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 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)