Karim Mamdani

Ontario Shores

MHCC

Karima Velji

Welcome to #MindVine!

We decided to launch our new social media section today to correspond with Bell Let’s Talk Day because #MindVine is similarly all about igniting conversations about mental health and eliminating the stigma associated with it.

We have big plans for this space. #MindVine is the social media home of Ontario Shores, a specialty mental health hospital in Whitby, and will connect visitors with our social media platforms and serve as Ontario Shores’ home to blogs and events.

#MindVine will also include news and information related to mental health care.

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Attitudes Around Mental Health are Changing, More Work to be Done

When a discussion about mental health and mental illness arises, there are several key themes which inevitably come to the surface.

A popular reoccurring one in this discussion is the stigma associated with mental illness.

It wasn’t that long ago that we didn’t dare talk about it. If we were struggling with our mental health we kept quiet instead of exposing ourselves to the risk of being the subject of neighbourhood gossip and shame.

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Dr. Klassen Presents DSM-5 at #GrandRounds

On January 16, Dr. Phil Klassen, Vice-President of Medical Affairs at Ontario Shores, provided an update on the last version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) during his presentation at Grand Rounds.

DSM-5 was released in May, 2013 and Dr. Klassen expects an updated version to follow within the next few years.

Grand Rounds

The DSM is the tool used to diagnose mental disorders, which guides treatment decisions and informs prognosis.

In highlighting some of the changes in the latest DSM version, Dr. Klassen pointed to greater transparency within the tool and noted revisions were based on research and consensus information.

Dr. Klassen noted reliability as a key element of the latest DSM version.  Some factors impacting the reliability of DSM are language barriers and diagnosis based on a single interview. The DSM, which is typically more reliable in diagnosing adults than children, is more effective when an individual has been interviewed more than once.

Notable Revisions in DSM-5

Neurodevelopmental Disorders
Fewer symptoms required for adults to meet criteria
Emphasizes adaptive function over measured IQ

Neurocognitive Disorder
Mild and Major Neurocognitive disorder replaces the term dementia

Autism Spectrum Disorders
Tightening of criteria will likely reduce prevalence

Schizophrenia
Mood distruptance has to be more prominent

Depressive Disorders
Bereavement exclusion deleted

Premenstrual Dysphoric Disorder
Now an official mood disorder

Obsessive Compulsive Disorders
Expanded to include various disorders including hoarding disorder and body-focused repetitive behavior disorders

Eating Disorders
Criteria broadened for Bulimia Nervosa and binge eating disorder