DSM Says No to Anxiety-Depressive Syndrome, Yes to Autism Revisions
Demonstrating that the folks who are revising the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are listening to the scientific data, they have nixed two new proposed diagnoses — anxiety-depressive syndrome and attenuated psychosis syndrome. The changes were announced this week at the annual meeting of the American Psychiatric Association, the organization largely responsible for updating the reference manual used by health and mental health professionals to make diagnoses.
The critics were worried that these new diagnoses would label millions of Americans with a mental disorder — and offering them subsequent treatment — that today wouldn’t qualify for such diagnosis or treatment.
For instance, while anxiety mixed with depression is actually quite commonly seen in the wild of clinical practices, there is no specific diagnosis for this mixed mood state. The DSM-5 sought to correct this problem — that clinicians are treating millions for a problem the DSM says doesn’t technically exist. But critics worried the new criteria were too lax and might result in over-diagnosis.
The same was true for attenuated psychosis syndrome. The proposed diagnosis was an effort to get children and young adults into treatment sooner for experiencing weird thoughts or hallucinations. But people worried that it would lead to unnecessary treatment of kids for a potentially temporary problem.


The evidence is in, and the death of NFL football player Junior Seau has been ruled a suicide. The speculation is that he suffered from depression as a result of the concussions he sustained as a pro football player in the U.S. Seau spent most of his football career as a San Diego Charger.
A year can’t go by now without some pundit, writer, or researcher weighing in on how the more technology infiltrates our lives, the lonelier we’ve become.
It made the news this past week — researchers have found what they believe to be a blood test that may identify depression in teenagers. But some write-ups of the news got the importance of this possible test completely wrong.
After a decade old legal battle, the Judge Rotenberg Center lost its effort to bar the public from viewing how “treatment” is administered at the facility. In this troubling, emotional video, we see then 18-year-old Andre McCollins repeatedly shocked 31 times. His crime? Failure to remove his jacket in a timely manner.
I’ve struggled to find something meaningful to say about the incident when the captain of a jetBlue flight suffered from what appeared to be a “nervous breakdown,” resulting in his eventual restraint and later, criminal charges. I think criminal charges are wholly unwarranted and an example of the double-standard and prejudice we hold against people with possible mental health issues. It shows a shocking lack of judgment on the part of the U.S. prosecutors who charged Captain Clayton Osbon. (After all, would they have charged him if he had suffered a stroke instead, which led to similar behavior? I think not.)
Does having an abortion lead to a greater likelihood of having future mental health problems?
Last week, more than a few news agencies and blogs picked up the story that “one out of every 10 Wall Street employees is a psychopath.” This immediately caught my attention, because as a researcher, I found the statistic intriguing because it was so out of whack with the incidence of psychopathy in the general population.
Although rare, school shootings like the one in Chardon, Ohio capture the horror imagination of every parent and teenager. And many people’s immediate reaction is, “Why would someone do that?”
Are placebos — sugar pills — just as effective as antidepressant medications in the treatment of mild and moderate depression? That’s what a 60 Minutes piece last night tried to find out.
I grew up in Batavia, N.Y., about ten miles down the road from the small town of LeRoy. I had just gone off to Cornell a few months before the big train derailment in December, 1970, that spilled cyanide crystals and about 30,000 gallons of the solvent called tricholoroethene onto the railroad bed.
As I was sitting around catching up on some mental health news on Saturday, I inadvertently stumbled upon another manufactured news cycle about the DSM 5. Considering no new significant research findings were released in the past week on the DSM-5 revision efforts, I was a little surprised.