CLASSIFICATION IN PSYCHIATRY:

OVERVIEW
3-B GROUP 1
Antalan, Mae Charisse L.
 CLASSIFICATION IN PSYCHIATRY
Diagnostic and Statistical Manual of Mental
Disorders
International Classification of Diseases
 BRIEF HISTORY
5TH century BC
Mania and Hystyertia (Hippocrates)
1869 first US classification by American
Medico-psychological association (American
Psychiatric Association)
1952 DSM I published
What is DSM and why is it important?
The Diagnostic and Statistical Manual of
Mental Disorders (DSM) is the handbook used
by health care professionals in the United
States and much of the world as the
authoritative guide to the diagnosis of mental
disorders.
DSM contains descriptions, symptoms, and
other criteria for diagnosing mental disorders.
 Why was DSM revised?
DSM has been periodically reviewed and
revised since it was first published in 1952.
The previous version of DSM was completed
nearly two decades ago; since that time, there
has been a wealth of new research and
knowledge about mental disorders.
Does DSM-5 include information about
treatments for mental disorders?
DSM-5 is a manual for assessment and
diagnosis of mental disorders and does not
include information or guidelines for
treatment of any disorder.
 DSM V relation to ICD 10
DSM V is the official psychiatric coding system
used in the US and is the official US
nomenclature
ICD 10 is the official classification system used
in Europe and many parts of the world
All categories used in DSM V are found in ICD
10, but not all ICD 10 categories are in DSM V
 BASIC FEATURES
DESCRIPTIVE APPROACH
- atheoretical with regards to cause
DIAGNOSTIC CRITERIA
- list of features that must be present for the diagnosis
to be made
SYSTEMATIC DESCRIPTION
- systematically describes each disorder in terms of
associated feature: specific age, culture, gender-related
features, course, complications, predisposing factors,
familial pattern, and differential diagnosis
DIAGNOSTIC CRITERIA
 Neurodevelopmental Disorders
group of conditions with onset in the
developmental period.
The disorders typically manifest early in
development, often before the child enters
grade school, and are characterized by
developmental deficits that produce
impairments of personal, social, academic, or
occupational functioning.
 Neurodevelopmental Disorders
DISORDER DEFINITION
Intellectual is a generalized disorder appearing
disabilities before adulthood, characterized by
significantly impaired cognitive
functioning and deficits in two or
more adaptive behaviors.
Communication Deficits in language, speech, or in
disorders any behaviors affecting verbal and
nonverbal communications
319 Intellectual disability
(intellectual developmental
disorder)
315.8 Global developmental delay
319 Unspecified intellectual
disability (Intellectual
developmental disorder)
315.39 Language disorder
315.39 Speech sound disorder
315.35 Childhood-onset fluency
disorder (stuttering)
315.39 Social (pragmatic)
communication disorder
307.9 Unspecified communication
disorder
 Neurodevelopmental Disorders
DISORDER DEFINITION
Intellectual is a generalized disorder appearing
disabilities before adulthood, characterized by
significantly impaired cognitive
functioning and deficits in two or
more adaptive behaviors.
Communication Deficits in language, speech, or in
disorders any behaviors affecting verbal and
nonverbal communications
319 Intellectual disability
(intellectual developmental
disorder)
315.8 Global developmental delay
319 Unspecified intellectual
disability (Intellectual
developmental disorder)
315.39 Language disorder
315.39 Speech sound disorder
315.35 Childhood-onset fluency
disorder (stuttering)
315.39 Social (pragmatic)
communication disorder
307.9 Unspecified communication
disorder
 Neurodevelopmental Disorders
DISORDER DEFINITION
Autism Persistent communication and social 299.00 Autism spectrum
spectrum interaction deficits in multiple situations; disorder
disorder restricted, repetitive behavior and interests,
originally manifested in the early
developmental period and causing
significant impairment
Attention deficit Persistent pattern of inattention and/or 314.01 Other specified
hyperactivity hyperactivity-impulsivity that interferes with attention-
disorder (ADHD) functioning or development" beginning in deficit/Hyperactivity disorder
childhood, and present across more than
one setting 314.01 Unspecified attention-
deficit/Hyperactivity disorder
Specific learning A neurodevelopmental disorder of biological 315.00 With impairment in
disorder origin manifested in learning difficulty and reading
problems in acquiring academic skills
markedly below age level and manifested in 315.2 With impairment in
the early school years, lasting for at least 6 written expression
months; not attributed to intellectual
disabilities, developmental disorders, or 315.1 With impairment in
neurological or motor disorders mathematics
 Neurodevelopmental Disorders
DISORDER DEFINITION
Autism Persistent communication and social 299.00 Autism spectrum
spectrum interaction deficits in multiple situations; disorder
disorder restricted, repetitive behavior and interests,
originally manifested in the early
developmental period and causing
significant impairment
Attention deficit Persistent pattern of inattention and/or 314.01 Other specified
hyperactivity hyperactivity-impulsivity that interferes with attention-
disorder (ADHD) functioning or development" beginning in deficit/Hyperactivity disorder
childhood, and present across more than
one setting 314.01 Unspecified attention-
deficit/Hyperactivity disorder
Specific learning A neurodevelopmental disorder of biological 315.00 With impairment in
disorder origin manifested in learning difficulty and reading
problems in acquiring academic skills
markedly below age level and manifested in 315.2 With impairment in
the early school years, lasting for at least 6 written expression
months; not attributed to intellectual
disabilities, developmental disorders, or 315.1 With impairment in
neurological or motor disorders mathematics
 Neurodevelopmental Disorders
DISORDER DEFINITION
Autism Persistent communication and social 299.00 Autism spectrum disorder
spectrum interaction deficits in multiple situations;
disorder restricted, repetitive behavior and
interests, originally manifested in the early
developmental period and causing
significant impairment
Attention Persistent pattern of inattention and/or 314.01 Other specified attention-
deficit hyperactivity-impulsivity that interferes deficit/Hyperactivity disorder
hyperactivity with functioning or development"
disorder beginning in childhood, and present across 314.01 Unspecified attention-
(ADHD) more than one setting deficit/Hyperactivity disorder

Specific A neurodevelopmental disorder of 315.00 With impairment in

learning biological origin manifested in learning reading
disorder difficulty and problems in acquiring
academic skills markedly below age level 315.2 With impairment in written
and manifested in the early school years, expression
lasting for at least 6 months; not attributed
to intellectual disabilities, developmental 315.1 With impairment in
disorders, or neurological or motor mathematics
 Neurodevelopmental Disorders
DISORDER DEFINITION
Motor disorders 315.4 Developmental coordination disorder
307.3 Stereotypic movement disorder
Tic disorders
307.23 Tourette's disorder
307.22 Persistent (Chronic) motor or vocal tic disorder
307.21 Provisional tic disorder
307.20 Other specified tic disorder
307.20 Unspecified tic disorder[
 Neurodevelopmental Disorders
DISORDER DEFINITION
Motor disorders 315.4 Developmental coordination disorder
307.3 Stereotypic movement disorder
Tic disorders
307.23 Tourette's disorder
307.22 Persistent (Chronic) motor or vocal tic disorder
307.21 Provisional tic disorder
307.20 Other specified tic disorder
307.20 Unspecified tic disorder[
 Neurodevelopmental Disorders
DISORDER DEFINITION
Other 315.8 Other specified neurodevelopmental disorder
neurodevelopmental 315.9 Unspecified neurodevelopmental disorder
disorders
 HIGHLIGHTS OF CHANGES
"Mental retardation" has a new name:
intellectual disability (intellectual
developmental disorder).

Phonological disorder and stuttering are now

called communication disorderswhich
include language disorder, speech sound
disorder, childhood-onset fluency disorder,
and a new condition characterized by
impaired social verbal and nonverbal
communication called social (pragmatic)
communication disorder.
 HIGHLIGHTS OF CHANGES
Autism spectrum disorder incorporates
Asperger disorder, childhood disintegrative
disorder, and pervasive developmental
disorder not otherwise specified (PDD-NOS).

A new sub-category, motor disorders,

encompasses developmental coordination
disorder, stereotypic movement disorder, and
the tic disorders including Tourette syndrome
 Schizophrenia spectrum and other psychotic
disorders

DISORDER DEFINITION
297.1 Delusional disorder presence of one or more fixed delusions,
but otherwise functioning usually is not
noticeably impaired.
298.8 Brief psychotic sudden onset of at least one positive
disorder psychotic symptom, such as delusions,
hallucinations, disorganized speech,
lasting at least one day but less than one
month
295.40 Schizophreniform Symptoms identical to schizophrenia but
disorder lasting less that 6 months
 Schizophrenia spectrum and other psychotic
disorders
DISORDER DEFINITION
295.90 Schizophrenia At least two of the following: (one
of which must be delusions,
hallucinations or disorganized
speech), grossly disorganized or
catatonic behavior, negative
symptoms

Schizoaffective disorder Major depressive or manic mood 295.70 Bipolar type

disorder concurrent with primary
symptoms of schizophrenia 295.70 Depressive type

Substance/Medication-
induced psychotic
disorder
Psychotic disorder due 293.81 With delusion as the
to another medical predominant symptom
condition 293.82 With hallucinations as
the predominant symptom
 Schizophrenia spectrum and other psychotic
disorders
DISORDER DEFINITION
Catatonia Marked psychomotor disturbance 293.89 Catatonia associated with
including decreased motor activity, or another mental disorder (Catatonia
excessive and peculiar motor activity, specifier)
ranging from unresponsiveness to
agitation. Can include stupor, catalepsy 293.89 Catatonic disorder due to
and waxy flexibility, mutism and other another medical condition
puzzling behaviors. Rather than being
a separate diagnosis, catatonia is 293.89 Unspecified catatonia
associated with other mental
disorders, other medical conditions, or
can be unspecified.

298.8 Other Characteristic symptoms of

specified schizophrenia spectrum and other
schizophrenia psychotic disorder are present but full
spectrum and criteria for a diagnostic class are not
other psychotic met. The other specified is used to
disorder describe the presentation.
 Schizophrenia spectrum and other psychotic
disorders
DISORDER DEFINITION
298.9 Unspecified schizophrenia Characteristic symptoms of schizophrenia spectrum and
spectrum and other psychotic other psychotic disorder are present but full criteria for a
disorder diagnostic class are not met, but the clinician does not
specify the reason.
 HIGHLIGHTS OF CHANGES
All subtypes of schizophrenia were deleted (paranoid,
disorganized, catatonic, undifferentiated, and residual).

A major mood episode is required for schizoaffective

disorder (for a majority of the disorder's duration after
criterion A [related to delusions, hallucinations,
disorganized speech or behavior, and negative
symptoms such as avolition] is met).

Catatonia in all contexts requires 3 of a total of 12

symptoms. Catatonia may be a specifier for depressive,
bipolar, and psychotic disorders; part of another
medical condition; or of another specified diagnosis.[
 Bipolar and related disorders
DISORDER DEFINITION
Bipolar I For a diagnosis of bipolar I disorder, it is necessary to 296.54 With psychotic
disorder meet the following criteria for a manic features
episode. The manic episode may have been preceded by
and may be followed by hypomanic 296.55 In partial
or major depressive episodes. remission

Manic Episode 296.56 In full

A. A distinct period of abnormally and persistently remission
elevated, expansive, or irritable mood
and abnormally and persistently increased goal- 296.50 unspecified
directed activity or energy, lasting at
least 1 week and present most of the day, nearly every
day (or any duration if hospitalization
is necessary).
 Bipolar and related disorders
DISORDER DEFINITION
Bipolar I For a diagnosis of bipolar I disorder, it is necessary to 296.54 With psychotic
disorder meet the following criteria for a manic features
episode. The manic episode may have been preceded by
and may be followed by hypomanic 296.55 In partial
or major depressive episodes. remission

Hypomanic Episode 296.56 In full

A. A distinct period of abnormally and persistently remission
elevated, expansive, or irritable mood
and abnormally and persistently increased activity or 296.50 unspecified
energy, lasting at least 4 consecutive
days and present most of the day, nearly every day.
 Bipolar and related disorders
DISORDER DEFINITION
Bipolar I For a diagnosis of bipolar I disorder, it is necessary to 296.54 With psychotic
disorder meet the following criteria for a manic features
episode. The manic episode may have been preceded
by and may be followed by hypomanic 296.55 In partial
or major depressive episodes. remission

Major Depressive Episode 296.56 In full

A. Five (or more) of the following symptoms have been remission
present during the same 2-week
period and represent a change from previous 296.50 unspecified
functioning; at least one of the symptoms
is either (1) depressed mood or (2) loss of interest or
pleasure.
 Bipolar and related disorders
DISORDER DEFINITION
Bipolar II disorder For a diagnosis of bipolar II disorder, it is necessary to meet the
296.89 following criteria for a current
or past hypomanic episode and the following criteria for a
current or past major depressive
episode
Cyclothymic Disorder For at least 2 years (at least 1 year in children and adolescents)
301.13 there have been numerous periods with hypomanic symptoms
that do not meet criteria for a hypomanic episode and
numerous periods with depressive symptoms that do not meet
criteria for a major depressive episode.

Substance/Medication-Induced
Bipolar and Related Disorder
Bipolar and Related Disorder
Due to Another Medical
Condition
Other Specified Bipolar and
Related Disorder
Unspecified Bipolar and Related
Disorder
 HIGHLIGHTS OF CHANGES
New specifier "with mixed features" can be
applied to bipolar I disorder, bipolar II
disorder, bipolar disorder NED (not elsewhere
defined, previously called "NOS", not
otherwise specified) and MDD.
Anxiety symptoms are a specifier ( called
"anxious distress") added to bipolar disorder
and to depressive disorders (but are not part
of the bipolar diagnostic criteria).
 Depressive disorders
DISORDER
Depressive The common feature of all of these
Disorders disorders is the presence of sad,
empty, or irritable mood, accompanied
by somatic and cognitive changes that
significantly
affect the individual's capacity to
function
296.99 Disruptive Mood
Dysregulation Disorder
Major Depressive Disorder,
Single and Recurrent Episodes
300.4 Persistent Depressive
Disorder (Dysthymia)
625.4 Premenstrual Dysphoric
Disorder
Substance/Medication-
Induced Depressive Disorder
Depressive Disorder Due to
Another Medical Condition
311 Other Specified
Depressive Disorder
311 Unspecified Depressive
Disorder
 HIGHLIGHTS OF CHANGES
The bereavement exclusion in DSM-IV was
removed from depressive disorders in DSM-5.
Premenstrual dysphoric disorder moved from
an appendix for further study, and became a
disorder.
The term dysthymia now also would be called
persistent depressive disorder.

DISORDER
309.21 Separation Anxiety
Disorder
312.23 Selective Mutism
Specific Phobia
300.23 Social Anxiety Disorder
(Social Phobia)
300.01 Panic Disorder
Anxiety disorders
Developmentally inappropriate and excessive fear or anxiety
concerning separation from
those to whom the individual is attached
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.
Marked fear or anxiety about a specific object or situation
(e.g., flying, heights, animals,
receiving an injection, seeing blood).
Marked fear or anxiety about one or more social situations in
which the individual is
exposed to possible scrutiny by others. Examples include
social interactions (e.g., having
a conversation, meeting unfamiliar people), being observed
(e.g., eating or drinking),
and performing in front of others (e.g., giving a speech).
Recurrent unexpected panic attacks.
 Anxiety disorders
DISORDER
Agoraphobia Marked fear or anxiety about two (or more) of the following five
situations:
1. Using public transportation (e.g., automobiles, buses, trains, ships,
planes).
2. Being in open spaces (e.g., parking lots, marketplaces, bridges).
3. Being in enclosed places (e.g., shops, theaters, cinemas).
4. Standing in line or being in a crowd.
5. Being outside of the home alone.
Generalized Anxiety Excessive anxiety and worry (apprehensive expectation), occurring more
Disorder days than
not for at least 6 months, about a number of events or activities (such as
work or school
performance).
Substance/Medication-Induced Anxiety Disorder;
Anxiety Disorder Due to Another Medical Condition;
Other Specified Anxiety Disorder
Unspecified Anxiety Disorder
 HIGHLIGHTS OF CHANGES
For the various forms of phobias and anxiety disorders,
DSM-5 removes the requirement that the subject (formerly,
over 18 years old) "must recognize that their fear and
anxiety are excessive or unreasonable". Also, the duration
of at least 6 months now applies to everyone (not only to
children).
Panic attack became a specifier for all DSM-5 disorders.
Panic disorder and agoraphobia became two separate
disorders.[
The generalized specifier for social anxiety disorder
(formerly, social phobia) changed in favor of a performance
only (i.e., public speaking or performance) specifier.
Separation anxiety disorder and selective mutism are now
classified as anxiety disorders (rather than disorders of early
onset).
 Obsessive-compulsive and related disorders
DISORDER
Obsessive-Compulsive Disorder
300.3
Body Dysmorphic Disorder 300.7
Hoarding Disorder 300.3
DEFINITION
Presence of obsessions, compulsions, or both:
Obsession - Recurrent and persistent thoughts, urges,
or images that are experienced, at some
time during the disturbance, as intrusive and
unwanted, and that in most individuals
cause marked anxiety or distress.
Compulsion - Repetitive behaviors (e.g., hand washing,
ordering, checking) or mental acts (e.g.,
praying, counting, repeating words silently) that the
individual feels driven to perform
in response to an obsession or according to rules that
must be applied rigidly.
Preoccupation with one or more perceived defects or
flaws in physical appearance that
are not observable or appear slight to others.
Persistent difficulty discarding or parting with
possessions, regardless of their actual value
 Obsessive-compulsive and related disorders
DISORDER
Trichotillomania (Hair-Pulling Disorder) 312.39
Excoriation (Skin-Picking) Disorder 698.4
Substance/Medication-Induced Obsessive-
Compulsive and Related Disorder
Obsessive-Compulsive and Related Disorder
Due to Another Medical Condition 294.8
Other Specified Obsessive-Compulsive and
Related Disorder
Unspecified Obsessive-Compulsive and Related
DEFINITION
Recurrent pulling out of ones hair, resulting in
hair loss causes clinically significant distress or
impairment in social, occupational, or other
important areas of functioning.
The hair pulling or hair loss is not attributable
to another medical condition (e.g., a
dermatological
condition).
Recurrent skin picking resulting in skin lesions.
There is evidence from the history, physical
examination, or laboratory findings that the
disturbance is the direct pathophysiological
consequence of another medical condition
 HIGHLIGHTS OF CHANGES
A new chapter on obsessive-compulsive and related disorders includes
four new disorders: excoriation (skin-picking) disorder, hoarding disorder,
substance-/medication-induced obsessive-compulsive and related
disorder, and obsessive-compulsive and related disorder due to another
medical condition.

Trichotillomania (hair-pulling disorder) moved from "impulse-control

disorders not elsewhere classified" in DSM-IV, to an obsessive-compulsive
disorder in DSM-5.

The DSM-IV specifier with obsessive-compulsive symptoms moved from

anxiety disorders to this new category for obsessive-compulsive and
related disorders.

There are two new diagnoses: other specified obsessive-compulsive and

related disorder, which can include body-focused repetitive behavior
disorder (behaviors like nail biting, lip biting, and cheek chewing, other
than hair pulling and skin picking) or obsessional jealousy; and unspecified
obsessive-compulsive and related disorder.[2]
 Trauma- and stressor-related disorders
the dominating characteristics are symptoms
of anhedonia and dysphoria, anger and
aggression, or symptoms of dissociation, or
some combination of these, and vary
considerably with heterogeneous
presentations
 Trauma- and stressor-related disorders
DISORDER DEFINITION
313.89 A disorder of infancy or early childhood in which the
Reactive child, though thought to be capable of forming
attachment selective attachments, does not seek comfort,
disorder protection or other nurturance associated with
attachment to caregiving adults, and does not respond
adequately to nurturing behaviors from caregivers
when it is offered.

313.89 A behavioral pattern in children of overly familiar and

Disinhibited culturally inappropriate interations with relative
social strangers that violated social boundaries.
engagement
disorder
 Trauma- and stressor-related disorders
DISORDER DEFINITION
309.81 Posttraumatic There is a separate section for
stress disorder Posttraumatic stress disorder for
children 6 years and younger
308.3 Acute stress
disorder
Adjustment disorder 309.0 With depressed
mood
309.24 With anxiety
309.28 With mixed
anxiety and depressed
mood
309.3 With
disturbance of
conduct
309.4 With mixed
disturbance of
emotions and conduct
Trauma- and stressor-related disorders

DISORDER
309.89 Other specified Trauma- and stressor-related disorder
309.9 Unspecified trauma- and stressor-related disorder
 HIGHLIGHTS OF CHANGES
Posttraumatic stress disorder (PTSD) is now
included in a new section titled "Trauma- and
Stressor-Related Disorders
Two new disorders that were formerly
subtypes were named: reactive attachment
disorder and disinhibited social engagement
disorder.
Adjustment disorders were moved to this new
section and reconceptualized as stress-
response syndromes.
Angeles, Areangela A.
Dissociative Disorders
Dissociative Identity presence of two or more distinct identities
Disorder or personality, amnesia

persistent, recurrent experiences of feeling

Depersonalization /
detached from, as if one is an outside
Derealization Disorder
observer or one's mental processes or body

inability to recall important personal

Dissociative Amnesia
information- traumatic, stressful nature

sudden, unexpected travel away from

Dissociative Fugue home or place of work, with inability to
recall one's past

predominant feature is dissociative

Dissociative Disorder not
symptoms that does not fit for any specific
otherwise Specified (NOS)
dissociative disorder
Somatoform Disorder

Somatic Symptom
and Related Disorders
Somatization disorder multiple somatic complaints in
(Somatic Symptoms multiple organ system for several
Disorder) years, no impairment

conversion disorder symptoms or deficits that affect

(Functional Neurologic the voluntary motor or sensory
Symptom disorder) functions

6 months or more, with fears of

having the idea that one has a
Hypochondriasis disease based on person's
misinterpretation of bodily
symptoms
 preoccupation with an imagined
body dysmorphic disorder defect in appearance that cause
clinically significant distress
pain in one or more body sites and
pain disorder sufficiently sever to come to
clinical attention
one or more unexplained physical
undifferentiated
symptoms of at least 6 months
somatoform disorder
duration
Falsification of physical or
Factitious Disorder
psychological signs and symptoms
somatoform disorder not
otherwise Specified (NOS)
Feeding and Eating
Disorder
 eating of nonnutritive substance for
Pica
atleast 1 month
reapeted regurgitation and
Rumination Disorder rechewing of food for a period of
atleast 1 month
feeding disturbance with persistent
Feeding Disorder of infancy and
failure to eat adequately, failure to
early childhood
gain weight at least 1 month
Anorexia Nervosa loss of appetite
binge eating and inappropriate
Bulimia Nervosa compensatory behaviors at least
twice a week for 3 months

Binge eating Recurrent episodes of binge eating

Unspecified Feeding and eating
Disorder
Elimination Disorders
 repeated voiding of
Enuresis urine into bed or
clothing-5 years old

repeated passage of
Encopresis feces into inappropriate
places-4 years old
Unspecified
Elimination
Disorder
Sleep-wake Disorder
Primary insomnia (Insomnia difficulty initiating and maintaining
Disorder) sleep

Hypersomnolence Disorder excessive amount of sleep

irresistible sleepiness, leading to

Narcolepsy
perhaps 10-20 mins.

Breathing Related Disorder

-obstructive sleep apnea

Sleep disruption leading to
syndrome
excessive sleep or insomnia
- Central Sleep Apnea syndrome
- Central Alveolar
Hypoventilation
Circadian Rhythm Sleep-Wake
Disorder
Parasomnias

-nightmare disorder
- Non-REM sleep arousal Disorder
*sleep terror
* Sleep walking

Parasomnias not otherwise specified

- REM sleep behavior disorder
- Sleep paralysis
- Restless Leg syndrome
- Sleep related Bruxism
Sexual Dysfunction
 inabilty to attain or maintain an
Erectile Disorder
adequate erection/impotence

anorgasmia/ persistent or recurrent

Female orgasmic Disorder delay or absence of orgasm ff.
normal seual excitement phase

Female Sexual Interest/ Arousal failure to attain or maintain

Disorder lubrication-swelling response

men persistently achieve orgasm

Premature Ejaculation
and ejaculation before they wish to
Delayed Ejaculation
Substance/Medication Induced
Sexual Dysfunction
Unspecified Sexual Dysfunction
Gender Dysphoria

discontent with one's

designated birth sex
Gender Dysphoria
and desire to have
body of other sex

Unspecified Gender Dysphoria

Disruptive, impulse control and
conduct disorder
 negativistic, disobedient,hostile
Oppositional Defiant Disorder behevior toward authority figure

failure to resists aggressive impulses

Intermittent Explosive Disorder that result in assaultive acts
repeated acts of aggression that cause
physical harm and frequently violate
Conduct Disorder rights of others

Antisocial Personality Disorder inability to conform to social norms

deliberate and puposeful fire setting on

Pyromania more than one occasion
recurrent failure to resist impulses to
Kleptomania steal objects

Unspecified Disruptive, impulse

control and conduct disorder
Falcon, Anne Mariz D.
 I. Substance-Related and Addictive
Disorders
A. Substance-Related Disorders
1. Alcohol-Related Disorders
2. Caffeine-Related Disorders
3. Cannabis-Related Disorders
4. Hallucinogen-Related Disorders
5. Inhalant-Related Disorders
6. Opioid-Related Disorders
7. Sedative-, Hypnotic-, or Anxiolytic-Related Disorders
8. Stimulant-Related Disorders
9. Tobacco-Related Disorders
10. Other (or Unknown) SubstanceRelated Disorders
 I. Substance-Related and Addictive
Disorders
B. Non-Substance-Related Disorders
Gambling Disorder
 II. Neurocognitive Disorders
1. Delirium
2. Other Specified Delirium
3. Unspecified Delirium

Major and Mild Neurocognitive Disorders

1. Major Neurocognitive Disorder
2. Mild Neurocognitive Disorder
 II. Neurocognitive Disorders
1. Major or Mild Neurocognitive Disorder Due to Alzheimers Disease
2. Major or Mild Frontotemporal Neurocognitive Disorder
3. Major or Mild Neurocognitive Disorder With Lewy Bodies
4. Major or Mild Vascular Neurocognitive Disorder
5. Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury
6. Substance/Medication-Induced Major or Mild Neurocognitive Disorder
7. Major or Mild Neurocognitive Disorder Due to HIV Infection
8. Major or Mild Neurocognitive Disorder Due to Prion Disease
9. Major or Mild Neurocognitive Disorder Due to Parkinsons Disease
10. Major or Mild Neurocognitive Disorder Due to Huntingtons Disease
11. Major or Mild Neurocognitive Disorder Due to Another Medical
Condition
12. Major or Mild Neurocognitive Disorder Due to Multiple Etiologies
13. Unspecified Neurocognitive Disorder
 III. Personality Disorders
A. Cluster A Personality Disorders
1. Paranoid Personality Disorder
Pattern of distrust and suspiciousness such that others' motives
are interpreted as malevolent
2. Schizoid Personality Disorder
Pattern of detachment from social relationships and a restricted
range of emotional expression
3. Schizotypal Personality Disorder
Pattern of acute discomfort in close relationships, cognitive or
perceptual distortions, and eccentricities of behavior
 III. Personality Disorders
B. Cluster B Personality Disorders
1. Antisocial Personality Disorder
Pattern of disregard for, and violation of, the rights of others
2. Borderline Personality Disorder
Pattern of instability in interpersonal relationships, self-image,
and affects, and marked impulsivity
3. Histrionic Personality Disorder
Pattern of excessive emotionality and attention seeking
4. Narcissistic Personality Disorder
Pattern of grandiosity, need for admiration, and lack of
empathy.
 III. Personality Disorders
C. Cluster C Personality Disorders
1. Avoidant Personality Disorder
Pattern of social inhibition, feelings of inadequacy, and
hypersensitivity to negative evaluation
2. Dependent Personality Disorder
Pattern of submissive and clinging behavior related to an
excessive need to be taken care of.
3. Obsessive-Compulsive Personality Disorder
Pattern of preoccupation with orderliness, perfectionism,
and control
 III. Personality Disorders
D. Other Personality Disorders
1. Personality Change Due to Another Medical Condition
Persistent personality disturbance that is judged to be due to the direct
physiological effects of a medical condition (e.g., frontal lobe lesion)
2. Other Specified Personality Disorder
Category provided for two situations:
1) the individual's personality pattern meets the general criteria for a
personality disorder, and traits of several different personality
disorders are present, but the criteria for any specific personality
disorder are not met or
2) the individual's personality pattern meets the general criteria for a
personality disorder, but the individual is considered to have a
personality disorder that is not included in the DSM-5 classification
(e.g ., passive-aggressive personality disorder).
3. Unspecified Personality Disorder
 IV. Paraphilic Disorders
1. Voyeuristic Disorder - spying on others in private activities
2. Exhibitionistic Disorder - exposing the genitals
3. Frotteuristic Disorder - touching or rubbing against a
nonconsenting individual
4. Sexual Masochism Disorder - undergoing humiliation, bondage,
or suffering
5. Sexual Sadism Disorder - inflicting humiliation, bondage, or
suffering
6. Pedophilic Disorder - sexual focus on children
7. Fetishistic Disorder - using nonliving objects or having a highly
specific focus on nongenital body parts
8. Transvestic Disorder - engaging in sexually arousing cross-dressing
9. Other Specified Paraphilic Disorder
10. Unspecified Paraphilic Disorder
 V. Other Mental Disorders
1. Other Specified Mental Disorder Due to
Another Medical Condition
2. Unspecified Mental Disorder Due to Another
Medical Condition
3. Other Specified Mental Disorder
4. Unspecified Mental Disorder
 VI. Medication-Induced Movement Disorders
and Other Adverse Effects of Medication
movement disorders are included in Section II because of their
frequent importance in
1) the management by medication of mental disorders or other
medical conditions and
2) 2) the differential diagnosis of mental disorders (e.g., anxiety
disorder versus neuroleptic-induced akathisia;
malignant catatonia versus neuroleptic malignant syndrome). Although
these movement disorders are labeled "medication induced," it is
often difficult to establish the causal relationship between medication
exposure and the development of the movement disorder, especially
because some of these movement disorders also occur in the absence
of medication exposure. The conditions and problems listed in this
chapter are not mental disorders.
 VII. Other Conditions That May Be a
Focus of Clinical Attention
The conditions and problems listed in this
chapter are not mental disorders. Their
inclusion in DSM-5 is meant to draw attention
to the scope of additional issues that may be
encountered in routine clinical practice and to
provide a systematic listing that may be useful
to clinicians in documenting these issues.