DSM-IV-TR CLASSIFICATION: AXES I AND II
AXIS I
Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence
Learning Disorders (Academic Skills Disorders)
Reading Disorder (Developmental Reading Disorder)/Mathematics Disorder (Developmental Arithmetic Disorder)/Disorder of Written Expression (Developmental Expressive Writing Disorder)
Motor Skills Disorder
Developmental Coordination Disorder
Pervasive Developmental Disorders
Autistic Disorder/Rett's Disorder/Childhood Disintegrative Disorder/Asperger's Disorder/PDD Not Otherwise Specified
Disruptive Behavior and Attention-Deficit Disorders
Attention-Deficit/Hyperactivity Disorder/Oppositional Defiant Disorder/Conduct Disorder
Feeding and Eating Disorders of Infancy or Early Childhood
Pica/Rumination Disorder/Feeding Disorder of Infancy or Early Childhood
Tic Disorders
Tourette's Disorder/Chronic Motor or Vocal Tic Disorder/Transient Tic Disorder
Communication Disorders
Expressive Language Disorder (Developmental Expressive Language Disorder)/Mixed Receptive/Expressive Language Disorder (Developmental Receptive Language Disorder)/Phonological Disorder (Developmental Articulation Disorder)/Stuttering
Elimination Disorders
Encopresis/Enuresis
Other Disorders of Infancy, Childhood, or Adolescence
Separation Anxiety Disorder/Selective Mutism (Elective Mutism)/Reactive Attachment Disorder of Infancy or Early Childhood/Stereotypic Movement Disorder (Stereotypy/Habit Disorder)
Delirium, Dementia,Amnestic, and Other Cognitive Disorders
Deliria
Delirium Due to a General Medical Condition/Substance-Induced Delirium/Delirium Due to Multiple Etiologies
Dementias
Dementia of the Alzheimer's Type; With Early Onset: if onset at age 65 or below; With Late Onset: if onset after age 65/Vascular Dementia/Dementias Due to Other General Medical Conditions/Substance-Induced Persisting Dementia/Dementia Due to Multiple Etiologies
Amnestic Disorders
Amnestic Disorder Due to a General Medical Condition/Substance-Induced Persisting Amnestic Disorder (refer to specific Substance for code)
Substance-Related Disorders
Alcohol Use Disorders
Amphetamine (or Related Substance) Use Disorders
Caffeine Use Disorders
Cannabis Use Disorders
Cocaine Use Disorders
Hallucinogen Use Disorders
Inhalant Use Disorders
Nicotine Use Disorders
Opioid Use Disorders
Phencyclidine (or Related Substance) Use Disorders
Sedative, Hypnotic, or Anxiolytic Substance Use Disorders
Polysubstance Use Disorder
Schizophrenia and Other Psychotic Disorders
Schizophrenia
Paranoid Type/Disorganized Type/Catatonic Type/Undifferentiated Type/Residual Type
Schizophreniform Disorder
Schizoaffective Disorder
Delusional Disorder
Brief Psychotic Disorder
Shared Psychotic Disorder (Folie à Deux)
Psychotic Disorder Due to a General Medical Condition
With Delusions/With Hallucinations/Substance-Induced Psychotic Disorder
Psychotic Disorder Not Otherwise Specified
Mood Disorders
Depressive Disorders
Major Depressive Disorder/Dysthymic Disorder/Depressive Disorder Not Otherwise Specified
Bipolar Disorders
Bipolar I Disorder/Bipolar II Disorder (Recurrent Major Depressive Episodes with Hypomania)/Bipolar Not Otherwise Specified/Cyclothymic Disorder
Mood Disorder Due to a General Medical Condition
Substance-Induced Mood Disorder
Mood Disorder Not Otherwise Specified
Anxiety Disorders
Panic Disorder
Without Agoraphobia/With Agoraphobia
Agoraphobia without History of Panic Disorder
Specific Phobia (Simple Phobia)
Social Phobia (Social Anxiety Disorder)
Obsessive-Compulsive Disorder
Posttraumatic Stress Disorder
Acute Stress Disorder
Generalized Anxiety Disorder (Includes Overanxious Disorder of Childhood)
Anxiety Disorder Due to a General Medical Condition
Substance-Induced Anxiety Disorder
Anxiety Disorder Not Otherwise Specified
Somatoform Disorders
Somatization Disorder
Conversion Disorder
Hypochondriasis
Body Dysmorphic Disorder
Pain Disorder
Somatoform Disorder Not Otherwise Specified
Undifferentiated Somatoform Disorder
Factitious Disorders
Factitious Disorder
Factitious Disorder Not Otherwise Specified
Dissociative Disorders
Dissociative Amnesia
Dissociative Fugue
Dissociative Identity Disorder (Multiple Personality Disorder)
Depersonalization Disorder
Dissociative Disorder Not Otherwise Specified
Sexual and Gender Identity Disorders
Sexual Dysfunctions
Sexual Desire Disorders: Hypoactive Sexual Desire Disorder; Sexual Aversion Disorder/Sexual Arousal Disorders: Female Sexual Arousal Disorder; Male Erectile Disorder/Orgasm Disorders: Female Orgasmic Disorder (Inhibited Female Orgasm); Male Orgasmic Disorder (Inhibited Male Orgasm); Premature Ejaculation/Sexual Pain Disorders: Dyspareunia; Vaginismus/Sexual Dysfunctions Due to a General Medical Condition/Substance-Induced Sexual Dysfunction
Paraphilias
Exhibitionism/Fetishism/Frotteurism/Pedophilia/Sexual Masochism/Sexual Sadism/Voyeurism/Transvestic Fetishism
Gender Identity Disorders
Gender Identity Disorder: in Children/in Adolescents and Adults (Transsexualism)
Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Eating Disorder Not Otherwise Specified
Sleep Disorders
Primary Sleep Disorders
Dyssomnias: Primary Insomnia; Primary Hypersomnia; Narcolepsy; Breathing-Related Sleep Disorder; Circadian Rhythm Sleep Disorder (Sleep-Wake Schedule Disorder)/Parasomnias; Nightmare Disorder (Dream Anxiety Disorder); Sleep Terror Disorder; Sleepwalking Disorder/Sleep Disorders Related to Another Mental Disorder
Sleep Disorder Due to a General Medical Condition
Substance-Induced Sleep Disorder
Dyssomnia Not Otherwise Specified
Parasomnia Not Otherwise Specified
Impulse-Control Disorders Not Elsewhere Classified
Intermittent Explosive Disorder
Kleptomania
Pyromania
Pathological Gambling
Trichotillomania
Impulse-Control Disorder Not Otherwise Specified
Adjustment Disorder
Adjustment Disorder
With Anxiety
With Depressed Mood
With Disturbance of Conduct
With Mixed Disturbance of Emotions and Conduct
With Mixed Anxiety and Depressed Mood
Unspecified
Other Conditions That May Be a Focus of Clinical Attention
Pyschological Factors Affecting Medical Condition
Medication-Induced Movement Disorders
Relational Problems
Relational Problem Related to a Mental Disorder or General Medical Condition/Parent-Child Relational Problem/Partner Relational Problem/Sibling Relational Problem
Problems Related to Abuse or Neglect
Physical Abuse of Child/Sexual Abuse of Child/Neglect of Child/Physical Abuse of Adult/Sexual Abuse of Adult
Additional Conditions That May Be a Focus of Clinical Attention
Bereavement/Borderline Intellectual Functioning/Academic Problem/Occupational Problem/Childhood or Adolescent Antisocial Behavior/Adult Antisocial Behavior/Malingering Phase of Life Problem/Noncompliance with Treatment for a Mental Disorder/Identity Problem/Religious or Spiritual Problem/Acculturation Problem/Age-Associated Memory Decline
AXIS II
Personality Disorders
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder
Mental Retardation
Mild Mental Retardation/Moderate Mental Retardation/Severe Mental Retardation/Profound Mental Retardation
DSM-IV-TR CLASSIFICATIONS
DISORDERS NEEDING FURTHER STUDY
The DSM-IV Task Force judged that these disorders do not currently have sufficient supporting data for inclusion in DSM-IV and therefore require further study. In fact, only a few of these proposed disorders will ultimately meet criteria, while others will be excluded from further consideration. Many of the more interesting disorders are discussed in one or more appropriate chapters.
Postconcussional Disorder
The key features of this disorder are specific cognitive impairments as well as excessive fatigue, disordered sleep, and headaches following a head trauma that resulted in a concussion. (See related material in Chapter 13.)
Mild Neurocognitive Disorder
The key feature of this disorder is an impairment in neurocognitive functioning that is the result of a general medical condition. (See Chapter 13.)
Caffeine Withdrawal
The key feature of this disorder is the experience of headaches, fatigue, anxiety, nausea, or vomiting after the abrupt cessation of caffeine consumption following prolonged daily use of the substance. (See related material in Chapter 10.)
Alternative Dimensional Descriptors for Schizophrenia
A three-factor dimensional model (psychotic, disorganized, and negative) has been suggested to describe current and lifetime symptomatology. The psychotic factor includes d elusions and hallucinations. The disorganized factor includes disorganized speech, disorganized behavior, and inappropriate affect. (See Chapter 12.)
Postpsychotic Depressive Disorder of Schizophrenia
The key feature of this disorder is a major depressive episode that occurs only during the residual phase of schizophrenia. (See related material in Chapter 6.)
Simple Deteriorative Disorder (Simple Schizophrenia)
The key feature of this disorder is the development of prominent negative symptoms (e.g., alogia, avolition) in the absence of positive symptoms (e.g., hallucinations, delusions) over the course of 1 year. (See related material in Chapter 12.)
Premenstrual Dysphoric Disorder
The key features of this disorder are marked anxiety or depressed mood, affective lability, and decreased interest in activities. These symptoms regularly occur during the week preceding menses and are never present during the week following it. (See Chapter 3.)
Minor Depressive Disorder
The key feature of this disorder is one or more periods of depressive symptoms that have the same duration as a major depressive episode but fewer and less severe symptoms. (See related material in Chapter 6.)
Recurrent Brief Depressive Disorder
The key feature of this disorder is one or more periods of depressive symptoms. The symptoms are equal in number and degree of impairment to those seen in a major depressive episode, but they last for less than 2 weeks. (See related material in Chapter 6.)
Mixed Anxiety-Depressive Disorder
The key feature of this disorder is the presence of persistent or recurrent dysphoric mood as well as a number of symptoms of negative affect for at least 1 month. (See Chapter 6).
Factitious Disorder by Proxy
The essential feature is the deliberate production or feigning of physical or psychological signs or symptoms in another person who is under the individual's care. Typically the victim is a young child and the perpetrator is the child's mother. (See Chapter 5.)
Dissociative Trance Disorder
The key feature of this disorder is an involuntary state of trance that is not considered normal within the person's culture or religion and causes significant distress or impairment. (See Chapter 5.)
Binge-Eating Disorder
The key feature of this disorder is the repeated occurrence of binge eating. The person has impaired control over the binging and is distressed by it. Compensatory behaviors, such as those typical of bulimia nervosa, are absent. (See related material in Chapter 8.)
Depressive Personality Disorder
The key feature of this disorder is a pervasive pattern of depressive thoughts and behaviors that develops by early adulthood and occurs in a variety of contexts. The symp-toms are not better accounted for by dysthymia and do not occur only during major depressive episodes. (See related material in Chapters 6 and 11.)
Passive-Aggressive Personality Disorder (Negativistic Personality Disorder)
The key feature of this disorder is a pattern of negativistic attitudes and the use of passive means to resist occupational and social demands. This pattern develops by early adulthood and occurs in a variety of contexts. (See Chapter 11.)
Medication-Induced Movement Disorders
This category of disorders was designed to assist in the management of medication and the assignment of psycho-logical diagnoses. The key features of these disorders are abnormal physical movements or characteristics such as tremors, muscle rigidity or spasms, pacing, fidgety behavior, or abnormal posture that are judged to be side effects of specific medications. The following diagnoses have been proposed for this category: Neuroleptic-Induced Parkinsonism, Neuroleptic Malignant Syndrome, Neuroleptic-Induced Acute Dystonia, Neuroleptic-Induced Acute Akathisia, Neuroleptic-Induced Tardive Dyskinesia, Medication-Induced Postural Tremor, Medication-Induced Movement Disorder Not Otherwise Specified. (See related material in Chapter 13.)
Source: Adapted with permission from the Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition, Text Revision. Copyright © 2000 American Psychiatric Association.