DSM-IV-TR stands for The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Text Revised. It was published inv2000, as an update to the DSM-IV (1994). The DSM-IV-TR represents the latest in an evolving series of attempts to group observable behaviors and symptoms into diagnostic categories. It is published by the American Psychiatric Association and represents the work of hundreds of leading experts, who attempted to further clarify what does, and does not, constitute a particular disorder (inclusion and exclusion criteria). The next version, the DSM-V, will not be released until 2010, or later.
The DSM-IV, TR serves a few purposes:
• By standardizing diagnostic criteria, it allows for mental health professionals to use a single language when talking about a specific disorder. This not only helps clarify diagnoses, but is useful when selecting therapies that are likely to benefit a particular condition.
• The diagnostic criteria in the DSM-IV-TR are used heavily in research. So if someone is doing a study of bipolar I disorder and a particular treatment or medication, everyone is clear on what condition is being studied.
• The DSM-IV, along with a second manual that covers all medical conditions (The International Classification of Diseases and Related Problems, or ICD-9), provides the codes used by insurance companies, hospitals, and others to generate bills and to calculate statistics.