In April of 2010, the American Psychiatric Association (APA) announced the proposed changes for the next edition of the Diagnostic and Statistical Manual: the DSM 5.  Action taken regarding bipolar disorder in children has become one of the primary shifts proposed for the new edition. It has also become one of the major controversies.

The APA accepted for inclusion the new classification of Disruptive Mood Dysregulation Disorder (DMDD) as a more appropriate diagnostic category for many of the children who would have previously received a diagnosis of Bipolar Disorder- Not Otherwise Specified (BP-NOS) (see What is Juvenile Bipolar Disorder).

Authors of the proposal concluded that, since some children satisfy the criteria currently established for bipolar disorder, and since episodic mania of specified minimal duration has always been a criteria of bipolar disorder, children who experience chronic or frequent irritability and/or temper outbursts constitute a different disorder.

The primary and strongest justification for inclusion, as the authors themselves state, is that it restores consistency, or reliability, with previously defined DSM diagnoses. Since reliability, rather than validity, is the stated intention of this and previous DSM editions, (see What is the DSM  and Obstacles Created by Language) it is not too surprising that the proposal was ultimately accepted.

During the public comment period that followed the announcement, JBRF submitted a substantial and detailed objection to the proposal but do not believe that our research or opinions were seriously considered.  (The remaining postings in this section come from that response.)

JBRF-sponsored investigators expressed grave concern over the direct and indirect consequences of the new proposal. It is a proposal which does not venture out of old ideas. Its lack of meaningful or compelling evidence-based knowledge will not bring us any closer to a path which will provide effective and reliable treatment. In fact, JBRF-sponsored investigators believe that it confers greater risk to these children as the new classification shifts them to a treatment regimen which they believe is contraindicated and will hasten onset and/or increase suicidal behavior.

JBRF is not the only entity concerned about the new classification. A statement by the National Association on Mental Illness (NAMI) echoes a frequently expressed concern that the limited scope of research that created the new classification and the lack of clinical guidelines it offers render inclusion of the classification as premature. Prior to and post release of the new manual there has been substantial concern expressed by leading voices in the field of psychiatry as to the lack of science underlying new DSM 5 classifications. (see the tab NIMH; Research Trends)

After weighing all of the professional and public comments submitted in response to the open comment period prior to adoption, the only adjustment that was made by the APA to the proposed classification was to change its name from the original proposal of Temper Dysregulation Disorder to DMDD. All the criteria, justification and rational have remained unchanged.

  1. Pingback: Skydiving NYC
  2. Pingback: pickleball
  3. Pingback: hotels
  4. Pingback: interserver coupon
  5. Pingback: website
  6. Pingback: click here
  7. Pingback: useful reference
  8. Pingback: my company
  9. Pingback: original site
  10. Pingback: look at this site
  11. Pingback: additional hints
  12. Pingback: More Bonuses
  13. Pingback: Continued
  14. Pingback: Discover More
  15. Pingback: click resources
  16. Pingback: look here
  17. Pingback: new website
  18. Pingback: news
  19. Pingback: how to
  20. Pingback: about
  21. Pingback: imp source
  22. Pingback: a fantastic read
  23. Pingback: my response
  24. Pingback: their explanation
  25. Pingback: Visit Website
  26. Pingback: her latest blog
  27. Pingback: More Bonuses
  28. Pingback: you could try here
  29. Pingback: Learn More
  30. Pingback: official statement
  31. Pingback: important source
  32. Pingback: click here
  33. Pingback: read more
  34. Pingback: click here
  35. Pingback: click here
  36. Pingback: read more
  37. Pingback: read more
  38. Pingback: read more
  39. Pingback: read more
  40. Pingback: website
  41. Pingback: click here
  42. Pingback: read more
  43. Pingback: more news
  44. Pingback: her latest blog
  45. Pingback: Clicking Here
  46. Pingback: More hints
  47. Pingback: best value
  48. Pingback: new source
  49. Pingback: best news
  50. Pingback: learn now
  51. Pingback: click here
  52. Pingback: read more
  53. Pingback: important
  54. Pingback: find
  55. Pingback: figure out
  56. Pingback: continue reading
  57. Pingback: where to look
  58. Pingback: insight
  59. Pingback: quality article
  60. Pingback: quality article
  61. Pingback: Get More Info
  62. Pingback: useful reference
  63. Pingback: their explanation
  64. Pingback: Homepage
  65. Pingback: a fantastic read
  66. Pingback: find this
  67. Pingback: browse this site
  68. Pingback: my response
  69. Pingback: More hints
  70. Pingback: Get the facts
  71. Pingback: official statement
  72. Pingback: try this web-site
  73. Pingback: explanation
  74. Pingback: read more
  75. Pingback: check my blog
  76. Pingback: click site
  77. Pingback: my review here
  78. Pingback: useful reference
  79. Pingback: Get More Info
  80. Pingback: see here
  81. Pingback: this website
  82. Pingback: great post to read
  83. Pingback: my company
  84. Pingback: imp source
  85. Pingback: click to read more
  86. Pingback: see it here
  87. Pingback: a fantastic read
  88. Pingback: find this
  89. Pingback: Bonuses
  90. Pingback: read this article
  91. Pingback: click here now
  92. Pingback: browse this site
  93. Pingback: original site
  94. Pingback: my response
  95. Pingback: this page
  96. Pingback: news
  97. Pingback: click here
  98. Pingback: click here
  99. Pingback: click here
  100. Pingback: click here
  101. Pingback: read more
  102. Pingback: read more
  103. Pingback: read more
  104. Pingback: what is new
  105. Pingback: what is new
  106. Pingback: what is new
  107. Pingback: what is new
  108. Pingback: aloe vera for acne
  109. Pingback: aloe vera skin
  110. Pingback: acne skin
  111. Pingback: click here
  112. Pingback: read article
  113. Pingback: website
  114. Pingback: source
  115. Pingback: important
  116. Pingback: news
  117. Pingback: url
  118. Pingback: read more
  119. Pingback: niagen
  120. Pingback: read more
  121. Pingback: find now
  122. Pingback: news
  123. Pingback: important
  124. Pingback: new article
  125. Pingback: best information
  126. Pingback: exceptional
  127. Pingback: see this here
  128. Pingback: Visit Website
  129. Pingback: keep reading
  130. Pingback: home page
  131. Pingback: more about this
  132. Pingback: hosting24 coupon
  133. Pingback: check my site
  134. Pingback: More Bonuses
  135. Pingback: click resources
  136. Pingback: Get the facts
  137. Pingback: official statement
  138. Pingback: click reference
  139. Pingback: her explanation
  140. Pingback: why not try here
  141. Pingback: informative post
  142. Pingback: click here
  143. Pingback: read more
  144. Pingback: website
  145. Pingback: link
  146. Pingback: best source
  147. Pingback: post
  148. Pingback: click reference
  149. Pingback: visit site
  150. Pingback: look here
  151. Pingback: Going Here
  152. Pingback: a knockout post
  153. Pingback: look at here now
  154. Pingback: important link
  155. Pingback: Extra resources
  156. Pingback: probiotics america
  157. Pingback: Niagen review
  158. Pingback: click here
  159. Pingback: read more
  160. Pingback: website
  161. Pingback: webpage
  162. Pingback: visit them
  163. Pingback: news
  164. Pingback: best info
  165. Pingback: information
  166. Pingback: read more
  167. Pingback: website
  168. Pingback: webpage
  169. Pingback: news
  170. Pingback: best source
  171. Pingback: best source
  172. Pingback: click here
  173. Pingback: Source
  174. Pingback: have a peek here
  175. Pingback: Check This Out
  176. Pingback: this contact form
  177. Pingback: navigate here
  178. Pingback: weblink
  179. Pingback: check over here
  180. Pingback: this content
  181. Pingback: click here
  182. Pingback: Source
  183. Pingback: have a peek here
  184. Pingback: Check This Out
  185. Pingback: this contact form
  186. Pingback: navigate here
  187. Pingback: weblink
  188. Pingback: check over here
  189. Pingback: this content
  190. Pingback: his explanation
  191. Pingback: more info here
  192. Pingback: official site
  193. Pingback: look at this site
  194. Pingback: visit
  195. Pingback: check it out
  196. Pingback: see this
  197. Pingback: directory
  198. Pingback: see this here
  199. Pingback: feres
  200. Pingback: feres inşaat
  201. Pingback: feres gayrimenkul
  202. Pingback: feres
  203. Pingback: feres
  204. Pingback: additional hints
  205. Pingback: Bonuses
  206. Pingback: a fantastic read
  207. Pingback: find more info
  208. Pingback: find more info
  209. Pingback: great post to read
  210. Pingback: my company
  211. Pingback: useful reference
  212. Pingback: my review here
  213. Pingback: click site
  214. Pingback: check my blog
  215. Pingback: this content
  216. Pingback: click here
  217. Pingback: midogen reviews
  218. Pingback: midogen review
  219. Pingback: read more
  220. Pingback: read more
  221. Pingback: read more
  222. Pingback: niagen reviews
  223. Pingback: source
  224. Pingback: click here
  225. Pingback: source
  226. Pingback: More Bonuses
  227. Pingback: check my source
  228. Pingback: Check This Out
  229. Pingback: navigate here
  230. Pingback: additional reading
  231. Pingback: great post to read
  232. Pingback: advice
  233. Pingback: more information
  234. Pingback: go now
  235. Pingback: Related Site
  236. Pingback: useful link
  237. Pingback: useful link
  238. Pingback: pop over here
  239. Pingback: Full Article
  240. Pingback: click here
  241. Pingback: pop over here
  242. Pingback: Full Article
  243. Pingback: read more
  244. Pingback: click here
  245. Pingback: Full Article
  246. Pingback: read more
  247. Pingback: click here
  248. Pingback: pop over here
  249. Pingback: Full Article
  250. Pingback: read more
  251. Pingback: click here
  252. Pingback: pop over here
  253. Pingback: Full Article
  254. Pingback: Full Article
  255. Pingback: read more
  256. Pingback: click here
  257. Pingback: click site
  258. Pingback: this content
  259. Pingback: click here
  260. Pingback: check my blog
  261. Pingback: my company
  262. Pingback: imp source
  263. Pingback: this page
  264. Pingback: Get More Info
  265. Pingback: Homepage
  266. Pingback: great post to read
  267. Pingback: useful reference
  268. Pingback: my review here
  269. Pingback: official site
  270. Pingback: directory
  271. Pingback: his explanation
  272. Pingback: dig this
  273. Pingback: read this article
  274. Pingback: original site
  275. Pingback: Bonuses
  276. Pingback: look at this site
  277. Pingback: More hints
  278. Pingback: page
  279. Pingback: her latest blog
  280. Pingback: additional hints
  281. Pingback: More Bonuses
  282. Pingback: Continued
  283. Pingback: check over here
  284. Pingback: this content
  285. Pingback: weblink
  286. Pingback: navigate here
  287. Pingback: navigate here
  288. Pingback: this contact form
  289. Pingback: have a peek here
  290. Pingback: rialudi
  291. Pingback: zootopia 2016
  292. Pingback: Source
  293. Pingback: check my blog
  294. Pingback: great post to read
  295. Pingback: see here
  296. Pingback: see here
  297. Pingback: useful reference
  298. Pingback: Get More Info
  299. Pingback: click site
  300. Pingback: my review here
  301. Pingback: news

Comments are closed.