The new category will extend the scope of mental disorder classification by eliminating the requirement that somatic symptoms must be "medically unexplained" he explains. In DSM-5, the focus shifts to "excessive" responses to distressing, chronic, somatic symptoms with associated "dysfunctional thoughts, feelings, or behaviours."In the revision- Anyone who has physical symptoms of illness and doesn't have a medically explained reason is now qualified for psychoactive drug treatment. Cha Ching!!! It's the pot of gold at the end of the psychology rainbow.
His concern is supported by the results of the DSM-5 field trial study. Somatic symptom disorder captured 15% of patients with cancer or heart disease and 26% with irritable bowel syndrome or fibromyalgia, and had a very high false-positive rate of 7% among health people in the general population.
He points out that, previous DSM criteria "have always included reminders to clinicians to rule out other explanations before concluding that any mental disorder is present. But his suggestions to the DSM-5 work group that similar reminders should be included this time were rejected.
That pretty much includes all undiagnosed narcoleptics. Maybe when the sleep specialists figure out the psychs are stealing all their patients, somebody will become concerned. That's a lot of money on the table.