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Ab Psych Table of Specification Topics Notes
Abnormal Psychology (Caraga State University)
Studocu is not sponsored or endorsed by any college or university
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c) No single characteristic can fully define mental disorder
d) Violation of social norms and impairment are the primary
characteristics of mental disorder
Abnormal Psychology Review
OVERVIEW
 Updated Table of Specifications in Abnormal Psychology for
Psychometrician Licensure Exam (PMETLE) 2023
 Exploring the New DSM Edition (DSM-5-TR)
Remember: 50 items or 50% of the exam are about a certain/single
topic
Table of Specifications for Abnormal Psychology
Topics and Outcomes
A. Manifestations of Behavior
B. Psychological Disorders and Specific
Disorders Based on the DSM-5
C. Theoretical Approaches in Explaining
the Etiology of Psychological Disorders
D. Impact of Sociocultural Factors on
Problem Identification and Diagnosis of
Mental Disorders
E. Ethical Standards and Principles in
Diagnosing Abnormal Cases
F. Global Health Crisis and Mental Health
Law
Total
No. of Items (f)
5
Weight (%)
5
50
50
20
20
10
10
10
10
5
5
100
100
TOS: Topic A. Manifestations of Behavior (5 Items)
 Recognize abnormal manifestations of behavior.
 Definition and Characteristics of abnormal behavior
 4 Ds of Abnormality
 Differentiating normal and psychopathological
conditions
 Limitations of the definitions of abnormality
Sample Item #1 for Topic A.
Which of the following is most likely true about the definition of mental
disorders?
a) Mental disorder includes disability, distress, violation of social
norms, and dysfunction
b) Mental disorder is usually determined based on the presence
of a principal characteristic in a given time

The characteristics that are included in the definition constitute
a useful partial definition, but keep in mind that they are
equally or invariably applicable to every diagnosis.
Sample Item #2 for Topic A.
What makes defining abnormality difficult?
a) There are so many types of abnormal behavior that they can‟t
be accurately described.
b) There is no one behavior that serves to makes someone
abnormal.
c) Most of us are abnormal much of the time so that we cannot
tell what is normal.
d) Criteria for abnormality have yet to be developed.
Sample Item #3 for Topic A.
According to the DSM, when is a deviant behavior as indicative of a
mental disorder?
a) Always
b) Only when the behavior is inconsistent with cultural norms
c) When it is a symptom of a dysfunction in the individual
d) Never
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Remember: Distress and Disability are considered generic. It is
abnormal when it is dysfunctional.

Sample Item #4 for Topic A.
Which of the following is true regarding the “four Ds” of abnormality?
a) Most clinicians agree on what qualifies under each of the „four
Ds.”
b) Every culture has generally identical criteria of what
constitutes abnormality.
c) An individual can only be diagnosed with a mental illness if
(s)he has all „four Ds.”
d) None of the “four Ds” is, by itself, an adequate gauge of
psychological abnormality.
Sample Item #5 for Topic A.
According to Thomas Szasz‟s views, the deviations that some call
mental illness are really:
a) mental illnesses.
b) problems in living
c) caused by ones early childhood experiences.
d) eccentric behaviors with a biological cause.
TOS: Topic B. Psychological Disorders and Specific Disorders
Based on the DSM-5 (50 items)
 Differentiate specific psychological disorders from other
disorders based on the DSM-5
 Signs and symptoms of psychological disorders
I.
Anxiety Disorders
II.
Trauma and Stressor Related Disorders
III.
OC Related Disorders
IV.
Somatic Symptom and Related Disorders
V.
Dissociative Disorders
VI.
Mood Disorders and Suicide
VII.
Eating and Sleep Disorder
VIII.
Sexual Dysfunctions, Paraphilic Disorders and
Gender and Dysphoria
IX.
Substance Related and Addictive Disorders
X.
Impulse Control Disorders
XI.
Personality Disorders
XII.
Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
XIII.
Neurodevelopmental Disorders
XIV.
Neurocognitive Disorders
Differential diagnosis of psychological disorders
Sample Item #1 for Topic B.
Which of the following is most likely FALSE about neurocognitive
disorder and neurodevelopmental disorder such as intellectual
disability?
a) Neurocognitive Disorder may co-occur with intellectual
disability
b) Intellectual disability is distinct from neurocognitive disorder
which is characterized by loss of cognitive functioning
c) It is not possible to diagnose an individual with both
neurodevelopmental and neurocognitive disorders.
d) The onset of intellectual disability is during developmental
period
Neurodev and Neurocog
 Major neurocognitive disorder may co-occur with intellectual
disability (e.g., an individual with Down syndrome who
develops Alzheimer’s disease, or an individual with intellectual
disability who loses further cognitive capacity following a head
injury).
 In such cases, the diagnoses of intellectual disability and
neurocognitive disorder may both be given.
Sample Item #2 for Topic B.
Which of the following is accurate in terms of the relationship between
ADHD and ASD?
a) Hyperactivity is not common in individual with ASD since it‟s a
defining feature of ADHD
b) Abnormalities of attention are not common in individual with
ASD
c) It‟s not possible for an individual to be diagnosed with both
ASD and ADHD
d) ADHD should be considered in children with autism when
symptoms exceed that is typically seen in individuals of
comparable mental age.
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ASD and ADHD
 Abnormalities of attention (overly focused or easily distracted)
are common in individual with autism spectrum disorder, as is
hyperactivity.
 A diagnosis of attention-deficit/hyperactivity disorder ADHD
should be considered when attentional difficulties or
hyperactivity exceeds that typically seen in individuals of
comparable mental age.
Sample Item #3 for Topic B.
Dash has brought her daughter to the clinic for she has been
complaining stomachache. Upon further evaluation, it was found out
that she has been intentionally pulling out and ingesting her hair and
mentioned that it‟s her way to present herself to others as injured or ill.
What is the MOST probable diagnosis?
a) Factitious Disorder – motive is not clear, AKA Munchausen‟s
syndrome
b) Pica Disorder – ingesting nonnutritive foods
c) Trichotillomania – pulling hair out
d) Functional dysphagia – not a psychological diagnosis/disorder
Sample Item #4 for Topic B.
Karla has been hearing unknown voices for the past 7 months. Her
mother decided to see a clinician and confirm for a possible diagnosis
of schizophrenia. After being evaluated, the clinician has not identified
other symptoms on her aside from hearing voices. The clinician has
explained the reason to the family members that it was not a case of
schizophrenia since the presentation of the symptoms is not sufficient
as a basis to diagnose her with schizophrenia. What is the most
probable diagnosis based on the DSM-5?
a) Unspecified Schizophrenia and other psychotic disorder
b) Other Specified Schizophrenia and other psychotic
disorder
c) Undifferentiated Schizophrenia
d) Schizoaffective Disorder
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Sample Item #5 for Topic B.
Nenita‟s mother sought help of a psychologist for her daughter has
been showing unusual mood symptoms for the past week.
Psychologist says that it was manic episode that remains untreated.
Moreover, she has also exhibited significant symptoms of borderline
personality disorder. The psychologist diagnosed Nenita with both
Bipolar disorder and Borderline Personality Disorder. Is the
psychologist correct?
a) Yes. It is a case of comorbidity.
b) Yes. Since symptoms of the two disorders commonly overlap.
c) No. Since there is an untreated mood episode.
d) No. This is a case of Bipolar disorder not otherwise specified.
Sample Item #6 for Topic B.
It is said that Schizophrenia and Schizotypal Personality Disorder are
the same ailments of a different degree. Which of these statements
would be most true about this relationship?
a) Just like Schizophrenia, hallucinations and delusions are
mostly present in people with Schizotypal Personality Disorder
b) Schizotypal Personality Disorders arise only if a twin, relative
or relative has schizophrenia
c) Schizophrenia would least likely develop from having a
Schizotypal Personality Disorder
d) Some people with schizophrenia also have ideas of
reference, but they are usually not able to test reality or
see the illogic of their ideas.
Sample Item #7 for Topic B.
Joey, a 30-year old single male, has been exhibiting manic episode
occurring concurrently with that of active phase of schizophrenia and
it was followed by 2 weeks of symptoms of hallucinations and
delusion without any manic episode. What is the most probable
diagnosis?
a)
b)
c)
d)
Bipolar 1 Disorder with psychotic features
Schizophrenia with manic episode
Schizoaffective Disorder
Unspecified Schizophrenia
Sample Item #8 for Topic B.
Regarding Conduct Disorder (CD) and Oppositional Defiant Disorder
(ODD), which of the following statements is false?
a) Developmentally, ODD usually occurs before CD.
b) The majority of children with ODD usually develop CD.
c) ODD behaviors can include defiance and loss of temper.
d) CD behaviors involve acts of serious aggression towards
others.
TOS: Topic C. Theoretical Approaches in Explaining the Etiology
in Explaining the Etiology of Psychological Disorders (20 Items)
 Analyze and explain how the different etiological
factors/models contribute to the development of mental
disorders
 Genetic contributions
 Neurobiological Model
 Behavioral/Learning-Based Model
 Cognitive Model
 Biopsychosocial Model (Diasthesis-Stress Model)
 Genetic-Environmental Interaction
 Socio-cultural Models
Sample Item #1 for Topic C.
The biopsychosocial perspective incorporates a developmental
viewpoint. This means that
a) individual abnormalities are solely the result of biological
factors and that the environment has no role in the
development of an individual.
b) individuals must be seen as changing over time.
c) risk factors related to abnormality remain constant and does
not vary according to an individual‟s position in the life span.
d) mental abnormalities are not curable.
Sample Item #2 for Topic C.
Which of the following is most consistent to the sociogenic hypothesis
of mental illness?
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a)
b)
c)
d)
Stress of poverty causes the disorder
Domestic violence provides predisposing factor
Maternal impressions
Attributed to the influence of the possession of a weak soul
Sample Item #3 for Topic C.
Schizophrenia is not considered as sex-linked disorder, this means
that
a) It tends to be more prevalent in either of the sexes
b) The development of the disorder is due to non-sex related
factors
c) It does not matter which parent has the disorder in terms
of the risk
d) Disorder is more common to those individual who happened to
have a sibling with schizophrenia
Sample Item #4 for Topic C.
Which of the following is true of schizophrenia?
a) Negative symptoms are primary symptoms of schizophrenia.
b) Ventricles that are twice the size of normal individuals
c) There is hyperactivity in the pre-frontal cortex
d) Serotonin is not associated with schizophrenia
Sample Item #5 for Topic C.
The following neurobiological abnormalities are involved in both
depressive and bipolar disorders except
a) Genetic contribution
b) Cortisol dysregulation
c) Amygdala dysregulation
d) Hyperactivity of the striatrum
Sample Item #6 for Topic C. answer = b
In psychoanalytic theories…
Sample Item #7 for Topic C.
David, 8-yr old child underwent a neuroimaging test and the test
results show that there are several areas in the brain that are
considered overgrown. David is more likely to have
a) Conduct disorder
b) Intellectual Development Disorder
c) ADHD
d) Autism Spectrum Disorder
Etiology of Autism Spectrum Disorder
 Neurobiological factors
 Brain size




Although normal size at birth, brains of autistic
adults and children are larger than normal
Pruning of neurons may not be occurring
“Overgrown” areas include the frontal, temporal, and
cerebellar, which have been linked with language,
social, and emotional functions
Abnormally sized amygdala predicted more difficulties
is social behavior and communication
TOS: Topic D. Impact of Sociocultural Factors on Problem
Identification and Diagnosis of Mental Disorders (10 Items)
 Explain the sociocultural factors that may impact on problem
identification and diagnosis of mental disorders



The role of cultural diversity in making diagnosis
Culture-specific disorders (cultural concepts of distress)
How culture affects what is considered abnormal
Sample Item #1 for Topic D.
What is a culture-specific disorder?
a) A disorder seen in all cultures
b) A disorder that is seen universally, but presents itself
differently depending on cultural factors
c) A disorder that is a product of cultural stressors
d) A disorder seen only in certain cultures
Sample Item #2 for Topic D.
Maria believes that her dead grandmother occasionally speaks to her.
In deciding if Maria has a mental illness or not, which of the following
is important?
a) How old is Maria?
b) Is Maria’s belief consistent with the beliefs of her culture?
c) Do people in general consider Maria‟s belief abnormal?
d) Does her belief match any of the symptoms in the disorders in
the DSM?
Sample Item #3 for Topic D.
Which of the following is NOT TRUE about depression in relation to
culture?
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a) Depression is more likely to be associated with the
development of physical symptoms among people in East
Asian cultures that in Western cultures.
b) Depression is experienced differently in Filipino Folk
society that it based on medical model in explaining the
disorder
c) Depressive symptoms tend to be almost similar across
cultures
d) The type of symptoms experience varies depending on the
culture.
Sample Item #4 for Topic D.
The fact that body piercings are commonplace today while they would
once have been viewed as abnormal illustrates that
a) modern society is always open to change
b) what is acceptable for men and women is no longer different.
c) culture values independence
d) the values of a society may change over time


PAP Codes of Ethics
APA Codes of Ethics
Sample Item #1 for Topic E.
After the deaths of Mr. and Mrs. T, Dr. Dyna Saur, a clinician
psychologist who had held two sessions with Mrs. T in 1992, made
unsolicited disclosures regarding her deceased former client. Ms.
Saur commented in public that Mrs. T was diagnosed of borderline
personality disorder. Is there an ethical violation?
a) No. Because the patient was already dead when she made
that statement.
b) No. Because what she mentioned was just a diagnosis and no
other details were given
c) Yes. Confidentiality remains even beyond death
d) Yes. This reflects Dr. Saur‟s incompetence.
Sample Item #5 for Topic D.
Prevalence rates of social anxiety disorder may not be in line with
self-reported social anxiety levels in the same culture according to the
DSM. What does this mean?
a) People with strong collectivistic orientations may show
high level of social anxiety but low prevalence social
anxiety disorder
b) People with strong collectivistic orientations may show strong
independence that protects them from developing social
anxiety disorder
c) Both a and b
d) None of the above
Sample Item #2 for Topic E.
Sidney Mute, a deaf, nonverbal adult, was arrested as a criminal
suspect. Because of questions about his mental competence, Alice
Stanine, Ph.D., was asked to undertake a psychological assessment.
She discovered that Mr. Mute could read and write at an elementary
school level, so she administered a test battery using intelligence and
personality tests intended for hearing/speaking clients by providing
Mr. Mute with cards she had specially prepared containing the test
questions or instructions. Her behavioral observations note that “Mr.
Mute engaged in considerable hand-waving and finger-twitching ticlike behaviors suggestive of Tourette syndrome.” This case has major
implications regarding Dr. Stanine‟s ____________.
a) Integrity
b) Competence
c) Veracity
d) Professionalism
TOS: Topic E. Ethical Standards and Principles in Diagnosing
Abnormal Cases (10 Items)
 Abnormal appropriate ethical principles and standards of
practice in diagnosing abnormal behavior
 Ethical Issues
 Competence
 Confidentiality
 Informed Consent
 Professional and Scientific Responsibility
Sample Item #3 for Topic E.
Testa Battery, Ph.D., was hired to consult with the Social Welfare
Office. She put together a series of tests, including the Rorschach
inkblots, Thematic Apperception Test, Draw-a-Person, and a
sentence completion series for administration to selected depressed
adults to determine their propensity to commit suicide. Is this
unethical?
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a) Yes. Projective techniques shall not be used as tools for
clinical purposes.
b) Yes. Since the tools used to seek for the information
needed are not sufficiently relevant to the purpose of
evaluation.
c) No. Projective techniques are still considered as highly
dependable tool.
d) No. She has the discretion to choose the battery of tests to be
used.
TOS: Topic F. Global Health Crisis and Mental Health Law (5
Items)
 Recognize the impact of global health crisis (COVID-19) on
the mental health condition of people and the challenges of the
implementation of the RA11036
 COVID-19 and Mental Health
 Psychological disorder associated with COVID-19
 Challenges in R11036
 Misconceptions about mental health
 Mental Illness and Stigma
Sample Item #1 for Topic F.
Stereotyping is an example of the stigma of mental illness. It means
a) people are reluctant to discuss their psychological problems
because they are afraid other won‟t like them.
b) people feel very sad and upset when they find our they have a
mental illness.
c) the automatic and often incorrect beliefs people have
about people with mental illness.
d) the problem of removing the diagnosis, even if people make a
full recovery from mental illness.
Sample Item #2 for Topic F.
Which of the following most likely true during the early phase of the
pandemic in the Philippines?
a) Anxiety symptoms are more common than depression
symptoms
b) Depression symptoms are more common than anxiety
symptoms
c) Neither a nor b
d) Symptoms of any mental health issues were not reported.

During the early phase of the pandemic in the Philippines,
one-fourth of respondents reported moderate-to-severe
anxiety and one-sixth reported moderate-to-severe depression
and psychological impact (Tee, at. al., 2022).
Highlights of Changes from DSM-5-TR
Overview
 The DSM-5: A Brief History
 How did DMS-5-TR come to be?
 What significant changes appear in the DSM-5 TR edition?
 Criticisms and Controversies
Why do I need to know this?
 Implications on the clinical practice
 Ethical obligations
DSM-5 Edition






Title Abbreviation
 DSM-T (note hyphen)
 Not: DSM-V
 Why?
 5.1, 5.2, 5.3, 5.4
 To facilitate electronic printing
Published in 2013
First substantial revision after 20 years.
Led by David Kupfer And Darrel Regier
Researched over 12 years
Coordinated efforts with WHO
Steps





Creation of Task Force
Work groups
Scientific Review Committee
Field trials
Website (…) to communicate progress to public
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DSM-5: The Current Edition—Changes
DSM-5 Did Not Make
 Changes considered but not made
 Use of biological markers as diagnostic tools
 Rating of disorders/symptoms on a scale
 Dimensional approach toward a disorder


Recognizing the heterogeneity of symptoms
within and across disorders
Rejections of
DSM-5: New Disorder in DSM-5
 Premenstrual dysphoric disorder
 Disruptive mood dysregulation disorder
 Binge eating disorder
 Mild neurocognitive disorder (mild NCD)
 Somatic symptom disorder (SSD)
 Hoarding disorder
DSM-5: Revised Disorders in DSM-5
 Bereavement exclusion
 Autism spectrum disorder
 Attention-deficit/hyperactivity disorder
 Bulimia nervosa
 Mental retardation/Intellectual Disability
 Schizophrenia Spectrum Disorder
 Moods Disorders
 Anxiety Disorders
The Development of the DSM-5TR
 The APA stated work on DSM-5-TR in Spring 2019
 Involved the work of over 200 subject matter experts, including
many who were involved I the development of DSM-5.



Culture
Sex and Gender
Suicide
Forensic
The text was also reviewed by a Work Group on Ethnoracial
Equity and Inclusion
What Significant Changes appear in the DSM-5-TR edition?
Major changes form DSM-5 to DSM-5-TR
1. New Diagnosis
 Prolonged Grief Disorder
2. A new category for Other Conditions That May Be a Focus of
Clinical Attention
 Suicidal behavior
 Nonsuicidal self-injury (NSSI)
3. New Category
 Unspecified mood disorder
4. Changes in the language for better clarity
New Diagnosis: Prolonged Grief Disorder F43.8
How did the DSM-5-TR come to be?





Internationally recognized clinicians and scientific
researchers with backgrounds in psychiatry, psychology,
social work, pediatrics, neurology, nursing, epidemiology,
and anthropology.
Experts conducted literature reviews covering the past nine
years and reviewing the text to identify out-of-date material.
Four cross-cutting review groups were formulated
 Historical Context
 Bereavement exclusion was removed in the DSM-5
(Grief in any form is non-pathological based on the
DSM-IV-TR)
 Depressive symptoms that met the criteria of
MDD but was grieving would not satisfy the
criteria for the disorder
 In DSM-5, grief may be considered as
 MDD if symptoms associated with grief
resemble a depressive episode; requires
exercise of clinical judgment
 Adjustment disorders if criteria for adjustment
disorders are met (persistent complex
bereavement disorder)
 Essential Features
 Belongs to Trauma and Stressor Related Disorders
 Maladaptive grief
 At least 12 months (Adults; 6 months for youth)
 Not expected to one‟s cultural norms
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

Clinically significant distress and impairment in normal
functioning
May be more common
 Exposure to trauma: PTSD may be a
comorbidity
 Parents due to death of child
 Death of a spouse/partner
 Older adults
 Unexpected deaths
 Diagnostic Criteria
A. Death of loved one/significant other at least 12 months
ago (6 months for children and adolescents)
B. Since the death, persistent grief response is
characterized by one of both the following symptoms,
which have been present for most days to a clinically
significant degree for at least the last month:
1) Intense yearning or longing for the deceased person
2) Preoccupation with thoughts or memories of
deceased (for children and adolescents, focus may
be circumstances of death)
C. Since death, at least 3 of the following:
1) Identity disruption (e.g., feeling as though part of
oneself has died) since the death.
2) Marked sense of disbelief about the death.
3) Avoidance of reminders that the person is dead (in
children and adolescents, may be characterized by
efforts to avoid reminders).
4) Intense emotional pain (e.g., anger, bitterness, and
sorrow) related to the death.
5) Difficulty reintegrating into one‟s relationships and
activities after the death (e.g., problems engaging
with friends, pursuing interests, or planning for the
future).
6) Emotional numbness (absence or marked reduction
of emotional experience) as a result of the death.
7) Feeling that life is meaningless as a result of the
death.
8) Intense loneliness as a result of the death.
D. Clinically, significant distress or impairment in social,
occupational, or other functioning
E. Duration and severity of the grief reaction exceeds
expected social, cultural, or religious norms for
individual
F. Not better explained by another mental disorder (MDD,
PTSD) and not attributable to the physiological effects
of a substance or another medical condition
 Functional Consequences
 Impairment in functioning with harmful health behaviors
 Higher risk of long-term developmental consequences
 Heightened risk for suicidal ideation
 Higher risk of substance use
 Higher risk of medical health conditions
 Higher risk of impaired cognitive functioning in middleage and older adults
 Differential Diagnosis
o Normal Grief – distinguished based on duration and
severity; may have severe grief around days that are
reminders
o Adjustment disorders – may be considered for more
typical grief response
o PTSD – distinguished based in the nature and type of
symptoms being experienced (e.g.: intrusion symptom
in PGD focus on thoughts about many aspects of the
relationship)
o Separation Anxiety Disorder – anxiety is focused on
the current attachment figure and NOT on separation
from a deceased person
o Depressive Disorders – distress is NOT focused on
feelings of loss and separation from a loved one but
reflecting generalized low mood
o Psychotic Disorder – Hallucinations about deceased
are common cross-culturally: primary symptoms of
psychotic disorders must be present.
New Category: Suicidal Behavior and Non-Suicidal
Self-Injury
Suicidal Behavior and Non-Suicidal Self-Injury
 Added to “Other Conditions that May Be a Focus of Clinical
Attention”
 Suicidal Behavior – potentially self-injurious behavior with at
least some intent to die as a result of the act
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
 Current Suicidal Behavior
 History of Suicidal Behavior
Nonsuicidal Behavior – intentional self-inflicted damage to
their body in the absence of suicidal intent
 Current Nonsuicidal Behavior
 History of Nonsuicidal Behavior
New Category: Unspecified Mood Disorder F39
Unspecified Mood Disorder
 Symptomatic presentations similar to a mood disorder that
cause clinically significant distress or impairment in functioning
 Do not meet the full criteria for any of the disorders in either
bipolar or depressive disorders diagnostic classes
 It is difficult to choose between unspecified bipolar and related
disorder and unspecified depressive disorder
 Restored from the DSM-IV-TR
Autism Spectrum Disorder
Autism Spectrum Disorder
 Criterion A:
 Rather than “as manifested by the following” now
clarified as “As manifested by all of the following”:
 Criterion A:
1) Deficits in social-emotional reciprocity
2) Deficits in nonverbal communication
3) Deficits in developing and maintaining relationship
 Criterion B: Restricted, repetitive patterns
 Criterion C: (Persistent in early development)
 Criterion D (clinically significant impairment):
 Criterion E (not better explained)
Bipolar I and II Disorders
Bipolar I and II Disorders
 Criterion B in BPI and Criterion C in BP2 have been changed
to allow for the possibility that the diagnosis of Bipolar can
coexist with other psychotic disorders like schizophrenia,
shizophreniform, delusional disorder, or others. This
both/and “superimposed” language replaces either/or
language.
Intellectual Developmental Disorder
Intellectual Developmental Disorder
 Intellectual Developmental Disorder is used to clarify the
disorder‟s relationship with the ICD 11‟s “disorders of
intellectual development.”
 The equivalent term “intellectual disability” is placed in
parentheses for continued use.
 Clarifications that the IQ score 65-75 should not be taken as a
strict threshold, but persons whose IQ is higher than 75 might
not be appropriately classified as having IDD
Gender Dysphoria
Gender Dysphoria
 Language Changed
 Experienced gender (replaces desired gender)
 Gender-affirming medical procedure/treatments
(replaces cross-sex medical procedure; gender
reassignment treatments)
 Gender-affirming hormone treatment (replaces crosssex hormone treatment)
 Natal male (replaces individual assigned male at birth)
 Natal female (replaces individual assigned female at
birth)
 Differences in sex development was noted as an
alternative to “disorders of sex development”
Persistent Depressive Disorder
Persistent Depressive Disorder
 Removed “Dysthymia” in parentheses from title
 Removed extraneous specifiers (that really only applied to
MDD); left with just
 Anxious distress specifier
 Atypical features
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Post-Traumatic Stress Disorder
Post-Traumatic Stress Disorder
 The note in criterion A.2 stating: “witnessing does not inlcuude
events that are witness only in electronic media, television,
movies, or pictures” was removed for children 6 years and
younger.
 There‟s redundancy given that criterion A.2 already indicates
that the events occurring to others must be witnessed in
person.
Other Specified Shizophrenia Spectrum and Other
Psychotic Disorder
Other Specified Shizophrenia Spectrum and Other Psychotic
Disorder
 In DSM-5, example #4 “delusional symptoms in partner of
individual with delusional disorder.” The word “partner” was
changed into “an individual with prominent delusions” in DSM5-TR
 The word “partner” could be mistaken for a requirement of an
intimate relationship
Olfactory Reference Disorder
Olfactory Reference Disorder
 Other specified OC and related disorder
 Removed “Jikoshu-kyofu” to prevent cultural specificity
Avoidant Restrictive Food Intake Disorder
Avoidant Restrictive Food Intake Disorder
 Removed criterion of “failure to meet nutritional/energy needs”
because it is somewhat redundant with “interference with
psychosocial functioning”s
Other Specified Feeding or Eating Disorder
Other Specified Feeding or Eating Disorder
 Atypical Anorexia Nervosa
 All criteria for anorexia nervosa are met except
significant weight loss
 New language states that “individuals with atypical
anorexia nervosa may experience many of the
physiological complications associated with anorexia
nervosa” to clarify that the presence of physiological
consequences during presentation does not mean that
the diagnosis is the (typical) anorexia nervosa
Minor Text Revisions to Other Diagnoses
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Attenuated Psychosis Syndrome (condition for further study)
Delirium
Narcolepsy
Other Specified Substance medication induced bipolar
Practical Implications
 Most Significant Changes to your Practice
 Prolonged Grief Disorder
 Suicidal Behavior and Non-suicidal self-injury
Criticisms of the DSM
 Breadth of coverage
 Controversial cutoffs
 Cultural issues
 Gender bias
 Non-empirical influences
 Limitations on objectivity
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