DSM 5 TR write up# 2 ???? ???? Please use the manual to summarize the major points of the assignment. DSM 5 ATTACHED ?Generalized anxiety disorder.?? ?DSM-51.pdfDSM5RUBRIC.docx
DSM 5 TR write up# 2
Please use the manual to summarize the major points of the assignment. DSM 5 ATTACHED
Generalized anxiety disorder.
DIAGNOSTIC AND STATISTICAL MANUAL OF
MENTAL DISORDERS F I F T H E D I T I O N
DSM-5™
American Psychiatric Association
Officers 2012–2013 PRESIDENT DILIP V. JESTE, M.D.
PRESIDENT-ELECT JEFFREY A. LIEBERMAN, M.D. TREASURER DAVID FASSLER, M.D. SECRETARY ROGER PEELE, M.D.
Assembly SPEAKER R. SCOTT BENSON, M.D.
SPEAKER-ELECT MELINDA L. YOUNG, M.D.
Board of Trustees JEFFREY AKAKA, M.D.
CAROL A. BERNSTEIN, M.D. BRIAN CROWLEY, M.D.
ANITA S. EVERETT, M.D. JEFFREY GELLER, M.D., M.P.H.
MARC DAVID GRAFF, M.D. JAMES A. GREENE, M.D.
JUDITH F. KASHTAN, M.D. MOLLY K. MCVOY, M.D. JAMES E. NININGER, M.D. JOHN M. OLDHAM, M.D.
ALAN F. SCHATZBERG, M.D. ALIK S. WIDGE, M.D., PH.D.
ERIK R. VANDERLIP, M.D., MEMBER-IN-TRAINING TRUSTEE-ELECT
Washington, DC London, England
DIAGNOSTIC AND STATISTICAL MANUAL OF
MENTAL DISORDERS F I F T H E D I T I O N
DSM-5™
Copyright © 2013 American Psychiatric Association
DSM and DSM-5 are trademarks of the American Psychiatric Association. Use of these terms is prohibited without permission of the American Psychiatric Association.
ALL RIGHTS RESERVED. Unless authorized in writing by the APA, no part of this book may be reproduced or used in a manner inconsistent with the APA’s copyright. This prohibition applies to unauthorized uses or reproductions in any form, including electronic applications.
Correspondence regarding copyright permissions should be directed to DSM Permissions, American Psychiatric Publishing, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209- 3901.
Manufactured in the United States of America on acid-free paper.
ISBN 978-0-89042-554-1 (Hardcover) 2nd printing June 2013
ISBN 978-0-89042-555-8 (Paperback) 2nd printing June 2013
American Psychiatric Association 1000 Wilson Boulevard Arlington, VA 22209-3901 www.psych.org
The correct citation for this book is American Psychiatric Association: Diagnostic and Statisti- cal Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Associa- tion, 2013.
Library of Congress Cataloging-in-Publication Data Diagnostic and statistical manual of mental disorders : DSM-5. — 5th ed.
p. ; cm. DSM-5 DSM-V Includes index. ISBN 978-0-89042-554-1 (hardcover : alk. paper) — ISBN 978-0-89042-555-8 (pbk. : alk. paper) I. American Psychiatric Association. II. American Psychiatric Association. DSM-5 Task Force. III. Title: DSM-5. IV. Title: DSM-V. [DNLM: 1. Diagnostic and statistical manual of mental disorders. 5th ed. 2. Mental Disorders— classification. 3. Mental Disorders—diagnosis. WM 15] RC455.2.C4 616.89'075—dc23
2013011061
British Library Cataloguing in Publication Data A CIP record is available from the British Library.
Text Design—Tammy J. Cordova
Manufacturing—R.R. Donnelley
Contents
DSM-5 Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xli
Section I DSM-5 Basics
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Use of the Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Cautionary Statement for Forensic Use of DSM-5 . . . . . . . . . . . .25
Section II Diagnostic Criteria and Codes
Neurodevelopmental Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Schizophrenia Spectrum and Other Psychotic Disorders . . . . . .87
Bipolar and Related Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . .123
Depressive Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155
Anxiety Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Obsessive-Compulsive and Related Disorders . . . . . . . . . . . . .235
Trauma- and Stressor-Related Disorders . . . . . . . . . . . . . . . . . .265
Dissociative Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .291
Somatic Symptom and Related Disorders . . . . . . . . . . . . . . . . .309
Feeding and Eating Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . .329
Elimination Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355
Sleep-Wake Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .361
Sexual Dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .423
Gender Dysphoria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .451
Disruptive, Impulse-Control, and Conduct Disorders . . . . . . . . 461
Substance-Related and Addictive Disorders . . . . . . . . . . . . . . . 481
Neurocognitive Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 591
Personality Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 645
Paraphilic Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 685
Other Mental Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 707
Medication-Induced Movement Disorders and Other Adverse Effects of Medication . . . . . . . . . . . . . . . . 709
Other Conditions That May Be a Focus of Clinical Attention . . 715
Section III Emerging Measures and Models
Assessment Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 733
Cultural Formulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 749
Alternative DSM-5 Model for Personality Disorders . . . . . . . . . 761
Conditions for Further Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . 783
Appendix Highlights of Changes From DSM-IV to DSM-5 . . . . . . . . . . . . . 809
Glossary of Technical Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 817
Glossary of Cultural Concepts of Distress . . . . . . . . . . . . . . . . . 833
Alphabetical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM and ICD-10-CM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 839
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 863
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-10-CM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 877
DSM-5 Advisors and Other Contributors . . . . . . . . . . . . . . . . . . 897
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 917
DSM-5 Task Force DAVID J. KUPFER, M.D.
Task Force Chair DARREL A. REGIER, M.D., M.P.H.
Task Force Vice-Chair William E. Narrow, M.D., M.P.H.,
Research Director Susan K. Schultz, M.D., Text Editor Emily A. Kuhl, Ph.D., APA Text Editor
Dan G. Blazer, M.D., Ph.D., M.P.H. Jack D. Burke Jr., M.D., M.P.H. William T. Carpenter Jr., M.D. F. Xavier Castellanos, M.D. Wilson M. Compton, M.D., M.P.E. Joel E. Dimsdale, M.D. Javier I. Escobar, M.D., M.Sc. Jan A. Fawcett, M.D. Bridget F. Grant, Ph.D., Ph.D. (2009–) Steven E. Hyman, M.D. (2007–2012) Dilip V. Jeste, M.D. (2007–2011) Helena C. Kraemer, Ph.D. Daniel T. Mamah, M.D., M.P.E. James P. McNulty, A.B., Sc.B. Howard B. Moss, M.D. (2007–2009)
Charles P. O’Brien, M.D., Ph.D. Roger Peele, M.D. Katharine A. Phillips, M.D. Daniel S. Pine, M.D. Charles F. Reynolds III, M.D. Maritza Rubio-Stipec, Sc.D. David Shaffer, M.D. Andrew E. Skodol II, M.D. Susan E. Swedo, M.D. B. Timothy Walsh, M.D. Philip Wang, M.D., Dr.P.H. (2007–2012) William M. Womack, M.D. Kimberly A. Yonkers, M.D. Kenneth J. Zucker, Ph.D. Norman Sartorius, M.D., Ph.D., Consultant
APA Division of Research Staff on DSM-5 Darrel A. Regier, M.D., M.P.H.,
Director, Division of Research William E. Narrow, M.D., M.P.H.,
Associate Director Emily A. Kuhl, Ph.D., Senior Science
Writer; Staff Text Editor Diana E. Clarke, Ph.D., M.Sc., Research
Statistician
Lisa H. Greiner, M.S.S.A., DSM-5 Field Trials Project Manager
Eve K. Moscicki, Sc.D., M.P.H., Director, Practice Research Network
S. Janet Kuramoto, Ph.D. M.H.S., Senior Scientific Research Associate, Practice Research Network
Amy Porfiri, M.B.A. Director of Finance and Administration
Jennifer J. Shupinka, Assistant Director, DSM Operations
Seung-Hee Hong, DSM Senior Research Associate
Anne R. Hiller, DSM Research Associate Alison S. Beale, DSM Research Associate Spencer R. Case, DSM Research Associate
Joyce C. West, Ph.D., M.P.P., Health Policy Research Director, Practice Research Network
Farifteh F. Duffy, Ph.D., Quality Care Research Director, Practice Research Network
Lisa M. Countis, Field Operations Manager, Practice Research Network
Christopher M. Reynolds, Executive Assistant
APA Office of the Medical Director JAMES H. SCULLY JR., M.D.
Medical Director and CEO
Editorial and Coding Consultants Michael B. First, M.D. Maria N. Ward, M.Ed., RHIT, CCS-P
DSM-5 Work Groups
ADHD and Disruptive Behavior Disorders DAVID SHAFFER, M.D.
Chair
F. XAVIER CASTELLANOS, M.D. Co-Chair
Paul J. Frick, Ph.D., Text Coordinator Glorisa Canino, Ph.D. Terrie E. Moffitt, Ph.D. Joel T. Nigg, Ph.D.
Luis Augusto Rohde, M.D., Sc.D. Rosemary Tannock, Ph.D. Eric A. Taylor, M.B. Richard Todd, Ph.D., M.D. (d. 2008)
Anxiety, Obsessive-Compulsive Spectrum, Posttraumatic, and Dissociative Disorders
KATHARINE A. PHILLIPS, M.D. Chair
Michelle G. Craske, Ph.D., Text Coordinator
J. Gavin Andrews, M.D. Susan M. Bögels, Ph.D. Matthew J. Friedman, M.D., Ph.D. Eric Hollander, M.D. (2007–2009) Roberto Lewis-Fernández, M.D., M.T.S. Robert S. Pynoos, M.D., M.P.H.
Scott L. Rauch, M.D. H. Blair Simpson, M.D., Ph.D. David Spiegel, M.D. Dan J. Stein, M.D., Ph.D. Murray B. Stein, M.D. Robert J. Ursano, M.D. Hans-Ulrich Wittchen, Ph.D.
Childhood and Adolescent Disorders DANIEL S. PINE, M.D.
Chair
Ronald E. Dahl, M.D. E. Jane Costello, Ph.D. (2007–2009) Regina Smith James, M.D. Rachel G. Klein, Ph.D.
James F. Leckman, M.D. Ellen Leibenluft, M.D. Judith H. L. Rapoport, M.D. Charles H. Zeanah, M.D.
Eating Disorders B. TIMOTHY WALSH, M.D.
Chair
Stephen A. Wonderlich, Ph.D., Text Coordinator
Evelyn Attia, M.D. Anne E. Becker, M.D., Ph.D., Sc.M. Rachel Bryant-Waugh, M.D. Hans W. Hoek, M.D., Ph.D.
Richard E. Kreipe, M.D. Marsha D. Marcus, Ph.D. James E. Mitchell, M.D. Ruth H. Striegel-Moore, Ph.D. G. Terence Wilson, Ph.D. Barbara E. Wolfe, Ph.D. A.P.R.N.
Mood Disorders JAN A. FAWCETT, M.D.
Chair
Ellen Frank, Ph.D., Text Coordinator Jules Angst, M.D. (2007–2008) William H. Coryell, M.D. Lori L. Davis, M.D. Raymond J. DePaulo, M.D. Sir David Goldberg, M.D. James S. Jackson, Ph.D.
Kenneth S. Kendler, M.D. (2007–2010)
Mario Maj, M.D., Ph.D. Husseini K. Manji, M.D. (2007–2008) Michael R. Phillips, M.D. Trisha Suppes, M.D., Ph.D. Carlos A. Zarate, M.D.
Neurocognitive Disorders DILIP V. JESTE, M.D. (2007–2011)
Chair Emeritus
DAN G. BLAZER, M.D., PH.D., M.P.H. Chair
RONALD C. PETERSEN, M.D., PH.D. Co-Chair
Mary Ganguli, M.D., M.P.H., Text Coordinator
Deborah Blacker, M.D., Sc.D. Warachal Faison, M.D. (2007–2008)
Igor Grant, M.D. Eric J. Lenze, M.D. Jane S. Paulsen, Ph.D. Perminder S. Sachdev, M.D., Ph.D.
Neurodevelopmental Disorders SUSAN E. SWEDO, M.D.
Chair
Gillian Baird, M.A., M.B., B.Chir., Text Coordinator
Edwin H. Cook Jr., M.D. Francesca G. Happé, Ph.D. James C. Harris, M.D. Walter E. Kaufmann, M.D. Bryan H. King, M.D. Catherine E. Lord, Ph.D.
Joseph Piven, M.D. Sally J. Rogers, Ph.D. Sarah J. Spence, M.D., Ph.D. Rosemary Tannock, Ph.D. Fred Volkmar, M.D. (2007–2009) Amy M. Wetherby, Ph.D. Harry H. Wright, M.D.
Personality and Personality Disorders1
ANDREW E. SKODOL, M.D. Chair
JOHN M. OLDHAM, M.D. Co-Chair
Robert F. Krueger, Ph.D., Text Coordinator
Renato D. Alarcon, M.D., M.P.H. Carl C. Bell, M.D. Donna S. Bender, Ph.D.
Lee Anna Clark, Ph.D. W. John Livesley, M.D., Ph.D. (2007–2012) Leslie C. Morey, Ph.D. Larry J. Siever, M.D. Roel Verheul, Ph.D. (2008–2012)
1 The members of the Personality and Personality Disorders Work Group are responsible for the alternative DSM-5 model for personality disorders that is included in Section III. The Section II personality disorders criteria and text (with updating of the text) are retained from DSM-IV-TR.
Psychotic Disorders WILLIAM T. CARPENTER JR., M.D.
Chair
Deanna M. Barch, Ph.D., Text Coordinator
Juan R. Bustillo, M.D. Wolfgang Gaebel, M.D. Raquel E. Gur, M.D., Ph.D. Stephan H. Heckers, M.D.
Dolores Malaspina, M.D., M.S.P.H. Michael J. Owen, M.D., Ph.D. Susan K. Schultz, M.D. Rajiv Tandon, M.D. Ming T. Tsuang, M.D., Ph.D. Jim van Os, M.D.
Sexual and Gender Identity Disorders KENNETH J. ZUCKER, PH.D.
Chair
Lori Brotto, Ph.D., Text Coordinator Irving M. Binik, Ph.D. Ray M. Blanchard, Ph.D. Peggy T. Cohen-Kettenis, Ph.D. Jack Drescher, M.D. Cynthia A. Graham, Ph.D.
Martin P. Kafka, M.D. Richard B. Krueger, M.D. Niklas Långström, M.D., Ph.D. Heino F.L. Meyer-Bahlburg, Dr. rer. nat. Friedemann Pfäfflin, M.D. Robert Taylor Segraves, M.D., Ph.D.
Sleep-Wake Disorders CHARLES F. REYNOLDS III, M.D.
Chair
Ruth M. O’Hara, Ph.D., Text Coordinator Charles M. Morin, Ph.D. Allan I. Pack, Ph.D.
Kathy P. Parker, Ph.D., R.N. Susan Redline, M.D., M.P.H. Dieter Riemann, Ph.D.
Somatic Symptom Disorders JOEL E. DIMSDALE, M.D.
Chair
James L. Levenson, M.D., Text Coordinator
Arthur J. Barsky III, M.D. Francis Creed, M.D. Nancy Frasure-Smith, Ph.D. (2007–2011)
Michael R. Irwin, M.D. Francis J. Keefe, Ph.D. (2007–2011) Sing Lee, M.D. Michael Sharpe, M.D. Lawson R. Wulsin, M.D.
Substance-Related Disorders CHARLES P. O’BRIEN, M.D., PH.D.
Chair
THOMAS J. CROWLEY, M.D. Co-Chair
Wilson M. Compton, M.D., M.P.E., Text Coordinator
Marc Auriacombe, M.D. Guilherme L. G. Borges, M.D., Dr.Sc. Kathleen K. Bucholz, Ph.D. Alan J. Budney, Ph.D. Bridget F. Grant, Ph.D., Ph.D. Deborah S. Hasin, Ph.D.
Thomas R. Kosten, M.D. (2007–2008) Walter Ling, M.D. Spero M. Manson, Ph.D. (2007-2008) A. Thomas McLellan, Ph.D. (2007–2008) Nancy M. Petry, Ph.D. Marc A. Schuckit, M.D. Wim van den Brink, M.D., Ph.D.
(2007–2008)
DSM-5 Study Groups
Diagnostic Spectra and DSM/ICD Harmonization STEVEN E. HYMAN, M.D.
Chair (2007–2012)
William T. Carpenter Jr., M.D. Wilson M. Compton, M.D., M.P.E. Jan A. Fawcett, M.D. Helena C. Kraemer, Ph.D. David J. Kupfer, M.D.
William E. Narrow, M.D., M.P.H. Charles P. O’Brien, M.D., Ph.D. John M. Oldham, M.D. Katharine A. Phillips, M.D. Darrel A. Regier, M.D., M.P.H.
Lifespan Developmental Approaches ERIC J. LENZE, M.D.
Chair
SUSAN K. SCHULTZ, M.D. Chair Emeritus
DANIEL S. PINE, M.D. Chair Emeritus
Dan G. Blazer, M.D., Ph.D., M.P.H. F. Xavier Castellanos, M.D. Wilson M. Compton, M.D., M.P.E.
Daniel T. Mamah, M.D., M.P.E. Andrew E. Skodol II, M.D. Susan E. Swedo, M.D.
Gender and Cross-Cultural Issues KIMBERLY A. YONKERS, M.D.
Chair
ROBERTO LEWIS-FERNÁNDEZ, M.D., M.T.S. Co-Chair, Cross-Cultural Issues
Renato D. Alarcon, M.D., M.P.H. Diana E. Clarke, Ph.D., M.Sc. Javier I. Escobar, M.D., M.Sc. Ellen Frank, Ph.D. James S. Jackson, Ph.D. Spiro M. Manson, Ph.D. (2007–2008) James P. McNulty, A.B., Sc.B.
Leslie C. Morey, Ph.D. William E. Narrow, M.D., M.P.H. Roger Peele, M.D. Philip Wang, M.D., Dr.P.H. (2007–2012) William M. Womack, M.D. Kenneth J. Zucker, Ph.D.
Psychiatric/General Medical Interface LAWSON R. WULSIN, M.D.
Chair
Ronald E. Dahl, M.D. Joel E. Dimsdale, M.D. Javier I. Escobar, M.D., M.Sc. Dilip V. Jeste, M.D. (2007–2011) Walter E. Kaufmann, M.D.
Richard E. Kreipe, M.D. Ronald C. Petersen, Ph.D., M.D. Charles F. Reynolds III, M.D. Robert Taylor Segraves, M.D., Ph.D. B. Timothy Walsh, M.D.
Impairment and Disability JANE S. PAULSEN, PH.D.
Chair
J. Gavin Andrews, M.D. Glorisa Canino, Ph.D. Lee Anna Clark, Ph.D. Diana E. Clarke, Ph.D., M.Sc. Michelle G. Craske, Ph.D.
Hans W. Hoek, M.D., Ph.D. Helena C. Kraemer, Ph.D. William E. Narrow, M.D., M.P.H. David Shaffer, M.D.
Diagnostic Assessment Instruments JACK D. BURKE JR., M.D., M.P.H.
Chair
Lee Anna Clark, Ph.D. Diana E. Clarke, Ph.D., M.Sc. Bridget F. Grant, Ph.D., Ph.D.
Helena C. Kraemer, Ph.D. William E. Narrow, M.D., M.P.H. David Shaffer, M.D.
DSM-5 Research Group WILLIAM E. NARROW, M.D., M.P.H.
Chair
Jack D. Burke Jr., M.D., M.P.H. Diana E. Clarke, Ph.D., M.Sc. Helena C. Kraemer, Ph.D.
David J. Kupfer, M.D. Darrel A. Regier, M.D., M.P.H. David Shaffer, M.D.
Course Specifiers and Glossary WOLFGANG GAEBEL, M.D.
Chair
Ellen Frank, Ph.D. Charles P. O’Brien, M.D., Ph.D. Norman Sartorius, M.D., Ph.D.,
Consultant Susan K. Schultz, M.D.
Dan J. Stein, M.D., Ph.D. Eric A. Taylor, M.B. David J. Kupfer, M.D. Darrel A. Regier, M.D., M.P.H.
xiii
DSM-5 Classification
Before each disorder name, ICD-9-CM codes are provided, followed by ICD-10-CM codes in parentheses. Blank lines indicate that either the ICD-9-CM or the ICD-10-CM code is not applicable. For some disorders, the code can be indicated only according to the subtype or specifier.
ICD-9-CM codes are to be used for coding purposes in the United States through Sep- tember 30, 2014. ICD-10-CM codes are to be used starting October 1, 2014.
Following chapter titles and disorder names, page numbers for the corresponding text or criteria are included in parentheses.
Note for all mental disorders due to another medical condition: Indicate the name of the other medical condition in the name of the mental disorder due to [the medical condi- tion]. The code and name for the other medical condition should be listed first immedi- ately before the mental disorder due to the medical condition.
Neurodevelopmental Disorders (31)
Intellectual Disabilities (33)
___.__ (___.__) Intellectual Disability (Intellectual Developmental Disorder) (33) Specify current severity:
317 (F70) Mild 318.0 (F71) Moderate 318.1 (F72) Severe 318.2 (F73) Profound
315.8 (F88) Global Developmental Delay (41)
319 (F79) Unspecified Intellectual Disability (Intellectual Developmental Disorder) (41)
Communication Disorders (41) 315.32 (F80.2) Language Disorder (42)
315.39 (F80.0) Speech Sound Disorder (44)
315.35 (F80.81) Childhood-Onset Fluency Disorder (Stuttering) (45) Note: Later-onset cases are diagnosed as 307.0 (F98.5) adult-onset fluency
disorder.
315.39 (F80.89) Social (Pragmatic) Communication Disorder (47)
307.9 (F80.9) Unspecified Communication Disorder (49)
xiv DSM-5 Classification
Autism Spectrum Disorder (50) 299.00 (F84.0) Autism Spectrum Disorder (50)
Specify if: Associated with a known medical or genetic condition or envi- ronmental factor; Associated with another neurodevelopmental, men- tal, or behavioral disorder
Specify current severity for Criterion A and Criterion B: Requiring very substantial support, Requiring substantial support, Requiring support
Specify if: With or without accompanying intellectual impairment, With or without accompanying language impairment, With catatonia (use additional code 293.89 [F06.1])
Attention-Deficit/Hyperactivity Disorder (59)
___.__ (___.__) Attention-Deficit/Hyperactivity Disorder (59) Specify whether:
314.01 (F90.2) Combined presentation 314.00 (F90.0) Predominantly inattentive presentation 314.01 (F90.1) Predominantly hyperactive/impulsive presentation
Specify if: In partial remission Specify current severity: Mild, Moderate, Severe
314.01 (F90.8) Other Specified Attention-Deficit/Hyperactivity Disorder (65)
314.01 (F90.9) Unspecified Attention-Deficit/Hyperactivity Disorder (66)
Specific Learning Disorder (66)
___.__ (___.__) Specific Learning Disorder (66) Specify if:
315.00 (F81.0) With impairment in reading (specify if with word reading accuracy, reading rate or fluency, reading comprehension)
315.2 (F81.81) With impairment in written expression (specify if with spelling accuracy, grammar and punctuation accuracy, clarity or organization of written expression)
315.1 (F81.2) With impairment in mathematics (specify if with number sense, memorization of arithmetic facts, accurate or fluent calculation, accurate math reasoning)
Specify current severity: Mild, Moderate, Severe
Motor Disorders (74) 315.4 (F82) Developmental Coordination Disorder (74)
307.3 (F98.4) Stereotypic Movement Disorder (77) Specify if: With self-injurious behavior, Without self-injurious behavior Specify if: Associated with a known medical or genetic condition, neuro-
developmental disorder, or environmental factor Specify current severity: Mild, Moderate, Severe
Tic Disorders
307.23 (F95.2) Tourette's Disorder (81)
307.22 (F95.1) Persistent (Chronic) Motor or Vocal Tic Disorder (81) Specify if: With motor tics only, With vocal tics only
DSM-5 Classification xv
307.21 (F95.0) Provisional Tic Disorder (81)
307.20 (F95.8) Other Specified Tic Disorder (85)
307.20 (F95.9) Unspecified Tic Disorder (85)
Other Neurodevelopmental Disorders (86) 315.8 (F88) Other Specified Neurodevelopmental Disorder (86)
315.9 (F89) Unspecified Neurodevelopmental Disorder (86)
Schizophrenia Spectrum and Other Psychotic Disorders (87)
The following specifiers apply to Schizophrenia Spectrum and Other Psychotic Disorders where indicated: aSpecify if: The following course specifiers are only to be used after a 1-year duration of the dis-
order: First episode, currently in acute episode; First episode, currently in partial remission; First episode, currently in full remission; Multiple episodes, currently in acute episode; Mul- tiple episodes, currently in partial remission; Multiple episodes, currently in full remission; Continuous; Unspecified
bSpecify if: With catatonia (use additional code 293.89 [F06.1]) cSpecify current severity of delusions, hallucinations, disorganized speech, abnormal psycho-
motor behavior, negative symptoms, impaired cognition, depression, and mania symptoms
301.22 (F21) Schizotypal (Personality) Disorder (90)
297.1 (F22) Delusional Disordera, c (90) Specify whether: Erotomanic type, Grandiose type, Jealous type, Persecu-
tory type, Somatic type, Mixed type, Unspecified type Specify if: With bizarre content
298.8 (F23) Brief Psychotic Disorderb, c (94) Specify if: With marked stressor(s), Without marked stressor(s), With
postpartum onset
295.40 (F20.81) Schizophreniform Disorderb, c (96) Specify if: With good prognostic features, Without good prognostic fea-
tures
295.90 (F20.9) Schizophreniaa, b, c (99)
___.__ (___.__) Schizoaffective Disordera, b, c (105) Specify whether:
295.70 (F25.0) Bipolar type 295.70 (F25.1) Depressive type
___.__ (___.__) Substance/Medication-Induced Psychotic Disorderc (110) Note: See the criteria set and corresponding recording procedures for
substance-specific codes and ICD-9-CM and ICD-10-CM coding. Specify if: With onset during intoxication, With onset during withdrawal
___.__ (___.__) Psychotic Disorder Due to Another Medical Conditionc (115) Specify whether:
293.81 (F06.2) With delusions 293.82 (F06.0) With hallucinations
xvi DSM-5 Classification
293.89 (F06.1) Catatonia Associated With Another Mental Disorder (Catatonia Specifier) (119)
293.89 (F06.1) Catatonic Disorder Due to Another Medical Condition (120)
293.89 (F06.1) Unspecified Catatonia (121) Note: Code first 781.99 (R29.818) other symptoms involving nervous and
musculoskeletal systems.
298.8 (F28) Other Specified Schizophrenia Spectrum and Other Psychotic Disorder (122)
298.9 (F29) Unspecified Schizophrenia Spectrum and Other Psychotic Disorder (122)
Bipolar and Related Disorders (123) The following specifiers apply to Bipolar and Related Disorders where indicated: aSpecify: With anxious distress (specify current severity: mild, 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 (use additional code 293.89 [F06.1]); With peripartum onset; With seasonal pattern
___.__ (___.__) Bipolar I Disordera (123) ___.__ (___.__) Current or most recent episode manic 296.41 (F31.11) Mild 296.42 (F31.12) Moderate 296.43 (F31.13) Severe 296.44 (F31.2) With psychotic features 296.45 (F31.73) In partial remission 296.46 (F31.74) In full remission 296.40 (F31.9) Unspecified 296.40 (F31.0) Current or most recent episode hypomanic 296.45 (F31.71) In partial remission 296.46 (F31.72) In full remission 296.40 (F31.9) Unspecified ___.__ (___.__) Current or most recent episode depressed 296.51 (F31.31) Mild 296.52 (F31.32) Moderate 296.53 (F31.4) Severe 296.54 (F31.5) With psychotic features 296.55 (F31.75) In partial remission 296.56 (F31.76) In full remission 296.50 (F31.9) Unspecified 296.7 (F31.9) Current or most recent episode unspecified
296.89 (F31.81) Bipolar II Disordera (132) Specify current or most recent episode: Hypomanic, Depressed Specify course if full criteria for a mood episode are not currently met: In
partial remission, In full remission Specify severity if full criteria for a mood episode are currently met:
Mild, Moderate, Severe
DSM-5 Classification xvii
301.13 (F34.0) Cyclothymic Disorder (139) Specify if: With anxious distress
___.__ (___.__) Substance/Medication-Induced Bipolar and Related Disorder (142) Note: See the criteria set and corresponding recording procedures for
substance-specific codes and ICD-9-CM and ICD-10-CM coding. Specify if: With onset during intoxicat
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