The American Psychiatric Association has released the proposed changes to the official listing of disorders and their criteria for diagnosis to be published in the upcoming 5th Edition of the Diagnostic and Statistical Manual. Changes that may affect young children include:
- elimination of a separate diagnosis of Rett’s Disorder
- elimination of a separate diagnoses for Childhood Disintegrative Disorder, Asperger’s Disorder, and Pervasive Developmental Disorder Not Otherwise Specified to be included under the category of Autism Spectrum Disorder
- addition of Posttraumatic Stress Disorder in Preschool Children
- propose Temper Dysregulation Disorder with Disphoria as an alternative to pediatric bipolar disorder
- addition of Learning Disabilities (that will now include the previous diagnoses of disorder of written expression and learning disorder not otherwise specified)
- addition of Non-Suicidal Self-Injury
- moving Pica, Rumination Disorder, and Feeding Disorder of Infancy or Early Childhood to the Eating Disorder category (no longer included in Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence)
- moving Separation Anxiety Disorder to the Anxiety Disorder category (no longer included in Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence)
The draft of the disorders and disorder criteria that have been proposed by the DSM-5 Work Groups can be found online here. You can read about the proposed changes to the specific disorders, especially those that affect early childhood, by following links to each section. Please note that the proposed criteria listed are not final; they are initial drafts of the recommendations that have been made to date by the DSM-5 Work Groups. Comments will be welcomed until April 20, 2010.
