This year the American Psychiatric Association introduced the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). With this new edition of a major nomenclature system came major changes for counselor educators, students, and counselors in the field. In this presentation, significant changes to the structural system, philosophical underpinning of these changes and 15 major diagnostic revisions will covered. After providing an overview of these changes, strategies for integrating these into classroom lectures and activities will be introduced.