DSM-5 Criteria

intellectual disability

A) Deficits in intellectual functions demonstrated through testing

B) Deficits in adaptive functioning

C) Onset in the developmental period

Mild, Moderate, Severe, Profound

Language Disorder

A) Persistent difficulties in the acquisition and use of language

B) Language abilities are quantifiably below those expected by age

C) Onset in developmental period

D) Not attributable to hearing or other sensory impairment

Speech sound disorder

A) Difficulty with speech sound production that interferes with verbal communication

B) Disturbance causes limitations in effective communications

C) Onset in developmental period

D) Not attributable to congenital or acquired conditions

Autism Spectrum Disorder

A) Deficits in social communication and interaction across multiple contexts
1. Social-emotional reciprocity
2. Nonverbal communication
3. Developing, maintaining, understanding relationships.

B) Restricted, repetitive patterns of behavior. Requires at least two of...
1. Stereotyped or repetitive motor movements
2. Insistence of sameness, inflexible routines, ritualized patterns.
3. Highly restricted, fixated interests of abnormal intensity/focus
4. Hyper or Hyporeactivity to sensory input

C) Sx present in early developmental period

D) Sx cause clinically significant impairment

E) Sx not better explained by ID

Attention Deficit/Hyperactivity Disorder

A) Pattern of inattention and/or hyperactivity impulsivity that interferes with function. At least six criteria for under the inattention/hyperactivity categories must be met.

B) Several of the Sx were present prior to the age of 12

C) Several of the Sx are present in two or more settings

D) Clear evidence that Sx interfere with functioning

E) Sx do not occur exclusively in the course of psychotic disorders and are not better explained by other disorders

Specific Learning Disorder

A) Difficulties learning and using academic skills in at least one of six categories that have persisted at least 6 months (word reading, reading comprehension, spelling, written expression, number sense, mathematical reasoning.

B) Affected skills are quantifiably below expectations by age

C) Difficulty began in school years

D) Not better accounted for by LDs, sensory issues, mental/neurological issues, psychosocial adversity, lack of academic instruction.

Delusional Disorder

A) One or more delusions for a month or more

B) Criterion A for schizophrenia never met (if hallucinations are present, they are not prominent and are related to delusional theme).

C) Functioning not markedly impaired beyond delusions and behavior is not obviously bizarre or odd

D) If manic or MDD episodes have occurred, they are brief relative to delusional periods.

E) Disturbance s not attributable to substance use or another disorder.

Brief Psychotic Disorder

A) one (or more) of delusions: hallucinations, disorganized speech, disorganized or catatonic behavior.

B) Longer than a day, shorter than one month, with eventual return to premorbid function

C) Not better explained by another disorder

Schizophreniform Disorder

A) Two of the following for a one month period: delusions, hallucinations, disorganized speech, disorganized or cationic behavior, negative symptoms

B) At least one month but less than 6

C) Not attributable to other psychotic disorder

D) Not attributable to substance or medical condition

Schizophrenia

A) two or more (at least one of the first three); delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, negative symptoms

B) level of function in social/work/academic/self-care markedly declines

C) continuous signs of disturbances for 6 months, with criteria A symptoms lasting at least one month.

D) Not due to schizoaffective, depressive, or bipolar disorders. Meaning no depressive/manic episodes during symptoms; or mood episodes occurred a minority of the time.

E) Not due to substance or medical condition

F) If neurodevelopmental conditions (Autism or communication disorder) were present, additional delusions/hallucinations must be present at least one month

Schizoaffective Disorder

A) Uninterrupted period of illness during which there is a major mood disorder concurrent with criterion A of schizophrenia.

B) Delusions or hallucinations for 2 or more weeks in the absence of of a mood episode during the lifetime duration of the illness

C) Symptoms that meet criteria for mood episode are present for the majority of the total duration of the active and residual portions of the illness

D) Not due to substance or medical issues

manic episode

A) Distinct period of abnormally elevated/irritable mood, increased goal-directed behavior, at least 1 week for most of the day.

B) During mood disturbance three or more; increased self-esteem, decreased need for sleep, pressured talking, flight of ideas, distractibility, increased goal-directed, behavior or psychomotor agitation, excessive involvement in risky behavior

C) Mood disturbance causes impairment

D) not due to substance or medical issues

Hypomanic

A) Distinct period of abnormally and persistently elevated/irritable mood, increased activity, for at least four days most of the day.

B) During mood disturbance, three or more: increased self-esteem, decreased need for sleep, pressured talking, flight of ideas, distractibility, increased goal-directed behavior or psychomotor agitation, excessive involvement in risky behavior

C) Change is uncharacteristic of the individual when not symptomatic

D) Change in function noticed by others

E) not severe enough to necessitate hospitalization. No psychotic issues (those make it manic)

F) not due to substance or other medical issues

Bipolar I

Must meet criteria for a manic episode. May have been preceded by and/or followed by hypomanic or depressive episodes.

Bipolar II

Must meet criteria for hypomanic episode and a depressive episode

Cyclothymic Disorder

A) Numerous period over two years (one in children and adolescents) with hypomanic symptoms but below criteria for an episode and numerous periods of depressive symptoms but below criteria for an episode

B) During that period, the hypomanic/depressive periods have been present for at least half the tome, never more than 2 months without symptoms.

C) Criteria for depressive, manic, hypomanic episodes never met.

D) Criterion A not better explained by psychotic disorder

E) Not due to substance or mother medical issues

F) symptoms cause clinically significant distress

Disruptive Mood Dysregulation Disorder

A) Temper outbursts out of proportion to provocation

B) outbursts are inconsistent with developmental level

C) Outbursts 3 or more times per week

D) Mood between outbursts is irritable or angry most of the day, nearly every day

E) Criteria A-D present more than 12 months. never 3 months without symptoms

F) Criteria A-D present in at least 2/3 (home, school, with peers) and severe in at least one

G) Diagnosis should not be made for th first time before age 6 or after 18.

H) the of onset before 10

I) No period of more than a day with full manic/hypomanic episode

J) Behaviors do not occur exclusively during depressive episode or caused by another disorder

K) not due to substance or other medical issues

Major depressive disorder

A) 5 or more during a two week period (1 or 2 must be present)

1. Depressed mood most of the day, nearly every day

2. Anhedonia

3. Significant weight loss/gain

4. insomnia/hypersomnia

5. psychomotor agitation/retardation

6. fatigue or loss of energy

7. worthlessness or excessive guilt

8. unable to concentrate or indecisiveness

9. current thoughts of death

B) symptoms cause clinically significant distress

C) not due to substance or other medical issues

Persistent Depressive Disorder (dysthymia)

A) Depressed mood most of the day, more days than not, two years or more

B) Two or more

1. Poor appetite or overeating

2. insomnia or hypersonic

3. low energy or fatigue

4. low self-esteem

5. poor concentration or indeicison

6. hopelessness

C) during the two years (one year for children or adolescents), never more than two months without symptoms

D) criteria for a major depressive disorder may be present

E) No manic/hypomanic episodes - doesn’t meet cyclothymic

F) not due to psychotic disorder

G) not due to substance or other medical issues

H) clinically significant distress

Separation anxiety disorder

A) Developmentally inappropriate fear/anxiety concerning separation from those to whom the individual is attached at least 3:

1. Excessive distress anticipating/experiencing separation

2. Worry about losing others

3. Worry of getting lost, being kidnapped, becoming ill that will cause separation

4. Reluctance/refusal to go out, away from home

5. Fear/reluctance about being alone

6. Reluctance/refusal to sleep without attachment figures

7. Nightmares of separation

8. physical symptoms when separated

B) At least four weeks in children/adolescents and typically 6 months in adults

C) clinically significant distress

D) not due to other mental, medial, or substance concern

Selective mutism

A) failure to speak in specific social situations for which there is an expectation to talk

B) interferes with educational or occupational achievement or social communication

C) at least one month

D) not due to talk of knowledge of spoken language

E) not explained by communication disorder

Specific phobia

A) fear or anxiety about a specific object or situation

B) Almost always provokes immediate fear or anxiety

C) Actively avoided

D) Out of proportion to actual danger

E) 6 months or more

F) clinically significant impairment

G) Not due to other mental, medical or substance concern

Social anxiety disorder

A) fear about social situations where one is exposed to possible scrutiny

B) fears that they will act in a way or show anxiety symptoms that will be negatively evaluated by others

C) Social situations almost always provoke fear or anxiety

D) social situations are avoided or endured with intense fear/anxiety

E) Disproportionate to threat

F) 6 months or more

G) Clinically significant distress

H) Not due to substance

I) not due to another mental disorder

J) if a medical condition is present, fear/anyxiety is clearly unrelated

Panic disorder

A) Recurrent unexpected panic attacks of four or more symptoms

1. Palpitations or rapid heart rate

2. sweating

3. trembling or shaking

4. shortness of breath or smothering

5. feelings of choking

6. chest pain or discofort

7. nausea or abdominal distress

8. dizziness, light-headedness, or faitness

9. Chills or heat sensations

10. numbness or tingling (parethesias)

11. Derealization (feeling unreal) or

12. Depersonalization (feeling detached from self)

13. Fear of losing control or “going crazy”

14. fear of dying

B) At least one attack followed by 1 or more month of either/both persistent worry about additional attacks and/or maladaptive change in behavior related to attacks

C) not due to substance or other medical issues

D) not due to other mental disorder

Agoraphobia

A) fear of anxiety about two or more

1. Public transit

2. open spaces

3. enclosed spaces

4. lines or crowds

5. outside of the home alone

B) fear is due to thoughts that escape would be difficult

C) Almost always provoke fear/anxiety

D) Active avoidance, need for a companion

E) out of proportion to actual threat

F) 6 months or more

G) clinically significant distress

H) if another medical condition is present, distress is excessive

I) not due to mental disorder

Generalized anxiety disorder

A) excessive anxiety or worry more days than not for at least 6 months

B) difficulty controlling the worry

C three or more

1. restlessness

2. fatigued

3. concentration

4. irritability

5. muscle tension

6. sleep disturbance

D) clinically significant distress

E) not due to substance or other medical issues

F) not due to mental disorder

Obsession

At least 1

1) recurrent and persistent thoughts, urges, or images that are intrusive and unwanted causing anxiety or distress

2) attempts to ignore or suppress the thoughts

Compulsion

Both:

1) repetitive behaviors in response to an obsession or according to rules that must be applied rigidly

2) behaviors or mental acts are to prevent or reduce anxiety or distress related to a dreaded situation, but there is no logical connection

Obsessive-compulsive disorder

A) obsessions, compulsions, or both

B) obsessions or compulsions are time-consuming or cause clinically significant distress

C) not due to substance

D) not due to another mental disorder

Body Dysmorphic Disorder

A) preoccupation with one or more perceived defects or flaws in physical appearance that are not observable to others

B) Repetitive behaviors (comparing appearance to others) in response to appearance concerns

C) clinically significant distress

D) not due to body fat or weight concerns

Hoarding disorder

A) difficulty discarding possessions regardless of value

B) Perceived need to save items or avoid distress throwing them away

C) Accumulation of possessions that congest living areas

D) clinically significant distress

E) Not due to other medical issue

F) not due to mental issue

Trichotillomania

A) Pulling of hair resulting in hair loss

B) Repeated attempts to decrease or stop

C) Clinically significant distress

D) Not due to medical condition '

E) not due to other meantal

Excoriation

A) Picking of skin resulting in skin lesions

B) Repeated attempts to decrease or stop

C) clinically significant distress

D) Not due to medical condition

E) Not due to other mental

Reactive attachment disorder

A) inhibited, emotionally withdrawn behavior toward adult caregiver

B) Social and emotional disturbance

C) child experienced a pattern of extremes of insufficient care

D) Criterion C is presumed to be responsible for Criterion A

E) not due to ASD

F) evident before 5 years old

G) Developmental age of at least 9 months

Posttrumatic stress disorder

A) Exposure to actual or threatened death, serious injury, or sexual violence

B) One or more intrusion symptoms: memories, dreams, dissociative reaction, distress at cues

C) avoidance of stimuli

D) negative alterations in cognition or mood

E) Alterations in arousal/reactivity

F) More than one month

G) clinically significant distress

H) Not due to substance or other medical issues

Acute Stress Disorder

PTSD symptoms but UNDER one month

Adjustment disorder

A) emotional or behavioral symptoms in response to an identifiable stressor

B) Clinically significant

C) Does not meet criteria for another disorder

D) not normal bereavement

E) Symptoms remit within 6 months after removal/resolution of the stressor

Dissociative identity disorder

A) Disruption of identity by two or more distinct personality states. Some cultures describe as possession. Marked discontinuity in sense of self and agency

B) Gaps in the recall of everyday events and important information

Somatic symptom disorder

A) One or more somatic symptom that are distressing

B) Excessive thoughts, feelings, behaviors associated with health concerns

C) State of being is persistent (typically 6 or more months)

Illness anxiety disorder

A) preoccupation with having or coming down with a serious medical condition

B) No somatic symptoms present

C) high health anxiety

D) Excessive health-related behaviors

E) 6 or more months

Conversion Disorder

A) one or more symptoms altered voluntary motor or sensory function

B) no evidence of neurological or medical condition

Pica

Compulsive eating of nonnutritive substances such as clay or ice

Avoidant/restrictive food intake disorder

A) persistent failure to meet nutritional needs

B) Not due to lack of food availability

C) not exclusive to anorexia or bulimia

Anorexia Nervosa

A) restriction of energy intake leading to significantly low body weight

B) Intense fear of gaining weight

C) disturbance in expereince of body weight or shape

Bulimia Nervosa

A) episodes of binge eating

B) Compensatory behaviors

C) Once a week for three months

D) Self-evaluation is unduly influenced by body shape and weight

Binge eating disorder

A) recurrent binges characterized by:

eating in a discrete period (2 hours), an amount of food definitely larger than most people would eat, a sense of lack of control over eating during the episode (feeling unable to stop or control how much they’re eating)

B) The binge-eating episodes are associated with at least 3 of the following:

eating until feeling uncomfortably full, eating large amounts of food when not physically hungry, eating alone because of embarrassment over how much is eaten, feeling disgusted with oneself, depressed, or very guilty afterward

C) marked distress

D) episode at least once a week for 3 months

E) The binge eating is not associated with recurrent use of inappropriate compensatory behaviors ( purging, fasting, excessive exercise) and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa

Insomnia

A) dissatisfaction with sleep quantity or quality

B) clinical impairment

C) three nights per week

D) three months at least

E) adequate opportunity for sleep

Hypersomnolence disorder

A) Excessive sleepiness despite 7 or more hours of sleep

B) 3 times per week, three months

Narcolepsy

A) periods of irrepressible need to sleep, lapsing into sleep, or napping

Circadian rhythm sleep-wake disorder

A) sleep disruption primarily due to alteration of circadian system or misalignment of endogenous sleep-wake cycle

gender dysphoria

A) a marked incongruence between ones experienced/expressed gender and assigned gender of at least 6 months

1. A strong desire to be of another gender

2. A strong desire to be treated as another gender

3. A strong desire for the sexual characteristics of another gender

4. A strong desire to be rid of ones own sexual characteristics

5. A strong conviction that one has the typical feelings and reactions of another gender.

6. A strong preference for roles, clothing, or activities typically associated with another gender

7. A marked incongruence between ones physical sex characteristics and experienced gender

For children, 6 of 8 critical items must be present. For adults and adolescents, two of six items.

Oppositional defiant disorder

A) pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness of at least 6 months

often starts very young (pre-school). can occur in just one setting, but generally impacts functioning elsewhere.

Often precedes CD

DMDD outbursts are emotionally driven/congruent

ODD outbursts have an intent behind them (scare people) and it is not usual for the features to present without problems of negative mood

CD: matter of severity. ODD doesn’t include aggression towards dense include aggression towards people/animals, destruction of property, or theft

IED: IED will show aggression towards people, which isn’t the case in ODD

Intermittent explosive disorder

A) recurrent behavioral outbursts representing a failure to control aggressive impulses. Manifested by verbal/physical aggression, damaging property, assault

B) grossly disproprionate to the provocation

C) not premeditated

D) at least 6 years old

these are short outbursts (typically under 30min) with no prodromal stage, but there may be slightly less severe outbursts between

conduct disorder

A) repetitive pattern of violating the basic rights of others or societal norms

Could be: aggression to people and animals, destruction of property, deceitfulness or theft, serious violations of rules

DMDD is mood related

ODD/IED are impulsive

CD people are consistently and intentionally jerks

Alcohol use disorder, cannabis use disorder, most any use disorder

A) Two or more:
1) Taken in larger amounts or longer period than intended
2) Desire/unsuccessful efforts to cut down use
3) Great deal of time spent trying to obtain, use, or recover from alcohol use
4) Cravings
5) Failures at work, home, or school
6) Social or interpersonal problems due to use
7) Giving up social, occupational, or recreational activities
8) Use in hazardous scenarios
9) Continued use despite knowledge of problems
10) Tolerance
11) Withdrawal

Major/Mild Neurocognitive Disorder

Significant cognitive decline from previous function

Requires evidence (tests, performance indicators, etc.).

Specifies whether due to common dementias.

Paranoid, Schizoid, Schizotypal

Odd or eccentric personalities.

Cluster A Personality Disorders

Antisocial, Borderline, Histrionic, Narcissistic

Dramatic, emotional, or erratic.

Cluster B Personality Disorders

Avoidant, Dependent, Obsessive-Compulsive

Anxious or fearful

Cluster C Personality Disorders

Paranoid personality disorder

Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent

Schizoid personality disorder

a pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings

Schizotypal personality disorder

A pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior.

antisocial personality disorder

A pervasive pattern of disregard for and violation of the rights of others, occurring since the age of 15.

borderline personality disorder

a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity

Histrionic personality disorder

A pervasive pattern of excessive emotion and attention seeking

Narcissistic personality disorder

A pervasive pattern of grandiosity, need for admiration, and lack of empathy

avoidant personality disorder

a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation

dependent personality disorder

a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation

obsessive-compulsive personality disorder

a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility , openness, and efficiency

factitious disorder

A) Falsification of physical or psychological signs or symptoms, or induction of injury or diseases, associated with identified deception

B) The individual presents themselves to others as ill, impaired, or injured

C) The deceptive behavior is evident even in the absence of obvious external rewards

D) The behavior is not better explained by another mental disorder

malingering

Intentionally faking or exaggerating symptoms for a specific, external gain (e.g., avoiding work, obtaining financial compensation, evading criminal prosecution).

Premenstrual Dysphoric Disorder (PMDD)

A. At least 5 symptoms must be present in the final week before the onset of menses, start to improve within a few days after the onset, and become minimal or absent in the week post-menses.

B. At least one of the following (mood-related) symptoms:

1. Marked affective lability (e.g., mood swings, sudden sadness or tearfulness)

2. Marked irritability or anger or increased interpersonal conflicts

3. Marked depressed mood, hopelessness, or self-deprecating thoughts

4. Marked anxiety, tension, or feelings of being keyed up or on edge

C. Additionally, one (or more) of the following to reach a total of 5 symptoms:

5. Decreased interest in usual activities (work, school, friends)

6. Difficulty in concentration

7. Lethargy, fatigue, or low energy

8. Change in appetite (overeating or food cravings)

9. Hypersomnia or insomnia

10. Feeling overwhelmed or out of control

11. Physical symptoms (e.g., breast tenderness, joint/muscle pain, bloating, weight gain)

D. The symptoms cause clinically significant distress or interference with work, school, usual activities, or relationships.E. Symptoms are not due to another disorder, such as major depressive disorder or a personality disorder (though PMDD may co-occur).F. Symptoms must be confirmed by prospective daily ratings during at least two symptomatic cycles.

Disinhibited Social Engagement Disorder

A. A pattern of behavior in which a child actively approaches and interacts with unfamiliar adults, exhibiting at least twoof the following:

1. Reduced or absent reticence in approaching and interacting with unfamiliar adults.

2. Overly familiar verbal or physical behavior that is not consistent with culturally sanctioned and age-appropriate social boundaries.

3. Diminished or absent checking back with adult caregiver after venturing away, even in unfamiliar settings.

4. Willingness to go off with an unfamiliar adult with minimal or no hesitation.

B. The behaviors in Criterion A are not limited to impulsivity (as in Attention-Deficit/Hyperactivity Disorder) but include socially disinhibited behavior.

C. The child has experienced a pattern of extremes of insufficient care as evidenced by at least one of the following:

• Social neglect or deprivation in the form of persistent lack of having basic emotional needs for comfort, stimulation, and affection met by caregiving adults.

• Repeated changes of primary caregivers that limit opportunities to form stable attachments (e.g., frequent changes in foster care).

• Rearing in unusual settings that severely limit opportunities to form selective attachments (e.g., institutions with high child-to-caregiver ratios).

D. The care in Criterion C is presumed to be responsible for the disturbed behavior in Criterion A (e.g., the disturbances began following the inadequate care).

E. The child has a developmental age of at least 9 months.

Dissociative Amnesia

A. An inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting.

• This can include localized amnesia (specific event or period), selective amnesia (certain aspects of an event), or generalized amnesia (entire life history – rare).

B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. The disturbance is not attributable to the physiological effects of a substance (e.g., alcohol, drugs) or a neurological or other medical condition (e.g., seizures, head injury).

D. The disturbance is not better explained by dissociative identity disorder, posttraumatic stress disorder, acute stress disorder, somatic symptom disorder, or major or mild neurocognitive disorder.

Depersonalization/Derealization Disorder

A. The presence of persistent or recurrent experiences of one or both of the following:

1. Depersonalization: Experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body, or actions (e.g., perceptual alterations, distorted sense of time, unreal or absent self, emotional and/or physical numbing).

2. Derealization: Experiences of unreality or detachment with respect to surroundings (e.g., individuals or objects are experienced as unreal, dreamlike, foggy, lifeless, or visually distorted).

B. During the depersonalization or derealization experiences, reality testing remains intact.

C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The disturbance is not attributable to the physiological effects of a substance (e.g., drug abuse, medication) or another medical condition (e.g., seizures).

E. The disturbance is not better explained by another mental disorder, such as schizophrenia, panic disorder, major depressive disorder, acute stress disorder, posttraumatic stress disorder, or another dissociative disorder.

rumination disorder

A. Repeated regurgitation of food over a period of at least 1 month.
This may include:

• Re-chewing,

• Re-swallowing, or

• Spitting out the food.

B. The repeated regurgitation is not attributable to an associated gastrointestinal or other medical condition (e.g., gastroesophageal reflux, pyloric stenosis).

C. The behavior does not occur exclusively during the course of anorexia nervosa, bulimia nervosa, binge-eating disorder, or avoidant/restrictive food intake disorder.

D. If the symptoms occur in the context of another mental disorder (e.g., intellectual disability or neurodevelopmental disorder), they are severe enough to warrant additional clinical attention.

Enuresis

Repeated urination into bed/clothes

At least twice a week for 3 months (or significant distress)

Child is at least 5 years old

No medical cause

Encopresis

Repeated passage of feces into inappropriate places

At least once a month for 3 months

Child is at least 4 years old

No medical cause

pyromania

Deliberate fire-setting

Pleasure or relief from the act

No external reward (not for revenge, money, etc.)

Kleptomania

Recurrent, irresistible stealing

Not out of necessity

Tension before, relief after

Stimulant Intoxication

A. Recent use of a stimulant (e.g., amphetamine, cocaine, or another stimulant).

B. Clinically significant problematic behavioral or psychological changes (e.g., euphoria or affective blunting; changes in sociability; hypervigilance; interpersonal sensitivity; anxiety, tension, or anger; stereotyped behaviors; impaired judgment) that develop during or shortly after stimulant use.

C. Two (or more) of the following signs or symptoms, developing during or shortly after stimulant use:

1. Tachycardia or bradycardia

2. Pupillary dilation

3. Elevated or lowered blood pressure

4. Perspiration or chills

5. Nausea or vomiting

6. Evidence of weight loss

7. Psychomotor agitation or retardation

8. Muscular weakness, respiratory depression, chest pain, or cardiac arrhythmias

9. Confusion, seizures, dyskinesias, dystonias, or coma

D. The symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication with another substance.

Delirium

A. A disturbance in attention (i.e., reduced ability to direct, focus, sustain, and shift attention) and awareness (reduced orientation to the environment).

B. The disturbance develops over a short period of time (usually hours to a few days), represents a change from baseline attention and awareness, and tends to fluctuate in severity during the course of a day.

C. An additional disturbance in cognition (e.g., memory deficit, disorientation, language, visuospatial ability, or perception).

D. The disturbances in Criteria A and C are not better explained by another preexisting, established, or evolving neurocognitive disorder and do not occur in the context of a severely reduced level of arousal (e.g., coma).

E. There is evidence from the history, physical examination, or laboratory findings that the disturbance is a direct physiological consequence of another medical condition, substance intoxication or withdrawal, exposure to a toxin, or is due to multiple causes.