Chapter 3: Diagnosis and Assessment• Axes changed from 3 to 2• Diagnosis names changed• Personality Disorders changes not adopted• 347 diagnoses

Multi-Axial System

• DSM-IV-TR uses a 5-axis system• DSM-5 uses 2 axes• Psychiatric & Medical Diagnoses• Psychosocial and Contextual Factors

• Renamed from Psychosocial and Environmental Problems• Anticipated severity index not included

Diagnosis Names Changed

• Names changed to better align with the WHO and the ICD• Intellectual Disability• Replaces Intellectual Developmental Disorder

• Somatic Symptom & Related Disorders• Replaces Somatic Symptom Disorder

• Substance-Related & Addictive Disorders• Replaces Substance Related Disorders

Unadopted Changes Listed as Proposed in the 12th ed. • Proposed Diagnoses not included• Mixed Anxiety/Depressive Disorder

• Personality Disorders• Specific diagnoses retained from DSM-IV-TR• Proposed revisions included in Section III

• For further study

Cultural Concepts of Distress

• Cultural Formulation• 9 Concepts of Distress• Replaces 25 separate diagnoses

• Focus on influence of culture on disorder presentation

Growth in Number of Diagnoses

• DSM-IV-TR has 297 diagnoses• DSM-5 has 347