DSM-5 UPDATE - Psychiatry
DSM-5UPDATE Supplement toDIAGNOSTIC AND STATISTICALMANUAL OF MENTAL DISORDERS,FIFTH EDITIONOctober 2018
DSM-5 UpdateOctober 2018Supplement toDiagnostic and Statistical Manual of Mental Disorders, Fifth EditionCopyright 2018 American Psychiatric Association. All rights reserved. Unless authorized inwriting by the American Psychiatric Association (APA), no part of this supplement may bereproduced or used in a manner inconsistent with the APA’s copyright. This prohibition applies tounauthorized uses or reproductions in any form, including electronic applications.Correspondence regarding copyright permissions should be directed to DSM Permissions,American Psychiatric Association Publishing, 800 Maine Ave. SW, Suite 900, Washington, DC20024-2812.This supplement and the digital versions of DSM-5 (including the DSM-5 Diagnostic CriteriaMobile App, DSM-5 eBook, and DSM-5 on PsychiatryOnline.org) reflect any updates to diagnosticcriteria and related text; coding updates, changes, or corrections; and any other informationnecessary for compensation in mental health practice. This supplement contains ICD-10-CMupdates that become effective on October 1, 2018. It also includes content from prior updatesthat remains relevant to compensation and current clinical practice. This supplement is located at:https://psychiatryonline.org.DSM and DSM-5 are registered trademarks of the American Psychiatric Association. Use of theseterms is prohibited without permission of the American Psychiatric Association.ICD-9-CM codes were used for coding purposes in the United States through September 30,2015. Because ICD-9-CM codes can no longer be used in the United States, they are notincluded in this DSM-5 Update. ICD-10-CM codes are used for coding purposes in the UnitedStates as of October 1, 2015.
ContentsOctober 2018 ICD-10-CM Coding Updates at a Glance .1Prior ICD-10-CM Coding Updates at a Glance (2015–2017) .2October 2017 ICD-10-CM Coding Updates at a Glance .2October 2016 ICD-10-CM Coding Updates at a Glance .6October 2015 ICD-10-CM Coding Updates at a Glance .7Criteria Updates .8Neurodevelopmental Disorders .8Autism Spectrum Disorder: Criterion A [August 2015]Schizophrenia Spectrum and Other Psychotic Disorders.8Brief Psychotic Disorder: “With Peripartum Onset” Specifier [August 2015]Substance/Medication-Induced Psychotic Disorder: Coding Note [October 2018]Bipolar and Related Disorders .9Bipolar I Disorder: Manic Episode, Criterion A [August 2015]Bipolar I Disorder: Hypomanic Episode, Criterion F [August 2015]Bipolar I Disorder: “With Psychotic Features” Specifiers [October 2018]Bipolar II Disorder: Hypomanic Episode, Criterion F [August 2015]Bipolar II Disorder“With Melancholic Features” and “With Atypical Features” Specifiers [August 2015]“With Psychotic Features” Specifiers [October 2018]“With Seasonal Pattern” Specifier [August 2015]Severity Specifier [August 2015]Substance/Medication-Induced Bipolar and Related Disorder: Coding Note [October 2018]Specifiers for Bipolar and Related Disorders:“With Psychotic Features” Specifiers [October 2018]Severity Specifiers [August 2015]Depressive Disorders .14Substance/Medication-Induced Depressive Disorder: Coding Note [October 2018]Other Specified Depressive Disorder [October 2018]Unspecified Depressive Disorder [October 2018]Specifiers for Depressive Disorders:“With Mixed Features” Specifier, Criterion A [August 2015]“With Seasonal Pattern” SpecifierCriterion B [October 2018]Criterion D Note [August 2015]Anxiety Disorders .16Substance/Medication-Induced Anxiety Disorder: Coding Note [October 2018]Other Specified Anxiety Disorder [October 2018]Unspecified Anxiety Disorder [October 2018]Obsessive-Compulsive and Related Disorders .17Substance/Medication-Induced Obsessive-Compulsive and Related Disorder:Coding Note [October 2018]
Trauma- and Stressor-Related Disorders .17Acute Stress Disorder: Criterion A [October 2018]Adjustment Disorder: Addition of Acute and Persistent Specifiers [March 2014]Other Specified Trauma- and Stressor-Related Disorder: Add example of presentation[October 2018]Sleep-Wake Disorders .19Substance/Medication-Induced Sleep Disorder: Coding Note [October 2018]Sexual Dysfunctions .19Substance/Medication-Induced Sexual Dysfunction: Coding Note [October 2018]Neurocognitive Disorders.19Substance/Medication-Induced Major or Mild Neurocognitive Disorder: Coding Note[October 2018]Alternative DSM-5 Model for Personality Disorders .20Obsessive-Compulsive Personality Disorder: Proposed Diagnostic Criterion B1[August 2015]Conditions for Further Study .20Depressive Episodes With Short-Duration Hypomania: Proposed Criterion A[August 2015]Text Updates .21Schizophrenia Spectrum and Other Psychotic Disorders.21Delusional Disorder: Subtypes [August 2015]Depressive Disorders .21Disruptive Mood Dysregulation Disorder: Development and Course [August 2015]Persistent Depressive Disorder: Differential Diagnosis [August 2015]Anxiety Disorders .22Generalized Anxiety Disorder: Differential Diagnosis [August 2015]Trauma- and Stressor-Related Disorders .22Acute Stress Disorder: Differential Diagnosis [August 2015]Other Specified Trauma- and Stressor-Related Disorder: Differential Diagnosis[October 2018]Somatic Symptom and Related Disorders .23Somatic Symptom Disorder: Differential Diagnosis [August 2015]Substance-Related and Addictive Disorders .24, 25Table 1: Diagnoses associated with substance class: adjustment to neurocognitivedisorders column (only “P” applies) [October 2018]Other Mental Disorders .24No Diagnosis or ConditionSee also “October 1, 2018 ICD-10-CM Coding Updates in Detail,” “Other Mental Disorders.”Assessment Measures Updates .26Clinician-Rated Dimensions of Psychotic Symptom Severity[October 2018] .26
October 2018 ICD-10-CM Coding Updates in Detail .27Somatic Symptom and Related Disorders .27Factitious Disorder Imposed on AnotherSubstance-Related and Addictive Disorders .28Cannabis WithdrawalWith moderate or severe use disorderWithout use disorderOpioid Withdrawal, Without use disorderSedative, Hypnotic, or Anxiolytic WithdrawalWithout perceptual disturbances, Without use disorderWith perceptual disturbances, Without use disorderAmphetamine or Other Stimulant Withdrawal, Without use disorderOther (or Unknown) Substance Withdrawal, Without use disorderNeurocognitive Disorders.33Delirium, Sedative, hypnotic, or anxiolytic withdrawal delirium, Without use disorderOther Mental Disorders .34No Diagnosis or ConditionPrior ICD-10-CM Coding Updates in Detail (2015–2017) . 36Neurodevelopmental Disorders .36Language Disorder [effective October 1, 2015]Social (Pragmatic) Communication Disorder [effective October 1, 2016]Bipolar and Related Disorders .37Bipolar I Disorder, Current or most recent episode hypomanic [effective October 1, 2015]In partial remissionIn full remissionDepressive Disorders .37Disruptive Mood Dysregulation Disorder [effective October 1, 2016]Premenstrual Dysphoric Disorder [effective October 1, 2016]Other Specified Depressive Disorder [effective October 1, 2016]Obsessive-Compulsive and Related Disorders .39Obsessive-Compulsive Disorder [effective October 1, 2016]Hoarding Disorder [effective October 1, 2016]Trichotillomania (Hair-Pulling Disorder) [effective October 1, 2015]Excoriation (Skin-Picking) Disorder [effective October 1, 2016]Other Specified Obsessive-Compulsive and Related Disorder [effective October 1, 2016]Unspecified Obsessive-Compulsive and Related Disorder [effective October 1, 2016]Feeding and Eating Disorders .42Pica, in adults [effective October 1, 2016]Avoidant/Restrictive Food Intake Disorder [effective October 1, 2017;supersedes October 1, 2016 change]Avoidant/Restrictive Food Intake Disorder [effective October 1, 2016;use revised code effective October 1, 2017]Binge-Eating Disorder [effective October 1, 2016]Other Specified Feeding or Eating Disorder [effective October 1, 2016]
Sleep-Wake Disorders .45Insomnia Disorder [effective October 1, 2015]Hypersomnolence Disorder [effective October 1, 2015]Gender Dysphoria .46Gender Dysphoria in Adolescents and Adults [effective October 1, 2016]Disruptive, Impulse-Control, and Conduct Disorders.46Kleptomania [effective October 1, 2015]Substance-Related and Addictive Disorders .47Alcohol Use Disorder Course Specifiers [effective October 1, 2017]Cannabis Use Disorder Course Specifiers [effective October 1, 2017]Phencyclidine Use Disorder Course Specifiers [effective October 1, 2017]Other Hallucinogen Use Disorder Course Specifiers [effective October 1, 2017]Inhalant Use Disorder Course Specifiers [effective October 1, 2017]Opioid Use Disorder Course Specifiers [effective October 1, 2017]Sedative, Hypnotic, or Anxiolytic Use Disorder Course Specifiers[effective October 1, 2017]Stimulant Use Disorder Course Specifiers(for Amphetamine-Type Substance Use Disorder, Cocaine Use Disorder,and Other or Unspecified Stimulant Use Disorder) [effective October 1, 2017]Tobacco Use Disorder Course Specifiers [effective October 1, 2017]Other (or Unknown) Substance Use Disorder Course Specifiers[effective October 1, 2017]Neurocognitive Disorders.65Major Neurocognitive Disorder Due to Alzheimer’s Disease [effective October 1, 2015]Major Frontotemporal Neurocognitive Disorder [effective October 1, 2015]Major Neurocognitive Disorder With Lewy Bodies [effective October 1, 2015]Major Vascular Neurocognitive Disorder [effective October 1, 2015]Major Neurocognitive Disorder Due to Parkinson’s Disease [effective October 1, 2015]
October 2018 ICD-10-CM Coding Updates at a GlanceListing of DSM-5 Diagnoses and New ICD-10-CM Codes as Orderedin the DSM-5 ClassificationThe following new ICD-10-CM codes are to be used for coding purposes in the United States startingOctober 1, 2018, except where noted.For the 2018 ICD-10-CM Coding Updates in Detail, which list each DSM-5 and DSM-5 Desk Reference pagewhere the code appears, see pp. 27–35.DSM-5 RecommendedICD-10-CM Code for usethrough September 30,2018*DSM-5 RecommendedICD-10-CM Code for usebeginning October 1,2018*Factitious Disorder Imposed on AnotherF68.10F68.ACannabis Withdrawal,With moderate or severe use disorderF12.288F12.23Cannabis Withdrawal, Without use disorderNot in DSM-5F12.93Opioid Withdrawal, Without use disorderNot in DSM-5F11.93Sedative, Hypnotic, or Anxiolytic Withdrawal,Without perceptual disturbances,Without use disorderNot in DSM-5F13.939Sedative, Hypnotic, or Anxiolytic Withdrawal,With perceptual disturbances, Without use disorderNot in DSM-5F13.932Amphetamine or Other Stimulant Withdrawal,Without use disorderNot in DSM-5F15.93Other (or Unknown) Substance Withdrawal,Without use disorderNot in DSM-5F19.939Sedative, Hypnotic, or Anxiolytic WithdrawalDelirium, Without use disorderNot in DSM-5F13.931No Diagnosis or Condition*Not in DSM-5*Z03.89*Disorder**Note: Prior to May 2018, a "no diagnosis or condition" category had been omitted in DSM-5.The DSM-5 Steering Committee subsequently approved the inclusion of this category, and itscorresponding ICD-10-CM code, Z03.89 "No diagnosis or condition," is available for immediate use.DSM-5 Update (October 2018), page 1 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
Prior ICD-10-CM Coding Updates at a GlanceOctober 2017 ICD-10-CM Coding Updates at a GlanceThe following new ICD-10-CM codes are to be used for coding purposes in the United States startingOctober 1, 2017.ICD-10-CM Coding Updates in Detail (2015–2017), which list each DSM-5 and DSM-5 Desk Reference pagewhere the code appears, begin on p. 36.DSM-5 RecommendedICD-10-CM Code for usethrough September 30,2017DSM-5 RecommendedICD-10-CM Code for usebeginning October 1,2017Avoidant/Restrictive Food Intake DisorderF50.89F50.82Alcohol Use Disorder, MildF10.10F10.10Alcohol Use Disorder, Mild, In early or sustainedremissionF10.10F10.11Alcohol Use Disorder, ModerateF10.20F10.20Alcohol Use Disorder, Moderate, In early orsustained remissionF10.20F10.21Alcohol Use Disorder, SevereF10.20F10.20Alcohol Use Disorder, Severe, In early orsustained remissionF10.20F10.21Cannabis Use Disorder, MildF12.10F12.10Cannabis Use Disorder, Mild, In early or sustainedremissionF12.10F12.11Cannabis Use Disorder, ModerateF12.20F12.20Cannabis Use Disorder, Moderate, In early orsustained remissionF12.20F12.21Cannabis Use Disorder, SevereF12.20F12.20Cannabis Use Disorder, Severe, In early orsustained remissionF12.20F12.21Phencyclidine Use Disorder, MildF16.10F16.10Phencyclidine Use Disorder, Mild, In early orsustained remissionF16.10F16.11Phencyclidine Use Disorder, ModerateF16.20F16.20Phencyclidine Use Disorder, Moderate, In early orsustained remissionF16.20F16.21Phencyclidine Use Disorder, SevereF16.20F16.20Phencyclidine Use Disorder, Severe, In early orsustained remissionF16.20F16.21Other Hallucinogen Use Disorder, MildF16.10F16.10Other Hallucinogen Use Disorder, Mild, In early orsustained remissionF16.10F16.11DisorderDSM-5 Update (October 2018), page 2 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
October 2017 ICD-10-CM Coding Updates at a Glance (continued)DSM-5 RecommendedICD-10-CM Code for usethrough September 30,2017DSM-5 RecommendedICD-10-CM Code for usebeginning October 1,2017Other Hallucinogen Use Disorder, ModerateF16.20F16.20Other Hallucinogen Use Disorder, Moderate, Inearly or sustained remissionF16.20F16.21Other Hallucinogen Use Disorder, SevereF16.20F16.20Other Hallucinogen Use Disorder, Severe, In earlyor sustained remissionF16.20F16.21Inhalant Use Disorder, MildF18.10F18.10Inhalant Use Disorder, Mild, In early or sustainedremissionF18.10F18.11Inhalant Use Disorder, ModerateF18.20F18.20Inhalant Use Disorder, Moderate, In early orsustained remissionF18.20F18.21Inhalant Use Disorder, SevereF18.20F18.20Inhalant Use Disorder, Severe, In early orsustained remissionF18.20F18.21Opioid Use Disorder, MildF11.10F11.10Opioid Use Disorder, Mild, In early or sustainedremissionF11.10F11.11Opioid Use Disorder, ModerateF11.20F11.20Opioid Use Disorder, Moderate, In early orsustained remissionF11.20F11.21Opioid Use Disorder, SevereF11.20F11.20Opioid Use Disorder, Severe, In early or sustainedremissionF11.20F11.21Sedative, Hypnotic, or Anxiolytic Use Disorder,MildF13.10F13.10Sedative, Hypnotic, or Anxiolytic Use Disorder,Mild, In early or sustained remissionF13.10F13.11Sedative, Hypnotic, or Anxiolytic Use Disorder,ModerateF13.20F13.20Sedative, Hypnotic, or Anxiolytic Use Disorder,Moderate, In early or sustained remissionF13.20F13.21Sedative, Hypnotic, or Anxiolytic Use Disorder,SevereF13.20F13.20Sedative, Hypnotic, or Anxiolytic Use Disorder,Severe, In early or sustained remissionF13.20F13.21DisorderDSM-5 Update (October 2018), page 3 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
October 2017 ICD-10-CM Coding Updates at a Glance (continued)DSM-5 RecommendedICD-10-CM Code for usethrough September 30,2017DSM-5 RecommendedICD-10-CM Code for usebeginning October 1,2017Amphetamine-type Substance Use Disorder, MildF15.10F15.10Amphetamine-type Substance Use Disorder, Mild,In early or sustained remissionF15.10F15.11Amphetamine-type Substance Use Disorder,ModerateF15.20F15.20Amphetamine-type Substance Use Disorder,Moderate, In early or sustained remissionF15.20F15.21Amphetamine-type Substance Use Disorder,SevereF15.20F15.20Amphetamine-type Substance Use Disorder,Severe, In early or sustained remissionF15.20F15.21Cocaine Use Disorder, MildF14.10F14.10Cocaine Use Disorder, Mild, In early or sustainedremissionF14.10F14.11Cocaine Use Disorder, ModerateF14.20F14.20Cocaine Use Disorder, Moderate, In early orsustained remissionF14.20F14.21Cocaine Use Disorder, SevereF14.20F14.20Cocaine Use Disorder, Severe, In early orsustained remissionF14.20F14.21Other or Unspecified Stimulant Use Disorder, MildF15.10F15.10Other or Unspecified Stimulant Use Disorder, Mild,In early or sustained remissionF15.10F15.11Other or Unspecified Stimulant Use Disorder,ModerateF15.20F15.20Other or Unspecified Stimulant Use Disorder,Moderate, In early or sustained remissionF15.20F15.21Other or Unspecified Stimulant Use Disorder,SevereF15.20F15.20Other or Unspecified Stimulant Use Disorder,Severe, In early or sustained remissionF15.20F15.21DisorderDSM-5 Update (October 2018), page 4 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
October 2017 ICD-10-CM Coding Updates at a Glance (continued)DSM-5 RecommendedICD-10-CM Code for usethrough September 30,2017DSM-5 RecommendedICD-10-CM Code for usebeginning October 1,2017Tobacco Use Disorder, ModerateF17.200F17.200Tobacco Use Disorder, Moderate, In early orsustained remissionF17.200F17.201Tobacco Use Disorder, SevereF17.200F17.200Tobacco Use Disorder, Severe, In early orsustained remissionF17.200F17.201Other (or Unknown) Substance Use Disorder, MildF19.10F19.10Other (or Unknown) Substance Use Disorder,Mild, In early or sustained remissionF19.10F19.11Other (or Unknown) Substance Use Disorder,ModerateF19.20F19.20Other (or Unknown) Substance Use Disorder,Moderate, In early or sustained remissionF19.20F19.21Other (or Unknown) Substance Use Disorder,SevereF19.20F19.20Other (or Unknown) Substance Use Disorder,Severe, In early or sustained remissionF19.20F19.21DisorderDSM-5 Update (October 2018), page 5 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
October 2016 ICD-10-CM Coding Updates at a GlanceThe following new ICD-10-CM codes are to be used for coding purposes in the United States startingOctober 1, 2016.ICD-10-CM Coding Updates in Detail (2015–2017), which list each DSM-5 and DSM-5 Desk Reference pagewhere the code appears, begin on p. 36.Listing of DSM-5 Diagnoses and October 2016 ICD-10-CM Coding UpdateOriginal CodeDisorderfor use throughSeptember 30, 2016New Codefor use beginningOctober 1, 2016Social (Pragmatic) Communication DisorderF80.89F80.82Disruptive Mood Dysregulation DisorderF34.8F34.81Premenstrual Dysphoric DisorderN94.3F32.81Other Specified Depressive DisorderF32.8F32.89Obsessive-Compulsive DisorderF42F42.2Hoarding DisorderF42F42.3Excoriation (Skin-Picking) DisorderL98.1F42.4Other Specified Obsessive-Compulsive and Related DisorderF42F42.8Unspecified Obsessive-Compulsive and Related DisorderF42F42.9Pica, in adultsF50.8F50.89Avoidant/Restrictive Food Intake Disorder**F50.8[F50.89**]Binge-Eating DisorderF50.8F50.81Other Specified Feeding or Eating DisorderF50.8F50.89Gender Dysphoria in Adolescents and AdultsF64.1F64.0**Note that the ICD-10-CM code for Avoidant/Restrictive Food Intake Disorder changed onOctober 1, 2017, to F50.82. (The code F50.89 should no longer be used for this disorder.)Alphabetical Listing of DSM-5 Diagnoses and October 2016 ICD-10-CM-Coding UpdateOriginal CodeNew CodeDisorderfor use throughfor use beginningSeptember 30, 2016October 1, 2016Avoidant/Restrictive Food Intake Disorder**F50.8F50.89**Binge-Eating DisorderF50.8F50.81Disruptive Mood Dysregulation DisorderF34.8F34.81Excoriation (Skin-Picking) DisorderL98.1F42.4Gender Dysphoria in Adolescents and AdultsF64.1F64.0Hoarding DisorderF42F42.3Obsessive-Compulsive DisorderF42F42.2Other Specified Depressive DisorderF32.8F32.89Other Specified Feeding or Eating DisorderF50.8F50.89Other Specified Obsessive-Compulsive and Related DisorderF42F42.8Pica, in adultsF50.8F50.89Premenstrual Dysphoric DisorderN94.3F32.81Social (Pragmatic) Communication DisorderF80.89F80.82Unspecified Obsessive-Compulsive and Related DisorderF42F42.9**Note that the ICD-10-CM code for Avoidant/Restrictive Food Intake Disorder changed onOctober 1, 2017, to F50.82. (The code F50.89 should no longer be used for this disorder.)DSM-5 Update (October 2018), page 6 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
October 2015 ICD-10-CM Coding Updates at a GlanceICD-10-CM Coding Updates in Detail (2015–2017), which list each DSM-5 and DSM-5 Desk Reference pagewhere the code appears, begin on p. 36.*These codes are used for coding purposes in the United States since October 1, 2015.DisorderOriginalUpdate*Language DisorderF80.9F80.2Bipolar I Disorder, Current or most recent episodeF31.73F31.71hypomanic, In partial remissionBipolar I Disorder, Current or most recent episodeF31.74F31.72hypomanic, In full remissionTrichotillomania (Hair-Pulling Disorder)F63.2F63.3Insomnia DisorderG47.00F51.01Hypersomnolence DisorderG47.10F51.11KleptomaniaF63.3F63.2Major Neurocognitive Disorders With Possible EtiologiesThe following coding updates ensure that insurance reimbursement can be obtained when the specifier “Withbehavioral disturbance” is used for the possible major neurocognitive disorders. The possible majorneurocognitive disorders should be coded in the same way as their respective probable major neurocognitivedisorders, as noted below. For excerpts of the DSM-5 sections with these changes, see pp. 65–74 of this DSM-5 Update.Major Neurocognitive Disorder Possibly Due toG31.9F01.51 WithVascular DiseasebehavioralMajor Neurocognitive Disorder Due to PossibleAlzheimer’s Disease(Note: Code first G30.9 Alzheimer’s disease.)No coding ofetiological medicalconditionMajor Neurocognitive Disorder Due to PossibleFrontotemporal Lobar Degeneration(Note: Code first G31.09 frontotemporal disease.)G31.9Major Neurocognitive Disorder With Possible LewyBodies (Note: Code first G31.83 Lewy body disease.)Major Neurocognitive Disorder Possibly Due toParkinson’s Disease(Note: Code first G20 Parkinson’s disease.)disturbanceorF01.50 WithoutbehavioraldisturbanceCode etiologicalmedical conditionfirst (noted at leftwith each disorder)then codeF02.81 WithbehavioraldisturbanceorF02.80 WithoutbehavioraldisturbanceDSM-5 Update (October 2018), page 7 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
Criteria UpdatesSee new content added with the date October 2018. For changes to coding notes within criteria sets, see“October 1, 2018 ICD-10-CM Coding Updates in Detail.”Key: Underlined text is to be added; crossed-out text is to be deleted.Neurodevelopmental DisordersAutism Spectrum Disorder: Criterion A [August 2015](DSM-5, p. 50; Desk Reference, p. 27)A. Persistent deficits in social communication and social interaction across multiple contexts,As printedas manifested by the following, currently or by history (examples are illustrative, notexhaustive; see text):As updatedReason forupdateA. Persistent deficits in social communication and social interaction across multiple contexts,as manifested by all of the following, currently or by history (examples are illustrative, notexhaustive; see text):This update clarifies that all three of the Criterion A items are required.Schizophrenia Spectrum and Other Psychotic DisordersBrief Psychotic Disorder: “With Peripartum Onset” Specifier [August 2015](DSM-5, p. 94; Desk Reference, p. 48)As printedWith postpartum onset: if onset is during pregnancy or within 4 weeks postpartumAs updatedWith postpartum peripartum onset: if onset is during pregnancy or within 4 weekspostpartumCorresponding update in DSM-5 Classification, Brief Psychotic Disorder(DSM-5, p. xv; Desk Reference, p. xii)As printedSpecify if: With marked stressor(s), Without marked stressor(s), With postpartum onsetAs updatedSpecify if: With marked stressor(s), Without marked stressor(s), With postpartum peripartumonsetReason forupdate“Peripartum” rather than “postpartum” is correct.Substance/Medication-Induced Psychotic Disorder: Coding Note [October 2018](DSM-5, p. 111; Desk Reference, p. 56)As printedCoding note: The ICD-9-CM and ICD-10-CM codes for the [specific substance/medication]induced psychotic disorders are indicated in the table below. Note that the ICD-10-CM codedepends on whether or not there is a comorbid substance use disorder present for the sameclass of substance. If a mild substance use disorder is comorbid with the substance-induced .As updatedCoding note: The ICD-9-CM and ICD-10-CM codes for the [specific substance/medication]induced psychotic disorders are indicated in the table below. Note that the ICD-10-CM codedepends on whether or not there is a comorbid substance use disorder present for the sameclass of substance. In any case, an additional separate diagnosis of a substance use disorderis not given. If a mild substance use disorder is comorbid with the substance-induced .Reason forupdateWhether or not the substance/medication-induced psychotic disorder is comorbid with asubstance use disorder is built into the ICD-10-CM code; thus, an additional substance usedisorder diagnosis (and code) is not needed. A specific statement has been added to highlightthis point.DSM-5 Update (October 2018), page 8 of 74Copyright 2018 American Psychiatric Association. All rights reserved.
Bipolar and Related DisordersBipolar I Disorder: Manic Episode, Criterion A [August 2015](DSM-5, p. 124; Desk Reference, p. 65)A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood andAs printedabnormally and persistently increased goal-directed activity or energy, lasting at least 1 weekand present most of the day, nearly every day (or any duration if hospitalization is necessary).As updatedReason forupdateA. A distinct period of abnormally and persistently elevated, expansive, or irritable mood andabnormally and persistently increased goal-directed activity or energy, lasting at least 1 weekand present most of the day, nearly every day (or any duration if hospitalization is necessary).The abnormally and persistent increased activity required in Criterion A does not have to begoal-directed. Increase in goal-directed activity is required to meet Criterion B6.Bipolar I Disorder: Hypomanic Episode, Criterion F [August 2015](DSM-5, p. 125; Desk Reference, p. 67)F. The episode is not attributable to the physiological effects of a substance (e.g., a drug ofAs printedabuse, a medication, other treatment).As updatedReason forupdateF. The episode is not attributable to the physiological effects of a substance (e.g., a drug ofabuse, a medication, other treatment) or another medical condition.“Another medical condition” added so that Criterion F conforms to the wording of other DSM-5criteria that rule out organic causes.Bipolar I Disorder: “With Psychotic Features” Specifiers [October 2018](DSM-5, p. 127; Desk Reference, p. 71)As printedWith mood-congruent psychotic featuresWith mood-incongruent psychotic featuresAs updated(DSM-5)With mood-congruent psychotic features (p. 152; applies to manic episode and/or majordepressive episode)With mood-incongruent psychotic features (p. 152; applies to manic episode and/or majordepressive episode)(DeskReference)With mood-congruent psychotic features (pp. 88–89; applies to manic episode and/or majordepressive episode)With mood-incongruent psychotic features (pp. 88–89; applies to manic episode and/ormajor depressive episode)Reason forupdateThese additions provide clarification for which types of episodes the “with psychotic features”specifiers apply for bipolar I disorder.Bipolar II Disorder: Hypomanic Episode, Criterion F [August 2015](DSM-5, p. 133; Desk Reference, p. 72)F. The episode is not attributable to the physiological effects of a substance (e.g., a drug ofAs printedabuse, a medication, other treatment).As updatedReason forupdateF. The episode is not attributable to the physiological effects of a substance (e.g., a drug ofabuse, a medication, other treat
Avoidant/Restrictive Food Intake Disorder [effective October 1, 2017; supersedes October 1, 2016 change] Avoidant/Restrictive Food Intake Disorder [effective October 1, 2016; use revised code effective October 1, 2017] Binge-Eating Disorder [effective October 1, 2016] Other Specified Feeding or
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Using DSM-IV, you make a diagnosis of alcohol abuse. Using DSM-5, you make a diagnosis of alcohol use disorder, mild. ICD-9-CM DSM-IV dx –305.00 ICD-9-CM DSM-5 dx –305.00 ICD-10-CM DSM-5 dx –F10.10 DSM-IV Substance abuse crosswalks to mild SUD in DSM-5. Substance dependence crosswalks to moderate
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DSM-IV-TR to DSM-5 Changes made to the DSM-5 diagnostic criteria and texts are outlined in this chapter in the same order in which they appear in the DSM-5 classification. This is not an exhaustive guide; minor changes in text or wording made for clarity are not described here. It should also be noted that Section I of DSM-5 con-
familiar with DSM-IV-TR, its content, and its use. This presentation is solely to facilitate transition from DSM-IV-TR to DSM-5 and is not intended to be a basic course on DSM-5. DSM-5:Classification, Criteria, and Use DSM-5 Revisions: Brief History and Conceptual Approaches ICD-8-9 and DSM-II 1967-1972 US-UK study:
DSM I 1952 DSM II 1968 DSM III 1980 DSM IV 1994 DSM IV-TR 2000 Summary of Gross # Changes in DSM Editions! DSM-5 May 2013 106 Diagnoses 130 Pages 297 Diagnoses 182 Diagnoses 265 Diagnoses 365 Diagnoses 494 Pages 886 Pages 134 Pages 943 Pages 13 new disorders, 2 eli
section five: speciality psychiatry 29. child and adolescent psychiatry 159 30. women and mental health 169 31. geriatric psychiatry 173 32. emergency psychiatry 177 33. psychotherapy 181 34. forensic psychiatry 189 35. community psychiatry 193 36. mental health legislations in india 195 37. neuroimaging, eeg and evoked potentials 197 38.
DSM-IV and DSM-5 Criteria for the Personality Disorders Antisocial Personality Disorder Antisocial Personality Disorder DSM-IV Criteria DSM-5 Criteria - Revised April 2012 A. There is a pervasive pattern of disregard for and violation of the rights of o
