You are viewing the 1st of the 2 courses UPMC Physician Resources permits you to view without registering. To have full access to our FREE courses on our website, please register or log in now.

In this issue of UPMC Synergies, Drs. Kupfer, Frank, and Reynolds discuss the diagnostic criteria changes in sleep/wake and mood disorders and present a sleep/wake disorder case study.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Identify the changes in DSM-5, including the new name, the emphasis on gender and culture, and the shift to a single-axis diagnosis system
  • Discuss the changes in diagnostic criteria for sleep/wake disorders
  • Discuss the new sequence, different criteria, and additional specifiers in mood disorders

Reading Resources:

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  2. Reynolds CF 3rd, O'Hara R. DSM-5 sleep-wake disorders classification: overview for use in clinical practice. Am J Psychiatry. 2013 Oct 1;170(10):1099-101.
  3. Frank E, Nimgaonkar VL, Phillips ML, Kupfer DJ. All the world's a (clinical) stage: rethinking bipolar disorder from a longitudinal perspective. Mol Psychiatry. 2014 Jul 22.
  4. Kupfer D. DSM-5: new opportunities and challenges for teaching and training. Acad Psychiatry. 2014 Feb;38(1):58-6.


Dr. Kupfer has financial interests with the following any entity or entities producing health care goods or services as indicated below:


  • Advisory Board, Servier International


  • Copyright for Pittsburgh Sleep Quality Index )
  • Equity Interest: AlphiCom, Psych. Assesments, Inc., Health Rhythms, Inc.

Dr. Frank has financial interests with the following any entity or entities producing health care goods or services as indicated below:


  • Psychiatric Assessment Inc (Self and Spouse); Health Rhythms (Self and Spouse); Aliphcom (Spouse)


  • Royalties from Guilford Press and American Psychological Association Press (Self); Member of Advisory Board for Servier International (Self and Spouse); Joint Ownership of Copyright for Pittsburgh Sleep Quality Index (PSQI) (Spouse); Honorarium for manuscript submission to Medicographia – Servier (Spouse)

Dr. Reynolds has financial interests with the following any entity or entities producing health care goods or services as indicated below:


Dr. Reynolds reports receiving pharmaceutical support for NIH-sponsored research studies from Bristol-Myers Squibb, Forest, Pfizer, and Lilly; receiving grants from the National Institute of Mental Health, National Institute on Aging, National Center for Minority Health Disparities, National Heart Lung and Blood Institute, Center for Medicare and Medicaid Services (CMS), Patient Centered Outcomes Research Institute (PCORI),the Commonwealth of Pennsylvania, the John A Hartford Foundation, National Palliative Care Research Center (NPCRC), Clinical and Translational Science Institute (CTSI), and the American Foundation for Suicide Prevention; and serving on the American Association for Geriatric Psychiatry editorial review board. He has received an honorarium as a speaker from MedScape/WEB MD.  He is the co-inventor (Licensed Intellectual Property) of Psychometric analysis of the Pittsburgh Sleep Quality Index (PSQI) PRO10050447 (PI: Buysse).  Supported by the National Institutes of Health through Grant Numbers P60 MD000207; P30 MH090333; UL1RR024153, UL1TR000005; and the UPMC Endowment in Geriatric Psychiatry 

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 8/22/2014 | Last Modified On: 9/17/2015 | Expires: 9/19/2016

This course has been expired.