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The Legal Department articles are not intended to serve as legal advice and are offered for educational purposes only. The information provided should not be used as a substitute for independent legal advice and it is not intended to address every situation that could potentially arise. Please be aware that laws, regulations and technical standards change over time. As a result, it is important to verify and update any reference or information that is provided in the article.
Regarding the Release of the DSM 5 TR
Therapists should be aware that the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) was released this month by the American Psychiatric Association. It is available on the APA websitei and through other vendors, such as Amazonii and Barnes and Noble.iii
Since its publication in 2013, the DSM-5 has undergone a variety of revisions based upon updates to the scientific literature. (For those who are interested, each of the revisions to the DSM-5 which have occurred over the years are available for review on the APA website.)iv The DSM-5-TR includes new references and clarifications to diagnostic criteria, and updates to ICD-10-CM codes.v Prominent changes include a new disorder entitled “prolonged grief disorder”, and new ICD-10-CM codes for suicidal behavior and nonsuicidal self-injury.
According to the APA, the major changes from DSM-5 to DSM-5 TR include:vi
Given the importance of this manual in diagnosis, treatment planning and for billing purposes, clinicians are advised to obtain a copy of the DSM-5 TR at their earliest opportunity.
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i https://www.psychiatry.org/psychiatrists/practice/dsm
ii https://www.amazon.com/Diagnostic-Statistical-Disorders-Revision-Dsm-5-tr/dp/0890425760/ref=sr_1_2?crid=610N0HEUPPW4&keywords=amazon+dsm+5+tr&qid=1658957252&s=books&sprefix=amazon+dsm+5+tr%2Cstripbooks%2C113&sr=1-2
iii https://www.barnesandnoble.com/w/diagnostic-and-statistical-manual-of-mental-disorders-fifth-edition-text-revision-american-psychiatric-association/1140161900
iv https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5//updates-to-dsm-5-criteria-text
v ICD-10-CM stands for the International Classification of Diseases, 10th Edition, Clinical Modification. For DSM-5-TR, only ICD-10-CM codes are used because it is the version of ICD that is in effect in the United States. Although based on the World Health Organization’s ICD-10 codes, ICD-10-CM codes in DSM-5 provide the only permissible diagnostic codes for mental disorders for clinical use in the United States. In the United States, and the use of ICD-10-CM codes for disorders in DSM-5-TR is mandated by the Health Care Financing Administration for purposes of reimbursement under Medicare.
vi https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2022.03.3.28
vii See, Impact of Culture, Race, Social Determinants Reflected Throughout New DSM-5-TR.