CLASSIFICATION SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTI

Brief
Delusional Schizophreniform Schizophrenia
DISORDER Pscyhotic
Disorder Disorder Disorder
Disorder

DIAGNOSTIC CRITERIA
Key Psychotic
Features (Domain)
DELUSION
(fixed beliefs that re not
amenable to change in light
✓
of conlficting evidence.)

HALLUCINATION
(perception-like experiences at least one at least one at least one
that occur without an external
stimulus)

DISORGANIZED THINKING
(SPEECH)
(typically inferred from the
individual's speech)

GROSSLY DISORGANIZED
OR ABNORMAL MOTOR
BEHAVIOR (DOB)
(manifests in variety of any
✓ ✓ ✓
problem in any form of goal-
directed behavior)

NEGATIVE SYMPTOMS
(absence of expected
emotional expression or
✓ ✓
behavior)

PERIOD OR DURATION at least 1 day

30 days or > 30 days or < 6 mos > 6 mos
(manifesttaion of symptoms) but < 30 days
Add: Distinct symptoms

SPECIFIER refer to DSM V reference

ND OTHER PSYCHOTIC DISORDER

Psychotic
Substance/ Disorder
Medication due to
Schizoaffective
(M) - Induced Another
Disorder
(I) Psychotic Medical
Disorder Condition
(AMC)
IA

at least one or both at least one or both

at least one

during or after
substance during ot after
intoxication/ diagnosis of
> 6 mos
withdrawal or after another medical
exposure to a condition
medication
 (1) criteria for
hallucination or (1) there is
delusion developed evidence from the
during or after history, physical
substance intoxication examination, or
/ withdrawal or after laboratory findings
exposure to a that the
2 weeks of mood episode
mdeication; disturbance is the
direct
(2) involved pathophysiological
substance is capable consequence of
or producing another medical
hallucaination or condition.
delusion

M V reference
CLASSIFICATION SOMATIC SYMPTOM AND RELATED DISORDER

Conversion
Factitious
Somatic Illness Disorder
Disorder
DISORDER Symptom Anxiety (Functional
(imposed on
Disorder Disorder Neurological
Self)
Symptom Disorder)

DIAGNOSTIC CRITERIA

one or more
falsification of physical
somatic symptom
preoccupation or psychological signs or
that are distressing one or more symptoms of
with having or symptoms, inductions of
or result in altered voluntary motor or
acquiring a injury or disease,
significant senosry function
serious illness associated with
disruption of daily
identified deception
life.

clincial findings provide

the individual presents
somatic evidence of incompatibility
himself or herself to
symptoms are not between the symptom and
others as ill, impaired or
present recognized neurological or
injured.
excessive medical conditions
thoughts, feelings
or behaviors
related to somatic
symptoms or
there is a high
associated thealth the symptom or deficit causes
level of anxiety
concerns as clincially significant distress or
about health, and
manifested by impairment in social, the deceptive behavior is evident eve
the individual is
atleast one (1) of occupational or other absence of obvious external rew
easily alarmed
the following: important areas of functioning
about personal
or warrants medical evaluation
health status;
(1) disproprotionate
and persitent
thoughts about the
seriousness of
the individual
one's symptoms;
performs
excessive health-
(2) persistently high
related beahviors
level of anxiety
or exhibits
about health or
maladaptive
symptoms;
avoidance
(3) excessive time
and energy devoted
to these symptoms
or health concerns
 (2) persistently high
level of anxiety
about health or
symptoms;

(3) excessive time

and energy devoted
to these symptoms
or health concerns

PERIOD OR DURATION
> than 6 months
(manifesttaion of symptoms)

the illness-related
preoccupation is
the symptom or deficit is not
not better the behavior is not better explained by
Add: Distinct symptoms better explained by another
explained by medical condition
medical condition
another medical
condition

CARE-SEEKING
TYPE
(medical care,
WITH including
PREDOMINANT physician visits or SINGLE EPISODE
PAIN (previosuly undergoing tests
Pain Disorder) and procedure is
SPECIFIER this specifier is for frequently used.
(Type) individuals whose
somatic symptoms
predominantly
involved pain.
CARE-
RECURRENT EPISODE
AVOIDANT TYPE
(two or more events of falsification of il
(medical care is
or induction of injury)
rarely used.

MILD
(only one of the
symptoms specified refer to DSM V reference
in Criterion B is
fulfilled)

MODERATE
(two or more of the
symptoms specified
SPECIFIER in Criterion B are
(Severity) fulfilled)
SPECIFIER
(Severity)

SEVERE
(two or more of the
symptoms specified
in Criterion B are
fulfilled) plus there
are multiple somatic
complaints
SORDER

Factitious
Disorder
(imposed on
Another)

(previously
Factitious
Disorder by
Proxy)

falsification of physical
or psychological signs or
symptoms, inductions of
injury or disease, in
another associated with
identified deception

the individual presents

another individual
(victim) to others as ill,
impaired or injured.

ptive behavior is evident even in the

nce of obvious external rewards
or is not better explained by another
medical condition

SINGLE EPISODE

RECURRENT EPISODE
e events of falsification of illness and/
or induction of injury)
 DISSOCIATIVE DISORDER
(disruptive of and / or discontinuity in the normal integration of
CLASSIFICATION
consciousness, memory, identity, emotion, perception, body
representation , motor control and behavior)

Dissociative
Identity
Disorder Dissociative
DISORDER Depersonalization
(Multiple Amnesia
Personality
Disorder)
DIAGNOSTIC CRITERIA

an inability to recall
important
disruption of identity autobiographical
characterized by information, usually the presence of persistent or recurent experiences of
two or more distinct of a traumatic ,or depersonalization or derealization, or both:
personality states stressful nature, that
is inconsistent with
ordinary forgetting

DEPERSONALIZATION
(experience of unreality,
detachment, or being an
outside observer with respect
to one's thoughts, feelings
sensations, body, or actions)

reality testing remains intact

recurrent gaps in
the recall of the
everyday events,
important personal
the symptoms cause clincially significant distress or impairment in social,
information a dor
occupational or other important areas of functioning
traumatic events
that are inconsistent
with ordinary
forgetting.
 the symptoms
cause clincially
significant distress
the symptoms are not attributable to the physiological effects of a substance
or impairment in
or another medical condition
social, occupational
or other important
areas of functioning

the symptoms are

not attributable to
the physiological
effects of a the disturbance is not better explained by dissociative identity disorder
substance or
another medical
condition

PERIOD OR DURATION
at least 1 month
(manifesttaion of symptoms)

the illness-related
preoccupation is not
Add: Distinct symptoms better explained by
another medical
condition

with dissociative
fugue
(apparantly
purposeful travel or
bewildered
wandering that is
SPECIFIER
associated with
amnesia for identity
or for other
important
autobiographical
information
RDER
e normal integration of
tion, perception, body
and behavior)

Derealization

persistent or recurent experiences of

ization or derealization, or both:

DEREALIZATION
(experience of unreality,
detachment with respect
to surroundings

ity testing remains intact

cant distress or impairment in social,

rtant areas of functioning
 e physiological effects of a substance
dical condition

ed by dissociative identity disorder

 CLASSIFICATION ELIMINATION DISORDER

DISORDER Enuresis Encopresis

repeated
passage of
repeated voiding
feces into
of urine into bed
inappropriate
or clothes,
places (e.g.
whether
clothing, floor),
involuntary or
whether
intentional
involuntary or
intentional

the behavior is
DIAGNOSTIC clinically significant
CRITERIA as manifested by the behavior is not
the frequency attributable to the
physiological
effects of a
substance or
presence of another medical
clinically significant condition except
distress or through a
impairment in mechanism
social, academic inlvolving
(occupational), or constipation.
other important
functioning.

at least such event

at least twice a
PERIOD OR DURATION occurs each
week for atleast 3
(manifesttaion of symptoms) month for atleast 3
consecutive months
months.

chronological age is chronological age

at least 5 years old is at least 4 years
Add: Distinct symptoms (or equivalent old (or equivalent
developmental developmental
level) level)

WITH
CONSTIPATION
NOCTURNAL AND OVERFLOW
ONLY INCONTINENCE
(passage of urine (there is evidence
only during night of constipation on
time sleep) physical
examination or by
history)

SPECIFIER
SPECIFIER

DIURNAL ONLY WITHOUT

(passage of urine CONSTIPATION
only during waking AND OVERFLOW
hours) INCONTINENCE
(there is NO
evidence of
constipation on
physical
examination or by
history)
NOCTURNAL AND
DIURNAL ONLY
(combination of two
subtypes)
 SEXUAL DYSFUNCTIONS
CLASSIFICATION
(partnered heterosexual activity)

Female
Female Sexual
Delayed Erectile
DISORDER Orgasmic Interest/
Ejaculations Disorder
Disorder Arousal
Disorder

DIAGNOSTIC CRITERIA

Lack of, or
(1) marked delay significantly
in, marked reduced, sexual
A.(1) marked delay in
infrequency of , or interest/ arousal,
ejaculation
absence of as manifested by
orgasm at least three (3)
of the following:

either of the (1) absent/

following (must be reduced interest
experienced in ins exual activity;
almost or all
occasions) (2) absent/
reduced sexual/
erotic thoughts or
either of the fantasies;
following (must be
experienced in (3) no/ reduced
almost or all (2) marked initiation of sexual
(2) marked in frequency or occasions) reduced intensity activity, and
absence of ejaculation of orgasmic typically
sensations. unrecetive to a
partner's attempts
to initiate;

(4) absent/
reduced sexual
excitement /
pleasure during
sexual activity;

(5) absent/
reduced sexual
(3) marked decresed in interest/ arousal in
erectile rigidity response to any
internal or external
sexual/ erotic
cues;

(6) absent/
reduced genital or
nongenital
sensations during
sexual activity
 internal or external
sexual/ erotic
cues;

(6) absent/
reduced genital or
nongenital
sensations during
sexual activity

cause significantly distress in the individual

the sexual dysfunction is not better explained by nonsexual mental disorder or as a consequence of sev

PERIOD OR DURATION
persisted for a minimum of 6 months
(manifesttaion of symptoms)

Add: Distinct symptoms

LIFELONG
SPECIFIER (the disturbance has been present since the individual became sexually active)
(time of onset)
ACQUIRED
(the disturbance began after a period of relatively normal sexual function)

GENERALIZED
SPECIFIER (not limited to certain types of stimulation, situations, partners)
(sexual difficulty)
SITUATIONAL
(only occurs with certain types of stimulation, situations, partners)

MILD
(evidence of mild distress over the symptoms)

SPECIFIER MODERATE
(severity) (evidence of moderate distress over the symptoms)

SEVERE
(evidence of severe or extreme distress over the symptoms)
DYSFUNCTIONS
eterosexual activity)

Male Genito-
Premature
Hypoactive Pelvic Pain/
(Early)
Sexual Penetration
Ejaculation
Disorder Disorder

ERIA

Persistent or
reccurent difficulties
with one (or more)
of the following:

(1) vaginal
oentration during
intercourse;

(2) marked
A persistent or
Persistent or vulvovaginal or
recurrent pattern of
reccurent difficient pelvic pain during
ejaculation occuring
(or absent) sexual / vaginal intercourse
during partnered
erotic thoughts or or penetration
sexual activity
fantasies and desire attempts;
within
for sexual activity.
approximately 1
(3) marked fear or
minute following
**the judgment of anxiety about
vaginal penetration
deficiency is made vulvovaginal or
and before the
by the clinician pelvic pain in
individual wishes it.
anticpation of,
during. or as a
result of vaginal
penetration;

(4) marked tensing

or tightening of the
pelvic floor muscles
during attempted
vaginal penetration.
 ly distress in the individual

mental disorder or as a consequence of severe relationship distress

a minimum of 6 months

IFELONG
since the individual became sexually active)

ACQUIRED
eriod of relatively normal sexual function)

ED
ation, situations, partners)

AL
ulation, situations, partners)

MILD
distress over the symptoms)

ODERATE
te distress over the symptoms)

SEVERE
xtreme distress over the symptoms)