As most mental health professionals know by now, psychiatry's D-Day is rapidly approaching. DSM-5 is scheduled to be officially released at the American Psychiatric Association meeting. However, there has never been an official treatment manual to complement the diagnostic one.
The intense level of international interest in DSM-5 is a great surprise. Although DSM has become a research standard around the world, it is rarely used by clinicians outside the US and therefore poses a much lesser threat to their patients. So why all the prominent media coverage in countries outside of the US?
What everyone agrees on (except the authors of DSM-III and DSM-IV), is that bereaved people meeting criteria of MDD should be diagnosed with MDD and treated accordingly. Where the confusion occurs is over how to sort out sub-MDD grief from grief with MDD … Read More
To the membership of the American Psychiatric Association:
Please see the letter I sent to the APA Trustees on April 8, 2010. It contains an urgent plea that the Trustees move immediately to correct the increasingly wayward course of DSM5. The DSM5 Task Force is about to begin a field trial that is a complete mistake for these reasons:
1. It is unnecessarily expensive (a self-financed $2.5 million or more). 2. It is unnecessarily complicated, and will cause additional delays. 3. It fails to address the most important questions that do need answers. 4. It is so poorly designed that the results are very likely to discredit psychiatric diagnosis.
I write directly to you now because this may be a last chance tipping point to save DSM5—and because the APA leadership has so far proven itself consistently unable to provide adequate supervision. You need to be informed of the many crippling DSM5 problems before it will be too late for you to influence your leaders to take the decisive actions needed to solve them.
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.