http://www.cnsproductions.com/drugeducationblog Addiction and Drug Education Blogs and Podcasts, looking at drug use trends and treatment, and how addiction is tied to the brain as well as the body Tue, 07 Sep 2010 22:29:50 +0000 en hourly 1 http://wordpress.org/?v=3.0.1 2007-2008 service@cnsproductions.com (CNS Productions) service@cnsproductions.com (CNS Productions) Addiction education 1440 http://www.cnsproductions.com/144logo.jpg http://www.cnsproductions.com/drugeducationblog 144 144 A leader in the creation of drug education books and videos for educators, health care professionals and the public --- used by treatment facilities, counselor-training programs, law enforcement, and businesses and industries concerned about drugs in t... Addiction and Drug Education Blogs and Podcasts, looking at drug use trends and treatment, and how addiction is tied to the brain as well as the body addiction, drugs, education, recovery, substance abuse education, prevention, chemical dependency, AOD CNS Productions CNS Productions service@cnsproductions.com no no http://www.cnsproductions.com/drugeducationblog/podcasts/702/ http://www.cnsproductions.com/drugeducationblog/podcasts/702/#comments Wed, 03 Mar 2010 22:01:44 +0000 CNS http://www.cnsproductions.com/drugeducationblog/?p=702 http://www.cnsproductions.com/drugeducationblog/podcasts/702/feed/ 0 00:01:01 The draft version of the new DSM - Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was released for public comment recently. The DSM ... The draft version of the new DSM - Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was released for public comment recently. The DSM is viewed as the bible of  the mental health community - used in defining what is a mental disorder by establishing criteria and terminology. Though the changes might appear cultural or semantic,   their  impact is far reaching - affecting legal matters, industry and government programs and  medical and mental health treatment - with a potential of billions of dollars at stake for pharmaceutical companies, insurance and government health plans, doctors, researchers and patiences advocacy groups. It was last revised in 2000, and won't be  finalized until 2013. And controversy is swirling around it. Dr Inaba explains. Listen to podcast Transcript (edited): CNS:   Welcome to the CNS Podcast featuring Dr. Darryl Inaba, research director for CNS Productions. CNS:   The draft of the new DSM, (Diagnostic and Statistical Manual Disorders #5) was released for public comment – it is produced by the American Psychiatric Association.  It’s viewed as the bible of the mental health community, in defining what a mental disorder is, by establishing criteria and terminology.  And on first look, it seems like an exercise in semantics. But the impact of changing is far reaching - effecting legal matters, industry, government programs and of course the medical and mental health treatment communities.  And, of course the billions of dollars at stake for pharmaceutical companies, insurance companies, government health plans, doctors, researchers, etc.  This is the first update since 1994, so it will be almost 20 years by the time it’s finalized and released in 2013.  Darryl, do you remember when the last version came out. DARRYL:      That was…when DSM #4 was accepted and it created a stir. It is vitally important for reimbursement, for acceptance of certain conditions that are billable to insurance and anytime there is something that involves that much money there will be lot of politics.  They’re giving themselves 3 years to circulate the draft so people can either attack it or give input, before it is finalized in 2013, so that in itself tells me this will create a lot of controversy. CNS:   So far the only behavioral addiction included is gambling, none of the other ones like internet and sex. DARRYL:      That is a disappointment because the DSM #4 did recognize a lot of impulse control disorders that were well documented, and well accepted as a compulsive behavior that causes people tremendous harm and suffering, but it looks like they could not find enough scientific evidence for sex or internet addiction, so they are leaving those out now. CNS:   What becomes of those? DARRYL:      I imagine they’re going to be retained in some broader category.  When they can’t fit something neatly into a specific mode it is classified as “N.O.S.” which stands for “not otherwise specified” and I suspect there will be some of that because people like Tiger Woods are in the news – people who are actively in treatment for sexual addictions, for internet addictions, for obsessive text messaging…things like that. CNS:   We’ve talked about the mechanisms and the obsessions of these behavioral problems before and I find it really interesting that they would exclude these things There are obvious  changes in terminology like “mental retardation” is now “intellectually challenged”,  but what is the thinking behind removing compulsive behaviors?  Is it a lack of credible science at this point? DARRYL:      Well, that’s what the claim is. The architects and writers of the DMS are extremely politically correct.  They tend to be careful about naming things or identify things in ways not to offend any specific race or any specific group of people to prevent creating a stigma or making the prejudice against certai Addiction Education / Prevention, Compulsive Behaviors, Dr. Darryl Inaba, In the News, Podcasts, Psychiatric medications, Treatment & Testing, gambling CNS Productions no no