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DSM 5

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DSM 5


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DSM 5/
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DSM 5

disorder 3
Allen Frances DSM IV
disability
Task Force Chairman
MajorMinorNeurocognitive Disorder
DSM 5

1American Psychiatric AssociationDiagnostic

and Statistical Manual of Mental Disorders, Fifth Edition,

DSM 5. American Psychiatric Association, Washington,


D.C., 2013
DSM IV
DSM 5 431

DSM 5

Neurodevelopmental Disorders

Intellectual Disabilities

Intellectual DisabilityIntellectual Developmental Disorder/

Global Developmental Delay


Unspecified Intellectual DisabilityUnspecified Intellectual Developmental Disorder
/

Communication Disorders/

Language Disorder/

Speech Sound Disorder/

Childhood Onset Fluency DisorderStuttering/

SocialPragmaticCommunication Disorder/

Unspecified Communication Disorder/

Autism Spectrum Disorder

AttentionDeficitHyperactivity Disorder

Specific Learning Disorder

Motor Disorders

Developmental Coordination Disorder/

Stereotypic Movement Disorder/

Tic Disorders

Tourette s Disorder/

PersistentChronicMotor or Vocal Tic Disorder/


Provisional Tic Disorder/

Other Specified Tic Disorder/


432 2014116 6

Unspecified Tic Disorder/

Other Neurodevelopmental Disorders

Other Specified Neurodevelopmental Disorder/

Unspecified Neurodevelopmental Disorder/

Schizophrenia Spectrum and Other Psychotic Disorders


SchizotypalPersonalityDisorder

Delusional Disorder
Specify whether
Erotomanic type
Grandiose type
Jealous type
Persecutory type
Somatic type
Mixed type
Unspecified type

Specify if
With bizarre content

Brief Psychotic Disorder


Specify if
With marked stressor
s
brief reactive psychosis
Without marked stressors
With postpartum onset

Schizophreniform Disorder
Specify if
With good prognostic features
Without good prognostic features

Schizophrenia

Schizoaffective Disorder
Specify whether
Bipolar type
Depressive type
DSM 5 433

Substance/Medication Induced Psychotic Disorder


Specify if
With onset during intoxication
With onset during withdrawal

Psychotic Disorder Due to Another Medical Condition


Specify whether
With delusions
With hallucinations

Catatonia Associated With Another Mental DisorderCatatonia Specifier


Catatonic Disorder Due to Another Medical Condition

Unspecified Catatonia

Other Specified Schizophrenia Spectrum and Other Psychotic Disorder


Unspecified Schizophrenia Spectrum and Other Psychotic Disorder


Attenuated Psychosis SyndromeProposed for Section of the DSM 5


Bipolar and Related Disorders


Specify
With anxious distress

specify current severitymild, moderate, moderate severe, severe



With mixed features
With rapid cycling
With melancholic features
With atypical features
With mood congruent psychotic features
With mood incongruent psychotic features
With catatonia
With peripartum onset
With seasonal pattern
434 2014116 6

BipolarDisorder
Current or most recent episode manic
Mild
Moderate
Severe
With psychotic features
In partial remission
In full remission
Unspecified

Current or most recent episode hypomanic


In partial remission
In full remission
Unspecified

Current or most recent episode depressed


Mild
Moderate
Severe
With psychotic features
In partial remission
In full remission
Unspecified

Current or most recent episode unspecified

Bipolar Disorder
Specify current or most recent episode
Hypomanic
Depressed

Cyclothymic Disorder
Specify if
With anxious distress

Substance/Medication Induced Bipolar and Related Disorder


Specify if
With onset during intoxication
With onset during withdrawal

Bipolar and Related Disorder Due to Another Medical Condition



Specify if
With manic features
With manic or hypomanic like episode
With mixed features
DSM 5 435

Other Specified Bipolar and Related Disorder

Unspecified Bipolar and Related Disorder

Depressive Disorders

Specify
With anxious distress
With mixed features
With melancholic features
With atypical features
With mood congruent psychotic features
With mood incongruent psychotic features
With catatonia
With peripartum onset
With seasonal pattern

Disruptive Mood Dysregulation Disorder


temper outbursts

Major Depressive DisorderDSM 5/


Single episode
Mild
Moderate
Severe
With psychotic features
In partial remission
In full remission
Unspecified
Recurrent episode

major depressive episodeDSM 5


DSM 5DSM 5 DSM 5

Persistent Depressive DisorderDysthymia


Specify if
In partial remission
In full remission

Specify if
Early onset
Late onset
436 2014116 6

Specify if
With pure dysthymic syndrome
With persistent major depressive episodeDSM 5
With intermittent major depressive episodes, with current episodeDSM 5

With intermittent major depressive episodes, without current episodeDSM 5

Premenstrual Dysphoric Disorder

Substance/Medication Induced Depressive Disorder


Specify if
With onset during intoxication
With onset during withdrawal

Depressive Disorder Due to Another Medical Condition


Specify if
With depressive features
With major depressive 1ike episodeDSM 5
With mixed features

Other Specified Depressive Disorder

Unspecified Depressive Disorder

Anxiety Disorders

Separation Anxiety Disorder/

Selective Mutism

Specific Phobia
Specify if
Animale.g., spiders, insects, dogs
Natural environmente.g., heights, storms, water

Blood injection injurye.g., needles, invasive medical procedures

Situationale.g., airplanes, elevators, enclosed places
Othere.g., situations that may lead to choking or vomitingin children, loud sounds or costumed
characters

Social Anxiety DisorderSocial Phobia/


Specify if
DSM 5 437

Performance only

Panic Disorder/

Panic Attack Specifier

Agoraphobia

Generalized Anxiety Disorder/

Substance/Medication Induced Anxiety Disorder/


Specify if
With onset during intoxication
With onset during withdrawal
With onset after medication use

Anxiety Disorder Due to Another Medical Condition/

Other Specified Anxiety Disorder/

Unspecified Anxiety Disorder/

ObsessiveCompulsive and Related Disorders


Specify if
With good or fair insight
With poor insight
With absent insight/delusional beliefs

Obsessive Compulsive Disorder/


Specify if
Tic related

Body Dysmorphic Disorder/


Specify if
With muscle dysmorphia

Hoarding Disorder
Specify if
With excessive acquisition

TrichotillomaniaHair Pulling Disorder

ExcoriationSkin PickingDisorder
438 2014116 6

Substance/Medication Induced Obsessive Compulsive and Related Disorder


/
Specify if
With onset during intoxication
With onset during withdrawal
With onset after medication use

Obsessive Compulsive and Related Disorder Due to Another Medical Condition


/
Specify if
With obsessive compulsive disorder like symptoms
With appearance preoccupations
With hoarding symptoms
With hair pulling symptoms
With skin picking symptoms

Other Specified Obsessive Compulsive and Related Disorder/



Body dysmorphic like disorder with actual flaws/

Body dysmorphic like disorder without repetitive behaviors/


Body focused repetitive behavior disorder/

Obsessional jealousy

Unspecified Obsessive Compulsive and Related Disorder/


Trauma and StressorRelated Disorders


Reactive Attachment Disorder/


Specify if
Persistent
Severe
DSM 5 439

Disinhibited Social Engagement Disorder


Specify if
Persistent
Severe


Posttraumatic Stress Disorderincludes Posttraumatic Stress Disorder for Children 6 Years and Younger
6
Specify whether
With dissociative symptoms1Depersonalization, 2Derealization
1
2
Specify if
With delayed expression

Acute Stress Disorder


Intrusion Symptoms
Negative Mood
Dissociative Symptoms
Avoidance Symptoms
Arousal Symptoms

Adjustment Disorders
Specify whether
With depressed mood
With anxiety
With mixed anxiety and depressed mood
With disturbance of conduct
With mixed disturbance of emotions and conduct
Unspecified

Other Specified Trauma and Stressor Related Disorder


Adjustment like disorders with delayed onset of symptoms that occur more than 3 months after the
stressor 3

Adjustment like disorders with prolonged duration of more than 6 months without prolonged duration of
stressor 6

Other cultural syndromes

Persistent complex bereavement disorder

Unspecified Trauma and Stressor Related Disorder


440 2014116 6

Dissociative Disorders

Dissociative Identity Disorder/

Dissociative Amnesia
Specify if
With dissociative fugue

Depersonalization/Derealization Disorder/

Other Specified Dissociative Disorder/

Chronic and recurrent syndromes of mixed dissociative symptoms


Identity disturbance due to prolonged and intense coercive persuasion


Acute dissociative reactions to stressful events

Dissociative trance

Unspecified Dissociative Disorder/

Somatic Symptom and Related Disorders


Somatic Symptom Disorder


Specify if
With predominant painpreviously pain disorder
Persistent
Mild
Moderate
Severe

Illness Anxiety Disorder


Specify whether
Care seeking type
Care avoidant type

/
Conversion DisorderFunctional Neurological Symptom Disorder
Specify symptom type
With weakness or paralysis
DSM 5 441

With abnormal movement


With swallowing symptoms
With speech symptom
With attacks or seizures
With anesthesia or sensory loss
With special sensory symptoms
With mixed symptoms

Specify if
Acute episode
Persistent
With psychological stressor
Without psychological stressor

Psychological Factors Affecting Other Medical Conditions

Factitious Disorder/
Factitious Disorder Imposed on Self
Factitious Disorder Imposed on AnotherPreviously Factitious Disorder by Proxy


Specify if
Single episode
Recurrent episodes

Other Specified Somatic Symptom and Related Disorder

Brief somatic symptom disorder

Brief illness anxiety disorder

Illness anxiety disorder without excessive health related behaviors


Pseudocyesis

Unspecified Somatic Symptom and Related Disorder

Feeding and Eating Disorders


Pica

Rumination Disorder/

Avoidant/Restrictive Food Intake Disorder/


442 2014116 6

Anorexia Nervosa/
Specify whether
Restricting type
Binge eating/purging type

Bulimia Nervosa/

Binge Eating Disorder

Other Specified Feeding or Eating Disorder

Atypical anorexia nervosa

Bulimia nervosaof low frequency and/or limited duration


/

Binge eating disorder


of low frequency and/or limited duration /

Purging disorder

Night eating syndrome

Unspecified Feeding or Eating Disorder

Elimination Disorders

Enuresis

Encopresis

SleepWake Disorders

Insomnia Disorder

Hypersomnolence Disorder

Narcolepsy
Specify if
Narcolepsy without cataplexy but with hypocretin deficiency

Narcolepsy with cataplexy but without hypocretin deficiency

DSM 5 443

Autosomal dominant cerebellar ataxia, deafness, and narcolepsy



Autosomal dominant narcolepsy, obesity, and type 2 diabetes 2

Narcolepsy secondary to another medical condition

BreathingRelated Sleep Disorders

Obstructive Sleep Apnea Hypopnea

Central Sleep Apnea


Specify whether
Idiopathic central sleep apnea
Cheyne Stokes breathing
Central sleep apnea comorbid with opioid use

Sleep Related Hypoventilation


Specify whether
Idiopathic hypoventilation
Congenital central alveolar hypoventilation
Comorbid sleep related hypoventilation

Circadian Rhythm SleepWake Disorders


Specify whether
Delayed sleep phase type
Advanced sleep phase type
Irregular sleep wake type
Non 24 hour sleep wake type 24
Shift work type
Unspecified type

Parasomnias
Non Rapid Eye Movement Sleep Arousal Disorders
Specify whether
Sleepwalking type
Sleep terror type
Nightmare Disorder
Rapid Eye Movement Sleep Behavior Disorder

Restless Legs Syndrome

Substance/Medication Induced Sleep Disorder


Specify whether
Insomnia type
Daytime sleepiness type
Parasomnia type
444 2014116 6

Mixed type

Other Specified Insomnia Disorder

Unspecified Insomnia Disorder

Other Specified Hypersomnolence Disorder

Unspecified Hypersomnolence Disorder

Other Specified Sleep Wake Disorder

Unspecified Sleep Wake Disorder

Sexual Dysfunctions

Delayed Ejaculation

Erectile Disorder

Female Orgasmic Disorder

Female Sexual Interest/Arousal Disorder

Genito Pelvic Pain/Penetration Disorder

Male Hypoactive Sexual Desire Disorder

PrematureEarlyEjaculation

Substance/Medication Induced Sexual Dysfunction

Other Specified Sexual Dysfunction

Unspecified Sexual Dysfunction

Gender Dysphoria

Gender Dysphoria in Children

Gender Dysphoria in Adolescents and Adults

Other Specified Gender Dysphoria

Unspecified Gender Dysphoria


DSM 5 445

posttransition
gender reassignment surgery

Disruptive, ImpulseControl, and Conduct Disorders


Oppositional Defiant Disorder/

Intermittent Explosive Disorder/

Conduct Disorder/

Pyromania

Kleptomania

XVISubstanceRelated and Addictive Disorders


1Substance/MedicationInduced Mental Disorders

Substance/Medication Induced Psychotic Disorder


Specify if
With onset during intoxication
With onset during withdrawal

Substance/Medication Induced Bipolar and Related Disorder


Specify if
With onset during intoxication
With onset during withdrawal

Substance/Medication Induced Depressive Disorder


Specify if
With onset during intoxication
With onset during withdrawal

Substance/Medication Induced Anxiety Disorder/


Specify if
With onset during intoxication
With onset during withdrawal
With onset after medication use
446 2014116 6

Substance/Medication Induced Obsessive Compulsive and Related Disorder


/
Specify if
With onset during intoxication
With onset during withdrawal
With onset after medication use

Substance/Medication Induced Sleep Disorder


Specify whether
Insomnia type
Daytime sleepiness type
Parasomnia type
Mixed type

Specify if
With onset during intoxication
With onset during discontinuation/withdrawal

Substance/Medication Induced Sexual Dysfunction


Specify if
With onset during intoxication
With onset during withdrawal
With onset after medication use

Delirium
Specify whether
Substance intoxication delirium
Substance withdrawal delirium
Medication induced delirium

Substance/Medication Induced Major or Mild Neurocognitive DisorderDSM 5


DSM 5
Specify if
Persistent

2SubstanceRelated and Addictive Disorders

SubstanceRelated Disorders

AlcoholRelated Disorders

Alcohol Use Disorder


Specify if
In early remission
In sustained remission
DSM 5 447

Specify if
In a controlled environment

Specify current severity


Mild
Moderate
Severe

Alcohol Intoxication
With use disorder, mild
With use disorder, moderate or severe
Without use disorder

Alcohol Withdrawal
Without perceptual disturbances
With perceptual disturbances

Other Alcohol Induced Disorders

Unspecified Alcohol Related Disorder

CaffeineRelated Disorders

Caffeine Intoxication

Caffeine Withdrawal

Other Caffeine Induced Disorders

Unspecified Caffeine Related Disorder

CannabisRelated Disorders

Cannabis Use Disorder


Specify if
In early remission
In sustained remission

Specify if
In a controlled environment

Specify current severity


Mild
Moderate
Severe

Cannabis Intoxication
Without perceptual disturbances
With use disorder, mild
With use disorder, moderate or severe
Without use disorder
448 2014116 6

With perceptual disturbances


With use disorder, mild
With use disorder, moderate or severe
Without use disorder

Cannabis Withdrawal

Other Cannabis Induced Disorders

Unspecified Cannabis Related Disorder

HallucinogenRelated Disorders

Phencyclidine Use Disorder


Specify current severity
Mild
Moderate
Severe

Other Hallucinogen Use Disorder


Specify the particular hallucinogen

Specify current severity


Mild
Moderate
Severe

Phencyclidine Intoxication
With use disorder, mild
With use disorder, moderate or severe
Without use disorder

Other Hallucinogen Intoxication


With use disorder, mild
With use disorder, moderate or severe
Without use disorder

Hallucinogen Persisting Perception Disorder

Other Phencyclidine Induced Disorders

Other Hallucinogen Induced Disorders

Unspecified Phencyclidine Related Disorder

Unspecified Hallucinogen Related Disorder


DSM 5 449

InhalantRelated Disorders

Inhalant Use Disorder


Specify the particular inhalant

Specify current severity


Mild
Moderate
Severe

Inhalant Intoxication
With use disorder, mild
With use disorder, moderate or severe
Without use disorder

Other Inhalant Induced Disorders

Unspecified Inhalant Related Disorder

OpioidRelated Disorders

Opioid Use Disorder


Specify if
On maintenance therapy
In a controlled environment

Specify current severity


Mild
Moderate
Severe

Opioid Intoxication
Without perceptual disturbances
With use disorder, mild
With use disorder, moderate or severe
Without use disorder
With perceptual disturbances
With use disorder, mild
With use disorder, moderate or severe
Without use disorder

Opioid Withdrawal

Other Opioid Induced Disorders

Unspecified Opioid Related Disorder


450 2014116 6

Sedative, Hypnotic, or AnxiolyticRelated Disorders

Sedative, Hypnotic, or Anxiolytic Use Disorder


Specify current severity
Mild
Moderate
Severe

Sedative, Hypnotic, or Anxiolytic Intoxication


With use disorder, mild
With use disorder, moderate or severe
Without use disorder

Sedative, Hypnotic, or Anxiolytic Withdrawal


Without perceptual disturbances
With perceptual disturbances

Other Sedative , Hypnotic , or Anxiolytic Induced Disorders

Unspecified Sedative , Hypnotic , or Anxiolytic Related Disorder


StimulantRelated Disorders

Stimulant Use Disorder


Specify current severity
Mild
Amphetamine type substance
Cocaine
Other or unspecified stimulant

Moderate
Amphetamine type substance
Cocaine
Other or unspecified stimulant

Severe
Amphetamine type substance
Cocaine
Other or unspecified stimulant

Stimulant Intoxication
Specify the specific intoxicant
Amphetamine or other stimulant, Without perceptual disturbances

Cocaine, Without perceptual disturbances
Amphetamine or other stimulant, With perceptual disturbances
DSM 5 451


Cocaine, With perceptual disturbances

With use disorder, mild


With use disorder, moderate or severe
Without use disorder

Stimulant Withdrawal
Specify the specific substance that causes the withdrawal syndrome

Amphetamine or other stimulant
Cocaine

Other Stimulant Induced Disorders

Unspecified Stimulant Related Disorder


Amphetamine or other stimulant
Cocaine

TobaccoRelated Disorders

Tobacco Use Disorder


Specify if
On maintenance therapy
In a controlled environment

Specify current severity


Mild
Moderate
Severe

Tobacco Withdrawal

Other Tobacco Induced Disorders

Unspecified Tobacco Related Disorder

Otheror UnknownSubstanceRelated Disorders

Otheror UnknownSubstance Use Disorder


Specify current severity
Mild
Moderate
Severe

Otheror UnknownSubstance Intoxication


With use disorder, mild
With use disorder, moderate or severe
452 2014116 6

Without use disorder

Otheror UnknownSubstance Withdrawal

Otheror UnknownSubstance Induced Disorders

Unspecified Otheror UnknownSubstance Related Disorder

NonSubstanceRelated Disorders

Gambling Disorder
Specify if
Episodic
Persistent

Specify if
In early remission
In sustained remission

Specify current severity


Mild
Moderate
Severe

Conditions for Further Study

Caffeine Use Disorder

Internet Gaming Disorder

Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure


XVIINeurocognitiveDisorders

Delirium
Specify whether
Substance intoxication delirium
Substance withdrawal delirium
Medication induced delirium
Delirium due to another medical condition
Delirium due to multiple etiologies

Other Specified Delirium

Unspecified Delirium
DSM 5 453

Major and Mild Neurocognitive DisordersDSM5DSM5

Major Neurocognitive DisorderDSM 5


Mild Neurocognitive DisorderDSM 5

DSM 5DSM 5 DSM 5

Subtypes of Major and Mild Neurocognitive DisordersDSM5DSM5

Major or Mild Neurocognitive Disorder Due to Alzheimer s DiseaseDSM 5


DSM 5
Probable
Possible

Major or Mild Frontotemporal Neurocognitive DisorderDSM 5


DSM 5


Major or Mild Neurocognitive Disorder with Lewy BodiesDSM 5
DSM 5DSM 5

Major or Mild Vascular Neurocognitive DisorderDSM 5DSM 5

Major or Mild Neurocogntive Disorder Due to Traumatic Brain InjuryDSM 5


DSM 5

Substance/Medication Induced Major or Mild Neurocognitive DisorderDSM 5


DSM 5

Major or Mild Neurocognitive Disorder Due to HIV InfectionHIV DSM 5 HIV


DSM 5

Major or Mild Neurocognitive Disorder Due to Prion DiseaseDSM 5


DSM 5

Major or Mild Neurocognitive Disorder Due to Parkinson s DiseaseDSM 5


DSM 5

Major or Mild Neurocognitive Disorder Due to Huntington s DiseaseDSM 5


DSM 5

Major or Mild Neurocognitive Disorder Due to Another Medical Condition


DSM 5DSM 5

Major or Mild Neurocognitive Disorder Due to Multiple EtiologiesDSM 5


DSM 5

Unspecified Neurocognitive Disorder


454 2014116 6


active neurologic
agnosia
altered food preferences
anosmia
another mental disorder
anxiolytic
apathy
apraxia
atypical disorder
behavioral disinhibition
behavioral variant
behavioral variant frontotemporal neurocognitive disorder
bovine spongiform encephalopathy
careless actions
cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy

cerebrovascular disease
cognitive deficits
cognitive domain
cognitive impairment
complex attention
compulsive/ritualistic behavior/
confusion
consumption of inedible objects
decorum
deficits in orientation
dementia with Lewy bodies
dietary changes
diminished social interest
dopamine transporter uptake
early and prominent Parkinsonian features
executive ability
executive function
frontalexecutive functioning
frontotemporal lobar degeneration
frontotemporal degeneration
hallucinogen
human immunodeficiency virusHIVHIV
hyperorality
hypnotic
DSM 5 455

hypoperfusion
impulsive
increased consumption of alcohol or cigarettes
inertia
inhalant
interrelatedness
language disturbance
language variant
language variant frontotemporal neurocognitive disorder
level of arousal
level of awareness
Lewy body disease
loss of consciousness
loss of empathy
loss of manners
loss of sympathy
memory deficit
memory impairment
mental flexibility impairments
neurocognitive deficits
neurocognitive syndrome
nonHIV conditionsHIV
nonneurodegenerative medical condition
not elsewhere classified label
object naming
oral exploration
other nonsubstance use disorder conditions
pathogenic mutation
perceptual disturbance
perseverative
personal warmth
posttraumatic amnesia
rash
sedative
severe neuroleptic sensitivity
socially inappropriate behavior
speech production
stereotyped
substance intoxication
substance withdrawal
subsyndromal delirium
subthreshold disorder
456 2014116 6

systemic illness
transcortical sensory aphasia
traumatic brain injuryTBITBI
uncertain etiology
vascular
vascular events
visual constructualperceptual function
visual field cuts
visuoperception
visuospatial skills
white matter hyperintensities
withdrawal/
word comprehension
word finding
worsening of a preexisting seizure disorder

XVIIIPersonality Disorders

Paranoid Personality Disorder/

Schizoid Personality Disorder/

Schizotypal Personality Disorder

Antisocial Personality Disorder

Borderline Personality Disorder

Histrionic Personality Disorder

Narcissistic Personality Disorder

Avoidant Personality Disorder

Dependent Personality Disorder

Obsessive Compulsive Personality Disorder

Personality Change due to Another Medical Condition

Other Specified Personality Disorder and Unspecified Personality Disorder


Personality Disorder Trait Specified


DSM 5 457

XIXParaphilic Disorders

Voyeuristic Disorder

Exhibitionistic Disorder

Frotteuristic Disorder

Sexual Masochism Disorder

Sexual Sadism Disorder

Pedophilic Disorder

Fetishistic Disorder

Transvestic Disorder

Other Specified Paraphilic Disorder

Unspecified Paraphilic Disorder

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