Both excoriation (skin-picking) disorder and hoarding disorder are new to the DSM-5 and will appear in the chapter on "obsessive-compulsive and related disorders."
In another controversial change, certain people who are experiencing grief can now be diagnosed as having depression, an acknowledgment that "bereavement is a severe psychosocial stressor that can precipitate a major depressive episode," according to a news release issued by the APA.
Bruno believes that there will likely still be distinctions between "normal" grief and grief that is labeled depression.
In other changes, "gender identity disorder" is now "gender dysphoria," and dyslexia was not dropped from the manual, as some had feared might happen. Also, excessive "Internet gaming" now belongs to the category of conditions requiring "further research."
And there was one notable condition not added to the DSM-5: "hypersexual disorder," which many in the lay public refer to as sex addiction.
"The non-inclusion of sex addiction was not particularly surprising," Bruno said, because usually this behavior occurs as a symptom of other disorders, such as personality disorders, and is not something that psychiatrists commonly treat.
"We rarely see this as an entity in and of itself," Bruno said.
The American Psychiatric Association has more on the DSM-5.
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