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Using the DSM-5 TR: Home

This guide is meant for students in PYSC 2020 and PSYC 3010 to help them learn about how to use the DSM-5 TR

Overview: What is the DSM?

Link to the DSM 5 in the SUNY Empire Library

What is the DSM-5 TR:

The DSM (Diagnostic and Statistical Manual of Mental Disorders) is published by the American Psychiatric Association (APA). It provides standardized criteria used by clinicians and researchers to classify and diagnose mental disorders.
The current edition is the DSM-5-TR (Text Revision), published in 2022.

Why Students Use the DSM

In psychology courses, the DSM helps you:

  • Understand how mental disorders are defined and diagnosed

  • Learn the criteria clinicians use to identify disorders

  • Recognize patterns and symptom clusters

  • Connect diagnoses to treatment approaches and research findings

 

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Want to Practice?

Try this:

Read one DSM entry and summarize it in your own words using these prompts:

  • What are the core symptoms?

  • How long must they last?

  • What are the key differential diagnoses?

  • What risk factors are mentioned?

Structure of a DSM Entry

Each DSM entry follows a consistent format. Here’s how to read it:

Section What It Means How to Approach It
Disorder Name & Code

 

Official diagnostic label and ICD-10-CM code used for billing and data.

Note the ICD code—it links to global health data.
Diagnostic Criteria

 

A list of symptoms and conditions that must be met for diagnosis.

Focus on keywords like “must include,” “persistent,” or “significant distress.”
Diagnostic Features

 

Narrative description of the most typical symptoms and presentation.

Read for big-picture understanding, not memorization.
Associated Features Supporting Diagnosis

 

Additional symptoms or personality traits that often accompany the disorder.

Helps you understand real-world variability.
Prevalence

 

How common is the disorder in different populations?

Note differences across age, gender, culture.
Development and Course

 

How the disorder typically appears and changes over time.

Use this to help you understand the presentation and impact of the disorder across the lifespan.
Risk and Prognostic Factors

 

Genetic, environmental, or psychological influences.

Connect these to theories of causation.
Culture-Related Diagnostic Issues

 

Cultural differences in how symptoms appear or are understood.

Important for cultural competence.
Gender-Related Diagnostic Issues

 

How the disorder manifests differently in males vs. females.

Avoid stereotypes—focus on patterns and data.
Suicide Risk

 

Notes on increased risk or required assessment.

Always take these sections seriously in clinical context.
Functional Consequences

 

How the disorder affects daily life and functioning.

Think of case study applications.
Differential Diagnosis

 

How to distinguish the disorder from others with similar symptoms.

Great for exam prep and critical thinking.
Comorbidity

 

Other disorders often diagnosed alongside it.

Helps understand complex cases.

Navigating the DSM

DSM-5-TR Organization

The DSM-5-TR is organized by three main sections:

Section I: DSM-5 basics

This section is an orientation to the manual, including its purpose and organization. The best way to fully understand the DSM-5-TR organizational structure and intended use is to read Section I of the manual.

Section II: Diagnostic Criteria and Codes

It is in this section that you'll find actual diagnostic criteria. This section also includes chapters for conditions that are not mental disorders but may be encountered in a clinical setting. The chapter sequence in the DSM-5-TR is the same as the DSM-5:

  • Neurodevelopmental Disorders
  • Schizophrenia Spectrum and Other Psychotic Disorders
  • Bipolar and Related Disorders
  • Depressive Disorders
  • Anxiety Disorders
  • Elimination Disorders
  • Other Mental Disorders and Additional Codes
  • Obsessive-Compulsive and Related Disorders
  • Trauma- and Stressor-Related Disorders
  • Dissociative Disorders
  • Somatic Symptom and Related Disorders
  • Feeding and Eating Disorders
  • Sleep-Wake Disorders
  • Sexual Dysfunctions
  • Gender Dysphoria
  • Disruptive, Impulse-Control, and Conduct Disorders
  • Substance-Related and Addictive Disorders
  • Neurocognitive Disorders
  • Personality Disorders
  • Paraphilic Disorder
  • Medication-Induced Movement Disorders and Other Adverse Effects of Medication
  • Other Conditions That May Be a Focus of Clinical Attention

Tips for Reading the DSM Effectively

  • Start Broad, Then Go Deep
    Begin with the overview before diving into diagnostic criteria.

  • Use Case Studies
    Apply what you read to fictional or real-life examples—it helps with retention.

  • Highlight Key Terms
    Look for recurring phrases like clinically significant distress, impairment, and duration—these signal diagnostic thresholds.

  • Compare Disorders
    Reading Differential Diagnosis sections side by side can clarify subtle differences (e.g., Major Depressive Disorder vs. Persistent Depressive Disorder).

  • Use the Index and Cross-References
    The DSM has useful cross-references that connect disorders with related ones.

  • Remember: It’s Descriptive, Not Prescriptive
    The DSM describes patterns—it doesn’t explain why they happen or how to treat them. Those come from theory and research.