You will often find references to both the fourth and fifth editions of the DSM.
The DSM-IV was published in 1994 and the DSM-5 replaced it in 2013.
The DSM is important because it contains diagnostic codes for mental illnesses, similar to those for physical illnesses.
A specific code must be provided for thetypeof bipolar disorder.
The term mental retardation is no longer used, as many consider it offensive and misleading.
Changes in DSM-5
Published in 2013, the DSM-5 makes many changes.
Another significant change is that the Axis system was dropped.
Instead, there are 20 chapters containing categories of related disorders.
“Bipolar and Related Disorders” is one such category.
Instead, a category of depressive disorders has been added calleddisruptive mood dysregulation disorder(DMDD).
Criterion B in bipolar I disorder was revised.
The text was revised to the below.
A similar change was made to criteria C for bipolar II.
The specifiers indicating the severity of a manic episode were also adjusted from the DSM-5 to the DSM-5-TR.
Previously, the bipolar severity specifiers were mild, moderate, and severe.
But these terms only made sense for labeling depressive episodes, not manic episodes.
2012;7(2).
doi:10.1186/1714-5341-7-2
American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders.
5th ed., text revision.
2020;25(2):379-98.
American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders.5th ed.