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 CSSD proposal criteria modification (DSM-V)
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alexis

USA
596 Posts

Posted - 01/24/2012 :  18:18:26  Show Profile  Reply with Quote
Changes in DSM-V proposal for Complex Somatic Symptom Disorder

http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=368#

Old:
A. Somatic symptoms:
Multiple somatic symptoms that are distressing, or one severe symptom

B. Misattributions, excessive concern or preoccupation with symptoms and illness: At least two of the following are required to meet this criterion:
(1) High level of health-related anxiety.
(2) Normal bodily symptoms are viewed as threatening and harmful
(3) A tendency to assume the worst about their health (catastrophizing).
(4) Belief in the medical seriousness of their symptoms despite evidence to the contrary.
(5) Health concerns assume a central role in their lives

C. Chronicity: Although any one symptom may not be continuously present, the state of being symptomatic is chronic and persistent (at least 6 months).

New:
A. Somatic symptoms:

One or more somatic symptoms that are distressing and/or result in significant disruption in daily life.

B. Excessive thoughts, feelings, and behaviors related to these somatic symptoms or associated health concerns: At least two of the following are required to meet this criterion:

(1) High level of health-related anxiety.

(2) Disproportionate and persistent concerns about the medical seriousness of one's symptoms.

(3) Excessive time and energy devoted to these symptoms or health concerns.*

C. Chronicity: Although any one symptom may not be continuously present, the state of being symptomatic is chronic (at least 6 months).


Edited by - alexis on 01/27/2012 05:42:20

hikergirl

USA
13 Posts

Posted - 01/25/2012 :  09:30:37  Show Profile  Reply with Quote
OK I seem to fit all of that criteria...and what does that mean?
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lara

USA
101 Posts

Posted - 01/26/2012 :  11:21:54  Show Profile  Reply with Quote


I am like that,it means i am crazy? or what?

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alexis

USA
596 Posts

Posted - 01/27/2012 :  05:25:30  Show Profile  Reply with Quote
Hi lara, hikergirl,

I posted this as a follow-up to earlier discussions regarding the DSM-V proposed changes. Currently the DSM (in the US the definition source for psychological disorders) does not recognize TMS in quite the way addressed here (though there are some close concepts).

The first change proposal from last year ("Old" above) was to be a pretty good representation of what most here consider TMS - thereby formalizing it as a diagnosis. The ME/CFS communities have been putting a ton of pressure on the organization however, and basically removed the core of the new definition (see the difference in the two proposed definitions) so that it is now basically just health anxiety ("New" above).

Summary: If anyone was counting on the new DSM to formally recognize the TMS concepts, they have bowed to the political pressures of the ME/CFS lobbies and it looks like a no go.

Alexis
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