title: What Should Primary Care Providers Know About the Changes in DSM-5?
abstract: Primary care providers are increasingly involved in the management of patients with mental disorders, particularly as integrated models of care emerge. The recent publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) represents a shift in the classification of several mental disorders commonly encountered by primary care providers. With the advent of ICD-10 and the movement toward diagnostic specificity, it is crucial that primary care providers understand the rationale behind these changes. This paper provides an overview of the changes in the classification of mental disorders in DSM-5, a description of how these changes relate to frequently used screening tools in the primary care setting, and a critique of how these changes will affect mental health practice from a primary care perspective.
authors.affiliation: Division of General Medicine, Columbia University Medical Center, 622 W. 168th Street, PH9-311, New York, NY, 10032, USA. ik2293@columbia.edu.
authors.forename: Ian M
authors.initials: IM
authors.lastname: Kronish
authors.affiliation: Department of Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute, 1051 Riverside Drive, Box 104, New York, NY, 10032, USA. shahrav@nyspi.columbia.edu.
authors.forename: Ravi N
authors.initials: RN
authors.lastname: Shah
authors.affiliation: Division of General Medicine, Columbia University Medical Center, 622 W. 168th Street, PH9-311, New York, NY, 10032, USA. nm2562@columbia.edu.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Moise
mesh_terms: D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D038801:International Classification of Diseases; D001523:Mental Disorders / Q000175:diagnosis*; D011320:Primary Health Care
keywords: Classification; DSM-5; Mental disorders; Primary care
references.citation: BMJ. 2013 Mar 18;346:f1580
references.pmid: 23511949
references.citation: J Gen Intern Med. 2001 Sep;16(9):606-13
references.pmid: 11556941
references.citation: J Psychosom Res. 2013 Sep;75(3):223-8
references.pmid: 23972410
references.citation: Br J Psychiatry. 1999 Apr;174:288-96
references.pmid: 10533546
references.citation: JAMA. 2015 Aug 4;314(5):501-10
references.pmid: 26241601
references.citation: Int J Methods Psychiatr Res. 2007;16 Suppl 1:S6-7
references.pmid: 17623396
references.citation: Ann Intern Med. 2013 Sep 3;159(5):360-1
references.pmid: 23877282
references.citation: J Affect Disord. 2013 May 15;148(1):129-35
references.pmid: 23219059
references.citation: Ann Intern Med. 2015 Oct 6;163(7):557-8
references.pmid: 26344554
references.citation: Arch Gen Psychiatry. 1993 Feb;50(2):85-94
references.pmid: 8427558
references.citation: Int J Methods Psychiatr Res. 2003;12(1):34-43
references.pmid: 12830308
references.citation: Psychosomatics. 2013 Nov-Dec;54(6):515-24
references.pmid: 23932528
references.citation: JAMA Psychiatry. 2014 Sep;71(9):1006-14
references.pmid: 25006837
references.citation: Curr Psychiatry Rep. 2009 Jun;11(3):179-84
references.pmid: 19470278
references.citation: Ann Intern Med. 2015 Aug 18;163(4):298-9
references.pmid: 26121401
references.citation: Am J Psychiatry. 1999 Dec;156(12):1856-64
references.pmid: 10588397
references.citation: J Interpers Violence. 2015 Jun 18;:
references.pmid: 26088902
references.citation: Arch Gen Psychiatry. 2012 Dec;69(12):1247-56
references.pmid: 22868273
references.citation: BMC Med. 2013 Sep 12;11:202
references.pmid: 24229007
references.citation: Ann Intern Med. 2013 Aug 6;159(3):221-2
references.pmid: 23685989
references.citation: Int J Bipolar Disord. 2013 Aug 23;1:12
references.pmid: 25505679
references.citation: J Clin Psychiatry. 2008 Jun;69(6):935-40
references.pmid: 18466044
references.citation: Am J Psychiatry. 2009 Jun;166(6):645-50
references.pmid: 19487400
references.citation: Ann Intern Med. 2009 Dec 1;151(11):784-92
references.pmid: 19949144
references.citation: Acta Psychiatr Scand. 2010 Jun;121(6):404-14
references.pmid: 19958306
references.citation: JAMA Pediatr. 2013 Jul;167(7):608-13
references.pmid: 23645093
references.citation: Am J Psychiatry. 2011 Jul;168(7):672-4
references.pmid: 21724672
references.citation: Arch Intern Med. 2006 Sep 25;166(17):1855-62
references.pmid: 17000942
references.citation: J Nerv Ment Dis. 2012 Jun;200(6):474-9
references.pmid: 22652609
references.citation: J Clin Psychiatry. 2013 Jul;74(7):739-40
references.pmid: 23945452
references.citation: PLoS Med. 2012;9(3):e1001190
references.pmid: 22427747
references.citation: Am J Psychiatry. 2008 Nov;165(11):1449-55
references.pmid: 18708488
references.citation: J Gen Intern Med. 2007 Jun;22(6):719-26
references.pmid: 17503105
references.citation: Pediatrics. 2015 May;135(5):909-17
references.pmid: 25869375
references.citation: Prim Care Companion CNS Disord. 2011;13(2):null
references.pmid: 21977360
references.citation: Am Fam Physician. 2011 Oct 15;84(8):918-24
references.pmid: 22010771
references.citation: Prim Care Companion CNS Disord. 2014;16(2):null
references.pmid: 25133063
references.citation: Am J Psychiatry. 2010 Mar;167(3):298-304
references.pmid: 20080980