Yu go mɔs dɔn yɛri bɔt dis wɔd ``(DSM-5)``. Sɔntɛm frɔm dɔktɔ, ɔ sɔmsay we de tɔk bɔt mental wɛlbɔdi . So, pan ɔl we dis kin tan lɛk se i kɔmplikt smɔl to bɔku pipul dɛn, lɛ wi tɔk bɔt am simpul ɛn fayn fayn we tide. Jɔs lɛk aw yu go tɔk to yu padi, okay?
Wetin rili na DSM-5, dis buk?
Fɔ tɔk am simpul wan, di DSM-5 na wan kɔmprɛhnsiv gayd fɔ mɛntɛl hεlth prɔblɛm, inklud mɛntɛl sik ɛn kɔndishɔn. Na di American Psychiatric Association (APA) rayt am, ɛdit am, ɛn pablish am.
Yu kin de wɔnda wetin mek "5" de na di nem. Dat min se dis na di nɔmba fayv edishɔn fɔ dis buk ɛn na di wan we dɛn jɔs pul. Di DSM-5 bin fɔs kɔmɔt insay May 2013. Dɔn, insay Mach 2022, di APA bin pul wan rivays ɛn ɔpdet ɛdyushɔn fɔ di DSM-5. Dɛn kɔl am di DSM-5-TRTM. Di TR tinap fɔ Tɛks Rivishɔn, we min se dɛn dɔn mek "tɛks rivishɔn".
Wan impɔtant tin fɔ mɛmba: `(DSM-5)` ɛn `(DSM-5-TR)` na buk dɛm we dɛn mek fɔ pipul dɛm we gɛt spɛshal no, lɛk dɔktɔ ɛn saykayatrist fɔ yuz. Di tin dɛn we de insay dɛn buk ya rili tɛknik. I kin at fɔ lɛ ɔdinari pɔsin ɔndastand if dɛn rid am. So, nɔ ɛva rid dis buk ɛn tink se yu gɛt sik ɔ yu nɔ go ebul fɔ go to dɔktɔ. Dis tan lɛk buk we de tich yu aw fɔ flay plen. Wi kin lɛk fɔ rid am, bɔt jɔs we wi rid da buk de nɔ de mek wi bi payɔnia, nɔto so?
Apat frɔm di DSM-5-TR, di APA de pul kɔmpin buk dɛn bak we de ɛksplen mɔ bɔt in infɔmeshɔn. Sɔm ɛgzampul dɛn na di DSM-5 Handbook of Differential Diagnosis (wan buk we de ɛp fɔ no difrɛns bitwin di sem kayn dizayd bay di simptom dɛm) ɛn DSM-5 Clinical Cases (wan buk we gɛt kes stɔdi dɛm fɔ difrɛn pasɛnt dɛm).
Wetin na di rial rizin fɔ dis DSM-5 buk?
Tink bɔt am, bifo yu trit ɛni sik, di fɔs tin we yu fɔ du na fɔ no ustɛm na di sik. Dis na kɔmɔn tin fɔ ɔl tu di sik dɛm na dɛn bɔdi ɛn maynd. Na de di buk ``(DSM-5)`` kam in handy.
Dis buk de gi rili klia ɛn ditayli difinishɔn fɔ difrɛn mɛntɛl hεlth kɔndishɔn ɛn sik dɛm wae gɛt fɔ du wit bren. I de ɛksplen bak di sayn ɛn sayn dɛm fɔ dɛn sik dɛm wit ɛgzampul.
Apat frɔm we i de difayn di sik, di DSM-5 de kategoriz dɛn kɔndishɔn ya bak. Dis kin mek am izi fɔ dɔktɔ ɛn pipul dɛn we sabi bɔt mental wɛlbɔdi biznɛs fɔ no di sik kɔrɛkt wan ɛn no difrɛns bitwin ɔda sik dɛn we gɛt di sem sayn dɛn .
Aw dɛn mek di DSM-5? Udat bin de pan am?
Fɔ mek di DSM-5, di APA bin gɛda pas 160 saykayatrist dɛm, sayɛnsman dɛm, ɛn ɔda masta sabi pipul dɛm frɔm ɔlsay na di wɔl. Bɔku bɔku ɔda pipul dɛn we sabi du di wok bin ɛp as kɔnsaltɛnt dɛn pan difrɛn tɔpik dɛn. Di krieshɔn fɔ di DSM-5 bin involv bak bɔku fil tɛst ɛn risach.
Fɔ mek di DSM-5-TR, di APA bin ri-ɛnjɔy bɔku pan di pipul dɛn we bin de involv wit di ɔrijinal DSM-5. In total , pas 200 profeshɔnal dɛn we bin kɔntribyut dairekt to di DSM-5-TR.
Wetin di DSM-5 de tɔk bɔt?
Di DSM-5 de pe atɛnshɔn mɔ pan di mental wɛlbɔdi kɔndishɔn dɛn . Bɔt bikɔs di maynd wɛlbɔdi ɛn di we aw di bren de wok nɔto tu difrɛn tin dɛn, di buk tɔk bak bɔt tin dɛn ɛn prɔblɛm dɛn we gɛt fɔ du wit di we aw di bren de wok. I gɛt bak di kɔd dɛn fɔ no if pɔsin gɛt sik . Dɛn kɔd ya de mek am izi fɔ di wan dɛn we de kia fɔ wɛlbɔdi biznɛs fɔ kɔmpia dɛn tin ya wit di Wɔl Ɛlth Ɔganayzeshɔn in Intanɛshɔnal Klasifikeshɔn fɔ Sik ɛn Rilat Wɛlbɔdi Prɔblɛm dɛn (ICD-10) .
Di buk ``(DSM-5)`` gɛt tri men pat dɛn:
Sɛkshɔn I: DSM-5 Besik tin dɛn
Dis pat de ɛksplen aw di wan dɛn we sabi bɔt mɛrɛsin fɔ yuz dis buk we dɛn de du dɛn wok. I de gi gayd bak bɔt aw fɔ yuz di DSM-5 we yu de dil wit ligal tin dɛn, lɛk mental wɛlbɔdi biznɛs, ɛn kɔt kes.
Sɛkshɔn II: Diagnostik Krayteria ɛn Kɔd dɛn
Dis na di pat we big pas ɔl na di buk. Ɛni chapta na dis pat de tɔk bɔt wan patikyula kayn sik. Di patikyula kɔndishɔn dɛn we de insay da kategori de, dɛn dɔn difayn ɛn diskrayb am klia wan. Lɛ wi luk sɔm pan di sik kategori dɛm na dis pat ɛn us sik dɛn de pan:
- Nyurodivεlכpmεnt Disכrd : Dis na prכblεm dεm we de fכm di divεlכpmεnt fכ di bren εn di nεv sεstem. Ɛgzampul dɛn:
- `( Autism Spectrum Disorder)` (Difrɛn kayn ɔtizm )
- Atɛnshɔn-Dɛfisit/Hayparaktiviti Disɔda ( ADHD ) .
- Disabiliti fɔ lan (e.g., Dislɛksia - prɔblɛm fɔ rid, Diskalkul - prɔblɛm wit matematiks)
- Schizophrenia Spectrum ɛn Ɔda Saykotik Disɔda dɛm:Dis na kɔndishɔn dɛn we di kɔnekshɔn wit rial tin kin brok, pipul dɛn kin si tin dɛn we dɛn kin tink bɔt, ɛn dɛn kin mek pipul dɛn biliv lay lay tin dɛn . Ɛgzampul dɛn: Skizofrenia-imɔshɔnal `(Skizofrenia)` Schizoaffective Disɔda we gɛt di sik
- Disɔda we de mek pɔsin fil bad
- Baypola ɛn Rilat Disɔda: Dɛn tin ya na di kayn tin dɛm wae yu de fil kin chenj kwik kwik wan bitwin wae yu gɛt gladi at pasmak/gɛt gladi at ɛn wae yu de fil bad bad wan/prɛshɔn. Ɛgzampul dɛn:
- `(Bipolar I ɛn Bipolar II Disɔda)`
- Sayklɔtaymik Disɔda
- Dipreshɔn Disɔda: Na tin wae kin mek pɔrsin fil bad fɔ lɔng tɛm ɛn nɔr kin gɛt intres. Ɛgzampul dɛn:
- Major Dipreshɔn Disɔda
- Pɛrsistɛnt Dipreshɔn Disɔda (dɛn bin de kɔl am Dysthymia) .
- Anxiety Disorders: Na tin wae kin mek pɔrsin frayd pasmak, wɔri pasmak, ɛn nɔr kin rεst. Ɛgzampul dɛn:
- Jɛnɛralized Anxiety Disɔda
- Sɔshial Anxiety Disorder (Fɔ fred fɔ sɔshal situeshɔn) .
- Dizayd we kin mek pɔsin wɔri we pɔsin kin separet
- Panik Atak (Panik Disɔda) .
- Difrɛn kayn tin dɛn we kin mek pɔsin fred (lɛk fɔ fred fɔ ay, fɔ fred animal) .
- Obsessive-Compulsive and Related Disorders: Kɔndishɔn dɛm wae gɛt fɔ du wit distres, ripit tinkin (obsession) ɛn akshɔn fɔ kɔntrol dɛm (compulsions). Ɛgzampul dɛn:
- Obsesiv-Kɔmpulsiv Disɔda (OCD) .
- Dizayd fɔ Hoarding
- Bɔdi Dismɔrfik Disɔda
- Dizayd fɔ Pik di Skin ɛn Dizayd fɔ Pul di Iɛ
- Trauma- ɛn Stressor-Related Disorders: Saykolojik prɔblɛm wae kin kam afta yu dɔn gɛt traumatik tin. Ɛgzampul dɛn:
- Pɔst-Traumatik Strɛs Disɔda (PTSD) .
- Akyu Strɛs Disɔda
- Dizayd fɔ Adjɔstmɛnt
- Dissociative Disorders: Na tin wae de pɔrsin de fil bɔt insɛf, in mɛmori, ɔr di say we i de. Ɛgzampul dɛn:
- Dissociative Identity Disorder (dɛn bin de kɔl am Multiple Personality Disorder) .
- Dissosiativ Amnɛsia we pɔsin kin gɛt
- Dipɔsɔnalayzeshɔn/Dɛrialayzeshɔn Disɔda
- Sɔmatik Simptom ɛn Rilat Disɔda: Kɔndishɔn wae de sik kin kam bikɔs ɔf saykilɔjik strɛs, we nɔr gɛt klia fyzikal kɔz. Ɛgzampul dɛn:
- Somatik Simptom Disɔda
- Illness Anxiety Disorder (de frayd ɔltɛm fɔ sik) .
- Fכnshכnal Nyurolכjik Simptom Dizכrd (dεn bin kכl am fכs Kכnvεshכn Dizכrd) .
- Disɔda fɔ it ɛn it: Nɔrmal bihayvya ɛn abit wae gɛt fɔ du wit it. Ɛgzampul dɛn:
- Anorexia Nervosa (fɔ tray fɔ lɛf fɔ it bɔku bɔku it dɛn we yu nɔ it) .
- Bulimia Nervosa (fɔ it tumɔs ɛn afta dat yu de klin am tru vɔmit ɔ ɔda we) .
- Dizayd we pɔsin kin it pasmak
- Pica (want fɔ it tin dɛn we nɔ izi fɔ it - ɛgz., dɔti, chalk stik)
- Elimination Disorders: Fכ egzampl, `(Enuresis)` (dis inklud tin dεm lεk bedwetting bak).
- Slip-Wake Disorders: Prɔblɛm dɛn we gɛt fɔ du wit slip. Ɛgzampul dɛn:
- Disɔda we de mek pɔsin nɔ ebul fɔ slip
- Narkolepsi (we pɔsin kin slip wantɛm wantɛm) .
- Dizayd dɛn we pɔsin kin gɛt we i de slip
- Naytmɛr Disɔda
- Rɛstlɛs Lɛg Sindrom
- Di Disfunkshɔn dɛn we Nɔ De Du Mami ɛn dadi biznɛs
- Disrɔptiv, Impulse-Kɔntrol ɛn Kɔndɔkt Disɔda: Biheviɔr wae de disrɔb ɔda pipul dɛm, nɔr gɛt impuls kɔntrol, ɛn brok lɔ. Ɛgzampul dɛn:
- Oposishɔnal Defiant Disɔda
- Antisocial Pɔsin Disɔda
- Kleptomania (di want fɔ tif we pɔsin nɔ ebul fɔ kɔntrol) .
- Pyromania (di want fɔ bɔn faya) .
- Disɔda we gɛt fɔ du wit sɔbstans ɛn adikshɔn: Prɔblɛm we kin kam we pɔsin de yuz tin dɛn lɛk drɔgs ɛn rɔm. Ɛgzampul dɛn:
- Dizayd fɔ Yuz Alkol
- Dizayd fɔ Yuz Inhalant
- Opioid Yuz Disɔda
- Simptom dɛm wae gɛt fɔ du wit fɔ lɛf fɔ it
- Nyurokognitiv Disɔda: Na tin dɛm wae kin afɛkt tin dɛm lɛk mɛmori ɛn tink bikɔs ɔf di bren we nɔ de wok fayn. Ɛgzampul dɛn:
- Delirium (we pɔsin kin kɔnfyus na in maynd wantɛm wantɛm) .
- Di sik we dɛn kɔl Alzaima
- Dis sik we dɛn kɔl Parkinson
- Di Sik we Huntington bin gɛt
- Traumatik Bren Injuri
- Dizayd we pɔsin kin gɛt:Fɔ lɔng tɛm fɔ tink, fil, ɛn biev we kin mek i nɔ izi fɔ gɛt padi biznɛs wit ɔda pipul dɛn. Ɛgzampul dɛn:
- Bɔdalayn Pɔsin Disɔda (BPD) .
- Narcissistic Personality Disorder we gɛt di sik we dɛn kɔl Narcissistic Personality Disorder
- Dizayd dɛn we kin apin we pɔsin de biev we i de du mami ɛn dadi biznɛs
- Ɔda Mental Disɔda ɛn Ɔda Kɔd dɛm: Kɔndishɔn dɛm wae nɔr fit fayn fayn wan pan ɛni ɔda diagnostik krayteria, bɔt gɛt bɔrku impak pan pɔrsin in layf.
- Di prɔblɛm dɛn we kin apin we pɔsin de muv we pɔsin tek mɛrɛsin ɛn ɔda bad bad tin dɛn we i kin du we i tek mɛrɛsin: Ɛgzampul dɛn:
- Tardive Diskinɛsia we dɛn kɔl Tardive
- Nyurolɛptik Malignant Sindrom
- Ɔda Kɔndishɔn dɛm wae kin bi tin wae dɛn kin pe atɛnshɔn pan na di klinik: Dɛn tin ya nɔto sik dɛm sɛf, bɔt na tin dɛm wae kin afɛkt ɔr kin apin togɛda wit di sik dɛm wae dɛn kin no. Fɔ ɛgzampul, fɔ du bad to yusɛf, fɔ tink/biɛv fɔ kil yusɛf, istri bɔt ɛni kayn abiuz, ɔ nɔ gɛt wok.
Sɛkshɔn III: Di Mɛzhɔ ɛn Mɔdal dɛn we de kam
Dis pat de tɔk bɔt sɔm patikyula asɛsmɛnt tul dɛm wae dɔktɔ dɛn kin yuz fɔ no sɔm kayn sik dɛm. I de tɔk bak bɔt aw difrɛns pan kɔlchɔ kin afɛkt di diagnosis, ɛn di kɔndishɔn dɛn we dɛn kin put insay wan fiuja ɛdyushɔn fɔ di DSM bɔt nid fɔ stɔdi mɔ bifo dɛn put dɛn.
Ustɛm di nɛks ɛdyushɔn fɔ di DSM go kɔmɔt?
Di APA nɔ de rilis nyu ɛdyushɔn dɛn fɔ di DSM pan wan sɛt schedule. Bifo dat, dɛn kin ɔpdet di DSM as nid de. Bifo di fayv edishɔn (we bin de yuz Roman nɔmba dɛn), dɛn bin de pul DSM edishɔn dɛn insay di ia dɛn we de kam:
- DSM-I®: 1952, ɛn di ɔda wan dɛn
- DSM-II®: 1968. Di wan dɛn we de wok
- DSM-III®: 1980 (Dɛn bin pul wan rivays vɛshɔn, DSM-III-R®, insay 1987)
- DSM-IV®: 1994 (Dɛn bin pul wan rivays vɛshɔn fɔ dis tɛks, DSM-IV-TR®, insay 2000)
- DSM-5®: 2013 (Dis tɛks na rivays vɛshɔn, DSM-5-TR, we dɛn pul insay 2022)
Wi kin gɛt di DSM-5 buk bak? Usay wi go fɛn am?
Yɛs. Di DSM-5 de fɔ bay na bɔku bukstɔ dɛn ɛn na di intanɛt. Bɔku pɔblik laybri dɛn kin gɛt wan kɔpi fɔ di buk bak (pan ɔl we yu lokal laybri nɔ go alaw yu fɔ kɛr am go na os, na fɔ chɛk am na di laybri nɔmɔ).
Pan ɔl we di DSM-5 ɛn DSM-5-TR de fɔ di pipul dɛn difrɛn we dɛn, i impɔtant fɔ mɛmba se dɛn rayt dis buk fɔ di wan dɛn we sabi bɔt mɛrɛsin. So, di tin dɛn we de insay dis buk rili tɛknik. Dis min se i kin at fɔ lɛ di ɔdinari pɔsin ɔndastand dis buk.
YuNɔ ɛva yuz di `(DSM-5)` ɔ `(DSM-5-TR)` ɔ ɛni buk as sɔbstityuyt fɔ go to dɔktɔ ɔ mental wɛlbɔdi advaysa . Dis tan lɛk we yu de du ɔpreshɔn pan yusɛf. I nɔ fayn fɔ du dat, nɔto so? So, i go fayn fɔ mek yu go to pɔsin we tren ɛn we sabi fɔ advays yu bɔt mental wɛlbɔdi biznɛs .
Yu tink se dɛn stil de yuz DSM-5? Wetin na di laytst vɛshɔn?
Yɛs, dɛn stil de yuz am. Bɔt naw tu we dɛn de fɔ dis buk. Di APA bin pul di DSM-5 insay 2013. Insay 2022, di APA bin pul wan rivays we dɛn kɔl DSM-5-TR. Dis nyu vɛshɔn ful- ɔp wit ɔl di nyu chenj ɛn ɔpdet dɛm we dɔn apin na di mental wɛlbɔdi fil frɔm 2013. So, naw, di DSM-5-TR na di vɛshɔn we fit pas ɔl, we de ɔp-to-dɛt, ɛn we kɔrɛkt pas ɔl.
Na di wan dɛm wae de gi mɛntɛl hεlth, mɔr di saykayatrist ɛn sayɛnsman dɛm, di DSM-5-TR na di impɔtant tin fɔ no bɔt mɛntɛl hεlth ɛn bren dizayd. Pan ɔl we na wan Amɛrikan institiushɔn dɔn pablish am, di DSM-5 na impɔtant tin fɔ di wan dɛn we de wok na di klinik ɔlsay na di wɔl. I pas 18 langwej dɛn we dɛn dɔn translet am.
So, di las tin fɔ mɛmba (Take-Home Message) .
Okay, so na sɔm tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:
- Di DSM-5 ɛn in las rivishɔn, di DSM-5-TR, na impɔtant manyual fɔ di wan dɛn we sabi bɔt mental wɛlbɔdi biznɛs.
- Pan ɔl we yu kin bay ɔ fɛn dɛn buk ya na laybri, dɛn rayt dɛn fɔ dɔktɔ ɛn spɛshal pipul dɛn, so dɛn langwej rili tɛknikal.
- Di ɔdinari pɔsin kin ɛnjɔy fɔ rid dis buk, bɔt nɔ ɛva yuz am fɔ no if yu gɛt di sik.
- If yu tink se yu ɔ pɔsin we yu lɛk kin gɛt mental wɛlbɔdi prɔblɛm lɛk aw dɛn tɔk bɔt am na di (DSM-5), mek shɔ se yu go to dɔktɔ ɔ pɔsin we de advays yu maynd .
Jɔs lɛk aw yu nɔ go go to dɔktɔ if yu nɔ du ɔpreshɔn pan yusɛf, i kin fayn ɛn i kin fayn ɔltɛm fɔ aks pɔsin we tren ɛn we sabi du di wok we i kam pan mental wɛlbɔdi biznɛs. Dɔn gɛt am?
` DSM-5, mental hεlth, diagnosis, mental sik, APA, DSM-5-TR, saykayatri











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