What to review for BLEPP: DSM IV-TR or DSM5?

One of the frequently asked questions that we receive on our FB Page is "What to review DSM IV-TR or DSM5 for the BLEPP?" (DSM - Diagnostic and Statistical Manual of Mental Disorders / BLEPP - Board Licensure Examinations for Psychologists and Psychometricians).

In the 2016 proposed changes of the TOS (Table of Specifications) for Abnormal Psychology, comparing it with the 2014 TOS, nowhere will you find DSM or ICD 10 specifically or categorically stated as basis for identifying common psychological disorders and its specific symptoms. DSM was a creation of the American Psychiatric Association while the International Classifcation of Diseases (ICD) was made by the World Health Organization (WHO).

So how do we reply to the query. We would answer and reply back to study both DSM IV-TR and DSM5 and be familiarized as well with ICD10. The video below taken from APA link serves as an overview of the changes from the old DSM to the current one. There were reorganization/rearrangement made, some addition on specifier, comorbidity and the like. Some of the major changes, Schizophrenia got expanded through a spectrum;  Mood Disorder is now integrated among Depressive Disorder and Bipolar Disorder; and  Anxiety disorders is now split further into: Obsessive-compulsive and related disorders and Trauma- and stressor-related disorders. It appears that with all the expansion made in DSM5, ICD 10 serves to reflect the older DSM version.

With all those so many disorders so what one should focus into? No definite answer but we would suggest those who ask to refer  to the CHED Course Content since it is the mandated requirements by CHED which I hope the PRC-Board of Psychology would take into consideration when making the exam.

At least cover the following topics:
a) Disorders usually first diagnosed in infancy, childhood or adolescence
b) Cognitive Disorders
c) Substance-related Disorders
d) Schizophrenia and other Psychotic Disorder
e) Mood Disorders
f) Anxiety Disorders
g) Dissociative Disorders
h) Personality Disorders

Still a lot - better be prepared than regret later on.

Below is a video from APA website - http://www.apa.org/ed/precollege/topss/videos-teachers.aspx

 

Other related links:

http://psychometricpinas.blogspot.com/2015/06/dsm5-videos-from-taylor-study-method.html

http://psychometricpinas.blogspot.com/2014/03/dsm-5-update-for-counselors-students.html

http://psychometricpinas.blogspot.com/2015/03/dsm5-various-slide-presentations.html

 http://psychometricpinas.blogspot.com/2014/09/combined-course-specifications-and-tos.html

DSM5 Videos from Taylor Study Method

Schizophrenia

1. Prominent psychotic symptoms, with abnormalities in one or more of five domains: delusions, hallucinations, disorganized thinking, grossly disorganized behavior, and negative symptoms

2. Positive symptoms: excess or distortion of normal functions, e.g., delusions and hallucinations

3. Negative symptoms: decrease or loss of normal functions, e.g., blunted affect, lack of fluidity of speech, avolition, alogia, anhedonia, asociality

4. Delusions: fixed beliefs unamenable to change: persecutory, referential, grandiose, erotomanic, nihilistic, somatic

5. Hallucinations: sensory modalities without external stimulus: auditory, tactile

6. Disorganized thinking: formal thought disorder inferred from speech

7. Grossly disorganized or abnormal motor behavior: range of manifestations: silliness to unpredictable agitation; catatonia

8. Mnemonic for symptoms: DELUSIONS HERALD SCHIZOPHRENIA BAD NEWS: The initials DHSBN stand for symptoms domains: Delusions, Hallucinations, Speech-disorganized, Behavior- disorganized, Negative symptoms

QUESTION:
Negative or deficit symptoms of schizophrenia include all of the following, except:

ANSWERS:
A. auditory hallucinations.
B. impoverished thought or speech.
C. low motivation.
D. social isolation.

RATIONALE:
A is correct, as hallucinations are a positive or excess symptom; Answers B, C, and D are incorrect, as they all depict negative or deficit symptoms.

Source - http://www.taylorstudymethod.com/blog/schizophrenia-dsm-5-eppp-lecture-video-by-taylor-study-method/

Anti-social Behavior, Hypomania, Narcisistic Personality Disorder, Bipolar Disorder, Histrionic Personality Disorder

  https://vimeo.com/103349596


 Neurocognitive Disorders https://vimeo.com/103499076

DSM5 Various Slide Presentations

Below are various slide presentations about DSM5.

 

Dsm 5 - An overview from Cijo Alex

Introduction to the New DSM-5 Manual from Laurence Karper

The DSM-5: Overview of Main Themes and Diagnostic Revisions from James Tobin, Ph.D.

Intro to DSM V Part 1 by Magellan Behavioral Health from Dorleem SocialWork

Intro to DSM-5 Part 2 by Magellan Behavioral Health from Dorleem SocialWork

Infographics - Psychology of a Hoarder

Critical Look at DSM, or the state of Psychiatry?

(Image source- http://blogs.scientificamerican.com/streams-of-consciousness/files/2012/05/DSM-stack-microscope.jpg)

Below is a video critical to DSM or  Diagnostic and Statistical Manual of Mental Disorders considered as house of cards and psychiatry's deadliest scam. It posits that coming up with the list is rather political rather than scientific. The video also accuses the DSM as "pure marketing" for big psycho-pharmaceuticals and insurance companies, more mental disorders more profits. DSM have found its way in courts putting people behind bars, mental institutions, breaking up of families, drugging/medicating children and putting to foster care among others.

Just recently published DSM 5 last May 18, 2013,  also received critical and negative reviews from different individuals and groups. Among of the few links are:

http://www.psychologytoday.com/blog/dsm5-in-distress/201212/dsm-5-is-guide-not-bible-ignore-its-ten-worst-changes

http://www.healthnewsreview.org/2012/12/critic-calls-american-psychiatric-assoc-approval-of-dsm-v-a-sad-day-for-psychiatry/


Videos from you tube:
http://www.youtube.com/watch?v=eeEx1MqqE7M
http://www.youtube.com/watch?v=K5yBnqc_gWM

The DSM: Psychiatry's Deadliest Scam

 Uploaded on You Tube on Dec 9, 2011

It's psychiatry's best-selling catalog of mental illness — 943 pages long and covering everything from depression and anxiety to stuttering, cigarette addiction, fear of spiders, nightmares, problems with math and even disorder of infancy — all reinterpreted and labeled as a brain disease.

And though it weighs less than five pounds, its influence pervades all aspects of modern society: our governments, our courts, our military, our media and our schools.
Using it, psychiatrists can enforce psychiatric drugging, seize your children and even take away your most precious personal freedoms.

It is psychiatry's Diagnostic and Statistical Manual of Mental Disorders, and it is the engine that drives a $330 billion psychiatric industry.

But is there any proof behind the DSM? Or is it nothing more than an elaborate pseudoscientific sham?

 

DSM 

Diagnostic and Statistical Manual of Mental Disorders

Image source - scottdmiller.com

DSM  Timeline


1890 - Emil Kraepelin (Father of Psychiatric Classification)
- dementia praecox (Schizophrenia)
- manic depressive ilness
- paranoid psychosis

1950 - DSM 1
- catalog of mental illnesses
-  listed 112 mental disorders (130 pages long)

1968 - DSM 2
- 178 disorders

1980 - DSM 3
- Robert Spitzer was selected as chairman of the task force
- 259 disorders
- chemical imbalance theory - Dr. Joseph Schildkraut, Professor of Psychiatry

1987 the DSM-III-R
- categories renamed, reorganized, and significant changes in criteria were made

1994 - DSM 4
- 297 disorders in 886 pages
- Dr. Allen Frances, Head of the Task Force

2000 - DSM IV-TR
- "text revision"
-  organized into a five-part axial system
- 374 disorders
- Axis 1  -  clinical disorders
- Axis 2 -  personality disorders and intellectual disabilities.
- other  axes covered medical, psychosocial, environmental, and childhood factors functionally necessary to provide diagnostic criteria for health care assessments.
- category for not otherwise specified
- unspecified mental disorder (?)

2013-  DSM 5

- dropping Asperger syndrome as a distinct classification; loss of subtype classifications for variant forms of schizophrenia; dropping the "bereavement exclusion" for depressive disorders; a revised treatment and naming of gender identity disorder to gender dysphoria, and a new gambling disorder.
- includes hoarding disorder, skin picking, binge eating, internet addiction
- psychosis risk syndrome (preventive pre-psychotic campaign?)

Sources:
http://en.wikipedia.org/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disorders
http://en.wikipedia.org/wiki/DSM-5
http://www.youtube.com/watch?v=PcuhhJ1BaMk
http://www.psychiatry.org/DSM5


Updated links on DSM 5 

American Psychiatric Association (developer of DSM):
http://www.dsm5.org

British Psychological Society response to DSM-5 consultation:
http://apps.bps.org.uk/_publicationfiles/consultation-responses/DSM-5%202012%20-%20BPS%20response.pdf

Open letter from one of the Divisions of the America Psychological Association
http://www.ipetitions.com/petition/dsm5/

Prominent psychiatrist, Allen Frances, critique:
http://www.huffingtonpost.com/allen-frances/dsm-5-petition_b_1610569.html