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This issue of UPMC Synergies gives an overview of the changes in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders to diagnostic criteria for disorders such as autism spectrum disorder (ASD), Disruptive Mood Dysregulation Disorder (DMDD), and feeding and eating disorders.

Educational objectives:

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

  • Discuss the changes to the diagnosis of ASD in DSM-5, including the added specifiers
  • Review the criteria for DMDD
  • Discuss the changes in organization of the feeding and eating disorders chapter and the addition of new disorders, such as Avoidant/Restrictive Food Intake Disorder (ARFID) and Binge eating Disorder (BED

Reading Resources:

  1. Lubetsky MJ, Handen BL, Lubetsky M, McGonigle JJ. Systems of Care for Individuals With Autism Spectrum Disorder and Serious Behavioral Disturbance Through the Lifespan. Child Adolesc Psychiatr Clin N Am. 2014 Jan;23(1):97-110. doi: 10.1016/j.chc.2013.08.004. Epub 2013 Oct 6.
  2. Seleem MA, Merranko JA, Goldstein TR, Goldstein BI, Axelson DA, Brent DA, Nimgaonkar VL, Diler RS, Sakolsky DJ, Kupfer DJ, Birmaher B. The Longitudinal Course of Sleep Timing and Circadian Preferences in Adults With Bipolar Disorder. Bipolar Disord. 2014 Dec 19. doi: 10.1111/bdi.12286. [Epub ahead of print].
  3. Wildes JE, Marcus MD. Incorporating Dimensions Into the Classification of Eating Disorders: Three Models and Their Implications for Research and Clinical Practice. Int J Eat Disord. 2013 Jul;46(5):396-403.


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

  • Other: Oxford University Press, Inc., Autism Spectrum Disorder book

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

  • Grant/Research Support: NIMH
  • Royalties: Random House, UptoDate, APA

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: 3/5/2015 | Last Modified On: 6/8/2016 | Expires: 6/8/2017 

This course has been expired.