The American Psychiatric Association (APA) recently released the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR™). More than 200 subject matter experts contributed to work; the DSM-5-TR includes the fully revised text and references of the DSM-5, as well as updated diagnostic criteria and ICD-10-CM insurance codes. It features a new disorder, Prolonged Grief Disorder, and codes for suicidal behavior and nonsuicidal self-injury. This is the most recent revision since 2013.

“This text revision reflects the most recent updates in the literature with the added lens of ethnocultural and racial constructs in diagnosis as well as sex and gender constructions,” said APA president Vivian Pender, MD in an APA press release. 

Important updates include:

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  • Fully revised text for each disorder with updated sections on associated features, prevalence, development and course, risk and prognostic factors, culture, diagnostic markers, suicide, differential diagnosis, and more
  • More than 70 modified criteria sets with helpful clarifications
  • Fully updated Introduction and Use of the Manual to guide usage and provide context for important terminology
  • Considerations of the impact of racism and discrimination on mental disorders integrated into the text
  • New codes to flag and monitor suicidal behavior, available to all clinicians of any discipline and without the requirement of any other diagnosis
  • Fully updated ICD-10-CM codes implemented since 2013, including more than  50 coding updates new to DSM-5-TR for substance intoxication and withdrawal, and other disorders
  • Updated and redesigned Diagnostic Classification

Go to this page on the APA website to find out more information about changes and updates to DSM-5 criteria, text, and ICD-10 codes.


Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). American Psychiatric Association Publishing. Accessed March 24, 2022.

This article originally appeared on Psychiatry Advisor