 4 to be classified as
a psychological disorder.
DISEASES • •
o Removed: Sub-types of
Schizophrenia

❖ Deleted in DSM-5:

Schizophrenia, Catatonic
Type (DSM-IV-TR:
295.20)

Schizophrenia,
Disorganized Type (DSM-
IV-TR: 295.10)

Schizophrenia, Paranoid
Type (DSM-IV-TR:
295.30)

Schizophrenia, Residual
Type (DSM-IV-TR:
295.60)

Schizophrenia,
Undifferentiated Type
(DSM-IV-TR: 295.90)

❖ Replaced by:

Schizophrenia (ICD-10:
F20.9)

o Removed: Dysthymia

❖ Deleted in DSM-5:

Dysthymia (DSM-IV-TR
300.4)

❖ Replaced by:

Persistent Depressive Disorder

(Dysthymia) (ICD-10: F34.1)

o Removed: Panic Disorders with

and Without Agoraphobia

o Removed: Agoraphobia without

History of Panic Disorder

❖ Deleted in DSM-5:
 Panic Disorder With
Agoraphobia (DSM-IV-TR:
300.21)

Panic Disorder Without

Agoraphobia (DSM-IV-TR:
300.01)

Agoraphobia without History of

Panic Disorder (DSM-IV-TR:
300.22)

❖ Replaced by:

Panic Disorder (ICD-10:

F41.0)

Agoraphobia (ICD-10: F40.0)

o Deleted in DSM-5:
Depersonalization Disorder
(DSM-IV-TR 300.6)

❖ Replaced by:

Depersonalization/Derealization
Disorder (ICD-10: F48.1)

Removed: Reactive Attachment

Disorder Sub-types

o Deleted in DSM-5:

Reactive Attachment Disorder

Emotionally
Withdrawn/Inhibited type
(DSM-IV-TR 313.89)

Reactive Attachment Disorder

Indiscriminately
Social/Disinhibited type (DSM-
IV-TR 313.89)

❖ Replaced by:

Reactive Attachment Disorder

(ICD-10: F94.1)
 Disinhibited Social
Engagement Disorder (ICD-10:
F94.2)

o Removed: Somatic Symptom and

Related Disorders

Most Appropriate Personnel to

Initiate Diagnosis: Medical and
Psychiatric

❖ Deleted in DSM-5:

Somatization Disorder
(DSM-IV-TR 300.81)

Hypochondriasis (DSM-IV-
TR 300.7)

Pain Disorder (DSM-IV-TR

307.80 & 307.89)

Undifferentiated
Somatoform
Disorder/Somatoform
Disorder NOS (DSM-IV-
TR 300.82)

❖ Replaced by:

Somatic Symptom Disorder

(ICD-10: F45.1)

o Removed: Sleep-Wake Disorders

❖ Most Appropriate Personnel to

Initiate Diagnosis: Medical and
Psychiatric, Sleep Specialists

❖ Deleted in DSM-5:

Sleep Disorders Related to

Another Medical Condition

Hypersomnia type (DSM-IV-

TR 327.14)

Insomnia type (DSM-IV-TR

327.01)
 Mixed type (DSM-IV-TR
327.8)

Parasomnia type (DSM-IV-

TR 327.44)

Sleep Disorders Related to

a Another Mental Disorder

Hypersomnia type (DSM-

IV-TR 327.15)

Insomnia type (DSM-IV-

TR 327.02)

Dyssomnia Not Otherwise

Specified (DSM-IV-TR
307.47)

❖ Replaced by:

Insomnia Disorder (ICD-

10: G47.00)

Hypersomnolence Disorder
(ICD-10: G47.10)