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DSM-5 STUDY GUIDE

ANXIETY DISORDERS
 Excessive fear and anxiety and related behavioral disturbances
 Fear – emotional response to real or perceived imminent threat (e.g. arousal for
fight or flight, thoughts of immediate danger, escape behaviors)
 Anxiety – anticipation of future threat (e.g. muscle tension, vigilance, cautious or
avoidant behaviors)
 Panic attack – particular type of fear response prominent within anxiety
disorders
 Anxiety disorders are best differentiated by the types of situations feared or
avoided and content of associated thoughts or beliefs
 Transient fear or anxiety (often stress-induced and temporary) vs. Anxiety
disorder (persistent, usually 6 months or more)
 Fear or anxiety is excessive or out of proportion
 Sex Ratio: Female-Male: 2:1
 Panic attacks (may be expected – response to typically feared object or
situation; unexpected – occurs for no apparent reason)
 Generalized Anxiety Disorder – persistent and excessive anxiety and worry
about various domains which are difficult to control in addition to physical
symptoms such as restlessness, easily fatigued, difficulty concentrating,
irritability, muscle tension and sleep disturbance
 Panic Disorder – recurrent unexpected panic attacks and persistently worried
of having more panic attacks which may cause maladaptive behaviors
 Agoraphobia – fear and anxiety of “unsafe” situations (e.g. public
transportation, open spaces, enclosed places, standing in line or being in a
crowd, being outside home alone) where panic-like symptoms may occur and
help or escape is unlikely
 Specific Phobia – fear, anxiety or avoidance of circumscribed objects or
situations that is out of proportion to actual risk (subtypes: animal, natural
environment, blood-injection-injury, situational, other)
 Social Anxiety Disorder (Social Phobia) – fear, anxiety or avoidance of
social interactions and situations where scrutiny is possible in addition to
cognitive ideation of being negatively evaluated or offending others
 Separation Anxiety Disorder – fear or anxiety about developmentally
inappropriate separation from attachment figures; nightmares and physical
symptoms may be present
 Selective Mutism – consistent failure to speak in social situations even though
individual speaks in other situations which leads to significant consequences on
achievement or interferes social communication (usually diagnosed in addition
to social anxiety disorder)
 Substance/Medication-Induced Anxiety Disorder – anxiety due to
substance intoxication or withdrawal or exposure to a medication treatment
 Anxiety Disorder Due to Another Medical Condition – anxiety symptoms
are direct pathophysiological consequence of another medical condition
 Other Specified Anxiety Disorder – anxiety-like symptoms that cause
clinically significant distress or impairment but does not meet full criteria and
clinician specifies the reason (e.g. limited symptom attacks, generalized anxiety
not occurring more days than not)

Unspecified Anxiety Disorder - anxiety-like symptoms that cause clinically
significant distress or impairment but does not meet full criteria and clinician
does not choose to communicate the reason and there is insufficient information
to make more specific diagnosis (e.g. emergency room settings)
TRAUMA- AND STRESSOR-RELATED DISORDERS
 Psychological distress following exposure to a traumatic or stressful event is a
required criteria
 Most prominent characteristics are anhedonic and dysphoric symptoms,
aggressive symptoms or dissociative symptoms
 Generally more common in females
 Conditions associated with social neglect (inadequate care during childhood):
cognitive delays, language delays, developmental delays, stereotypies, reactive
attachment, disinhibited social engagement, malnutrition or poor care
 Reactive Attachment Disorder – expressed with depressive symptoms and
withdrawn behavior and compromised emotional regulation capacity which are
caused by serious social neglect
 Disinhibited Social Engagement Disorder – marked by culturally
inappropriate, overly familiar behavior with relative strangers which is caused
by serious social neglect
 Posttraumatic Stress Disorder – development of varying characteristics
symptoms (e.g. fear-based emotional and behavioral, anhedonic or dysphoric
mood and negative cognitions, arousal and reactive-externalizing) following
exposure to one or more traumatic events
 Acute Stress Disorder – PTSD symptoms lasting from 3 days to 1 month
following exposure to the traumatic event/s
 Adjustment Disorders – presence of emotional or behavioral symptoms in
response to an identifiable stressor; may be single/multiple,
recurrent/continuous
 Other Specified Trauma- and Stressor Related Disorder – trauma- and
stressor-like symptoms that cause clinically significant distress or impairment
but do not meet full criteria and clinician specifies the reason (ex. Persistent
complex bereavement disorder, adjustment-like disorders with delayed onset of
symptoms that occur more than 3 months after the stressor, ataque de nervios)
 Unspecified Trauma- and Stressor Related Disorder – trauma- and
stressor-like symptoms that cause clinically significant distress or impairment
but do not meet full criteria and clinician chooses not to specify the reason and
there is insufficient information to make more specific diagnosis (e.g.
emergency room settings)

OBSESSIVE-COMPULSIVE AND RELATED DISORDERS
 Presence of obsessions (e.g. recurrent and persistent, intrusive thoughts, urges
or images) and compulsions (e.g. repetitive behaviors or mental acts driven in
response to obsessions)
 Obsessive-Compulsive Disorder – repetitive and persistent, time-consuming
intrusive obsessions (which individual attempts to ignore or suppress) by means
of compulsions; common dimensions: cleaning, symmetry, forbidden thoughts
(sex/aggression/religion) and harm

g. obsessional jealousy) Unspecified Obsessive-Compulsive and Related Disorder – obsessivecompulsive-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason and there is insufficient information to make more specific diagnosis (e. body-focused repetitive disorder. cognitive: attention.g. feelings and behaviors in response to them  Commonly encountered in primary care and other medical settings than mental health settings  Highly comorbid with depression and anxiety disorders and medical disorders  Somatic Symptom Disorder – multiple. current. emergency room settings) SOMATIC SYMPTOM AND RELATED DISORDERS  Emphasis on the distressing (positive) somatic symptoms plus abnormal thoughts. worry and fear. assuming a “sick role” and in the absence of obvious external rewards .        Body Dysmorphic Disorder – cognitive symptom related to perceived defects or flaws in physical appearance and repetitive behaviors or mental acts in response to appearance concerns Hoarding Disorder – cognitive symptom related to perceived need to save possessions Trichotillomania (Hair-Pulling Disorder) – recurrent and repetitive hairpulling behaviors resulting in hair loss and repeated attempts to decrease or stop hair-pulling Excoriation (Skin-Picking Disorder) – recurrent and repetitive skin-picking behaviors resulting in skin lesions and repeated attempts to decrease or stop skin-picking Substance/Medication-Induced Obsessive-Compulsive and Related Disorder – obsessive-compulsive symptoms due to substance intoxication/withdrawal or to a medication Obsessive-Compulsive and Related Disorder Due to Another Medical Condition – obsessive-compulsive-like symptoms that are direct pathophysiological consequence of medical disorder Other Specified Obsessive-Compulsive and Related Disorder – obsessivecompulsive-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. somatic symptoms (e. injury or disease to others.g. behavioral: repeated check-up) that cause clinically significant distress or impairment and may or may not be medically explained  Illness Anxiety Disorder (Hypochondriasis) – enduring preoccupation of having or acquiring serious illness and extensive worries about one’s health (illness becomes part of identity) but no or minimal somatic symptoms  Conversion Disorder (Functional Neurological Symptom Disorder) – neurological symptoms (loss of function) are found but incompatible with neurological pathophysiology  Factitious Disorder – falsification and presentation of symptoms.

death or disability Other Specified Somatic Symptom and Related Disorder . brief somatic symptom disorder.g.g.dissociative-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason and there is insufficient information to make more specific diagnosis (e. dissociative trance.   Psychological Factors Affecting Other Medical Conditions – one or more clinically significant psychological or behavioral factors that adversely affects medical condition by increasing risk for suffering. the predominant affect is feelings of emptiness and loss. perception. severe persistent (nonepisodic) irritability through frequent verbal and/or behavioral temper outbursts in response to frustration and persistent irritable or angry mood between the outbursts . localized (event or period of time) or selective (specific aspect of event) and may or may not involve dissociative fugue (purposeful travel or wandering)  Dissociative Identity Disorder – presence of two or more distinct personality states (or experience of possession) and recurrent episodes of amnesia  Other Specified Dissociative Disorder .g. empty or irritable mood accompanied by somatic and cognitive changes significantly affecting one’s capacity to function  In grief. memory. body representation. emergency room settings) DISSOCIATIVE DISORDERS  Disruption and/or discontinuity in normal integration of consciousness. identity.somatic-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. pseudocyesis) Unspecified Somatic Symptom and Related Disorder . motor control and behavior  Positive dissociated symptoms: fragmentation of identity. Negative dissociated symptoms: amnesia  Depersonalization/Derealization Disorder – persistent depersonalization (unreality or detachment from oneself) and/or derealization (unreality or detachment from one’s surroundings) accompanied by intact reality testing  Dissociative Amnesia – inability to recall autobiographical information which may be generalized (identity and life history).dissociative-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e.g. emotion. depersonalization and derealization. acute dissociative reactions to stressful events)  Unspecified Dissociative Disorder .somatic -like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason and there is insufficient information to make more specific diagnosis (e. brief illness anxiety disorder. in major depressive episode it is persistent depressed mood and inability to anticipate happiness or pleasure  Disruptive Mood Dysregulation Disorder – chronic. emergency room settings) DEPRESSIVE DISORDERS  Presence of sad.

nearly every day for at least 2 weeks  Highly comorbid with anxiety disorders (75%)  Bipolar I Disorder – at least one lifetime manic episode (hypomanic episode or major depressive episode may occur but not required)  Bipolar II Disorder – at least one hypomanic episode and at least one major depressive episode. dysphoria and anxiety symptoms accompanied by behavioral and physical symptoms that occur repeatedly during premenstrual phase and remit around onset of menses or shortly thereafter Substance/Medication-Induced Depressive Disorder – prominent and persistent depressed mood and/or anhedonia that developed during or soon after intoxication. for more days than not. expansive or irritable mood and abnormal. persistent increased goal-directed activity or energy most of the day. With peripartum onset.g. In full remission. irritability.        Major Depressive Disorder – persistent depressed mood and/or loss of interest or pleasure nearly most of the day every day for at least two weeks (plus 4 more symptoms) Persistent Depressive Disorder (Dysthymia) – depressed mood most of the day. for at least 2 years (plus 2 more symptoms) Premenstrual Dysphoric Disorder – mood lability. In partial remission. With seasonal pattern. Moderate. persistent elevated. With mixed features. never been a manic episode  Cyclothymic Disorder – numerous distinct sub-criteria periods with hypomanic symptoms and periods of depressive symptoms present at least half the time for at least 2 years (has not been without symptoms for more than 2 months at a time) . With atypical features. possibly due to insufficient information Specifiers: With anxious distress. nearly every day for at least 4 days plus 3 additional symptoms  Major depressive episode: depressed mood or loss of interest or pleasure and 4 additional symptoms most of the day. With melancholic features. recurrent brief depression. Severe BIPOLAR AND RELATED DISORDERS  Manic episode: abnormal. short-duration depressive episode (413 days). With psychotic features. withdrawal or exposure to substance/medication which is capable of producing said symptoms Depressive Disorder Due to Another Medical Condition – prominent and persistent depressed and/or anhedonia that is the direct pathophysiological consequence of another medical condition Other Specified Depressive Disorder – presentations of depressed mood with clinically significant impairment that do not meet criteria for duration or severity (e. With catatonia. nearly every day for at least one week (any duration if hospitalized) plus 3 additional symptoms  Hypomanic episode: abnormal. persistent increased goal-directed activity or energy most of the day. depressive episode with insufficient symptoms) Unspecified Depressive Disorder – presentations of depressed mood with clinically significant impairment that do not meet full criteria and clinician does not wish to specify the reason. Severity: Mild. expansive or irritable mood and abnormal. persistent elevated.

Amphetamine (or other stimulant). tangentiality (unrelated answers). hypomanic episode without prior major depressive episode. With mixed features. With psychotic features. Severe SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS  Abnormalities in at least one of the following domains:  Delusions: fixed beliefs not amenable to change in light of conflicting evidence. grandiose. referential. expansive or irritable mood and increased activity or energy that are the direct pathophysiological consequences of another medical condition (e. erotomanic. possibly due to insufficient information Specifiers – With anxious distress. may be persecutory.g. multiple sclerosis. Cocaine Exceptions: Case of hypomania/mania that occurs after and persists beyond physiological effects of antidepressant medication or treatment (such as ECT) Bipolar and Related Disorder Due to Another Medical Condition – prominent and persistent elevated. In full remission. hypnotic or anxiolytic. nihilistic.g. With peripartum onset. catatonia is marked decrease in reactivity to environment . stroke. Moderate. expansive or irritable mood and/or depressed mood or anhedonia that developed during or soon after intoxication. incoherence (word salad)  Grossly disorganized or abnormal motor behavior (including catatonia): ranges from childlike silliness to unpredictable agitation. With seasonal pattern. short-duration cyclothymia) Unspecified Bipolar and Related Disorder – bipolar-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason. With atypical features. traumatic brain injury) Other Specified Bipolar and Related Disorder – bipolar-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. In partial remission. Cushing’s disease. short-duration hypomanic episodes (2-3 days) and major depressive episodes. With rapid cycling. With catatonia.       Substance/Medication-Induced Bipolar and Related Disorder – prominent and persistent elevated. withdrawal or exposure to substance/medication which is capable of producing said symptoms Known Substances/Medications: Sedative. With melancholic features. Mild. somatic or bizarre  Hallucinations: involuntary vivid and clear perception-like experiences that occur without an external stimulus and in the context of clear sensorium  Disorganized thinking (formal thought disorder): inferred from one’s speech such as in derailment or loose association (switching of topics).

even resistance to positioning by examiner Mutism: no. Other hallucinogen. hyper-hypoadrenocorticism). hepatic or renal diseases and autoimmune disorders with CNS involvement (lupus) Catatonia: presence of 3 or more of 12 psychomotor features. may or may not be accompanied by grossly disorganized or catatonic behavior Schizophreniform Disorder – symptomatic presentation equivalent to schizophrenia but less than 6 months duration (more than 1 month) and decline in functioning not required Schizophrenia – presence of primary psychotic symptoms for a continuous period of at least 6 months accompanied by marked decline in functioning wherein an active phase occurred for at least 1 month for a significant portion of time (2 or more symptoms) Schizoaffective Disorder – presence of both prominent mood episode (major depressive or manic) and active-phase symptoms preceded or followed by at least 2 weeks of delusions or hallucinations without prominent mood symptoms. alogia (diminished speech output). Sedative. epilepsy. cerebrovascular disease. decreased engagement during assessment. endocrine conditions (hyper-/hypothyroidism.                  Negative symptoms: diminished emotional expression. verbal response (exclude if known aphasia) Negativism: opposition or no response to instructions or external stimuli . deafness. or very little. not actively relating to environment Catalepsy: passive induction of a posture held against gravity Waxy flexibility: slight. Phencyclidine. migraine. Inhalant. hypnotic or anxiolytic. Cannabis. cognitive or perceptual distortions and eccentricities of behavior Delusional Disorder – at least 1 month of delusion(s) but no other prominent psychotic symptoms Brief Psychotic Disorder – at least 1 day but less than 1 month sudden onset of at least one positive psychotic symptom: delusions. withdrawal or exposure to substance/medication which is capable of producing said symptoms Known Substances/Medications: Alcohol. auditory or visual nerve injury. metabolic conditions (hypoxia. Amphetamine (or other stimulant). fluid or electrolyte imbalances. decline in functioning not required Substance/Medication-Induced Psychotic Disorder – delusions and/or hallucinations that developed during or soon after intoxication. or excessive and peculiar motor activity Stupor: no psychomotor activity. avolition (reduced drive to pursue goal-directed behavior). multiple sclerosis. CNS infections). anhedonia (decreased ability to experience pleasure). Cocaine Psychotic Disorder Due to Another Medical Condition – prominent delusions or hallucinations are direct physiological consequence of another medical condition Known Medical Conditions: neurological conditions (neoplasms. asociality (apparent lack of interest in social interactions) Highly comorbid with substance use and anxiety disorders Schizotypal (Personality) Disorder – pervasive pattern of social and interpersonal deficits. hypoglycemia). hallucinations or disorganized speech. Huntington’s. hypercarbia. essential feature is marked psychomotor disturbance that may involve decreased motor activity.

psychotic. delusional symptoms in partner of individual with delusional disorder) Unspecified Schizophrenia Spectrum and Other Psychotic Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason. interpersonal functioning. bipolar. diabetic ketoacidosis) Unspecified Catatonia – catatonia-like symptoms cause clinically significant distress or impairment but nature of underling mental disorder or other medical condition is unclear. attenuated psychosis syndrome. cerebrovascular disease. homocystinuria.             Posturing: spontaneous and active maintenance of a posture against gravity Mannerism: odd.g. cognitions and behaviors + begins by early adulthood (or adolescence) + present in a variety of contexts + does not occur exclusively during the course of another mental disorder + not attributable to another medical condition  General Personality Disorder – enduring pattern of inner experience and behavior that deviates markedly from expectations of one’s culture in at least 2 ways (cognitive. hepatic encephalopathy. impulse control)  Paranoid Personality Disorder – distrust and suspiciousness of others without any justification (indicated by 4 symptoms)  Schizoid Personality Disorder – detachment from social relationships and restricted range of emotional expression in interpersonal settings (indicated by 4 symptoms)  Schizotypal Personality Disorder – social and interpersonal deficits and cognitive or perceptual distortions and eccentricities of behavior (indicated by 4 symptoms)  Antisocial Personality Disorder – disregard for and violation of the rights of others (indicated by 3 symptoms) . head trauma. persistent auditory hallucinations. abnormally frequent. non-goal-directed movements Agitation: (not influenced by external stimuli) Grimacing Echolalia: mimicking another’s speech Echopraxia: mimicking another’s movement Catatonia Associated With Another Mental Disorder (Catatonia Specifier) – presence of 3 or more catatonic psychomotor features during the course of a neurodevelopmental. depressive or other mental disorder Catatonic Disorder Due to Another Medical Condition – presence of 3 or more catatonic psychomotor features that are direct physiological consequence of another medical condition Known Medical Conditions: neurological conditions (neoplasms. or full criteria are not met. possibly due to insufficient information PERSONALITY DISORDERS  Shared criteria: Pervasive pattern of emotions. or insufficient information to make a more specific diagnosis Other Specified Schizophrenia Spectrum and Other Psychotic Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. circumstantial caricature of normal actions Stereotypy: repetitive. affectivity. encephalitis) and metabolic conditions (hypercalcemia.

feelings of inadequacy and hypersensitivity to negative evaluation (indicated by 4 symptoms) Dependent Personality Disorder – excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation (indicated by 5 symptoms) Obsessive-Compulsive Personality Disorder – preoccupation with orderliness. need for admiration and lack of empathy (indicated by 5 symptoms) Avoidant Personality Disorder – social inhibition. passive-aggressive personality disorder) Feeding and Eating Disorders  Persistent disturbance of eating or eating-related behavior that results in the altered consumption or absorption of food and that significantly impairs physical health or psychosocial functioning  Disorders differ substantially in clinical course. schizophrenia  Pica – persistent eating of one or more nonnutritive. depressive and bipolar disorder. perfectionism and mental and interpersonal control.g.        Borderline Personality Disorder – instability of interpersonal relationships. at the expense of flexibility. but criteria for any specific personality disorder are not met. intense fear of gaining weight or becoming fat / persistent behavior that interferes with weight gain and disturbance in self-perceived weight or shape (restricting type or binge-eating/purging type)  Bulimia Nervosa – recurrent episodes of binge eating. openness and efficiency (indicated by 4 symptoms) Personality Change Due to Another Medical Condition – persistent personality disturbance due to the direct physiological effects of a medical condition (e. recurrent inappropriate compensatory behaviors to prevent weight gain and self-evaluation unduly influenced by body shape and weight  Binge-Eating Disorder – recurrent episodes of binge eating without recurrent use of inappropriate compensatory behaviors  Other Specified Feeding or Eating Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and . nonfood substances over a period of at least 1 month  Rumination Disorder – repeated regurgitation of food occurring after feeding or eating over a period of at least 1 month  Avoidant/Restrictive Food Intake Disorder – avoidance or restriction of food intake with no excessive concern about body weight or shape  Anorexia Nervosa – persistent energy intake restriction. or (2) personality pattern meets general criteria but considered to have a personality disorder not included in DSM-5 classification (e. and traits of several different personality disorders are present. frontal lobe lesion) Other Specified Personality Disorder / Unspecified Personality Disorder – (1) personality pattern meets the general criteria for personality disorder. self-image and affects and marked impulsivity (indicated by 5 symptoms) Histrionic Personality Disorder – excessive emotionality and attention seeking (indicated by 5 symptoms) Narcissistic Personality Disorder – grandiosity. outcome and treatment needs  Obesity is not included as mental disorder but associated with several mental disorders such as binge-eating disorder.g.

low-frequency enuresis)  Unspecified Elimination Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason. night eating syndrome) Unspecified Feeding or Eating Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason.g. whether involuntary or intentional (2x a week for 3 months. experiential or physiological events occurring in association with sleep. at least 5 years of age)  Encopresis – repeated passage of feces into inappropriate places. may be accompanied by cataplexy. difficulty maintaining sleep (sleep maintenance/middle insomnia) and/or earlymorning awakening with inability to return to sleep (late insomnia) (3x a week for 3 months)  Hypersomnolence Disorder – self-reported excessive sleepiness despite main sleep period of at least 7 hours (3x a week for 3 months)  Narcolepsy – recurrent daytime naps or lapses into sleep. purging disorder. atypical anorexia nervosa. Diurnal: Waking hours  Enuresis – repeated voiding of urine into bed or clothes. specific sleep stages or sleep-wake transitions  Insomnia Disorder – difficulty initiating sleep (sleep-onset/initial insomnia).g. fatigue or unrefreshing sleep  Central Sleep Apnea – polysomnographic evidence of at least 5 central apneas per hour of sleep  Sleep-Related Hypoventilation – polysomnographic evidence of decreased respiration associated with elevated CO2 levels  Circadian Rhythm Sleep-Wake Disorders – persistent pattern of sleep disruption primarily due to alteration of the circadian system  Non-Rapid Eye Movement Sleep Arousal Disorders – recurrent episodes of incomplete awakening from sleep (sleepwalking or sleep terrors) . clinician specifies the reason (e. hypocretin deficiency or REM sleep latency less than or equal to 15 min (3x a week for 3 months)  Obstructive Sleep Apnea Hypopnea – polysomnographic evidence of at least 5 obstructive apneas or hypopneas per hour of sleep accompanied by either nocturnal breathing disturbances or daytime sleepiness. possibly due to insufficient information Elimination Disorders  Nocturnal: Nighttime sleep. timing and amount of sleep  Parasomnias: abnormal behavior. bulimia nervosa of low frequency and/or limited duration. possibly due to insufficient information Sleep and Wake Disorders  Sleep-wake complaints of dissatisfaction regarding quality. whether involuntary or intentional (once a month for 3 months. at least 4 years of age)  Other Specified Elimination Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e.

g. situations or partners  Delayed Ejaculation – marked delay in or inability to achieve ejaculation despite adequate sexual stimulation and desire to ejaculate during partnered sexual activities  Erectile Disorder – repeated failure to obtain or maintain erections during partnered sexual activities  Female Orgasmic Disorder – difficulty experiencing orgasm and/or markedly reduced intensity of orgasmic sensations  Female Sexual Interest/Arousal Disorder – lack of or significantly reduced sexual interest/arousal  Genito-Pelvic Pain/Penetration Disorder – difficulty having intercourse. situations or partners / Situational: sexual difficulties that only occur with certain types of stimulation. brief-duration hypersomnolence) Unspecified Hypersomnolence Disorder Other Specified Sleep-Wake Disorder – related sleep-wale symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e.g. repeated arousals during REM sleep without polysomnography) Unspecified Sleep-Wake Disorder Sexual Dysfunctions  Clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure for a duration of at least 6 months  Lifelong: sexual problem that has been present from first sexual experiences / Acquired: sexual disorders that develop after a period of relatively normal sexual function  Generalized: sexual difficulties that are not limited to certain types of stimulation. or tension of the pelvic floor muscles . security or physical integrity Rapid Eye Movement Sleep Behavior Disorder – repeated episodes of arousal during sleep associated with vocalization and/or complex motor behaviors Restless Legs Syndrome – urge to move the legs (or arms) begins or worsens during periods of rest or inactivity. extremely dysphoric and well-remembered dreams involving efforts to avoid threats to survival. restricted to nonrestorative sleep) Unspecified Insomnia Disorder Other Specified Hypersomnolence Disorder – hypersomnolence-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e.g. fear of pain or vaginal penetration. genitor-pelvic pain.          Nightmare Disorder – extended. brief insomnia disorder. is partially or totally relieved by movement and is worse in the evening than during the day or occurs only in the evening Substance/Medication-Induced Sleep Disorder – prominent and severe sleep disturbance during or soon after substance intoxication/withdrawal or exposure to medication capable of producing said symptoms Other Specified Insomnia Disorder – insomnia-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e.

female or some category other than male or female  Gender dysphoria: general term for individual’s affective/cognitive discontent with the assigned gender  Transgender: broad spectrum of individuals who transiently or persistently identify with a gender different from their natal gender  Transsexual: individual who seeks. a social transition from male to female (or vice-versa) which usually involves cross-sex hormone treatment and genital surgery  Gender Dysphoria – clinically significant distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender (at least 6 symptoms in children.g. gonads. occurs usually at birth (natal gender)  Gender-atypical / Gender-nonconforming: somatic features or behaviors that are not typical of individuals with the same assigned gender in a given society and historical era  Gender reassignment: official and legal change of gender  Gender identity: category of social identity and refers to an individual’s identification as male. brief gender dysphoria  Unspecified Gender Dysphoria – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician . such as in sex chromosomes. or has undergone. sex hormones and nonambiguous internal and external genitalia  Gender: lived role in society and/or the identification as male or female could not be uniformly associated with or predicted from the biological indicators  Gender assignment: initial assignment as male or female.g. 2 symptoms in adolescents and adults for at least 6 months)  Other Specified Gender Dysphoria – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. possibly due to insufficient information Gender Dysphoria  Sex: biological indicators of male and female.     Male Hypoactive Sexual Desire Disorder – persistent deficient or absent sexual/erotic thoughts or fantasies and desire for sexual activity Premature (Early) Ejaculation – persistent ejaculation during partnered sexual activity within approximately 1 minute following vaginal penetration and before individual wishes it Substance/Medication-Induced Sexual Dysfunction – clinically significant sexual disturbance during or soon after substance intoxication/withdrawal or exposure to medication capable of producing said symptoms Other Specified Sexual Dysfunction – related sexual disturbance that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. sexual aversion) Unspecified Sexual Dysfunction – related sexual disturbance that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason.

bound or otherwise made to suffer (specifier: with asphyxiophilia)  Sexual Sadism Disorder – recurrent and intense sexual arousal from the physical or psychological suffering of another person  Pedophilic Disorder – recurrent and intense sexual arousal involving sexual activity with a prepubescent child or children (generally 13 years or younger) (must be at least age 16 years and at least 5 years older than the child)  Fetishistic Disorder – recurrent and intense sexual arousal from either use of nonliving objects or highly specific focus on nongenital body part/s  Tranvestic Disorder – recurrent and intense sexual arousal from crossdressing  Other Specified Paraphilic Disorder – paraphilic symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e.g. urophilia)  Unspecified Paraphilic Disorder – paraphilic symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason. or risk of harm. to others  Shared criteria: Recurrent and intense sexual arousal + as manifested by fantasies.does not choose to communicate the reason. disrobing or engaging in sexual activity  Exhibitionistic Disorder – recurrent and intense sexual arousal from exposure of one’s genitals to an unsuspecting person  Frotteuristic Disorder – recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person  Sexual Masochism Disorder – recurrent and intense sexual arousal from the act of being humiliated. beaten. possibly due to insufficient information Paraphilic Disorders  Selected for specific listing and assignment of diagnostic criteria because they are relatively common and some are classed as criminal offenses due to their noxiousness and potential harm to others  Paraphilia: any intense and persistent sexual interest other than in genital stimulation  Anomalous Activity Preferences: sexual interest in activities that equals or exceeds one’s interest in copulation or equivalent interaction with another person  Courtship disorders: resemble distorted components of human courtship behavior / Algolagnic disorders: involve pain and suffering  Anomalous Target Preferences: sexual interest in children. urges or behaviors + acting on these sexual urges with a nonconsenting person or related clinically significant distress or impairment + over the period of at least 6 months  Voyeuristic Disorder – recurrent and intense sexual arousal from observing an unsuspecting person who is naked. such as horses or dogs or in inanimate objects  Paraphilic disorder: paraphilia that causes distress or impairment to individual or paraphilia whose satisfaction entails personal harm. corpses or amputees or in nonhuman animals. coprophilia. possibly due to insufficient information Disruptive. Impulse-Control and Conduct Disorders . necrophilia. zoophilia. telephone scatologia.

destruction of property. Impulse-Control and Conduct Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason. or 3 damage of property or physical assault within 12 months) Conduct Disorder – persistent pattern of behavior in which basic rights of others or societal norms or rules are violated (3 symptoms of aggression to people and animals.g. gratification or relief at the time of committing the theft Other Specified Disruptive. behavioral and physiological symptoms indicating that the individual continues using the substance despite significant substance-related problems  Drugs taken in excess have direct activation of the brain reward system. typically producing feelings of pleasure often referred to as “high”  Also includes gambling disorder  Two main groups: Substance use disorders and substance-induced disorders  Craving: intense desire or urge for the drug that may occur at any time but is more likely when in an environment where the drug previously was obtained or used  Tolerance: requiring a markedly increased dose of the substance to achieve the desired effect or a markedly reduced effect when usual dose is consumed  Withdrawal: syndrome that occurs when blood or tissue concentrations of a substance decline in an individual who had maintained prolonged heavy use of the substance . deceitfulness or theft. gratification or relief when setting fires or when witnessing or participating in their aftermath Kleptomania – recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value accompanied by pleasure. argumentative/defiant behavior or vindictiveness (1x a week for 6 months) Intermittent Explosive Disorder – recurrent impulsive or anger-based behavioral outbursts representing failure to control aggressive impulses (either verbal/physical aggression occurring 2x a week for 3 months. serious violation of rules in the past 12 months) Antisocial Personality Disorder – pervasive pattern of disregard for and violation of the rights of others (indicated by 3 symptoms) Pyromania – deliberate and purposeful fire setting on more than one occasion accompanied by pleasure. possibly due to insufficient information Substance-Related and Addictive Disorders  Cluster of cognitive.          Conditions involving problems in the self-control of emotions and behaviors that violate the rights of others and/or bring into significant conflict with societal norms or authority figures Tend to have first onset in childhood or adolescence Oppositional Defiant Disorder – persistent pattern of 4 symptoms of angry/irritable mood. Impulse-Control and Conduct Disorder – related symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. recurrent behavioral outbursts of insufficient frequency) Unspecified Disruptive.

attention and memory impairment. anxiety or generalized tonicclonic seizures Other Alcohol-Induced Disorders – ex. nervousness. marked fatigue or drowsiness. social impairment. increased hand tremor. risky use and pharmacological criteria Alcohol Intoxication – (at least 1 during or shortly after) slurred speech. Alcohol-induced psychotic disorder / bipolar disorder / depressive disorder / anxiety disorder / sleep disorder / sexual dysfunction / neurocognitive disorder Unspecified Alcohol-Related Disorder – Caffeine Intoxication – excess of 250mg caffeine consumption resulting in (at least 5 during or shortly after) restlessness.                  Substance intoxication: development of a reversible substance-specific syndrome due to recent ingestion of a substance (does not apply to tobacco) Substance withdrawal: development of a substance-specific problematic behavioral change due to the cessation or reduction in heavy and prolonged substance use Shared criteria: impaired control. restlessness. depressed mood. tachycardia Cannabis Withdrawal – (at least 3 within 1 week) irritability/anger/aggression.g. insomnia. or muscle pain/stiffness) Other Caffeine-Induced Disorders . fever. incoordination. difficulty concentrating. psychomotor agitation.g. dysphoric mood/ depressed mood/irritability. increased appetite. social impairment. diuresis. decreased appetite/weight loss. transient hallucinations or illusions. rambling flow of thought or speech. chills. risky use and pharmacological criteria Cannabis Intoxication – (at least 2 within 2 hours) conjunctival injection. caffeine-induced anxiety disorder / sleep disorder Unspecified Caffeine-Related Disorder – Cannabis Use Disorder – problematic pattern of cannabis use with at least 2 symptoms within 1 year of impaired control. tachycardia or cardiac arrhythmia. excitement. flu-like symptoms (nausea.e. flushed face. inexhaustibility or psychomotor agitation Caffeine Withdrawal – (at least 3 within 24 hours) headache. unsteady gait. nervousness/anxiety. sweating. GIT disturbance. shakiness/tremors. headache) Other Cannabis-Induced Disorders – e. risky use and pharmacological criteria Substance/Medication-Induced Mental Disorder – clinically significant mental disturbance during or soon after substance intoxication/withdrawal or exposure to medication capable of producing said symptoms as evidenced from history. social impairment. dry mouth. nystagmus. cannabis-induced psychotic disorder / anxiety disorder / sleep disorder Unspecified Cannabis-Related Disorder – . sleep difficulty. insomnia. vomiting. stupor or coma Alcohol Withdrawal – (at least 2 within several hours to few days) autonomic hyperactivity. physical examination or lab findings Alcohol Use Disorder – problematic pattern of alcohol use with at least 2 symptoms within 1 year of impaired control. muscle twitching. nausea or vomiting. physical symptoms (abdominal pain.

slurred speech. Phencyclidine-induced psychotic disorder / bipolar disorder / depressive disorder / anxiety disorder Other Hallucinogen-Induced Disorders – ex. social impairment. risky use and pharmacological criteria Phencyclidine Intoxication – (at least 2 within 1 hour) vertical or horizontal nystagmus. Opioid-induced depressive disorder / anxiety disorder / sleep disorder / sexual dysfunction Unspecified Opioid-Related Disorder – Sedative. euphoria Other Inhalant-Induced Disorders – ex. impairment in attention or memory Opioid Withdrawal – (at least 3 within minutes to several days) dysphoric mood. codeine. blurred vision or diplopia. yawning. carbamate. hypnotic or anxiolytic (benzodiazepine. morphine. unsteady gait. psychomotor retardation. social impairment. tremors. tachycardia. pupillary dilation/piloerection/sweating. risky use and pharmacological criteria Opioid Intoxication – papillary constriction and (at least 1 during or shortly after) drowsiness or coma. risky use and pharmacological criteria . slurred speech. DMT) use with at least 2 symptoms within 1 year of impaired control. depressed reflexes. numbness or diminished responsiveness to pain. social impairment. angel dust) use with at least 2 symptoms within 1 year of impaired control. sweating. risky use and pharmacological criteria Inhalant Intoxication – (at least 2 during or shortly after) dizziness. lacrimation or rhinorrhea. blurring of vision. paints) use with at least 2 symptoms within 1 year of impaired control. Inhalant-induced psychotic disorder / depressive disorder / anxiety disorder / neurocognitive disorder Unspecified Inhalant-Related Disorder – Opioid Use Disorder – problematic pattern of opioid (heroin. lethargy. incoordination Hallucinogen Persisting Perception Disorder – reexperiencing of one or more perceptual symptoms experienced while intoxicated with hallucinogen (LSD) following cessation Other Phencyclidine-Induced Disorders – ex. palpitations. muscle aches. fuels. hypertension or tachycardia. stupor or coma. oxycodone. insomnia Other Opioid-Induced Disorders – ex. seizures or coma. social impairment. social impairment.                   Phencyclidine Use Disorder – problematic pattern of phencyclidine (PCP. tremor. risky use and pharmacological criteria Other Hallucinogen Use Disorder – problematic pattern of hallucinogen (MDMA. nystagmus. diarrhea. barbiturate) use with at least 2 symptoms within 1 year of impaired control. ecstasy. LSD. muscle rigidity. ataxia. propoxyphene) use with at least 2 symptoms within 1 year of impaired control. Hypnotic or Anxiolytic Use Disorder – problematic pattern of sedative. fever. nausea or vomiting. dysarthria. Hallucinogen-induced psychotic disorder / bipolar disorder / depressive disorder/ anxiety disorder Unspecified Phencyclidine-Related Disorder – Unspecified Hallucinogen-Related Disorder – Inhalant Use Disorder – problematic pattern of hydrocarbon-based inhalant (glues. hyperacusis Other Hallucinogen Intoxication – (at least 2 during or shortly after) pupillary dilation. generalized muscle weakness. incoordination.

perspiration or chills. increased appetite. social impairment. transient hallucinations or illusions. nonsteroidal anti-inflammatory drugs. insomnia Other Tobacco-Induced Disorders – tobacco-induced sleep disorder Unspecified Tobacco Related Disorder – Other (or Unknown) Substance Use Disorder – problematic pattern of intoxicating substance (not able to be classified: anabolic steroids. nausea or vomiting. muscular weakness/respiratory depression/chest pain/cardiac arrhythmias. Sedative-. metamphetamine cocaine) use with at least 2 symptoms within 1 year of impaired control. pupillary dilation. elevated or lowered blood pressure. cognition impairment. difficulty concentrating.or Anxiolytic-Induced Disorders – ex. hand tremor. Hypnotic. hypnotic. social impairment.or anxiolytic-induced psychotic disorder / bipolar disorder / depressive disorder/ anxiety disorder / sleep disorder / sexual dysfunction / neurocognitive disorder Unspecified Sedative-. insomnia or hypersomnia. risky use and pharmacological criteria Stimulant Intoxication – (at least 2 during or shortly after) tachycardia or bradycardia. confusion/seizures/dyskinesias/dystonias/coma Stimulant Withdrawal – dysphoric mood and (at least 2 within few hours to several days) fatigue. psychomotor retardation or agitation Other Stimulant -Induced Disorders – stimulant-induced psychotic disorder / bipolar disorder / depressive disorder / anxiety disorder / obsessive-compulsive disorder / sleep disorder / sexual dysfunction Unspecified Stimulant-Related Disorder – Tobacco Use Disorder – problematic pattern of tobacco (nicotine) use with at least 2 symptoms within 1 year of impaired control. or Anxiolytic-Related Disorder – Stimulant Use Disorder – problematic pattern of stimulant (amphetamine. Hypnotic or Anxiolytic Intoxication – (at least 1 during or shortly after) slurred speech. psychomotor agitation or retardation. insomnia. Hypnotic-. vivid unpleasant dreams. cortisol) use with at least 2 symptoms within 1 year of impaired control.                  Sedative. unsteady gait. increased appetite. nystagmus. risky use and pharmacological criteria Other (or Unknown) Substance Intoxication – development of reversible substance-specific syndrome attributable to recent ingestion or exposure to substance not listed elsewhere or unknown Other (or Unknown) Substance Withdrawal – development of substancespecific syndrome shortly after cessation or reduction in substance use Unspecified Other (or Unknown) Substance-Related Disorder – Gambling Disorder – clinically significant persistent and recurrent problematic gambling behavior (at least 4 in 1 year) Neurocognitive Disorders . Hypnotic or Anxiolytic Withdrawal – (at least 2 within several hours to few days) autonomic hyperactivity. psychomotor agitation. social impairment. anxiety. grand mal seizures Other Sedative-. incoordination. risky use and pharmacological criteria Tobacco Withdrawal – (at least 4 within 24 hours) irritability/frustration/anger. depressed mood. restlessness. evidence of weight loss. nausea or vomiting. anxiety. stupor or coma Sedative.

tasks or response rules Immediate memory span: ability to repeat a list of words or digits Recent memory: assesses the process of encoding new information through free recall. Executive function. fluency or phonemic Grammar and syntax: omission or incorrect use of articles. performance of actions/activities according to verbal command Visual perception: line bisection tasks can be used to detect basic visual defect or attentional neglect Visuoconstructional: assembly of items required hand-eye coordination. such as recognition of faces and colors Recognition of emotions: identification of emotion in images of faces representing a variety of both positive and negative emotions Theory of mind: ability to consider another person’s mental state (thoughts. Social cognition Sustained attention: maintenance of attention over time Selective attention: maintenance of attention despite competing stimuli and/or distracters Divided attention: attending to two tasks within the same time period Planning: ability to find the exit to a maze Decision making: performance of tasks that assess process of deciding in the face of competing alternatives Working memory: ability to hold information for a brief period and to manipulate it Feedback/error utilization: ability to benefit from feedback to infer the rules for solving a problem Overriding habits/inhibition: ability to choose a more complex and effortful solution to be correct Mental/cognitive flexibility: ability to shift between two concepts. intentions) or experience Delirium – disturbance of attention or awareness accompanied by a change in baseline cognition. Learning and memory. Language. desires. such as ability to imitate gestures or pantomime use of objects to command Gnosis: perceptual integrity of awareness and recognition.                         Group of disorders in which the primary clinical deficit is in cognitive function and that are acquired rather than developmental Neurocognitive domains: Complex attention. Perceptual-motor. auxiliary verbs Receptive language: comprehension. or toxin exposure. such as drawing. substance intoxication or withdrawal. or combination of these factors Other Specified Delirium – delirium-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician specifies the reason (e. copying and block assembly Perceptual-motor: integrating perception with purposeful movement Praxis: integrity of learned movements. prepositions.g. that is a direct physiological consequence of another medical condition. cued recall and recognition memory Expressive language: confrontational naming. attenuated delirium syndrome) .

perseverative/stereotyped/compulsive/ritualistic behavior. disorientation and confusion. loss of sympathy or empathy. frontotemporal lobar degeneration. multiple etiologies. Parkinson’s disease. substance/medication use. suggestive features are REM sleep behavior disorder and severe neuroleptic sensitivity Vascular (Disease) – clinical features consistent with vascular etiology as suggested by relation of onset to at least one cerebrovascular event and prominent decline in complex attention and frontal-executive function domains Due to Traumatic Brain Injury – clinical features presented immediately after occurrence of traumatic brain injury or immediately after recovery of consciousness as evidenced by loss of consciousness. Prion disease. hyperorality and dietary changes) With Lewy Bodies (Disease) – core features are pronounced variations in attention and alertness. recurrent detailed visual hallucinations and spontaneous features of Parkinsonism. Lewy body disease. with insidious onset and rapid progression of motor features such as myoclonus or ataxia Due to Parkinson’s Disease – neurocognitive impairment attributable to established Parkinson’s disease Due to Huntington’s Disease – neurocognitive impairment attributable to clinically established Huntington’s disease or risk based on family history or genetic testing Due to Another Medical Condition – neurocognitive impairment that is the pathophysiological consequence of another medical condition based on history. apathy or inertia. Huntington’s disease. unspecified Due to Alzheimer’s Disease – insidious onset and gradual progression of cognitive and behavioral symptoms typically with impairment in memory and learning Frontotemporal (Lobar Degeneration) – progressive development of behavioral and personality change and/or language impairment (behavioral disinhibition. neurological symptoms Substance/Medication Induced – clinically significant neurocognitive impairment during or soon after substance intoxication/withdrawal or exposure to medication capable of producing said symptoms Due to HIV Infection – neurocognitive impairment attributable to a documented infection with human immunodeficiency virus (HIV) Due to Prion Disease – neurocognitive impairment attributable to prion disease (most common type is Creutzfeldt-Jakob disease). traumatic brain injury. vascular disease. . HIV infection.               Unspecified Delirium – delirium-like symptoms that cause clinically significant distress or impairment but does not meet full criteria and clinician does not choose to communicate the reason. possibly due to insufficient information Major Neurocognitive Disorder – significant cognitive decline from a previous level of performance in at least one neurocognitive domain which interferes with independence in everyday activities Mild Neurocognitive Disorder – modest cognitive decline from a previous level of performance in at least one neurocognitive domain which does not interfere with independence in everyday activities but greater effort. another medical condition. posttraumatic amnesia. compensatory strategies or accommodating may be required Specifiers – Alzheimer’s disease.

broken words. Profound)  Global Developmental Delay – failure to meet expected developmental milestones in several areas of intellectual functioning and inability to undergo systematic assessment of intellectual functioning (under age of 5 years. planning. excluding substances Unspecified Neurocognitive Disorder – neurocognitive impairment that does not meet the full criteria and in which the precise etiology cannot be determined with sufficient certainty Neurodevelopmental Disorders  Group of conditions with onset in the developmental period. typically manifesting before the child enters grade school. multiple sclerosis. blocking or words produced with an excess of physical tension)  Social (Pragmatic) Communication Disorder – persistent difficulties in the social use of verbal and nonverbal communication . hypothyroidism. Moderate. abstract thinking. judgment.g. gender and peers (Mild. prolongation of consonants or vowel sounds. fluency. subdural hematoma. problem solving. gestural or verbal signals  Receptive ability: process of receiving and comprehending language messages  Pragmatics: social use of language and communication  Intellectual Disability (Intellectual Developmental Disorder) – deficits in general mental abilities (reasoning. epilepsy.  physical examination or laboratory findings (e. and are characterized by developmental deficits from learning or control of executive functions to global impairments of social skills or intelligence  Speech: expressive production of sounds and includes articulation. ideas or attitudes of another individual  Expressive ability: production of vocal. deficiencies of thiamine or niacin) Due to Multiple Etiologies – neurocognitive impairment that is the pathophysiological consequence of more than one etiological process. academic learning and learning from experience) and impairment in everyday adaptive functioning in comparison to one’s age. function and use of a conventional system of symbols in a rulegoverned manner for communication  Communication: any verbal or nonverbal behavior (whether intentional or unintentional) that influences behavior. primary or secondary brain tumors. requires reassessment after a period of time)  Unspecified Intellectual Disability (Intellectual Developmental Disorder) – assessment of degree of intellectual disability is difficult or impossible because of associated sensory or physical impairments (over age of 5 years. sentence structure and discourse  Speech Sound Disorder – persistent difficulty with speech sound production that interferes with speech intelligibility or prevents verbal communication of messages  Childhood-Onset Fluency Disorder (Stuttering) – disturbance in the normal fluency and motor production of speech (repetitive sounds or syllables. requires reassessment)  Language Disorder – persistent difficulties in acquisition and use of language across modalities due to deficits in comprehension or production of vocabulary. voice and resonance quality  Language: form. Severe.

g. neurodevelopmental disorder associated with prenatal alcohol exposure) Unspecified Neurodevelopmental Disorder – clinically significant symptoms characteristic of neurodevelopmental disorder but do not meet full criteria and reason not specified Residual Categories  Disturbance caused by physiological effects of another medical condition  Other Specified Mental Disorder Due to Another Medical Condition – e. restricted interests and insistence on sameness Attention-Deficit/Hyperactivity Disorder – persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development Other Specified Attention-Deficit/Hyperactivity Disorder – clinically significant symptoms characteristic of communication disorder but do not meet full criteria (e. seemingly driven. writing and/or math Developmental Coordination Disorder – deficits in the acquisition and execution of coordinated motor skills and manifested by clumsiness and slowness or inaccuracy of motor performance Stereotypic Movement Disorder – repetitive. nonrhythmic. head banging. and apparently purposeless motor behaviors (hand flapping. body rocking.g. with insufficient inattention symptoms) Unspecified Attention-Deficit/Hyperactivity Disorder – clinically significant symptoms characteristic of communication disorder but do not meet full criteria Specific Learning Disorder – specific deficits in ability to perceive or process information efficiently and accurately. self-biting.g. Dissociative symptoms  Unspecified Mental Disorder Due to Another Medical Condition  Symptoms characteristic of a mental disorder that cause clinically significant distress or impairment of functioning but do not meet full criteria for any other mental disorder in DSM-5 .g. stereotyped motor movements or vocalizations Tourette’s Disorder – waxing-waning multiple motor and vocal tics present for at least 1 year Persistent (Chronic) Motor or Vocal Tic Disorder – waxing-waning single or multiple motor or vocal tics (not both at the same time) present for at least 1 year Other Specified Tic Disorder – clinically significant symptoms characteristic of tic disorder but do not meet full criteria (e. rapid.               Unspecified Communication Disorder – clinically significant symptoms characteristic of communication disorder but do not meet full criteria and reason not specified Autism Spectrum Disorder – persistent deficits in social communication and social interaction accompanied by excessively repetitive behaviors. hitting) Tic Disorders: presence of motor or vocal tics which are sudden. persistent and impairing difficulties with learning foundational academic skills in reading. with onset after age 18 years) Unspecified Tic Disorder – clinically significant symptoms characteristic of tic disorder but do not meet full criteria and reason not specified Other Specified Neurodevelopmental Disorder – clinically significant symptoms characteristic of neurodevelopmental disorder but do not meet full criteria (e. recurrent.

  Other Specified Mental Disorder Unspecified Mental Disorder .