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The organization of chapters in the DSM-IV is designed to demonstrate how disorders are relatedto one another. Throughout the entire manual, disorders are framed in age, gender, and developmental characteristics. The multi-axial system has been eliminated to remove artificial distinctions between medical and mental disorders. It also includes 9 cultural concepts of distressin the Glossary of Cultural Concepts of Distress to describe syndromes likely to be seen in
3specific regions. A cultural formulation interview consisting of 16 questions clinicians can use to understand how culture may be shaping the clinical presentation. There have been revisions made to the ADHD Diagnosis, increasing details on PTSD symptoms, the elimination of childhood bipolar disorder, and the Autism Spectrum has been unified with 4 other separately classified issues. (Ref book). The changes in the new DSM-IV has made some very definitive changes to the classification of mental disorders. Critics of the DSM point out that the loosening of diagnosis thresholds for many illnesses, those with expensive pharmaceutical treatment options, have been changed in the DSM-IV. This leads to over-diagnosing and treatment of patients who probably do not require it. (Turpen, A, 2013). It seems that the World Health Organization )WHO) prefers