DSM-5

Major Depression Disorder

diagnosed when a person experiences a persistently depressed mood or a loss of interest or pleasure in activities, along with at least five other symptoms for a period of two weeks or more, causing significant distress or impairment in social, occupational, or other important areas of functioning

The individual must be experiencing 5 or more symptoms during the same 2-week period, and at least one symptom should be eithera depressed mood or anhedonia ( loss of interest)

other symptoms

• deprressed mood

• agitation

• insomnia

• fatigue

• feeling of worthlessness

category: depressive disorder

Depressed mood syptoms

at least 2 weeks, depressed mood, anhedonia, change in biological functioning of sleep, feelings of worthlessness, decreased concentration, fatigue/ low energy, isolating in a room, possible suicidal ideation

Unspecified depressive disorder

Does not fully meet the criteria for MDD. Less severe symptoms of depression

category: depressive disorder

Bereavement

Grieving the loss/ death of a loved one has to be present. Could have feelings of loss, self-blame

persistent depressive disorder

depressed mood for at least 2 years in adults and one in children, chronically, mildly depressed, changes in biological functioning not present, mainly decreased mood

category: depressive disorder

adjustment disorder with depressed mood

A recent life stressor, symptoms have to become present within 3 months, butcan'tt go beyond 6 months

tardive dyskinesia

Possible side effects of long-term use of anti psychotic medications. involuntary movements affecting tongue, lips, face, blinking, and waving your arms

Brief Psychotic Disorder

sudden onset of psychotic symptoms sucg as hallucination, delusions, disorganized speech.. less than 1 month

Schizophreniform Disoder

category: schizophrenia spectrum and other psychotic disorders

Symptoms must be present for more than one month but less than 6 months

involves the presence of symptoms like delusions, hallucinations, disorganized sppech or catanolic behavior.

Two (or more) of the following, each present for a significant portion of time

during a 1-month period (or less if successfully treated). At least one of these

must be (1), (2), or (3):

1. Delusions.

2. Hallucinations.

3. Disorganized speech (e.g., frequent derailment or incoherence).

4. Grossly disorganized or catatonic behavior.

5. Negative symptoms (i.e., diminished emotional expression or avolition).

B. An episode of the disorder lasts at least 1 month but less than 6 months. When

the diagnosis must be made without waiting for recovery, it should be qualified

as “provisional.

”

C. Schizoaffective disorder and depressive or bipolar disorder with psychotic

features have been ruled out because either 1) no major depressive or manic

episodes have occurred concurrently with the active-phase symptoms, or 2) if

mood episodes have occurred during active-phase symptoms, they have beenpresent for a minority of the total duration of the active and residual periods of

the illness.

D. The disturbance is not attributable to the physiological effects of a substance

(e.g., a drug of abuse, a medication) or another medical condition.

Specify if:

With good prognostic features: This specifier requires the presence of at least

two of the following features: onset of prominent psychotic symptoms within 4

weeks of the first noticeable change in usual behavior or functioning; confusion

or perplexity; good premorbid social and occupational functioning; and absence

of blunted or flat affect.

Without good prognostic features: This specifier is applied if two or more of

the above features have not been present.

Specify if:

With catatonia (refer to the criteria for catatonia associated with another mental

disorder, p. 135, for definition).

category: Schizophrenia Spectrum and Other Psychotic

Disorders

Schizophrenia

category: schizophrenia spectrum and other psychotic disorders

Two (or more) of the following, each present for a significant portion of time

delusions, hallucinations, disorganized thinking/speeech, catonic behavior, negative symptoms

at least six months, with at least one month of active symptoms (like delusions, hallucinations, or disorganized speech)

during a 1-month period (or less if successfully treated). At least one of these

must be (1), (2), or (3):

1. Delusions.

2. Hallucinations.

3. Disorganized speech (e.g., frequent derailment or incoherence).

B. 114

4. Grossly disorganized or catatonic behavior.

5. Negative symptoms (i.e., diminished emotional expression or avolition).

For a significant portion of the time since the onset of the disturbance, level of

functioning in one or more major areas, such as work, interpersonal relations, or

self-care, is markedly below the level achieved prior to the onset

Continuous signs of the disturbance persist for at least 6 months. This 6-month

period must include at least 1 month of symptoms (or less if successfully treated)

that meet Criterion A (i.e., active-phase symptoms) and may include periods of

prodromal or residual symptoms. 

Specify if:

The following course specifiers are only to be used after a 1-year duration of the

disorder and if they are not in contradiction to the diagnostic course criteria.

First episode, currently in acute episode: First manifestation of the disorder

meeting the defining diagnostic symptom and time criteria. An acute episode is a

time period in which the symptom criteria are fulfilled.

First episode, currently in partial remission: Partial remission is a period of

time during which an improvement after a previous episode is maintained and in

which the defining criteria of the disorder are only partially fulfilled.

First episode, currently in full remission: Full remission is a period of time

after a previous episode during which no disorder-specific symptoms are

present.

Multiple episodes, currently in acute episode: Multiple episodes may be

determined after a minimum of two episodes (i.e., after a first episode, a

remission and a minimum of one relapse).

Multiple episodes, currently in partial remission

Multiple episodes, currently in full remission

Continuous: Symptoms fulfilling the diagnostic symptom criteria of the disorder

are remaining for the majority of the illness course, with subthreshold symptom

periods being very brief relative to the overall course.

Unspecified

category; Schizophrenia Spectrum and Other Psychotic Disorders

Disorders

schizoaffective disorder

category: schizophrenia spectrum and other psychotic disorders

combination of psychotic symptoms and mood symptoms. Delusions are present for two or more consecutive weeks without mood symptoms. mood symptoms are present for the majority of the illness, but there needs to be 2 weeks of only psychotic symptoms. A mix of bipolar and schizophrenia/ hallucinations. depressive type symptoms

An uninterrupted period of illness during which there is a major mood episode

(major depressive or manic) concurrent with Criterion A of schizophrenia.

category: Schizophrenia Spectrum and Other Psychotic

Delusions or hallucinations for 2 or more weeks in the absence of a major mood

episode (depressive or manic) during the lifetime duration of the illness.

C. Symptoms that meet criteria for a major mood episode are present for the

majority of the total duration of the active and residual portions of the illness.

D. The disturbance is not attributable to the effects of a substance (e.g., a drug of

abuse, a medication) or another medical condition.

Specify whether:

F25.0 Bipolar type: This subtype applies if a manic episode is part of the

presentation. Major depressive episodes may also occur.

F25.1 Depressive type: This subtype applies if only major depressive episodes

are part of the presentation.

Specify if:

With catatonia (refer to the criteria for catatonia associated with another mental

disorder, p. 135, for definition).

Coding note: Use additional code F06.1 catatonia associated with

schizoaffective disorder to indicate the presence of the comorbid catatonia.

Specify if:

The following course specifiers are only to be used after a 1-year duration of the

disorder and if they are not in contradiction to the diagnostic course criteria.

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First episode, currently in acute episode: First manifestation of the disorder

meeting the defining diagnostic symptom and time criteria. An acute episode is a

time period in which the symptom criteria are fulfilled.

First episode, currently in partial remission: Partial remission is a time period

during which an improvement after a previous episode is maintained and in

which the defining criteria of the disorder are only partially fulfilled.

First episode, currently in full remission: Full remission is a period of time

after a previous episode during which no disorder-specific symptoms are

present.

Multiple episodes, currently in acute episode: Multiple episodes may be

determined after a minimum of two episodes (i.e., after a first episode, a

remission and a minimum of one relapse).

Multiple episodes, currently in partial remission

Multiple episodes, currently in full remission

Continuous: Symptoms fulfilling the diagnostic symptom criteria of the disorder

are remaining for the majority of the illness course, with subthreshold symptom

periods being very brief relative to the overall course.

Unspecified

Disorders

primary symptoms

present for at least 2 weeks without the other symptoms being present, then the other symptoms become present at some point ( secondary)

Bipolar 1

manic phase- elevated mood for at least one week. inflated self-esteem, bragging, decreased need for sleep, racing thoughts, increased talk, and harmful activities. Mdd not common

To meet the criteria

you must have had at least one manic episode in your life for at least a week with or without ever experiencing a depressive episode.

category; Bipolar and related disorders

bipolar 2

hypomania that lasts at least four days and One episode of mdd. hypomania exhibits mania symptoms but can continue everyday activities,

category; Bipolar and related disorders

cyclothymic disorder

similar to bipolar 2 with cycles of high and low, but does not meet the criteria for mania or MDD. present for at least 2 years chronic

category; Bipolar and related disorders

milder, shorter periods of both hypomania (elevated mood) and depression t

separation anxiety disorder

A person becomes anxious and fearful about being separated from home or certain attachment figures. Constant, ongoing worry about something bad happening to the attachment figure or themselves. Throws a fit when away from the attachment person. Physical symptoms. Timeframe in children: at least 4 weeks, and in adults: at least 6 months.

category: anxiety disorder

PTSD

When someone goes through something, sees something, or learns about something related to death, injury, threat, or violence. Flashbacks, intrusive memories, avoiding places/ people, startled, being on edge, dissociative symptoms. Symptoms last at least one month.

category: trauma and stress-related disorders

acute stress disorder

ptsd that is short/ brief severe. Symptoms of ptsd but last less than a month.

category: trauma and stress-related disorders

oppositional defiant disorder

pattern of irritable mood,defiance argumentative with authority, refuses to comply with rules, blames other people. behavior last 6 months or longer.

category: Disruptive, Impulse-Control, and Conduct

Disorders

intermittent explosive disorder

Recurrent explosive angry outbursts that are impulsive, not premeditated and out of proportion to the situations.Children have to be at least 6 years old, and can be diagnosed in adults. Verbal aggression occurs twice a week or more for at least 3 months, or there have been 3 incidents where the child has caused damage.

category: Disruptive, Impulse-Control, and Conduct

Disorders

disruptive mood dysregulation

The child is constantly irritable or angry. cannot be diagnosed as an adult. The child has to be at least 6 years old. behavior going on for 12 months or more. hasn’t been a period of time (3 or more months) without behaviors.

category: depressive disorder

conduct disorder

violates the rights of others and societal norms- can be non-aggressive. bullying people/ animals, threatening, intimidating, lies,destruction of property, lack of remorse.

Childhood-onset type: Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years. 312.82 (F91.2) Adolescent-onset type: Individuals show no symptom characteristic of conduct disorder prior to age 10 years.

category: disruptive, Impulse-Control, and Conduct

Disorders

three of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months

anti social personality disorder

persistent lying, stealing, problems with the law, aggressive behavior. using charm to exploit others, goes against society rules/ organizations. what conduct disorder evolves into to- have to have conduct before. lack of remorse. 18 or older. disregard for others rights, manipulative, impulsive

Individuals must also be at least 18 years old and have a history of conduct disorder before age 15. 

category: Cluster B Personality Disorders

paranoid personality disorder

begins in early adulthood. Paranoid about other people without any real evidence or justification. person preoccupied with untrusting thoughts towards people around them, holds grudges. believes they are out to harm you.

category: Cluster A Personality Disorders

schizoid personality disorder

emotionally distant. begins in early adulthood. distance. lack of interest/detached from social relationships, restricted expression of emotions, flat affect. inability to seek pleasure in activities, can’t pick up social cues

category: Cluster A Personality Disorders

schizotypal personality disorder

Begins in early adulthood. Someone who lacks relationships with others and can have social anxiety due to paranoid thoughts/ fears of other people. Speech, thinking, and behavior are “ odd”, peculiar dress, thinking, and beliefs. flat emotionsinterpersonall relationships, magical thinking

category: Cluster A Personality Disorders

bipolar with psychotic features

mania, hypomania with hallucinations

borderline personality disorder

a mental health condition characterized by difficulties regulating emotions and maintaining stable relationships. It affects how individuals feel about themselves and others, leadi

ng to impulsive behaviors and intense

fear of losing relationships with people around them. y pervasive patterns of instability in mood, poor self-image, self destructive behaviors, fear of abandonment and intense interpersonal relationships, as well as marked impulsivity. Fear of abandonment and chronic feelings of emptiness further compound the complexity of this disorder. impulse and risky behaviors, up and down moods,

category: cluster B personality disorder

narcissistic personality disorder

grandiosity, feel they are special, envious of people, look for admiration from others, fantasies of power and money, and sex, sense of entitlement, feels superior to others, need for praise

category; cluster B personality disorder

OCD

recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress. preoccupied with structure and perfection.

category’ : Obsessive-Compulsive and Related Disorders

Cluster personality disorders

Cluster A is characterized by odd, eccentric behavior, and Cluster B is marked by dramatic, emotional, or erratic behavior. Cluster C is anxious and fearful

social anxiety disorder

Fear of being in situations where the person is in evaluation with others, concerned they will behave in inappropriate ways that would be negatively constructed. 6 months or longer

category: anxiety disorder.

generalized anxiety disorder

worry about a variety of scenairos, last at least 6 months, loss of energy, agitation. difficulty focusing, muscle tension, lack of sleep

category; anxiety disorders

acute anxiety disorder

less than 30 days, trauma related.

category; Trauma- and Stressor-Related Disorders

panic disorder

repeated attacks and at least four of following symptoms; rapid heartbeat, shaking, sweating, shortness of breathe, choking sensation, chest pain/ discomfort, vertigo, faint

category; anxiety disorders

histronic personality disorder

constantly seeking attention, excessive emotion to gain attentions, easily influenced by others, shallow emotions, concern over physical apperarnce

category:cluster b personality disorder

avoidant personality disorder

too sensitive to criticism, feeling inadequate, avoidance of activities that require interpersonal connection, social inhibited, timid, extreme shyness. want to have relationship but too anxious

category: cluster c personality disorder

dependent personality disorder

dependency on others and feeling the need to be taken care of, clingy, lack of self-confidence, need for reassurance from others to make decisions, difficulty disagreeing with others, urge to start a new relationship when a closed one has ended

category; cluster C personality disorder

obsessive compulsive personality disorder

obsess with orderliness, extreme perfectionism, inflexibility, desire to be in control, neglect of friends due to obsession with work, control over money

category: Cluster C personality disorder

other specified disorder

if the client is missing one or two symptoms that are nessecary for diagnosis

unspecified diagnosis

when the social worker has determined that a clients challenges fall within a certain group of disorders, but dont know which diagnosis best suits them

doesnt include detailed imformation or the reason that the criteria isnt met

specifiers

extension to the diagnosis the clarify the course, severity or special; features

intellectual developmental disorders

limitations in intellectual functioning (such as reasoning, problem solving and learning) begins during the developmental period and impacts daily life

severity: mild, moderate, severe and pro found

global developmental delay

must be under the age of 5. indiviviual fails to meet expected milestones. unable to undergo standardized testing. requires re assessment

Unspecified Intellectual Developmental Disorder

(Intellectual Disability)

reserved for individuals over the age of 5 years when assessment of

the degree of intellectual developmental disorder (intellectual disability) by means of

locally available procedures is rendered difficult or impossible because of associated

sensory or physical impairments, as in blindness or prelingual deafness; locomotor

disability; or presence of severe problem behaviors or co-occurring mental disorder.

This category should only be used in exceptional circumstances and requires

reassessment after a period of time.

language disorder

communication disorder

communication disorder that affects a person's ability to understand and/or use spoken, written, or signed language. It

Persistent difficulties in the acquisition and use of language across modalitiesor production that include the following:

1. 2. Reduced vocabulary (word knowledge and use).

Limited sentence structure (ability to put words and word endings together to

form sentences based on the rules of grammar and morphology).

3. Impairments in discourse (ability to use vocabulary and connect sentences to

explain or describe a topic or series of events or have a conversation).

Language abilities are substantially and quantifiably below those expected for

age, resulting in functional limitations in effective communication, social

participation, academic achievement, or occupational performance, individually

or in any combination.

C. D. Onset of symptoms is in the early developmental period.

The difficulties are not attributable to hearing or other sensory impairment, motor

dysfunction, or another medical or neurological condition and are not better

explained by intellectual developmental disorder (intellectual disability) or global

developmental delay.

speech sound disorder

communication disorder

Persistent difficulty with speech sound production that interferes with speech

intelligibility or prevents verbal communication of messages.

B. The disturbance causes limitations in effective communication that interfere with

social participation, academic achievement, or occupational performance,

individually or in any combination.

C. D. Onset of symptoms is in the early developmental period.

The difficulties are not attributable to congenital or acquired conditions, such as

cerebral palsy, cleft palate, deafness or hearing loss, traumatic brain injury, or

other medical or neurological conditions.

Childhood-Onset Fluency Disorder (Stuttering)

communication disorder

Disturbances in the normal fluency and time patterning of speech that are

inappropriate for the individual’s age and language skills, persist over time, and

are characterized by frequent and marked occurrences of one (or more) of the

following:

1. Sound and syllable repetitions.

2. Sound prolongations of consonants as well as vowels.

Broken words (e.g., pauses within a word).

4. Audible or silent blocking (filled or unfilled pauses in speech).

5. Circumlocutions (word substitutions to avoid problematic words).

6. Words produced with an excess of physical tension.

7. Monosyllabic whole-word repetitions (e.g.,

“I-I-I-I see him”).

B. The disturbance causes anxiety about speaking or limitations in effective

communication, social participation, or academic or occupational performance,

individually or in any combination.

C. The onset of symptoms is in the early developmental period. (Note: Later-onset

cases are diagnosed as F98.5 adult-onset fluency disorder.)

D. The disturbance is not attributable to a speech-motor or sensory deficit,

dysfluency associated with neurological insult (e.g., stroke, tumor, trauma), or

another medical condition and is not better explained by another mental

disorder.

Social (Pragmatic) Communication Disorder

Persistent difficulties in the social use of verbal and nonverbal communication as

manifested by all of the following:

Deficits in using communication for social purposes, such as greeting and

sharing information, in a manner that is appropriate for the social context.

2. Impairment of the ability to change communication to match context or the

needs of the listener, such as speaking differently in a classroom than on a

playground, talking differently to a child than to an adult, and avoiding use of

overly formal language.

3. Difficulties following rules for conversation and storytelling, such as taking

turns in conversation, rephrasing when misunderstood, and knowing how to

use verbal and nonverbal signals to regulate interaction.

4. Difficulties understanding what is not explicitly stated (e.g., making

inferences) and nonliteral or ambiguous meanings of language (e.g., idioms,

humor, metaphors, multiple meanings that depend on the context for

interpretation).

B. The deficits result in functional limitations in effective communication, social

participation, social relationships, academic achievement, or occupational

performance, individually or in combination.

C. The onset of the symptoms is in the early developmental period (but deficits may

not become fully manifest until social communication demands exceed limited

capacities).

D. The symptoms are not attributable to another medical or neurological condition

or to low abilities in the domains of word structure and grammar, and are not

better explained by autism spectrum disorder, intellectual developmental

disorder (intellectual disability), global developmental delay, or another mental

disorder.

Diagnostic Features

Social (pragmatic) communication disorder is characterized

Unspecified Communication Disorder

This category applies to presentations in which symptoms characteristic of

communication disorder that cause clinically significant distress or impairment in

social, occupational, or other important areas of functioning predominate but do not

meet the full criteria for communication disorder or for any of the disorders in the

neurodevelopmental disorders diagnostic class. The unspecified communication

disorder category is used in situations in which the clinician chooses not to specify

the reason that the criteria are not met for communication disorder or for a specific

neurodevelopmental disorder, and includes presentations in which there is

insufficient information to make a more specific diagnosis.

autism spectrum disorder

category; Neurodevelopmental Disorders

persistent deficits in social communication and social interaction across multiple

contexts, as manifested by all of the following, 

1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond toB. social interactions.

2.  Deficits in nonverbal communicative behaviors used for social interaction,

   ranging, for example, from poorly integrated verbal and nonverbal

   communication; to abnormalities in eye contact and body language or deficits

   in understanding and use of gestures; to a total lack of facial expressions and

   nonverbal communication.

3. Deficits in developing, maintaining, and understanding relationships, ranging,

   for example, from difficulties adjusting behavior to suit various social contexts;

   to difficulties in sharing imaginative play or in making friends; to absence of

   interest in peers.

Restricted, repetitive patterns of behavior, interests, or activities

1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia,idiosyncratic phrases).

2. Insistence on sameness, inflexible adherence to routines, or ritualized

   patterns of verbal or nonverbal behavior 

3. Highly restricted, fixated interests that are abnormal in intensity or focus 

4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory

   aspects of the environment 

Symptoms must be present in the early developmental period (but may not

become fully manifest until social demands exceed limited capacities, or may be

masked by learned strategies in later life).

D. Symptoms cause clinically significant impairment in social, occupational, or other

important areas of current functioning.

E. These disturbances are not better explained by intellectual developmental

disorder (intellectual disability) or global developmental delay. Intellectual

developmental disorder and autism spectrum disorder frequently co-occur; 

specify current severity based on social communication impairments and restricted,repetitive patterns of behavior

• Requiring very substantial support

• Requiring substantial support

• Requiring support

Specify if:

• With or without accompanying intellectual impairment

• With or without accompanying language impairment

Specify if:

• Associated with a known genetic or other medical condition or

• environmental factor

• associated genetic or other medical condition.)

• Associated with a neurodevelopmental, mental, or behavioral problem

Specify if:

With catatonia 

ADHD

category; Neurodevelopmental Disorders

A persistent pattern of inattention

and/or hyperactivity-impulsivity that interferes with functioning or development, as characterized by (1) and/or (2):

 Inattention: Six (or more) of the following symptoms have persisted for at

1. least 6 months to a degree that is inconsistent with developmental level and

   that negatively imp

2. a. Often fails to give close attention to details or makes careless mistakes in

   schoolwork, at work, or during other activities

   b. Often has difficulty sustaining attention in tasks or play activities

   c. Often does not seem to listen when spoken to directly

   d. Often does not follow through on instructions and fails to finish

   schoolwork, chores, or duties in the workplace

   e. Often has difficulty organizing tasks and activities (e.g., difficulty managing

   sequential tasks; difficulty keeping materials and belongings in order;

   messy, disorganized work; has poor time management; fails to meet

   deadlines).

   f. Often avoids, dislikes, or is reluctant to engage in tasks that require

   sustained mental effort (e.g., schoolwork or homework; for older

   adolescents and adults, preparing reports, completing forms, reviewing

   lengthy papers).

   g. Often loses things necessary for tasks or activities (e.g., school materials,

   pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobiletelephones).

   69

   h. Is often easily distracted by extraneous stimuli (for older adolescents and

   adults, may include unrelated thoughts).

   i. Is often forgetful in daily activities (e.g., doing chores, running errands; for

   older adolescents and adults, returning calls, paying bills, keeping

   appointments).

Hyperactivity and impulsivity: Six (or more) of the following symptoms have persisted for at least 6 months to a degree that is inconsistent with developmental level and that negatively impacts directly on social and academic/occupational activities:

Often fidgets with or taps hands or feet or squirms in seat.

b. Often leaves seat in situations when remaining seated is expected (e.g.,

leaves his or her place in the classroom, in the office or other workplace,

or in other situations that require remaining in place).

c. Often runs about or climbs in situations where it is inappropriate. (Note: In

adolescents or adults, may be limited to feeling restless.)

d. e. Often unable to play or engage in leisure activities quietly.

Is often “on the go,

” acting as if “driven by a motor” (e.g., is unable to be or

uncomfortable being still for extended time, as in restaurants, meetings;

may be experienced by others as being restless or difficult to keep up

with).

f. Often talks excessively.

g. Often blurts out an answer before a question has been completed (e.g.,

completes people’s sentences; cannot wait for turn in conversation).

h. Often has difficulty waiting his or her turn (e.g., while waiting in line).

i. Often interrupts or intrudes on others (e.g., butts into conversations,

games, or activities; may start using other people’s things without asking

or receiving permission; for adolescents and adults, may intrude into or

take over what others are doing)

Several inattentive or hyperactive-impulsive symptoms were present prior to age12 years.

C. Several inattentive or hyperactive-impulsive symptoms are present in two or

more settings (e.g., at home, school, or work; with friends or relatives; in other

activities).

D. There is clear evidence that the symptoms interfere with, or reduce the quality of,social, academic, or occupational functioning.

E. The symptoms do not occur exclusively during the course of schizophrenia or

another psychotic disorder and are not better explained by another mental

disorder (e.g., mood disorder, anxiety disorder, dissociative disorder, personality

disorder, substance intoxication or withdrawal).

specific learning disorder

category; Neurodevelopmental Disorders

Difficulties learning and using academic skills, as indicated by the presence of at

least one of the following symptoms that have persisted for at least 6 months,

despite the provision of interventions that target those difficulties:

1. Inaccurate or slow and effortful word reading (e.g., reads single words aloud

incorrectly or slowly and hesitantly, frequently guesses words, has difficulty

sounding out words).

2. Difficulty understanding the meaning of what is read (e.g., may read text

accurately but not understand the sequence, relationships, inferences, or

deeper meanings of what is read).

3. Difficulties with spelling (e.g., may add, omit, or substitute vowels or

consonants).

Difficulties with written expression

Difficulties mastering number sense, number facts, or calculation

Difficulties with mathematical reasoning (e.g., has severe difficulty applying

mathematical concepts, facts, or procedures to solve quantitative problems).

B. The affected academic skills are substantially and quantifiably below those

expected for the individual’s chronological age, and cause significant

interference with academic or occupational performance, or with activities of

daily living, as confirmed by individually administered standardized achievement

measures and comprehensive clinical assessment. For individuals age 17 years

and older, a documented history of impairing learning difficulties may be

substituted for the standardized assessment.

C. The learning difficulties begin during school-age years but may not become fully

manifest until the demands for those affected academic skills exceed the

individual’s limited capacities (e.g., as in timed tests, reading or writing lengthy

complex reports for a tight deadline, excessively heavy academic loads).

D. The learning difficulties are not better accounted for by intellectual disabilities,

uncorrected visual or auditory acuity, other mental or neurological disorders,

psychosocial adversity, lack of proficiency in th

developmental coordination disorder

motor disorder

The acquisition and execution of coordinated motor skills is substantially below

that expected given the individual’s chronological age and opportunity for skill

learning and use. as well as slowness and inaccuracy of performance of motor skills. he motor skills deficit in Criterion A significantly and persistently interferes with

activities of daily living appropriate to chronological age Onset of symptoms is in the early developmental period.

D. The motor skills deficits are not better explained by intellectual developmental

disorder 

Stereotypic Movement Disorder

category: motor disorder

Repetitive, seemingly driven, and apparently purposeless motor behavior 

he repetitive motor behavior interferes with social, academic, or other activities

and may result in self-injury.

Onset is in the early developmental period.

The repetitive motor behavior is not attributable to the physiological effects of a

substance or neurological condition and is not better explained by another

neurodevelopmental or mental disorder 

Specify if:

With self-injurious behavior (or behavior that would result in an injury if

preventive measures were not used)

Without self-injurious behavior

Specify if:

Associated with a known genetic or other medical condition,

neurodevelopmental disorder, or environmental factor (e.g., Lesch-Nyhan

syndrome, intellectual developmental disorder [intellectual disability], intrauterine

alcohol exposure)

Coding note: Use additional code to identify the associated genetic or other

medical condition, neurodevelopmental disorder, or environmental factor.

Specify current severity:

Mild: Symptoms are easily suppressed by sensory stimulus or distraction.

Moderate: Symptoms require explicit protective measures and behavioral

modification.

Severe: Continuous monitoring and protective measures are required to prevent

serious injury.

tourettes disorder

category; Neurodevelopmental Disorders

Both multiple motor and one or more vocal tics have been present at

some time during the illness, although not necessarily concurrently.

B. The tics may wax and wane in frequency but have persisted for more than 1 year

since first tic onset.

C. Onset is before age 18 years.

D. The disturbance is not attributable to the physiological effects of a substance

(e.g., cocaine) or another medical condition

Persistent (Chronic) Motor or Vocal Tic Disorder

category; Neurodevelopmental Disorders

Single or multiple motor or vocal tics have been present during the

illness, but not both motor and vocal.

B. The tics may wax and wane in frequency but have persisted for more than 1 year

since first tic onset.

Onset is before age 18 years.

D. The disturbance is not attributable to the physiological effects of a substance

E. Criteria have never been met for Tourette’s disorder.

Specify if:

With motor tics only

With vocal tics only

provisional tic disorder

category; Neurodevelopmental Disorders

Single or multiple motor and/or vocal tics.

The tics have been present for less than 1 year since first tic onset.

Onset is before age 18 years.

D. The disturbance is not attributable to the physiological effects of a substance

(e.g., cocaine) or another medical condition (e.g., Huntington’s disease, postviral

encephalitis).

E. Criteria have never been met for Tourette’s disorder or persistent (chronic) motor

or vocal tic disorder.

Other Specified Tic Disorder

his category applies to presentations in which symptoms characteristic of a tic

disorder that cause clinically significant distress or impairment in social,

occupational, or other important areas of functioning predominate but do not meet

the full criteria for a tic disorder or any of the disorders in the neurodevelopmentaldisorders diagnostic class. The other specified tic disorder category is used in

situations in which the clinician chooses to communicate the specific reason that the

presentation does not meet the criteria for a tic disorder or any specific

neurodevelopmental disorder. 

unspecified tic disorder

This category applies to presentations in which symptoms characteristic of a tic

disorder that cause clinically significant distress or impairment in social,

occupational, or other important areas of functioning predominate but do not meet

the full criteria for a tic disorder or for any of the disorders in the neurodevelopmental

disorders diagnostic class. The unspecified tic disorder category is used in situations

in which the clinician chooses not to specify the reason that the criteria are not met

for a tic disorder or for a specific neurodevelopmental disorder and includes

presentations in which there is insufficient information to make a more specific

diagnosis.

other specified neurodevelopmental disorder

his category applies to presentations in which symptoms characteristic of a

neurodevelopmental disorder that cause impairment in social, occupational, or other

important areas of functioning predominate but do not meet the full criteria for any of

the disorders in the neurodevelopmental disorders diagnostic class. The other

specified neurodevelopmental disorder category is used in situations in which the

clinician chooses to communicate the specific reason that the presentation does not

meet the criteria for any specific neurodevelopmental disorder. 

Unspecified Neurodevelopmental Disorder

This category applies to presentations in which symptoms characteristic of a

neurodevelopmental disorder that cause impairment in social, occupational, or other

important areas of functioning predominate but do not meet the full criteria for any of

the disorders in the neurodevelopmental disorders diagnostic class. The unspecified

neurodevelopmental disorder category is used in situations in which the clinician

chooses not to specify the reason that the criteria are not met for a specific

neurodevelopmental disorder and includes presentations in which there is

insufficient information to make a more specific diagnosis 

delusional disorder

category: schizophrenia spectrum and other psychotic disorders

non bizarre delusions that are present for at least ibe month.

The presence of one (or more) delusions with a duration of 1 month or longer.

Criterion A for schizophrenia has never been met.

Apart from the impact of the delusion(s) or its ramifications, functioning is not

markedly impaired, and behavior is not obviously bizarre or odd.

D. If manic or major depressive episodes have occurred, these have been brief

relative to the duration of the delusional periods.

E. The disturbance is not attributable to the physiological effects of a substance or

another medical condition and is not better explained by another mental

disorder, such as body dysmorphic disorder or obsessive-compulsive disorder.

Specify whether:

Erotomanic type: This subtype applies when the central theme of the delusion

is that another person is in love with the individual.Grandiose type: This subtype applies when the central theme of the delusion is

the conviction of having some great (but unrecognized) talent or insight or having

made some important discovery.

Jealous type: This subtype applies when the central theme of the individual’s

delusion is that his or her spouse or lover is unfaithful.

Persecutory type: This subtype applies when the central theme of the delusion

involves the individual’s belief that he or she is being conspired against, cheated,

spied on, followed, poisoned or drugged, maliciously maligned, harassed, or

obstructed in the pursuit of long-term goals.

Somatic type: This subtype applies when the central theme of the delusion

involves bodily functions or sensations.

Mixed type: This subtype applies when no one delusional theme predominates.

Unspecified type: This subtype applies when the dominant delusional belief

cannot be clearly determined or is not described in the specific types (e.g.,

referential delusions without a prominent persecutory or grandiose component).

Specify if:

With bizarre content: Delusions are deemed bizarre if they are clearly

implausible, not understandable, and not derived from ordinary life experiences

(e.g., an individual’s belief that a stranger has removed his or her internal organs

and replaced them with someone else’s organs without leaving any wounds or

scars).

Specify if:

The following course specifiers are only to be used after a 1-year duration of the

disorder:

First episode, currently in acute episode: First manifestation of the disorder

meeting the defining diagnostic symptom and time criteria. An acute episode is a

time period in which the symptom criteria are fulfilled.

First episode, currently in partial remission: Partial remission is a time period

during which an improvement after a previous episode is maintained and in

which the defining criteria of the disorder are only partially fulfilled.

First episode, currently in full remission: Full remission is a period of time

after a previous episode during which no disorder-specific symptoms are

present.

Multiple episodes, currently in acute episode

Multiple episodes, currently in partial remission

Multiple episodes, currently in full remission

Continuous: Symptoms fulfilling the diagnostic symptom criteria of the disorder

are remaining for the majority of the illness course, with subthreshold symptom

periods being very brief relative to the overall course.

UnspecifiedSpecify current severity:

Severity is rated by a quantitative assessment of the primary symptoms of

psychosis, including delusions, hallucinations, disorganized speech, abnormal

psychomotor

Substance/Medication-Induced Psychotic Disorder

Presence of one or both of the following symptoms:

1. Delusions.

2. Hallucinations.

B. There is evidence from the history, physical examination, or laboratory findings

of both (1) and (2):

psychotic symptoms (hallucinations, disorders) emerge due to substance intozication. withdrawl.

1. The symptoms in Criterion A developed during or soon after substance

intoxication or withdrawal or after exposure to or withdrawal from a

medication.

2. The involved substance/medication is capable of producing the symptoms in

Criterion A.

C. The disturbance is not better explained by a psychotic disorder that is not

substance/medication-induced. Such evidence of an independent psychotic

disorder could include the following:

The symptoms preceded the onset of the substance/medication use; the

symptoms persist for a substantial period of time (e.g., about 1 month) after

the cessation of acute withdrawal or severe intoxication; or there is other

evidence of an independent non-substance/medication-induced psychotic

disorder (e.g., a history of recurrent non-substance/medication-related

episodes).

D. The disturbance does not occur exclusively during the course of a delirium.

E. The disturbance causes clinically significant distress or impairment in social,

occupational, or other important areas of functioning.

psychotic disorder due to another medical condition

psychotic symptoms arise as a result of a medical condition. specify: with delusions or with hallucinations

cataonia associated with another mental disorder

catanic symptoms such as motoric immobility or excessive motor activity are present in the context of another mental disorder

catanoia disorder due to another medical condition

catanoic symptons are directly caused by a medical condition

unspecified catanoia

diagnosis is applied when catanic symptoms are present and causing distress or impairment, but do not fit in catanic related disorders

other specified schizophrenia spectrum and other psychotic disorder

this diagnosis included presentation of psychotic symptoms that do not fit neatly into the other defined catefories

unspecified schizophrena spectrum and other psychotic disorder

symptomns do not meet criteria doe any specific psychotic disorders but still cause impairment

substance/ medicaion induced bipolar and related disorder

mood episodes are caused by substance intoxication, withdrawl or medication

bipolar and related disorder due to anpther medical condition

mood disturbances are directly attributed to psychological effects of medical condition

disruptive mood dysregulation disorder

category: depressive disorders

found in children who experience severe and frequent temper outburts that are out of proportion for the situations. the mood between outburts is consistentitly angry.

major depressive disorder

category: depressive disorders

persistent feelings of sadness, loss of interests, changes in appetite, sleep pattern, fatigue, feelings of worthlessness. must experience for 2 weeks.

persistent depressive disorder

category: depressive disorders

low grade depression lasting for 2 years. less severe than Mdd.

premenustral dysphoric disorder

category: depressive disorders

severe mood disturbances that occur in the week before menustration and improve once period begins. symptoms include mood swings, irriability, anxiety, bloating

substance/ medication induced depressive disorder

category: depressive disorders

depressive symptoms due to substance intoxication or withdrawl

depressive disorder due to another medical condition

category: depressive disorders

depressive symptoms emerge as a direct result of a medical condition such as neurological disorder or endocrine disorder

other specicified depressive disorder

preentations of depressive symptoms that do not fit nearly into other defined caegories but still warrent attention

seperation anxiety disorder

category: anxiety disorder

primairly diagnosed in children. excessive distress and anxiety related to the seperation of attachment figures or home.

selective mutism

category: depressive disorders

consistent failure to speek in specific social situations despire speaking in other settings. due to anxiety and discomfort

specific phobia

category: depressive disorders

intense and irrational fear of a specific object or situation such as heights, animals or flying. causes immediate anxiety and avoidiance

social anxiety disorder

category: depressive disorders

intense fear and anxiety in social situations due to the fear of being judged, embarassed or humilated.

panic disorder

category: depressive disorders

recurrent and unexpected panic attacks (intense periods of fear) that reach a peak within minutes. can be accompianed by physical symptoms.

agoraphobia

fear of situations where escape might be difficult or help might not be available. avoid situations that trigger fear

generalised anxiety disorder

excessive and persistent worry and anxiety around various life situations or events. worry is difficult to control.

obsessive compulsive disorder

category: obsessive compulsive and related disorders

prescence of obsessions and compulsions. obsessions are intrusive and distressing thoights, images or urges. compulsions are repetitive behavios or mental acts peformed to alleviate the distress

body dysmorphic disorder

category: obsessive compulsive and related disorders

intense pre occupation with percieved flaws or defects in their physical appearence. distress and behaviors like mirror checking

hoarding disorder

category: obsessive compulsive and related disorders

excessively communicate and struggle to discard posessions. leads to clutter that impacts living situations

trichotillomania

category: obsessive compulsive and related disorders

hair pulling. repetively pull out their own hair. usually driven by tension or an urge to alleviate distress

exoriciation

category: obsessive compulsive and related disorders

skin picking disorder. recurrent and compulsive picking of ones skin. urge o rempove percieved inperfections or relieve tension.

reactive attachment disorder

category: trauma and stressor related disorders

significantly disrupted and developmentally inappropiate social interactions due to early neglect or other trauma. struggle to form emotional bonds. diagnosed in children

disinhibited social engagement disorder

category: trauma and stressor related disorders

diagnosed in children. patern of overly familiar behavior with unfamiliar individuals, often due to a history of neglect. lacks appropiate social boundaries

post traumatic stress disorder

category: trauma and stressor related disorders

after exposure to a traumatic event causing symptoms like intrusive memoties, nightmares, flashbacks, avoidance of reminders

acute stress disorder

category: trauma and stressor related disorders

similar to ptsd. involves symptoms after exposure to traumatic event. last up to a month

adjustment disorder

category: trauma and stressor related disorders

emotional or behavioral symptoms that arise in response to an identifiable stressor. stressor impact exceeds what is typically expected

prolonged grief disorder

category: trauma and stressor related disorders

intense and prolonged form of grief that extends beyond the expected period of mourning. persistent and severe longing. at least one year.

dissociative identity disorder

category: dissociative disorder

the precense of two or more distinct identity states that control an indivuals behaviors, thoughts and feelings. gaps in memory between states

dissociative amnesia

category: dissociative disorder

memory gaps related to personal information, can be specific time period, event or general