DSM-V and Personality Disorders


Following more than a decade of consultation and refinement, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) was launched in May 2013. DSM is the reference text used by clinicians and researchers to diagnose and classify mental disorders.

DSM-V and Personality Disorders

DSM-VDespite a number of alternative models being proposed, the decision was ultimately made to retain the DSM-IV categorical approach to diagnosis of personality disorders. DSM-V keeps the same 10 personality disorders as were described in DSM-IV: paranoid personality disorder, schizoid personality disorder, schizotypal personality disorder, antisocial personality disorder, borderline personality disorder, histrionic personality, narcissistic personality disorder, avoidant personality disorder, dependent personality disorder and obsessive-compulsive personality disorder.

The main change in DSM-V is a shift away from the multiaxial system that previously separated personality disorders (Axis II) from other mental disorders (Axis I). This shift recognises that the division between personality disorders and other mental disorders is somewhat arbitrary. In the DSM-V, Axes I, II and III (from past editions of DSM) are combined to give a single way of documenting all mental and other medical diagnoses. Separate notations are then added for significant psychosocial and contextual factors (formerly Axis IV) and disability (formerly Axis V).

More information on the DSM-V can be found here:

To download a copy of the DSM-V guide to personality disorders, click here: http://www.dsm5.org/Documents/Personality%20Disorders%20Fact%20Sheet.pdf