Author | Michael B. First, MD

Articles

Public Comment Period Opens for First Set of New Proposals to Update DSM-5

December 11, 2017

Article

Advances in digital publishing that allow instantaneous dissemination of changes at minimal cost have paved the way towards the adoption of a continuous improvement model for DSM, in which revisions are pegged to specific scientific advances.

New Diagnostic Codes for Substance Use Disorders and Avoidant/Restrictive Food Intake Disorder

October 12, 2017

Article

Several updates to ICD-10-CM affect the diagnostic codes used by mental health practitioners. One important update involves the codes for substance use disorders. Details here.

Call for Challenging Cases

July 03, 2017

Article

Got a challenging case-a patient for whom the diagnosis is unclear or uncertain? Want a diagnostic opinion? This is a call for cases. Michael First, MD-a nationally recognized expert on psychiatric diagnosis and assessment issues-will review details and offer insights on select cases.

What You Need to Know About DSM-5 and ICD-10-CM

August 10, 2015

Article

The good news? Compared with our non-psychiatric colleagues, we psychiatrists are in very good shape when it comes to switching over to ICD-10-CM.

How Clinicians Actually Use the DSM: Psychiatric Times Survey Results

May 21, 2015

Article

Given that one of the primary goals of making DSM revisions is to improve its clinical utility, establishing a baseline of current usage is critical to inform future proposals. For this and other reasons, the authors provide preliminary results from research focused on determining clinicians’ actual use of DSM.

Essentials of Making an Accurate Psychiatric Diagnosis

September 02, 2014

Article

A proper psychiatric diagnosis requires the ability to elicit information, identify symptoms, and recognize behavioral patterns. Dr Michael First, author of DSM-5 Handbook of Differential Diagnosis, summarizes key points in this brief video.

DSM-5 Handbook of Differential Diagnosis: Meet the Author

May 01, 2014

Article

A video featuring the author of the DSM-5 Handbook, Dr Michael First describes differential diagnosis and assessment, central components of clinical practice.

Response to: “Psychiatric Symptoms Can be Understood Even When These Symptoms Cannot Be Explained”

July 16, 2010

Article

Dr Muller, in his piece “Psychiatric Symptoms Can be Understood Even When These Symptoms Cannot Be Explained,” makes a number of assertions about DSM-III and its successors that reflect a mischaracterization of its “descriptive approach.”

Changes in Psychiatric Diagnosis

November 01, 2008

Article

DSM-IV-TR, our current diagnostic classification system of psychiatric disorders, follows the diagnostic paradigm first established by DSM-III in 1980.

The DSM: Not Perfect, but Better Than the Alternative

April 01, 2003

Article

The DSM may be flawed, but it is the best available system for organizing and diagnosing mental disorders, and it remains a model for other medical specialties.