The DSM-V eliminated
the multiaxial format.
Intellectual Disability
Global Developmental Delay
Communication Disorders
Autism Spectrum Disorder
ADHD
Motor Disorders
Stereotypic Movement Disorder
Tic Disorders
Intellectual Disability
replaced Mental Retardation.
Severity measured through
the conceptual, social &
practical domains.
Individuals under the age of 5 & cannot
be readily assessed (failure to meet
expected developmental milestones in
several areas of intellectual
functioning)
Includes: Language disorders, speech
sound disorder, childhood-onset
fluency disorder & social (pragmatic)
communication disorder.
Childhood-Onset Fluency Disorder =
Stuttering
Social (pragmatic)- excludes
individuals with restricted
repetitive behaviors, interests &
activities.
Persistent deficits in social communication &
social interaction across multiple contexts.
Restricted, repetitive patterns of behavior,
interests, activities (at least 2):
› Stereotyped or repetitive movements
› Inflexible adherence to routines (rigid thinking patterns)
› Highly restricted & fixated interests
› Hyper or hyporeactivity to sensory input
Specify:
› With or without accompanying Intellectual Impairment
› With or without accompanying language impairment
› Associated with known genetic condition
› With catatonia
Inattention (6 or more symptoms) for at
least 6 months
Hyperactivity/Impulsivity (6 or more) for
at least 6 months
Symptoms occur prior to age 12 (changed
from DSM-IV)
Specify:
› Combined presentation
› Predominantly inattentive presentation
› Predominantly hyperactive/impulsive
presentation
Duration = at least 6 months
Specify:
› With impairment in reading
› With impairment in written expression
› With impairment in mathematics
Developmental Coordination
Disorder- clumsiness, slowness or
inaccuracy of fine motor behaviors (i.e.,
using scissors/handwriting)
Stereotypic Movement Disorder-
repetitive, purposeless behavior (i.e., head
banging, body rocking, hitting own body &
self-biting) which interferes with social or
other activities (may result in self-injury)
Tics Disorders- Tourette’s Disorder, Persistent
(chronic) motor or Vocal Tic Disorder & Provisional Tic Disorder.
Delusion without the presence of
hallucinations/disorganized behaviors.
Specify-
› Erotomanic Type (another person is in love
with the person)
› Grandiose Type (having great talent or
insight but unrecognized)
› Jealous Type (his/her spouse is unfaithful)
› Persecutory Type (being conspired against,
followed, harassed etc.)
› Somatic Type- bodily functions/sensations
Criteria for Brief Psychotic Disorder (less
than 1 month), Schizophreniform Disorder
(less than 6 months) & Schizoaffective
Disorder (major mood episode w/
schizophrenia; delusions/hallcinations for
2 or more weeks without a major mood
episode) all remained the same.
Schizophrenia- The subtypes
(paranoid, disorganized, undifferentiated
etc) were all eliminated. At least 2
prominent psychotic symptoms.
Specifiy- With Catatonia
FOLIE A DEUX or Shared
Psychotic Disorder was removed
from the DSM-V & now
subsumed under DELUSIONAL
DISORDER.
Bipolar I Cyclothymic
Requires at least 1 Disorder
manic episode (at At least 2 years (1 yr
least 1 week) in children) with
Major Depressive hypomanic symtoms
Episode is common & depressive
but not required symtpoms that do
not meet criteria for
Bipolar II a full episode.
Requires at least 1 Other specified
hypomanic episode Bipolar & Related
(4 weeks) & at least Disorder-
1 major depressive hypomanic episodes
episode w/o MD or Mania.
DSM-V eliminated
Bereavement as an
exclusionary criteria for
MDD.
Severe temper outbursts at least 3
times per week for at least 12 months
Persistently irritable & angry mood
most of the day
Present in at least 2 or three settings
Diagnosed between ages 6-8
Previously known as Dysthymia
Depressed mood for most of the day,
for more days than not, for at least 2
years.
Marked affective lability (mood
swings), marked depressed mood
and/or marked anxiety.
Decreased interest in usual activities,
lethargy, marked change in appetite,
hypersomnia or insomnia,
overwhlemed/out of control & physcial
symptoms.
Separation Anxiety
Selective Mutism (at least 1 month)
Specific Phobia
Social Anxiety Disorder (previously Social Phobia)
Panic Disorder
Agoraphobia
Generalized Anxiety Disorder (at least 6 months)
Obsessive-Compulsive Disorder (specify if Tic related)
Body Dysmorphic Disorder (preoccupation with perceived
defects or flaws in physical appearance)
Hoarding Disorder (NEW)
Excoriation (Skin-Picking) Disorder (NEW)
Hair-Pulling Disorder (Trichotillomania)
Reactive Attachment Disorder (rarely seeks comfort when
distress: for at least 12 months)
Disinhibited Social Engagement Disorder (NEW)-
a pattern of behavior in which a child actively approaches &
interacts with unfamiliar adults: duration = at least 9 months.
Above disorders MUST be due to extremely insufficient care
(neglect), deprivation or frequent changes in caregivers.
PTSD/ACUTE STRESS DISORDER (3 days to 1 month after trauma)
Adjustment Disorders
Dissociative Identity Disorder (multiple personality)
Dissociative Amnesia
Depersonalization/Derealization Disorder (specific With
dissociative fugue)
Somatic Symptom Disorder (subsumed Pain Disorder)
Illness Anxiety Disorder (subsumed hypochondriasis)
Functional Neurological Symptom Disorder (Conversion
Disorder)
Factitious Disorder (Imposed on Another)
Pica
Rumination Disorder (regurgitation of food for at least 1
month)
Avoidant/Restrictive Food Intake Disorder (NEW)- food
avoidance (disinterest in food) & low weight
Anorexia Nervosa
Bulimia Nervosa
Binge-Eating Disorder (NEW)
Enuresis (repeated voiding of urine into bed/clothes; at least 2
times per week for 3 consecutive months)
Encopresis (repeated passage of feces into inappropriate
places)
Insomnia Disorder (NEW)- difficulty getting to sleep/falling
asleep/early waking w/o the ability to go back to sleep for 3
nights per week for at least 3 months.
Hypersomnolence Disorder (NEW)- excessive sleepiness as
manifested by recurring lapses into sleep in a day at least 3
times per week for at least 3 months.
Narcolepsy (NEW)- recurrent periods of an irrepressible need
to sleep, lapsing into sleep or napping occurring within the
day; must be 3 times per day for at least 3 months)
Obstructive Sleep Apnea Hypopnea (NEW), Central Sleep
Apnea (NEW) & Sleep-Reated Hypoventilation (NEW) &
Circadian Rhythm Sleep-Wake Disorders (NEW)
Parasomnias
Non-Rapid Eye Movement Sleep Arousal Disorders (NEW)-
Sleepwalking & Sleep Terrors & amnesia for the events.
Nightmare Disorder- well remembered dreams
Night Terror- panicky scream
Rapid Eye Movement Sleep Behavior Disorder (NEW)-
vocalization and/or complex motor behaviors
Restless Legs Syndrome (NEW)
Gender Dysphoria in children- marked
incongruence between one’s expressed gender & assigned
gender, of at least 6 months (must meet 6 symptoms- strong
desire to be the other gender, cross-gender roles, playmates
of the opposite sex, strong dislike of one’s sexual anatomy
etc)
Oppositional Defiant Disorder
Intermittent Explosive Disorder (recurrent behavioral
outbursts with a failure to control aggression; verbal/physical
aggression for a period of 3 months; at least 6 yrs of age)
Conduct Disorder (prior to age 10 for childhood onset)
Pyromania & Kleptomania
Delirum
Major/Mild Neurocognitive Disorder (NEW)- Specify DUE TO
Alzheimer’s Disease, HIV Infection, Vascular Disease, TBI etc.)
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Antisocial Personality Disorder (adult must previously qualified for
conduct disorder with an onset before age 15)
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder
Personality Change Due to Another Medical Condition (NEW)
Voyeuristic Disorder (over a period of at
least 6 months; recurrent & intense arousal from observing
an unsuspecting person who is naked)
Exhibitionistic Disorder (over a period of
6 months)
Frotteuristic Disorder (over a period of 6
months; recurrent & intense arousal from touching/rubbing
against a nonconsenting person)
Sexual Sadism Disorder, Pedophilic Disorder, Fetishistic
Disorder, Transvestic Disorder (cross-dressing)
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