Of course, is the bible of mental disorder diagnoses, at least the USA diagnoses are fairly included, but there are several problems with this book regarding the practice of psychiatry. First, the book offers about 900 pages of symptom diagnosis, and about half a paragraph on the types of psychiatric drugs that are effective for the diagnosis. 95% of diagnoses have absolutely no recommendations for treatment.
Which brings us to the second problem: the differentiation of primary vs secondary symptoms. The main symptoms are the cornerstone of diagnosis. Symptoms secondary way take up too much space in this book, and are generally not useful to make a diagnosis, because the vast majority of secondary symptoms overlap in most mental illnesses. The important thing for the secondary use of symptoms is the type of treatment that should be used (psychotherapy or pharmacotherapy). For example, if two patients are depressed, the diagnosis is made from main symptoms (fatigue, irritability, difficulty in concentration, psychomotor retardation). However, if the patient "A" has no significant side symptoms such as anxiety or insomnia, they can take a high dose of SSRI or Effexor. But if the patient "B" is secondary to symptoms of anxiety and insomnia, Remeron and Serzone May be more useful, and maybe a benzodiazepine can be added.
The DSM-IV does nothing for the practice of psychiatry. And it is a shame, because only a few hundred pages of additional drug recommendations would make the book more useful to psychiatrists, who are losing a lot of time with experienting each drug for the treatment of patients resistant. Some drugs work better for some people based on secondary symptoms, which can not be ignored in the choice of drug treatment. A good book that corresponds to the secondary symptoms of drug treatment is the failures of American medicine.
View "Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision)" details
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