The release of the fifth version of the Diagnostic and Statistic Manual of Mental Disorders brought finally some clarity on the Chapter of “Feeding and Eating Disorders”.
The American Psychiatric Association aims to produce a Diagnostic Manual with the maximum clinical utility as possible, consequently changes have to be made in order to help the clinicians to assess properly the clients and address them to recovery to the extent of possible. Changing from one version to another of the DSM must be supported by empirical evidence.
After 14 years from the work of the “Eating Disorder Work Group for DSM-5” the clinicians have the use of new specific criteria to assess their patients. Especially those who have been diagnosed to …show more content…
[Still I still don’t know how to set properly this section, I think that when I will finish all the essay I will be able to set properly the introduction..]
“Feeding and Eating Disorders of Infancy or early Childhood” integrated in the new “Feeding and Eating Disorders” Chapter
One of the standing out changes is due to the relocation of pica, rumination and Feeding and Eating Disorders into the chapter of “Eating Disorder” in the DSM-5. These disorders in the DSM-IV-TR are into the chapter “Disorders Usually First Diagnosed during Infancy, Childhood or Adolescence”. In the DSM-5 the chapter mentioned above does not exist anymore.
The relocation of all those diagnosis has the intention to create a cohesive category related to the eating disorder along the lifespan of the individual. Therefore the content of these diagnosis have changed in order to be eloquent both for children and for adults.
Main changes brought from the removal of the Chapter “Disorder Usually First Diagnosed During Infancy” of …show more content…
That situation is manifested by clinically significant failure to meet requirements for nutrition or insufficient energy intake thorough oral intake of food. ARFID that is the previous “feeding disorder of infancy or early childhood” has been renamed and moved in the “Feeding and Eating Disorder” Chapter. The DSM-IV’s category has been moved because it was only occasionally used and no literature could support any assumptions about its course, its odds ratio and outcome. The weight loss, or physically underdevelopment, and the nutrition deficiency must be present to. Furthermore the disorder is not explainable by lack of food or by cultural practices. This eating disturbance has not to occurs only during the course of anorexia nervosa or bulimia nervosa. In conclusion the disturbance is not attributable to a concurrent medical condition. Differently from other patients who suffer of an Eating Disorder, a patient affected of ARFID does not experience the preoccupation about body weight/shape and he/she does not start to apply methods of weight loss but rather he/she does not show any interest toward food or eating. Moreover, the patients, seem worry about the texture of the food, its smell or other characteristics that can probably, in their opinion, induce them in vomiting the food. Typically the patient with ARFID appears with a low