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Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association (APA) is the guidebook for the classification and diagnosis of mental disorders used in varying degrees by clinicians and researchers in clinical and community settings in the United States of America and in many countries around the world. Its previous edition was launched in 1994. After a 13year revision process involving over 1,500 experts from psychiatry, psychology, social work, psychiatric nursing, pediatrics, neurology, speech-language pathology, and other related fields from over 39 countries, the APA Board of Trustees approved the final revision of diagnostic criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) on December 1 st , 2012 (1) . The exact changes will not be known until the final document is published in the 2013 Spring. However, there are several proposed alterations to the DSM that impact on the practice of speech-language pathology