Diagnostic and Statistical Manual of Mental Disorders DSM-5-TR by American Psychiatric Association (2022)

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) represents the most comprehensive, current, and essential resource available to today’s mental health professionals. Developed and published by the American Psychiatric Association, DSM-5-TR provides clinicians, researchers, and mental health practitioners with the authoritative standard for the diagnosis, classification, and understanding of mental disorders in clinical practice and research settings. It builds upon the foundation established by DSM-5 (published in 2013), offering significant updates that reflect the latest advancements in psychiatric research and clinical expertise.

One of the major updates in DSM-5-TR is the inclusion of a newly recognized mental health condition—Prolonged Grief Disorder (PGD)—added to Section II as an officially diagnosable disorder. This addition reflects the growing recognition of complex grief responses and provides clinicians with a standardized set of criteria for diagnosing and treating individuals experiencing extended and disruptive grief. Alongside this new disorder, DSM-5-TR introduces codes for suicidal behavior and nonsuicidal self-injury that can be used by any clinician regardless of specialty, even when no other diagnosis is present. This is a pivotal step in supporting early intervention and prevention efforts across various healthcare settings.

The text of DSM-5-TR has been fully revised to incorporate updated literature, references, and research findings, ensuring that the manual reflects the most recent scientific understanding of mental health conditions. More than 200 subject matter experts contributed to these revisions, making DSM-5-TR the most collaborative and meticulously updated edition to date. Each disorder entry includes revised descriptions for associated features, prevalence, developmental course, risk and prognostic factors, cultural considerations, diagnostic markers, suicide risk, and differential diagnoses. These comprehensive updates make it easier for clinicians to identify mental disorders and differentiate between overlapping symptoms.

In response to ongoing concerns about bias and inequity in mental health diagnosis and care, DSM-5-TR thoughtfully integrates considerations of the impact of racism and discrimination into the text. This inclusion is critical in promoting culturally competent clinical assessments and addressing social determinants that influence mental health outcomes.

Key features and updates in DSM-5-TR include:

• A completely revised text for each disorder, reflecting the most current clinical and scientific evidence.

• The addition of Prolonged Grief Disorder (PGD) as a new disorder for clinical diagnosis.

• Over 70 revised criteria sets across multiple disorders, offering clearer guidelines and helpful clarifications.

• An updated Introduction and Use of the Manual section to guide clinicians in applying DSM criteria and understanding key terms and conventions.

• The implementation of new ICD-10-CM codes that reflect over 50 updates, particularly for substance-related disorders and conditions involving intoxication and withdrawal.

• A redesigned Diagnostic Classification for ease of navigation and clinical use.

• The ability to authenticate each printed copy, ensuring validity and reducing the risk of unauthorized alterations or reproductions.

DSM-5-TR is designed for use across a wide range of clinical environments, including inpatient and outpatient facilities, consultation-liaison settings, emergency departments, private practices, partial hospitalization programs, and primary care clinics. It serves as a common language for all professionals involved in the diagnosis, treatment, and study of mental health conditions.

Beyond psychiatry, DSM-5-TR is also a crucial tool for other healthcare providers such as psychologists, clinical social workers, psychiatric nurses, counselors, occupational and rehabilitation therapists, and legal or forensic professionals. Its comprehensive and updated framework supports consistent and accurate mental health evaluations across disciplines, enhancing collaboration and improving patient care outcomes.

In summary, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) stands as the most definitive and indispensable reference for modern mental health diagnosis.