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The rationale for this change was based upon factor analytic studies, and now requires at least one avoidance symptom for PTSD diagnosis. DSM-IV Criterion C, avoidance and numbing, was separated into two criteria: Criteria C (avoidance) and Criteria D (negative alterations in cognitions and mood). The three clusters of DSM-IV symptoms are divided into four clusters in DSM-5: intrusion, avoidance, negative alterations in cognitions and mood, and alterations in arousal and reactivity.The necessary criteria of exposure to trauma links the conditions included in this class the homogeneous expression of anxiety or fear-based symptoms, anhedonic and dysphoric symptoms, externalizing anger or aggressive symptoms, dissociative symptoms, or some combination of those listed differentiates the diagnoses within the class (1).ĭiagnostic criteria Overall, the symptoms of PTSD are mostly the same in DSM-5 as compared to DSM-IV. The rationale for the creation of this new class is based upon clinical recognition of variable expressions of distress as a result of traumatic experience. What are the major revisions to the PTSD diagnosis? Classification PTSD (as well as Acute Stress Disorder) moved from the class of anxiety disorders into a new class of "trauma and stressor-related disorders." All of the conditions included in this classification require exposure to a traumatic or stressful event as a diagnostic criterion. The link above contains the written material below! And guess who is the author of this information? Sorta like shooting yourself in the foot. If you are denied SC for PTSD, here's your argument. In DSM-5, the criteria makes it a lot easier to be diagnosed PTSD than it was in DSM-IV. So if any veteran is being rated under the old criteria or testing information, you should file an NOD or a DRO review stating the C and P exam information is no longer valid and outdated. Also the GAF scale is moot and is not included in DSM-5. DSM-IV has been put on the shelf with all its previous editions.
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PTSD is no longer an Anxiety Disorder, but has a new home under "trauma and stressor-related disorders." If a Psychologist administers the CAPS, Mississippi, the PCL-M, or the MMPI-2, be advised none of these tests are valid anymore. The VA has mandated all Psychologists and Psychiatrists to use DSM-5. Any veteran being tested or rated under DSM-IV should know, none of it is valid. There is a great deal of confusion concerning the use of DSM-5.