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diagnosis. "In the current version of the manual, people either meet the threshold by having a certain number of symptoms, or they don't," said Dr. Darrel A. Regier, the psychiatric association's research director and, with Dr. David J. Kupfer of the University of Pittsburgh, the co chairman of the task force.

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schizophrenia or dementia. Studies of teenagers identified as at high risk of developing psychosis, for instance, find that 70 percent or more in fact do not come down with the disorder. "I completely understand the.

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"Experts gave the American Psychiatric Association, which publishes the manual, mixed reviews. Some were relieved that the task force working on the manual which includes neurologists and psychologists as well as psychiatrists had revised the previous version rather than trying to rewrite it. The good news, said Edward Shorter, a historian of psychiatry who has been critical of the manual, is that most patients will be spared the confusion of a changed Air Max For Women White

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"But often that doesn't fit reality. Someone with schizophrenia might have symptoms of insomnia, of anxiety; these aren't the diagnostic criteria for schizophrenia, but they affect the patient's life, and we'd like to have Nike Women Air Max Shoes a standard way of measuring them. "In a conference call on Tuesday, Regier, Kupfer and several other members of the task force outlined their favored revisions. The task force favored making semantic changes that some psychiatrists have long argued for, trading the term "mental retardation" for "intellectual disability," for instance, and "substance abuse" for "addiction. "One of the most controversial proposals was to identify "risk syndromes," that is, a risk of developing a disorder like Nike Shoes Air Max Womens

labels, and the higher the risk that some get inappropriate treatment. "One significant change would be adding a childhood disorder called temper dysregulation disorder with dysphoria, a recommendation that grew out of recent findings that many wildly aggressive, irritable children who have been given a diagnosis of bipolar disorder do not have it. The misdiagnosis led many children to be given powerful anti psychotic drugs, which have serious side effects, including metabolic changes. "The treatment of bipolar disorder is meds first, meds second and meds third," said Dr. Jack McClellan, a psychiatrist at the University of Washington who is not working on the manual. "Whereas if these kids have a behavior disorder, then behavioral treatment should be considered the primary treatment. "Some diagnoses of bipolar disorder have been in children as young as 2, and there have been widespread reports that doctors promoting the diagnosis received consulting and speaking fees from the makers of the drugs. In a conference call on Tuesday, Dr. David Shaffer, a child psychiatrist at Columbia, said he and his colleagues on the panel working on the manual "wanted to come up with a diagnosis that captures the behavioral disturbance and mood upset, and hope the people contemplating a diagnosis of bipolar for these patients would think again.

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