As we anxiously await the arrival of DSM-5, I am very excited about the inclusion of non-suicidal self-injury (NSSI) disorder. NSSI was rejected for inclusion in DSM-IV, possibly due to the fact that NSSI was seen as an integral part of Borderline Personality Disorder (BPD). Due to more research and better understanding, NSSI is finally receiving the attention it deserves.
In DSM-IV, the only mention of any type of NSSI is “self-mutilation,” which is considered a symptom of BPD. By no fault of their own, this has led many therapists, doctors, psychologists, and psychiatrists to label anyone engaged in NSSI as someone with BPD, which can have disastrous effects on treatment and the individual.
The inclusion of NSSI in DSM-5 has many positives. Not only will there be a greater accuracy in diagnosis, treatment will be able to have a more focused approach, and presumably, achieve greater results. Therapists will now have a clear and specific diagnosis to rely on, rather than just labeling clients quickly with what could be an incorrect diagnosis.
– Brad Horne is a Fellow at the Kahn Institute for Self-Injury.
Note: NSSI was ultimately included in the DSM-5 in the category of “Conditions for Further Study,” which we discuss in greater detail here.