Diagnostic and Statistical Manual of Mental Disorders

Theoreticians like Otto Kernberg, quite frankly, when he described, and he's a major theoretician when it comes to narcissism and narcissistic personality disorder.

If you read his writings, the way he describes narcissism and narcissistic personality, it actually resembles borderline personality as its list is described in the DSM.

So the overlap has often been well known.

What we do see, for example, in borderline personality is a real variability in empathy.

Another important piece of borderline personality disorder is that the vast majority of people with borderline personality disorder have a co-occurring mental health condition like a mood disorder or an anxiety disorder or a substance use disorder.

So a big part of the treatment is also managing those co-occurring conditions, which can get worse in light of having co-occurring borderline personality occurring with them.

So histrionic personality disorder is a personality disorder that's actually about probably be retired as they're making decisions in the DSM about which personality disorders are going to keep this one looks like it's going to get the axe it's a rather unfortunately named disorder the disorder is basically a pathologization of a woman's body histrionic comes from hysteria which comes from wandering uterus and you know the rest of that story so it's a problematic word but it's the word we've got because it's the word they use and I'm very aware that it's a problematic word so Let's talk a little bit about what this thing called histrionic personality disorder is.

In a word, this is a disorder that's very much characterized by shallowness.

We're not going to be asking, is ADHD real or isn't it?

No, because it exists in the DSM as a mental disorder and more specifically in the latest edition as a neurodevelopmental disorder.

So I think we have to accept that current medical thinking is that ADHD is categorised as a mental disorder.

Well said.

proposing the great anxiety disorder myth.

No.

And obviously anxiety disorders are featured in the DSM.

Although actually there are disorders included in the DSM that are questioned and debated.

I hear a lot within the PsychNP education world about we need to make sure we teach psychotherapy.

Teaching people how to think critically and how to form their own opinions and practice philosophy, I think that that's much more important than having everyone memorize all the DSM criteria and then probably forget it a couple months later.

Welcome to Back from the Abyss.

I'm Dr. Craig Heacock.

And so to me, an education, a big part of what I do is teaching people how to think critically and how to form their own opinions and practice philosophy.

I think that's important.

I think that that's much more important than having everyone memorize all the DSM criteria and then probably forget it a couple months later.

That's a big part of it.

Okay, so here we have, why does orgasm research matter? Okay, so the medical treatment gap which is the ability to treat a condition.

And again, keep in mind the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, text edition, text revision.

It's called DSM-5-TR.

It was published in 2022, states that between eight and 72%, up to 72% of premenopausal women have orgasm difficulty.

But aren't those two sides of the same coin?

Yeah, I was disappointed when they removed the notions in the DSM of the impulse control issues versus the compulsive aspect.

A soapbox I could go on for a while, but I will not

in this situation.

Yes, same with me.

I always say I'm not anti-DSM, but I really want, I mean, one of my interests is really getting mental health clinicians to get their face out of the DSM and to really get back to why they fell in love with this field to begin with, uh, and to, and to dig and to look at the whole person and to, you know, not just employ these, you know, talk therapy, which, which I was amazed to learn that, uh, neither, you know, for OCD or ADHD talk therapy is, you know, comes even close to effective.

And, uh, so I need clinicians to understand that, uh, that this involves more than insight alone.

I've never talked to anyone out of OCD.

The Audi HD combination, I think there's, you know, speaking of another something that feels like it's not quite in the research-based something.

It's like you don't see Audi HD in DSM, you know, for example.

You have autism, you may have ADHD, but meanwhile, there's this wonderful discussion that's happening.

Yeah, yeah.

And I'm actually glad it's not in the DSM.

Well, I would be interested if they ever decided to create an actual dual diagnosis.

But I like it because it's a community-created term, and it's kind of an identity term around for those of us who live with the paradoxes of both.

No cegarnos.

que cambiemos en nuestras vidas, ¿verdad? Eh, por definición del, del DSM, que se llama en inglés, ¿verdad? El, el me-- el manual de diagnósticos y estadísticas de salud mental-

Mmm.

eh, una enfermedad mental o un vicio, lo que conocemos como un vicio, ¿no?

Now, this is a disorder label from the DSM-5.

So that's the Diagnostic and Statistical Manual of Mental Disorders.

And selective mutism has also been known as elective mutism in some diagnostic categories.

It's where a child or a person speaks in some situations, but not in others, speaks during certain activities or not doing others or with certain people.