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DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS FIFTH EDITION DSM-5™
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American Psychiatric Association Officers 2012–2013 PRESIDENT DILIP V. J ESTE , M.D. PRESIDENT -ELECT JEFFREY A. L IEBERMAN , M.D. TREASURER DAVID FASSLER , M.D. SECRETARY ROGER PEELE , M.D. Assembly SPEAKER R. S COTT BENSON , M.D. SPEAKER -ELECT MELINDA L. Y OUNG , M.D. Board of Trustees JEFFREY AKAKA , M....
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Washington, DC London, EnglandDIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS FIFTH EDITION DSM-5™
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Copyright © 2013 American Psychiatric Association DSM and DSM-5 are trademarks of the American Psychiatric Association. Use of these terms is prohibited without perm ission of the American Psychiatric Association. ALL RIGHTS RESERVED. Unless auth orized in writing by the APA, no part of this book may be reproduced or ...
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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 Libra...
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Contents DSM-5 Classification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xli Section I DSM-5 Basics Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
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Obsessive-Compulsive and Re lated Disorders . . . . . . . . . . . . .235 Trauma- and Stressor-Related Disorders . . . . . . . . . . . . . . . . . .265 Dissociative Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .291 Somatic Symptom and Related Disorders . . . . . . . . . . . . . . . . .30...
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Disruptive, Impulse-Control, and Con duct Disorders . . . . . . . . 461 Substance-Related and Addictive Disord ers . . . . . . . . . . . . . . . 481 Neurocognitive Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 591 Personality Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
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Conditions for Further Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . 783 Appendix Highlights of Ch anges From DSM-IV to DSM-5 . . . . . . . . . . . . . 809 Glossary of Technical Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 817 Glossary of Cultural Concepts of Dist ress . . . . . . . . ...
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Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 917
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DSM-5 Task Force DAVID J. K UPFER , M.D. Task Force Chair DARREL A. R EGIER , M.D., M.P.H. Task Force Vice-Chair William E. Narrow, M.D., M.P.H., Research DirectorSusan 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. Ca...
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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. Nar...
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Manager, Practice Research Network Christopher M. Reynolds, Executive Assistant APA Office of the Medical Director JAMES H. S CULLY JR., M.D. Medical Director and CEO
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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. X AVIER CASTELLANOS , M.D. Co-Chair Paul J. Frick, Ph.D., Text Coordinator Glorisa Canino, Ph.D. Terrie E. Moffitt, Ph.D. Joel T. Nigg, P...
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DANIEL S. P INE, 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. T IMOTHY WALSH , M.D. Chair Stephen A. Wonderlich, Ph.D., Text Coo...
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Mood Disorders JAN A. F AWCETT , 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...
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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. Wrig...
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Psychotic Disorders WILLIAM T. C ARPENTER 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...
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Susan Redline, M.D., M.P.H. Dieter Riemann, Ph.D. Somatic Symptom Disorders JOEL E. D IMSDALE , 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 Sha...
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DSM-5 Study Groups Diagnostic Spect ra and DSM/ICD Harmonization STEVEN E. H YMAN , 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....
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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 M...
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Impairment and Disability JANE S. P AULSEN , 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 Assessm ent Instruments JA...
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Eric A. Taylor, M.B. David J. Kupfer, M.D. Darrel A. Regier, M.D., M.P.H.
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xiiiDSM-5 Classification Before each disorder name, ICD-9-CM code s are provided, followe d by ICD-10-CM codes in parentheses. Blank lines indicate that eith er 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 code...
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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)
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xiv DSM-5 Classification Autism Spectrum Disorder (50) 299.00 (F84.0) Autism Spectrum Disorder (50) Specify if: Associated with a known medic al or genetic condition or envi- ronmental factor; Associ ated with another neurodevelopmental, men- tal, or behavioral disorder Specify current severity for Criterion A and Cr...
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accuracy, grammar and punctu ation 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 ...
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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 (...
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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 featur es, Without good prognostic fea- tures 295.90 (F20.9) Sch...
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xvi DSM-5 Classification 293.89 (F06.1) Catatonia Associated With Anothe r 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 musculo...
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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) Mo...
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DSM-5 Classification xvii 301.13 (F34.0) Cyclothymic Disorder (139) Specify if: With anxious distress ___.__ (___.__) Substance/Medication-Induced Bipo lar 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. Spe...
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296.22 (F32.1) Moderate 296.23 (F32.2) Severe 296.24 (F32.3) With psychotic features 296.25 (F32.4) In partial remission 296.26 (F32.5) In full remission 296.20 (F32.9) Unspecified ___.__ (___.__) Recurrent episode 296.31 (F33.0) Mild 296.32 (F33.1) Moderate 296.33 (F33.2) Severe 296.34 (F33.3) With psychoti...
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xviii DSM-5 Classification episode; With intermittent major depressive episodes, without current episode Specify current severity: Mild, Moderate, Severe 625.4 (N94.3) Premenstrual Dysphoric Disorder (171) ___.__ (___.__) Substance/Medication-Induced Depressive Disorder (175) Note: See the criteria set and corresp...
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Specify if: Performance only 300.01 (F41.0) Panic Disorder (208) ___.__ (___.__) Panic Attack Specifier (214) 300.22 (F40.00) Agoraphobia (217) 300.02 (F41.1) Generalized Anxiety Disorder (222) ___.__ (___.__) Substance/Medication-Induced Anxiety Disorder (226) Note: See the criteria set and corresponding recor...
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DSM-5 Classification xix 293.84 (F06.4) Anxiety Disorder Due to Anot her Medical Condition (230) 300.09 (F41.8) Other Specified Anxiety Disorder (233) 300.00 (F41.9) Unspecified Anxiety Disorder (233) Obsessive-Compulsive and Related Disorders (235) The following specifier applies to Obsessive-Compulsive and Rela t...
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Specify if: With obsessive-compulsive disorder–like symptoms, With appearance preoccupations, With hoarding symptoms, With hair- pulling symptoms, With skin-picking symptoms 300.3 (F42) Other Specified Obsessive-Compulsive and Related Disorder (263) 300.3 (F42) Unspecified Obsessive-Compulsive and Related Disorde...
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xx DSM-5 Classification ___.__ (___.__) Adjustment Disorders (286) Specify whether: 309.0 (F43.21) With depressed mood 309.24 (F43.22) With anxiety 309.28 (F43.23) With mixed anxiety and depressed mood 309.3 (F43.24) With disturbance of conduct 309.4 (F43.25) With mixed disturbance of emotions and conduct 309.9 ...
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Specify whether: Care seeking type, Care avoidant type 300.11 (___.__) Conversion Disorder (Functional Neurological Symptom Disorder) (318) Specify symptom type: (F44.4) With weakness or paralysis (F44.4) With abnormal movement (F44.4) With swallowing symptoms (F44.4) With speech symptom (F44.5) With attacks or sei...
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DSM-5 Classification xxi 316 (F54) Psychological Factors Affecting Other Medical Conditions (322) Specify current severity: Mild, Moderate, Severe, Extreme 300.19 (F68.10) Factitious Disorder (includes Fact itious Disorder Imposed on Self, Factitious Disorder Imposed on Another) (324) Specify Single episode, Recur...
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307.50 (F50.9) Unspecified Feeding or Eating Disorder (354) Elimination Disorders (355) 307.6 (F98.0) Enuresis (355) Specify whether: Nocturnal only, Diur nal only, Nocturnal and diurnal 307.7 (F98.1) Encopresis (357) Specify whether: With constipation an d overflow incontinence, Without constipation and overflow...
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xxii DSM-5 Classification Sleep-Wake Disorders (361) The following specifiers apply to Sl eep-Wake Disorders where indicated: aSpecify if: Episodic, Persistent, Recurrent bSpecify if: Acute, Subacute, Persistent cSpecify current severity: Mi ld, Moderate, Severe 307.42 (F51.01) Insomnia Disordera (362) Specify if...
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786.04 (R06.3) Cheyne-Stokes breathing 780.57 (G47.37) Central sleep apnea comorbid with opioid use Note: First code opioid use disorder, if present. Specify current severity ___.__ (___.__) Sleep-Related Hypoventilation (387) Specify whether: 327.24 (G47.34) Idiopathic hypoventilation 327.25 (G47.35) Congenita...
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DSM-5 Classification xxiii 307.45 (G47.26) Shift work type (397) 307.45 (G47.20) Unspecified type Parasomnias (399) ___.__ (__.__) Non–Rapid Eye Movement Sleep Arousal Disorders (399) Specify whether: 307.46 (F51.3) Sleepwalking type Specify if: With sleep-related eating , With sleep-related sexual behavior (s...
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780.59 (G47.8) Other Specified Sleep-Wake Disorder (421) 780.59 (G47.9) Unspecified Sleep-Wake Disorder (422) Sexual Dysfunctions (423) The following specifiers apply to Sexual Dysfunctions where indicated: aSpecify whether: Lifelong, Acquired bSpecify whether: Generalized, Situational cSpecify current severity: ...
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xxiv DSM-5 Classification 302.71 (F52.0) Male Hypoactive Sexual Desire Disordera, b, c (440) 302.75 (F52.4) Premature (Early) Ejaculationa, b, c (443) ___.__ (___.__) Substance/Medication-Induc ed Sexual Dysfunctionc (446) Note: See the criteria set and corresponding recording procedures for substance-specific code...
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Specify current severity: Mild, Moderate, Severe 312.34 (F63.81) Intermittent Explosive Disorder (466) ___.__ (__.__) Conduct Disorder (469) Specify whether: 312.81 (F91.1) Childhood-onset type 312.82 (F91.2) Adolescent-onset type 312.89 (F91.9) Unspecified onset Specify if: With limited prosocial emotions Spec...
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DSM-5 Classification xxv Substance-Related and Addictive Disorders (481) The following specifiers and note apply to Substance-Related and Addictive Disorders where indicated: aSpecify if: In early remission, In sustained remission bSpecify if: In a controlled environment cSpecify if: With perceptual disturbances dT...
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___.__ (___.__) Other Caffeine-Induc ed Disorders (508) 292.9 (F15.99) Unspecified Caffeine-Related Disorder (509) Cannabis-Related Disorders (509) ___.__ (___.__) Cannabis Use Disordera, b (509) Specify current severity: 305.20 (F12.10) Mild 304.30 (F12.20) Moderate 304.30 (F12.20) Severe
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xxvi DSM-5 Classification 292.89 (___.__) Cannabis Intoxicationc (516) Without perceptual disturbances (F12.129) With use disorder, mild (F12.229) With use disorder, moderate or severe (F12.929) Without use disorder With perceptual disturbances (F12.122) With use disorder, mild (F12.222) With use disorder, moderate or...
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(F16.229) With use disorder, moderate or severe (F16.929) Without use disorder 292.89 (F16.983) Hallucinogen Persisting Pe rception Disorder (531) ___.__ (___.__) Other Phencyclidine-Induced Disorders (532) ___.__ (___.__) Other Hallucinogen-Induced Disorders (532) 292.9 (F16.99) Unspecified Phencyclidine-Related D...
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DSM-5 Classification xxvii 304.60 (F18.20) Moderate 304.60 (F18.20) Severe 292.89 (___.__) Inhalant Intoxication (538) (F18.129) With use disorder, mild (F18.229) With use disorder, moderate or severe (F18.929) Without use disorder ___.__ (___.__) Other Inhalant-Induced Disorders (540) 292.9 (F18.99) Unspecified I...
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Sedative-, Hypnotic-, or Anxiolytic-Related Disorders (550) ___.__ (___.__) Sedative, Hypnotic, or Anxiolytic Use Disordera, b (550) Specify current severity: 305.40 (F13.10) Mild 304.10 (F13.20) Moderate 304.10 (F13.20) Severe 292.89 (___.__) Sedative, Hypnotic, or Anxi olytic Intoxication (556) (F13.129) With u...
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xxviii DSM-5 Classification ___.__ (___.__) Other Sedative-, Hypnotic-, or Anxiolytic-Induced Disorders (560) 292.9 (F13.99) Unspecified Sedative-, Hypnotic-, or Anxiolytic-Related Disorder (560) Stimulant-Related Disorders (561) ___.__ (___.__) Stimulant Use Disordera, b (561) Specify current severity: ___.__ (...
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(F14.929) Without use disorder 292.89 (___.__) Amphetamine or other stimulant, With perceptual disturbances (F15.122) With use disorder, mild (F15.222) With use disorder, moderate or severe (F15.922) Without use disorder 292.89 (___.__) Cocaine, With perceptual disturbances (F14.122) With use disorder, mild (F14.222...
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DSM-5 Classification xxix 292.9 (___.__) Unspecified Stimulant-Related Disorder (570) (F15.99) Amphetamine or other stimulant (F14.99) Cocaine Tobacco-Related Disorders (571) ___.__ (___.__) Tobacco Use Disordera (571) Specify if: On maintenance therapy, In a controlled environment Specify current severity: 305.1 ...
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Non-Substance-Related Disorders (585) 312.31 (F63.0) Gambling Disordera (585) Specify if: Episodic, Persistent Specify current severity: Mild, Moderate, Severe Neurocognitive Disorders (591) ___.__ (___.__) Delirium (596) aNote: See the criteria set and corresponding recording procedures for substance-specific co...
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xxx DSM-5 Classification 293.0 (F05) Delirium due to multiple etiologies Specify if: Acute, Persistent Specify if: Hyperactive, Hypoacti ve, Mixed level of activity 780.09 (R41.0) Other Specified Delirium (602) 780.09 (R41.0) Unspecified Delirium (602) Major and Mild Neurocognitive Disorders (602) Specify whether...
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294.11 (F02.81) With behavioral disturbance 294.10 (F02.80) Without behavioral disturbance 331.9 (G31.9) Possible Major Neurocognitive Disorder Due to Alzheimer’s Diseasea, b 331.83 (G31.84) Mild Neurocognitive Disorder Due to Alzheimer’s Diseasea Major or Mild Frontotemporal Neurocognitive Disorder (614) ___.__ ...
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DSM-5 Classification xxxi 331.9 (G31.9) Possible Major Neurocognitive Disorder With Lewy Bodiesa, b 331.83 (G31.84) Mild Neurocognitive Disorder With Lewy Bodiesa Major or Mild Vascular Neurocognitive Disorder (621) ___.__ (___.__) Probable Major Vascular Neurocognitive Disorderb Note: No additional medical code fo...
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Specify if: Persistent Major or Mild Neurocognitive Disorder Due to HIV Infection (632) ___.__ (___.__) Major Neurocognitive Disorder Due to HIV Infectionb Note: Code first 042 (B20) HIV infection. 294.11 (F02.81) With behavioral disturbance 294.10 (F02.80) Without behavioral disturbance 331.83 (G31.84) Mild Neu...
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xxxii DSM-5 Classification 331.9 (G31.9) Major Neurocognitive Disorder Possibly Due to Parkinson’s Diseasea, b 331.83 (G31.84) Mild Neurocognitive Disorder Due to Parkinson’s Diseasea Major or Mild Neurocognitive Disorder Due to Huntington’s Disease (638) ___.__ (___.__) Major Neurocognitive Disorder Due to Huntin...
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Unspecified Neurocognit ive Disorder (643) 799.59 (R41.9) Unspecified Neurocognitive Disordera Personality Disorders (645) Cluster A Personality Disorders 301.0 (F60.0) Paranoid Personality Disorder (649) 301.20 (F60.1) Schizoid Personality Disorder (652) 301.22 (F21) Schizotypal Personality Disorder (655) Cluster...
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DSM-5 Classification xxxiii Cluster C Personality Disorders 301.82 (F60.6) Avoidant Personality Disorder (672) 301.6 (F60.7) Dependent Personalit y Disorder (675) 301.4 (F60.5) Obsessive-Compulsive Personality Disorder (678) Other Personality Disorders 310.1 (F07.0) Personality Change Due to Another Medical Conditi...
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302.2 (F65.4) Pedophilic Disorder (697) Specify whether: Exclusive type, Nonexclusive type Specify if: Sexually attracted to males, Se xually attracted to females, Sexu- ally attracted to both Specify if: Limited to incest 302.81 (F65.0) Fetishistic Disordera (700) Specify: Body part(s), Nonliving object(s), Othe...
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xxxiv DSM-5 Classification Medication-Induced Movement Disorders and Other Adverse Effects of Medication (709) 332.1 (G21.11) Neuroleptic-Induced Parkinsonism (709) 332.1 (G21.19) Other Medication-Induced Parkinsonism (709) 333.92 (G21.0) Neuroleptic Malignant Syndrome (709) 333.72 (G24.02) Medication-Induced Acu...
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of Clinical Attention (715) Relational Problems (715) Problems Related to Fa mily Upbringing (715) V61.20 (Z62.820) Parent-Child Relational Problem (715) V61.8 (Z62.891) Sibling Relational Problem (716) V61.8 (Z62.29) Upbringing Away From Parents (716) V61.29 (Z62.898) Child Affected by Parental Relationship Distr...
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DSM-5 Classification xxxv Abuse and Neglect (717) Child Maltreatment and Neglect Problems (717) Child Physical Abuse (717) Child Physical Abuse, Confirmed (717) 995.54 (T74.12XA) Initial encounter 995.54 (T74.12XD) Subsequent encounter Child Physical Abuse, Suspected (717) 995.54 (T76.12XA) Initial encounter 995.54...
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abuse by parent V61.21 (Z69.020) Encounter for mental health services for victim of nonparental child sexual abuse V15.41 (Z62.810) Personal history (past history) of sexual abuse in childhood V61.22 (Z69.011) Encounter for mental health services for perpetrator of parental child sexual abuse V62.83 (Z69.021) Enc...
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xxxvi DSM-5 Classification Child Neglect, Suspected (719) 995.52 (T76.02XA) Initial encounter 995.52 (T76.02XD) Subsequent encounter Other Circumstances Related to Child Neglect (719) V61.21 (Z69.010) Encounter for mental health services for victim of child neglect by parent V61.21 (Z69.020) Encounter for mental h...
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child psychological abuse V62.83 (Z69.021) Encounter for mental health services for perpetrator of nonparental child psychological abuse Adult Maltreatment and Neglect Problems (720) Spouse or Partner Violence, Physical (720) Spouse or Partner Violence, Physical, Confirmed (720) 995.81 (T74.11XA) Initial encounter ...
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DSM-5 Classification xxxvii V15.41 (Z91.410) Personal history (past history) of spouse or partner violence, physical V61.12 (Z69.12) Encounter for mental health serv ices for perpetrator of spouse or partner violence, physical Spouse or Partner Violence, Sexual (720) Spouse or Partner Violence, Sexual, Confirmed (...
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Other Circumstances Related to Spouse or Partner Neglect (721) V61.11 (Z69.11) Encounter for mental health serv ices for victim of spouse or partner neglect V15.42 (Z91.412) Personal history (past history) of spouse or partner neglect V61.12 (Z69.12) Encounter for mental health serv ices for perpetrator of spouse ...
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xxxviii DSM-5 Classification V15.42 (Z91.411) Personal history (past history) of spouse or partner psychological abuse V61.12 (Z69.12) Encounter for mental health services for perpetrator of spouse or partner psychological abuse Adult Abuse by Nonspouse or Nonpartner (722) Adult Physical Abuse by Nonspous e or No...
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adult abuse V62.83 (Z69.82) Encounter for mental health services for perpetrator of nonspousal adult abuse Educational and Occupational Problems (723) Educational Problems (723) V62.3 (Z55.9) Academic or Educational Problem (723) Occupational Problems (723) V62.21 (Z56.82) Problem Related to Current Military Deploy...
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DSM-5 Classification xxxix V60.89 (Z59.2) Discord With Neighbor, Lodger, or Landlord (723) V60.6 (Z59.3) Problem Related to Living in a Residential Institution (724) Economic Problems (724) V60.2 (Z59.4) Lack of Adequate Food or Safe Drinking Water (724) V60.2 (Z59.5) Extreme Poverty (724) V60.2 (Z59.6) Low Incom...
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V62.5 (Z65.2) Problems Related to Release From Prison (725) V62.5 (Z65.3) Problems Related to Other Legal Circumstances (725) Other Health Service Encounters for Counseling and Medical Advice (725) V65.49 (Z70.9) Sex Counseling (725) V65.40 (Z71.9) Other Counseling or Consultation (725) Problems Related to Other Ps...
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xl DSM-5 Classification Other Circumstances of Personal History (726) V15.49 (Z91.49) Other Personal History of Psychological Trauma (726) V15.59 (Z91.5) Personal History of Self-Harm (726) V62.22 (Z91.82) Personal History of Mili tary Deployment (726) V15.89 (Z91.89) Other Personal Risk Factors (726) V69.9 (Z72....
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xliPreface The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) is a classification of mental di sorders with associ ated criteria de- signed to facilitate more reliable diagnoses of these disorders. With successive editions over the past 60 years, it has become a standar...
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sentations in a variety of clinical settings—inpatient, outpatient, partial hospital, consul- tation-liaison, clinical, private practice, an d primary care—as well in general community epidemiological studies of mental disorders. DSM-5 is also a tool for collecting and com- municating accurate public health statistics...
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new structure corresponds with the organizational arrangement of disorders planned for ICD-11 scheduled for release in 2015. Other enhancements have been introduced to pro- mote ease of use across all settings:
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xlii Preface •Representation of developmental issues related to diagnosis. The change in chapter organization better reflects a lifespan approach, with disorders more frequently diag- nosed in childhood (e.g., neurodevelopmental disorders) at the beginning of the man- ual and disorders more applicable to olde r adult...
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nication and restrictive repetitive behaviors/ interests rather than being distinct disor- ders. This change is designed to improve the se nsitivity and specificity of the criteria for the diagnosis of autism spectrum disorder and to identify more focused treatment tar- gets for the specific impairments identified. •St...
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the central nervous system and do not necessar ily indicate the presence of an addiction. By revising and clarifying these criteria in DSM-5, we hope to alleviate some of the widespread misunderstanding about these issues.
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By revising and clarifying these criteria in DSM-5, we hope to alleviate some of the widespread misunderstanding about these issues. •Enhanced specificity for major and mild neurocognitive disorders. Given the explo- sion in neuroscience, neuropsychology, and br ain imaging over the pa st 20 years, it was critical to ...
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Preface xliii specific molecular genetic fi ndings for rare variants of Alzheimer’s disease and Hun- tington’s disease have greatly advanced cl inical diagnoses, and these disorders and others have now been separated into specific subtypes. •Transition in conceptualizing personality disorders. Although the benefits o...
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sessment of Functioning scale. It is our hope that as these measures are implemented over time, they will provide greater accuracy and flexibility in the clinical description of individual symptomatic presen tations and associated disability during diagnostic as- sessments. •Online enhancements. DSM-5 features online ...
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unteer effort to improve the scientific basis of clinical practice over a sustained 6-year pe- riod. Susan K. Schultz, M.D., who served as text editor, worked tirelessly with Emily A. Kuhl, Ph.D., senior science writer and DSM-5 st aff text editor, to coordinate the efforts of the work groups into a cohesive whole. Wi...
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the work groups into a cohesive whole. Willia m E. Narrow, M.D., M. P.H., led the research group that developed the overall research stra tegy for DSM-5, including the field trials, that greatly enhanced the eviden ce base for this revision. In addition, we are grateful to those who contributed so much time to the in d...
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xliv Preface bly review process. Special thanks go to Helena C. Kraemer, Ph.D., fo r her expert statistical consultation; Michael B. First, M.D., for his valuable input on the coding and review of cri- teria; and Paul S. Appelbau m, M.D., for feedback on forensic issues. Maria N. Ward, M.Ed., RHIT, CCS-P, also helped ...
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Manager—for their guidance in bringing this all together and creating the final product. It is the culmination of efforts of many talented individuals who dedicated their time, exper- tise, and passion that made DSM-5 possible. David J. Kupfer, M.D. DSM-5 Task Force Chair Darrel A. Regi er, M.D., M.P.H. DSM-5 Task ...
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SECTION I DSM-5 Basics Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Use of the Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Cautionary Statement for Forensic Use of DSM-5 . . . . . . . . . . . . . . . ...
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This section is a basic orientation to the purpose, structure, content, and use of DSM-5. It is not intended to provide an exhaustive account of the evo- lution of DSM-5, but rather to give readers a succinct overview of its key ele- ments. The introductory section descr ibes the public, professional, and expert revie...
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5Introduction The creation of the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was a massive undertaking that involv ed hundreds of peop le working toward a common goal over a 12-year process. Much thought and deliberation were involved in evaluating the diagnostic criter ia, consider...
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ders. Finding the right balance is critical. Speculative results do not belong in an official nosology, but at the same time, DSM must evolve in the context of other clinical research ini- tiatives in the field. One important aspect of this transition derives from the broad recognition that a too-rigid categorical syst...
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Clinical training and experience are needed to use DSM for determining a diagnosis. The diagnostic criteria identify symptoms, behavior s, cognitive functions, personality traits, phys- ical signs, syndrome combinations, and durations that require clinical expertise to differenti- ate from normal life variation and tra...
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6 Introduction examination of the range of symptoms present, DSM can serve clinicians as a guide to identify the most prominent symptoms that should be assessed when diagnosing a disorder. Although some mental disorders may have well-defined boundaries around symptom clusters, scien- tific evidence now places many, if...
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other mental health professionals that descri bed the essential features of the full range of mental disorders. The current ed ition, DSM-5, builds on the go al of its predecessors (most recently, DSM-IV-TR, or Text Revision, published in 2000) of providing guidelines for di- agnoses that can inform treatment and manag...
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