• Home
  • Store
    • Newsletter Subscriptions
    • Multimedia Subscriptions
    • Books
    • eBooks
    • ABPN SA Courses
  • CME Center
  • Multimedia
    • Podcast
    • Webinars
    • Blog
  • Newsletters
    • General Psychiatry
    • Child Psychiatry
    • Addiction Treatment
    • Hospital Psychiatry
    • Geriatric Psychiatry
  • Log In
  • Register
  • Welcome
  • Sign Out
  • Subscribe
Home » New Chapter in DSM-5: Obsessive-Compulsive and Related Disorders

New Chapter in DSM-5: Obsessive-Compulsive and Related Disorders

June 22, 2013
In DSM-5, OCD is included in a new “obsessive-compulsive and related disorders” chapter. In DSM-IV, OCD was in the “anxiety disorders” chapter.

The new chapter was added to “reflect the increasing evidence of these disorders’ relatedness to one another and distinction from other anxiety disorders, as well as to help clinicians better identify and treat individuals suffering from these disorders,” according to a fact sheet released by the APA. “Disorders grouped in this new chapter have features in common such as obsessive preoccupation and repetitive behaviors.” Disorders in the new chapter include OCD, body dysmorphic disorder, and trichotillomania (hair-pulling disorder), as well as several new disorders (see below).

Specifiers Clarified

In DSM-5, the “with poor insight” specifier for OCD has been modified to enable finer distinctions regarding individuals with different degrees of insight: good or fair insight, poor insight, and absent insight/delusional beliefs—in other words, “complete conviction that OCD beliefs are true.” A “tic-related” specifier for OCD reflects a growing body of research showing that comorbidity with a tic disorder may have “clinical implications in OCD.”

New Disorders

A number of new disorders are included in the chapter:

  • Hoarding disorder
  • Excoriation (skin-picking) disorder
  • Substance/medication-induced obsessive-compulsive and related disorder
  • Obsessive-compulsive and related disorder due to another medical condition
  • Other specified obsessive-compulsive and related disorder


In DSM-IV, hoarding was considered a possible symptom of OCD. However, research didn’t bear this out, so DSM-5 has moved it to its own disorder. The addition of substance/medication-induced obsessive-compulsive and related disorder, and obsessive-compulsive and related disorder due to another medical condition, “reflect the recognition that substances, medications, and medical conditions can present with symptoms similar to primary obsessive-compulsive and related disorders.”

In another change, trichotillomania is now listed as trichotillomania (hair-pulling disorder) in DSM-5 and has been moved from the impulse-control disorders not elsewhere classified chapter to the new obsessive-compulsive and related disorders chapter.
Also added: other specified obsessive-compulsive and related disorder. This disorder includes any of a number of conditions, such as body-focused repetitive behavior disorder (eg, nail biting, lip biting, or cheek chewing) and obsessional jealousy.

Information in this article was obtained from American Psychiatric Publishing, “Highlights of Changes from DSM-IV-TR to DSM-5” http://bit.ly/11xdyRZ and the newly published DSM-5.
KEYWORDS ocd
Introducing Carlat Total Access Subscriptions

Complete access to every article you search on the website.

Shop for Total Access
Free Psychiatry Updates
The latest unbiased psychiatric information sent to your inbox.
Specify Your Interests
Featured Book
  • AUDFB1e_CoilBound_Graphic2_transparent_sm.png

    (PRE-ORDER) Treating Alcohol Use Disorder—A Fact Book (2023)

    All the tools and information needed to assess and treat your patients who are struggling with...
    READ MORE
Featured Video
  • therapist_canstockphoto9201097.jpg
    General Psychiatry

    Using SAMe In Clinical Practice with Garrett Rossi, MD

    Read More
Featured Podcast
  • canstockphoto4921771.jpg
    General Psychiatry

    Psychopharm Commandment #6: MAOIs

    MAOIs rank high in efficacy and are pretty well tolerated too, as long as you watch for two critical interactions.

    Listen now
Recommended
  • Approaches to Autism Intervention

    January 31, 2022
    canstockphoto2240982_child-bubbles_thumb.jpg
  • Currently Available Cannabis Products

    September 1, 2022
  • Interpreting Assessment Discrepancies from Multiple Sources

    October 17, 2022
    ChildAssessment.png
  • Approaches to Autism Intervention

    January 31, 2022
    canstockphoto2240982_child-bubbles_thumb.jpg
  • Currently Available Cannabis Products

    September 1, 2022
  • Interpreting Assessment Discrepancies from Multiple Sources

    October 17, 2022
    ChildAssessment.png
  • Approaches to Autism Intervention

    January 31, 2022
    canstockphoto2240982_child-bubbles_thumb.jpg
  • Currently Available Cannabis Products

    September 1, 2022
  • Interpreting Assessment Discrepancies from Multiple Sources

    October 17, 2022
    ChildAssessment.png

About

  • About Us
  • CME Center
  • FAQ
  • Contact Us

Shop Online

  • Newsletters
  • Multimedia Subscriptions
  • Books
  • eBooks
  • ABPN Self-Assessment Courses

Newsletters

  • The Carlat Psychiatry Report
  • The Carlat Child Psychiatry Report
  • The Carlat Addiction Treatment Report
  • The Carlat Hospital Psychiatry Report
  • The Carlat Geriatric Psychiatry Report

Contact

info@thecarlatreport.com

866-348-9279

PO Box 626, Newburyport MA 01950

Follow Us

Please see our Terms and Conditions, Privacy Policy, Subscription Agreement, Use of Cookies, and Hardware/Software Requirements to view our website.

© 2023 Carlat Publishing, LLC and Affiliates, All Rights Reserved.