Amidst much hair-tearing and hand-wringing, the DSM-5 has settled into its place as one of our central textbooks of mental disease. Now, after having had a chance to live with it for almost a year, it is possible to stand back and assess the impact of all the revisions and changes.
In this web conference, we will go through the book and hit the highlights of the revisions, not just to describe how criteria have been updated, but why. In addition, we will address the major controversies surrounding the changes in diagnoses and try to assess their impact on our future mental health practices.
Please be aware that this presentation will not be giving complete, specific criteria for various disorders and is not intended to substitute for the actual DSM-5.
This web conference is beginning instructional level and designed to help clinicians:
If you have any questions or concerns about this web conference or would like more information, please contact us here.
He was clear and concise and sounded extremely knowledgeable. - Julie Kotler, LCPC, LCPAT, ATR-BC
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We use [the DSM] for all of these different things, and of course it fails. It fails because it's an imperfect textbook that is always being changed. But that's what we have, and that's what we have to learn to live with. I will tell you that the changes in DSM-5 are relatively modest, and if you can live with DSM-IV, you can live with DSM-5. There's not that big of a fundamental difference in thinking about it. - David Mays, MD, PhD
There are things in there that I think most of us would agree are brain diseases, like bipolar disorder and schizophrenia and maybe some very severe depression and Alzheimer's disease. But there's also things in DSM that do not reflect a disordered brain, but rather reflect a disordered environment. You get a kid with conduct disorder, and you look at their home, and they've been raised in a chaotic, abusive, neglectful home, and you don't think this kid's got a bad brain. This kid's got a normal brain that's responded to these very abnormal circumstances. So some of the things in DSM are what I call adaptation disorders. They're things that normal people do when you put them in certain environments.
And then other things in DSM have to do with what happens to your brain when something goes wrong with your body. You get hypothyroid, you end up showing symptoms of depression. You get hyperthyroid, you end up looking like you're anxious and attention-impaired. Drug addiction is a real good example of what happens if you subject your brain to regular high amounts of alcohol or cocaine or something. And then finally, we have what we might talk about as deviancies. Paraphilias, personality disorders, things that we just don't like in our particular culture. We think that it's maladaptive. - David Mays, MD, PhD
Dr. Mays lives in Wisconsin, where he is a licensed physician with qualifications in forensic psychiatry and Board Certification from the American Board of Psychiatry and Neurology. Dr. Mays is a Clinical Adjunct Assistant Professor at the University of Wisconsin, Madison, and he has a dual appointment as a faculty member for the Department of Professional Development and Applied Science. He has practiced psychiatry for more than 23 years, and he is a member of the Wisconsin Psychiatric Association (WPA) as well as the American Academy of Psychiatry and the Law. Dr. Mays serves as the clinical director for the Mendota Mental Health Institute's 180-bed forensic program.
Dr. Mays is a nationally known speaker on mental health topics, such as aggression and suicide risk management, alternative and mainstream psychiatric treatments, and the biology of ethics. He has been awarded multiple times for his clinical work and teaching.