As a psychiatrist, I enjoy teaching PA students during their Psychiatry and Behavioral Medicine clinical rotation. But recently, I noticed something odd. While my students were studying for their end of rotation exam using another Qbank provided by their program, the question and explanation seemed to reflect the old diagnostic criteria from psychiatry’s handbook of diagnosis, the Diagnostic and Statistical Manual of Mental Disorders (DSM). That’s not necessarily odd, in and of itself. But then it happened again. And again. For example, one explanation said that ADHD diagnosis needed symptoms present prior to age 7, but that was the old criteria from DSM-IV-TR (fourth edition, text revised version of the DSM). The newest DSM-5 (fifth edition) criteria sets the threshold to before age 12 instead.
April 19, 2018 • Thomas Xavier, MD