The Evolution of Psychosis in the DSM-5

The Evolution of Psychosis in the DSM-5 Broadcast Date: January 29, 2014Course Code: A089
Presenter:
Raymond Y. Cho, MD, MSc Assistant Professor of Psychiatry University of Pittsburgh School of Medicine Medical Director, STEP Clinic Western Psychiatric Institute and Clinic of UPMC
Program Description:
This presentation will outline the broad historical context and detail the latest updates to psychosis nosology and the rationale for the changes. Also outlined will be changes that were considered but not fully incorporated such as explicit criteria targeting cognitive impairments.
Educational Objectives:
At the conclusion of the program, participants should be able to: Detail the major changes to the schizophrenia diagnostic criteria. Identify the psychopathological dimensions relevant for psychosis evaluation. Discuss the relevance of cognitive disturbance to psychosis diagnoses.
Target Audience:
This is an introductory program for all mental health and health care professionals
Continuing Education Credits:
ACT 48 – 2.0   CADC – 2.0   CPRP – 2.0   NCC – 2.0   PCHA – 2.0   Psychologist – 2.0 SW – 2.0 CEU – 0.2	We are pleased to offer Act 48, CADC,  CPRP, NCC, PCHA, Psychologist, Social Work and CEU credits for this webcast.  Please download the test and application form before viewing the webcast:  (Adobe PDF); (MS-Word) For ACT 48--Please download the packet here.	If you have questions, please contact Jennifer Lichok at lichokjl@upmc.edu
Watch Webcast:  http://medicalmedia.upmc.com/webtraining/wpic/oerp/oerp012914/main.htm Note- Use internet explorer to view online.

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Notes from the webinar:

1) Retains largely categorical approach

2) provides more dimensional framework
- psychopathology domains
- gradients of psychpathology (severe-more severe)

3) Addressing heterogeneity
- psychopathological domains
- removing schizophrenia subtypes

4) Diminished emphasis on first rank symptoms

5) Removal of subtypes

6) Catatonia used as specifier and standardized across diagnoses

7) Reduction of not otherwise specified (NOS)

Domains of Psychopathology
- hallucinations
- delusions
- disorganized thought
- disorganized or abnormal behavior (catatonia)
- negative symptoms (diminished emotional expression and avolition)