This is a list of mental disorders as defined in the DSM-IV, the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders. Published by the American Psychiatry Association (APA), it was released in May 1994,[1] superseding the DSM-III-R (1987). This list also includes updates featured in the text revision of the DSM-IV, the DSM-IV-TR, released in July 2000.[2]
Similar to the DSM-III-R, the DSM-IV-TR was created to bridge the gap between the DSM-IV and the next major release, then named DSM-V (eventually titled DSM-5).[3] The DSM-IV-TR contains expanded descriptions of disorders. Wordings were clarified and errors were corrected. The categorizations and the diagnostic criteria were largely unchanged. No new disorders or conditions were introduced, although a small number of subtypes were added and removed. ICD-9-CM codes that were changed since the release of IV were updated.[4] The DSM-IV and the DSM-IV-TR both contain a total of 297 mental disorders.[5]
For an alphabetical list, see List of mental disorders in the DSM-IV and DSM-IV-TR (alphabetical).
Disorders usually first diagnosed in infancy, childhood, or adolescence
Mental retardation
- 317 Mild mental retardation
- 318.0 Moderate mental retardation
- 318.1 Severe mental retardation
- 318.2 Profound mental retardation
- 319 Mental retardation, severity unspecified
Learning disorders
Motor skills disorders
Communication disorders
Pervasive developmental disorders
Attention-deficit and disruptive behavior disorders
Feeding and eating disorders of infancy or early childhood
Tic disorders
Elimination disorders
- 307.6 Enuresis (not due to a general medical condition)
- 307.7 Encopresis, without constipation and overflow incontinence
- 787.6 Encopresis, with constipation and overflow incontinence
Other disorders of infancy, childhood, or adolescence
Delirium, dementia, and amnestic and other cognitive disorders
Delirium
- 293.0 Delirium due to... [indicate the general medical condition]
- 780.09 Delirium NOS
Dementia
- 294.xx Dementia of the Alzheimer's type, with early onset (coded 290.xx in the DSM-IV)
- .10 Without behavioral disturbance (DSM-IV-TR only)
- .11 With behavioral disturbance (DSM-IV-TR only)
- .10 Uncomplicated (DSM-IV only)
- .11 With delirium (DSM-IV only)
- .12 With delusions (DSM-IV only)
- .13 With depressed mood (DSM-IV only)
- 294.xx Dementia of the Alzheimer's type, with late onset (coded 290.xx in the DSM-IV)
- .10 Without behavioral disturbance (DSM-IV-TR only)
- .11 With behavioral disturbance (DSM-IV-TR only)
- .0 Uncomplicated (DSM-IV only)
- .3 With delirium (DSM-IV only)
- .20 With delusions (DSM-IV only)
- .21 With depressed mood (DSM-IV only)
- 290.xx Vascular dementia
- .40 Uncomplicated
- .41 With delirium
- .42 With delusions
- .43 With depressed mood
- 294.1x Dementia due to HIV disease (coded 294.9 in the DSM-IV)
- 294.1x Dementia due to head trauma (coded 294.1 in the DSM-IV)
- 294.1x Dementia due to Parkinson's disease (coded 294.9 in the DSM-IV)
- 294.1x Dementia due to Huntington's disease (coded 294.1 in the DSM-IV)
- 294.1x Dementia due to Pick's disease (coded 290.10 in the DSM-IV)
- 294.1x Dementia due to Creutzfeldt–Jakob disease (coded 290.10 in the DSM-IV)
- 294.1x Dementia due to ... [Indicate the general medical condition not listed above] (coded 294.1 in the DSM-IV)
- 294.8 Dementia NOS
Amnestic disorders
- 294.0 Amnestic disorder due to... [indicate the general medical condition]
- 294.8 Amnestic disorder NOS
Other cognitive disorders
Mental disorders due to a general medical condition not elsewhere classified
- 293.89 Catatonic disorder due to... [indicate the general medical condition]
- 310.1 Personality change due to... [indicate the general medical condition]
- (Subtypes: Labile, Disinhibited, Aggressive, Apathetic, Paranoid, Other, Combined, Unspecified)
- 293.9 Mental disorder NOS due to... [indicate the general medical condition]
Substance-related disorders
Alcohol-related disorders
Alcohol-induced disorders
Amphetamine (or amphetamine-like)-related disorders
Amphetamine use disorders
Amphetamine-induced disorders
- 292.89 Amphetamine intoxication
- 292.0 Amphetamine withdrawal
- 292.81 Amphetamine intoxication delirium
- 292.xx Amphetamine-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.84 Amphetamine-induced mood disorder
- 292.89 Amphetamine-induced anxiety disorder
- 292.89 Amphetamine-induced sexual dysfunction
- 292.89 Amphetamine-induced sleep disorder
- 292.9 Amphetamine-related disorder NOS
Caffeine-related disorders
Cannabis-related disorders
- 304.30 Cannabis dependence
- 305.20 Cannabis abuse
Cannabis-induced disorders
- 292.89 Cannabis intoxication
- 292.81 Cannabis intoxication delirium
- 292.xx Cannabis-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.89 Cannabis-induced anxiety disorder
- 292.9 Cannabis-related disorder NOS
Cocaine-related disorders
Cocaine-induced disorders
- 292.89 Cocaine intoxication
- 292.0 Cocaine withdrawal
- 292.81 Cocaine intoxication delirium
- 292.xx Cocaine-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.84 Cocaine-induced mood disorder
- 292.89 Cocaine-induced anxiety disorder
- 292.89 Cocaine-induced sexual dysfunction
- 292.89 Cocaine-induced sleep disorder
- 292.9 Cocaine-related disorder NOS
Hallucinogen-related disorders
- 304.50 Hallucinogen dependence
- 305.30 Hallucinogen abuse
Hallucinogen-induced disorders
- 292.89 Hallucinogen intoxication
- 292.89 Hallucinogen persisting perception disorder (Flashbacks)
- 292.81 Hallucinogen intoxication delirium
- 292.xx Hallucinogen-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.84 Hallucinogen-induced mood disorder
- 292.89 Hallucinogen-induced anxiety disorder
- 292.9 Hallucinogen-related disorder NOS
Inhalant-related disorders
- 304.60 Inhalant dependence
- 305.90 Inhalant abuse
Inhalant-induced disorders
- 292.89 Inhalant intoxication
- 292.81 Inhalant intoxication delirium
- 292.82 Inhalant-induced persisting dementia
- 292.xx Inhalant-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.84 Inhalant-induced mood disorder
- 292.89 Inhalant-induced anxiety disorder
- 292.9 Inhalant-related disorder NOS
Nicotine-related disorders
Nicotine-induced disorder
Opioid-related disorders
- 304.00 Opioid dependence
- 305.50 Opioid abuse
Opioid-induced disorders
- 292.89 Opioid intoxication
- 292.0 Opioid withdrawal
- 292.81 Opioid intoxication delirium
- 292.xx Opioid-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.84 Opioid-induced mood disorder
- 292.89 Opioid-induced sexual dysfunction
- 292.89 Opioid-induced sleep disorder
- 292.9 Opioid-related disorder NOS
Phencyclidine (or phencyclidine-like) related disorders
- 304.60 Phencyclidine dependence (coded 304.90 in the DSM-IV)
- 305.90 Phencyclidine abuse
Phencyclidine-induced disorders
- 292.89 Phencyclidine intoxication
- 292.81 Phencyclidine intoxication delirium
- 292.xx Phencyclidine-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.84 Phencyclidine-induced mood disorder
- 292.89 Phencyclidine-induced anxiety disorder
- 292.9 Phencyclidine-related disorder NOS
Sedative-, hypnotic-, or anxiolytic-related disorders
- 304.10 Sedative, hypnotic, or anxiolytic dependence
- 305.40 Sedative, hypnotic, or anxiolytic abuse
Sedative-, hypnotic-, or anxiolytic-induced disorders
- 292.89 Sedative, hypnotic, or anxiolytic intoxication
- 292.0 Sedative, hypnotic, or anxiolytic withdrawal
- 292.81 Sedative, hypnotic, or anxiolytic intoxication delirium
- 292.81 Sedative, hypnotic, or anxiolytic withdrawal delirium
- 292.82 Sedative-, hypnotic-, or anxiolytic-induced persisting dementia
- 292.83 Sedative-, hypnotic-, or anxiolytic-induced persisting amnestic disorder
- 292.xx Sedative-, hypnotic-, or anxiolytic-induced psychotic disorder
- .11 With delusions
- .12 With hallucinations
- 292.84 Sedative-, hypnotic-, or anxiolytic-induced mood disorder
- 292.89 Sedative-, hypnotic-, or anxiolytic-induced anxiety disorder
- 292.89 Sedative-, hypnotic-, or anxiolytic-induced sexual dysfunction
- 292.89 Sedative-, hypnotic-, or anxiolytic-induced sleep disorder
- 292.9 Sedative-, hypnotic-, or anxiolytic-related disorder NOS
Polysubstance-related disorder
Other (or unknown) substance-related disorders
Other (or unknown) substance-induced disorders
Schizophrenia and other psychotic disorders
Mood disorders
- 293.83 Mood disorder due to ... [indicate the general medical condition]
- 296.90 Mood disorder NOS
Depressive disorders
- 296.xx Major depressive disorder
- .2x Major depressive disorder, single episode
- .26 In full remission
- .25 In partial remission
- .21 Mild
- .22 Moderate
- .23 Severe without psychotic features
- .24 Severe with psychotic features
- .20 Unspecified
- .3x Major depressive disorder, recurrent
- .36 In full remission
- .35 In partial remission
- .31 Mild
- .32 Moderate
- .33 Severe without psychotic features
- .34 Severe with psychotic features
- .30 Unspecified
- 300.4 Dysthymic disorder
- 311 Depressive disorder NOS
Bipolar disorders
- 296.xx Bipolar I disorder
- .5x Bipolar I disorder, most recent episode depressed
- .56 In full remission
- .55 In partial remission
- .51 Mild
- .52 Moderate
- .53 Severe without psychotic features
- .54 Severe with psychotic features
- .50 Unspecified
- .40 Bipolar I disorder, most recent episode hypomanic
- .4x Bipolar I disorder, most recent episode manic
- .46 In full remission
- .45 In partial remission
- .41 Mild
- .42 Moderate
- .43 Severe without psychotic features
- .44 Severe with psychotic features
- .40 Unspecified
- .6x Bipolar I disorder, most recent episode mixed
- .66 In full remission
- .65 In partial remission
- .61 Mild
- .62 Moderate
- .63 Severe without psychotic features
- .64 Severe with psychotic features
- .60 Unspecified
- .7 Bipolar I disorder, most recent episode unspecified
- .0x Bipolar I disorder, single manic episode
- .06 In full remission
- .05 In partial remission
- .01 Mild
- .02 Moderate
- .03 Severe without psychotic features
- .04 Severe with psychotic features
- .00 Unspecified
- 296.89 Bipolar II disorder
- 301.13 Cyclothymic disorder
- 296.80 Bipolar disorder NOS
Anxiety disorders
Somatoform disorders
Factitious disorders
- 300.xx Factitious disorder
- .19 With combined psychological and physical signs and symptoms
- .19 With predominantly physical signs and symptoms
- .16 With predominantly psychological signs and symptoms
- 300.19 Factitious disorder NOS
Dissociative disorders
Sexual and gender identity disorders
Sexual dysfunctions
Sexual desire disorders
Sexual arousal disorders
Orgasmic disorders
Sexual pain disorders
- 302.76 Dyspareunia (not due to a general medical condition)
- 306.51 Vaginismus (not due to a general medical condition)
Sexual dysfunction due to a general medical condition
- 625.8 Female hypoactive sexual desire disorder due to ... [indicate the general medical condition]
- 608.89 Male hypoactive sexual desire disorder due to ... [indicate the general medical condition]
- 607.84 Male erectile disorder due to ... [indicate the general medical condition]
- 625.0 Female dyspareunia due to ... [indicate the general medical condition]
- 608.89 Male dyspareunia due to ... [indicate the general medical condition]
- 625.8 Other female sexual dysfunction due to ... [indicate the general medical condition]
- 608.89 Other male sexual dysfunction due to ... [indicate the general medical condition]
- 302.70 Sexual dysfunction NOS
Paraphilias
Gender identity disorders
- 302.xx Gender identity disorder
- .6 in children
- .85 in adolescents or adults
- 302.6 Gender identity disorder NOS
- 302.9 Sexual disorder NOS
Eating disorders
Sleep disorders
Primary sleep disorders
Parasomnias
Sleep disorders related to another mental disorder
- 307.42 Insomnia Related to ... [indicate the Axis I or Axis II disorder]
- 307.44 Hypersomnia Related to ... [indicate the Axis I or Axis II disorder]
Other sleep disorders
- 780.xx Sleep disorder due to... [indicate the general medical condition]
Impulse-control disorders not elsewhere classified
Adjustment disorders
Personality disorders (Axis II)
Cluster A (odd or eccentric):
Cluster B (dramatic, emotional, or erratic):
Cluster C (anxious or fearful):
NOS:
Other conditions that may be a focus of clinical attention
Psychological factors affecting medical condition
- 316 ... [Specified psychological factor] affecting ... [indicate the general medical condition]
Medication-induced movement disorders
Other medication-induced disorder
Relational problems
- V61.9 Relational problem related to a mental disorder or general medical condition
- V61.20 Parent-child relational problem
- V61.10 Partner relational problem (coded V61.1 in the DSM-IV)
- V61.8 Sibling relational problem
- V62.81 Relational problem NOS
Problems related to abuse or neglect
- V61.21 Physical abuse of Child
- V61.21 Sexual abuse of child
- V61.21 Neglect of child
- ___.__ Physical abuse of adult (coded V61.1 in the DSM-IV)
- V61.12 if by partner (included only in the DSM-IV-TR)
- V62.83 if by person other than partner (included only in the DSM-IV-TR)
- ___.__ Sexual abuse of adult (coded V61.1 in the DSM-IV)
- V61.12 if by partner (included only in the DSM-IV-TR)
- V62.83 if by person other than partner (included only in the DSM-IV-TR)
Additional conditions that may be a focus of clinical attention
Additional codes
- 300.9 Unspecified mental disorder (nonpsychotic)
- V71.09 No diagnosis or condition on Axis I
- 799.9 Diagnosis or condition deferred on Axis I
- V71.09 No diagnosis on Axis II
- 799.9 Diagnosis deferred on Axis II
See also
References
- ^ Wilson, H. S.; Skodol, Andrew (December 1994). "Special report: DSM-IV: Overview and examination of major changes". Archives of Psychiatric Nursing. 8 (6): 340–347. doi:10.1016/0883-9417(94)90002-7. PMID 7847901.
- ^ First, Michael B.; Pincus, Harold Alan (March 2002). "The DSM-IV Text Revision: Rationale and Potential Impact on Clinical Practice". Psychiatric Services. 53 (3): 288–292. doi:10.1176/appi.ps.53.3.288. PMID 11875221.
- ^ Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. American Psychiatric Association. July 2000. p. xxix.
- ^ DSM-IV-TR (2000), p. 829–843
- ^ Surís, Alina; Holliday, Ryan; North, Carol S. (March 2016). "The Evolution of the Classification of Psychiatric Disorders". Behavioral Sciences. 6 (1): 5. doi:10.3390/bs6010005. PMC 4810039. PMID 26797641.
This rapid growth in numbers of diagnoses slowed, however, yielding 292 diagnoses in DSM-III-R, 297 in DSM-IV and DSM-IV-TR, and 298 in DSM-5
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