I. DISORDERS USUALLY FIRST DIAGNOSED IN INFANCY, CHILDHOOD, OR ADOLES-CENCE
 

A. Mental Retardation: The disorder is characterized by significantly sub-average intellectual functioning (An IQ of approximately 70 or below) with onset before age 18. Separate codes are provided for Mild, Moderate, Severe, and Profound and for MR severity unspecified.

B. Learning Disorders: These dis-orders are characterized by academic functioning that is substantially below that expected given the persons chronological age, measured intelligence, and age appropriate education. Types: Reading Disorder, Mathematic Disorder, Disorder of Written Expression, and Learning Disorder NOS.

C. Motor Skills Disorder: This disorder is characterized by motor coordination that is substantially below that expected given the person's chronological age and measured intelligence. Type: Developmental Coordination Disorder

D. Communication Disorders: These disorders are characterized by difficulties in speech or language. Types: Expressive Language Disorder, Mixed Receptive-Expression Language Disorder, Phonological Disorder, Stuttering, and Communication Disorder NOS

E. Pervasive Developmental Dis-orders: These disorders are characterized by severe deficits and pervasive impairment in social interaction, communication, and presence of stereotyped behavior, interests, and activities. Types: Autistic Disorder, Retts' Disorder, Aspergers Disorder, NOS

F. Attention-Deficit and Disruptive Behavior Disorders: This section includes Attention Deficit/Hyperactivity Disorder which is characterized by symptoms of hyperactivity, inattention, and impulsivity. Also, included are behavioral disorders, i.e.; Conduct Disorder, Oppositional Defiant Disorder, and NOS categories for both.

G. Feeding and Eating Disorders of Infancy or Early Childhood: These disorders are characterized by persistent disorders of feeding and eating. Types: Pica, Rumination Disorder, Feeding Disorder.

H. Tic Disorders: These disorders are characterized by vocal and/or motor tics. Types: Tourette's Disorder, Chronic Motor or Vocal Tic Disorder, and NOS.

I. Elimination Disorders: This category includes; Encopresis - the repeated passage of feces in inappropriate places, and Enuresis - passage of urine in inappropriate places.

J. Other Disorders of Infancy, Childhood, or Adolescence:

1. Separation Anxiety Disorder: developmentally inappropriate and excessive nervousness when separated from home or those to whom the child is attached.

2. Selective Mutism: consistent failure to speak in social situation despite speaking in other situations.

3. Reactive Disorder: disturbed and inappropriate social relatedness

4. Stereotypic Movement Dis-order: repetitive, seemingly driven, motor behavior.

5. NOS Category

A. Delirium: disturbance of consciousness and a change in cognition that occurs over a short period of time. Types:
Delirium due to a general medical condition, Substance Induced Delirium, NOS

B. Dementia: multiple cognitive deficits that include memory impairment. Types: Dementia of the Alzheimer Type, Vascular Dementia, Dementia to Medical Condition (e.g.), Parkinson Disease, HIV, Substance Induced Dementia, NOS

C. Amnestic Disorder: Memory impairment without significant cognitive impairments. Types: Substance Induced Persisting Amnestic Disorder, NOS

D. Cognitive Disorder NOS:

1. Mild neurocognitive disorder
2. Post-concussional disorder

A. Schizophrenia: a disturbance of at least 6 months of (2 or more of the following): delusions, hallucinations, disorganized speech, catatonic behavior, negative symptoms. Subtypes: Paranoid, Disorganized, Catatonic, Undifferentiated, and Residual

B. Schizophreniform Disorder: Re-presented by the same symptomology of schizophrenia except for a shorted duration (1 to 6 months).

C. Schizoaffective Disorder: A dis-turbance of schizophrenia symptomology and mood symptoms occur together followed by at least 2 week of delusions or hallucinations without mood symptoms.

E. Brief Psychotic Disorder: A psychotic Disturbance that lasts more than 1 day and not more than 1 month.
*(delusions, hallucinations, disorganized speech, catatonic behavior).

F. Delusional Disorder: Nonbizarre delusions of at least 1 month without active schizophrenia symptoms.

G. Shared Psychotic Disorder: A person who is influenced by someone with a delusion with similar content. *delusional

H. Psychotic Disorder Due to a General Medical Condition

I. Substance Induced Psychotic Disorder
*delusions or only those hallucinations not accompanied by insight

IV. MOOD DISORDERS
 

A. Major Depressive Disorder: One or more major depressive episodes i.e., depressed mood or loss of interest for at least 2 weeks with at least 4 other symptoms of depression.

B. Dysthymic Disorder: characterized by at least 2 years of depressed mood for more days than not.

C. Bipolar I Disorder: Episodes of mixed (manic and depressive) symp-tomology

D. Bipolar II Disorder: characterized by one or more depressive episodes and at least 1 hypomanic (euphoric or elevated mood lesser than manic) episode.

E. Cyclothymic: 2 years of hypomanic symptoms that do not meet the criteria for manic and numerous periods of depressive symptoms that do not meet the criteria for Major Depressive Episode.

F. Bipolar NOS

G. Mood Disorder Due to a General Medical Condition

H. Substance Induced Mood Disorder

I. Mood Disorder NOS

V. ANXIETY DISORDERS

A. Panic Attack: a sudden onset of intense apprehension, fearfulness, or terror with symptoms such as shortness of breath, palpitations, chest pain, choking or smothering sensation and fear of "going crazy."

B. Agoraphobia: Nervousness about or avoidance of places or situations from which escape might be difficult, and a tendency to want to stay home or where it is safe for them.

C. Panic Disorder Without Agora-phobia: recurrent unexpected panic attacks with persistent concern.

D. Panic Disorder With Agoraphobia: recurrent unexpected panic attacks with agoraphobia.

E. Agoraphobia Without History of Panic Disorder: the presence of agoraphobia without panic attacks.

F. Specific Phobia: extreme anxiety and nervousness provoked by exposure to a specific feared object or situation often leading to avoidant behavior, e.g., fear of snakes.

G. Social Phobia: extreme anxiety and nervousness provoked by exposure to social or performance situations often leading to avoidant behavior.

H. Obsessive-Compulsive Disorder: Obsessions (persistent ideas, thoughts, impulses, or images that cause marked impairment or distress) and Compulsions (repetitive behaviors, e.g., handwashing, checking or mental acts, e.g., praying, counting).

I. Posttraumatic Stress Disorder: reexperiencing of an extremely traumatic event with symptoms of increased arousal and avoidance of stimuli associated with the trauma.

J. Acute Stress Disorder: symptoms similar to those experienced in Post-traumatic Stress Disorder that occur immediately after an extremely traumatic event.

K. Generalized Anxiety Disorder: characterized by at least 6 months of persistent and excessive anxiety and worry.

L. Anxiety Due to a General Medical Condition

M. Substance Induced Anxiety

N. Anxiety Disorder NOS

VI. SOMATOFORM DISORDERS

A. Somatization Disorder: A symptomatic disorder, beginning before at 30 with a combination of pain, gastrointestinal, sexual, and pseudoneurological symptoms.

B. Conversion Disorder: symptoms affecting voluntary motor or sensory that suggest neurological or medical condition.

C. Pain Disorder: Pain is the pre-dominant focus of clinical attention with psychological factors playing an important role.

D. Hypochondriasis: Preoccupation with the fear of having, or the idea that one has a serious disease.

E. Body Dysmorphic Disorder: preoccupation with an imagined or exaggerated personal appearance defect.
 

Physical or psychological symptoms that are intentionally produced in order to assume the sick role.

A. Dissociative amnesia: inability to recall personal information due to a traumatic or stressful situation and too extensive to be explained by ordinary forgetfulness.

B. Dissociative Fugue: Confusion about one's past or identity and the assumption of a new identity, with sudden unexpected travel.

C. Dissociative Identity Disorder (previously Multiple Personality Disorder): The presence of two or more distance personalities that recurrently take control of a persons behavior, with the inability to recall important personal information.

D. Depersonalization Disorder: persistent feelings of being detached from one's body or mental processes.

E. NOS
 

A. Sexual Dysfunctions: disturbance in sexual desire and cause stress and interpersonal problems.

B. Paraphillias: recurrent, intense sexual urges, fantasies, or behaviors, e.g., Exhibitionism, voyeurism, pedophilia.

C. Gender Identity Disorders: strong and persistent cross-gender identification, and discomfort with one's own sex.

D. NOS

X. EATING DISORDERS

A. Anorexia Nervosa: refusal to maintain a minimum body weigh

B. Bulimia Nervosa: repeated episode of excessive eating followed by behavior such as self-induced vomiting

XI. SLEEP DISORDERS

A. Primary Sleep Disorders:

1. Dyssomnias: problems in the amount, quality, or timing of sleep

2. Parasomnias: abnormal be-havior occurring while in sleep or sleep stages

B. Sleep Disorder Related to Another Mental Disorder

C. Sleep Disorder Related to a General Medical Condition

D. Substance Induced Sleep Disorder

XII. IMPULSE CONTROL DISORDERS

A. Intermittent Explosive Dis-order: discrete episodes of failure to resist aggressive impulses resulting in serious assaults or destruction of property.

B. Kleptomania: recurrent failure to resist impulses to steal objects not truly needed

C. Pyromania: a pattern of fire setting for pleasure, gratification, or relief of tension

D. Pathological Gambling: recur-rent and persistent abnormality in gambling behavior

E. Trichotillomania: recurrent pull-ing out of one's hair for pleasure, gratification, or tension relief with noticeable hair loss.

F. NOS

A. Adjustment Disorder with Depressed Mood

B. Adjustment Disorder with Anxious Mood

C. Adjustment Disorder with Mixed Anxiety and Depressed Mood

D. Adjustment Disorder with Disturbance of Conduct

E. Adjustment Disorder with Mixed Emotions and Conduct

XIV. PERSONALITY DISORDERS

A. Paranoid Personality Disorder: a pattern of distrust and suspiciousness in interpreting others behaviors as harmful.

B. Schizoid Personality Disorder: a detachment from social relationships and a restricted range of expression or feeling.

C. Schizotypal Personality Dis-order: A pattern of painful discomfort in close relationships, thoughts, and eccentric behavior.

D. Antisocial Personality Disorder: A pattern of the disregard, and violation for the rights of others.

E. Borderline Personality Dis-order: a pattern of unstable relationships with others, self image, expression, and impulsive behavior.

F. Histrionic Personality Disorder: a pattern of excessive emotionalness and attention seeking.

G. Narcissistic Personality Disorder: a pattern of grandiosity, need for admiration, and lack of empathy.

H. Avoidant Personality Disorder: a pattern of social withdrawal, feelings of being inadequate, and extremely sensitive to negative evaluation.

I. Dependent Personality Disorder: a pattern of submissive and clinging behavior with an excessive need to be taken care of.

J. Obsessive-Compulsive Person-ality Disorder: a pattern of preoccupation with orderliness, perfectionism, and control.

K. NOS

* Note: For Mental Disorders Due to a General Medical Condition and Substance Related Disorders see DSM-IV.
 
 

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