Question

Nomenclatures undergo periodic evaluation and update. Investigate how the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) impacted coding for hoarding in 2017. As part of your investigation, determine if the DSM-5 and the code set are fully aligned with this code and support your opinion.

Answer 1

Hoarding disorder is characterised as difficulty in parting with possession, regardless of the importance that others give to those possession. The person who hoard, collects a quantity of items that sets them distant from normal collecting behaviour. So they get distress OR they distress others by their behaviour by collecting the clutter.

DSM-5 coding for Hoarding Disorder was done due to several reasons, which are as follows:

1. Because using DSM-4, individual sometime receives "the diagnosis of Obsessive Compulsive Disorder or Anxiety Disorder or Obsessive Compulsive Personality Disorder or sometime didn't get any diagnosis.

2. In DSM-5, it is a specific personality disorder with specific treatment where it will not be confused with other mental disorder and will get to diagnose easily.  

Yes, the DSM-5 and the code set are fully aligned with this code because the core symptom of Hoarding Disorder is different from other disorders, havie different neurobiological correlation and different responses to treatment modalities.

The study in last 20 years on Hoarding disorder tells that they have a distinct psychopathology form from other disorders like OCD or Obsessive Compulsive Personality Disorder etc.

Creating a special code for Hoarding Disorder will be valuable in primary care, will improve case identification, increase public awareness and safety and will help to promote research process and scientific development in the field of mental health