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    Joined: Feb 2012
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    KJP Offline OP
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    Since there have been many of discussions on here about the DSM, I thought I would share this in case someone missed it.

    http://www.nimh.nih.gov/about/director/2013/transforming-diagnosis.shtml

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    22B Offline
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    Where in the article does it say "NIMH withdraws support for DSM-5"?

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    This is really good news in my opinion. Just looking at the recent dyscalculia thread; there is a real issue with these clustered symptoms diagnostics. If a kid has ten symptoms (of which eight are subjective and situational) and from those you get five different disorders from three different diagnosticians who offer prescriptions to three different drugs and four different OT courses, there is a problem.

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    Originally Posted by 22B
    Where in the article does it say "NIMH withdraws support for DSM-5"?

    KJP was paraphrasing. This statement from that link is not exactly a ringing endorsement of the DSM:

    Quote
    But it is critical to realize that we cannot succeed if we use DSM categories as the “gold standard.” The diagnostic system has to be based on the emerging research data, not on the current symptom-based categories. Imagine deciding that EKGs were not useful because many patients with chest pain did not have EKG changes. That is what we have been doing for decades when we reject a biomarker because it does not detect a DSM category. We need to begin collecting the genetic, imaging, physiologic, and cognitive data to see how all the data – not just the symptoms – cluster and how these clusters relate to treatment response.

    I agree that this move is a good thing. The field is too objective as it stands now. A push toward evidence-based medicine will benefit it enormously.

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    22B Offline
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    Originally Posted by KJP
    Subject: NIMH withdraws support for DSM-5

    Since there have been many of discussions on here about the DSM, I thought I would share this in case someone missed it.

    http://www.nimh.nih.gov/about/director/2013/transforming-diagnosis.shtml
    Headline: Transforming Diagnosis

    Originally Posted by 22B
    Where in the article does it say "NIMH withdraws support for DSM-5"?

    Originally Posted by Jtooit
    I heard this earlier in the week.

    http://www.psychologytoday.com/blog/side-effects/201305/the-nimh-withdraws-support-dsm-5
    Headline: The NIMH Withdraws Support for DSM-5

    Aha, that explains it. Often thread subject lines are just the headline of an article linked in the OP, but this time it was from a different article.

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    Originally Posted by Zen Scanner
    This is really good news in my opinion. Just looking at the recent dyscalculia thread; there is a real issue with these clustered symptoms diagnostics. If a kid has ten symptoms (of which eight are subjective and situational) and from those you get five different disorders from three different diagnosticians who offer prescriptions to three different drugs and four different OT courses, there is a problem.


    AMEN!!

    This is a very welcome shift, IMO.


    Schrödinger's cat walks into a bar. And doesn't.
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    I don't really know much about any of this as all I know is what I've learned on this board. But what does this actually mean in practice? If anything at all? ... asking as a parent of two kids on the spectrum whose diagnoses I don't fully agree with and therefore am in no rush to get them reevaluated just to get another diagnosis slapped on top of the first one. frown

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    Hopefully it will mean that diagnostic criteria will start heading in an evidence-based direction, rather than the curious patchwork of voodoo symptom-lists and check-boxes that currently exist.

    It's not a good sign when a professional shrugs and says "Well, I dunno either-- let's trial this drug and see if it helps!"

    Can you imagine an oncologist saying that??





    Schrödinger's cat walks into a bar. And doesn't.
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    KJP Offline OP
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    Sorry for the confusion. Pre-coffee posting should be avoided.

    I saw it covered by Psychology Today but followed their link to the NIMH and only copied the link to the NIMH here.


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