A DSM 5 Classification System that Isn't Good Enough

Our current classification system contained in the DSM 5 is not supported by the research.

• What is supported by the research is something much more DEVELOPMENTAL in which diagnostic categories are not fixed..
• That has clinical, legal and policy ramifications.
  

Neurodevelopmental disorders (NDD) without boundaries: research and interventions beyond classifications (2023)

"Both genetic and environmental factors, along with clinical and imaging features, argue toward a continnum between NDD (Neuro-Developmental Disorders) but also with adult psychiatric presentations.

"This new paradigm could modify the therapeutic strategy, with the development of large-spectrum treatments or new psychotherapies addressing co-occuring symptoms."

December 12, 2023

The Ups and Downs of Bipolar Disorder

National Institute of Mental Health feature story on Josh Santana who was academically gifted, had ADHD and Bipolar Disorder.

King's College London
Thinking Twice About ADHD and Autism Spectrum Disorder (2019)

Autism and Beyond: Unveiling Overlapping Neurotypes

January 24, 2024

Key Facts:

1. The study found a substantial overlap in neurodivergence, with 76.2% of autistic children displaying traits of other neurotypes, including ADHD.
2. Over 55% of children assessed for autism might also meet the diagnostic threshold for ADHD, highlighting the necessity of holistic neurotype assessments.
3. Despite the clinical overlap, only 26% of children with additional traits were investigated for an underlying diagnosis, stressing the need for more comprehensive evaluation methods.

Source: University of Glasgow

Affiliations

• 1 GHU-Paris Psychiatrie et Neurosciences, Paris, France.
• 2 Excellence Centre for Autism and Neuro-Developmental Disorders, Child and Adolescent Psychiatry Department, Robert Debré Hospital, Paris Cité University, Paris, France.
• 3 Immunology, Immunopathology, Immunotherapy, INSERM U959, Sorbonne University, Paris, France.
• 4 Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, Paris, France.
• 5 Child and Adolescent Psychiatry Department, Saint-Etienne University Hospital and CNRS UMR 5229, Institute of Cognitive Neuroscience Marc Jeannerod, University Lyon 1, Bron, France.
• 6 Child Mind Institute, New York, USA.
• 7 Univ. Bordeaux, INRAE, Bordeaux INP, NutriNeuro, UMR 1286, Bordeaux, France.
• 8 CHU Montpellier-Saint Eloi Hospital, University of Montpellier, Unit of Child and Adolescent Psychiatry (MPEA1), Montpellier, France.
• 9 Center for Research in Epidemiology and Population Health (CESP), INSERM U 1018, Paris-Saclay University, Villejuif, France.
• 10 Department of Pediatrics, Sainte Justine Hospital Research Center, University of Montreal, Montreal, QC, H4A3J1, Canada.
• 11 INSERM-UMR1163, Université Paris Cité, Institut Imagine, Paris, France.
• 12 Faculty of Medicine, University of Tours, Tours, France.
• 13 Autism and NDD GIS (GIS Autisme et Troubles du Neurodéveloppement), Paris, France.
• 14 Autism and NDD GIS (GIS Autisme et Troubles du Neurodéveloppement), Paris, France. [email protected].
• 15 Department of Psychiatry, McGill University, Montreal, Canada.

Science Up

Shared Genes & Psychiatric Disorders