2 Responses so far.


  1. James Williams says:

    Psychiatrists in the UK use the ICD-10 to diagnose so any changes to the DSM will be irrelevant to people with autism or aspergers in the UK.

    • admin (Gary) says:

      If only this were true: We feel this type of sweeping generalization, while not unusual, is mistaken and quite dangerous. While we consider there are far reaching implications of DSM V for many areas of mental heath and associated “conditions” our main area of expertise and hence concern is the effect of the diagnosis and future assessment of Autism Spectrum Conditions (ASD). There is not (to our knowledge) any specific detail on which criteria should be used for the diagnosis of ASD in the UK. The only document that is easily available stating that both documents are used is:-

      NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE: Autistic spectrum conditions:

      3.1d The two major diagnostic classification systems (DSM-IV and ICD-10) use similar but not identical criteria to diagnose autistic spectrum conditions. In the guideline we use ICD-10. Where we have included disorders not clearly specified in ICD-10 we have used the relevant DSM-IV criteria.

      As one can see, even NICE suggest that there are “disorders” which are to be included in the diagnostic criteria but not clearly specified in ICD-10, so they use DSM-IV.

      This illustrates the whole problem with ASD diagnosis, firstly that there is a clear misunderstanding as to what should be used as diagnostic criteria (there are actually other diagnostic systems and criteria in addition to those mentioned here); secondly there is an ignorance on who uses which classification system and how it is assessed; and lastly once a diagnosis is made (or not) what that diagnosis means to other professionals.

      In the UK, the Autism Act is a unique piece of legislation which provides regulatory responsibilities on local and central government – yet we do not have a clear metric, qualified assessment or recognizable standard in order that this legislation is usable. Welfare reform, changes in applicable benefits and reworking classification systems only go to obfuscate this picture further – the last thing that those experiencing ASD can deal with.

      DSM V WILL affect the UK and eventually ICD-11. Please take a look at other posts on this and many other sites for further information which may cause you to reconsider your decision.

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