DSM-5-TR in the context of "DSM-5"

Histrionic personality disorder (HPD) is a personality disorder characterized by a pattern of excessive attention-seeking behaviors, usually beginning in adolescence or early adulthood, including inappropriate seduction and an excessive desire for approval. People diagnosed with the disorder are said to be lively, dramatic, vivacious, enthusiastic, extroverted, and flirtatious.

HPD is classified among Cluster B ("dramatic, emotional, or erratic") personality disorders in the DSM-5-TR. People with HPD have a high desire for attention, make loud and inappropriate appearances, exaggerate their behaviors and emotions, and crave stimulation. They very often exhibit pervasive and persistent sexually provocative behavior, express strong emotions with an impressionistic style, and can be easily influenced by others. Associated features can include egocentrism, self-indulgence, continuous longing for appreciation, and persistent manipulative behavior to achieve their own wants.

Pornography addiction is the scientifically controversial application of an addiction model to the use of pornography. Pornography use may be part of compulsive behavior, with negative consequences to one's physical, mental, social, or financial well-being. While the World Health Organization's ICD-11 (2022) has recognized compulsive sexual behavior disorder (CSBD) as an impulse-control disorder, CSBD is not an addiction, and the American Psychiatric Association's DSM-5 and the DSM-5-TR do not classify compulsive pornography consumption as a mental disorder or a behavioral addiction.

Problematic Internet pornography viewing, also known as problematic pornography use (PPU), is the viewing of Internet pornography that is problematic for an individual due to personal or social reasons, including the excessive time spent viewing pornography instead of interacting with others and the facilitation of procrastination. Individuals may report depression, social isolation, career loss, decreased productivity, or financial consequences as a result of their excessive Internet pornography viewing impeding their social lives.

Misophonia (or selective sound sensitivity syndrome) is a disorder of decreased tolerance to specific sounds or their associated stimuli, or cues. These cues, known as "triggers", are experienced as unpleasant or distressing and tend to evoke strong negative emotional, physiological, and behavioral responses not seen in most other people. Misophonia and the behaviors that people with misophonia often use to cope with it (such as avoidance of "triggering" situations or using hearing protection) can adversely affect the ability to achieve life goals, communicate effectively, and enjoy social situations. At present, misophonia is not listed as a diagnosable condition in the DSM-5-TR, ICD-11, or any similar manual, making it difficult for most people with the condition to receive official clinical diagnoses of misophonia or billable medical services. In 2022, an international panel of misophonia experts published a consensus definition of misophonia, and since then, clinicians and researchers studying the condition have widely adopted that definition.

When confronted with specific "trigger" stimuli, people with misophonia experience a range of negative emotions, most notably anger, extreme irritation, disgust, anxiety, and sometimes rage. The emotional response is often accompanied by a range of physical symptoms (e.g., muscle tension, increased heart rate, and sweating) that may reflect activation of the fight-or-flight response. Unlike the discomfort seen in hyperacusis, misophonic reactions do not seem to be elicited by the sound's loudness but rather by the trigger's specific pattern or meaning to the hearer. Many people with misophonia cannot trigger themselves with self-produced sounds, or if such sounds do cause a misophonic reaction, it is substantially weaker than if another person produced the sound.

The Diagnostic and Statistical Manual of Mental Disorders (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common language and standard criteria. It is an internationally accepted manual on the diagnosis and treatment of mental disorders, though it may be used in conjunction with other documents. Other commonly used principal guides of psychiatry include the International Classification of Diseases (ICD), Chinese Classification of Mental Disorders (CCMD), and the Psychodynamic Diagnostic Manual. However, not all providers rely on the DSM-5 as a guide, since the ICD's mental disorder diagnoses are used around the world, and scientific studies often measure changes in symptom scale scores rather than changes in DSM-5 criteria to determine the real-world effects of mental health interventions.

It is used by researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, the legal system, and policymakers. Some mental health professionals use the manual to determine and help communicate a patient's diagnosis after an evaluation. Hospitals, clinics, and insurance companies in the United States may require a DSM diagnosis for all patients with mental disorders. Health-care researchers use the DSM to categorize patients for research purposes.

The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.

The two most widely used psychiatric classification systems are the International Classification of Diseases, 11th edition (ICD-11; in effect since 1 January 2022.), produced by the World Health Organization (WHO); and the Diagnostic and Statistical Manual of Mental Disorders produced by the American Psychiatric Association since 1952. The latest edition is the Fifth Edition, Text Revision (DSM-5-TR), which was released in 2022. The ICD is a broad medical classification system; mental disorders are contained in Chapter 06: Mental, behavioural or neurodevelopmental disorders (06).

Asperger syndrome (AS), also known as Asperger's syndrome or Asperger's, was a diagnostic label that was historically used to describe a neurodevelopmental disorder characterized by significant difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests. The term was retired as a formal diagnosis when it was merged into autism spectrum disorder (ASD) in the WHO's ICD-11 and the APA's DSM-5-TR These organizations no longer recognize Asperger syndrome as a distinct clinical diagnosis. AS was considered milder than other diagnoses. This change reflected a shift toward a unified understanding of autism-related conditions rather than a judgment about individuals previously diagnosed with AS. Despite its removal from contemporary medical classification systems, many people continued to identify with the term Asperger's because of its long-standing use, personal relevance, and the way it shaped their diagnostic history and community identity.

The syndrome was named in 1976 by English psychiatrist Lorna Wing after the Austrian pediatrician Hans Asperger, who in 1944 described children in his care who struggled to form friendships, did not understand others' gestures or feelings, engaged in one-sided conversations about their favorite interests, and were clumsy. In 1990 (coming into effect in 1993), the diagnosis of Asperger syndrome was included in the tenth edition (ICD-10) of the World Health Organization's International Classification of Diseases, and in 1994 it was also included in the fourth edition (DSM-4) of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. With the publication of DSM-5 in 2013, the syndrome was removed, and the symptoms are now included within autism spectrum disorder along with classic autism and pervasive developmental disorder not otherwise specified (PDD-NOS). It was similarly merged into autism spectrum disorder in the International Classification of Diseases (ICD-11) in 2018 (published, coming into effect in 2022).

Classification of personality disorders varies significantly, with the predominant models being either categorical or dimensional. As in the case of broader classification of mental disorders, personality disorders are mainly classified in accordance with two diagnostic frameworks: namely, the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD). As of 2025, the latest editions of these are the DSM-5-TR and ICD-11, respectively. While the main system in the former classifies personality disorders as distinct categories; the latter classifies a single personality disorder dimensionally according to severity, with the option to additionally diagnose trait domains. A hybrid approach is implemented in the Alternative DSM-5 Model for Personality Disorders, with diagnoses being specific or trait specified; both of these are based on both severity and traits. The ICD-11 classifies schizotypal disorder among primary psychotic disorders rather than as a personality disorder as in the DSM-5.