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What is the DSM-IV? What does it mean to me?

Diagnostic and Statistical Manual of Mental Disorders

Fourth Edition (DSM-IV)

 

Psychiatric Diagnoses are categorized by the Diagnostic and Statistical Manual of Mental Disorders, 4th. Edition.  Better known as the DSM-IV, the manual is published by the American Psychiatric Association and covers all mental health disorders for both children and adults. It also lists known causes of these disorders, statistics in terms of gender, age at onset, and prognosis as well as some research concerning the optimal treatment approaches.

 

Mental Health Professionals use this manual when working with patients in order to better understand their illness and potential treatment and to help 3rd party payers (e.g., insurance) understand the needs of the patient.  The book is typically considered the ‘bible’ for any professional who makes psychiatric diagnoses in the United States and many other countries. Much of the diagnostic information on these pages is gathered from the DSM-IV.

 

The DSM-IV is published by the American Psychiatric Association.  Much of the information from the Psychiatric Disorders pages is summarized from the pages of this text.  Should any questions arise concerning incongruencies or inaccurate information, you should always default to the DSM as the ultimate guide to mental disorders.

 

The DSM uses a multiaxial or multidimensional approach to diagnosing because rarely do other factors in a person's life not impact their mental health.

What does the DSM-IV say about Gender Identity Disorder?

Psychiatric Disorders


Gender Identity Disorder

 

Category


Sexual Disorders and Dysfunctions

 

Etiology


Theories suggest that childhood issues may play a role in this disorder, such as the parent-child relationship at an early age and the identification a child is able to make with the parents of the same gender.

 

Symptoms


A strong and persistent identification with the opposite gender. There is a sense of discomfort in their own gender and may feel they were ‘born the wrong sex.’ This has been confused with cross-dressing or Transvestic Fetishism, but all are distinct diagnoses.

 

Treatment


Other disorders may be present with this one, including depression, anxiety, relationship difficulties, and personality disorders, and homosexuality is present in a majority of the cases. Treatment is likely to be long-term with small gains made on underlying issues as treatment progresses.

 

Prognosis


Mixed. The goals of treatment are not as clear as in other disorders, as same-sex identification may be very difficult to achieve. More achievable goals may include acceptance of assigned gender and resolution of other difficulties such as depression or anxiety.