title: Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations.
abstract: The criteria for posttraumatic stress disorder PTSD have changed considerably with the newest edition of the American Psychiatric Association's (APA)Diagnostic and Statistical Manual of Mental Disorders(DSM-5). Changes to the diagnostic criteria from theDSM-IVtoDSM-5include: the relocation of PTSD from the anxiety disorders category to a new diagnostic category named "Trauma and Stressor-related Disorders", the elimination of the subjective component to the definition of trauma, the explication and tightening of the definitions of trauma and exposure to it, the increase and rearrangement of the symptoms criteria, and changes in additional criteria and specifiers. This article will explore the nosology of the current diagnosis of PTSD by reviewing the changes made to the diagnostic criteria for PTSD in theDSM-5and discuss how these changes influence the conceptualization of PTSD.
authors.affiliation: VA North Texas Health Care System, 4500 S. Lancaster Road, 116A, Dallas, TX 75216, USA. Anushka.pai@va.gov.|Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX 75390-8828, USA. Anushka.pai@va.gov.
authors.forename: Anushka
authors.initials: A
authors.lastname: Pai
authors.affiliation: VA North Texas Health Care System, 4500 S. Lancaster Road, 116A, Dallas, TX 75216, USA. alina.suris@va.gov.|Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX 75390-8828, USA. alina.suris@va.gov.
authors.forename: Alina M
authors.initials: AM
authors.lastname: Suris
authors.affiliation: Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX 75390-8828, USA. Carol.North@utsouthwestern.edu.|Metrocare Services, Dallas, TX 75247-4914, USA. Carol.North@utsouthwestern.edu.
authors.forename: Carol S
authors.initials: CS
authors.lastname: North
keywords: DSM-5; diagnostic criteria; nosology; posttraumatic stress disorder; psychiatric diagnosis; trauma