Highlights of Changes From DSM-IV to DSM-5 815
individuals who have undergone at least one medical procedure or treatment to support the
new gender assignment (e.g., cross-sex hormon e treatment). Although the concept of post-
transition is modeled on the concept of full or partial remission, the term remission  has impli-
cations in terms of symptom reduction that do not apply directly to gender dysphoria.
Disruptive, Impulse-Control, and Conduct Disorders
The chapter “Disruptive, Impulse-Control, and Conduct Disorders” is new to DSM-5 and
combines disorders that were pr eviously included in the chapte r “Disorders Usually First Di-
agnosed in Infancy, Childhood, or Adolescence” (i.e., oppositional defiant disorder; conduct
disorder; and disruptive behavior disorder not otherwise specified, now categorized as other
specified and unspecified disrup tive, impulse-control, and cond uct disorders) and the chap-
ter “Impulse-Control Disorders Not Elsewhere Cl assified” (i.e., intermittent explosive disor-
der, pyromania, and kleptomania). These diso rders are all characterized by problems in
emotional and behavioral self-control. Notably,  ADHD is frequently comorbid with the dis-
orders in this chapter but is listed with the neurodevelopmental disorders. Because of its
close association with co nduct disorder, antisocial  personality disorder is listed both in this
chapter and in the chapter “Personality Diso rders,” where it is described in detail.
The criteria for oppositional defiant disorder  are now grouped into three types: an-
gry/irritable mood, argumentative/defiant be havior, and vindictiveness. Additionally,
the exclusionary criterion for conduct diso rder has been removed. The criteria for conduct