Whatever you may think of DSM 5 the question remains when and if should we use it. DSM 5, in particular, disparages the axial diagnosis scheme used in DSM IV and the GAF. The DSM 5 is poor with regard to persistent pain. However, de facto it clearly replaces DSM IV. I work in the medico-legal area where such a change has significant implications. The new South Australia impairment guidelines will specify use of DSM 5. There appears to be no direction from the College and, one may ask, is that the role of the College? So I have been using both in my reports, eg when dealing with claimants with persistent pain, but I prefer persistent depressive disorder DSM 5) to dysthymia (DSM IV). I believe that shortly I will have to make the transition complete. but it does seem a messy process. What are your thoughts.
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