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DSM revision surrounded by controversy

Medical Journal Club article for January 2010:

DSM revision surrounded by controversy | Canadian Family Physician -

“Former editors of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have publicly declared their concerns that the ongoing revision process of the influential publication has been cloaked in secrecy.”

Do we really need a DSM revision?

The Harry Potter Sorting Hat and Psychiatry

Harry Potter Sorting HatPsychiatry is too complicated for a Muggle family physician like me. Using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) makes me feel like I have been affected by a Confundus Charm.
Why take the time and effort required to conjure a psychiatric diagnosis when many conditions can be treated with the same medication?

For example, Paxil (paroxetine) is indicated for the treatment of:

  • major depressive disorder,
  • obsessive-compulsive disorder,
  • generalized anxiety disorder,
  • post-traumatic stress disorder,
  • panic disorder,
  • social anxiety disorder and
  • premenstrual dysphoric disorder.

Why don’t we treat first and ask questions latter?
Mnemonic devices such as SIGECAPS, DIGFAST and I DESPAIRR can help. But C GASP DIE sounds more like a magical incantation?

What we need is a magical solution. We could reprogram the Harry Potter Sorting Hat at Hogwarts School of Magic to sort patients by psychiatric condition.

The Sorting Hat could use Depressed Patients Seem Anxious, So Claim Psychiatrists:

  1. Depression and other mood disorders.
  2. Personality disorders.
  3. Substance abuse disorders.
  4. Anxiety disorders.
  5. Somatization disorder, eating disorders.
  6. Cognitive disorders.
  7. Psychotic disorders.

Now, we can use Divination to find the best treatment.

Image courtesy of SweetGirl by Creative Commons