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DISORDERS FEATURES

1. Intellectual Developmental Deficit in executive functioning, logical


Disorder (IDD) thinking, and reasoning

2. Global Developmental Delay


Fail to meet developmental milestones
(GDD)

Reduced vocabulary, limited sentence


3. Language Disorder (LD) structure, inability to use and connect
words in sentences

Reduced speech sound production, late


4. Speech Sound Disorder
eight, limited effective communication

Deficit in manners in social


5. Social (Pragmatic)
communication, difficulties following rules
Communication Disorder
in conversation such as taking turns
Disturbances in normal fluency, and
6. Childhood-Onset Fluency patterns of speech, stuttering, syllabic
Disorder repetition, and prolong of consonants and
vowels

Deficits in social communication,


7. Autism Spectrum Disorder (ASD)
repetitive behavior, and stereotypies

8. Attention-Deficit/Hyperactivity Inattention, Hyperactivity and Impulsivity


Disorder (ADHD) in more than one setting

Difficulties in academic skills (e.g.,


9. Specific Learning Disorder dyslexia, dyscalculia), learning difficulties
are not accounted for IDD.
Deficit in coordinated motor skills,
10. Developmental
clumsy, motor skills are not explained by
Coordination Disorder
IDD
11. Stereotypic Movement Repetitive purposeless movements that
Disorder interferes with social, academic, or work

Both multiple motor and one or more


vocal tics have been present at some
12. Tourettes Disorder
time during the illness for more than 1
year.
13. Persistent (Chronic) Motor Single or multiple motor for more than 1
Disorder year.

14. Persistent (Chronic) Vocal Single or multiple vocal tics for more than
Tic Disorder 1 year.

Single or multiple motor and/or vocal tics


15. Provisional Tic Disorder
for less than 1 year.



DISORDERS FEATURES

Delusions with a duration of 1 month or


1. Delusional Disorder
longer

Positive symptoms, disorganized speech,


2. Brief Psychotic Disorder catatonia but no negative symptoms for
less than 1 month

Delusion, hallucination, disorganized


3. Schizophreniform Disorder speech, catatonia, negative symptoms for
more than 1 month but less than 6 months

Delusion, hallucination, disorganized


4. Schizophrenia speech, catatonia, negative symptoms for
more than 6 months

Major mood episode concurrent with


Criterion A, delusions or hallucinations for
5. Schizoaffective Disorder 2 or more weeks in the absence of a major
mood episode during episode of delusion
or hallucination

Positive symptoms, Criterion A is a result


6. Substance/Medication-
of substance intoxication, withdrawal or
Induced Psychotic Disorder
exposure




DISORDERS FEATURES
Manic episode but depressive or hypomanic
1. Bipolar I
episode is not necessary

2. Bipolar II Hypomanic and MDE, and no manic episode.

Hypomanic and depressive symptoms for 2


3. Cyclothymic Disorder
years in adults and 1 year for children.

DISORDERS FEATURES
Irritability and temper outburst in verbal
and behavioral for 3 or more times per
1. Disruptive Mood week in 12 months and present in more
Dysregulation Disorder than 2 settings. (diagnosis should be
made not before 6 years old and not
after 18 years old)
MDE, weight loss/gain, anhedonia,
2. Major Depressive Disorder insomnia or hypersomnia, fatigue or
agitation, suicidal
MDE, weight loss/gain, anhedonia,
insomnia or hypersomnia, fatigue or
3. Persistent Depressive
agitation, suicidal for 2 years (1 year for
Disorder (Dysthymia)
children) but must be present for more than
2 months
Mood swings, irritable, depress, anxious,
4. Premenstrual Dysphoric anhedonia, inattentive, fatigue, overeating,
Disorder hypersomnia or insomnia, feeling of out of
control and physical symptoms


DISORDERS FEATURES

Distress in separation, worry about losing


attachment figures, worry about future
events because of separation, refusal to go
1. Separation Anxiety Disorder out, fear of being alone, refusal to sleep or
must sleep near the attachment figure, and
physical symptoms for1 month in children
and 6 months for adults.

Failure to speak in specific social situations


in which there is an expectation for
2. Selective Mutism
speaking despite speaking in other
situations for at least 1 month

Fear or anxiety about a specific object or


3. Specific Phobia
situation for more than 6 months

Anxiety about social situations in which the


4. Social Anxiety Disorder individual is exposed to possible scrutiny
(Social Phobia) by others, fear of being evaluated
negatively for 6 months or more.

Panic attacks, 1 month worrying for the


5. Panic Disorder consequence of the attacks, maladaptive
change in behavior to avoid attacks.
Fears or avoids situations because of
thoughts that escape might be difficult or
help might not be available, fear of Using
6. Agoraphobia public transportation, Being in open
spaces, Being in enclosed places, Being
outside of the home alone for more than 6
months
Excessive worry with restlessness or
7. Generalized Anxiety
feeling keyed up or on edge, being easily
Disorder (GAD)
fatigued, difficulty
concentrating or mind going blank,
irritability, muscle tension, and disturbed
sleep for 6 months

DISORDERS FEATURES

1. Obsessive-Compulsive Presence of time consuming compulsion


Disorder (OCD) and obsession (more than 1 hour)
Preoccupation with perceived defects or
2. Body Dysmorphic Disorder flaws in physical appearance, repetitive
(BDD) behaviors in response to the appearance
concerns
Difficulty in discarding or parting with
3. Hoarding Disorder
possessions
Recurrent pulling out of ones hair,
4. Trichotillomania (Hair-
repeated attempts to decrease or stop hair
Pulling Disorder)
pulling
Recurrent skin picking resulting in skin
5. Excoriation(Skin-picking)
lesions, repeated attempts to decrease or
Disorder
stop skin picking

Specifiers in OCD:
With good or fair insight: The individual recognizes that obsessive-compulsive
disorder beliefs are definitely or probably not true or that they may or may not
be true.
With poor insight: The individual thinks obsessive-compulsive disorder beliefs are
probably true.
With absent insight/delusional beliefs: The individual is completely convinced
that obsessive-compulsive disorder beliefs are true.
Tic-related: The individual has a current or past history of a tic disorder.


DISORDERS FEATURES
Child rarely or minimally seeks and responds to
comfort when distressed, limited positive affect.
Has experienced social neglect or deprivation,
1. Reactive Attachment
repeated changes of primary caregivers before
Disorder
age 5. Has developmental age of 9 and not met
ASD. (If persistent, it must be present for 12
months)

Willingness to go off with an unfamiliar adult


with minimal or no hesitation, Reduced or
absent reticence in approaching and interacting
2. Disinhibited Social with unfamiliar adults. Has experienced social
Engagement Disorder neglect or deprivation, repeated changes of
primary caregivers. Has developmental age of 9
and not met ASD. (If persistent, it must be
present for 12 months)

Exposure to actual or threatened death, serious


injury, or sexual violence, recurrent, memories
and dreams of the traumatic event, avoidance of
stimuli associated with the traumatic event,
inability to remember an important aspect of the
3. Posttraumatic Stress
traumatic event, cognitive triad of depression,
Disorder (PTSD)
diminished interest or participation in activities,
feelings of detachment or estrangement from
others, persistent inability to experience positive
emotions, hypervigilance, exaggerated startled
response, sleep disturbance for 1 month

Same with PTSD but with dissociative


4. Acute Stress Disorder
symptoms for 3 days to 1 month of duration
Emotional or behavioral symptoms and marked
distress in response to an identifiable stressors
5. Adjustment Disorders
occurring within 3 months of the onset of the
stressors for not more than 6 months



DISORDERS FEATURES
Two or more distinct personality states,
1. Dissociative Identity Disorder gaps in recalling everyday life event,
forgetting personal information
Inability to recall important
2. Dissociative Amnesia autobiographical information, usually of
a traumatic or stressful nature
Experiences of unreality, detachment,
or being an outside observer with
3. Depersonalization/Derealization respect to ones thoughts, feelings,
Disorder sensations, body, or actions,
experiences of unreality or detachment
with respect to surroundings

Specifier in Dissociative Amnesia:


With dissociative fugue: Apparently purposeful travel or bewildered wandering
that is associated with amnesia for identity or for other important
autobiographical information.






DISORDERS FEATURES
Persistent thoughts about the seriousness
of ones symptoms, excessive time and
1. Somatic Symptom Disorder
energy devoted to these symptoms or
health concerns for 6 months

Preoccupation with having or acquiring a


serious illness, Somatic symptoms are not
2. Illness Anxiety Disorder
present or, if present, are only mild in
intensity for at least 6 months`

One or more symptoms of altered


3. Conversion Disorder voluntary motor or sensory function, clinical
(Functional Neurological findings provide evidence of incompatibility
Symptom Disorder) between the symptom and recognized
neurological or medical conditions.

Falsification of physical or psychological


signs or symptoms, or induction of injury or
disease, associated with identified
deception, the individual presents himself
4. Factitious Disorder
or herself to others as ill, impaired, or
(Imposed on Self)
injured, the deceptive behavior is evident
even in the absence of obvious external
rewards

--------

Falsification of physical or psychological


signs or symptoms, or induction of injury or
disease, in another, associated with
Factitious Disorder
identified deception, the individual presents
(Imposed on Others)
another individual (victim) to others as ill,
impaired, or injured, the deceptive behavior
is evident even in the absence of obvious
external rewards.








DISORDERS FEATURES
Eating of nonnutritive, nonfood substances
1. Pica
over a period of at least 1 month

Repeated regurgitation of food over a period


2. Rumination Disorder of at least 1 month, regurgitated food may
be re-chewed, re-swallowed, or spit out

Lack of interest in eating or food, avoidance


3. Avoidant/Restrictive Food based on the sensory characteristics of
Intake Disorder food, concern about aversive consequences
of eating

Persistent energy intake restriction, intense


fear of gaining weight or of becoming fat, or
4. Anorexia Nervosa persistent behavior that interferes with
weight gain, a disturbance in self-perceived
weight or shape.
Eating an amount of food that is definitely
larger than what most individuals would eat,
5. Bulimia Nervosa recurrent inappropriate compensatory
behaviors in order to prevent weight gain at
least once a week for 3 months
Eating much more rapidly than normal,
eating until feeling uncomfortably full, eating
large amounts of food when not feeling
physically hungry, eating alone because of
6. Binge-Eating Disorder
feeling embarrassed by how much one is
eating, feeling disgusted with oneself,
depressed, or very guilty afterward at least
once a week for 3 months

Specifiers in Anorexia Nervosa:


Restricting type: During the last 3 months, the individual has not engaged in
recurrent episodes of binge eating or purging behavior (i.e., self-induced
vomiting or the misuse of laxatives, diuretics, or enemas). This subtype describes
presentations in which weight loss is accomplished primarily through dieting,
fasting, and/or excessive exercise.
Binge-eating/purging type: During the last 3 months, the individual has engaged
in recurrent episodes of binge eating or purging behavior (i.e., self-induced
vomiting or the misuse of laxatives, diuretics, or enemas).




DISORDERS FEATURES
Repeated voiding of urine into bed or
clothes, whether involuntary or intentional,
1. Enuresis at least twice a week for at least 3
consecutive months, chronological age is
at least 5 years
Repeated passage of feces into
inappropriate places whether involuntary or
2. Encopresis
intentional, at least 3 months, chronological
age is at least 4 years

Specifiers for Enuresis:


Nocturnal only: Passage of urine only during nighttime sleep.
(monosymptomatic enuresis)
Diurnal only: Passage of urine during waking hours.
(urinary incontinence)
Nocturnal and diurnal: A combination of the two subtypes above.
(nonmonosymptomatic enuresis)




DISORDERS FEATURES
Difficulty initiating sleep, difficulty
maintaining sleep, early-morning awakening
1. Insomnia Disorder
with inability to return to sleep, for at least 3
months and at least 3 nights per week
Self-reported excessive sleepiness despite a
main sleep period lasting at least 7 hours,
prolonged main sleep episode of more than
2. Hypersomnolence Disorder
9 hours per day that is non-restorative that
occurs at least three times per week, for at
least 3 months
Irrepressible need to sleep, lapsing into
sleep, or napping occurring within the same
day for at least three times per week over
3. Narcolepsy
the past 3 months, episodes of cataplexy,
(REM) sleep latency less than or equal to 15
minutes
5 or more/15 or more obstructive apneas
and/or hypopneas per hour of sleep,
4. Obstructive Sleep Apnea
snoring, snorting/gasping, or breathing
Hypopnea
pauses during sleep, daytime sleepiness,
fatigue, or un-refreshing sleep
Five or more central apneas per hour of
5. Central Sleep Apnea
sleep
Recurrent pattern of sleep disruption that is
6. Circadian Rhythm Sleep- primarily due to an alteration of the circadian
Wake Disorders system, sleep disruption leads to excessive
sleepiness or insomnia
Sleepwalking, Sleep terrors, no or little
7. Non-Rapid Eye Movement
dream imagery is recalled, amnesia for the
Sleep Arousal Disorders
episodes is present.
Repeated occurrences of extended,
extremely dysphoric, and well-remembered
8. Nightmare Disorder dreams, on awakening from the dysphoric
dreams, the individual rapidly becomes
oriented and alert
Repeated episodes of arousal during sleep
associated with vocalization and/or complex
motor behaviors, these behaviors arise
during rapid eye movement (REM) sleep
9. Rapid Eye Movement Sleep
and therefore usually occur more than 90
Behavior Disorder
minutes after sleep onset, upon awakening
from these episodes, the individual is
completely awake, alert, and not confused
or disoriented
The urge to move the legs begins or
worsens during periods of rest or inactivity,
10. Restless Legs Syndrome the urge to move the legs is worse in the
evening or at night than during the day, or
occurs only in the evening or at night

Specifiers in Insomnia:
Episodic: Sy(nptoms last at least 1 month but less than 3 months
Persistent: Symptoms last 3 months or longer
Recurrent: Two (or more) episodes within the space of 1 year

Specifiers in Hypersomnolence:
Acute: Duration of less than 1 month
Subacute: Duration of 1-3 months
Persistent: Duration of more than 3 months

Specifiers in Central Sleep Apnea:


Idiopathic central sleep apnea: Characterized by repeated episodes of apneas
and hypopneas during sleep caused by variability in respiratory effort but
without evidence of airway obstruction.
Cheyne-Stokes breathing: A pattern of periodic crescendo-decrescendo
variation in tidal volume that results in central apneas and hypopneas at a
frequency of at least five events per hour, accompanied by frequent arousal.
Central sleep apnea comorbid with opioid use: The pathogenesis of this subtype
is attributed to the effects of opioids on the respiratory rhythm generators in the
medulla as well as the differential effects on hypoxic versus hypercapnic
respiratory drive.

Specifiers in Circadian Rhythm Sleep-Wake Disorder:


Delayed sleep phase type: A pattern of delayed sleep onset and awakening
times, with an inability to fall asleep and awaken at a desired or conventionally
acceptable earlier time.
Advanced sleep phase type: A pattern of advanced sleep onset and
awakening times, with an inability to remain awake or asleep until the desired or
conventionally acceptable later sleep or wake times.
Irregular sleep-wake type: A temporally disorganized sleep-wake pattern, such
that the timing of sleep and wake periods is variable throughout the 24- hour
period.
Non-24-hour sleep-wake type: A pattern of sleep-wake cycles that is not
synchronized to the 24-hour environment, with a consistent daily drift (usually to
later and later times) of sleep onset and wake times.
Shift work type: Insomnia during the major sleep period and/or excessive
sleepiness (including inadvertent sleep) during the major awake period
associated with a shift work schedule (i.e., requiring unconventional work hours).





DISORDERS FEATURES
Delay in ejaculation, marked infrequency or
1. Delayed Ejaculation absence of ejaculation of partnered sexual
activity for 6 months
Difficulty in obtaining an erection during sexual
2. Erectile Disorder activity, difficulty in maintaining an erection until
the completion of sexual activity for 6 months
3. Female Orgasmic Delay in, marked infrequency of, or absence of
Disorder orgasm for 6 months

Absent/reduced interest in sexual activity,


4. Female Sexual absent/reduced sexual/erotic thoughts or
Interest/Arousal fantasies, no/reduced initiation of sexual activity,
Disorder and typically unreceptive to a partners attempts
to initiate for 6 months

5.

6.

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