As per B.Sc Nursing Semester wise syllabus

1. Unit 2
Classification Of Mental Disorders
DSM-5
Visanth V S
Asso. Professor
College of Nursing, MVASMC, Basti

2. Diagnostic And Statistical Manual Of Mental
Disorders (DSM)
 This system was developed by the American
Psychiatric Association (APA).
 The first edition (DSM – 1) was published in 1952 as
an alternative to ICD – 6 which had been widely
criticized.
 Although designed for use in the United States, it is
used in other countries, especially for research
purposes.

3. History of DSM
Year Edition
1945-1952 4 diagnoses
1952 DSM
1968 DSM-II
1980 DSM-III
1987 DSM-III-R
1994 DSM-IV
2000 DSM-IV-R
2013 DSM-5

4. Purpose of the DSM-5
Aimed at promoting clear communication in
 Clinical
 Educational
 Research
 Administrative contexts
Assists in standardizing mental health diagnosis
across professionals globally

5. Multi Axial System in DSM
Axis Class
Axis I It consists of clinical disorders and other conditions
that may be a focus of clinical attention.
Axis II Personality disorders and / or mental retardation.
Axis III General Medical Conditions
Axis IV Psychosocial and environmental problems
Axis V It is a global assessment of functioning scale. a
numerical score that measured how much a person's
psychological symptoms impacted their daily life
It was first introduced in the DSM-III, but was removed in the DSM-5

6. Disorders of DSM -5
 Main Sections:
1. Neurodevelopmental Disorders
2. Schizophrenia Spectrum and Other Psychotic
Disorders
3. Bipolar and Related Disorders
4. Depressive Disorders
5. Anxiety Disorders
6. Obsessive-Compulsive and Related Disorders
7. Trauma- and Stressor-Related Disorders
8. Dissociative Disorders
9. Somatic Symptom and Related Disorders
10.Feeding and Eating Disorders
11. Elimination Disorders
12. Sleep-Wake Disorders
13. Sexual Dysfunctions
14. Gender Dysphoria
15. Disruptive, Impulse-Control, and Conduct
Disorders
16. Substance-Related and Addictive Disorders
17. Neurocognitive Disorders
18. Personality Disorders
19. Paraphilic Disorders
20. Other Mental Disorders
21. Medication-Induced Movement Disorders

7. Significant Changes
o Removal of Multiaxial System: DSM-5 no longer uses the multiaxial
system, a key feature of DSM-IV.
o Autism Spectrum Disorder (ASD): Merged previous diagnoses like
Asperger's Syndrome and Pervasive Developmental Disorder into one
category.
o Binge Eating Disorder: Introduced as a formal diagnosis.
o Post-Traumatic Stress Disorder (PTSD): Adjustments to criteria,
including the reclassification from Anxiety Disorders to Trauma- and
Stressor-Related Disorders.

8. Thank You