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The Treatment and Research Advancements National Association for Personality Disorders (TARA-APD) campaigned unsuccessfully to change the name and designation of BPD in DSM-5, published in May 2013, in which the name "borderline personality disorder" remains unchanged and it is not considered a trauma- and stressor-related disorder.
According to the DSM-5, differentiating borderline intellectual functioning and mild intellectual disability requires careful assessment of adaptive and intellectual functions and their variations, especially in the presence of co-morbid psychiatric disorders that may affect patient compliance with standardized test (for example, attention deficit hyperactivity disorder (ADHD) with severe ...
The DSM-5 split PD-NOS into two diagnoses: Other Specified Personality Disorder and Unspecified Personality Disorder. They share the general criteria for personality disorders, but let clinicians specify why the presentation does not meet the criteria for any specific personality disorder (e.g. mixed personality features). [5]
The main emphasis of these measures are very different. Similar treatment principles mainly focus on one or several target problems by using the foundation of modern psychoanalytic theory. Results of meta-analysis show that psychodynamic psychotherapy has large effects in the treatment of personality disorders.
There was also discussion about changing borderline personality disorder, an Axis II diagnosis (personality disorders and mental retardation), to an Axis I diagnosis (clinical disorders). [87] The TARA-APD recommendations do not appear to have affected the American Psychiatric Association, the publisher of the DSM.
Both the DSM-5 and the ICD-11 diagnostic systems provide a definition and six criteria for a general personality disorder. These criteria should be met by all personality disorder cases before a more specific diagnosis can be made. The DSM-5 indicates that any personality disorder diagnosis must meet the following criteria: [20]
A revision of DSM-5, titled DSM-5-TR, was published in March 2022, updating diagnostic criteria and ICD-10-CM codes. [91] The diagnostic criteria for avoidant/restrictive food intake disorder was changed, [ 92 ] along with adding entries for prolonged grief disorder , unspecified mood disorder and stimulant-induced mild neurocognitive disorder .
Dimensional models are intended to reflect what constitutes personality disorder symptomology according to a spectrum, rather than in a dichotomous way.As a result of this they have been used in three key ways; firstly to try to generate more accurate clinical diagnoses, secondly to develop more effective treatments and thirdly to determine the underlying etiology of disorders.
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