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DSM-IV-TR Classification

Disorders Usually First Diagnosed In Infancy, Childhood, or


Adolescence
MENTAL RETARDATION (41)
Note
There are coded on Axis II
317
Mild mental retardation (43)
318.0
Moderate mental retardation (43)
318.1
Severe mental retardation (43)
318.2
Profound mental retardation (44)
319
Mental retardation, severity unspecified (44)
LEARNING DISORDER (49)
315.0
Reading disorder (51)
315.1
Mathemathics disorder (53)
315.2
Disorder of written expression (54)
315.9
Learning disorder NOS (56)
MOTOR SKILL DISORDER
315.4
Developmental coordination disorder (56)
COMUNICATION DISORDER
315.31 Expressive language disorder (58)
315.32 Mixed receptive expressive language disorder (62)
315.39 Phonological disorder (65)
307.0 Stuttering (67)
307.9 Communication disorder NOS (69)
PERVASIVE DEVELOPMENTAL DISORDER ()69
299.00 Autistic disorder (70)
299.80 Retts disorder (76)
299.10 Childhood disintegrated disorder (77)
299.80 Aspergers disorder (80)
299.80 Pervasive developmental disorder NOS (84)

ATTENTION DEFICIT AND DISRUPTIVE BEHAVIOR DISORDER (85)


314.xx Attention deficit/Hyperactivity disorder (85)
.01
Combined type
.00
Predominantly inattentive type
.01
Predominantly hyperactive impulsive type
314.9
Attention deficit/Hyperactinity disorder NOS (93)
312.xx Conduct disorder (93)
.81
Childhood onset type
.82
Adolescence onset type
.89
Unspecified onset
313.81 Oppositional defiant disorder (100)
312.9
Disruptive behavior disorder NOS (103)
FEEDING AND EATING DISORDERS OF INFANCY OR EARLY
CHILDHOOD(103)
307.52 Pica (103)
307.52 Rumination Disorder (105)
307.59 Feeding disorder of infacy or early childhood (107)
TIC DISORDER (108)
307.23 Tourettes disorder (111)
307.22 Chronic motor or vocal tic disorder (114)
307.21 Transient tic disorder (115)
specify if : single episode / recurrent

307.20

Tic disorder NOS (116)

ELIMINATION DISORDER (116)


-.Encopresis (116)
787.6
With constipation and overflow incontinence
307.7
Without constipation and overflow incontinence
307.6 Enuresis (not due to a general medical condition) (118)
specify type : nocturnal only / diurnal only / nocturnal and diurnal

OTHER DISORDER OF INFANCY, CHILDHOOD, OR ADOLESCENCE (121)


309.21 Separation anxiety disorder (121)
specify if : early onset

313.23 Selective mutism (125)


313.89 Reactive attachment disorder of infancy or early childhood (127)
307.3 Stereotypic movement disorder (131)
specify if : with self injurious behavior

313.9

Disorder of infancy, childhood, or adolescence NOS (134)

Delirium, Dementia, and Amnestic and Other Cognitive Disorder


DELIRIUM
293.0 Delirium due to (indicate the general medical condition) (141)
-.Substance intoxication delirium (refer to substance-related disorder for
substance specific codes) (143)
-.Substance withdrawal delirium (refer to substance-related disorder for
substance specific code) (143)
-.Delirium due to multiple etiologies (code each of the specific etiologies) (146)
780.09 Delirium NOS (147)
DEMENTIA (147)
294.xx Dementia of the alzheimers type with early onset (also code 331.0 alzheimers
disease on Axis III) (154)
.10 Without behavioral disturbance
.11 With behavioral disturbance
294.xx Dementia of the alzheimers type with late onset (also code 331.0 alzheimers
disease on Axis III) (154)
.10 Without behavioral disturbance
.11 With behavioral disturbance
290.xx Vascular dementia (158)
.40 Uncomplicated
.41 With delirium
.42 With delusion
.43 With depressed mood
294.1x Dementia due to HIV disease (also code 042 HIV on Axis III) (163)
294.1x Dementia due to head trauma (also code 854.00 haed injury on Axis III) (164)
294.1x Dementia due to parkinsons disease disease (also code 332.0 parkinsons
disease on Axis III) (164)
294.1x Dementia due to huntingtons disease (also code 333.4 huntingtons disease
on Axis III) (165)
294.1x Dementia due to picks disease (also code 331.1 picks disease on Axis III)
(165)
294.1x Dementia due to creutzfeldts jakob disease (also code 046.1 creutzfeldts
jakob disease on Axis III) (166)
294.1x Dementia due to (indicated the general medical condition not listen above)
(also code the general medical condition on Axis III) (167)
-.Substance induced persisting dementia (refer to substance-related disorder for
substance specific code) (168)
-.Dementia due to multiple etiologies (code each of the specific etiologies)
(170)
294.8
Dementia NOS (171)

AMNESTIC DISORDER (172)

294.0

Amnestic disorder due to (indicate the general medical condition (175)


Specify if : transient / chronic

-.-

Substance induced persisting amnestic disorder (refer to substance-related


disorder for substance specific codes) (177)
780.09 Amnestic disorder NOS (179)
OTHER COGNITIVE DISORDER (179)
294.9
Cognitive disorder NOS (179)

Mental Disorder Due To A Generaal Medical Condition Not Elsewhere


Classified (181)
293.89
310.1

Catatonic disorder due to (indicate the general medical condition (185)


Personality change disorder due to (indicate the general medical
condition (187)
Specify type : labile type / disinhibited type / aggressive type / apathetic type / paranoid type /
other type / combined type / unspecified type

780.09

Mental disorder NOS due to (indicate the general medical condition


(190)

Substance Related Disorders (191)


The following specifiers apply to substance dependence as noted :
a
with physiological dependence / without physiological dependence
b
early full remission / early partial remission / sustained full remission / sustained
partial remission
c
in a controlled environment
d
on agonist therapy
the following specifiers apply to substance inducted disorders as noted :
I
with onset during intoxication / W during with onset withdrawal
ALCOHOL RELATED DISORDER (212)
Alcohol use disorder (213)
303.90 Alcohol dependencea,b,c (213)
305.00 Alcohol abuse (214)

Alcohol induced disorder (214)

303.00
291.81
291.0
291.0
291.2
291.1
291.x
.5
.3
291.89
291.89
291.89
291.89
291.9

Alcohol intoxication (214)


Alcohol withdrawal (215) specify if : with perceptual disturbance
Alcohol intoxication delirium (143)
Alcohol withdrawal delirium (143)
Alcohol induced persisting dementia (168)
Alcohol induced persisting amnestic disorder (177)
Alcohol induced psychotic disorder (338)
With delusions I,W
With hallucinations I,W
Alcohol induced mood disorder I,W (405)
Alcohol induced anxiety disorder I,W (479)
Alcohol induced sexual dysfunction I (562)
Alcohol induced sleep disorder I,W (655)
Alcohol related disorder NOS (223)

AMPHETAMINE (OR AMPHETAMINE LIKE) RELATED DISORDERS (223)


Amphetamine use disorders (224)
340.40 Amphetamine dependence a,b,c (224)
Amphetamine abuse (225)
Amphetamine induced disorder (226)
292.89 Amphetamine intoxication (226) specify if : with perceptual disturbance
292.0
Amphetamine withdrawal (227)
292.81 Amphetamine intoxication delirium (143)
292.xx Amphetamine induced psychotic disorder (338)
.11
With delusions I
.12
With hallucinations I
292.84 Amphetamine induced mood disorder I,W (405)
292.89 Amphetamine induced anxiety disorder I (479)
292.89 Amphetamine induced sexual dysfunction I (562)
292.89 Amphetamine induced sleep disorder I,W (655)
292.9
Amphetamine related disorder NOS (231)
CAFFEINE RELATED DISORDER (231)
Caffeine induced disorders (232)
305.90 Caffeine intoxication (232)
292.89 Caffeine induced anxiety disorder I (479)
292.89 Caffeine induced sleep disorder I (655)
292.9 Caffeine related disorder NOS (234)
CANNABIS RELATED DISORDERS (234)
Cannabis use disorders (236)
304.30 Cannabis dependence a,b,c (236)
304.20 Cannabis abuse (236)
Cannabis induced disorders (237)

292.89
292.81
292.xx
.11
.12
292.89
292.9

Cannabis intoxication (237) specify if : with perceptual disturbance


Cannabis intoxication delirium (143)
Cannabis induced psychotic disorder (338)
With delusions I
With hallucinations I
Cannabis induced anxiety disorder I (479)
Cannabis related disorder NOS (241)

COCAINE RELATED DISORDER (241)


Cocaine use disorder (242)
304.20
Cocaine dependence a,b,c (242)
304.60
Cocaine abuse (243)
Cocaine induced disorder (244)
292.89
Cocaine intoxication (244) specify if : with perceptual disturbance
292.0
Cocaine withdrawal (245)
292.81
Cocaine intoxication delirium (143)
292.xx
Cocaine induced psychotic disorder (338)
.11
With delusions I
.12
With hallucinations I
292.84
Cocaine induced mood disorder I,W (405)
292.89
Cocaine induced anxiety disorder I,W (479)
292.89
Cocaine induced sexual dysfunction I (562)
292.89
Cocaine induced sleep disorder I,W (655)
292.9
Cocaine related disorder NOS (250)
HALLUCINOGEN RELATED DISORDERS (251)
Hallucinogen use disorder (251)
304.50
Hallucinogen dependence b,c (251)
305.30
Hallucinogen abuse (252)
Hallucinogen induced disorder (252)
292.89
Hallucinogen intoxication (252)
292.89
Hallucinogen persisting perception disorder (flashback)(253)
292.81
Hallucinogen intoxication delirium (143)
292.xx
Hallucinogen induced psychotic disorder (338)
.11
With delusions I,W
.12
With hallucinations I,W
292.84
Hallucinogen induced mood disorder I (405)
292.89
Hallucinogen induced anxiety disorder I (479)
292.9
Alcohol related disorder NOS (256)

INHALANT RELATED DISORDERS (257)

Inhalant use disorders (258)


304.60
Inhalant dependence b,c (258)
305.90
Inhalant abuse (259)
Inhalant induced disorders (259)
292.89
Inhalant intoxication (259)
292.89
Inhalant intoxication delirium (143)
292.81
Inhalant indued persisting dementia (168)
292.xx
Inhalant induced psychotic disorder (338)
.11
With delusions I,W
.12
With hallucinations I,W
292.84
Inhalant induced mood disorder I (405)
292.89
Inhalant induced anxiety disorder I (479)
292.9
Inhalant related disorder NOS (263)
NICOTINE RELATED DISORDERS (264)
Nicotine use disorder (264)
305.1
Nicotine dependence b,c (264)
Nicotine induced disorder (265)
292.0
Nicotine withdrawal (265)
292.9
Nicotine related disorder NOS (269)
OPIOID RELATED DISORDER (269)
Opioid use disorder (270)
Note
There are coded on Axis II
304.00
Opioid dependence a,b,c (258)
305.50
Opioid abuse (259)
Opioid induced disorders (271)
292.89
Opioid intoxication (271) specify if : with perceptual disturbance
292.0
Opioid withdrawal (272)
292.81
Opioid intoxication delirium (143)
292.xx
Opioid induced psychotic disorder (338)
.11
With delusions I
.12
With hallucinations I
292.84
Opioid induced mood disorder I,W (405)
292.89
Opioid induced sexual dysfunction I (562)
292.89
Opioid induced sleep disorder I,W (655)
292.9
Opioid related disorder NOS (277)

PHENCYCLIDINE (OR PHENCYCLIDINE LIKE) RELATED DISORDER (278)

Phencyclidine use disorder (279)


304.60
Phencyclidine dependence b,c (279)
305.90
Phencyclidine abuse (279)
Phencyclidine induced disorders (280)
292.89
Phencyclidine intoxication (280) specify if : with perceptual disturbance
292.81
Phencyclidine intoxication delirium (143)
292.xx
Phencyclidine induced psychotic disorder (338)
.11
With delusions I
.12
With hallucinations I
292.84
Phencyclidine induced mood disorder I (405)
292.89
Phencyclidine induced anxiety disorder I (479)
292.9
Phencyclidine related disorder NOS (283)
SEDATIVE, HYPNOTIC, OR ANXIOLYTIC RELATED DISORDERS (284)
Sedative, hypnotic, or anxiolytic use disorders (285)
304.60
Sedative, hypnotic, or anxiolytic dependence a,b,c (285)
305.90
Sedative, hypnotic, or anxiolytic abuse (286)
Sedative, hypnotic, or anxiolytic induced disorders (286)
292.89
Sedative, hypnotic, or anxiolytic intoxication (286)
292.0
Sedative, hypnotic, or anxiolytic withdrawal (287)
specify if : with perceptual disturbance

292.81
292.81
292.82
292.83
292.xx
292.84
292.89
292.89
292.89
292.9

Sedative, hypnotic, or anxiolytic intoxication delirium (143)


Sedative, hypnotic, or anxiolytic withdrawal delirium (143)
Sedative, hypnotic, or anxiolytic induced persisting dementia (168)
Sedative, hypnotic, or anxiolytic induced persisting amnestic disorder
(177)
Sedative, hypnotic, or anxiolytic induced psychotic disorder (338)
With delusions I,W
.11
With hallucinations I,W
.12
Sedative, hypnotic, or anxiolytic induced mood disorder I,W (405)
Sedative, hypnotic, or anxiolytic induced anxiety disorder W (479)
Sedative, hypnotic, or anxiolytic induced sexual dysfunction I (562)
Sedative, hypnotic, or anxiolytic induced sleep disorder I,W (655)
Sedative, hypnotic, or anxiolytic related disorder NOS (283)

POLYSUBSTANCE RELATED DISORDER (293)


Note
There are coded on Axis II
304.80
Polysubstance dependence a,b,c (293)
OTHER ( OR UNKNOWN) SUBSTANCE RELATED DISORDERS (294)
Other (or unknown) substance use disorders (295)
304.60
Other (or unknown) substance dependence a,b,c (192)
305.90
Other (or unknown) substance abuse (198)
Other (or unknown) substance induced disorders (295)

292.89

Other (or unknown) substance intoxication (199)


specify if : with perceptual disturbance

292.0
292.81
292.82
292.83
292.xx
292.84
292.89
292.89
292.89
292.9

Other (or unknown) substance withdrawal (201)


Other (or unknown) substance delirium (143)
Other (or unknown) substance induced persisting dementia (168)
Other (or unknown) substance induced persisting amnestic disorder (177)
Other (or unknown) substance induced psychotic disorder (338)
With delusions I,W
.11
With hallucinations I,W
.12
Other (or unknown) substance induced mood disorder I,W (405)
Other (or unknown) substance induced anxiety disorder I,W (479)
Other (or unknown) substance induced sexual dysfunction I (562)
Other (or unknown) substance induced sleep disorder I,W (655)
Other (or unknown) substance related disorder NOS (223)

Schizophrenia and Other Psycotic Disorder (297)


295.xx

Schizophrenia (298)

The following classification of longitudinal course apply to all sub types of schizophrenia
Episodic with interepisode residual symptoms (specify if : prominent negative symptoms)
/ Episodic with no interepisode residual symptoms
Continuous (specify if : prominent negative symptoms)
Single episode in partial remission (specify if : prominent negative symptoms) / Single
episode in full remission
Other or unspecified pattern
.30 paranoid type (313)
.10 disorganized type (314)
.20 catatonic type (315)
.90 undifferentiated type (316)
.60 residual type (316)

295.40

Schizopheniform disorder (317)

specify if : without good prognostic features / with good prognostic features

295.70

Schizoaffective disorder (319)


specify if : bipolar type/depressive type

297.1

Delusional disorder (323)


specify if : erotomaniac type / grandiose type / jealous type / persecutory type / somatic
type / mixed type / unspecified type

298.8

Brief psychotic disorder (329)


specify if : with marked stressor / without marked stressor/ with postpartum onset

297.3
293.xx
-.-

Shared psychotic disorder (332)


Psychotic disorder due to (indicated the general medical condition)
.81 With delutions
.82 With hallucinations
Substance induced psychotic disorder (refer to substance related
disorders for substance specific codes) (338)
specify if : with onset during intoxication / with onset during withdrawal

298.9

Psychotic disorder NOS (343)

Mood Disorder (345)


DEPRESSIVE DISORDER (369)
296.xx
Major depressive disorder (369)
.2x Single episode a,b,c,d,e,f
.3x Recurrent a,b,c,d,e,f,g,h
300.4
Dysthymic disorder (376)
Specify if : early onset / late onset. Specify with atypical features

311

Depressive disorder NOS (381)

BIPOLAR DISORDER (382)


296.xx
Bipolar I depressive (382)
.0x Single manic episode a,c,f specify if m: mixed
.40 Most recent episode hypomanic g,h,i
.4x Most recent episode manic a,cf,g,h,i
.6x Most recent episode mixed a,cf,g,h,i
.5x Most recent episode depressed a,b,c,d,e,f,g,h,i
.7 Most recent episode unspecified g,h,i
296.89
Bipolar II depressive a,b,c,d,e,f,g,h (392)
Specify if : (current or most recent episodes) hipyomanic / depressed

301.13
296.80
293.83

Cyclothymic disorder (398)


Bipolar disorder NOS (400)
Mood disorder due to .(indicate the general medical condition) (401)
Specify type with depressive features / with major depressive-like episode / with manic
features / with mixed features

-.-

Substance induced mood disorder (refer to substance related disorder for


substances specific codes) (405)
Specify type with depressive features / with manic features / with mixed features
specify if : with onset during intoxication / with onset during withdrawal

296.90

Mood disorder NOS (410)

Anxiety Disorder (429)

300.01
300.21
300.22
300.29

Panic disorder without agoraphobia (433)


Panic disorder with agoraphobia (433)
Agoraphobia without history of panic disorder (411)
Specific phobia (443)
Specify type : animal type / natural environment type / blood injection injury type /
situasional type / other type

300.23

Social phobia (450)


Specify type : generalized

300.3

Obsessive compulsive disorder (456)


specify if : with poor insight

309.81

Posttraumatic stress disorder (463)


Specify if : acute / chronic
Specify if : with delayed onset

308.3
300.02
293.84

Acute stress disorder (469)


Generalized anxiety disorder (469)
Anxiety disorder due to .(indicate the general medical condition)
Specify if : with generalized anxiety / with panic attack / with obsessive compulsive
symptoms

-.-

Substance induced anxiety disorder (refer to substance related disorder


for substances specific codes) (479)
Specify if : with generalized anxiety / with panic attack / with obsessive compulsive
symptoms / with phobia symptoms
specify if : with onset during intoxication / with onset during withdrawal

300.00

Anxiety disorder NOS (484)

Somatoform Disorder (485)


300.81
300.82
300.11

Somatization disorder (486)


Undifferentiated somatoform disorder (490)
Conversion disorder (492)
Specify type : with motor symptoms or deficit / with sensory symptoms or deficit / with
seizure or convulsion / with mixed presentation

307.xx
80
89

Pain disorder (498)


Associated with psychological factor
Associated with both psychological factor and a general medical
condition
Specify if : acute / chronic

300.7

Hypochondriasis (504)
specify if : with poor insight

300.7
300.82

Body dysmorphic disorder (507)


Somatoform disorder NOS (484)

Factitious Disorders (513)

300.xx
.16
.19
.19
300.19

Factitious disorder (513)


With predominantly psychological sign and symptoms
With predominantly physical sign and symptoms
With combined psychological and physical sign and symptoms
Factitious disorder NOS (517)

Dissociative Disorders (519)


300.12
300.13
300.14
307.6
300.15

Dissociative disorder (520)


Dissociative fugue(523)
Dissociative identity disorder (526)
Depersonalization disorder (530)
Dissociative disorder NOS (532)

Sexual and Gender identity Disorders (535)


SEXUAL DYSFUNCTION (535)
Sexual desire disorder (539)
302.71
Hypoactive sexual desire disorder (539)
302.79
Sexual aversion disorder (541)
Sexual arousal disorder (543)
302.72
Female sexual arousal disorder (543)
302.72
Male erectile disorder (543)
Orgasmic disorder (547)
302.73
Female orgasmic disorder (547)
302.74
Male orgasmic disorder (550)
302.75
Premature ejaculation (552)
Sexual pain disorder (554)
302.76
Dyspareunia (not due to a general medical condition) (554)
306.51
Viginismus (not due to a general medical condition) (556)

Sexual dysfunction due to a general medical condition (558)

625.58
608.89
607.84
625.0
608.89
625.8
608.89
-.-

Female hypoactive sexual desire disorder due to.. (indicate the general
medical condition) (558)
Male hypoactive sexual desire disorder due to.. (indicate the general
medical condition) (558)
Male erectile disorder due to.. (indicate the general medical condition)
(558)
Female dyspareunia due to.. (indicate the general medical condition)
(558)
Male dyspareunia due to.. (indicate the general medical condition) (558)
Other female sexual dysfunction due to.. (indicate the general medical
condition) (558)
Other male sexual dysfunction due to.. (indicate the general medical
condition) (558)
Substance induced Sexual dysfunction (refer to substance related disorder
for substances specific codes) (562)
Specify if : with impaired desire / with impaired arousal / with impaired orgasm / with
sexual pain
specify if : with onset during intoxication

302.70

Sexual dysfunction NOS (565)

PARAPHILAS (566)
302.4
Exhibisionism (569)
302.81
Fetishism (569)
302.89
Frotteurism (570)
302.2
Phedophilia (571)
Specify if : sexual attracted to males / sexual attracted to females / sexual attracted to
both
Specify if : limited to incest
Specify type : exclusive type / nonexclusive type

302.83
302.84
302.3

Sexual masochism (572)


Sexual sadism (573)
Transfertic fetishism (574)
Specify if : with gender dysphoria

302.82
302.9

Voyeurism (575)
Paraphilia NOS (576)

GENDER IDENTITY DISORDER (576)


302.xx
Gender identity disorder (576)
.6
In children
.85
In adolescence or adult
Specify if : sexual attracted to males / sexual attracted to females / sexual attracted to
both / sexual attracted to neither

302.6
302.9

Gender identity disorder NOS (576)


Sexual identity disorder NOS (576)

Eating Disorders (583)

307.1

Anorexia nervosa (583)


Specify type : restricting type, binge-eating / purging type

307.51

Bulimia nervosa (589)


Specify type : purging type / nonpurging type

307.50

Eating disorder NOS (594)

Sleep Disorders (597)


PRIMARY SLEEP DISORDER (598)
Dyssomnia (598)
307.42
Primary insomnia (599)
307.44
Primary hypersomnia
347
Narcolepsy (609)
782.59
Breathing related sleep disorder (615)
307.45
Circadian rhytm sleep disorder (622)
Specify type : delayed sleep phase type / jet lag type / shift work type / unspecified type

307.47

Dyssomnia NOS (629)

Parasomnia (630)
307.47
Nightmare disorder (631)
307.46
Sleep terror disorder (634)
307.46
Sleep walking disorder (639)
307.47
Parasomnia NOS (644)
SLEEP DISORDER RELATED TO ANOTHER MENTAL DISORDER (645)
307.42
Insomnia related to.. (indicate the Axis I or Axis II disorder) (645)
307.44
Hypersomnia related to.. (indicate the Axis I or Axis II disorder) (645)
OTHER SLEEP DISORDERS (651)
780.xx
Sleep disorder due to.. (indicate the general medical condition) (651)
.52
Insomnia type
.54
Hypersomnia type
.59
Parasomnia type
.59
Mixed type
-.Substance induced sleep disorder (refer to substance related disorder for
substances specific codes) (655)
Specify type : Insomnia type / Hypersomnia type / Parasomnia type / Mixed type
specify if : with onset during intoxication / with onset during withdrawal

Impulse control Disorder Not Elsewhere Classified (663)

312.34
312.32
312.33
312.31
312.39
312.30

Intermittent explosive disorder (663)


Kleptomania (667)
Pyromania (669)
Pathological gambling (671)
Trichotilomania (674)
Impulse control disorder NOS (677)

Adjustment Disorders (679)


309.xx
.0
.24
.28
.3
.4
.9

Adjustment disorder (679)


With depressed mood
With anxiety
With mixed depressed mood and anxiety
With disturbance of conduct
With mixed disturbance of emotions and conduct
Unspecified
Specify if : acute / chronic

Personality Disorder (685)


301.0
301.20
301.22
301.7
301.83
301.30
301.81
301.82
301.6
301.4
301.9

Paranoid personality disorder (690)


Schizoid personality disorder (694)
Schizotipal personality disorder (697)
Antisocial personality disorder (701)
Borderline personality disorder (706)
Histrionic personality disorder (711)
Narcisstic personality disorder (714)
Avoidant personality disorder (718)
Dependent personality disorder (721)
Obsessive compulsive personality disorder (725)
Personality disorder NOS (729

Other Conditions That May Be A Focus of Clinical Attention (731)

PSYCHOLOGICAL FACTORS AFFECTING MEDICAL CONDITION (731)


316
..(specified psychological factor)affecting (indicate the general medical
condition) (731)
Choose named based on nature of factors
Mental disorder affecting medical condition
Psychological symptoms affecting medical condition
Personality traits or coping style affecting medical condition
Maladaptive health behaviors affecting medical condition
Stress related physiological response affecting medical condition
Other or unspecified psychological factors affecting medical condition
MEDICATION INDUCED MOVEMENT DISORDERS (734)
Note
There are coded on Axis II
332.1
Neuroleptic induced parkinsonism (735)
333.92
Neuroleptic malignant syndrom (735)
333.7
Neuroleptic induced acute dystenia (735)
333.99
Neuroleptic induced acute akathisia (735)
333.82
Neuroleptic induced tardive diskinesia (736)
333.1
Neuroleptic induced postural tremor (736)
333.90
Medication induced movement disorder NOS (736)
OTHER MEDICATION INDUCED ISORDERS (736)
995.2
Adverse effects of medication NOS (736)
RELATIONAL PROBLEMS
V61.9
Relational problems related to a mental disorder or a general medical
condition (737)
V61.20
Parent child relational problem (737)
V61.10
Partner relational problem (737)
V61.8
Sibling relational problem (737)
V62.81
Relational problem NOS (737)

PROBLEM RELATED TO ABUSE OR NEGLECT (738)


V61021
Physical abuse of child (738)

(code 995.54 if focus of attention is on victim)

V61.21

Sexual abuse of child (738)


(code 995.53 if focus of attention is on victim)

V61.21

Neglect of child (738)


(code 995.52 if focus of attention is on victim)

-.-

Physical abuse of adult (738)


(code 995.54 if focus of attention is on victim)

V61.12
V62.83

(if by partner)
(if by person other than partner)
(code 995.81 if focus of attention is on victim)

-.V61.12
V62.83

Sexual abuse of adult (738)


(if by partner)
(if by person other than partner)
(code 995.83 if focus of attention is on victim)

ADITIONAL CONDITIONS THAT MAY BE A FOCUS OF CLINICAL


ATTENTION (739)
V15.81
Noncompliance with treatment (739)
V665.2
Malingering (739)
V71.01
Adult antisocial behavior (740)
V62.89
Child or adolescence antisocial behavior (740)
780.9
Borderline intellectual functioning (740)
Note : this is code on Axis II

V62.82
V62.3
V62.2
313.82
V62.89
V62.4
V62.89

Age related cognitive decline (740)


Academic problems (741)
Occupational problems (741)
Identity problems (741)
Religious or spiritual problems (741)
Acculturation problems (741)
Phase of life problems (742)

Additional Codes (743)


300.9
V71.09
799.9
V71.09
799.9

Unspecified mental disorder (nonpsychotic) (743)


No diagnosis or condition on Axis I (743)
Diagnosis or condition deffered on Axis I (743)
No diagnosis on Axis II (743)
Diagnosis deffered on Axis II (743)

Multiaxial system

Axis I
Axis II
Axis III
Axis IV
Axis V

Clinical disorder
Other conditions that may be a focus of clinical attention
Personality disorder
Mental retardation
General medical conditions
Psychosocial and environmental problems
Global assessment of functioning

KRITERIA DIAGNOSTIK DSM-IV-TR


diambil dari Kaplan & Sadocks Pocket
Handbook of CLINICAL PSYCHIATRY 4th ed

Delirium karena kondisi medis umum


A.

Disturbance of consciousness (ie, reduced clarity of awareness of the


environment) with reduced ability to focus, sustain, or shift attention.
Gangguan kesadaran (penurunan tingkat kewaspadaan
terhadap keadaan sekitar) disertai penurunan kemampuan
memusatkan,mempertahankan atau mengalihkan perhatian.
B. A change in cognition (eg, memory deficit, disorientation, language disturbance,
perceptual disturbance) or the development of perceptual disturbance that is not
better accounted for by a preexisting, established, or evolving demensia.
Perubahan kemampuan kognitif (spt penurunan daya
ingat,disorientasi,gangguan berbahasa dan persepsi) atau
pembentukan gangguan persepsi yang bukan ok sebelumnya
ada,menetap atu merupakan dementia.
C. The disturbance develops over a short period (usually hours to days) and tends
to fluctuate during the course of the day.
Gangguan ini terjadi dalam waktu yang singkat (biasanya dlm
beberapa jam atau hari)dan cenderung berubah-ubah
sepanjang hari.
D. There is evidence from the history, physical examination, or laboratory findings
that the disturbance is caused by the direct physiologic consequence of a general
medical condition.
Adanya bukti dari riwayat,pemeriksaan fisik atau temuan
laboratories yg menunjukan behwa gangguan ini adalah
konsekuensi fisiologis drari kondisi medis umum.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

Delirium karena intoksikasi zat

A.

B.

C.

D.

Disturbance of consciousness (ie, reduced clarity of awareness of the


environment) occurs, with reduced ability to focus, sustain, or shift attention.
Gangguan kesadaran (penurunan tingkat kewaspadaan
terhadap keadaan sekitar) disertai penurunan kemampuan
memusatkan,mempertahankan atau mengalihkan perhatian.
A change in cognition (eg, memory deficit, disorientation, language disturbance,
perceptual disturbance) occurs that is not better accounted for by a preexisting,
established, or evolving demensia.
Perubahan kemampuan kognitif (spt penurunan daya
ingat,disorientasi,gangguan berbahasa dan persepsi) atau
pembentukan gangguan persepsi yang bukan ok sebelumnya
ada,menetap atu merupakan dementia.
The disturbance develops over a short period (usually hours to days) and tends
to fluctuate during the course of the day.
Gangguan ini terjadi dalam waktu yang singkat (biasanya dlm
beberapa jam atau hari)
dan cenderung berubah-ubah
sepanjang hari.
There is evidence from the history, physical examination, or laboratory findings
of either (1) or (2):
1. The symptoms in criteria A and B developed during substance intoxication
2. Medication use is etiologically related to the disturbance.
Adanya bukti dari riwayat,pemeriksaan fisik atau temuan
laboratories antara (1) atau (2):
1.Gejala-gejala pada criteria A dan B terjadi selama intoksikasi
zat.
2.Obat medikasi berkaitan secara etiologis dengan gangguan
ini.

From American Psychiatric Association. Diagnostic and Statistical Manual of Mental


Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

Dementia karena kondisi medis umum

A.

B.

C.

D.

The development of multiple cognitive deficits manifested by both


1. Memory impairment (impaired ability to learn new information or to
recall previously learned information)
2. One (or more) of the following cognitive disturbances :
a. aphasia (language disturbance)
b. apraxia (impaired ability to carry out motor activities despite
intact motor function)
c. agnosia (failure to recognize or identify ojects despite intact
sensory function)
d. disturbance in executive functioning (i.e., planning,
organizing, sequencing, abstracting)
Terjadinya berbagai deficit kognitif yg bermanifestasi sebagai
berikut:
1. Penurunan memori (penurunan kemampuan
mempelajari informasi baru atau mengingat informasi
yang pernah dipelajari).
2. Satu atau lebih dari gangguan kognitif berikut:
a. Aphasia.
b. Apraxia.
c. Agnosia.
d. Gangguan dalam pengambilan keputusan
(perencanaan,pengorganisasian,kesinambungan,
abstraksi).
The cognitive deficits in criteria A1 and A2 each cause significant impairment in
social or occupational functioning and represent a significant decline from a
previous level of function
Defisit. Kognitif pada criteria A1 dan A2 menyebabkan
penderitaan yang bermakna pada fungsi2 sosial dan pekerjaan
serta menunjukan penurunan yang berarti dari keaadan
sebelumnya.
There is evidence from the history, physical examination or laboratory findings
that the disturbance is the direct physiologic consequence of a general medical
condition other than Alzheimers disease or cerebrovascular disease (e.g. HIV
infection, traumatic brain injury, Parkinsons disease, Huntingtons disease,
Picks disease, Creutzfeldt-Jakob disease, normal-pressure hydrocephalus,
hypothyroidism, brain tumor or vitamin B12 deficiency)
Adanya bukti2 dari riwayat,pemeriksaan fisik atau temuan
laboratoris yang menunjukan bahwa gangguan ini adalah
konsekuensi langsung dari suatu kondisi medis umum selain
penyakit Alzheimer atau serebrovaskuler (mis. Infeksi
HIV,trauma serebral,penyakit2
Parkinson,Huntington,Pick,Creutzfeldt-Jakob,Hidrosefalus
tekanan normal,Hipotiroidism,tumor otak atau defisiensi
vitamin B12).
The deficits do not occur exclusively during the course of delirium
Deficit-defisit ini terutama tidak terjadi selama adanya delirium.

Code based on presence or absence of a clinically significant behavioral disturbance:


Without behavioral disturbance : if the cognitive disturbance is not accompanied
by any clinically significant behavioral disturbance
Without behavioral disturbance : if the cognitive disturbance is accompanied by
a clinically significant behavioral disturbance (e.g., wandering, agitation)
Kode berdasarkan ada tidaknya ggn perilaku y bermakna klinis:
Tanpa gangguan perilaku: jika gangguan kognitif tidak
disertai oleh gangguan perilaku yang bermakna klinis.
Dengan gangguan perilaku: jika gangguan kognitif disertai
oleh gangguan perilaku yang bermakna klinis.
Coding note : Also code the general medical condition on Axis III (e.g., HIV infection,
head injury, Parkinsons disease, Huntingtons disease, Picks disease, CreutzfeldtJakob disease.
Catatan: Pada axis III tuliskan penyakit penyebab.

Dementia tipe Alzheimer


A. The Development of Multiple cognitive deficits manifested by both Terjadinya
berbagai deficit kognitif yg bermanifestasi sebagai berikut:
2.
Penurunan memori (penurunan kemampuan mempelajari
informasi baru atau mengingat informasi yang pernah dipelajari).
3.
Satu atau lebih dari gangguan kognitif berikut:
a. Aphasia.
b. Apraxia.
c. Agnosia.
d. Gangguan dalam pengambilan keputusan
(perencanaan,pengorganisasian,kesinambungan,abstraksi).
B.

The cognitive deficits in criteria A1 and A2


each cause significant impairment in social or occupational functioning and represent a
significant decline from a previous level of functioning. Defisit. Kognitif pada

criteria A1 dan A2 menyebabkan penderitaan yang bermakna pada


fungsi2 sosial dan pekerjaan serta menunjukan penurunan yang
berarti dari keaadan sebelumnya.
C.

The course is characterized by gradual onset


and continuing cognitive decline. Perjalanan penyakit ditandai dengan onset

yang bertahap dan penurunan kognitif berlanjut


D.

The cognitive deficits in criteria A1 and A2


are not due to any of the following :

(1) other central nervous system conditions that cause progressive deficits in memory and
cognition (e.g., cerebrovascular disease, Parkinsons disease, Humingtons disease,
subdural hematoma, normal-pressure hydrocephalus, brain tumor)
(1) systemic conditions that are known to cause dementia (e.g.,hypothyroidism, vitamin B12
or folic acid deficiency, niacin deficiency, hypercalcemia, neurosyphilis, HIV infection)
(2) substance-induced conditions.

Defisit. Kognitif pada criteria A1 dan A2 tidak disebabkan oleh:


(1)Kondisi-kondisi sistim saraf pusat lainnya yang menyebabkan
deficit progresif memori dan kognitif (mis. Penyakit
serebrovaskuler,Parkinson,Huntington,Pick,hematoma
subdural,Hidrosefalus tekanan normal,tumor otak).
(2)Kondisi-kondis sistemik yang diketahui menyebabkan dementia
(mis. Hipotiroidism,defisiensi vitamin ab12 atu asam
folat,niacin,hiperkalsemia,neurosifilis,infeksi HIV).
(3)Kondisi-kondisi yang diinduksi zat.
E.
The deficits do not occur exclusively during the course of a delirium. Deficitdefisit ini terutama tidak terjadi selama adanya delirium.
F.
The disturbance is not better accounted for by axis disorder (e.g., major depressive
disorder, schizophrenia). Gangguan ini bukan disebabkan oleh gangguan
axis I lainnya (mis.Gangguan Deprsif Mayor,Schizophrenia).
Code based on presence or absence of a clinically significant behavioral disturbance :
Without behavioral disturbance : if the cognitive disturbance is not accompanied by any
clinically significant behavioral disturbance.
With behavioral disturbance : if the cognitive disturbance is accompanied by a clinically
significant behavioral disturbance (e.g., wandering).

Kode berdasarkan ada tidaknya ggn perilaku yg bermakna klinis:


Tanpa gangguan perilaku: jika gangguan kognitif tidak
disertai oleh gangguan perilaku yang bermakna klinis.
Dengan gangguan perilaku: jika gangguan kognitif disertai
oleh gangguan perilaku yang bermakna klinis (mis. suka
jalan2)
Specify subtype :
With early onset : if onset is at age 65 years or below
With late onset : if onset is after age 65 years

Tentukan subtype:

Onset dini: jika muncul sebelum usia 65 tahun.

Onset lambat: : jika muncul sesudah usia 65 tahun.


Coding note : Also code the general medical condition on Axis III (e.g., HIV infection,
head injury, Parkinsons disease, Huntingtons disease, Picks disease, CreutzfeldtJakob disease
Catatan: Tuliskan juga penyakit Alzheimer pada axis III.

From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders,
text revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000, with
permission

Amnesia karena kondisi medis umum


A. The development of memory impairment as manifested by impairment in the ability to learn
new information or the inability to recall previously learned information. Terjadinya

gangguan
memori
yang
bermanifestasi
sebagai
gangguan
kemampuan mempelajari informasi baru atau ketidakmampuan
mengingat informasi yang pernah dipelajari.
B. The memory disturbance causes significant impairment in social or occupational functioning
and represents a significant decline from a previous level of functioning.Gangguan

memori menyebabkan penderitaan yang bermakna pada fungsi2


sosial dan pekerjaan serta menunjukan penurunan yang berarti dari
keaadan sebelumnya.
C. The memory disturbance does not occur exclusively during the course of a delirium or a
dementia.Gangguan memori ini tidak hanya terjadi bersamaan dengan

delirium atau dementia.


D. There is evidence from the history, physical examination, or laboratory findings that the
disturbance is the direct physiologic consequence of a general medical condition (including
physical trauma).Adanya bukti2 dari riwayat,pemeriksaan fisik atau

temuan laboratoris yang menunjukan bahwa gangguan ini adalah


konsekuensi fisiologis langsung dari suatu kondisi medis umum
(termasuk trauma fisik).

Specify if :
Transient : if memory impairment lasts for 1 month or less
Chronic : if memory impairment lasts for more than 1 month

Tentukan jika:
Transient: jika gangguan memori berlangsung selama 1
bulan atau kurang.
Kronis:
jika gangguan memori berlangsung lebih dari 1

bulan lamanya.
Coding note : include the name of the general medical condition on Axis I (e.g., amnestic disorder
due to head trauma); also code the general medical condition on Axis III.

Catatan: Masukan nama kondisi medis umum pada axis I


(mis.Gangguan Amnesia ok TraumaCapitis) dan cantumkan itu pada
axis III.
From American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders
text revision, 4th ed. Washington DC : American Psychiatric Association. Copyright 2000. with
permission.

GGN MOOD DISEBABKAN KONDIS MEDIS UMUM


A. Ggn mood yg menonjol dan menetap mendominasi gambaran klinis
dan di karakterisir oleh 1 atau kedua hal berikut:
1.
adanya mood depresi atau penrunan nyata minat atau
kesenangan pada hampir atau semua aktifitas.
2.
adanya mood yg elevasi, expansif atau irritable.
B. Adanya bukti berdasarkan riwayat, pemeriksaan fisik atau temuan2
laboratoris bhw ggn ini adalah konsekunsi fisilogis lsg dari suatu kondis
medis umum.
C. Ggn ini tdk dpt digolongkan sebagai ggn mental lainnya (spt. Ggn
Penyesuaian dgn mod depresi sbg respons thd beban menderita suatu
kondis medis umum).
D. Ggn ini tdk hanya terjadi dlm perjalanan suatu Delirium.
E. Gejala2 diatas menyebabkan penderitaan atau hambatan yg bermakna
klinis dlm bidang2 sosial, okupasional, atau fungsional penting lainnya.
Tentukan tpenya:
Dgn gambaran depresif: diwarnai mood depresi tetapi tdk memenuhi
kriteria penuh episode Depresi Mayor.
Dgn episode mirip Depresi Mayor: memenuhi kriteria penuh kecuali
poin D dari Episode Depresi Mayor
Dgn gambara Mania: jika diwarnai mood2 elevasi, euforia atau irritable.
Dgn gambaran Campuran: jika gejala2 Depresi dan Mania ada tetapi
tdk satupun yg menonjol.

DSM-IV-TR Diagnostic Criteria for Psychotic Dissorder due to a general medical


condition
A. Halusinasi2 atau waham2nya menonjol.
B. Adanya bukti dari riwayat,pemeriksaan fisik atau temuan
laboratories yg menunjukan behwa gangguan ini adalah
konsekuensi fisiologis langsung dari suatu kondisi medis umum.

C. Gangguan ini tidak dapat dijelalaskan oleh gangguan mental


lainnya.
D. Gangguan ini tidak terjadi selama perjalanan suatu delirium.
Kode berdasarkan gejala2 predominan:
Dgn waham2
: jika gambaran wahamnya menonjol.
Dgn halusinasi2
: jika halusinasinya yang menonjol.
Cat. pengkodean: tuliskan nama dari kondisi medis umum. Pada axis I
mis. Gangguan Psikotik ok Neoplasma ganas paru dgn waham; juga
tuliskan nama kondisi medis umumnya pd axis III.
Jika wahm yg ada sbg bagian dari Demntia vaskuler maka tunjkan
sesuai dgn subtipe, mis. Demntia Vaskuler dgn waham.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission
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Diagnostic Criteria for Substance Dependence ( Alcohol and Other Substances)


A maladaptive pattern of substance use, leading to clinically significant impairment or
distress, as manifested by three (or more) of the following, occuring at any time in the
same 12-month period:
Suatu pola pengguanaan zat yang maladaptif mengarah pada
gangguan atau penderitaan yng bermakna klinis, bermanifestasi
sebagai 3 (tiga) atau lebih hal-hal berikut yang terjadi pada tiap saat
dalam periode 12 bulan:
1. tolerance, as defined by either of the following:
a. a need for markedly increased amounts of the substance to achieve
intoxication or desired effect
b. markedly diminished effect with continued use of the same amount of the
substance
toleransi yang didefinisikan sbb:
a. peningkatan nyata jumlah kebutuhan zat untuk
mendapatkan efek yang didamba atau mencapai
intoksikasi.
b. Penurunan efek yang nyata dengan penggunaan kontinyu
jumlah yang sama dari zat.
2. withdrawal, as manifested by either of the following:
a. the characteristic withdrawal syndrome for the substance (refer to Criteria
A and B of the criteria sets from withdrawal from the specific substances)

b.

the same (or a closely related) substance is taken relieve or avoid


withdrawal symptoms
putus zat, bermanifestasi sebagai salah satu dari:
a.
sindroma withdrwal khas untuk zat penyebab
( criteria A dan B dari gejala withdrawal zat dimaksud).
b.
zat yanga sama atau sejenis digunakan untuk
menghilangkan
atau
menghindari
gejala-gejala
withdrawal.
3. The substance is often taken in larger amounts or over a larger paeriod than was
intended
Zat yng dimaksud sering digunakan dalam jumlah yang besar
atau lewat dari batas waktu pemakaiannya.
4.
there is a persistent desire or unsuccesful efforts to cut down or control
substance use
adanya hasrat menetap atau ketidakberhasilan mengurangi atau
mengendalikan pemakaian zat.
5.
a great deal of time is spent in activities necessary to obtain the substance
(e.g. visiting multiple doctors or driving distances), use the substance (e.g. chainsmoking), or recover from its effects
Adanya aktifitas yang menyita waktu untuk kebutuhan
mendapatkan zat (mis.mendatangi berbagai dokter atau sampai
melakukan perjalan jauh), untuk menggunakan zat (merokok
tiada sela) atau untuk pulih dari efek2nya.
6.
Important social, occupational, or recreational activities are given up or
reduced because of substance use
Kegiatan-kegiatan soial yang penting,pekerjaan atau rekreasi
dilalaikan atau dikurangi karena penggunaan zat.
7.
the substance use is continued despite knowledge of having a persistent or
recurrent physical or psychological problem that is likely to have been caused or
exacerbated by the substance (e.g. current cocaine use despiterecognition of
cocaine-induced depression, or continued drinking despite recognition that an ulcer
was made worse by alcohol consumption).
penggunaan zat tetap berlanjut meskipun mengetahui bahwa
problem2 fisik dan fisiologis menetap atau berulang disebabkan
oleh penggunaan zat (mis.sementara menggunakan kokain
meskipun mengetahui itu menginduksi depresi atau tetap
meneguk-alkohol- meskipun mengetahui hal itu memperburuk
ulcus gaster).
Specify if:
With physiologic dependence; evidence of tolerance or withdrawal (i.e., either
item 1 or 2 is present)
Without physiologic dependence; no evidence of tolerance or withdrawal (i.e.,
neither item 1 or 2 is present
Tentukan jika:
Dengan ketergantungan fisiologis: terbukti adanya toleransi
atau putus zat (adanya item 1 atau 2).

Tanpa ketergantungan fisiologis: tidak terbukti adanya


toleransi atau putus zat zat (tidaka adanya item 1 atau 2)..
Course specifiers.
Early full remission
Early partial reemission
Sustained full remission
Sustained partial remission
On against therapy
In a controlled environment
Tentukan perlangsunganya:
Remisi dini penuh
Pemisi dini parsial
Remisi penuh menetap
Remisi parsial menetap
Dalam terapi agonis
Dalam lingkungan yang diatur
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission
DSM-IV-TR Diagnostic Criteria for Substance Abuse (Alcohol and Other
Substances)
A. A maladaptive pattern of substance use leading to clinically significant
impairment or distress, as manifested by one (or more) of the following, occuring
within a 12-month period Suatu pola pengguanaan zat yang maladaptif
mengarah pada gangguan atau penderitaan yng bermakna klinis,
bermanifestasi sebagai 1 (satu) atau lebih hal-hal berikut yang
terjadi dalam periode 12 bulan:
(1)
recurrent substance use resulting in failure to fulfill major role
obligations at work, school, or home (e.g., repeated absences or poor work
performance related to substance use; substance-related absences, suspensions,
or expulsions from school; neglect of children or household) penggunaan
berulang zat menyebabkan kegagalan memenuhi tugas utama
ditempat kerja,sekolah atau dirumah (mis. berulangkali bolos
hasil kerja yang buruk karena penggunaan zat, bolos,diganjar
atu
dikeluarkan
dari
sekolah
karena
penggunaan
zat,mengabaikan anak atau anggota keluarga
(2)recurrent substance use in situations in which it is physically hazardous (e.g.,
driving on automobile or operating a machine when impaired by substance use
berulangkali menggunakn zat dalm situasi yang
membahayakan fisik (mis.mengemudikan kendaraan atau
mengoperasikan mesin saat terganggu oleh pemakaiannya)

(3)recurrent substance-related legal problems (e.g., arrest for substance-related


disorderly conduct) berulangkali berurusan dengan hukum karena
penggunaan zat (ditangkap karena ulah berkaitan dengan
penggunaannya).
(4)continued substance use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the effects of the substance
(e.g., arguments with spouse about consequences of intoxication, physical
fights) meneruskan penggunaan zat meskipun tetap atau
berulang memiliki problem sosial atau interpersonal
disebabkan atau kambuhnya efek2 dari zat (mis.berdebat
dengan pasangan tentang akibat intoksikasi,berkaelahi).
B.

The symptoms have never met the criteria for substance dependence for the class
of substance. Gejala-gejalanya tidak memenuhi kriteria
ketergantungan zat yang digunakan.

DSM-IV-TR Diagnostic Criteria for Substance Intoxication


A. Development of a reversible substance-specific syndrome due to recent ingestion of (or
exposure to) a substance. Note: different substances may produce similar or identical
syndrome Terjadinya sindroma reversible zat spesifik karena barusan

menelannya atau terpapar olehnya.cat. zat yang berbeda dapat


memberi sindroma yang mirip atau sama.
B. Clinically significant maladaptive behavioral or psychological changes that are due to the
effect of the substance on the central nervous system (e.g. belligerence, mood lability,
cognitive impairment, impaired judgment, impaired social or occupational function), and
develop during or shortly other use of the substance Tingkah laku maladaptif

yang bermakna secara klinis atau perobahan psikologis karena efek


dari zat terhadap sitim saraf pusat (mis. keadaan siap
tempur,labilitas mood,gangguan kognitif, penilaian,sosial dan
fungsi pekerjaan) yang terjadi segera setelah penggunaan zat.
C. The symptoms are not due to a general medical condition and are not better accounted for
by another mental disorder Gejala-gejalanya tidak karena kondisi medis
umum ataupun gangguan mental lainnya.

DSM-IV-TR Diagnostic Criteria for Substance withdrawal


A.

The development of a substance-specific syndrome due to the cessation of (or reduction


in) substance use that has been heavy and prolonged Terjadinya sindroma zat

spesifik karena penghentian mendadak (atau pengurangan)


penggunaan zat yang lama dan berat.
B.

The substance-specific syndrome causes clinically significant distress or impairment in


social, occupational, or other important areas of function Sindroma zat spesifik

diatas menyebabkan penderitaan yang bermakna secara klinis

atau gangguan dalam hal sosial,pekerjaan atau area fungsifungsi penting lainnya
C.

The symptoms are not due to a general medical conditions and are not better accounted
for by another mental disorder Gejala-gejalanya tidak karena kondisi

medis umum ataupun gangguan mental lainnya

DSM-IV-TR- Diagnostic Criteria for opioid Intoxification


A. Recent use of an opioid.Barusan menggunakan Opioid.
B. Clinically significant maladaptive behavioral of psycological change (e.g.,initial
euphoria followed by apathy, dysphoria, psycomotor agitation or retardation, impaired
judgement, or impaire social or impair occupation functioning) that developed during
or shorty after opioid use.Tingkah laku maladaptif yang bermakna secara
klinis atau perubahan psikologis (mis. mulanya euforia disusul
apatis,disforia,agitasi atau retardasi psikomotor,gangguan penilaian
atau fungsi sosial atau pekerjaan) yang terjadi selama atau segera
setelah pemakaian opioid.
C. Pupil constriction or pupilary dilation due to anoxia from severe overdose) and one
(or more) of the following:
1. drowsiness or coma.
2. slureed speech.
3. impairment of attention or memory.
Kostriksi pupil (atau dilatasi ok anoxia akibat overdosis) disertai satu
atau lebih tanda2 berikut yang terjadi selama atau segera setelah
pemakaian opioid.
yang terjadi selama atau segera setelah pemakaian opioid.
1. drowsiness atau coma.
2. bicara spt orang mabuk
3. gangguan perhatian dan memori.
D. The symptom are not due to general medical condition and are not better accounted
for by another mental disorder.Gejala-gejalanya tidak karena kondisi medis
umum ataupun gangguan mental lainnya.
Specify it : with perceptual disturbances.
Tentukan jika disertai gangguan persepsi.

DSM-IV-TR kriteria diagnosis Putus Zat Opioid


A. Either of the following:
1. cessation of (or reduction) opioid use that have been heavy prolonged
(seveeral weeks or longer).
2. administration of an opioid antagonist after a period of opioid use.
Salah satu dari berikut ini:
1. penghentian mendadak (atau reduksi) penggunaan
yang berat dan lama (beberapa minggu atau lebih)
2. pemberian antagonis opioid setelah suatu periode
penggunaan opioid.
B. Three or more following, developing within minute to several days after criteria A :
1. Disphoric mood.
2. Nausea and vomitting.
3. Muscle aches.
4. Lacrimation and rhinorea.
5. Pupillary erection, pillorecction or sweating.
6. Diarrhea.
7. Yawning.
8. Fever.
9. Insomnia.
Tiga atau lebih hal-hal berikut terjadi dalam hitungan menit sampai
beberapa hari setelah kriteria A:
1. mood disforik.
2. nausea atau vomitus
3. nyeri otot.
4. lakrimasi atau rhinorrhea.
5. midriasis,piloerction atau persipirasi.
6. diare.
7. sering menguap.
8. febris.
9. insomnia.
C.
The symptoms in criteria B cause clinically sigificant distres or impairment in
social, occupational or other important areas of functioning.Gejala-gejala kriteria
B diatas menyebabkan penderitaan yang bermakna secara klinis
atau gangguan dalam hal sosial,pekerjaan atau area fungsi-fungsi
penting lainnya
D.
The symptoms are not due to general medical condition and are not better
encounted by another mental disorder.Gejala-gejalanya tidak karena kondisi
medis umum ataupun gangguan mental lainnya.

DSM-IV-TR Diagnostik Criteria for Amphetamine Intoxication


A. Recent use of amphetamine or a related substance

(e.g.,

methylphenidate)Barusan menggunakan amfetamin atau zat sejenis


(mis. methylphenidate).
B. Clinically significant maladaptive behavioral or psycological changes (e.g.,
euforia or affective blunting; changes in sociability; hypervigilance;
interpersonal sensitivity; anxiety; tension, or anger; stereotyped behaviour;
impaired judgment; impaired social or occupational fungtioning) that
developed during, or shortly after use of amphetamin or related substance
Tingkah laku maladaptif yang bermakna secara klinis atau
perubahan psikologis (mis. euforia atau afek tumpul,perubahan
kemampuan
sosial,sensitifitas
interpersonal,hiperwaspada,
anxietas,
ketegangan
atau
gusar
,perilaku
sterotipik,
psikomotor,gangguan penilaian atau fungsi sosial atau pekerjaan)
yang terjadi selama atau segera setelah pemakaian amfetamin dan
sejenisnya.
C. Two (or more) of the following developing during or shorty after use of
amphetamin or related substance
1. Tachycardia or bradycardia
2. pupilary dilatation
3. elevated or lowered blood presure
4. Perpiration or chill
5. Nausea or vomiting
6. Evidence of wight loss
7. Psycomotor agitation or retardation
8. muscular weakness, respiratory depression, chest pain, or
cardiac arrhythmias
9. Confusion, seizures, dyskinesias, dystonias, or coma
Adanya dua atau lebih tanda-tanda berikut ) yang terjadi selama atau segera
setelah pemakaian amfetamin dan sejenisnya:
1. taki- atau bradikardi
2. midriasis.
3. tekanan darah meningkat atau turun.
4. persipirasi atau menggigil.
5. nausea atau vomitus.
6. penurunan berat badan
7.
agitasi atau retardasi psikomotor
8.
kelemahan otot,depresi respirasi,nyeri dada atau
aritmia
9. kebingungan,kejang,diskinesia, distonia atau koma.
D. The symptoms are not due to a general medical condition and are not better
accounted for by another mental disorder.Gejala-gejalanya tidak karena
kondisi medis umum ataupun gangguan mental lainnya.

Spcify if: With perceptual disturbances

Tentukan jika: dgn ggn persepsi


DSM-IV-TR Diagnostik Criteria for Amphetamine Withdrawal
A. Cessation of (or reduction in) amphetamin (or related substance) use that has
been heavy and prolonged Penghentian mendadak (atau
pengurangan) dari pengguanaan amfetamin (atau sejenisnya) yang
berat dan lama
B. Dysphoric mood and two (or more) of following physiologic changes,
developing within a few hous to several days after Criterion A:
1. Fatigue
2. Vivid, unpleasant dreams
3. imsomnia or hypersomnia
4. increase appetite
5. Psycomotor retardation or agitation
Mood disforik dan 2 atua lebih perubahan fisiologis berikut terjadi
dlm
beberapa jam atau hari setelah kriteria A:
1. keletihan
2. mimpi2 tak menyenangkan yg terasa hidup
3. insomnia atau hipersomnia
4. nafsu makan meningkat
5. retardasi atu agitasi psikomotor
C. The symptoms in Criterion B cause clinically significant distress or
impairement in social, occupational, or other important areas of
functioning.Gejala-gejala kriteria B diatas menyebabkan penderitaan
yang bermakna secara klinis atau gangguan dalam hal
sosial,pekerjaan atau area fungsi-fungsi penting lainnya
D. The symptoms are not due to a general medical condition and are not better
accounted for by another mental disorder.Gejala-gejalanya tidak karena
kondisi medis umum ataupun gangguan mental lainnya.

GGN MOOD DIINDUKSI ZAT


A.
Ggn mood yg menonjol dan menetap mendominasi
gambaran klinis dan di karakterisir oleh 1 atau kedua hal
berikut:
1.
adanya mood depresi atau penrunan nyata
minat atau kesenangan pada hampir atau semua
aktifitas.

2.

adanya mood yg elevasi, expansif atau

irritable.
Adanya bukti berdasarkan riwayat, pemeriksaan fisik
atau temuan2 laboratoris:
1. gejala2 pd kriteria A selama atau dlm sebulan setelah
intoksikasi atau putus zat.
2. penggunaan medikasi berhubungan etiologis dgn ggn
ini.
C.
Ggn ini tdk dpt digolongkan sbg ggn mood yg tdk
diinduksi zat dgn pembuktian sbb: geja2 mendahului
sebelum onset penggunaan zat (atau medikasi); gejala2
menetap utk wkt yg jelas (mis. 1 bulan) sesudah
berhentinya putus zat akut atau intoksikasi berat atau
berlebihan dari yg diduga dgn jumlah atau lamanya
pemakaian zat; atau adanya bukti keberadaan ggn mood
yg bukan diinduksi zat (mis. Ada riwayat episode Depresi
Mayor rekuren).
D.
Ggn ini tdk hanya terjadi dlm perjalanan suatu
Delirium.
E.
Gejala2 diatas menyebabkan penderitaan atau
hambatan yg bermakna klinis dlm bidang2 sosial,
okupasional, atau fungsional penting lainnya.
B.

Cat: diagnosa sebaiknya dibuat meskipun ada dignosa


Intoksikasi atau Putus Zat ketika gejal2 mood muuncul
berlebihan dibanding biasanya dgn intoksikasi atau putus zat
dan ketika gejala2 cukup berat utk menjadi perhatian klinis
tersendiri.
Tentukan tipe:
Dgn gambaran depresif: diwarnai mood depresi tetapi tdk
memenuhi kriteria penuh episode Depresi Mayor.
Dgn episode mirip Depresi Mayor: memenuhi kriteria
penuh kecuali poin D dari Episode Depresi Mayor
Dgn gambara Mania: jika diwarnai mood2 elevasi, euforia
atau irritable.
Dgn gambaran Campuran: jika gejala2 Depresi dan Mania
ada tetapi tdk satupun yg menonjol.
Tentukan jika:

Dgn onset sewaktu intoksikasi: jika memenuhi kriteria


intoksikasi zat dan gejala2 terjadi selama sindroma
intoksikasi.

Dgn onset sewaktu putus zat: jika memenuhi kriteria


putus zat dan gejala2 terjadi selama atau segera sesudah
sindroma putus zat.

DSM-IV TR: GANGGUAN PSIKOTIK YG DIINDUKSI ZAT


A. Halusinasi2 atau waham2nya menonjol.Cat.: jangan masukan
halusinasi jika oranya mempunyai tilikan bhw dia dipengaruhi zat.
B. Adanya bukti dari riwayat,pemeriksaan fisik atau temuan
laboratories yg menunjukan (1) atau (2):
C. Gangguan ini tidak dpt dijelaskan oleh gangguan psikotik yg tidak
diiduksi zat yg dibuktikan dgn gejala2 sudah ada sebelum
menggunakan zat (atau medikasi), menetap dlm jangka waktu
tertentu setelah berhentinya putus zat akut atau intoksikasi berat,
atau timbulnya berlebihan dibanding jumlah atau durasi pemakaian
zat, atau adanya bukti lain yg menunjukan suatu gangguan psikotik
lepas yang dinduksi oleh bukan zat.
D. Gangguan ini tidak terjadi selama perjalanan suatu delirium.
Cat.: Diagnosis ini sebaiknya dibuat sebagai ganti Intoksikasi Zat atau
Putus Zat hanya ketika gejala2nya berlebihan dari ke2 gangguan ini
dan ketika cukup berat untuk menghasilkan perhatian klinis.
Kode (zat spesifik) menginduksi gangguan psikotik:292.11 Inhalan, dgn
waham; 292.12 Inhalan, dgn halusinasi; 292.11 Opioid, dgn waham;
292.12 Opioid, dgn halusinasi; 292.11 Phencyclidine (sejenisnya), dgn
waham; 292.12 Phencyclidine (sejenisnya), dgn halusinasi; 291.5
Alkohol,dgn waham; 291.3 Alkohol,dgn halusinasi; 292.11 Amfetamin
(sejenisnya), dgn waham; 292.12 Amfetamin (sejenisnya), dgn
halusinasi; 292.11 Kanabis, dgn waham; 292.12 Kanabis, dgn
halusinasi; 292.11 Kokain, dgn waham;292.12 Kokain, dgn halusinasi;
292.11 Halisinogen dgn waham; 292.12 Halusinogen dgn halusinasi;
292.11 Sedatif,Hipnotik atau Anxiolitik, dgn waham; 292.12
Sedatif,Hipnotik atau Anxiolitik, dgn halusinasi; 292.11 Zat lain, dgn
waham; 292.12 Zat lain, dgn halusinasi.
Tentukan jika:
Dgn onst sewaktu intoksikasi: jika kriteria intoksikasi zat terpenuhi
dan gejala2nya terjadi bersamaan.
Dgn onset sewaktu putus zat: jika kriteria putus zat terpenuhi dan
gejala2nya terjadi bersamaan, segera sesudahnya.

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DSM-IV-TR Diagnostic Criteria for Schizophrenia Disorder


A. Characteristic symptoms: two or more of the following, each presnt for a significant
portion of time during a month period (or les if successfull treated) Gejala-gejala
yang khas : 2 atau lebih dari gejala berikut yang bermakna dalam
periode 1 bulan (atau kurang jika berhasil diterapi):
1. delusions
2. hallucinations
3. disorganized speech (e.g frequent derailment or incohorentia)
4. grossly disorganized or catatonic behaviour
5. negative symptoms (i.e affective falttening, alogia, or avolition)
1. waham.
2. halusinasi.
3. pembicaraan yang janggal (mis. Sering derailment
atau incohorensia).
4. perilaku janggal atau katatonik
5. adanya gejala negatif (spt afek datar,alogia,abulia).
Note: only one criterion A symptom is required if delusions are bizzare or
hallucinations consist of voice keeping up of a running comentary on the
persons behaviour or thoughts or two or more voices conversing each other.
Cat. : Hanya satu dari kriteria A yang diperlukan jika waham-nya
janggal atau jika halusinasinya berupa suara yang terus
menerus mengomentari tingkah laku atau pikiran yang
bersangkutan atau berisi 2 (atau lebih) suara-suara yang
saling bercakap-cakap.
B. Social / occupational dysfunction: for a significant portion of the time since the onset
of the disturbance, one or more major area of functioning, such as work, interpersonal
relations, or self care, are markedly below the level achieved prior to the onset (or
when the onset is in the childhood or adolescence, failure to achieved expected level
of interpersonal, academic or occupational achievement)Disfungsi sosial atau
pekerjaan: 1 atau lebih dari area fungsional utama menunjukkan
penurunan nyata di bawah tingkat yang dicapai sebelum onset
dalam suatu rentang waktu yang bermakna sejak onset gangguan
seperti pekerjaan, hubungan interpersonal atau perawatan diri
(atau bila onset pada masa anak-anak atau remaja terdapat
kegagalan pencapaian tingkat interpersonal, akademik atau
okupasional lainnya) .
C. Duration: contnuous sign of the disturbance persist at least for 6 months.This 6
months periode must include at 1 month of symptoms (or les if successfull treated)
that are meet criterion A (i.e active phase symptoms) and may include prodormal and
residual symptoms.During these prodormal and residual symptoms, the signs of the
disturbance may be manifested by only negative symptoms or 2 or more symptoms
list in criterion A present in attenuated form (e.g odd beliefs, unusual perceptual
experiences) Durasi: tanda-tanda gangguan terus berlanjut dan
menetap sedikitnya 6 bulan. Periode 6 bulan ini meliputi 1 bulan
gejala-gejala fase aktif yang memenuhi kriteria A (atau kurang bila

berhasil diterapi) dan dapat juga mencakup fase prodromal atau


residual. Selama berlangsung. fase prodormal atau residual ini,
tanda-tanda gangguan dapat bermanifestasi hanya sebagai gejalagejala negatif saja atau lebih dariatau=2 dari gejala-gejala dalam
kriteria A dalam bentuk yang lebih ringan (seperti kepercayaan
kepercayaan ganjil, pengalaman perseptual yang tidak biasa).
D. Schizoaffective and mood dissorde exclusion: Schizoaffective and mood dissorder
with psychotic features have been rule out because of either (1) no major depressive,
manic or mixed episodes have occured concurently with the active phase symptoms,
or (2) if mood episode have occured during the active phase symptoms ,their total
duration has beeen relative to the duration of the active and residual peroiods.
Penyingkiran skizofektif dan gangguan mood: Gangguan skizoafektif
dan mood dengan gambaran psikotik dikesampingkan karena : (1)
tidak ada episode depresi, mania atau campuran keduanya yang
terjadi bersamaan dengan gejala-gelala fase aktif, (2) jika episode
mood terjadi intra fase aktif maka perlangsungannya relatif singkat
dibanding periode fase aktif dan residual.
E. Substances/general medical conditions exclusion: the disturbance is not due to the
direct physiologic effects of a substance (e.g., a drug abuse, a medication) or a
general medical condition. Penyingkiran kondisi medis dan zat: Gangguan
ini bukan disebabkan oleh efek fisiologis langsung dari suatu zat
(seperti obat-obatan medikasi atau yang disalah gunakan) atau oleh
suatu kondisi medis umum.
F. Relationship to a pervasive developmental dissorder: if there is a history of Autistic
dissorde or another pervasive developmental disorder, the additional diagnosis of
schizophrenia is made only if prominent delusions or hallucinations are also present
for at least 1 month (or les if successfull treated). Hubungan dengan suatu
gangguan perkembangan pervasif: Jika terdapat riwayat autistik
atau gangguan pervasif lainnya maka tambahan diagnosa
skizofernia hanya dibuat bila juga terdapat delusi atau halusinasi
yang menonjol dalam waktu sedikitnya 1 bulan (atau kurang jika
berhasil diterapi).
Classification of longitudinal course (can be applied only after at least 1 year has
elapsed since the initial onset of active phase symptoms
Klasifikasi berdasarkan perjalanannya (longitudinal;hanya dipakai
setelah minimal 1 tahun berlalu semenjak onset dari gejala-gejala
fase aktif pertama):
Episodik dengan gejala-gejala residual interepisode (episode
ditandai dengan keadaan kekambuhan dari gejala-gejala
psikosis) juga tentukan jika disertai gejala-gejala negatif yang
menonjol.
Episodik tanpa gejala-gejala residual interepisode.

Kontinyu (gejala-gejala psikosis jelas ada sepanjang periode


observasi) juga tentukan jika disertai gejala-gejala negatif yang
menonjol.
Episode tunggal dengan remisi parsial; juga tentukan jika
disertai gejala-gejala negatif yang menonjol.
Episode tunggal dengan remisi penuh
Pola lainnya atau yang tidak ditentukan.

From American Psychiatric Association. Diagnostic and Statistical


Manual of Mental Disorders, text revision, 4th ed. Washington, DC:
American Psychiatric Association, Copyright 2000, with permission
Tipe PARANOID
Suatu tipe skizofrenia yg memenuhi kriteria:
A. Preokupasi dgn 1 atau lebih waham atau sering berhalusinasi
auditorik.
B. Gejala2 berikut tidak menonjol: pembicaraan atau perilaku yang
janggal atau katatonik atau afek datar atau inappropriate.
Tipe KACAU (DISORGANIZED)
Suatu tipe skizofrenia yg memenuhi kriteria:
A. Semua gejala berikut menonjol:
1. pembicaraan yang janggal.
2. perilaku yang janggal.
3. afek datar atau inappropriate.
B. Kriteria tipe katatonik tidak terpenuhi.
Tipe KATATONIK
Suatu tipe skizofrenia dimana gambaran klinisnya didominasi ole 2
ataulebih hal2 berikut:
1. imobilitas motorik yg dibuktikan dgn catalepsy (termasuk waxy
flexibility) atau stupor.
2. aktfitas2 motorik yg berlebihan (yg tampak tak bertujuan dan
tidak dipengaruhi oleh stimuli external).
3. negativisme yg nyata (yg tampaknya penolakan tanpa motif thd
semua perintah atau mempertahankan suatu postur kaku
melawan usaha untuk menggerakannya) atau mutisme.
4. gerakan spontan yg aneh spt melakukan postur tertentu
(berlagak spontan yg inappropriate atau postur ganjil),gerakan
stereotipik,menojolnya manerisme atau menyerigai.
5. echolalia atau echopraxia.
Tipe tak tergolongkan
Suatu tipe skizofrenia yg memenuhi kriteria A tapi tidak

memenuhi kriteria tipe Paranoid,Kacau atau katatonik.


Tipe RESIDUAL
Suatu tipe skizofrenia yg memenuhi kriteria:
A. tidak aadanya penonjolan waham2, halusinasi2, pembicaraan yang
janggal, perilaku janggal atau katatonik.
B. Adanya bukti perlangsunan gangguan spt yang ditunjukan
olehgejala2 negatif dlm kriteria A skizofrenia dlm bentuk yg lebih
lemah (keyakinan2 aneh,pengalaman2 persepsi yg tidak biasanya).
.

DSM-IV-TR Diagnostic Criteria for Schizophreniform Disorder


A.

Criteria A, D, and E of schizophrenia are met.Kriteria a,d dan e dari


skizofrenia terpenuhi.

B.

An episode of the disorder (including prodormal, active, and residual phases) lasts
at least 1 month but less rhan 6 months. (Whenthe diagnosis must be made
without waiting for recovery. It should be qualified as provisional).Episode
gangguan (termasuk fase prodormal,aktif dan residual)
berlangsung sedikitnya 1 bulan tapi kurang dari 6 bulan (ketika
diagnosis harus dibuat tanpa menunggu pemulihan maka
seharusnya dikwalifikasikan sebagai sementara).

Specify if:
Without good prognostic features
With good progostic features: as evidenced by two (or more) of the following:
1. onset of prominent psychotic symptoms within 4 weeks of teh first
noticeable change in usual behavior or functioning
2. confusion or perplexity at the heidht of teh psychotic episode
3. good premorbid social and occupational functioning
4. absence of blunted or flat affectmenonjol adanya
Tentukan jika:

Tanpa gambaran prognosis yang baik.

Dengan
gambaran
prognosis
yang
baik
yang
dibuktikandengan samaatau lebihdari 2 hal berikut:
1. onset gejala-gejala psikotik yang menonjol dalam 4 minggu
sejak diperhatikan kali pertama adanya perubahan dari
perilaku atau fungsi biasanya.
2. kebingungan atau kekacauan dalam episode psikotik.
3. fungsi sosial dan pekerjaan premorbid berlangsung bagus.

4. tidak ada afek tumpul atau datar.

DSM-IV-TR Diagnostic Criteria for Schizoaffective Disorder


A.

An uninterrupted period of illness during witch, at some time, there is either a


major depressive episode, a manic episode, or a mixed episode concurrent with
symptoms that meet criterion A for schizophrenia.Note: The major depressive
episode must include criterion A1: depressed mood.Suatu periode
gangguan tak terputus dimana suatu saat didalamnya terdapat
episode depresif mayor, mania atau campuran bersamaan
dengan gejala-gejala yang memenuhi kriteria A pada
skizofrenia.Catatan: harus ada mood depresif pada Episode
depresi mayor.

B.

During the same period of illness, there have been delusions or hallucinations for
at least 2 weeks in the absence of prominent mood symptoms.Selama periode
yang sama dari penyakit tanpa adanya gejala2 mood yang
menonjol terdapat waham-waham atau halusinasi2 sedikitnya
selama 2 minggu.

C.

Symptoms that meet criteria for a mood episode are present sor a
substantialportion of the total duration of the active and residual periods of the
illness.Adanya gejala-gejala yang memenuhi kriteria episode
gangguan mood dalam porsi yang bermakan dari total durasi
fase aktif dan residual penyakit.

D.

The disturbance is not due to the direct physiologic effects of a substance (e.g., a
drug abuse, a medication) or a general medical condition.Gangguan ini
bukan disebabkan oleh efek fisiologis langsung dari suatu zat
(seperti obat-obatan medikasi atau yang disalah gunakan) atau
oleh suatu kondisi medis umum.

Specify type:
Bipolar type: If the disturbance includes a manic or a mixed episode (or a manic or
mixed episode and major depressive episodes)
Depressive type: If the disturbance only includes major depressive episodes
Tentukan tipenya:
Tipe bipolar: jika gangguan ini termasuk episode mania dan depresi mayor atau
campuran.
Tpe depresif: juka hanya terdapat episode depresif mayor.

DSM-IV-TR Diagnostic Criteria for Delusional Disorder


A. Nonbizarre delusions (i.e., involving situations that occur in real life, such as being
followed, poisoned, infected, loved at a distance, or deceived by spouse or lover, or
having a disease) of at least 1 months duration. Waham2 tidak janggal yang
sedikitnya berlangsung selama 1 bulan (mis. tentang situasi2 yg
terjadidalam
kehidupan
nyata
spt
(merasa)
sedang
dikuntit,diracun,ditulari penyakit,dicintai dari jauh,ditipu oleh
pasangan atau kekasih atau menderita suatu penyakit).
B. Criterion A for schizophrenia has never been met. Note: Tactile and olfactory
hallucinations may be present in dilusional disorder if they are related to the
delutional theme. Kriteria A Skizofrenia tidak terpenuhi.Cat. halusinasi
taktil dan penghiduan mungkin ada sesuai dengan tema waham2.
C. Apart from the impact of the delusion (s) or its ramifications, functioning is not
markedly impaired and behavior is not obviously odd or bizarre. Lepas dari
dampak waham2 atau yg terkait dgn itu, fungsi2 tidak nyata
terganggu dan perilaku jelas tidak ganjil atau janggal.
D. If mood episodes have occured concurrently with delusions, their total duration has
been brief relative to the duration of the delusional periods. Jika ada gangguan
episode mood bersamaandgn waham maka terjadi relatif singkat
dibanding durasi episode waham.
E. The disturbance is not due to the direct physiologic effects of a substance (e.g., a drug
of abuse, a medication) or a general medical condition. Gangguan ini bukan
disebabkan oleh efek fisiologis langsung dari suatu zat (seperti
obat-obatan medikasi atau yang disalah gunakan) atau oleh suatu
kondisi medis umum.
Specify type (the following types are assigned based on the predominant delusional
theme):
Erotomanic type: delusion that another person, usualy of higher status, is in love
with the individual
Grandiose type: delusions of inflated worth, power, knowledge, identity, or special
relationship to a deity or famous person
Jealous type: delusions that the individuals sexual partner is unfaithful
Persecutory type: delusions that the person (or someone to whom the person is
close) is being malevolently treated in some way
Somatic type: delusions that the person have some physical defect or general
medical condition

Mixed type: delusions characteristic of more then one of the above types, but no
one theme predominates
Unspecified type
Tentukan tipe (berdasarkan tema yng menonjol dari wahamnya):
Tipe Erotomania: waham tentang dirinya dicintai oleh seseorang
dgn status sosial lebih tinggi.
Tipe
kebesaran:
waham
tentang
harga
diri
yg
meningkat,kekusasaan,berpengetahuan
Tipe cemburu
Tpe persekutorik
Tipe somatik
Tipe campuran
Tipe tidak ditentukan

DSM-IV-TR Diagnostic Criteria for Brief Psychotic Dissorder


A.

Presence of one (or more) of the following symptoms:


1.
delusions
2.
hallucinations
3.
disorganized speech (e.g., frequent derailment or incoherence)
Note: Do not include a symptom if it is a culturally sanctioned response pattern.
Adanya 1 ataulebih gejala-gejala berikut:
1. waham.
2. halusinasi.
3. pembicaraan yang janggal (mis. sering derailment atau
incohorensia).
Cat.: jangan masukaan gejala apabila diakui sbg respons pola
budaya.

B.

Duration of an episode of the disturbance is at least 1 day but less than 1 month,
with eventual full return to premorbid level of functioning. Durasi episode
gangguan sedikitnya 1 hari sampai kurangdari 1 bulan dan dapat
kembali penuh berfungsi seperti keadaan premorbid.

C.

The disturbance is not better accounted for by a mood disorder with psychotic
features, schizoaffective disorder, or schizophrenia and is not due to the direct
physiologic effects of a substance (e.g., a drug abuse, a medication) or a general
medical condition. Gangguan ini tidak memenuhi kriteria gangguan
mood dgn gambaran psikotik,skizoafektif,atau skizofrenia dan
tidak
disebabkan
ole
efek
fisiologis
darizat
(medikasi,penyalahgunaan obat) atau kondisi medis umum.

Specify if:
With marked stressor(s) (brief reactive psychosis): If symptoms occur shortly
after and apparently in response to events that, singly or together, would be
markedly stressful to almost anyone in similar circumstances in the persons
culture
Without marked stressor(s): If psychotic symptoms do not occur shortly after and
apparently in response to events that, singly or together, would be markedly
stressful to almost anyone in similar circumstances in the persons culture
With postpartum onset: If onset within 4 weeks postpartum
Tentukan jika:
Dgn stresor(-stresor) nyata brief reactive psychosis: jika gejala2
terjadi tampaknya segera setelah atau respons thd kejadian
tunggal atau berganda yang akan menyebabkan stres berat pd
hampir kebanyakan orang disitu dan kebiasaan yang sama.
Tanpa stresor(-stresor) nyata: jika gejala2 psikotik tidat terjadi
segera atau sbg respons thd kejadian tunggal atau berganda
yang akan menyebabkan stres berat pd hampir kebanyakan
orang disitu dan kebiasaan yang sama.
Onset postpartum: jika onsetnya dalam 4 minggu pospartum.
zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz
DSM-IV-TR Diagnostic Criteria for Major Depressive Episode
DSM-IV-TR Diagnostic Criteria for Major Depressive Episode
A. Five (or more) of the following symptoms have been present during the same 2 week
period and represent a change from previous functioning: at least one of the
symptoms is either (1) depressed mood or (2) loss of interest or pleasure
Note: Do not include symptomsthat are clearly due to a general medical condition, or
mood-incongruent delusions or hallucinations. Adanya 5 ataulebih gejala2
berikut yg telah berlangsung dalam 2 minggu yg sama dan
menunjukan perubahan dari fungsi2 sebelumnya dimana salah
satunya adalah mood depresif atau kehilangan minat atau rasa
senang.Cat. jangan memasukan gejala2 yg jelas ok kondisi medis
umum atau waham dan atau halusinasi tidak serasi mood
1) Depressed mood most of the day, nearly every day, as indicated by either
subjective report (e.g., feels sad or empty) or observation made by others (e.g.,
appears fearful). Note : in children and adolescents, can be irritable mood.Mood
depresi berlangsung sepanjang hari pada hampir setiap hari
sebagaimana dikeluhkan secara subjektif (merasa sedih atau
hampa) atau diamati orang lain (terlihat berlinangan
airmata).Cat pada anak dan remaja tampil sebagai mood
irritable.

2) Markedly diminished interest or pleasure in all, or almost all, activities most of


the day, nearly every day (as indicated by either subjective account or observation
made by others) Kehilangan minat atau kesenangan yg nyata pd
semua atu hampir semua aktifitas sepanjang hari hampir setiap
hari (sebagaimana yang dirasakan atau diamati org lain thd ybs).
3) Significant weight loss when not dieting or weight gain (e.g., a change of more
than 5 % of body weight in a month), or decrease or increase in appetite nearly
every day. Note : in children, consider failure to make expected weight gains
Penurunan berat badan yang bermakna tanpa diet atau
peningkatannya ( perubahan berat badan lebihdari 5%
sebulannya) atau adnay peningkatan atau penurunan nafsu
makan.Cat. pada anak terjadi kegagalan mencapai berat badan
yang diharapkan.
4) Insomnia or hypersomnia nearly every day Insomnia atau hipersomnia
pada hampir setiap harinya.
5) Psychomotor agitation or retardation nearly every day (observable by others, not
merely subjective feelings of restlessness or being slowed down) agitasi atau
retardasi psikomotor pada hampir tiap hari (yg dpt diamati orang
lain bukan hanya perasaan subjektif restlessness atau lamban).
6) Fatigue or loss of energy nearly every day Fatigue atau kehilangan
tenaga pada hampir setiap harinya.
7) Feelings or worthlessness or excessive or inappropriate guilt (which may be
delusional) nearly every day (not merelt self-reproach or guilt about being sick)
perasaan tidak berharga atau rasa bersalah berlebihan atau
inappropriate (yg mgk sebagai waham) pada hampir setiap
harinya.(bukan hanya menyesali atau merasa berbeban dgn
keadaanya).
8) Diminished ability to think or concentrate, or indecisiveness, nearly every day
(either by subjective account or as observed by others)
Kehilangan
kemampuan berpikir atau berkonsentrasi atau membuat
keputusan pada hampir setiap harinya (sebagaimana yang
dirasakan atau diamati org lain thd ybs).
9) Recurrent thoughts of death (not just fear or dying), recurrent suicidal ideation
without a specific plan, or a suicide attempt or a specific plan for committing
suicide Pikiran berulang ttg kematian ( bukan hanya perasaan
takut mati), bunuh diri tanpa perencanaan atau usaha bunuh diri
atau adanya rencana spesifik mengakhiri hidup.
B. The symptoms do not meet criteria for a mixed episode.Gejala2 tdk memenuhi
kriteri episode campuran.
C. The symptoms cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning Gejala2 menyebabkab
penderitaaan yg bermakna klinis atau hambatan sosial,pekerjaan
atau area penting kehidupan lainnya.

D. The symptoms are not due to the direct physiologic effects of a substance (e.g., a drug
of abuse, a medication) or a general medical condition (e.g., hypothyroidism)
Gejala2 tidak disebabkan oleh efek fisiologis langsung dari zat
(medikasi,penyalahgunaan obat) atau kondisi medis umum (mis,
hipotiroid).
E. The symptoms are not better accounted for by bereavement (i.e., after the loss of a
loved one), or the symptoms persist for longer than 2 months or are characterized by
marked functional impairment, morbid preoccupation with worthlessness, sucidal
ideation, psychotic symptoms, or psychomotor retardatioin. Gejala2 tidak
termasuk: keadaan dukacita (mis. kematian seseorang yg dicintai),
atau menetap lebihdari 2 bulan, atau dikarakterisir oleh gangguan
fungsional yan nyata,preokupasi ttg pikiran tdk berharga,ide bunuh
diri,gejala2 psikotik aatau retardasi psikomotor.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission
GGN DEPRESI MAYOR, EPISODE TUNGGAL
A. Adanya Episode Depresi Mayor tunggal.
B. Episode Depresi Mayor yg ada tdk dpt digolongkan sbg ggn
Skizoafektif dan tdk bertumpang tindih dgn Skizofrenia,
Skizofreniform, ggn Waham atau Psikotik YTT.
C. Tidak pernah ada episode Mania,Hipomania atau Campuran.Cat.:
penyingkiran ggn2 ini tdk bisa diterapkan apabila merupakan
induksi dari zat atau medikasi atau ok efek fisiologis lsg suatu
kondisi medis umum.
Jika criteria episode Depresi Mayor terpenuhi maka
tentukangambaran klinisnya saat ini:

Ringan, sedang atau berat dgn atau tanpa gambaran psikotik.

Kronis.

Dgn gambaran katatonik.

Dgn gambaran melankolis

Dgn gambaran atipik

Dgn onset postpatum


Jika

tidak maka tentukan juga gambarannya:


Dlm remisi parsial atau penuh
Kronis
Dgn gambaran katatonik.
Dgn gambaran melankolis
Dgn gambaran atipik

Dgn onset postpatum

GGN DEPRESI MAYOR, REKUREN


A.
Adanya 2 atau lebih Episode Depresi Mayor..Cata: kalau
dianggap sbg episode yg berbeda maka harus ada interval 2
bulan berturut yg tdk memenuhi kriteria Episode Depresi Mayor..
B.
Episode Depresi Mayor yg ada tdk dpt digolongkan sbg ggn
Skizoafektif dan tdk bertumpang tindih dgn Skizofrenia,
Skizofreniform, ggn Waham atau Psikotik YTT.
C.
Tidak pernah ada episode Mania,Hipomania atau Campuran.Cat.:
penyingkiran ggn2 ini tdk bisa diterapkan apabila merupakan
induksi dari zat atau medikasi atau ok efek fisiologis lsg suatu
kondisi medis umum.
Jika kriteria episode Depresi Mayor terpenuhi maka tentukangambaran
klinisnya saat ini:

Ringan, sedang atau berat dgn atau tanpa gambaran psikotik.

Kronis.

Dgn gambaran katatonik.

Dgn gambaran melankolis

Dgn gambaran atipik

Dgn onset postpatum


Jika tidak maka tentukan juga gambarannya:

Dlm remisi parsial atau penuh

Kronis

Dgn gambaran katatonik.

Dgn gambaran melankolis

Dgn gambaran atipik

Dgn onset postpatum


Tentukan:

Penentu perjalanan longitudinal.

Polanya mengikuti musim

Kriteria penentu tkt keparahan/psikotik/remisi dari Episode


Depresi Mayor:
Ringan: adanya bbrp gejala diagnostik yg menyebabkan
hambatan minor pd fungi2 okupasional, aktifits2 sosisl
atau hub dgn sesama.

Sedang: gejala dan hambatan yg ada berada diantara


ringan dan berat.
Berat tanpa gambaran psikotik: adanya sejumlah gejala
diagnostik (lebih dari ringan dan sedang) dimana nyata
menggangu fungi2 okupasional, aktifits2 sosisl atau hub
dgn sesama.
Berat dgn gambaran psikotik: terdapat waham atau
halusinasi, jika memungkinkan tentukan:
-gambaran psikotik sesuai mood: waham dan halusinasi
(2) yg menetap bertema khas depresi ttg ketidak
mampuan, rasa bersalah, penyakit, kematian, nihilistik
atu berhak menerima hukuman.
-gambaran psikotik tidak sesuai mood: adnay waham2
persekutorik, sisip pikir, siar pikir, atau dikendalikan.
Dlm remisi parsial: kriteria penuh Episode Depresi
Mayor tidak terpenuhi atau adanya periode tanpa
gejala2 khas sedikitnya 2 bulan sesudah Episode
Depresi Mayor terakhir (jika bertumpang tindih dgn ggn
Distimia maka diagnosis ini yg ditegakan saat kriteria
penuh Episode Depresi Mayor tidak terpenuhi).
Dlm remisi penuh: tidak ada gejala dantanda bermakna
Episode Depresi Mayor dlm 2 bulan terakhir.
YTT

DSM-IV-TR Diagnostic criteria for melancholic features specified


Specify if:
With melancholic features (can be applied the current or most recent major depressive
episode in major depressive disorder and to a major depressive episode in bipolar I or
bipolar II disorder only if it is the most recent type of mood episode)
Gambaran melankolik dapat diterapkan pd episode Depresif Mayor
terakhir atau kini dari ggn Depresif Mayor dan episode Depresif Mayor
dlm ggn BipolarI atau II jika hal in adalah tipe tersering dari episode
mood.
A. Either of the following, occurring during the most severe period of the current
episode :
1) Loss of pleasure in all, or almost all, activities
2) Lack of reactivity to usually pleasureable stimuli (does not feel much better, even
temporarily, when something good happens)
Salah satu dibawah ini terjadi selama periode terparah episode kini:
1. tiada kesenangan pd hamper atau semua aktifitas

2. kehilangan reaksi pd stimuli yg biasanya menyenangkan (tidak


merasa lebih baik meskipun sementara terjadi sesuatu yg bagus)
B. Three (or more) of the following:
1) Distinct quality of depressed mood (i.e., the depressed mood is experienced as
distinctly different from the kind of feeling experienced after the death of a loved
one)
2) Depression regulary worse in the morning
3) Early morning awakening (at least 2 hours before usual time of awakening)
4) Marked psychomotor retardation or agitation
5) Significant anorexia or weight loss
6) Excessive or inappropriate guilt
Adanya 3 atau lebih hal2 berikut:
1.
kwalitas mood depresi tertentu ( mood depresi dirasakan
khas berbeda disbanding dgn meninggalnya seseorang yg
dicintai)
2.
depresi secara berulang terjadi pagi hari
3.
terbagun lebih awal (sekurang2nya 2 jam dari jam bangun
biasanya)
4.
retardasi atau agitasi psikomotor yg nyata
5.
anorexia atau kehilangan bb yg bermakna
6.
rasa bersalah berlebihan atau tidak sewajarnya

DSM-IV-TR Diagnostic criteria for atypical features specified


Specify if:
With atypical features (can be applied when these features predominate during the most
recent 2 weeks of a current major depressive episode in major depressive disorder or
bipolar I or bipolar II disorder when a current major depressive episode is the most
recent type of mood episode, or when these features predominate during the most recent
2 years of dysthymic disorder; if the major depressive episode is not current, it applies if
the feature predominates during any 2-week period)
Gambaran atipik dapat diterapkan ketika hal ini menonjol selama 2
minggu terakhir pd episode Depresif Mayor sekarang dari ggn Depresif
Mayor atau BipolarI atau II ketika episode Depresif Mayor terakhir
adalah yg menonjol, atau ketika gambaran ini mendominasi ggn
Distimia 2 tahun terakhir; jika episode Depresif Mayor tidak sedang
terjadi,tetap diterapkan jika hal ini mendominasi selama 2 minggu.
A.
Mood reactivity (i.e., mood brightens is response to actual or potential positive
events)
Reaktivasi mood (mood menjadi cerah dgnberspons pd kejadian2
aktual atau potensial positif)
B.
Two (or more) of the following feature:
1) Significant weight gain or increase in appetite

2) Hipersomnia
3) Leaden paralysis (i.e., heavy, leaden feeling in arms or legs)
4) Long-standing pattern of interpersonal rejection sensitivity (not
limited to episode of mood disturbance) that results in significant
social or occupational impairment
2 atau lebih gambaran berikut:
1. bertambahnya bb yg nyata atau meningkatnya
nafsu makan
2. hipersomnia
3. paralisa timah (yaitu tangan dan kaki terasa berat
seprti timah)
4. pola berkepanjangan kepekaan penolakan
antarpersonal
C. Criteria are not met for with melancholic features or with catatonic features during the
same episode.Tidak memenuhi criteria gambaran melankolis atau
katatonik selama episode yg sama.
DSM-IV-TR Diagnostic criteria for catatonic features specified
Kriteria penentu gambaran Katatonik
Dapat dipakai utk episode2 Depresi Mayor,Mania atau
Campuran, ggn Bipolar I, ggn Bipolar II yg
berlangsung.Gambaran klinis didominasi setidaknya oleh 2 hal
berikut:
1.
imobilitas motorik spt catalepsy ( termasuk flexibilitas
cerea) atau stupor.
2.
aktifitas motorik berlebihan (yg tidak bertujuan dan tdk
dipengaruhi stimulus eksternal).
3.
negativisme berat (resistensi tak bermotif pd semua
perintah atau mempertahankan postur kaku pd tiap usaha utk
menggerakannya) atau mutisme.
4.
keanehan gerakn voluter dgn membuat postur ttt (asumsi
spontan dari postur2 tdk sesuai atau janggal), gerakn2
stereotipik, manerisma atau menyeringai yg nyata.
5.
adanya echolalia atau echopraxia

DSM-IV-TR criteria for Manic Episode

A.

A distinct period of abnormally and persistently elevated, expansive, or irritable


mood, lasting at least 1 week (or any duration if hospitalization is necessary).
Adanya periode nyata dari mood2 elevasi,expansif atau irritable
yg abnormal dan menetap sedikitnya 1 minggu ( atau lebih
singkat dimana harus rawat inap).

B.

During the period of mood disturbance, three (or more) of the following symptoms
have persisted (four if the mood is only irritable) and have been present to a
significant degree: Selama periode kekacauan mood diatas terdapat
3 gejala menetap ( ataulebih atau 4 jika moodnya hanya irritable)
dan pada derajat yg bermakna dari:
1) Infiated self-esteem or grandiosity rasa harga diri meningkat atau
kebesaran.
2) Decreased need for sleep (e.g., feels rested after only 3 hours sleep)
kebutuhan tidur berkurang (mis. merasa telah berisitirahat
walaupun hanya tidur 3 jam).
3) More talkative than usual or pressure to keep talking lebih aktif bicara
dari biasanya atau dorongan kuat bicara terus-menerus.
4) Flight of ideas or subjective experience that thoughts are racing lompat
gagasan atau pikiran dirasakan seperti berpacu.
5) Distractibility (i.e., attention too easily drawn to unimportant or irrelevant
external stimuli)
disatraktibilitas ( perhatian terlalu mudah
berpindah ke stimuli external yg tidak penting atau
berkaitan).
6) Increase in goal-directed activity (either socially, at work or school, or
sexually) or psychomotor agitation peningkatan intensitas aktifitas
yg bertujuan (apakah disekolah, tempat kerja, lingkungan
sosial, atau aktifitas sexual) atau agitasi psikomotor
7) Excessive involvement in pleasureable activities that have a high potential
for painful consequences (e.g., engaging in unrestrained buying sprees ,
sexual indiscretions, or foolish business investments) keterlibatan
berlebihab dlm aktifitas2 yg menyenangkan dimana
berpotensi menimbulkan konsekuensi yg menyakitkan (mis.
kesenangan tak tertahankan utk berbelanja, perilaku sexual
yg takabur, atau penanaman modal tanpa perhitungan)

C.

The symptoms do not meet criteria for a mixed episode. Gejala2 diatas tidak
memenuhi kriteri episode campuran.

D.

The mood disturbance is sufficiently severe to cause marked impairment in


occupational functioning or in usual social activities or relationships with others,
or to necessitate hospitalization to prevebt harm to self or other, or there are
psychotic features. Gangguan mood ini mampu merusak fungsi2
pekerjaan atau aktifitas2 sosial dgn sesama, atau dibutuhkan
awat inap utk mencegah tindakan membahayakan diri sendir
atau orang lain, atau adanya gambaran psikotik.

E.

i.
The symptoms are not due to the direct physiologic effects of a substance (e.g., a
drug of abuse, a medication, or other treatment) or a general medical condition
(e.g., hyperthyroidism). Gejala2 tidak disebabkan oleh efek fisiologis
langsung dari zat (medikasi,penyalahgunaan obat, atau terapi
lainnya) atau kondisi medis umum (mis, hipertiroid).

Note : Maniclike episodes that are clearly caused by somatic antidepressant treatment
(e.g., medication, electroconvulsive therapy, light therapy) should not count to ward a
diagnosis of bipolar I disorder.
Cat.: Episode mirip mania yg jelas2 disebabkan terapi somatis
antidepresan (obat,ECT, terapi cahaya) tidak dimasukaan sbg
Gangguan Bipolar I.
C.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission.

Kriteria penentu tkt keparahan/psikotik/remisi dari Episode


Mania:
Ringan: gejala minimal Episode Mania terpenuhi.
Sedang: adanya peningkatan tajam aktifitas2 atau ggn
penilaian
Berat tanpa gambaran psikotik: perlu adanya
pengawasan kontinyu utk mencegah tindakan
membahayakan diri sendir atau sesama.
Berat dgn gambaran psikotik:, jika memungkinkan
tentukan:
-gambaran psikotik sesuai mood: adanya waham atau
halusinasi yg bertema khas mania spt peningkatan
harga diri,kekuatan, pengetahuan, identitas, atau punya
hub khusus dgn dewa atau org terkenal.
- gambaran psikotik tidak sesuai mood: adanya waham
atau halusinasi yg bertema tdk khas mania waham2
persekutorik, sisip pikir, atau dikendalikan.

Dlm remisi parsial: kriteria penuh Episode Mania tdk


terpenuhi atau adanya periode tanpa gejala2 khas
sedikitnya 2 bulan sesudah Episode Mania terakhir .
Dlm remisi penuh: tdk ada gejala2 atau tanda2 khas
sedikitnya 2 bulan sesudah Episode Mania terakhir .
YTT

DSM-IV-TR Criteria for Hypomanic Episode


D. A distinct period of persistently elevated, expansive, or irritable mood, lasting
throughtout 4 days, that is clearly different from the usual nondepressed mood.
Adanya periode nyata dari mood2 elevasi,expansif atau irritable yg
abnormal dan menetap sedikitnya 4 hari yg mana jelas berbeda dgn
mood non-depresi lazimnya.
E. During the period of mood disturbance, three (or more) of the following symptoms
have persisted (four if the mood is only irritable) and have been present to a
significant degree Selama periode kekacauan mood diatas terdapat 3
gejala memnetap (ataulebih atau 4 jika moodnya hanya irritable)
dan pada derajat yg bermakna dari: :
1. Infiated self-esteem or grandiosity rasa harga diri meningkat atau
kebesaran.
2. Decreased need for sleep (e.g., feels rested after only 3 hours of sleep)
kebutuhan tidur berkurang (mis. merasa telah berisitirahat
walaupun hanya tidur 3 jam).
3. More talkative than usual or pressure to keep talking lebih aktif bicara
dari biasanya atau dorongan kuat bicara terus-menerus.
4. Flight of ideas or subjective experience that thoughts are racing lompat
gagasan atau pikiran dirasakan seperti berpacu.
5. Distractibility (i.e., attention too easily drawn to unimportant or irrelevant
external stimuli) disatraktibilitas ( perhatian terlalu mudah
berpindah ke stimuli external yg tidak penting atau
berkaitan).
6. Increase in goal-directed activity (either socially, at work or school, or
sexually) or psychomotor agitation
peningkatan intensitas
aktifitas yg bertujuan (apakah disekolah, tempat kerja,
lingkungan sosial, atau aktifitas sexual) atau agitasi
psikomotor
7. Excessive involvement in pleasureable activities that have a high potential
for painful consequences (e.g., engaging in unrestrained buying sprees ,

sexual indiscretions, or foolish business investments) keterlibatan


berlebihab dlm aktifitas2 yg menyenangkan dimana
berpotensi menimbulkan konsekuensi yg menyakitkan
(mis. kesenangan tak tertahankan utk berbelanja, perilaku
sexual yg takabur, atau penanaman modal tanpa
perhitungan)
C. The episode is associated with an unequivocal change in functioning that is
uncharacteristic of the person when not symptomatic. Episode dimaksud
berhubungan dgn nyatanya perubahan fungsi2 yg tidak sesuai dgn
ybs ketika tidak adanya gejala.
D. The disturbance in mood and the change in functioning are observable by others.
Gangguan mood dan perubahan2 fungsi diatas dapat diamati
sesama.
E. The episode is not severe enough to cause marked impairment in social or
occupational functioning, or to necessitate hospitalization, and there are no psychotic
features. Episodenya tidak cukup kuat merusak fungsi2 pekerjaan
atau aktifitas2 sosial dgn sesama, atau dibutuhkan awat inap, atau
adanya gambaran psikotik.
F. The symptoms are not due to the direct physiologic effects of a substance (e.g., a drug
of abuse, a medication, or other treatment) or a general medical condition (e.g.,
hyperthyroidism) Gejala2 tidak disebabkan oleh efek fisiologis langsung
dari zat (medikasi,penyalahgunaan obat, atau terapi lainnya) atau
kondisi medis umum (mis, hipertiroid).

DSM-IV-TR Diagnostik criteria for Dysthymik disorder


A. Depressed mood for most of the day,for more days than not,as indicated elther by
subjective account or observation by other. For at least 2 years. Note: in children
and adolescents,mood can be iritble and duration must be at least 1 year.
Berlangsungnya mood depresif hampir sepanjang dan setiap
hari yg dikeluhkan ybs atau diamati sesama selama sedikitnya 2
tahun.Cat.: pada anak2 dan remaja mood dapat irrritable dgn
durasi sedikitnya 1 tahun.
B. Presence,while depressed,of trwo (or more) of the following:
1) poor appetite or overeating
2) insomnis or hypersomnia

3) low energy or fatigue


4) low self-esteem
5) poor concentration or difficulty making decisions
6) feelings of hopelessness
Terdapatnya 2 ataulebih hal2 berikut:
1. nafsu makan buruk atau makan berlebihan
2. insomnia atau hipersomnia
3. loyo atau letih
4. rendah diri
5. konsentrasi buruk atau sulit membuat keputusan
6. perasaan putus asa
C. During the 2-yearperiod (1 year for children or adolescents) of the disturbance,
the person has never been without the symptoms in criteria A and B for more than
2 months at a time.Tidak pernah bebas gejala2 kriteria A dan B lebih
dari 2 bulan selama periode 2 tahun pertama gangguan (1
tahun untuk anak2 dan remaja).
D. No mayor depressive episode has been present during the firs 2 years of the
disturbance (1 year for children and adolescents);l,e., the disturbance is not better
accounted for by chronik mayor depressive disorder, or mayor depressive episode
provided there was a full remission (no significant sign or symptoms for 2
months) before development of the dysthymic disorder, in adation, after the initial
2 years (1 year in children or adolescents) of dysthymic disorder, there may be
superimposed episodes of major depressive episode.Tidak pernah terdapat
episode Depresi Mayor selama periode 2 tahun pertama
gangguan (1 tahun untuk anak2 dan remaja) dan tidak dapat
digolongkan sebagai Ggn Depresi Mayor kronis atau Ggn Depresi
Mayor dlm remisi parsial.Cat.: dapat didahului episode Depresi
Mayor dgn remisi penuh (bebas gejala selama 2 bulan) sebelum
terjadinya ggn Distimia atau mgk tumpang tindih dgn episode
depresi mayor dimana kedua diagnosa dapat diberikan.
E. There has never been a manic episode, a mixed episode, or a hypomanic episode,
and criteria have never been met for cyclothymic disorder.Tidak pernah ada
episode mania,campuran atau hipomania dan tidakmemenuhi
kriteria siklotimia
F. The disturbance does not accur exclusively during the course of a chronic
psychotic disorder , such as schizophrenia or delusional disorder. Gangguan ini
tidak terjadi dalam perjalanan ggn psikotik kronis spt skizofrenia
atau ggn waham.
G. The symptoms are not due to the direct physiologic effects of a substance (e,g.m.,
a drug of abuse, a medication) or a general medical condition (e.g.,
hypothyroidsm). Gejala2 tidak disebabkan oleh efek fisiologis
langsung dari zat (medikasi,penyalahgunaan obat) atau kondisi
medis umum (mis, hipotiroid).
H. The symptoms cause clinically significant distress or impairment in
social,occupational, or other important areas of functioning. Gejala2 diatas

menyebabkan penderitaan dan hambatan bermakna klinis dlm


fungsi sosial,pekerjaan atau area fungsional penting lainnya.
Specify if:
Early onset : if onset is before age 21 years
Late onset : if onset is age 21 years or older
Specity ( for most recent 2 years of dysthymic disorder):
With atypical features
Tentukan jika:
Onset dini: jika dialami sebelum usia 21 tahun.
Onset tertunda: jika dialami sesudah usia 21 tahun.
Tentukan jika (pd 2 tahun terakhir dari ggn distimia):Dgn gambaran
atipik
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission.

DSM-IV-TR Diagnostic criteria for cyclothymic disorder


A. For at least 2 years. The presence of numerous periods with hypomanic symptoms
and numerous periods with depressive symptoms that do not meet criteria for a
major depressive episode. Note: in children and adolescents, the duration must be
at least 1 year. Sering munculnya periode gejala2 hipomania dan
depresi yg tidak memnuhi kriteria episode depresi mayor
sedikitnya selama 2 tahun. Cat.: pada anak2 dan remaja durasi
sedikitnya 1 tahun.
B. During the above 2 year period (1 year in children and adolescents), the person
has not been without the symptoms in criterion A for more than 2 months at a
time. Selama periode 2 tahun diatas (pada anak2 dan remaja
durasi sedikitnya 1 tahun), ybs tidak pernah bebas dari gejala2
kriteria A lebihdari 2 bulan.
C. No major depressive episode, manic episode, or mixed episodes has been present
during the first 2 years of the disturbance. Tidak pernah ada episode
dpresi mayor, mania, atau campuran pada 2 tahun pertama ggn
Note After the initial 2 years (1 year in children and adolescent) of cyclothymic
disorder, there may be superimposed manic or mixed episodes ( in Which case
both bipolar I disorder and cyclothymic disorder may be diagnosed) or major
depressive episodes (in which case both bipolar II disorder and cyclothymic,
disorder may be diagnosed).
D. The symptoms in criterion A are not better accounted for by schizoaffective
disorder and are not superimposed on schizophreniform disorder, delusional
disorder, or psychotic disorder not otherwise specified. Gejala2 kriteria A

tidak dapat digolongkan sebagai skizoafektif dan bertumpang


tindih dgn ggn skizofrenia, skizofreniform, waham atau psikotik
tak tertentukan.
E. The symptoms are not due to the direct physiologic effect of a substance (e.g., a
drug of abuse, a medication) or a general medical condition (e.g.,
hyperthyroidism). Gejala tidak disebabkan oleh efek fisiologis
langsung dari zat (medikasi,penyalahgunaan obat) atau kondisi
medis umum (mis, hipertiroid).
F. The symptoms cause clinical significant distress or impairment in social,
occupational , or other important areas of functioning. Gejala2 diatas
menyebabkan penderitaan dan hambatan bermakna klinis dlm
fungsi sosial,pekerjaan atau area fungsional penting lainnya.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission.

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DSM-IV-TR Diagnostic Criteria for Panic Attack


Note: A panic attack is not a codeable disorder. Code the specific diagnosis in which
the panic attack occurs (e.g., panic disorder with agoraphobia) Cat.:
Serangan panik bukanlah gangguan berkode tersendiri,
tentukan diagnosis dimana panik terjadi ( mis.Agoraphobia dgn
panik).
.
A discrete period of intense fear or discomfort, in wich four (or more) of the
following symptoms developed abruptty and reached a peak within 10
minutes.Adanya suatu periode ketakutan mencekam atau tidak
nyaman yg khas dimana gejala2 berikut terjadi mendadak dan
memuncak dlm 10 menit:
(1) palpitations, pounding heart, or accelerated heart rate palpitasi, jantung
berdebar keras, atau berpacu.
(2) sweating berkeringat
(3) trembling or shaking gamang atu gemetaran
(4) sensations of shortness of breath or smothering rasa napas
memendek atau dibekap
(5) feeling of choking rasa tercekik

(6) chest pain or discomfort nyeri atau atau tidak nyamannya dada
(7) nausea or abdominal distress nausea atau gangguan perut
(8) feeling dizzy, unsteady, lightheaded, or faint pusing, bergoyang,
pening atau berkunang-kunang
(9) derealization (feelings of unreality) or depersonalization (being detached
from oneself) derealisasi atu depersonalisasi
(10) fear of losing control or going crazy ketakutan lepas kendali atai
menjadi sinting
(11) fear of dying ketakutan menghadapi maut
(12) paresthesias (numbness or tingling sensations) paresthesia
(13) chills or hot flushes menggigil atau wajah memanas

From American Psychiatry Association. Diagnostic and Statistical Manual of Mental


Disorders, text revision, 4th ed. Washington, DC: American Psychiatry Association,
Copyright 2000, with permission.

DSM-IV-TR kriteria diagnostik Agoraphobia


Note: Agoraphobia is not acodeable diaorder.Code the specific disorder in which
Agoraphobia occurs (e.g 300.21 Panic disorder with Agoraphobia) Cat.:
Agoraphobia bukanlah gangguan berkode tersendiri, tentukan
diagnosis dimana ggn ini terjadi ( mis.Agoraphobia dgn panik atau
tanpa riwayat panik).
A. Anxiety about being in places or stuations from which escape might be diffucult (or
embarrassing) or in which help might not be available in the even unexpected or
situationally predisposed Panic attack or panic like symptoms. Agoraphobia fears
typically involve characteristic clusters of situations that include being outside the
home alone, being in a crowd or standing in a line, being on bridge and traveling in
abus, train or automobile.Note: Consider the specific Phobia if the avoidance is
limited to one or a few only a specific situations, or Social phobia if the avoidance
limited to the social situations. Anxietas berada di tempat atau situasi
dimana menyelamatkan diri mgk sulit (atu memalukan) atau tiada
pertolongan pada saat terjadi serangan atau mirip panik yg tak
terduga atau situasional.Agoraphobia khas terjadi pd sekelompok
situasi ketika sendirian diluar rumah, ditengah keramaian atau
antrian, diatas jembatan, bepergian dgn bis, kereta api atau
mobil.Cat.:
pertimbangkan
diagnosis
fobia
spesifik
jika
penghindaran hanya pada 1 atau beberapa situsi spesifik, atau
Phobia Social bila terbatas pd situasi2 sosial.

B. The situations are avoided (e.g travel is restricted) or else are endured with marked
distress or with anxiety having Panic Attack or panic like symptoms or require the
presence of acompanion.
Situasi2 diatas dihindari ( membatasi
perjalanan) atau terpaksa dijalani dgn berbeban atu dgn kecemasan
akan mengalami serangan panik (atau mirip) atau membutuhkan
teman pendamping.
C. The anxiety or phobic avoidance is not better accounted for by another mental
disoerder such as Social Phobia, specific phobia, Obssesive-Compulsive disorder,
Posttraumatic Stress disorder, Separation Anxiety disorder. Penghindaran
kecemasan dan situasi fobik tidak dapat digolongkan sbg ggn
mental lainnya spt Phobia Sosial, phobia spesifik, OCD, PTSD, atau
ggn Kecemasan Perpisahan.

DSM-IV-TR Diagnostic Criteria for Generalized Anxiety Disorder


A. Excessive anxiety and worry (apprehensive expectation), occurring more days than
not for a least 6 months, about a number of events or activities (such as work or
school performance.Kecemasan dan kekhawatiran berlebihan ( harap-harap
cemaans) pd berbagai kejadian atau kegiatan (spt disekolah, tempat kerja) yg
berlangsung lebihdari 6 bulan.
B. The person finds it difficult to control the worry.Ybs menyadari tidak dapat
mengendalikan kekhawatiran diatas.
C. The anxiety and worry are associated with three (or more) of the following six
simptoms (with at least some simptoms present for more days than not for the past
6 months. Note: Only one item is required in children. Kecemasan dan
kekhawatiran berhubungan dgn 3 atau lebih dari 6 gejala berikut yg
berlangsung lebihdari 6 bulan.Cat.: hanya 1 saja untuk diagnosa pd anak2.
1. restlessness or feeling keyed up or on edge gelisah, merasa
tegang atau campuran keduanya
2. being easily fatigued gampang merasa letih
3. difficulty concentrating or mind going blank
sukar
berkonsentrasi atau pikiran kosong
4. irritability irritable (mudah marah)
5. muscle tension ketegangan otot

6.

sleep disturbances (difficulty falling or staying asleep, or


restles, unsatisfying sleep) ) gangguan tidur (sulit tertidur
atau mempertahankannya, terasa kurang atau tidak puas)

D. The focus of the anxiety and worry is not confined to features of on Axis I disorder,
for example, the anxiety or worry is not about having a panic attack (as in panic
disorder), being embarassed in public (as in social phobia), being contaminated (as
in obssesive-compulsive disorder), being away from home or close relatives (as in
separations anxiety disorder), gaining weight (as in anorexia nervosa), having
multiple physical complaints (as in somatization disorder), or having a serious
illness (as in hypochondriasis), and the anxiety and worry do not occur exclusively
during posttraumatic stress disorder.) Inti kecemasan dan kekhawatiran
berlebihan ini mengambang, tidak jelas spt gambaran gangguan axis
I.Contohnya kecemasan dan kekhawatiran bukan tentang akan mengalami
serangan panik (ggn panik), akan dipermalukan dimuka umum ( phobia
sosial), tercemar (OCD), jauh dari rumah atau saudara dekat (ggn cemas
perpisahan), menjadi gemuk (anorexia nervosa), mengalami berbagai ggn
somatis (ggn somatisasi), memiiliki suatu penyakit serius (hipokondriasis) dan
tidak terjadi hanya selama ggn cemas pasca trauma.
E. The anxiety, worry, or physical symptoms cause clinically significant distress or
impairment in social, occupational, or other important areas or
functioning.Kecemasan, kekhawatiran atau gejala2 fisik diatas menyebabkan
penderitaan dan hambatan bermakna klinis dlm fungsi sosial,pekerjaan atau
area fungsional penting lainnya.
F. The disturbance is not due to the direct physiologic effects of a substance (e.g., a
drug of abuse, a medication ) or a general medical condition(e.g.,hyperthyroidism)
and does not occur excusively during a mood disorder, a psychotic disorder, or a
pervasive development
disorder.Gangguan ini tidak disebabkan oleh efek
fisiologis langsung dari zat (medikasi,penyalahgunaan obat, atau terapi
lainnya) atau kondisi medis umum (mis, hipertiroid) dan tidak terjadi hanya
selama ggn mood, psikotik atu suatu ggn perkembangan pervasif.

DSM-IV-TR Diagnostic Criteria for Specific Phobia


A. Marked and persistent fear that is excessive or unreasonable, cued by the
presence or the anticipation of a specific object or situation (e.g., flying,
heights, animals, receiving and injection, seeing blood). Ketakutan
menetap dan nyata yg berlebihan atau tidak masuk akal
terhadap atu antisipasi objek spesifik atau situasi (spt
penerbangan, ketinggian,hewan, saat disuntik, melihat darah)
B. Exposure to the phobic stimulus almost invariably provokes an immediate
anxiety respons, which may take the form of a situationally predisposed panic
attack. Note: in children, the anxiety may be expressed by crying, tantrums,

C.
D.
E.

F.
G.

freezing or clinging. Ketika terpapar pd stimulus phobik hampir


selalu mencetus kecemasan mendadak yg dapat menjadi
serangan panik berkaitan dgn hal itu.Cat. pd anak-anak,
kecemasan ditunjukan dgn menangis, mengamuk,
mematung, atau memeluk (seseorang).
The person recognizes that the fear is excessive or unreasonable. Note: in
children, this feature may be absent. Ybs menyadari ketakutan ini
berlebihan atau tidak masuk akal.Pada anak hal ini tidak ada.
The phobic situation(s) is avoided or else is endured with intense anxiety or
distress Situasi2 phobik dihindari atau dijalani dgn kecemasan
kuat atau penderitaan.
The avoidance, anxious anticipation, or distress in the feared situation(s)
interferes significantly with the persons normal routine, occupational (or
academic) functioning, or social activitles or relatianships, or there is maeked
distress about having the pobhia. Penghindaran, kecemasan
antisipatif, atau penderitaan pada situasi2 yg ditakutkan
menganggu secara bermakna pd rutinitas normal
ybs,pekerjaan (atau akademik) atau aktifitas sosial atau
hubungan lainnya atau adanya penderitaan yg nyata ttg
phobianya.
In individuals under age 18 years, in the duration is eat least 6 months. Jika
berusia kurang dari 18 tahun maka durasinya minimal 6
bulan.
The anxiety, panic attacks, or phobic avoidance associated with the specific
object or situations is not better accounted for by another mental disorder,
such as obssesive-compulsive disorder (e.g., fear of dirt in someone with an
obssesion about contamination), posttraumatic stress disorder (e.g., avoidance
of stimuli associated with a severe stressor), separation anxiety disorder (e.g.,
avoidance of school), social phobia (e.g., avoidance of social situations
because of fear of embarassment ), panic disorder with agoraphobia, or
agoraphobia without history of panic disorder. Kecemasan, serangan
panik, penghindaran objek atau situasi spesifik tidak dapat
dikategorikan pd ggn mental lainnya spt OCD,PTSD,
Kecemasan perpisahan, Phobia sosial, panik dgn agoraphobia
atau agora phobia tanpa riwayat panik.

Specity type:
Animal type
Natural environment type (e.g., heights, storms, water)
Blood-injection-injury type
Situational type (e.g., airplanes, elevators,enclosed places)
Other type (e.g., phobic avoidance of situations that may lead to choking,
vomiting, or contracting an illness; in children,avoidance of loud sound or
costumed characters )
Tentukan tipe:
1. hewan ttt

2.
3.
4.
5.

lingkungan alami (ketinggian, badai, air)


luka suntikan
situsional (pesawat, elevator, tempat tertuutp)
lainnya (penghindaran phobik dpt menimbulkan rasa
tercekik,muntah, penyakit; pd anak sbg penhindaran
suara keras atau tokoh berkostum)

From American Psychiatry Association. Diagnostic and Statistical Manual of Mental


Disorders, text revision, 4th ed. Washington, DC: American Psychiatry Association,
Copyright 2000, with permission.

DSM-IV-TR Diagnostic Criteria for Social Phobia

A.A marked an persistent fear of one or more social or performance situations in


which the person is exposed to unfamiliar people or to posible scrutiny by others.
The individual fears that he or she will act in a way (or show anxiety symptoms)
that will be humiliating or embrassing. Note: In children, there must be evidence
of the capacity for age approppriate social relationships with familiar people and
the anxiety must occur in peer settings, not just in interactions with adults.
Ketakutan yg nyata dan menetap dari 1 atau lebih situasi atau
penampilan dimana ybs terpapar dgn orang2 yg tidak dikenal
atau merasa ditelanjangi oleh org lain.Ketakutan2 individu yaitu
dia akan bertingkah (atau menunjukan gejala ansietas) yg akan
dihina atau dipermalukan.Cat. pd anaka2. harus ada bukti2
kapasitas hubungan social yg sesuai dgn org yg dikenal dan
ansietasnya harus terjadi dlm konteks kelompok anak seumurnya
bukan hanya dgn orang dewasa.
B.Exposure to the feared social situation almost invariably provokes anxiety, which
may take the form of a situasionally bound or situasionally predisposed panic
attack. Note: In children, the anxiety may be expressed by crying, tantums,
freezing, or shrinking from social situations with unfamiliar people.
Ansietas hampir selalu tercetus ketika terpapar dgn stuasi2 sosial
terkait yg ditakutkan yg mgk saja merupakan predisposisi
terhadap serangan panic.Cat. pd anak2, ansietas mgk ditunjukan
lewat menangis, meledak kemarahannya, kaku terdiam, atau
menjauhkan diri dari situasi2 dgn orang2 tak dikenalnya.
C.The person recognizes that the fear is excessive or unreasonable. Note: In children,
this feature may be absent.
Ketakutan mana disadari ybs sbg berlebihan atau tidak beralasan.
Cat. pd anak2, gambaran ini mgk tidak ada.
D. The feared social or performance situations are avoided or else are endured with
intense anxiety or distress.

Situasi2 sosial atau penampilan yg ditakuti dihindarinya atau


dijalani dgn ansietas yg kuat atau menderita karenanya.
E. The avoidance, anxious anticipation, or distress in the feared social or performance
situation(s) interferes significantly with the person's normal routine,occupational
(academic) functioning, or social activities or relationships, or there is marked
distress about having the phobia.
Penghindaran, kecemasan antisipatif atau penderitaan dlm situasi2 sosial atau
penampilan yg ditakuti menginterfensi secara bermakna dlm
rutinitas noramal, fungsi okupasi (akademik) atau hubungan2
adan aktifitas social pasien atau adnya penderitaan yg nyata ok
mengalami fobia ini.
F. In individuals under age 18 years, the duration is at least 6 months.
Pada individu berusia <18 tahun,durasi sedikitnya 6 bulan.
G. The fear or avoidance is not due to the direct physiologic effects of a substance
(e.g., a drug of abuse, a medication) or a general medical condition and is not
better accounted for by another mental disorder (e.g., panic disorder with or
without agoraphobia, separation anxiety disorder, body dysmorphic disorder,a
pervasive developmental disorder, or schizoid personality disorder).
Ketakutan atau penghindaran tidak disebabkan efek fisilogis lsg
dari zat (drug abuse, medikasi) atau suatu kondis medis umum
dan tidak dpt digolongkan pd ggn mental lainnya (mis. Ggn Panik
dgn/tanpa
Agorafobia,Cemas
Perpisahan,Dismorfik,Perkembangan
Pervasif,Kepribadian
Schizoid)
H. If a general medical condition or another mental disorder is present, the fear in
Criteterion A is unrelated to it (e.g., the fear is not of stuttering, trembling in
Parkinson's disease, or exhibiting abnormal eating behavior in anorexia nervosa or
bulimia nervosa).
Jika terdapat suatu kondis medis umum atau ggn mental lainnya
maka hal ini tdk berhungan dgn ketakutan pd kriteria A (cth.
Ketakutan pd gagap, kegentaran pd Parkinson atau menunjukan
perilaku makan abnormal pd Anorexia atau Bulimia Nervosa)
Specify if:
Generalized: If the faer include most social situations (also consider the
additional diagnosis of avoidant personality disorder).
Tentuka jika: Menyeluruh: jika ketakutan terjadi pd semua
situasi2 sosial (pertimbangkan juga diagnosis tambahan Ggn
Kepribadian Menghindar )
From American Psychiatry Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatry Association,
Copyright 2000, with permission.

DSM-IV-TR Diagnostic Criteria for Obsessive-Compulsive Disorder


A.

Other obsession or compulsions:


Obsesi2 atau kompulsi2 lainnya:
Obsession as defined by (1), (2), (3), and (4):
Obsesi yg didefinisikan pada 1.2.3.4:
(1). Recurrent and persistent thoughts, impulses, or images that are experienced, at
some time during the disturbance, as intrusive and inappropriate and that cause
marked anxiety or distress
Pikiran2 berulang dan menetap, dorongan2 atau khayalan yg
dialami dalam waktu ttt selama gangguan ini sebagai sesuatu yg
tak diundang dan tidak sesuai yg menyebabkan ansietas nyata
ataupun penderitaan
(2). The thoughts, impulses, or images are not simply excessive worries about real-life
problems
Pikiran2, dorongan2 atau khayalan2 diatas bukanlah hanya
kekhawatiran berlebihan ttg problema2 kehidupan sehari2
(3). the person attempts to ignore or suppress such thoughts, impulses, or images, or to
neutralize them with some other thought or action
Ybs berusaha utk mengabaikan atau menekan pikiran2,
dorongan2 atau khayalan diatas atau menetralkannya dgn bbrp
pikiranatau tindakan lain
(4). the person recognizes that the obsessional thoughts, impulses, or images are a
product of his or her own mind (not imposed from without, as in thought
insertion)
Ybs menyadari pikiran2, dorongan2 atau khayalan2 obsesional
diatas adalah produk pikirannya (bukan berasal dari luar seperti
pd sisip pikir)
Compulsions as defined by (1) and (2):
Kompulsi2 seperti yg didefinisikan 1,2:
(1). repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g.,
praying, counting, repeating, words silently) that the person feels driven to
perform in response to an obsession, or according to rules that must be applied
rigidly
Perilaku2 repetitif (spt mencuci tangan, mengatur, mengecek)
atau kegiatan2 mental (spt sembahyang, menghitung,
mengulang-ulang kata2 dalam hati ) dimana ybs merasa
dikendalikan utk melakukannya sbg respons thd suatu obsesi
atau sesuai aturan2 yg harus diterapkan
(2). the behaviors or mental acts are aimed at preventing or reducing distress or
preventing some dreaded event or situation; however, these behaviors or mental
acts either are not connected in a realistic way with what they are designed to
neutralize or prevent or are clearly excessive
Perilaku atau kegiatan mental ini ditujukan utk mencega atau
mengurangi penderitaan atau mencegah bbrp kejadian atau
situasi yg amat mengakhawatirkan; meskipun demikian perilaku
atau kegiatan mental ini tdk berhubugnan dgn cara2 realistik dgn

apa yg dimaksudkan yaitu utk menetralkan atau mencegah atau


jelas2 berlebihan.
B. At some point during the course of the disorder, the person has recognized that the
obsessions or compulsions are excessive or unreasonable. Note: This does not apply
to children.
Pd suatu titik dlm perjalanan ggn ini, ybs menyadari bhw obsesi2
atau kompolsi2 diatas adalah berlebihan atau tidak beralasan.Cat.
criteria ini tidak utk anak2
C. The obsessions or compulsions cause marked distress, are time consuming (take more
than I hour a day), or significantly interfere with the persons normal routine,
occupational (or academic) functioning, or usual social activities or relationships.
Obsesi2 atau kompolsi2 diatas meyebabkan penderitaan yg nyata,
membuang2 waktu
(makan waktu >1 jam/hari) atau
menginterfensi secara bermakna dlm rutinitas normal, fungsi
okupasi (akademik) atau aktifitas2 social pasien yg biasanya.
D. If another Axis 1 disorder is present, the content of the obsessions or compulsions is
not restricted to it (e.g., preoccupation with food in the presence of an eating disorder,
hair pulling in the presence of trichochotillomania, concern with appearance in the
presence of body dysmorphic disorder, preoccupation with drugs in the presence of a
substance use disorder, preoccupation with having a serious illness in the presence of
hypochondriasis, preoccupations with sexual urges or fantasies in the presence of a
paraphilia, or gullty ruminations in the presence of major depressive disorder).
Jiak terdapat juga ggn axis I lainnya, isi dari obsesi2 atau kompulsi2 tidak
terbatas padanya (mis. preokupasi dgn makanan dlm Ggn makan,
mencabut2 rambut pd Trikotilomania, mempwerhatikan penampilan
pd Ggn Dismorfik, preokupasi dgn Napza dlm Ggn Pengguanaan
Zat, preokupasi mengalami suatu peyakit serius dlm Hipokondriasis,
preokupasi dgn hasrat atau fantasi sexual dlm Parafilia, atau
ruminasi dgn perasaan bersalah pd Ggn Depresif Mayor)
A. The disturbance is not caused by the direct physiologic effect of a substance (e.g., a
drug of abuse, a medication) or a general medical condition.
Gangguan ini tidak disebabkan efek fisilogis lsg dari zat (drug
abuse, medikasi) atau suatu kondis medis umum
Specify if:
With poor insight: if, for most of the time during the current episode, the person does
not recognize that the obsessions and compulsions are excessive or unreasonable
Tentukan jika:
dgn tilikan buruk: jika pd hampir selama episode
terakhir, ybs tdk menyadari obsesi2 dan kompulsi diatas adalah
diatas berlebihan atau tidak beralasan
From American Psichiatric Association, Diagnostic and Statistical Manual of Mental
Disorder, text revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000, With
permission.

DSM-IV-TR Diagnostic Criteria for Posttraumatic Stress Disorder


A. The person has been exposed to a traumatic event in which both of the following
were present:
Ybs selama ini terpapar dgn kejadian traumatis dimana terdapat
kedua hal berikut:
(1). the person experienced, witnessed, or was confronted with an event or events
that involved actual or threatened death or serious injury, or a threat to the
physical integrity of self or others
Ybs mengalami, menyaksikan atau dihadapkan dgn suatu
kejadian atau lebih yg meyangkut kematian atau ancaman
kematian atau luka serius atau suatu ancaman thd keutuhan
fisik dirinya atau orang lain
(2). the persons response involved fear, helplessness, or horror. Note: in children,
this may be expressed instead by disorganized or agitated behavior.
Respons2 ybs melibatkan ketakutan, ketidakberdayaan atau
horor.cat pd anak2 hal in mgk diekspresikan dgn perilaku
kacau atau agitasi.
B. The traumatic event is persistently reexperienced in one (or more) of the following
ways.Kejadian traumatis ini dialami berulang, menetap, dalam 1>
cara2 berikut:
(1). recurrent and intrusive distressing recollections of the event, including images,
thoughts, or perceptions. Note: in young children, repetitive play may occur in
which themes or aspects of the trauma are expressed.
Perulangan dan kenangan2 kejadian yg bersifat intrusive dan
menderitakan
termasuk
bayangan2,
pikiran2,
atau
persepsi2nya.Cat. permainan repetitif dpt terjadi dimana
tema2 atau aspek2 dari trauma diekspresikan
(2). Recurrent distressing dreams of the event. Note: in children, there may be
frightening dreams without recognizable content.
Berulangnya mimpi2 menderitakan dari kejadian itu.Cat. pd
anak2 mgk ada mimpi2 menakutkan tanpa diketahui isinya
(3). Acting or feeling as if the traumatic event were recurring (includes a sense of
reliving the experience, illusions, hallucinations, and dissociative flashback
episodes, including those that occur on awakening or when intoxicated). Note:
in young children, trauma-specific reenactment may occur.
Berperangai atau merasakan seakan2 kejadian traumatis itu
kembali terjadi (termasuk perasan meghidupkan kembali
pengalaman, ilusi2, halusinasi2 dan episode2 disosiatif
pengingatan kembali baik yg terjdi wkt terjaga atau ketika
mabuk).Cat. pd anak usia sekolah dasar dpt terjadi permainan
berulang khas trauma.

(4). Intense psychological distress at exposure to internal or external cues that


symbolize or resemble an aspect of the traumatic event
Mengalami penderitaan psikologis yg meningkat saat terpapar
dgn kata atau kode internal atau eksternal yg menyimbolkan
atau menyrupai suatu aspek dari kejadian trumatis tsb
(5). Physiologic reactivity on exposure to internal or external cues that symbolize
or resemble an aspect of the traumatic event
Terjadi reaktifitas fisiologis saat terpapar dgn kata atau kode
internal atau eksternal yg menyimbolkan atau menyrupai
suatu aspek dari kejadian trumatis tsb
C. Persistent avoldance of stimuli associated with the trauma and numbing of general
responsiveness (not present before the trauma), as indicated by three (or more) of
the following Penghindaran menetap stimuli yg berkaitan dgn
trauma dan mematirasakan daya berespons umum (tidak ada
sebelum trauma) sebagaimana yg ditunjukan ole 3 atau > hal2
berikut:
(1). efforts to avoid thoughts, feelings, or conversations associated with the trauma
Berusaha menghindari pikiran2, perasaan2 atau percakapan2
yg berkaitan dgn trauma
(2). efforts to avoid activities, places, or people that arouse recollections of the
trauma
Berusaha menghindari aktifitas2, tempat2, atau orang2 yg
membangkitkan kenangan2 dari trauma
(3). inability to recall an important aspect of the trauma
Ketidakmampuan mengingat kembali suatu aspek penting
dari trauma
(4). markedly diminished interest or participations in significant activities
Penurunan nyata ketertarikan atau keikutsertaaan dalam
aktifitas yg
bermakna
(5). feeling of detachment or estrangement from others
Perasan terpisah atau terasing dari sesama
(6). restricted range of effect (e.g., unable to have loving feelings)
Rentang afek yg menyempit (mis. tidak dapat memiliki
perasaan menyayangi)
(7). sense of a foreshortened future (e.g., does not expect to have a career,
marriage, children, or a normal life span)
Perasaan ttg masa depan yg terputus2 (mis. tdk
mengharapka memiliki karir, perkawinan, anak2 atau usia
hidup normal)
D. Persistent symptoms of increased arousal (not present before the trauma), as
indicated by two (or more) of the following.Gejala2 menetap dari
peningkatan kewaspadaan (tidak ada sebelum trauma) spt yg
ditunjukan oleh 2 atau lebih hal2 berikut:
(1). difficulty falling or staying asleep
Kesulitan tertidur atau mempertahankannya.
(2). irritability or outburst of anger

Gampang atau marah meledak2


(3). difficulty concentrating
Kesulitan berkonsentrasi
(4). Hypervigilance
Kewaspadaan berlebihan
(5). exaggerated startle response
Respons kaget berlebihan
E. Duration of the disturbance (symptoms in criteria B,C, and D) is more than 1
month.
Durasi ggn (gejala2 kriteria B,C,D) > 1 bulan
B. The disturbance causes clinically significant distress or impairment in social,
occupational, or other important areas of functioning.
Ggn ini menyebabkan penderitaan yg bermakna klinis atau
hambatan dlm area social, okupasional atau area fungsional
penting lainnya.
Specify if:
Acute: if symptoms last less than 3 month
Chronic: if symptoms last 3 months or more
Tentukan jika:
Akut: jika gejala2 berlangsung <3 bulan
Kronik: jika gejala2 berlangsung 3 bulan atau lebih
Specify if:
With delayed onset: if symptoms begin at least 6 months after the stressor
Tentukan jika: dgn onset tertunda yaitu jika gejala2 muncul
sedikitnya 6 bulan setelah stresor

From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder, text
revision, 4th ed. Washington, DC; American Psychiatric Association, Copyright 2000, with permissi

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DSM-IV-TR Diagnostic criterio for Somatization Disorder
A. A history of many physical complaints beginning before age 30 years that occur
over a period of several years and result in treatment being sought or significant
impairment in social, occupational, or other important areas of functioning.

Adanya riwayat keluhan-keluhan fisik yang dimulai sebelum usia


30 tahun yang berlangsung dalam periode beberapa tahun dan
mencari-cari penyembuhannya atau terjadi hambatan bermakna
dalam fungsi-fungsi sosial, pekerjaan, atau area penting lainnya.
B. Each of the following criteria must have been met, with individual symptoms
occurring at any time during the course of the disturbance Setiap kriteria
berikut selama ini harus terpenuhi dimana gejala-gejala individu
terjadi pada suatu waktu dalam perjalanan gangguan:
1. Four pain symptoms ; a history of pain related to at least four different
sites or functions ( e. g., head, abdomen, back, joints, extremities, chest,
rectum, during menstruation, during sexual intercourse, or during
urination ). 4 gejala nyeri: riwayat nyeri pada minimal 4
tempat atau fungsional (misalnya kepala, perut, punggung,
sendi, ekstremitas, dada, rektum, sewaktu coitus atau
miksi).
2. Two gastrointestinal symptoms : a history of at least two gastrointestinal
symptoms other than pain (e. g., nausea, bloating, vomiting other than
during pregnancy, diarrhea, or intolerance of several different foods ). 2
gejala-gejala gastrointestinal: riwayat sedikitnya 2 gejala
gastrointestinal
selain
nyeri
(misalnya
nausea,
meteorismus, vomitus diluar kehamilan, diare, intoleransi
beberapa jenis makanan).
3. One sexual symptom : a history of at least one sexual or reproductive
symptom other than pain ( e. g., sexual indifference, erectile or ejaculatory
dysfunction, irregular menses, excessive menstrual bleeding, vomiting
throughout pregnancy ). 1 gejala sexual: riwayat sedikitnya ada
1 gejala sexual atau reproduksi selain nyeri (misalnya
indiferen sexual, disfungsi ereksi atau ejakulasi, haid
irregular, hipermenorrhea, vomitus sepanjang masa
kehamilan).
4. One pseudoneurologic symptom : a history of at least one symptom or
deficit suggesting a neurologic condition not limited to pain ( conversion
symptoms such as impaired coordination or balance, paralysis or localized
weakness, difficulty swallowing or lump in throat, aphonia, urinary
retention, hallucinations, loss of touch or pain sensation, double vision,
blindness, deafness, seizures ; dissociative symptoms such as amnesia ; or
loss of consciousness other than fainting ). 1 gejala
pseudoneurologis: riwayat sedikitnya 1 gejala atau deficit
yang mengarah pada suatu kondisi neurologis yang tidak
hanya nyeri (gejala-gejala konversi seperti gangguan
koordinasi atau keseimbangan, paralisa atau kelemahan
lokal, sukar menelan atau terasa adanya massa di
tenggorok, aphonia, retensi urinae, halusinasi, kehilangan
sensasi nyeri dan raba, visus ganda, kebutaan, tuli, kejang;
gejala-gejala disosiatif seperti amnesia; kehilangan
kesadaran selain pingsan).

C. Either (1) or (2) Adanya 1 atau 2:


1. After appropiate investigation, each of the symptoms in Criterian B cannot
be fully explained by a known general medical condition or the direct
effects of a substance ( e. g., a drug of abuse, a medication ). Setelah
penelitian yang sesuai; gejala-gejala pada kriteria B tidak
dapat dijelaskan berdasarkan kondisi medis umum yang
dikenal atau efek langsung dari zat (penyalahgunaan obat
atau medikasi)
2. When there is a related general medical condition, the physical complaints
or resulting social or occupational impairment are in excess of what would
be expected from the history, physical examination, or laboratory findings.
Ketika ada kaitan dengan suatu kondisi medis umum,
keluhan-keluhan fisik atau hambatan sosial atau pekerjaan
adalah berlebihan berdasarkan riwayat, pemeriksaan fisik
atau temuan-temuan laboratorium.
D. The symptoms are not intentionally feigned or produced ( as in factitious disorder
or malingering ). Gejala2 tidak (dimaksudkan) dibuat-buat atau
disengaja (seperti pada gangguan buatan atau malingering).

DSM -IV-TR diagnoctic Criteria for Conversuoin Disorder


A. One or more symptoms or deficit affecting voluntary motor or sensory function
that suggest to neurogical or other general medical condition. 1 atau lebih
gejala atau defisit pada fungsi motorik volunter atau sensoris
yang mencerminkan gangguan neurologis atau kondisi medis
umum lain.
B. Psychological factors are judged to be associated with the symptom or deficit
because the initiation oe exacerbation of the symptom or deficit in preceded by
conflicts or other stressor. Faktor psikologis ditenggarai berhubungan
dengan gejala atau defisit oleh karena permulaan atau
eksaserbasinya didahului konflik atau streso lainnyar.
C. The symptom or deficit is not intentionally produced or feigned ( as in factitious
disorder or malingering). Gejala-gejala atau defisit-defisit tidak
dimaksudkan demikian atau dibuat-buat (seperti pada gangguan
buatan atau malingering).

D. The symptom or deficit cannot, after appropriate investigation, be fully explained


by a general medical condition, or by the direct effects of a culturally sanctioned
behaviour or experience. Sebuah penelitian yang sesuai, gejala atau
defisit tidak dapat dijelaskan sebagai suatu kondisi medis umum
atau efek langsung zat, atau sebagai budaya lokal atau
pengalaman.
E. The symptom or deficit causes clinically significant distress or impairment in social,
occupational or other important areas of functioning or warrants medical evaluation.
Gejala dan defisit menyebabkan penderitaan klinis atau hambatan
nyata dalam fungsi-fungsi sosial, pekerjaan atau area penting lainnya
atau dapat surat evaluasi status kesehatan..

F.The symptom or deficit is not limited to pain or sexual dysfunction, does not occur
exclusively during the course of somatization disorder, and is not better accounted for by
another mental disorder. Gejala dan defisit tidak terbatas pada nyeri atau
disfungsi sexual, tidak terjadi dalam perjalanan gangguan somatisasi
dan bukanjenis gangguan mental lainnya.

Spesify type of symptom or deficit :


With motor symptom or deficit
With sensory symptom or deficit
With seizures or convulsions
With mixed presentation .
Tentukan tipe gejala dan defisit:
a. dengan gejala atau defisit motorik
b. dengan gejala atau defisit sensoris
c. dengan kejang atau konvulsi
d. tampil campuran

DSM -IV-TR diagnoctic Criteria for Pain Disorder


A. Pain in one or more anatomic sites is the predominat focus of the clinical
presentation and is of sufficient severity to warrant clinical attention. Nyeri
pada 1 atau lebih distribusi anatomis adalah fokus yang
menonjol dari gambaran klinis yang cukup parah sehingga
diperhatikan secara klinis.
B. The pain causes clinically significant distress or impairment in social,
occupational, or other important area of functioning. Nyeri tersebut
menyebabkan penderitaan atau gangguan yang bermakna klinis
di area sosial, pekerjaan, atau area penting lainnya.

C. Psychological factors are judged to have an important role in the onset , severity,
exacerbation, or maintenance of the pain. Faktor psikologis ditenggarai
berperan penting dalam onset, keparahan, eksaserbasi atau
menetapnya nyeri.
D. The symptom or deficit is not intentionally produced or feigned ( as in factitious
disorder or malingering). Gejala-gejala atau defisit tidakdimaksudkan
demikian atau berpura-pura (seperti pada gangguan buatan
atau malingering).
E. The pain is not better accounted for by a mood , anxiety, or psychotic disorder and
does not meet criteria for dyspareunia. Nyeri tidak dapat dikategorikan
sebagai gangguan mood, anxietas atau psikotik dan tidak
memenuhi kriteria dispareuni.
Code as follows :
Pain disorder associated with psychological factors : psychological factors
are judge to have the major role in the onset , severity, exacerbation, or
maintenance of the pain. ( If a general medical condition is present , it does
not have a major role in the onset , severity, exacerbation, or maintenance of
the pain). This type of pain disorder is not diagnosed if criteria are also met for
somatization disorder.Pengkodean: Gangguan nyeri terkait faktor
psikologis: faktor-faktor psikologis ditenggarai berperan
penting dalam onset, keparahan, eksaserbasi atau
menetapnya nyeri (jika terdapat suatu kondisi medis umum
maka hal itu bukan utama). Tipe gangguan nyeri ini tidak
didiagnosa jika memenuhi kriteria gangguan somatisasi.
Specify if :
Acute : duration of less than 6 months
Chronic :duration of 6 months or longer
Pain disorder associatedwith both psychological factors and a general
medical condition : both psychological factors and a general medical
condition are judged to have important roles in the onset, severity,
exacerbation, or maintenance of the pain. The associated general medical
condition or anatomic site of the pain. The associated general medical
condition or anatomic site of the pain is coded on axis III.
Tentukan jika:
- Akut: durasinya kurang dari 6 bulan
- Kronik: durasinya > 6 bulan
Gangguan nyeri terkait faktor-faktor psikologis dan kondisi
medis umum: keduanya ditenggarai berperan penting pada
onset, keparahan, eksaserbasi atau kambuhannya
nyeri..Kondisi medis umumdam lokasi anatomisnya

dimasukan pada axis III


Specify if :
Acute :duration of less than 6 months
Chronic :duration of 6 months or longer.
Tentukan jika:
- Akut: durasinya kurang dari 6 bulan
- Kronik: durasinya > 6 bulan

DSM-IV-TR diagnoctic Criteria for Hypochomdriosis


A. Preoccupation with fears of having, or the idea thatb one has, a serious disease
based on the persons misinterpretation of boidly symptoms. Preokupasi
dengan ketakutan bahwa yang bersangkutan mempunyai atau
adanya idea tentang penyakit serius berdasarkan misinterpretasi
ybs dengan gejala-gejala tubuhnya.
B. The preoccupation persists despite appropriate medical evaluation and reassurance.
Preokupasi ini menetap meskipun adanya evaluasi medis yang
memadai disertai penjelasan utk meyakinkannya.
C. The belief in Criterian A is not of delusional intensity ( as in delusional disorder,
somatic type ) and is not restricted to a circumscribed concern about apperance ( as
in body dysmorphic disorder ). Keyakinan pada A tidak setingkat waham
(seperti pada gangguan waham tipe somatis) dan tidak hanya
pada kepedulian tentang penampilan (seperti pada gangguan
dismorfik).
D. The preoccupation causes clinically significant distress or impairment in social,
occupational, or other important areas of functioning. Preokupasi ini
menyebabkan penderitaan yang bermakna klinis atau di area-area
sosial, okupasional, dan yang penting lainnya.
E. The duration of the disturbance is at least 6 months. Durasi gangguan
sedikitnya 6 bulan.
F. The preoccupation is not better accounted for by generalized anxiety disorder,
obsessive-compulsive disorder, panic disorder, a major depressive episode,
separation anxiety, or another somatoform disorder. Preokupasi tidak dapat
digolongkan sebagai gangguan cemas menyeluruh, OCD, panik,
depresif mayor, cemas perpisahan atau gangguan somatoform
lainnya.

Specify if : With poor insight : if, for most of the time during the current episode, the
person does not recognized that the concern about having a serious illness is
excessive or unreasoneable.
Tentukan jika: dengan tilikan buruk maka pada sepanjang waktu,
terutama kini, yang bersangkutan tidak menyadari bhw
keprihatinan mampunyai suatu penyakit serius adalah berlebihan
atau tidak beralasan.

DSM-IV-TR diagnoctic Criteria for Body Dismorphic Disorder


A.

Preoccupation with an imagined defect in appearance. If a slight physical


anomaly is present, the persons concern is markedly excessive. Preokupasi
dengan defek imajinasi pada penampilan. Jika terdapat anomali
fisik yang ringan maka kepeduliannya thd hal itu sangat
berlebihan.
B.
The preoccupation causes clinically significant distress or impairment in
social, occupational, or other important area of functioning. Preokupasi ini
menyebabkan penderitaan yang bermakna klinis atau di area-area
sosial, okupasional, dan yang penting lainnya.
C.
The preoccupation is not better accounted for by another mental disorder ( e.
g., dissatisfaction with body shape and size in anorexia nervosa ). Preokupasi ini
tidak dapat digolongkan pada gangguan mental lainnya (mis.
ketidakpuasan dgn bentuk dan ukuran tubuh seperti pada
Anorexia nervosa).

DSM-IV-TR Diagnostic Criteria for Undifferentiated Somatoform Disorder


A. One or more physical complaints (e.g., fatigue, loss of appetite,
gastrointestinal or urinary complaints). Adanya 1 atau lebih keluhan
fisik (seperti keletihan, hilang nafsu makan, keluhan saluran
cerna dan kencing)
B. Either (1) or (2):
(1) Other appropriate investigation, the symptoms cannot be fully explained
by a known general medical condition or the direct effects of a substance
(e.g., a drug of abuse, a medication).

(2) When there is arelated general medical condition, the physical complaints
or resulting social or occupational impairment is in excess of what would
be expected from the history, physical examination, or laboratory findings.
Adanya (1) atau (2):

C.

D.
E.

F.

1. Setelah penyelidikan yg sesuai, gejala-gejala tidak dapat


dijelaskan sebagai suatu kondisi medis umum atau sebagai
suatu efek langsung zat (drug abuse, medikasi).
2. Ketika ada keterkaitan dengan gangguan kondisi medis
umum maka keluhan-keluhan fisiknya atau fungsi sosial
atau okupasi terganggu berlebihan berdasarkan riwayat,
pemeriksaan fisik atau temuan laboratoris yg ada.
The symptoms cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning. Gejala-gejala
diatas menyebabkan penderitaan dengan hambatan
bermakna klinis dalam fungsi sosial, okupasi atau area
penting lainnya..
The duration of the disturbance is at least 6 months. Durasi sedikitnya
6 bulan
The disturbance is not better accounted for by another mental disorder
(e.g., another somatoform disorder, sexual dysfunction, mood disorder,
anxiety disorder, sleep disorder, or psychotic disorder). Gangguan ini
tidak dapat dikategorikan sebagai gangguan mental lainnya
(misalnya gangguan somatoform lainnya, disfungsi sexual,
gangguan mood, anxietas, atau psikotik).
The symptom is not intentionally produced or feigned as in factitious
disorder or malingering. Gejala-gejala tidak dimaksudkan demikian
atau berpura-pura seperti pada gangguan buatan atau
malingering.

DSM-IV-TR Diagnostic Criteria for Somatoform Disorder Not Otherwise Specified

This category includes disorders with somatoform symptoms that do not meet the
criteria for any spesific somatoform disorder. Examples include:
Kategori ini termasuk gangguan2 dgn gejala2 somatoform yg tidak
sesuai dgn kriteria ggn somatoform spesifik,contohnya:
1. Pseudocyesis: a false belief of being pregnant that is associated with
objective signs of pregnancy, which may include abdominal enlargement
although the umbilicus does not become everted, reduced menstrual flow,
amenorrhea, subjective sensation of fetal movement, nausea, breast
enlargement and secretions, and labor pains at the expected date of
delivery. Endocrine changes may be present, but the syndrome cannot be
explained by a general medical condition that causes endocrine changes
(e.g., a hormone-secreting tumor).Pseudocyesis: suatu keyakinan
palsu menjadi hamil dikaitkan dgn tanda2 kehamilan
diantaranya pembesaran perut meskipun umbilicus tidak
eversi, tidak terlambatnya haid, ammenorrhea, merasa
ada gerakan janin, nausea, pembesaran ammae dan
adanya sekresi serta nyeri partus pada waktunya.
2. A disoreder involving nonpsychotic hypochondriacal symptoms of less
than
6
months
duration.Gangguan
tentang
gejala
hipokondriasis nonpsikotik yg berlangsung sedikitnya 6
bulan
3. A disorder involving unexplained physical complaints (e.g., fatigue or
body weakness) of less than 6 months duration that are not due to another
mental disorder.Gangguan dgn keluhan2 fisik yg tdk dpt
dijelaskan (spt keletihan atau kelemahan tubuh) yg
berlangsung sedikitnya 6 bulandan bukan dikarenakan
ggn mental lainnya .

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DSM-IV-TR Diagnostic Criteria for Dissociative Amnesia


A. The predominant disturbance is one or more episodes of inability to recall
important personal information, usually of traumatic or stressful nature, that is too
extensive to be explained by ordinary forgetfulness. Ggn menonjol pd
ketidakmampuan mengingat kembali informasi penting pribadi

yg terjadi 1 kali atau lebih episode, biasanya ada riwayat


traumatis atau kejadian sgt berat, yg terlalu luas dijelaskan dgn
kelupaan biasa.
B. The disturbance does not occur exclusively during the course of dissociative
identity disorder, dissociative fugue, posttraumatic stress disorder, or somatization
disorder and is not due to direct physiologic effects of a substance (e.g., a drug of
abuse, a medication) or a neurologic or other general medical condition (e.g.,
amnestic disorder due to head trauma). Ggn ini tdk hanya terjadi selama
perjalanan ggn2 Disosiatif Idntitas atau Fugue, Stres Pasca
Trauma, Stres Akut, Somatisasi dan bukan krn efek fisiologis lsg
suatu zat (penyalahgunaan obat, medikasi) atau kondisi
neurologis atau medis umum lainnya (mis. Ggn Amnesia ok
Trauma Capitis).
C. The symptoms cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning. Gejala2 diatas
menyebabkan penderitaan atau hambatan yg bermakna klinis
dlm bidang2 sosial, okupasional, atau fungsional penting lainnya.

DSM-IV-TR Diagnostic Criteria for Dissociative Fugue


A. The predominant disturbance is sudden, unexpected travel away from home or
ones customary place of work, with inability to recall ones past. Gangguan
utama terjadi tiba-tiba, meninggalkan rumah atau tempat
seseorang biasa bekerja, dengan ketidakmampuan untuk
mengingat masa lalu.
B. Confusion about personal identity or assumption of a new identity (partial or
complete). Bingung dengan identitasnya atau mengira identitas
baru (sebagian atau seluruhnya)
C. The disturbance does not occur exclusively during the course of dissociative
identity disorder and is not due to direct physiologic effects of a substance (e.g., a
drug of abuse, a medication) or other general medical condition (e.g., temporal
lobe epilepsy). Gangguan semata-mata tidak timbul selama
terjadinya disosiasi
kekacauan identitas dan tidak ok efek
fisiologis langsung dari substansi (drug abuse, medikasi) atau
kondisi medik umum (mis. Epilepsi lobus temporalis)
D. The symptoms cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning. Gejala-gejala
menyebabkan distress yang penting secara klinik atau
kerusakkan sosial, masalah pekerjaan, atau daerah yang
berhubungan dengan fungsi lainnya.

DSM-IV-TR Diagnostic criteria for Dissociative Identity Disorder


A. THE PRESENCE OF TWO OR MORE DISTICNT IDENTITIES OR
PERSONALITY STATES (EACH WITH ITS OWN RELATIVELY ENDURING
PATTERN OF PERCEIVING,RELATING TO, AND THINKING ABOUT THE
ENVIRONMENT AND SELF).TERDAPATANYA 2 ATAU LEBIH
IDENTITAS BERBEDA ATAU STATUS KEPRIBADIAN (MASING2
RELATIS MEMILIKI POLA PERSEPSI, HUBUNGAN DGN, DAN
PEMIKIRAN TTG DIRI SENDIRI DAN LINGKUNGAN).
B. AT LEAST TWO OF THESE IDENTITIES OR PERSONALITY STATES
RECURENTLY TAKE CONTROL OF THE PERSONS BEHAVIOR.
SETIDAKNYA 2 IDENTITAS BERBEDA ATAU STATUS KEPRIBADIAN
DIATAS BERULANGKALI MENGENDALIKAN PERILAKU YBS.
C. INABILITY TO RECALL IMPORTANT PERSONAL INFORMATION THAT IS
TOO EXTENSIVE TO BE EXPLAINED BY ORDINARY FORGETFULNESS.
KETIDAKMAMPUAN MENGINGAT KEMBALI INFORMASI PENTING
PRIBADI YG TERLALU LUAS DIJELASKAN DGN KELUPAAN BIASA
D. THE DISTURBANCES IS NOT DUE TO THE DIRECT PHYSIOLOGIC
EFFECTS OF A SUBSTANCE (E.G., BLACKOUTS OR CHAOTIC
BEHAVIOR DURING ALCOHOL INTOXICATION) OR A GENERAL
MEDICAL CONDITION (E.G., COMPLEX PARTIAL SEIZURES). GGN INI
TDK DISEBABKAN OLEH EFEK FISIOLOGIS LSG SUATU ZAT (SPT
KEHILANGAN INGATAN ATAU KEKACAUAN PERILAKU SEWAKTU
INTOKSIKASI ALKOHOL) ATAU KONDIS MEDIS UMUM (MIS. KEJANG
KOMPLEKS-PARSIAL).
NOTE: IN CHILDREN THE SYMPTOMS ARE NOT ATTRIBUTABLE TO
IMAGINARY PLAYMATES OR OTHER FANTASY PLAY.
CAT.: PADA ANAK2 GEJALANYA BUKAN TEMAN BERMAIN KHAYALAN
ATAU PERMAINAN FANTASI LAINNYA.

DSM IV-TR Diagnostic Criteria for Depersonalization Disorder


A. Persisant or recurrent experiences of feeling detached from, and as if one is an
outside of, ones mental processes or body (e.g., feeling like one is in a dream).
Adanya pengalaman berulang atau menetap ybs meras terlepas
dari proses mental atau tubuhnya seakan dari luar mengamati
tubuhnya (mis.merasa spt dlm mimpi).
B. During the personalization experience, reality testing remains intact. Tes
realitas tetap utuh selama pengalaman personalisasi.
C. The depersonalization causes clinically significant distress or impairment in
social, occupational, or other important areas of functioning. Depersonalisasi
diatas menyebabkan penderitaan atau hambatan yg bermakna
klinis dlm bidang2 sosial, okupasional, atau fungsional penting
lainnya
The depersonalization experience does not occur exclusively during the course of
another mental disorder, and is not due to the direct physiologic effects of a substance
(e.g., a drug of abuse, a medication) or a general medical condition (e.g., temporal lobe
epilepsy). Pengalaman Depersonalisasi ini tdk hanya terjadi selama
perjalanan ggn2 mental lainnya spt Skizofrenia, Panik, Stres Akut, atau
disosiatif lainnya dan tdk disebabkan oleh efek fisiologis lsg suatu zat
(penyalahgunaan obat, medikasi) atau kondisi medis umum lainnya
(mis. Epilepsi Lobus Temporalis).

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DSM-IV-TR Diagnostic criteria for Female Sexual Arousal disorder (bangkitan


gairah sexual ??)
A. Persistent or recurrent inability to attain, or to maintain until completion of the
sexual activity, an adequate lubrication swelling response of sexual excitement.
Adanya ketidakmampuan menetap atau berulang mencapai atau
mempertahankan aktifitas seksual sampai lengkap yaitu adanya
rspons lubrikasi dari ransangan seksual.
B. The disturbance causes marked distress or interpersonal difficulty. Ggn ini
menyebabkan penderitaan nyata atau adanya kesulitan hubungan
antarpersonal.
C. The sexual dysfunction is not better accounted for by another Axis I disorder
(except another sexual dysfunction) and is not due exclusively to the direct

physiologic effects of a substance (e.g, a drug of abuse, a medication) or a general


medical condition. Disfungsi seksual ini tdk dpt digolongkan pd ggn
axis I lainnya(kecuali disfungsi seksual lainnya) dan tdk hanya
disebabkan oleh efek fisiologis lsg suatu zat (penyalahgunaan
obat, medikasi) atau kondisi medis umum.
Specify type :
Lifelong type
Acquired type
Generalized type
Situational type
Due to psychological factors
Due to combined factors
Tentukan Tipe:
Seumur hidup
Didapat
General
Situsional
Disebabkan faktor2 psikologis
Kombinasi faktor2

DSM-IV-TR Diagnostic criteria for Female Orgasmic disorder


A.

B.
C.

Persistent or recurrent delay in, or absense of, orgasm following a


normal sexual excitement phase. Women exhibit wide variability in the type or
intensity of stimulation that triggers orgasm. The diagnosis of female orgasmic
disorder should be based on the clinician's judgement that the woman's orgasmic
capacity is less than would be reasonable for her age, sexual experience, and the
adequacy of sexual stimulation she receives. Tertundanya atau tidak adanya
orgasme setelah fase peransangan normal yg terjadi menetap
atau berulang.Wanita menunjukan variasi yg luas dlm tipe atau
stimulasi yg mencetus orgasme.Diagnosa berdasrkan penilaian
klinikus bahwa kapasitas orgasmenya kurang dari yg diharapka
berdasarkan umur, pengalaman seksual dan adekuatnya stimulasi
seksual yg diterimanya.
The disturbance causes marked distress or interpersonal difficulty.
Ggn ini menyebabkan penderitaan nyata atau adanya kesulitan
hubungan antarpersonal.
The orgasmic dysfunction is not better accounted for by another
Axis I disorder (except another sexual dysfunction) and is not due exclusively to the
direct physiologic effects of a substance (e.g. a drug of abuse, a medication) or a
general medical condition. Disfungsi orgasmik tdk dpt digolongkan pd
ggn axis I lainnya(kecuali disfungsi seksual lainnya) dan tdk hanya

disebabkan oleh efek fisiologis lsg suatu zat (penyalahgunaan


obat, medikasi) atau kondisi medis umum.
Specify type:
Lifelong type
Acquired type
Generalized type
Situational type
Due to psychological factors
Due to combined factors.
Tentukan Tipe:
Seumur hidup
Didapat
General
Situsional
Disebabkan faktor2 psikologis
Kombinasi faktor2
GGN ORGASME PADA WANITA

DSM-IV-TR Diagnostic Criteria for Male Erectile Disorder


A. Persistent or recurrent inability to attain, or to maintain until completion of the
sexual activity, an adequate erection. Adanya ketidakmampuan
menetap atau berulang mencapai atau mempertahankan
aktifitas seksual sampai lengkap yaitu ereksi adekuat.
B. The disturbance causes marked distress or interpersonal difficulty. Ggn ini
menyebabkan penderitaan nyata atau adanya kesulitan
hubungan antarpersonal.
C. The erectile dysfunction is not better accounted for by another Axis I disorder
(other than a sexual dysfunction) and is not due exclusively to the direct
physiologic efects of a substance (e.g., a drug of abuse, a medication) or a
general medical condition. Disfungsi ereksi tdk dpt digolongkan pd
ggn axis I lainnya(selain disfungsi seksual lainnya) dan tdk
hanya disebabkan oleh efek fisiologis lsg suatu zat
(penyalahgunaan obat, medikasi) atau kondisi medis umum.
Specify type:
Lifelong type

Acquired type
Generalized type
Situasional type
Due to psychological factors
Due to combined factors
Tentukan Tipe:
Seumur hidup
Didapat
General
Situsional
Disebabkan faktor2 psikologis
Kombinasi faktor2
From American Psychiatric Association, Diagnostic and Statistical Manual of
Mental Disorders, text revision, 4th ed.Washington, DC: American Psychiatric
Association, Copyright 2000, with permission.

DSM-IV-TR Diagnostic Criteria for Gender Identify Disorder


A. A strong and persistent cross-gender identification (not rarely a desire for any
perceived cultural advantages of being the other sex). In children, the disturbance
is manifested by four (or more) of the following Identifikasi diri yg kuat
dan menetap pd kelamin berbeda (bukan hanya hasrat yg
diterima budaya lokal menjadi kelamin berbeda).Pd anak2 ggn ini
tampil sbg 4 atau lebih hal2 berikut:
1.

Repeatedly stated desire to be, or insistence that she or she is, the
other
sex
mengungkapkan
hasrat
berulang2
atau
memaksakan dirinya adalah jenis kelaminyg berbeda.dari
kelamin lainnya.
2.
In boys, preferences for cross-dressing or stimulating female attire;
in girls, insistence on wearing only stereotypical masculine clothing pd
anak laki-laki, adanya kesukaan memakai atau seakan2
memakai baju perempuan; pd anak perempuan, dia
bersikeras memakai hanya pakaian stereotipik maskulin.
3.
Strong and persistent preferences for cross-sex roles and makebelieve play or persistent fantasizes of being the other sex kesukaan yg
kuat dan menetap berperan sbg kelamin lainnya dan
permainan rekaannya atau fantasi menetap menjadi
kelamin lainnya.
4.
Intense desire to participate in the stereotypical games and
pastimes of the other sex hasrat yg kuat utk ikutserta dlm
permainan2 stereotipik atau pengisia waktu luang dari

kelamin berbeda.
5.
Strong preference for playmates of the other sex hasrat yg kuat
menjadi teman bermain kelamin lainnya.
In adolescent and adults, the disturbance is manifested by symptoms such as a
states desires to be the other sex, frequent passing as the other sex, desire to
live or be treated as the other sex, of the conviction that he or she has the
typical feelings and reactions of the other sex. Pada kelompok remaja
dan dewasa, ggn berwujud sbg gejala2 hasrat pasti menjadi
kelamin lain, sering menyamar sbg kelamin lainnya,
berkehendak hidup atau diperlakukan sbg kelamin lainnya,
atau adanya keyakinan bahwa ybs mempunyai perasaan
tipikal dan reaksi2 kelamin lainnya.
B. Persistent discomfort with his other sex or sense inappropriateness in gender role
of that sex. Ketidaknyamanan menetap dgn kelaminnya atau rasa
tdk cocok dgn peran gender kelaminnya.
In children, the disturbance is manifested by any of the following; in boys,
assertion that his penis or testes are disgusting or will disappear, assertion that
it would be better not to have a penis, or aversion toward a rough and tumble
play and rejection of male stereotypical toys, games and activities; in girls,
rejection of urinating in a sitting position, assertion that she does no want to
grow breast or menstruate, or marked aversion toward normative feminine
clothing. Pada anak2, ggn ini tampil sbg: salah satu dari berikut
ini; anak laki-laki: menyatakan bhw penisnya menjijikan atau
akan menghilang atau lebih baik tidak memilikinya,
membenci permainan kasar, adu jotos dan menolak mainan2,
permainan dan aktifitas stereotipik laki-laki; anak perempuan:
menolak kencing posisi jongkok,menyatakan bhw dia memiliki
atau akan bertumbuh penis bukan payudara, tdk akan
mengalami haid atau kebencian nyata thd pakaian2 wanita.
In adolescents and adults, the disturbance is manifested by symptoms such
as preoccupation with getting rid of primary and secondary sex characteristic
(e.g., request for hormones, surgery, or other procedures to physically alter
sexual characteristic to stimulate the other sex) or believe that she or he was
born the wrong sex. Pada kelompok remaja dan dewasa,
ditunjukan dgn gejala2 spt preokupasi dgn tdk mempunyai
tanda sekunder kelaminnya (spt permintaan terapi hormon,
bedah atau prosedur lain yg merubah ciri seks dan atau
stimulasi ciri2 kelamin lainnya) atau percaya bhw dia
dilahirkan dgn jenis kelamin yg salah.
C. The disturbance is not concurrent with a physical intersex condition Ggn ini tdk
bersamaan dgn suatu kondis fisik interseks.
D. The disturbance causes clinically significant distress or impairment in social,
occupational, or other important areas of functioning Gangguan diatas
menyebabkan penderitaan atau hambatan yg bermakna klinis
dlm bidang2 sosial, okupasional, atau fungsional penting lainnya.

code as on current age:


Gender identity disorder in children
Gender identity disorder in adolescent and adults
Pengkodean berdasarkan usia saat berlangsung:
Ggn Identitas Gender masa kanak
Ggn Identitas Gender masa remaja dan dewasa
Specify if (for sexually mature individuals) :
Sexually attracted to males
Sexually attracted to females
Sexually attracted to both
Sexually attracted to neither
Tentukan jika (pd individu dewas secar seksual):

Tertarik secara seksual pd laki-laki

Tertarik secara seksual pd wanita

Tertarik secara seksual pd laki-laki dan wanita

Tidak tertarik secara seksual pd laki-laki ataupun wanita

Parafilia
Gangguan

Definisi

Kondisi Umum

Eksibisionis

Menunjukkan
alat kelaminnya
kepada umum,
jarang
pada
wanita

Ingin mengejutkan
wanita,
reaksinya
mengatakan
bahwa
penis
intak

Fetisime

Rangsangan
seksual dengan
benda
yang
tidak
sesuai
(sepatu,
rambut,
pakaian)
Meremas jenis
kelamin
perempuan
untuk
mendapatkan

Lebih
banyak
pada
pria,
sering
diikuti
dengan
perasaan
bersalah

Penatalaksana
an
Psikoterapi,
kondisi aversif,
wanita
harus
menolak
pria
yang demikian,
atau
telepon
polisi
Psikoterapi
internal, kondisi
aversif, implasi
(masturbasi
dengan benda
tersebut)

Terjadi
pada
keramaian,
jarang,
bukan
pria
yang
agresif

Psikoterapi
internal, kondisi
aversif,
terapi
kelompok,
medikasi

Froterisme

kenikmatan
Pedofilia

Suka melakukan
aktivitas
seksual
pada
anak
dibawah
umur 13 tahun
lebih ke parafilia

Masosisme
Seksual

Keinginan
seksual dengan
cara
dipaksa,
diperkosa

Sadisme
seksual

Fetisistem
transfetik

Voyeurisme

95%
heteroseksual,
5%
homoseksual.
Beresiko
akan
terjadi
gejala
ber-ulang
1012% anak telah
terganggu
jiwanya
pada
usia 18 tahun

atlantandrogeni
k
Memindahkan
pasien
pada
ruang
perawatan
terapi
kelompok,
psikoterapi
internal
dan
medikasi
atlantaondragen
ik
Psikoterapi
internal, terapi
kelompok

Berusaha
melawan
perasaan
bersalah, ingin
dihukum
Keinginan sek- Lebih
banyak Psikoterapi,
sual
dengan pada laki-laki
kondisi aversif
memberi tekanan mental dan
fisik
Perubahan
Lebih
banyak Psikoterapi
pakaian
digunakan
internal
dalam stimulasi
heterosekual.
Lebih
sering
pada
laki-laki
yang
menggunakan
pakaian
perempuan.
Tidak
pusing
pada keinginan
untuk merubah
jenis kelamin
Kenikmatan
Masturbasi
Psikoterapi
seksual dengan biasanya
internal, kondisi
cara
melihat dilakukan pada aversif
aktivitas
keadaan
ini.
seksual
orang Biasanya
lain (contohnya ditahan karena
koitus
atau mengintip dan
orang
yang mengendaptelanjang) bisa endap

Parafilia
(parafilia
ekskretori)

Zoofilia

saja
terjadi
pada
wanita
tapi
paling
banyak terjadi
pada
pria.
Variasi lainnya
melalui
pembicaraan
erotik
lain Buang
air
(kaprolalia),
atau
urin
(urofilia)
pada
pasangannya
atau
suara
mendesah
Berhubungan
badan dengan
binatang

Targanggunya
Psikoterapi
fase anal pada internal
perkembangann
ya
dan
klismafilia
(enema)

Lebih
sering Modifikasi
pada
daerah prilaku,
pedesaan
psikoterapi
internal.
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DSM-IV-TR Diagnostic Criteria for Anorexia Nervosa

A. Refusal to maintain body weight at or above a minimally normal weight for age and
height (e.g., weight loss leading to maintance of body weight less than 85% of that
expected; or failure to make expected weight gain during perlod of growth, leading to
body weight less than 85% of that expected).Penolakan mempertahankan BB
normal atau diatas BB minimal sesuai dgn umur dan tinggi badan
(kehilangan BB dipertahankan <85% berat yg diharapkan atau
gagal mencapai BB yg sesuai selama masa pertumbuhan sehingga
hanya <85% dari BB yg diharapkan)
B. Intense fear of gaining weight or becoming fat, even though
underweight.Ketakuatan yg kuat bertambahnya BB atau menjadi
gemuk meskipun BB <standar.
C. Disturbance in the way in which ones body weight or shape is experienced, undue
influence of body weight or shape on self-evaluation, or denial of the seriousness of
the current low body weight.Terjadi gangguan dlm cara pandang ybs ttg
berat badannya atau bentuk tubuh, pengaruh tidak wajar dari BB
atau bentuk badan berdasarkan penilaian sendiri atau menyangkal
keseriusan kurangnya BB sekarang ini.
D. In postmenarcheal females, amenorrhea (i.e., the absence of at least three consecutive
menstrual cycles). A woman is considered to have amenorrhea if her periods occur
only following hormone (e.g., estrogen) administration.Pd wanita2
postmenarche terdapat amenorrhea (tidak adan sedikitnya 3 kali
berturut siklus menstruasi).Seorang wanita dianggap mengalami
amenorrhea jika setelah pemberian hormone (mis.estrogen)

Specify type Tentukan tipe:


Restricting type: during the current episode of anorexia nervosa, the person has not
regularly engaged in binge-eating or purging behavior (i.e., self induced vomiting or the
misuse of laxatives, diuretics, or enemas)
Tipe terbatas: selama episode terakhir Anorexia Nervosa, ybs tidak
reguler melakukan Binge eating etau perilaku mengosongkan perut
(mis.
Meransang
sendiri
utk
muntah,
pemakaian
salah
laxantia,diuretic atau enema)
Binge-eating/purging type: during the current episode of anorexia nervosa, the person
have regularly engaged in binge-eating or purging behavior (i.e., self-induced
vomiting or the misuse of laxatives, diuretics, or enemas)
Tipe Binge eating / Mengosongkan perut: selama episode terakhir
Anorexia Nervosa, ybs reguler melakukan Binge eating etau perilaku
mengosongkan perut (mis. meransang sendiri utk muntah,
pemakaian salah laxantia,diuretic atau enema)
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission.

DSM-IV-TR Diagnostic Criteria for Bulimia Nervosa


A. Recurrent episodes for binge eating. An episode of binge eating is characterized by
both of the following Adanya episode berulang binge eating yg
dikarakterisir oleh kedua hal berikut:
(1)eating, in a discrete period of time (e.g., within any 2-hour period), an amount of
food that is definitely larger than most people would eat during a similar period of
time and under similar circumstances makan secara periodik (mis.tiap 2
jam) sejumlah makanan yg jumlahnya jelas melebihi kebanyakan
orang melakukannya dlm periode itu dan suasana yg serupa.
(2)a sense of lack of control over eating during the episode (e.g., feeling that one
cannot stop eating or control what or how much one is eating) adanya
perasaan kehilangan kendali makan berlebihan selama episode
tsb (ybs merasa tdk dpt berhenti makan atau mengendalikan apa
dan banyaknya yg dimakannya)
B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such
as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications;
fasting; or excessive exercise. Perilaku kompensasi tidak sesuai yg

berulang dgn maksud mencegah kenaikan BB spt meransang


sendiri utk muntah, pemakaian salah laxantia,diuretic enema atau
medikasi lainnya, berpuasa atau olahraga berlebihan
C. The binge eating and inappropriate compensatory behaviors both occur , on average,
at least twice a week for 3 months. Binge eating dan perilaku kompensasi
tidak sesuai diatas rata2 dilakukan 2 kali seminggu dalam 3 bulan.
D. Self-evaluation is unduly influenced by body shape and weight. Penilaian sendiri
dipengaruhi secara tidak wajar oleh bentuk dan berat badan
E. The disturbance does not occur exclusively during episodes of anorexia nervosa.
Gangguan ini tidak hanya terjadi selama episode Anorexia Nervosa
Specify type Tentukan tipe:
Purging type : during the current episode of bulimia nervosa, the person has regularly
engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
Tipe pengosong perut: selama episode terakhir bulimia nervosa, ybs
reguler melakukan meransang sendiri utk muntah, pemakaian salah
laxantia,diuretic atau enema
Nonpurging type : during the current episode of bulimia nervosa, the person has used
other inappropriate compensatory behavior, such as fasting or excessive exercise, but
has not regularly engaged in self-induced vomiting or the misuse of laxatives,
diuretics, or enemas
Tipe bukan pengosong perut: selama episode terakhir bulimia
nervosa, ybs melakukan perilaku kompensasi tidak sesuai lainnya
spt berpuasa atau olahraga berlebihan tetapi tidak regular
meransang sendiri utk muntah, pemakaian salah laxantia,diuretic
atau enema
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission.
DSM-IV-TR Research Criteria for Binge-Eating Disorder

(MAKAN GAYA

MABUK ??????)
A. Recurrent episode of binge eating. An episode of binge eating is characterized by
both of the following Adanya episode berulang binge eating dimana
satu episodenya dikarakterisir oleh kedua hal berikut:
1. eating, in a discrete periode of time (e.g., within any 2-hour period), an
amount of food that is definitely larger than what most people would eat in a
similar period of time under similar circumstances.
makan secara periodik (mis.tiap 2 jam) sejumlah makanan yg
jumlahnya jelas melebihi kebanyakan orang melakukannya
dlm periode itu dan suasana yg serupa
2. a sense of lack of control over eating during the episod (e.g., a feeling that one

cannot stop eating or control what or how much one is eating).


adanya perasaan kehilangan kendali makan berlebihan
selama episode tsb
(ybs merasa tdk dpt berhenti makan
atau mengendalikan apa dan banyaknya yg dimakannya)
B. The binge eating episodes are associated with three (or more) of the following
episode2 binge eating berhubungan dgn 3 atau lebih hal berikut:
1. eating much more rapidly than normal
Makan lebih cepat disbanding normalnya
2. eating until feeling uncomfortably full
Makan sampai merasa penuh dan tidak nyaman
3. eating large amounts of food when not feeling physically hungry
Memakan banyak makanan ketika tidak lapar secara fisik
4. eating alone because of being embarrassed by how much one is eating.
Makan sendirian karena merasa malu dgn betapa banyak yg
dimakannya
5. feeling disgusted with oneself, depressed, or very guilty after overeating
Merasa jijik dgn diri sendir, tertekan atau sangat bersalah
setelah makan berlebihan
C. Marked distress regarding binge eating is present.
Penderitaan yg nyata dgn adanya binge eating
D. The binge eating occurs, on averages, at least 2 days a week for 6 months.
Binge eating rata2 terjadi sedikitnya 2 hari dalam seminggu
selama 6 bulan
Note: The method of determining frequency differs from that use for bulimia
nervosa; future research should address whether the preferred method of
setting a frequency threshold is counting the number of days on which
binges occur or counting the number of episodes of binge eating.
F. The binge eating is not associated with the regular use of innappriate
compensatory behaviors (e.g., purging, execissive exercise) and does not occur
exclusively during the course of anorexia nervosa or bulimia nervosa.
Binge eating tidak terkait dgn perilaku regular kompensasi
tidak sesuai
(mengosongkan perut, olahraga berlebihan)
dantidak hanya terkadi selama perjalanan Anorexia Nervosa
atau Bulimia nervosa
From American Psychiatric Association. Diagnostic and Statistical Manual of
Mental Disorder, text revision, 4th ed. Washington, DC: American Psychiatric
Association, Copyright 2000, with permission.
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GANGGUAN PERILAKU EKSPLOSIF-INTERMITEN

A. Several discrete episodes of failure to resist aggressive impulses that result in


serious assaultive acts or destruction of property
Adanya bbrp episode
dari kegagalan menahan impuls agresif yg mengakibatkan
serangan serius thd org lain atau perusakan barang2.
B. The degree of aggressiveness expressed during the episodes is grossly out of
proportion to any precipitating psychososcial stressors. Derajat keagresifan
yg terjadi selama episode jelas melampaui proposi thd stressor
psikososial pencetusnya.
C. The aggressive episodes are not better accounted for by another mental disoreder
(e.g antisocial personality disorder, borderline personality disorder, a psychotic
disorder, a manic episode, conduct disorder, or attention deficit/hyperactivity
disorder) and not due exclusively to the direct physiologic effects of a substance
(e.g. a drug of abuse, a medication) or a general medical condition (e.g head
trauma, Alzheimers disease).
Episode agresig diatas tidak dpt
digolonggkan sbg ggn mental lainnya (spt ggn kepribadian
antisocial,kepribadian ambang, psikotik, episode mania, perilaku
(conduct) atau ADHD) dan bukan ok efek fisiologis langsung zat (
drug abuse,medikasi) atau suatu kondis medis umum (trauma
capitis, peny Alzheimer)
KLEPTOMANIA
A. Recurrent failure to resist impulses to steal objects that are not needed for
personal use or to their monetary value. Adanya kegagalan berulang
menahan impuls utk mencuri benda yg tdk dibutuhkan ybs atau
harganya.
B. Increasing sense of tension immediately before commiting the theft
Peningkatan perasaan ketegangan sesaat sebelum melakukan
pencurian.
C. Pleasure, gratification, or relief at the time commiting the theft Adanya
perasaan senang, puas atau lega saat melakukan pencurian.
D. The stealing not commited to express anger or vengeance and it is not in response
to delusion or hallucination Pencurian tdk dilakukan sbg ungkapan
kemarahan, balas dendam dan bukan sbg respons dari suatu
waham atau halusinasi.
E. The stealing is not better accounted for by conduct disorder, a manic episode, or
antisocial personality Pencurian dimaksud tidak dapat digolonggkan
sbg ggn kelakuan (conduct), episode mania atau kepribadian
antisosial.
PIROMANIA
A. Deliberate and purposefull fire setting on more than one occasion Pembakaran
yg disengaja atau direncanakan pada 1 ataulebih kesempatan.
B. Tension or affective arousal before the act Adanya perasaan tegang atau
meningkatnya afek sebelum pembakaran.

C. Fascination with, interst in, curiousity about aor attraction to fire and its
situational contexts (e.g parapehernalia,uses, consequences) Keterpikatan ,
ketertarikan, keingintahuan atau kesukaan dgn api dan situsasi
yg
ditimbulkannya
(
paraphernalia,penggunaan,
konsekuensi2nya).
D. Pleasure, gratification, or relief when settings fire or when witnessing or
participation in their aftermath Adanya perasaan senang, puas atau
lega saat melakukan pembakaran, menyaksikannya, atau
membantu sesudah kebakaran.
E. The fire setting is not done for monetary gain, as in expression of sociopolitical
ideology, to conceal criminal activity, to express anger or vengeance, to improve
ones living circumstances,in response to delusion or hallucination, or as a result
of impaired judgment (e.g dementia, mental retardation, substance intoxication)
Pembakaran tdk dilakukan utk mendapatkan uang, penyataan
ideology sosiopolitik, menyembunyikan tindakan criminal,
mengskspresikan kemarahan atau dendam, pembuktian
kehidupan seseorang, sbg respons thd waham atau halusinasi
atau sbg hasil ggn penilaian (spt dementia, retardasi mental,
intoksikasi zat).
F. The fire setting is not better accounted for by conduct disorder, a manic episode,
or antisocial personality Pembakaran ini tdk dpt digolongkan sbg ggn
perilaku (conduct), episode mania, atau ggn kepribadian
antisosial.

TRIKOTILOMANIA
A.
Recurrent pulling of ones hair resulting in noticeable hair
lossPencabutan berulang rambut sendiri sehingga tampak nyata
area kehilangan rambut.
B.
An increasing sense of tension immediately before pulling out the hair or
when attempting to resist the behaviour
Adanya peningkatan rasa
tegang sesaat sebelum mencabut rambut atau ketika mencoba
menahan perilaku ini.
C.
Pleasure, gratification, or relief when pulling out the hair Adanya
perasaan senang, puas atau lega saat mencabut rambut.
D.
The disturbance is not better accounted for by another mental disorder
and is not due to a general medical condition. Gangguan ini tidak dpt
digolonggkan sbg ggn mental lainnya atau disebabkan kondis
medis umum (spt kondisi dermatologis).
E.
The disturbance causes clinically significant distress or impairment in
social, occupational, or other important areas of functioning Gangguan ini
menyebabkan penderitaan yg bermakna klinis atau hambatan
social, pekerjaaan, atau pd area fungsi2 penting lainnya.

DSM-IV-TR Diagnstic Criteria for Adjustment Disorder (GANGGUAN


PENYESUAIAN ??????)
A.
The development of emotional or behavioural symptoms in response to an
identifiable stressor(s) occurring within 3 month of the onset of stressor(s)
Terjadinya gejala2 emosional atau perilaku sbg respons thd
stressor(2) yg diketahui dan berkembang dalsam 3 bulan sejak
oset stressor(2).
B.
These symptoms or behaviours are clically significant as evidenced by
either of the following Gejala2 atau perilaku2 diatas bermakna secara
klinis yg dibuktikan oleh salah 1 hal berikut:
1.
marked distress that is exess of would be expected from exposure to the
stressor penderitaan yg dialami melebihi dari apa yg diduga
jika terpapar stressor(2) tsb.
2.
significant impairment in social or occupational (academic) functioning
adanya hambatan bermakna dlm fungsi2 sosial atau
pekerjaan (akademik).
C.
The stress related disturbance does not meet the criteria for another axis I
disorder and is not merely an exacerbation of a preexisting axis I or axis II
disorder Gangguan terkait stress ini tidak memenuhiriteria ggn
spesifik axis I lainnya dan bukanlah eksaserbasi ggn2 axis I dan II
yg sudah ada sebelumnya.
D.
The symptoms do not represent bereavement
Gejala2 diatas
bukanlah keadaan berduka.
E.
Once the stressor (or its consequences) has terminated,the symptoms do
not persist for more than additional 6 months Ketika stresor(2) atau
konsekuensinya berakhir, gejala2 diatas tidak menetap dalam 6
bulan kedepan.
Spicify if:
acute if the disturbance lasts less than 6 months
chronic if the disturbance lasts for 6 months or longer
Adjusment disorder are coded base on the subtype, which is selected for the
predominant symptoms.The specifis stressor(s) can be specified in axis IV:
with depressed mood
with anxiety
with mixed anxiety and depressed mood
with disturbance of conduct
with mixed disturbance of emotions and conduct
unspecified
Tentukan jika:
Akut: jika ggn berlangsung kd 6 bulan.
Kronis: jika ggn berlangsung ld 6 bulan.
Ggn Penyesuaian dikode berdasarkan subtipe yg ditentukan
oleh ejala2 predominan.stresor(2)nya disebutkan pd axis IV:

Dgn mood depresi


Dgn anxietas
Campuran anxietas dan mood depresi
Dgn ggn perilaku (conduct)
Campuran ggn emosi dan perilaku
Taktertentukan

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zzzzzz

DSM-IV-TR Diagnostic Criteria for Psychological Factors Affecting Medical Condition


A. A general medical condition (coded on axis III) is present Teradapat suatu
kondisi medis umum (dikode pd axis III)
B. Psychological factors adversely affect the general medical condition in one of the
following ways Faktor2 psikologis mempengaruhi kondisi medis
umum dalam salah satu cara berikut:
1. The factors have influenced the course of the general medical condition as
shown by a close temporal association between the psychological factors and
the development or exacerbation of, or delayed recovery from, the general
medical condition. Faktor2 telah mempengaruhi perjalanan dari
kondisi medis umum yg ditunjukan dgn hubungan temporal yg
kuat antara faktor2 psikologis dan terjadinya atau
eksaserbasi, atau keterlambatan pemulihan kondisi medis
umum
2. The factors interfere with the treatment of the general medical condition.
Faktor2 mengintervensi perawatan dari kondisi medis umum
3. The factors constitute additional health risks for the individual Faktor2
memberi tambahan resiko2 kesehatan pada ybs
4. Stress related physiologic responses precipitet or exacerbate symptoms of a
general medical condition.
Respons2 fisiologis terkait stress
mempresitasi atau meneksaserbasi kondisi medis umum
Choose name based on the nature of the psychological factors: if more than one factors is
present indicate the most prominent: Pemilihan nama berdasarkan sifat
faktor2 psikologis, jika lebih dari satu maka indikasikan yg plg
menonjol
Mental disorder affecting medical condition ( e.g. , a.n Axis I disorder such as
major depresseve disorder delaying recovery from a myocardial infraction )
Gangguan mental mempengaruhi kondis medis (mis. ggn pd axis
I adalah ggn Depresif Mayor memperlambat pemulihan Miokard
Infark)
Psychological symptomps affecting medical condition ( e.g., depressive
symptomps delaying recovery from surgery, anxiety, exacerbating asthma )

Gejala2 psikologis mempengaruhi kondis medis (mis. gejala2


depresif memperlambat pemulihan pembedahan, ansietas
mengeksaserbasi Asthma )
Personality traits or coping style affecting medical condition ( e.g., pathological
denial of the need for surgery in a patient with cancer, hostile, pressured behavior
contributing to cardiovascular disease ). Tipe kepribadian atau cara
koping mempengaruhi kondis medis (mis. penyangkalan
patologis thd perlunya pembedahan pasiendgn kanker, sikap
bermusuhan atau perilaku meledak2 berkontribusi pd penyakit
kardiovaskuler)
Maladaptive health behaviours affecting medical condition ( e.g., lack of exercise,
unsafe sex, overeating ). Perilaku2 sehat maladaptif mempengaruhi
kondis medis (mis. tidak berolahraga, hubungan sex tidak aman,
makan berlebihan)
Stress related physiologic response affecting general medical condition ( e.g.,
stress related exacerbation of ulcer hypertension, arhytmia, or tension headache)
Repons fisiologis terkait stress mempengaruhi kondis medis
umum
(mis.
stress
terkait
dgn
eksaserbasi
ulkus
hipertensi,aritmia atau tension headache)
Other or unspecifiedpsychological factors affecting medical condition ( e.g.,
interpersonal, cultural or religius factors ) Faktor psikologis lain atau tak
tertentukan mempengaruhi kondis medis (mis. faktor2
antarpersonal, budaya atau religius)
From American Psychiatri Association \. Diagnostic and Statitical Manual of Mental Disorders, text revision 4 th ed.
Washington, DC: American Psychiatri Association, Copyright 2000, with permission.

DSM-IV-TR Diagnostic Criteria for Paranoid Personality Disorder


A. A pervasive distrust and suspiciousness of others such that their motives

are interpreted
as malevolent, beginning by early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following Adanya ketidakpercayaan dan

kecurigaan yang mendalam (pervasive) thd sesame dimana


motivasi mrk diinterpretasi sbg bermaksud jahat.Hal ini bermula
sejak awal masa dewasa dalam berbagai konteks spt yg ditunjukan
oleh 4 hal al berikut ini:
1. suspects, without sufficient basis, that others are exploiting, harming, or
deceiving him or her mencurigai sesama tanpa dasar kuat bhw
mrk (sementara) mengeksploitasi, membahayakan atau
menipu ybs.
2. is preoccupied with unjustified doubts about the loyalty or trustworthiness of
friends or associates
terpreokupasi dgn keraguan tak
terbantahkan ttg kesetiaan atau kepercayaan dari teman2
atau orang2 dekatnya.
3. Is reluctant to confide in others because of unwarranted fear that the
information will be used maliciously against him or her
engaan

mempercayai sesama ok adanya ketakutan tak beralasan


bhw informasinya akan digunakan sbg balas dendam pada
ybs.
4.

reads hidden demeaning or threatening meanings into benign remarks or

membaca hal tersembunyi yg merendahkan dirinya


atau mengancam dari ucapan atau kejadian biasa saja
events

5.

persistently bears grudges, that is, is unforgiving of insults, injuries, or slights

mendendam scr persisten, tak termaafkan thd perkataan


menghina, merendahkan atau luka2
6.

perceives attacks on his or her character or reputation that are not apparent

menanggapi
serangan tak berarti dr sesama
thd karakter atau
reputasinya dgn lsg marah atau membalasnya.
to others and is quick to react angrily or to counterattack

7.

has recurrent suspicions, without justification, regarding fidelity of spouse or

menanggapi serangan tak berarti dr sesama


thd karakter atau reputasinya dgn lsg marah atau
membalasnya.
sexual partner

B.

Does not occur exclusively during the course of schizophrenia, a mood disorder with
psychotic features, or another psychotic disorder, and is not due to the direct
physiologic effects of a general medical condition. Hal2 diatas tidak hanya

terjadi dlm perjalanan Skizofrenia, ggn mood dgn gambaran


psikotik atau ggn psikotik lainnya dan bukan ok efek2 fisiologis
lsg suatu kondisi medis umum.
Note: If criteria are met prior to the onset of schizophrenia, add premorbid, for
example, paranoid personality disorder (premorbid).

Catatan: jika criteria diatas terpenuhi seb onset Skizofrenia maka


tambahkan premorbid, contohnya Gggn Kepribadian Paranoid
(premorbid).
From American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders,
text revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000, with
permission

GANGUAN KEPRIBADIAN PARANOID


1. menanggapi serangan tak berarti dr sesama thd karakter
atau reputasinya dgn lsg marah atau membalasnya.
DSM-IV-TR Diagnostic Criteria For Schizoid Personality Disorder
A pervasive pattern of detachment from social relationships and a restricted range
A.
of supression of emotions in interpersonal settings, beginning by early
adulthood and present in a variety of contexts, as indicated by four (or more) of the
following Adanya suatu pola pervasif pemutusan dgn hub2 sosial

dan supresi rentang emosi dlm hub antarpersonal. Hal ini


bermula sejak awal masa dewasa dalam berbagai konteks spt yg
ditunjukan oleh 4 hal al berikut ini:
1.

neither desires nor enjoys close relationships, including being part of a


family tiada gairah atau menikmati hub2 akrab termasuk pd

aggota keluarga.
2.

almost always chooses solitary activities

hampir selalu memilih

aktifitas soliter.
3.

4.
5.

6.
7.

has little, if any, interest in having sexual experiences with another person

sedikit sekali, jika ada, tertarik pd pengalaman2 sexual


dgn orang lain.
takes pleasure in few, if any, activities menyenangi, jika ada, pada
sedikit aktfitas
lacks close friends or confidants other than first-degree relatives
tdk
mempunya teman akrab atau
curahan hati diluar
keluaraga inti.
appears indifferent to the praise or criticism of others tampak indiferen
thd pujian atau kritik dari sesama
shows

emotional

coldness,

menunjukan kebekuan
pendatan afek.
B.

detachment,

emosi,

or

flattened

berdiri

affectivity

sendiri

atau

Does not occur exclusively during the course of schizophrenia, a mood disorder with
psychotic features, another psychotic disorder, or a pervasive developmental disorder
and is a not due to the direct physiologic effects of a general medical condition. Hal2

diatas tidak hanya terjadi dlm perjalanan Skizofrenia, ggn mood


dgn gambaran psikotik, ggn psikotik lainnya atau suatu ggn
perkembangan pervasive dan bukan ok efek2 fisiologis lsg suatu
kondisi medis umum.
Note: If criteria are met prior to the onset of schizophrenia, add premorbid, for example,
schizoid personality disorder (premorbid).

Catatan: jika criteria diatas terpenuhi seb onset Skizofrenia maka


tambahkan premorbid, contohnya Gggn Kepribadian Skizoid
(premorbid).
From American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders,
text revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000, with
permission

GANGGUAN KEPRIBADIAN SKIZOID

Table 19-3

DSM-IV-TR Diagnostic Criteria for Schizotypal Personality Disorder


A.
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, beginning by early adulthood and
present in a variety of contexts, as indicated by five (or more) of
the following Adanya suatu pola pervasive defisit hub2 sosial
dan antarpersonal yg ditandai oleh ketidaknyamanan akut dan
menurunnya kapasitas thd hub2 dekat, distorsi kognitif dan
persepsi serta perilaku eksentrik. Hal ini bermula sejak awal
masa dewasa dalam berbagai konteks spt yg ditunjukan oleh 5
hal al berikut ini:
1.
2.

3.
4.

5.
6.
7.
8.
9.

ideas of reference (excluding delusions of reference)


adnya ide2 rujukan (bukan waham rujukan).
add beliefs or magical thinking that influences behavior and
is
inconsistent
with
sub
cultural
norms
(e.g.,
superstitiousness, belief in clairvoyance, telepathy, or
sixth sense in children and adolescents, bizarre fantasies
or preoccupations) adanya kepercayaan aneh atau pikiran
magis yg mempengaruhi perilaku dan tidak sesuai dgn
norma2 subkultur (mis. hal takhyul, percaya pd tenung,
telepati, atau indra keenam; pd anka dan remaja adanya
fantasi2 ganjil dan preokupasi2).
unusual perceptual experiences, including bodily illusions
pengalaman2 persepsi tidak biasanya termasuk ilusi2 ttg
tubuh.
odd thinking and speech (e.g. vague, circumstantial,
metaphoric, overelaborate, or stereotyped) pemikiran
dan pembicaraan yg aneh (mis. tdk berinti, sirkumtansial,
metaforik, melebih-lebihkan atau stereotipik).
suspiciousness or paranoid ideation kecurigaan atau ide
paranoid.
inappropriate or constricted affect afek tidak sesuai atau
menyempit.
behavior of appearance that is ood, eccentric, or peculiar
penampilan yg aneh, eksentrik, ganjil.
lack of close friends of confidants other than first-degree
relatives tdk mempunya teman akrab atau curahan hati
diluar keluaraga inti.
excessive social anxiety that does not diminish with
familiarity and tends to be associated with paranoid fears
rather than negative judgments about
self
adanya
kecemasan social berlebihan yg tdk berkurang dgn situasi

kekeluargaan dan cenderung berrkaitan dgn ketakutan


paranoid lebih dari penilaian negative thd diri sendiri.

B.

Does not occur exclusively during the course of


schizophrenia, a mood disorder with psychotic features, another
psychotic disorder, or a pervasive developmental disorder Hal2
diatas tidak hanya terjadi dlm perjalanan Skizofrenia, ggn mood
dgn gambaran psikotik, ggn psikotik lainnya atau suatu ggn
perkembangan pervasive.

Note: If criteria are met prior to the onset of schizophrenia, add


premorbid, for example, schizotypal personality disorder
(premorbid). Catatan: jika criteria diatas terpenuhi seb onset
Skizofrenia maka tambahkan premorbid, contohnya Gggn
Kepribadian Skizotipal (premorbid).
From American Psychiatric Association, Diagnostic and Statistical
Manual of Mental Disorders, text revision, 4 th ed. Washington, DC:
American Psychiatric Association, Copyright 2000, with permission

DSM-IV-TR Diagnostic Criteria for Antisocial Personality Disorder


A. There is a pervasive pattern of disregard for and violation of
the rights of others ccurring since age 15 years as indicated by
three (or more) of the following Adanya suatu pola pervasif
meremehkan dan pelanggaran hak2 sesama yg terjadi semnjak
usia 15 tahun yg ditunjukan oleh 3 tau lebih hal2 berikut ini:
(1) failure to conform to social norms with respect to lawful
behaviors as indicated by repeatedly performing acts that
are grounds for arrest
kegagalan mengikuti norma2 sosial dan tidak menghargai
perilaku taat hukum yg ditandai dgn berulangkali
melakukannya dan dihukum karenanya
(2) deceitfulness, as indicated by repeated lying, us of all
cases, or conning others for personal profit pr pleasure
suka menipu spt yg ditunjukan dgn berulang kali
berbohong, memanfaatkan atau mengadu domba sesama
utk keuntungan atau kesenangan diri sendiri
(3) impulsivity or failure to plan ahead
bersifat impulsif atau gagal membuat rencana kedepan

(4) irritability and aggressiveness, as indicated by repeated


physical fight or ossauits
bersifat iritabel dan agresif yg ditunjukan dgn berulang
kali berkelahi atu menyerang secara tiba2
(5) reckless disregard for safety of self or others
tidak peduli pd keselamatan diri sendiri dan orang lain
(6) consistent irresponsibility as indicated by repeated failure
to sustain consistent work behavior or honor financial
obligations
selalu tdk bertanggung jawab yg ditunjukan dgn berulang
kali gagal melanjutkan perilaku bekerja menetap atau
pekrjaan yg menghasilkan uang.
(7) lack of remorse, as indicated by being indifferent to or
rationalizing having hurt, mistreated, or stolen from
another
tiada rasa penyesalan yg ditunjukan dgn sikap indeferen
atau rasionalisasi tindakannya melukai, melecehkan
atumencuri dari sesama
B. The individual is at least age 18 years.
Ybs minimal berusia 18 tahun
C. There is evidence of conduct disorder with onset before age
15 years.
Ada bukti2 ggn kepatuhan perilaku yg terjadi seb usia 15
tahun
D. The occurrence of antisocial behavior is not exclusively
during the course of
schizophrenia or a manic episode.
Kejadian perilaku antisosial tidak hanya terjadi selama
perjalanan Skizofrenia atau suatu Episode Mania
From American Psychiatric Association, Diagnostic and
Statistical Manual of Mental Disorders, text revision, 4th ed.
Washington, DC: American Psychiatric Association, Copyright
2000, with permission

Table 19-5
DSM-IV-TR Diagnostic Criteria for Borderline Personality Disorder
A pervasive pattern of instability of interpersonal relationships,
self-image, and affects and marked impulsivity beginning by
early adulthood and present in a variety of context, as
indicated by five (or more) of the following Suatu pola pervasif
ketidakstabilan hubungan2 antarpersonal, gambaran diri dan
afek2 serta sifat impulsif yg jelas dimulai semenjak usia
dewasa muda dan muncul dlm berbagai konteks spt yg

ditunjukan oleh 5 atau lebih hal2 berikut ini:


:
(1) frantic efforts to avoid real or imagined abandonment
(Note: Do not include suicidal or self- mutilating
behavior, covered in Criterion 5)
adanya usaha2 penuh kegelisahan utk menghindari
keadaan
ditinggalkan
bak
nyata
maupunyg
dibayangkan
(2) a pattern of unstable and intense interpersonal
relationships characterized by
alternating between
extremes of idealization and devaluation
suatu pola hubungan antarpersonal yg tdk stabil dan
kuat dikarakterisir oleh berganti2nya antara idealisasi
ekstrim dan devaluasi
(3) identity disturbance: markedly and persistently
unstable self-image or sense of self
ggn identitas: gambaran diri atau perasaan yg tidak
stabil, jelas dan menetap
(4) impulsivity in at least two areas that are potentially self
damaging (e.g., spending, sex, substance abuse,
reckless driving, binge eating) (Note: Do not include
suicidal or self-mutilating behavior covered in Criterion
5)
impulsif dlm sedikitnya 2 are yg berpotensi
membahayakan diri sendiri (mis. berfoya2, hubungan
sex, penyalahgunaan zat, ceroboh berkendaraan, binge
eating).Cat. tdk termasuk perilaku bunuh diri atau
mutilasi diri pd kriteria 5
(5) recurrent suicidal behavior, gestures, or threats, or
self-mutilating behavior
perilaku berulang utk bunuh diri, sikap atau
mengancam akan melakkukannya atau perilaku
mutilasi diri
(6) affective instability due to marked reactivity of mood
(e.g., intense episodic dysphoria, irritability, or anxiety
usually lasting a few hours and only rarely more than a
few days)
ketidakstabilan afektif disebabkan mood reaktif yg
nyata (mis. disforia episodi yg kuat, iritabilitas atau
ansietas yg biasanya berlangsung bbrp jam dan
kadang2 saja sampai beberapa hari)
(7) chronic feelings of emptiness
perasaan2 hampa yg berlangsung kronis
(8)inappropriate, intense anger or difficulty controlling
anger (e.g., frequentdisplays of temper constant anger,

recurrent physical fights)


amarah
yg
tidak
sesuai
atau
kesulitan
mengendalikannya
(mis.
sering
meledak
kemarahannya, marah terus2an, berulang kali adu
jotos)
(9)transient, stress-related paranoid ideation or severe
dissociative symptoms
ide2 paranoid terkait stres atau gejala2 disosiatif berat
yg berlangsung sementara
From American Psychiatric Association, Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4 th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

Table 19-6
DSM-IV-TR Diagnostic Criteria for Histrionic Personality Disorder
A pervasive pattern of excessive emotionality and attention
seeking, beginning by earlyadulthood and present in a variety
of contexts, as indicated by five (or more) of the following
Suatu pola pervasif tingkat emosional dan mencari2 perhatian
yg berlebihan yg dimulai semenjak usia dewasa muda dan
muncul dlm berbagai konteks spt yg ditunjukan oleh 5 atau
lebih hal2 berikut ini:
(1) is uncomfortable in situations in which he or she is not
the center of attention
merasa tdk nyaman dlm situasi2 dimana ybs bukan sbg
pusat perhatian
(2) interaction with others is often characterized by
inappropriate sexually seductive or provocative
behavior
interaksi dgn sesama sering dikarakterisir oleh perilaku
menggoda secara seksual atau bersifat menghasut
(3) displays rapidly shifting and shallow expression of
emotions
menampilkan ekspresi emosi yg cepat berubah dan
dangkal
(4) consistently uses physical appearance to draw
attention to self
selalu memanfaatkan penampilan fisik untuk menarik
perhatian
(5) has a style of speech that is excessively impressionistic
and lacking in detail
gaya bertutur yg terlalu mengesankan dan kehilangan
rinciannya
(6) shows self dramatization, theatricality, and

exaggerated expression of emotion


menunjukan perilaku dramatisasi, teaterikal dan
ekspresi emosi yg berlebihan
(7) is suggestible, that is, easily influenced by others or
circumstances
gampang dipengaruhi spt mudah terpengaruh orang
lain atau lingkungan
(8) considers relationships to be more intimate than they
actually are
mengangap hubungan2 sbg lebih akrab dari yg
sebenarnya
From American Psychiatric Association, Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

Table 19-7
DSM-IV-TR Diagnostic Criteria for Narcissistic Personality Disorder
A pervasive pattern of grandiosity (in fantasy or behavior),
need for admiration, and lack of empathy, beginning by early
adulthood and present in a variety of context, as indicated by
five (or more) of the following Suatu pola pervasif ttg
kebesaran (dlm fantasi dan perilaku), membutuhkan
penghormatan dan ketiadaan empati yg dimulai semenjak usia
dewasa muda dan muncul dlm berbagai konteks spt yg
ditunjukan oleh 5 atau lebih hal2 berikut ini:
(1) has a grandiose sense of self-importance (e.g.,
exaggerates achievements and talents, expects to be
recognized
as
superior
without
commensurate
achievements)
mempunyai perasaan kebesaran ttg pentingnya ybs (mis.
melebih-lebihkan
pencapaian
dan
talenta2nya,
mengahrapkan
dipandang
superior
tanpa
adanya
pencapaian2 yg setara)
(2) is preoccupied with fantasies of unlimited success, power,
brilliance, beauty, or ideal love
terpreokupasi dgn fantasi2 ttg kesuksesan2 tak terkira,
kekuasaan, kepintaran, kecantikan atau cinta ideal
(3) believes that he or she is special and unique and can
only be understood by, or should associate with, other
special or high-status people (or institutions)
ybs percaya dia itu khusus,unik dan hanya dapat dipahami
atau berteman dgn kelompok khusus atau kalangan kelas

atas (atau lembaga2)


(4) requires excessive admiration
membutuhkan penghormatan berlebihan
(5) has a sense of entitlement, that is, unreasonable
expectations for a specially favorable treatment or
automatic compliance with his or her expectation
merasa mempunyai hak khusus hal mana berupa
harapan2 tak beralasan utk mendapat perlakuan istimewa
atau kepatuhan otomatis thd kehendak2nya
(6) is inter personality exploitative, that is, takes advantage
of others to a achieve his or her own ends
bersifat mengeksploitasi antarpersonal yg mengambil
keuntungan dari sesama utk mencapai tujuannya
(7) lacks empathy: is unwilling to recognize or identify with
the feellings and needs of others
hampa empati dimana ybs tdk berkemauan menyadari
atau mengenali perasaan2 dan kebutuhanorang lain
(8) is often envious of others or believes that others are
envious of him or her
sering irihati atau percaya bhw orang lain iri terhadapnya
(9) shows arrogant, naughty behavior or attitudes
menunjukan sikap mau menang sendiri, perilaku atau
sikap nakal
From American Psychiatric Association, Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

DSM-IV-TR Diagnostic Criteria for Obsessive-Compulsive Personality Disorder


A pervasive pattern of preoccupation with orderliness,
perfectionism, and mental and interpersonal control, of the
expense of flexibility, openness, and efficiency,beginning
by
early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following Suatu pola pervasif
preokupasi dgn keteraturan, kesempurnaan, pengendalian
mental dan antarpersonal yg mengikis habis fleksibilitas dan
keterbukaan, dan keefisienan yg
dimulai semenjak usia
dewasa muda dan muncul dlm berbagai konteks spt yg
ditunjukan oleh 4 atau lebih hal2 berikut ini:
(1) is preoccupied with details, rules, lists, order,
organization, or schedules to the extent that the major
point of the activity is lost

terpreokupasi dgn hal2 rinci, aturan2, urutan2, perintah,


pengorganisasian atau jadwal2 sampai sluas2nya dimana
tiitk penting dari aktifitas menjadi hilang
(2) shows perfectionism that interferes with task completion
(e.g., is unable to complete a project because his or her
own overly strict standards are not met)
menunjukan perfeksinisme yg mengganggu penyelesaian
tugas (mis. tidak dapat menyelesaikan proyek ok
standarisasi yg ketat berlebihan dari ybs tidak terpenuhi)
(3) is excessively devoted to work and productivity to the
exclusion of leisure activities and friendships (not
accounted for by obvious economic necessity)
mengabdi
berlebihan
pd
pekerjaan
dan
usaha
menghasilkan
sampai
menyingkirkan
kegiatan
menyenangkan dan persahatan (tidak termasuk bila
memenuhi kebutuhan ekonomi)
(4) is over conscientious, scrupulous, and inflexible about
matters of morality, ethics or values (not accounted for by
cultural or religious identification)
merasa bertanggung jawab berlebihan, sgt seksama dan
kaku ttg moralitas, etika2 atau norma2 (tidak termasuk
tanda pengenal budaya atau agama)
(5) is unable to discard worn-out or worthless objects even
when they have no sentimental value
tidak mampu membuang barang2 rusak atau tidak
berharga meskipun tidak mempunyai nilai sentimental
(6) is reluctant to delegate tasks or work with others unless
they submit to exactly his or her way of doings things
keberatan mendelegasikan tugas2 atau pekerjaa kpd org
lain kecuali kalau mereka mereka megikuti tepat sama
dgn caranya
(7) adopts a miserly spending style toward both self and
others; money is viewed as something to be hoarded for
future catastrophies
mengadopsi gaya kikir thd diri sendiri dan sesama; uang
dipandang sbg sesuatu yg hrs disimpan antisipasi
malapetaka
(8) shows rigidity and stubbornness
menunjukan kekakuan dan keras kepala
From American Psychiatric Association, Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

DSM-IV-TR Diagnostic Criteria for Avoidant Personality Disorder


A pervasive pattern of social inhibition, feeling of inadequacy
and hypersensitivity to
negative evaluation, beginning by
early adulthood and present in a variety of context, as
indicated by four (or more) of the following Suatu pola
pervasif hambatan sosiial, perasaan ketidakmampuan dan
sgt sensitif thd penilaian negatif yg dimulai semenjak usia
dewasa muda dan muncul dlm berbagai konteks spt yg
ditunjukan oleh 4 atau lebih hal2 berikut ini:
(1)avoids occupational activities that involve significant
interpersonal contact, because of fears of criticism,
disapproval,
or
rejection.menghindari
aktifitas2
okupasional
dimana
terjadi
kontak
bermakna
antarpersonal karena ketakutan akan kritikan, tidak
adanya pengakuan atau penolakan
(2)is unwilling to get involved with people unless certain of
being liked. tidak berkeinginan terlibat dgn banyak org
jika ybs tidak secra pasti diterima disitu
(3)shows restraint within intimate relationships because of
the fear of being shamed or ridiculed menunjukan
pengekangan diri dlm hubungan2 akrab karena ketakutan
dipermalukan atau dicemooh
(4)is preoccupied with being criticized or rejected in social
situations terpreokupasi dgn akan dikritik atau ditolak dlm
situasi2 sosial
(5)is inhibited in new interpersonal situations because of
feeling
of
inadequacy.
Terhambat
dlm
situasi2
antarpersonal baru ok perasaan tidak berdaya
(6)views self as socially inept, personally unappealing, or
inferior to others
memandang dirinya sebagai suatu
keganjilan sosial, pribadi yg tdk menarik atau lebih rendah
dari sesama
(7)is unusually reluctant to take personal risks or to engage
in any new activities because they may prove embarrasing
keengganan yg tdk biasanya utk mengambil resiko2
personal atau masuk dlm aktifitas2 baru manapun krn
hal2 itu dpt mempermalukan ybs
American Psychiatric Association, Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

DSM-IV-TR Diagnostic Criteria for Dependent Personality Disorder


A pervasive and excessive need to be taken care of that leads
to submissive and clinging behavior and fears of separation,
beginning by early adulthood and present in a variety of
contexts as indicated by five (or more) of the following Suatu
kebutuhan pervasif dan berlebihan utk diurus yg mengarah pd
perilaku penurut dan bergantung erat dan adanya ketakutan
perpisahan yg
dimulai semenjak usia dewasa muda dan
muncul dlm berbagai konteks spt yg ditunjukan oleh 4 atau
lebih hal2 berikut ini :
(1)has difficulty making everyday decisions without on
excessive amount of advice
and reassurance from
others memiliki kesulitan membuat keputsan2 sehari2
tanpa saran dan penentraman dlm jml berlebihan dari
orang lain
(2)needs others to assume responsibility for most major
areas of his or her live membutuhkan orang lain utk
mengambil tanggung jawab pd kebanyakan hal penting
kehidupan ybs
(3)has difficulty expressing disagreement with others
because of fear of loss of support or approval (Note: Do
not include realistic fears of retribution)
mempunyai
kesulitan dlm mengekspresikan ketidaksetujuan dgn orang
lain krn ketakutan akan kehilangan pengakuan atau
dukungan (cat. Tdk termasuk ketakutan realistik akan
hukuman setimpal)
(4)has difficulty initiating project or doing things on his or
her own (because of lack of self-confidence in judgment or
abilities rather than a lack of motivation or energy)
mempunyai kesulitan dlm memulai proyek atau
melakukan sesuatu atas kehendak sendiri ( karena
ketiadaan sikap percaya diri dlm penilaian atau
kemampuan daripada ketiadaan motivasi atau energi)
(5)goes to excessive lengths to obtain nurturance and
support from others to the point of volunteering to do
things that are unpleasant terlalu berlebihan usahanya

utk mendapatkan pengasuhan dan dukungan dari org lain


sampai
pd
kerelaanmelakukan
hal2
yg
tidak
menyenangkan
(6)feels uncomfortable or helpless when alone because of
exaggerated fears of being unable to care for himself or
her self merasa tdk nyaman atau tdk berdaya ketika
sendirian ok ketakutan berlebihan akantidak mampu
merawat dirinya
(7)urgently seeks another relationships as a source of care
and support when a close relationships ends dgn segera
mencari2 hubungan2 lain sbg sumber pengasuhan atau
dukungan ketika suatu hubungan dekat berakhir
(8)is unrealistically preoccupied with fears of being left to
take care of himself or herself
terpreokupasi tidak
realistis dgn ketaktan akan ditinggalakan utk mengurus
diri sendiri
American Psychiatric Association, Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission

DSM-IV-TR Research Criteria for Passive-Aggressive Personality Disorder


A. A pervasive pattern of negativistic attitudes and passive
resistance to demands for adequate performance, beginning by
early adulthood and present in a variety of contexts, as indicated
by four (or more) of the following Suatu pola pervasif sikap
negativistik dan perlawanan pasif thd pemenuhan keinginan utk
penampilan yg memadai yg dimulai semenjak usia dewasa muda
dan muncul dlm berbagai konteks spt yg ditunjukan oleh 5 atau
lebih hal2 berikut ini :
(1)passively resists fulfilling routine social and occupational
tasks melawan secara pasif utk memenuhi tugas rutin sosial
dan okupasional
(2)complains of being misunderstood and unappreciated by
others mengeluh selama ini disalah mengerti dan tidak
dihargai sesama
(3)is sullen and argumentative menjengkelkan dan suka
bersilat lidah
(4)unreasonably criticizes and scorns authority mengkritik
tanpa alasan dan membenci yg berwenang
(5)expresses envy and resentment toward those apparently
more fortunate mengekspresikan kecemburuan dan sakita
hati thd mereka yg nampaknya lebih beruntung

(6)voices exaggerated and persistent complaints of personal


misfortune menyuarakan keluhan2 yg berlebihan dan
menetap ttg ketidakberuntungannya
(7)alternates between hostile defiance and contrition berubah2
antara sikap penentangan sengit dan penyesalan
B. Does not occur exclusively during major depressive episodes
and is not better accounted for by dysthymic disorder Tidak
hanya terjadi selama Episode2 Depresif Mayor dan tidak dapat
digolongkan sbg Ggn Distimia
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders,
text revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000,
with permission

DSM-IV-TR Diagnostic Criteria for Depressive Personality Disorder


A. A pervasive pattern of depressive cognitions and behaviors
beginning by early adulthood and present in variety of contexts,
as indicated by five (or more) of the following Suatu pola pervasif
pikiran2 dan perilaku2 depresif dimulai semenjak usia dewasa
muda dan muncul dlm berbagai konteks spt yg ditunjukan oleh 5
atau lebih hal2 berikut ini:
(1)usual
moods
dominated
by
dejection,
gloominess,
cheerlessness, joylessness,
unhappiness
mood selalu
didominasi kemurungan, kemuraman, tiada keceriaan atu
kesukaan atau kegembiraan
(2)
self-concept centers around beliefs of inadequacy,
worthlessness, and low
self-esteem konsep diri berpusat pd
keyakinan ttg ketidakmampuan, ketakberhagaan dan rendah
diri
(3)
is critical, blaming, and derogatory toward self kritis,
menyalahkan dan mencemooh diri sendiri
(4)
is brooding and given to worry suka termenung dan
khawatir
(5)is negativistic, critical, and judgmental toward others
berpendangan negativistik, kritis, dan meghakimi sesama
(6)is pessimistic pesimistik
(7)
is prone to feeling guilty or remorseful rentan thd perasaan
bersalah atau penyesalan yg dalam
B. Does not occur exclusively during major depressive episodes and is
not better accounted for by dysthymic disorder Tidak hanya terjadi
selama Episode2 Depresif Mayor dan tidak dapat digolongkan sbg
Ggn Distimia

American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, text
revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000, with
permission

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DSM-IV-TR Diagnostic Criteria for Reading Disorder


A. Reading achievement, as measured by individually administered
standardized test reading accuracy or comprehension, is substantially
below that expected given the persons chronologic age, measured
intelligence, and age-appropriate education.Kemampuan membaca
yg diukur berdasarkan tes ketepatan dan komprehensif
membaca
terstandar yg diberikan pd ybs adalah
kurang(dibawah) secara bermakna disbanding dgn yg
diharapkan berdasarkan usia, tkt intelegensia dan
pendidikannya.
B. The disturbance in criterion A significantly interferes with academic
achievement or activities of daily living that require reading skills.Ggn
yg digambarkan criteria A secara bermakna mengganggu
pencapaian akademik atau aktifitas sehari2 yg
membutuhkan kemampuan membaca.
C. If a sensory deficit is present, the reading difficulties are in excess of
those usually associated with it.Jika ada deficit sensoris maka
kesulitan2 membaca melebihi keadaan2 yg biasanya
terjadi.
Coding note : if a general medical (e.g. neurologic) condition or sensory deficit is
present, code the condition on axis III.Cat. pengkodean: jika terdapat
suatu kondisi medis ummum atau defist sensoris maka dikode pd
axis III.

DSM-IV-TR Diagnostic Criteria For Mathematic Disorder


A. Mathematical ability, as measured by individually administered standardized
tesis, is substantially below that expected given the persons chronologic age,
measured intelligence, and age-appropriate education.Kemampuan
matematis yg diukur berdasarkan tes standar individual yg
diberikan pd ybs adalah kurang(dibawah) secara bermakna
dibanding dgn yg diharapkan berdasarkan usia, tingkat
intelegensia dan pendidikannya.
A. The disturbance in criterion A significantly interfes with academic achievement

or activities of daily living that require mathematical ability. .Ggn yg


digambarkan criteria A secara bermakna mengganggu
pencapaian akademik atau aktifitas sehari2 yg membutuhkan
kemampuan matematis.
B. If a sensory deficit is present, the difficulties in mathematical ability are in excess
of those usually associated with it Jika ada deficit sensoris maka
kesulitan2 matematis melebihi keadaan2 yg biasanya terjadi.
Coding note: if a general medical (e.g., neurologist) condition or sensory deficit is
present, code the condition on axis III. Cat. pengkodean: jika terdapat
suatu kondisi medis ummum atau defist sensoris maka dikode pd
axis III.

DSM-IV-TR

Diagnostic

Criteria

for

Disorder

of

Written

Expression

(KETRAMPILAM MENULIS ???)


A. Writing skills, as measured by individually administered standardized test (or
functional assessment of writing skills), are substantially below those expected
given the persons chronologic age, measured intelligence, and age-appropriate
education. Ketrampilan menulis yg diukur berdasarkan tes standar
individual (atau pegukuran ketrampilan fungsional menulis)yg
diberikan pd ybs adalah kurang(dibawah) secara bermakna
dibanding dgn yg diharapkan berdasarkan usia, tingkat
intelegensia dan pendidikannya.
B. The disturbance in criterion A significantly interferes with academic achievement
or activities of daily living that require the composition of written texts (e.g.,
writing grammatically correct sentences and organized paragraphs). Ggn yg
digambarkan criteria A secara bermakna mengganggu
pencapaian akademik atau aktifitas sehari2 yg membutuhkan
komposis tulisan tangan (mis.penulisan kalimat benar secara
tatabahasa dan paragraph yg teratur).
C. If sensory deficit is present, the difficulties in writing skills are in excess of those
usually associated with it. Jika ada deficit sensoris maka kesulitan2
matematis melebihi keadaan2 yg biasanya terjadi.
Coding note: If a general medical (e.g., Neurologic) condition or sensory deficit
is present, code the condition on Axis III. Cat. pengkodean: jika terdapat
suatu kondisi medis ummum atau defist sensoris maka dikode
pd axis III.

DSM-IV-TR Diagnostic criteria for Developmental Coordination Disorder (GGN


PERKEMBANGAN KOORDINASI GERAKAN ?????)
A. Performance in daily activities that require motor coordination is substantially
below that expected given the persons chronologic age and measured
intelligence. This may be manifested by marked delays in achieving motor
milestones (e.g. walking, crawling, sitting) dropping things, clumsiness, poor
performance in sports, or poor handwriting.Penampilan dlm aktifitas
sehari2
yg
membutuhkan
koordinasi
motorik
adalah
kurang(dibawah) secara bermakna dibanding dgn yg diharapkan
berdasarkan usia, tingkat intelegensia dan pendidikannya.
B. The disturbance in Criterion A significantly interferes with academic achievement
or activities of daily living. Ggn yg digambarkan criteria A secara
bermakna mengganggu pencapaian akademik atau aktifitas dal
kehidupan sehari2.
C. The disturbance is not due to a general medical condition (e.g. cerebral palsy,
hemiplegia or muscular dystrophy) and does not meet criteria for a pervasive
developmental disorder.Gangguan ini tidak disebabkan oleh suatu
kondisi medis umum (mis. Cerebral Palsy, Hemiplegia atau
Distrofi Muskuler)
D. If mental retardation is present, the motor difficulties are in excess of those
usually associated with it.Jika bersamman dgn Retardasi Mentalmak
kesulitan2 motorik melebihi keadaan2 yg biasanya terjadi.
Coding note: if a general medical (e.g., neurologic) condition or sensory deficit is
present, code the condition on Axis III. Cat. pengkodean: jika terdapat suatu
kondisi medis ummum atau defist sensoris maka dikode pd axis III.

DSM-IV-TR Diagnostic Criteria for Expressive Language Disorder (KECAKAPAN


BERBAHASA ????)
A. The scores obtained from standardized individually administered measures of
expressive language development are substantially below those obtained from
standardized measures of both nonverbal intellectual capacity and receptive
language development.The disturbance may be manifest clinically by symptoms
that includes having a markedly limited vocabulary, making errors in tense, or
having difficulty recalling words or producing sentences with developmentally
appropriate length or complexity.Nilai2 yg diperoleh berdasarkan yg
diukur berdasarkan ukuran standar individual yg diberikan pd
ybs adalah kurang(dibawah) secara bermakna dibanding dgn
ukuran
standar
kapasitas
intelektual
nonverbal
dan
perkembangan bahasa reseptif.Gangguan ini mgk tampil
secara klinis sbg gejala2 kurang memiliki kosa kata yg nyata,

B.

C.
D.

membuat kesalahan2 dalam kalimat menurut waktu terjadinyatenses, atau kesulitan mengingat kembali kata2 atau
pembuatan kalimat2 yg panjang dan rumit sesuai tahap
perkembangannya.
The difficulties with expressive language interfere with academic or
occupational achievement or with social communication.Kesulitan2
berbahasa ekkspresif mengganggu pencapaian akademik atau
okupasional atau dlm komunikasi sosial.
Criteria are not met for mixed receptive-expressive language disorder or a
pervasive developmental disorder.Kriteria2 tidak memenuhi Ggn
Berbahasa campuran resptif-ekspresif.
If mental retardation, a speech-motor or sensory deficit, or environmental
deprivation is present, the language difficulties are in excess of those usually
associated with these problems. Jika bersamaman dgn Retardasi
Mental, deficit sensorik atau motorik berbicara maka kesulitan2
berbahasa melebihi keadaan2 yg biasanya terjadi

Diagnostic Criteria for Mixed Receptive-expressive language Disorder (Campuaran


penerimaan dan pengungkapan bahas ???)
A. The scores obtained from battery of standardized individually administered
measures of both receptive and expressive language development are substantially
below those obtained from standardized at measures of nonverbal intellectual
capacity.Symptoms include those for expressive language disorder as well as
difficulty understanding words, sentences, or specific types of words, such as
spatial terms. .Nilai2 yg diperoleh berdasarkan seperangakat ukuran
standar individual yg diberikan pd ybs adalah kurang(dibawah)
secara bermakna dibanding dgn ukuran standar kapasitas
intelektual nonverbal.Gejala2nya seperti Gangguan Berbahasa
Ekspresif ditambah kesulitan mengerti kata2, kalimat2 atau
kata2 tertentu demikian juga dgn kalimat menurut waktu
terjadinya-tenses,.
B. The difficulties with receptive and expressive language significantly interfere with
academic or occupational achievement or with social communication.
Kesulitan2 berbahasa reseptif dan ekspresif mengganggu secara
bermakana pencapaian akademik atau okupasional atau dlm
komunikasi sosial.
C. Criteria are not met for pervasive developmental disorder.Tidak memenuhi
criteria Gangguan Perkembangan Pervasif.
D. If mental retardation, a speech-motor or sensory deficit, or environmental
deprivation is present, the language difficulties are in excess of those usually
associated with these problems. Jika bersamaman dgn Retardasi Mental,
deficit sensorik atau motorik berbicara atau kekurangan
lingkungannya maka kesulitan2 diatas melebihi keadaan2 yg

biasanya terjadi.

Diagnostic Criteria for Phonologic Disorder


A. Failure to use developmentally expected speech sounds that are appropriate for
age and dialect (e. g. errors in sound production, use, representation, or
organization such as, but not limited to substitutions of one sound for another [use
of/t/for target/k/sound] for omissions of sounds such as final
consonants).Adanya
kegagalan
memnggunakan
suara/bunyi
berbicara yg setara dgn perkembangan sesuai usia dan dialek
(mis.
kesalahan
menghasilkan
bunyi,
pemakaian,
pemunculannya atau pengaturannya tdk hanya terbatas pd
kesalahan substitusi suatu bunyi dgn lain utk melampauinya spt
pd konsonan diakhir kata(/t/ dlm /target/ berbunyi /k/)).
B. The difficulties in speech sound production interfere with academic or
occupational achievement or with social communication. Kesulitan2
menghasilkan bunyi dlm berbicara mengganggu pencapaian
akademik atau okupasional atau dlm komunikasi sosial.
C. If mental retardation, a speech-motor or sensory deficit, or environmental
deprivation is present, the speech difficulties are in excess of those usually
associated with this problems. Jika bersamaman dgn Retardasi Mental,
deficit sensorik atau motorik berbicara atau kekurangan
lingkungannya maka kesulitan2 diatas melebihi keadaan2 yg
biasanya terjadi.

DSM-V-TR Diagnostic Criteria or Stuttering


A. Disturbances in the normal fluency and time patterning of speech (inappropriate
for the individuals age), characterized by frequent occurrences of one or more of
the following Gangguan dalam kelancaran normal dan pola waktu
dalam berbicara (tdk sesuai dgn umur ybs) yg dikarakterisir
seringnya terjadi hal2 berikut:
1.
Sound
and
syllable
repetitions Perulangan bunyi dan suku kata.
2.
Sound
prolongations
Pemanjangan bunyi.
3.
Interjections
Adanya
kata2 seru.
4.
Broken words (e. g. pauses
within a word) Kata2 yg diucapkan tiba2 terhenti ditengahnya.
5.
Available or silent blocking
(filled or unfilled pauses in speech) Ada atau hilangnya hambatan

(masuk dan tidaknya penghentian semntara dlm berbicara)


6.
Circumlocutions
(word
substitution to avoid problematic words) Berbelit2 (substitusi kata utk
menghindari kata2 menyulitkan)
7.
Words produced with an
excess of physical tension Kata2 dihasilakan dgn ketegangan fisik
berlebihan
8.
Monosyllabic
whole-word
repetitions (e. g. I-I-I-I see him) Pengulangan seluruh kata
monosilabik (mis. I-I-I-I-I-I see him)
B. The disturbances in fluency interferes wit academic or occupational achievement
or with social communication Kesulitan2 kelancaran dlm berbicara
mengganggu pencapaian akademik atau okupasional atau dlm
komunikasi sosial.
C. If a speech-motor or sensory deficit is present, the speech difficulties are in excess
of those usually associated with the problems. Jika bersamaman dgn defisit
sensorik atau motorik berbicara kesulitan2 diatas melebihi
keadaan2 yg biasanya terjadi.

DSM-IV-TR Diagnostic Criteria for Autistic Disorder


A. A total for six (or more) items from (1), (2), and (3), with at least two from (1) and
one each from (2) and (3).Terdapat total 6 item dari (1), (2), (3)
dimana sedikitnya 2 item dari poin (1) dan 1 dari poin (2) dan
(3).
1.
Qualitative
impairment in social interaction, as manifested by at least two of the following
Hambatan kwlitatif dlm interaksi2 sosial yg bermanifestasi
sedikitnya dlm 2 hal berikut:
a. Marked impairment in the use of multiple nonverbal behaviors such as
eye-to-eye gaze, facial expression, body postures, and gestures to regulate
social interaction.Hambatan nyata dlm menngunakan berbagai
perilaku nonverbal spt tatapan mmata ke mata, ekspresi
wajah, postur2 tubuh dan gestures untuk mengatur
interaksi social.
b. Failure to develop peer relationship appropriate to developmental level
Gagal membangun hubungan dgn teman sebaya sesuai
dgn tkt perkembangan.
c. A lack of spontaneous seeking to share enjoyment, interest, or
achievements with other people (e. g. by showing, bringing, or pointing
out subject of interest) Ketiadaan spontanitas membagi
kegembiraan, minat, atau keberhasila2 pencapaiannya dgn
sesame (mis. memamerkan, membawa kesana-kemari
atau menunjuk pd sesuatu yg menarik)

d. Lack of social or emotional reciprocity.Kehampaan timbale-balik


social dan emosional.
2.
Qualitative
impairments in communication as manifested by at least one of the following
Hambatan2 kwalitatif dlm berkomukasi yg bermanifestasi
sedikitnya dlm 1 hal berikut: :
a. Deficit in, or total lack of, the development of spoken language (not
accompanied by an attempt to compensate through alternative modes of
communication such as gestures or mime) Defisit atau sama sekali
tidak ada perkembangan bahasa bicara (tdk disertai suatu
usaha kompensasi lewat cara2 alternatif spt gestures
gerakan tanpa ekspresi).
b. In individual with adequate speech, marked impairment in the ability to
initiate or sustain a conversation with others Pada mereka yg
mampu berbicara terdapat hambatan nyata dlm
kemampuan memulai atau mempertahankan percakapan
dgn orang lain.
c. Stereotyped and repetitive use of language or idiosyncratic language
Memakai bahasa stereotipik atau repetitive atau bahasa
idiosinkrasi.
d. Lack of varied, spontaneous make-believe play or social imitative play
appropriate to development level tidak adanya variasi permainan,
spontan karangan sendiri atau ditiru dari lingkungan social
yg sesuai dgn tkt perkembangan.
3. Restricted repetitive and stereotyped patterns of behavior, interest, and
activities, as manifested by at least one of the following Pola2 perilaku
repetitive yg terbatas dan stereotipik dari perilaku, minat2
dan aktifitas2 spt yg ditunjukan sedikitnya oleh 1 hal berikut:
a. Encompassing preoccupation with one or more stereotyped and restricted
patterns of interest that is abnormal either in intensity or focus
menunjukan preokupasi dgn 1 atau lebih pola2 minat
stereotipik dan terbatas yg abnormal baik dlm intensitas
atau pemusatannya.
b. Apparently inflexible adherence to specific, nonfunctional routines or
rituals tampak adanya kepatuhan kaku pd ritual2 atau
rutinitas spesifik dan nonfungsional
c. Stereotyped and repetitive motor mannerism (e. g. hand or finger flapping
or twisting, or complex whole-body movements) manreisme motorik
yg stereotipik dan repetitif (mis. melambai2kan atau
memutar2 telapak tangan atau jari atau gerakan2 rumit
seluruh tubuh)
d. Persistent preoccupation with parts of objects Preokupasi menetap
dgn bagian2 dari benda.
B. Delays or abnormal functioning in at least one of the following areas, with onset
prior to age 3 years Fungsional yg terlambat atau abnormal dlm
sedikitnya 1 dari area2 berikut yg dimulai sebelum usia 3 tahun:

(1)Social interaction, (2) language as used in social communication, or (3)


symbolic at imaginative play. (1) interaksi social, (2) bahas yg
dipakai dlm komunikasi social atau (3) simbol2 dlm permeinan
imajinasi.
C. The disturbance is not better accounted for by Retts disorder or childhood
disintegrative disorder.Gangguan ini tidak dpt digolongkan sbg ggn
Rett atau Gangguan Disintegratif Masa Kanak.

DSM-IV-TR Diagnostic Criteria for Childhood Disintegrative Disorder


A. Apparently normal development for at least the first 2 years after birth or
manifested by the presence of age-appropriate verbal and nonverbal
communication, social relationship, play, and adaptive behavior.Tampaknya
berkembang normal sedikitnya 2 tahun dari kelahirannya atau
ditunjukan oleh komunikasi verbal dan nonverbal, hubungan2
sosial, bermain dan perilaku adaptif yg sesuai dgn usia.
B. Clinically significant loss of previously acquired skills (before age 10 years) in at
least two of the following areas Kehilangan yg bermakna klinis dari
ketrampilan2 yg diterima (sebelum usia 10 tahun) sedikitnya dlm
2 area berikut:
1.
Expressive or receptive language Bahasa ekspresif atau reseptif
2.
Social skills or adaptive behavior Perilaku social atau adaptif
3.
Bowel or bladder control Pengendalian defekasi atau miksi
4.
Play Bermain
5.
Motor skills Ketrampiulan2 motorik
C. Abnormalities of functioning in at least one of the following areas
Keabnormalan2 fungsional sedikitnya dlm 1 area berikut:
1.
Qualitative impairment in social interaction (e. g. impairment in
nonverbal behavior, failure to develop peer relationships, lack of social or
emotional reciprocity) Hambatan kwalitatif dlm interaksi social
(mis. hambatan dlm perilaku nonverbal, gagal menjalin
hubungan dgn teman sebaya, ketiadaan timbale balik social
atau emotional)
2.
Qualitative impairments in communication (e. g. delay or lack of
spoken language, inability to initiate or sustain a conversation, stereotyped
and repetitive use of language, lack of varied make-believe play) Hambatan
kwalitatif dlm berkomunikasi (mis. terlambat atau tdk dpt
bertutur, ketidakmampuan memulai atau mempertahankan
percakapan, menggunakan bahasa stereotipik dan repetitive,
ketiadaan variasi permainan khayalan).
3.
Restrictive, repetitive, and stereotyped patterns of behavior,

interests, and activities, including motor stereotypes and mannerisms Pola2


repetitif yg terbatas dan stereotipik dari perilaku, minat2 dan
aktifitas2 termasuk stereotipik dan manerisme motorik.
D. The disturbance is not better accounted for by another specific pervasive
developmental disorder or by schizophrenia Gangguan ini tidak dpt
digolongkan sbg ggn perkembangan pervasif spesifik atau
Skizofrenia

DSM-IV-TR Diagnostic Criteria for Attention Deficit/Hyperactivity Disorder


A. Either (1) or (2) Adanya salah asatu dari (1) atau (2):
1.
Six (or more) of the following symptoms of
inattention have persist for at least six months to a degree that is maladaptive
and inconsistent with developmental level 6 (enam) atau lebih dari
gejala2 kurang perhatian (inattention) berikut telah menetap
sedikitnya 6 bulan sampai pd taraf maladaptif dan tidak
konsisten dgn tingkat perkembangan:
Inattention Inatensi
a. Often falls to give close attention to details or makes careless mistakes in
schoolwork, work, or other activities Sering tdk dpt memusatkan
perhatian pada hal2 rinci atau membuat kesembronoan
dlm tugas sekolah, pekerjaan atau aktifitas2 lainnya.
b. Often has difficulty sustaining attention in tasks or play activities Sering
sulit mempertahankan perhatian pd tugas2 dan kegiatan2
permainan.
c. Often does not seem to listen when spoken to directly Sering tampak
tidak menyimak ketika bercakap2 lansung.
d. Often does not follow through on instructions and fails to finish
schoolwork, chores, or duties in the workplace (not oppositional behavior
or failure to understand instructions) Sering tidak dapat mengikuti
alur intruksi2 dan gagal menyelesaikan tugas sekolah,
pekerjaan sehari2 atau tugas2 di tempat kerja (bukan
perilaku menentang atau kegagalan emahami instryksi2)
e. Often has difficulty organizing tasks and activities Sering kesulitan
mengelola tugas2 dan kegiatan2
f. Often avoids, dislikes, or is reluctant to engage in tasks that require
sustained mental effort (such as schoolwork or homework) Sering
menghindar, tdk menyukai atau enggan terlibat dlm
tugas2 yg membutuhkan ketahanan kerja mental ( spt

tugas sekolah atau pekerjaaan rumah)


g. Often loses things necessary for tasks of activities (e. g. toys, school
assignments, nails, books, or tools) Sering kehilangan barang2 yg
diperlukabn utk tugas2 atau kegiatan2 (mis. mainan,
tugas2 sekolah, jepitan2, buku2 atau alat2)
h. Is often easily distracted by extraneous stimuli Sering mudah teralih
perhatian dgn stimuli agak menonjol
i. Is often forgetful in daily activities Sering lupa dlm kegiatan
sehari2
2.
Six (or more) of the following symptoms of
hyperactivity-impulsivity have persisted for at least six months to a degree
that is maladaptive and inconsistent with developmental level 6 (enam)
atau lebih dari gejala2 hiperaktif-impulsif berikut telah
menetap sedikitnya 6 bulan sampai pd taraf maladaptif dan
tidak konsisten dgn tingkat perkembangan::
Hyperactivity Hiperaktifitas
a. Often fidgets with hands or feel or squirms in seat Sering mengerakgerakan tangan atau merasa spt itu atau menggeliat-geliat
di tempat duduk
b. Often leaves seat in classroom or in other situations in which remaining
seated is expected Sering meninggalkan tempat duduk ruang
kelas atau situasi lainnya dimana diharapkan tetap di
tempat duduk
c. Often runs about or climbs excessively in situations in which it is
inappropriate (in adolescents or adult, may be limited to subjective
feelings of restlessness) Sering berlarian kesana-kemari atau
memnjat-manjat pada situasi yg tidak sesuai (pd remaja
atau dewasa mgk hanya terbatas pd perasaan tak bias
diam)
d. Often has difficulty playing or engaging in leisure activities quietly
Sering kesulitan untuk tenang dlm permainan atau aktifitas
santai
e. Is often on the go or often acts as if driven by a motor Sering
sudah beranjak atau berlaku seakan dikendalikan sbuah
motor
f. Often talks excessively Sering banyak bicara
Impulsivity Impulsifitas
g. Often blurts out answers before questions have been completed Sering
jawaban terlontar sebelum pertanyaan selesai
h. Often has difficulty awaiting turn Sering kesulitan menunggu
giliran
i. Often interrupt or intrudes on others (e. g. butts in to conversations or
games) Sering menyela atau nimbrung ketengah2 orang lain
(mis. meneruduk masuk ketengah percakapan atau
permainan).
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment

were present before age 7 years. Same impairment from the symptoms is present
in two or more setting (e. g. of school (or work) and at home) Beberapa
gejala hiperaktifitas-impulsifitas atau inatensi yg menyebabkan
hambatan sudah ada sebelum usia 7 tahun
C. There must be clear evidence or clinically significant impairment in social,
academic, or occupational functioning Harus ada bukti jelas atau
hambatan bermakna klinis dlm fungsi2 sosial, akademik atau
okupasional
D. The symptoms do not occur exclusively during a course of a pervasive
developmental disorder, schizophrenia or other psychotic disorder and are not
better accounted for by another mental disorder (e. g. mood disorder, anxiety
disorder, dissociative disorder, or a personality disorder) Gejala2 tidak
hanya terjadi selama perjalanan suatu ggn perkembangan
pervasive, Skizofrenia atau ggn psikotik dan tidak dpt
digolonggkan sbg ggn mental lainnya (mis. ggn mood, ansietas,
disosiatif atau ggn kepribadian)
Code based on type Kode berdasarkan tipe:
Attention deficit/hyperactivity disorder, combined type: if both criteria A1
and A2 are met for the past six months Gangguan Defisit
Perhatian/Hiperaktifitas, tipe kombinasi: jika kedua kriteri
A(1) dan A (2) terpenuhi dalm 6 bulan terakhir
Attention deficit/hyperactivity disorder, predominantly inattentive typed: if
criterion A1 is met but criterion A2 is not met for the past six months
Gangguan Defisit Perhatian/Hiperaktifitas, tipe inatensi
menonjol: jika kriteria A(1) terpenuhi tetapi A (2) tdk
terpenuhi dalm 6 bulan terakhir
Attention deficit/hyperactivity disorder, predominantly hyperactiveimpulsive type: if criterion A1 is not met but criterion A2 is met for the
past six months Gangguan Defisit Perhatian/Hiperaktifitas, tipe
hiperaktif-impulsif menonjol: jika kriteria A(1) tidak
terpenuhi tetapi A (2) terpenuhi dalm 6 bulan terakhir
Coding note: for individuals (especially adolescents and adults) who currently
have symptoms that no longer meet full criteria in partial remission should be
specified.Catatan: pd individu2 (khususnya remaja dan dewasa) yg
sekarang mempunyai gejala2 yg tdk lagi memenuhi kriteria
penuh maka sebaiknya ditentukan sbg dlm remisi parsial

DSM IV-TR Diagnostic Criteria for Oppositional Defiant Disorder (PERILAKU


MENENTANG ?????)

A. A pattern of negativistic, hostile, and defiant behavior lasting at least 6


months, during which four (or more) of the following are present suatu
pola perilaku negativistic, bermusuhan dan menentang yg
berlangsung sedikitnya 6 bulan dimana selama itu terdapat
4 atau lebih hal2 berikut:
(1) often loses temper sering meledak kemarahannya
(2) often argues with adults sering adu mulut dgn org dewasa
(3) often actively defies or refuse to comply with adults request or rule
sering secara aktif membantah atau menolak mengikuti
permintaan atau aturan orang deawasa
(4) often deliberately annoys people
sering dgn sengaja
menjengkelkan
sesama
(5) often blames others for his or her mistakes or misbehavior sering
menyalahkan sesama atas kesalahan atau tingkah laku
buruknya
(6) is often touchy or easily annoyed by others sering tersinggung
atau mudah dibuat jengkel oleh org lain
(7) is often angry and resentful sering marah dan kesal
(8) is often spiteful or vindictive sering mendendam atau
mendengki
Note: Consider a criterion met only if the behavior occurs more frequently
than is typically observed in individuals of comparable age and
developmental level.Cattatan: suatu criteria dipertimbangkan
hanya jika perilaku tsb lebih sering terjadi disbanding yg
diamati ada pd individu2 dari usia setara atau tingkat
perkembangan
B. The disturbance in behavior causes clinically significant impairment in
social, academic, or occupational functioning.Gangguan perilaku
menyebabkan hambatan yg bermakna klinis dlm fungsi2
sosisal, akademis atau okupasional
C. The behaviors do not occur exclusively during the course of a psychotic or
mood disorder.Perilaku2 diatas tdk hanya terjadi selama
perjalanan suatu ggn psikotik atau mood.
D. Criteria are not met for conduct disorder, and if the individual is age 18 years
or older, criteria are not met for antisocial personality disorder.Kriteria2
tdk memenuhi Gangguan Perilaku ()conduct) dan jika ybs
berusia 18 tahun atau lebih maka tdk memnuhi criteria ggn
Kepribadian Antisosial.

DSM-IV-TR

Diagnostic

PERILAKU ??????????)

Criteria

for

Conduct

Disorder

(KEPATUHAN

A. A repetitive and persistent pattern of behavior in which the basic right of


others or major. age-appropriate societal norms or rules are violated, as
manifested by the presence of three (or more) of the following criteria in
the past 12 months, with at least one criterion present in the past 6
months
Suatu poal perilaku repetitive dan menetap
dimana hak2 dasar sesama atau norma2 atau aturan2
sosial utama sesuai usia usia dilanggar yg bermanifestasi
lwt 3 atau lebih criteria berikut dlm 12 bulan terakhir
dimana sedikitnya 1 kriteria terpenuhi dlm 6 bulan
terakhir:
Aggression to people and animals.Agresi thd org lain atau
hewan:
(1)often bullies, threatens, or intimidates others sering
menggunakan kekuatan fisiknya utk memaksa,
mengancam atau mengintimidasi sesama
(2)often initiates physical fights sering memulai adu jotos.
(3)has use a weapon that can cause serious physical harm to others
(e.g., a bat, brick, broken, bottle, knife, gun) sudah pernah
menggunakan senjata yg dpt menyebabkan cedera
fisik serius orang lain (mis. pemukul baseball,
batubata, botol pecah, pisau, pistol)
(4)has been physically cruel to people selama ini bersikap
bengis terhadap sesama
(5)has been physically cruel to animals selama ini bersikap
bengis terhadap hewan2
(6)has stolen while confronting a victim (e.g., mugging, purse
snatching, extortion, armed robbery) pernah mencuri saat
konfrontasi dgn korban (mis. membodohi sesame,
menjambret, merampas, perampokan bersenjata)
(7)has forced someone into sexual activity pernah memaksa
seseorang dlm aktifitas seksual
Destruction of property Perusakan Barang2
(8)has deliberately engaged in fire setting with the intention of
causing serious damage pernah dgn sengaja melakukan
pembakaran dgn maksud menyebabkan kerusakan
serius
(9)has deliberately destroyed others property (other than by fire
setting)
pernah dgn sengaja menghancurkan
barang2 orang lain (selain pembakaran)
Deceitfulness or theft Penipuan atau pencurian
(10) has broken into someone elses house building or car pernah
masuk paksa kerumah, bangunan atau mobil
seseorang
(11) often lies to obtain goods or favors or to avoid obligations (I e.,
cons others) sering berbohong utk mendapatkan
barang atau hal yg diinginkan atau utk mnghindari

kewajiban2 (mis. dgn mengadu domba sesama)


(12) has stolen items of nontrivial value without confronting a victim
(e. g., shoplifting, but without breaking and entering; forgery)
pernah mencuri barang tidak berhargatanpa
konfrontasi dgm korban
Serious violations of rules Pelanggaran serius aturan2
(13) often stays out at night despite parental prohibitions, beginning
before age 13 years sering tidak dirumah malam hari
meskipun ada larangan orangtua yg dimulai
sebelum usia 13 tahun
(14) has run away from home overnight at least twice while living in
parental or parental surrogate home (or once without returning
for a lengthy period) pernah melarikan diri dari rumah
berhari2 sedikitnya 2 kali ketika tinggal dirumah
orangtua atau pengasuh (atau sekali tanpa kembali
dalm waktu yg panjang)
(15) is often truant from school, beginning before age 13 years
sering membolos dari sekolah yg dimulai sebelum
usia 13 tahun
B. The disturbance in behavior causes clinically significant impairment
in social, academic, or occupational functioning. Gangguan
perilaku menyebabkan hambatan yg bermakna klinis
dlm fungsi2 sosisal, akademis atau okupasional
C. If the individual is age 18 years or older, criteria are not met for
antisocial personality disorder. Jika ybs berusia 18 tahun atau
lebih maka tdk memenuhi criteria ggn Kepribadian
Antisosial.
specify type based on age an onset Tentukan tipe berdasrkan usia
onset:
Childhood-onset type: onset of at least one criterion characteristic of
conduct disorder prior to age 10 years.Tipe onset masa kanak:
onset ssedikitnya 1 kriteria khas Ggn Conduct sebelum
usia 10 tahun

Adolescent-onset type: absence of any criteria characteristic


of conduct disorder prior to age 10 years.Tipe onset masa
remaja: tidak ada criteria khas Ggn Conduct sebelum
usia 10 tahun

Unspecified type: age of onset is not known Tipe


taktertentukan: usia onset tdk diketahui
Specify severity Tentukan keparahannya:
Mild: few if any conduct problems in excess of those required to make the
diagnosis and conduct problems cause any minor harm to
others.Ringan: ada sedikit masalah conduct yg berlebihan
sbg dasar diagnosis dan hanya menyebabkan beberapa
bahaya kecil terhadap sesama

Moderate: number of conduct problems and effect on others are


intermediate between mild and severe Sedang: jumlah problem
conduct dan akibatnya thd sesame berada diantara
ringan dan berat
Severe: many conduct problems in excess of those required to make the
diagnosis or conduct problems cause considerable harm to
others.Berat: banyak masalah conduct yg berlebihan sbg
dasar diagnosis atau hal ini menyebabkan bahaya besar
bagi sesame.

DSM-IV-TR Diagnostic Criteria for Encopresis


A. Repeated passage of feces into inappropriate places (e.g., clothing or floor)
whether involuntary or intentional.Defekasi berulang bukan pada
tempat yang sesuai (mis. dicelana atau lantai)
B. At least one such event to month for at least 3 months Terjadi sedikitnya
sekali ebualn dalam 3 bulan terakhir.
C. Chronologic age is at least 4 years (or equivalent developmental level).Usia
kronologis sekurang2nya 4 tahun (atau sebanding dgn tkt
perkembangan)
D. The behavior is not due exclusively to the direct physiologic effects of
substance (e.g., laxatives) or a general medical condition except through a
mechanism involving constipation.Perilaku ini tdk hanya disebabkan
oleh efek fisilogis langsung zat (laksansia) atau oleh suatu
kondisi medis umum kecuali yg disetai konstipasi.
Code of follows Pengkodean:
With constipation and overflow incontinence Dgn konstipasi dan
inkontinensia berlebihan
Without constipation and overflow incontinence Tanpa konstipasi
dan inkontinensia berlebihan

DSM-IV-TR Diagnostic Criteria for Enuresis

A. Repeated voiding of urine into bed or clothes (whether involuntary or


intentional) Berulang2 kencing di tempat tidur atau celana
(apakah tdk dpt dikontrol atau dimaksudkan demikian)
B. The behavior is clinically significant as manifested by either a frequency of
twice a week for at least 3 consecutive month or the presence of clinically
significant distress or impairment in social, academic (occupational), or other
important areas of functioning.Perilaku ini bermakna klinis yg
dimanifestasikan baik dgn frekuensinya 2 kali seminggu dlm 3
bulan berturut atau adanya penderitaan bermakna klinis atau
hambatan dalam fungsi social, akademis ()okupasional) atau
area penting lainnya
C. Chronologic age is at least 5 years (or equivalent developmental level). Usia
kronologis sekurang2nya 5 tahun (atau sebanding dgn tkt
perkembangan)
D. The behavior is not due exclusively to the direct physiologic effects of
substance (e.g., diuretic) or a general medical condition (e.g., diabetes, spina
bifida, or seizure disorder). Perilaku ini tdk hanya disebabkan oleh
efek fisiologis langsung zat (diuretik) atau oleh suatu kondisi
medis umum (mis. Diabetes, Spina Bifida atau ggn kejang).
Specify type Tentukan tipe:
Nocturnal only Nokturnal saja
Diurnal only Diurnal saja
Nocturnal and diurnal Nokturnal dan Diurnal

DSM-IV-TR Diagnostic Criteria for Separation Anxiety Disorder


A. Developmentally inappropriate and excessive anxiety concerning separation
from home or from those to whom the individual is attached, as evidenced by
three (or more) of the following Berkembangnya ansietas yg tidak
sesuai dan berlebihan tentang jauh darirumah atau orang2 yg
dekat dgn individu yg dibuktikan dgn 3 atau lebih hal
berikutaa:
(1) recurrent excessive distress when separation from home or major
attachment figures occurs or is anticipated berulang kali tertekan
berlebihan ketika terjadi jauh dari rumah atau figur2 dekat
utama atau berupa antisipasi
(2) persistent and excessive worry about losing, or about possible harm
befalling, major attachment figures kekhawatiran berlebihan dan
menetap ttg kehilangan atau kemungkinan kemalangan
menimpa figur2 dekat utama
(3) persistent and excessive worry that an untoward event will lead to
separation from a major attachment figure (e.g., getting lost or being
kidnapped) kekhawatiran berlebihan dan menetap bahwa

ada kejadian malang yg akan memisahkannya dari figur2


dekat utama (mis. hilang atau diculik)
(4) persistent reluctance or refusal to go to school or elsewhere because of fear
of separation
kengganan atau penolakan menetap utk
kesekolah atau tempat lain karean ketakutan akan
perpisahan
(5) persistent and excessive fear or reluctance to be alone or without major
attachment figures at home or without significant adults in other settings
ketakuatan menetap dan berlebihan atau kengganan
ditinggal sendiri atau tanpa figur2 dekat utama dirumah
atau tanpa orang yg dikenal dalam suasana lain
(6) persistent reluctance or refusal to go to sleep without being near a major
attachment figure or to sleep away from home keengganan menetap
atau penolakan utk tidur sendiri tanpa disamping figur2
dekat utama atau tidur bukan dirumahnya
(7) repeated nightmares involving the theme of separation mengalami
mimpi buruk berulang yg bertema perpisahan
(8) repeated complaints of physical symptoms (such as headaches,
stomachaches, nausea, or vomiting) when separation from major
attachment figures occurs or is anticipated keluhan2 berulang dari
gejala2 fisik (spt sakit kepala, nyeri perut, mual atau
muntah) ketika terjadi perpisahan dgn figur2 dekat utama
atau berupa antisipasi
B.
The duration of the disturbance is at least 4 week Durasi ggn ini
sedikitnya 4 minggu.
C. The onset is before 18 years Onsetnya sebelum usia 18 tahun
D. The disturbance causes clinically significant distress or impairment in social
academic (occupational), or other important areas of functioning .Gangguan
ini menyebabkan penderitaan yg bermakna klinis atau
hambatan dlm fungsi2 sosisal, akademis (okupasional) atau
area penting lainnya
E. The disturbance does not occur exclusively during the course of a pervasive
developmental disorder, schizophrenia, or other psychotic disorder, and in
adolescents and adult, is not better accounted for by panic disorder with
agoraphobia.Gangguan ini tidak hanya terjadi selama
perjalanan suatu ggn perkembangan pervasive, Skizofrenia
atau ggn psikotik lainnya dan tidak dapat digolongkan (pd
remaja dan dewasa) sbg Ggn Panik dgn Agorafobia
Specify if Tentukan jika:
Early onset: if onset occurs before age 6 years Onset Dini: jika onset
terjadi sebelum usia 6 tahun

DSM-IV-TR Diagnostic Criteria for Selective Mutism

(A) Consistent failure to speak in specific social situations (in which there is an
expectation for speaking, e.g., at school) despite speaking in other
situations.Kegagalan berbicara konsisten dlm situasi2 sosisl
tertentu (dimana diharapkan berbicara mis. disekolah)
(B) The disturbance interferes with educational or occupational achievement or
with social communication
Gangguan ini mengganggu
pencapaian pendidikan atau okupasional atau dalm
komukasi social.
(C) The duration of the disturbance is at least 1 month (not limited to the first
month of school).Durasi ggn sedikitnya 1 bulan.
(D) The failure to speak is not due to a lock of knowledge of, or comfort with,
the spoken language required in the social situation.Kegagalan
berbicara tidak disebabkan oleh tiadanya pengetahuan atau
nyaman dgn bahasa ucapan yg dibutuhkan dlm situasi
sosial
(E) The disturbance is not better accounted for by a communication disorder
(e.g., stuttering) and does not occur exclusively during the course of a
pervasive developmental disorder, schizophrenia, or other psychotic
disorder
Gangguan ini tdk dpt digolongkan sbg ggn
berkomunikasi (mis. Gagap) dan tdk hanya terjadi selama
perjalanan suatu ggn perkembangan pervasive, Skizofrenia
atau ggn psikotik lainnya.

DSM IV TR Diagnostic Criteria for Stereotypic Movements Disorder

A.

B.

C.

D.

E.

F.

Repetitive, seemingly driven, and nonfunctional motor behavior


(e.g., hand shaking or waving, body rocking, head banging, mouthing of
objects, self-biting, picking at skin or bodily orifices, bitting own
body).Perilaku motorik repetitive yg tampaknya dikendalikan
dan nonfungsional (mis. gerakan jabat tangan atau
melambai,
gerakan
dansa,
membentur2kan
kepala,
mengunyah2 sesuatu, memukul2 diri sendiri, mengorek2
kulit atau lubang2 tubuh, menggigit2 diri sendiri).
The behavior markedly interferes with normal activities or results
in self-inflicted bodily injury that requires medical treatment (or would
result in a injury if preventive measures were not used).Perilaku ini
nyata mengganggu aktifitas normal atau menyebabkan
luka2 tubuh sendiri yg membutuhkan perawatan medis.
If mental retardation is present, the stereotypic or self-injurious
behavior is of sufficient severity to become a focus of treatment.Jika
bersamaan dgn Retardasi Mental maka perilaku stereotipik
atau melukai diri sendiri adalah cukup parah utk menjadi
focus perawatan.
The behavior is not better accounted for by a compulsion (as in
obsessive-compulsive disorder), a tic (as in tic disorder), a stereotypic that is
part of a pervasive developmental disorder, or hair pulling (as in
trichotillomania).Perilaku ini tidak dpt digolongkan sbg kompulsi
(spt dlm Ggn Obsesi-Kompulsif), tic (ggn tic), bagian dari
suatu ggn perkembangan pervasive atau mencabut2 rambut
(Trikotilomania)
The behavior is not due to the direct physiologic effects of a
substances or a general medical condition.Perilaku ini tidak
disebabkan oleh efek lsg suatu zat atau suatu kondis medis
umum.
The behavior persists for 4 weeks or longer.Perilaku ini
memetap selama 4 minggu atau lebih

Specify if Tentukan jika:


With self-injurious behaviour : If the behavior results in bodily damage that
requires specific treatment (or that would result in bodily damage if protective
measures were not used) Dengan Perilaku melukai diri: jika perilaku
menyebabkan kerusakan badan yg membutuhkan erawatan
tertentu.

DSM IV TR Diagnostic Criteria for Mental Retardation


A.

Significantly subaverage intellectual functioning: On IQ of


approximately 70 or below on an individually administered IQ test (for
infants, a clinical judgment of significant subaverage of intellectual
functioning).Fungsi2 intelektual jelas dibawah rata2.Pada tes
pemeriksaan IQ didapatkan rata2 70 atau kurang (pada
bayi berdsarkan penilaian klinis dari fungsi2 intelektual
rata2).
B.
Concurrent deficits or impairments in present adaptive
functioning (i.e., the persons effectiveness in meeting the standards
expected for his or her age by his or her cultural group) in at least two of
the following areas : communication, self-care, home living,
social/interpersonal skills, use of community resources, self-direction,
functional academic skills, work, leisure, health, and safety.Defisit2
dan hambatan pd fungsi2 adaptif saat ini (kefektifan ybs
thd standar2 yg diharapkan berdasarkan kelompok usia
atau budaya) setidaknya pada 2 area berikut: komunikasi,
perawatan
diri,
keseharian,
ketrampilan
social/antarpersonal,
pemanfaatan
fasilitas
publik,
pengarahan diri, ketrampilan fungsional akademik,
pekerjaan, kesenangan, kesehatan dan keselamatan.
C.
The onset is before age 18 years.Onsetnya sebelum usia
18 tahun.
Code based on degree of severity reflecting level of intellectual impairment :
Mild mental retardation : IQ level 50 55 to approximately 70
Moderate mental retardation : IQ level 35 40 to 50 55
Severe mental retardation : IQ level 20 25 to 35 40
Profound mental retardation : IQ level below 20 or 25
Mental retardation severity unspecified: When there is strong presumption
of mental retardation but the persons intelligence is untestable by standard
tests.
Penkodean berdasarkan derajat keparahan hambatan
intelektual:
Ringan: IQ 50 55 sampai 70
Sedang: IQ 35 40 sampai 50 55
Berat: IQ 20-25 sampai 35-40
Sangat Berat: IQ kurang dari 25
Taktertentukan: ada dugaan kuat RM tetapi belum
dilakukan tes standar