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Should Epilepsy / Brain Injury be addressed in DSM-V?

Sat, 02/13/2010 - 13:12

Should Epilepsy / Brain Injury - TBI/ABI/Sports concussions be addressed in the upcoming
DSM-V somehow?

As some know, there is a DSM-V scheduled for 2013 with a current period right
now (2010) where public comments are formally being requested for.

At the moment, there are literally 1,000s of articles on Google news about the
topic of DSM-V.

http://www.news.google.com/

http://www.google.com/

. . .

Home | APA DSM-5
APA Announces Draft Diagnostic Criteria for DSM-5 · DSM-5 Development Process
Includes Emphasis on Gender and Cultural Sensitivity ...
http://www.dsm5.org/ - Cached

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If you were to have the topic of Epilepsy / Brain Injuries / Sports concussions / TBI / ABI addressed (accurately,
correctly)
somehow in the upcoming DSM-V, what would it say?

---

By the way, my personal feeling is that there is large gap between Neurology
(the many Epilepsies, for example) and Psychiatry (the ADHDs, dyslexias,
learning disabilities, Asperger's, autism, and so on, for example).

This gap is difficult to understand since both Neurology and Psychiatry say they
look at the human brain.

http://www.ninds.nih.gov/disorders/tbi/tbi.htm

http://www.ninds.nih.gov/disorders/epilepsy/epilepsy.htm

http://my.epilepsy.com/

http://www.ninds.nih.gov/disorders/adhd/adhd.htm

http://www.ninds.nih.gov/disorders/disorder_index.htm

---

http://www.biausa.org/
http://www.headinjury.com/
http://www.givebackorlando.com/
http://www.tbihome.org/

---

Apparently the gap is based on a Business Turf War between Neurology and
Psychiatry where too often certain groups want to draw a line in the sand where
one Professional Guild gets all the customers' money, not another Professional
Guild. (Simplified/oversimplified)

Sorry if my view offends some readers.

Also, personally I lean toward Neurology as often being a little more objective
than Psychiatry since Psychiatry tends, at times (my view), to try to convert a
neurological challenge into some sort of muddy, foggy, unclear personality trait
along the lines of: a neurologist would say the moon is definitely made of
rocks vs psychiatry would say the moon is definitely made of cheese.

Again, sorry if my view offends some readers.

http://www.neurologychannel.com/

Your experiences?

Your insights?

Your views?

Comments

Re: Should Epilepsy / Brain Injury be addressed in DSM-V?

Submitted by 3Hours2Live on Wed, 2010-02-17 - 00:38
discussion/987884 Hi pgd, Epilepsy/Brain Injury - Fractured Minds should not be addressed in the upcoming DSM-V. I'm sorry, but my posting seems to partly splattered and partly disappear. I will try to reconstruct it shortly. Briefly, my concern is the introduction of another level in ER, as at new hospitals, after a gran mal, the first test is usually for drugs despite all other evidence (not until after repeated visits is this suspect by-passed). Another additional step added in would be another waste of critical time, such as a "quick MMPI-2-RF", esp. with seizures imitating every sign in symptom. Then the glue from the DSM-V labels can never be completely removed once applied. Headaches counted against you in faking bad http://www.startribune.com/lifestyle/health/52793062.html?page=3&c=y But Ben-Porath says single questions won't brand anyone a malingerer; the FBS looks for unusual patterns that suggest exaggeration. http://psy.psychiatryonline.org/cgi/content/full/49/4/277 Malingering patients, on the other hand, feign medical illness and manipulate the medical setting in order to pursue specific conscious goals. They do not view themselves as ill and do not seek the sick role for its own sake, but, rather, "act s Turner has called for creating a specific DSM–V category for patients with "lying or deliberate autobiographical falsification."8 Such a category would combine malingering and factitious disorders, as well as the phenomenon of pseudologia fantastica.

Re: Should Epilepsy / Brain Injury be addressed in DSM-V?

Submitted by pgd on Wed, 2010-02-17 - 09:39
Should Epilepsy / Brain Injury be addressed in DSM-V? - 3 Hours wrote: 
Epilepsy/Brain Injury - Fractured Minds should not be addressed in the upcoming DSM-V.
3 Hours - So you don't feel that epilepsy / brain injuries / head injuries / concussions should be addressed in the upcoming (2013) DSM. 
It's my understanding that the current (2010) DSM discusses Learning Disabilities (math problems/reading  problems, and so on). 
Apparently the major reference which addresses epilepsy / brain injuries / head injuries / sports concussions etc. is the ICD - 10. 

The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization. (WHO). The code set allows more than 12420 different codes and permits tracking of many new diagnoses and procedures, a significant expansion on the 6969 codes available in ICD-9. Work on ICD-10 began in 1983 and was completed in 1992. - http://en.wikipedia.org/wiki/ICD-10 - The ICD - 10 discusses everything vs the DSM which tries to remove the brain from the body so to speak.  The ICD discusses some items which are in the DSM which means that the ICD and DSM do not completely match as how they view the identical challenge.   - http://www.neurology.com/ - http://www.biausa.org/ - http://www.headinjury.com/ - http://www.ninds.nih.gov/disorders/epilepsy/epilepsy.htm - http://www.epilepsy.com/

This idea that two different resources would look at the same category differently means that one reference swears, in a way, that a foot is 11 inches long and the other reference swears, in a way, that  a foot is 13 inches long which is confusing to anyone who believes they were taught a foot is 12 inches long.  Why this goes on in the year 2010 is difficult to understand since it means the ducks are clearly not all in a row.

The ICD and the DSM can't exactly agree on how many ducks there are so to speak and perhaps that could be partially clarified/clarified by the year 2013 (ideally).

 

 

 

Should Epilepsy / Brain Injury be addressed in DSM-V? - 3 Hours wrote: 
Epilepsy/Brain Injury - Fractured Minds should not be addressed in the upcoming DSM-V.
3 Hours - So you don't feel that epilepsy / brain injuries / head injuries / concussions should be addressed in the upcoming (2013) DSM. 
It's my understanding that the current (2010) DSM discusses Learning Disabilities (math problems/reading  problems, and so on). 
Apparently the major reference which addresses epilepsy / brain injuries / head injuries / sports concussions etc. is the ICD - 10. 

The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization. (WHO). The code set allows more than 12420 different codes and permits tracking of many new diagnoses and procedures, a significant expansion on the 6969 codes available in ICD-9. Work on ICD-10 began in 1983 and was completed in 1992. - http://en.wikipedia.org/wiki/ICD-10 - The ICD - 10 discusses everything vs the DSM which tries to remove the brain from the body so to speak.  The ICD discusses some items which are in the DSM which means that the ICD and DSM do not completely match as how they view the identical challenge.   - http://www.neurology.com/ - http://www.biausa.org/ - http://www.headinjury.com/ - http://www.ninds.nih.gov/disorders/epilepsy/epilepsy.htm - http://www.epilepsy.com/

This idea that two different resources would look at the same category differently means that one reference swears, in a way, that a foot is 11 inches long and the other reference swears, in a way, that  a foot is 13 inches long which is confusing to anyone who believes they were taught a foot is 12 inches long.  Why this goes on in the year 2010 is difficult to understand since it means the ducks are clearly not all in a row.

The ICD and the DSM can't exactly agree on how many ducks there are so to speak and perhaps that could be partially clarified/clarified by the year 2013 (ideally).

 

 

 

Re: Should Epilepsy / Brain Injury be addressed in DSM-V?

Submitted by sally richards on Sun, 2010-02-21 - 08:57
I do not believe that the DSM-V should have Epilepsy as a diagnostic catagory.  I so not see it as a mental illness.  Although, the DSM- IV did have other purely Medical conditions assigned diagnostic codes, I believe that this was also not appropriate.  I think the DSM-V should have an addendum section with all of the "Medical Conditions" that can cause or mimic phyciatric symptoms attached with the appropriate ICD code.  For instance an LCSW, PhD, or PsyD, (or other) using the DSM-V for Diagnostic evaluation:  Client presents with distractability, anxiety, depression, an the verge of lossing both employment and girl friend,  short term memory loss, moodiness and disorganization.  Was referred by primary Dr.  Male age 24. Hx Mom died at age 8 raise by aunt, automachanic, h.s. graduate, occational depression, plays guitar in a band.  This guy is a therapists dream and prime for DSM numerical codifications.  After 3 sessions I was able to put together that he had had three major concussions within 6 months, suspected multiple congussive disorder, referred him to a neurologist and to cognitive therapy.  In 4 moths he was fine, life turned around.  He was an ICD case not DSM.  Lesch Niham (spelling ?) is not a mental illness, nor is Pika, nor is Epilepsy.  Yes we might get confused and be tempoarilly out of controll at times but it is medical.  I beleive that the diagnostic community would be better off being tought to differentiate when there are overlapping symptoms of a medical and psychological process and make a referral to a psychiatrist or a neurologist. and do so through an addendum to the DSM-V not codifying the crossovers.  I dont think that someone with a Masters in social work should have accessability to a diagnostic code for a medical illness.

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