1. ‫ﻟﻼﺧﺘﺼﺎﺻﻴﻴﻦ‬
For Specialists
       
 
‫ﺍﻷﻤﺭﻴﻜﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﺠﻤﻌﻴﺔ‬
DSM-IV-TR American Psychiatric Association
‫اﻷﺻﻠﻲ‬ ‫اﻟﻜﺘﺎب‬ ‫ﻋﻨﻮان‬:
        
 -4
‫ﺍﻷﻣﺮﻳﻜﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻄﺐ‬ ‫ﺟﻤﻌﻴﺔ‬-‫ﺍﻟﻄﺒﻊ‬ ‫ﺳـﻨﺔ‬2004
Quick Reference to THE DIAGNOSTIC CRITERIA from DSM-IV-
TR™ AMERICAN PSYCHIATRIC ASSOCIATION
‫ﺍﻟﺪﻛﺘﻮﺭ‬ ‫ﺗﺮﺟﻤﺔ‬:
 
‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻄﺐ‬ ‫ﻓﻲ‬ ‫ﺍﺧﺘﺼﺎﺻﻲ‬-‫ﺳﻴﻨﺎ‬ ‫ﺍﺑﻦ‬ ‫ﻣﺸﻔﻰ‬‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻟﻸﻣﺮﺍﺽ‬-‫ﺍﻟﻌﻴﺎﺩﺓ‬:‫ﺍﻟﺪﻳﻦ‬ ‫ﺭﻛﻦ‬-‫ﺁﺩﻡ‬ ‫ﻣﻮﻗﻒ‬
-‫ﻫﺎﺗﻒ‬:2712688-‫ﺩﻣﺸﻖ‬

2. 1

‫ﺃﻣﻲ‬ ‫ﺇﻟﻰ‬:‫ﺗﻌﺎﺗﺒﲏ‬ ‫ﱂ‬ ‫ﺍﻟﱵ‬
‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺑﺎﻟﻄﺐ‬ ‫ﺍﻻﺧﺘﺼﺎﺹ‬ ‫ﺍﺧﺘﺮﺕ‬ ‫ﻷﻧﲏ‬
‫ﺯﻭﺟﺘﻲ‬ ‫ﺇﻟﻰ‬:‫ﺍﻟﺘﺮﲨﺔ‬ ‫ﻫﺬﻩ‬ ‫ﺇﳒﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻋﺎﻧﺘﲏ‬ ‫ﺍﻟﱵ‬

3. 2
‫اﻟﻤﺘﺮﺟــﻢ‬ ‫ﻣﻘﺪﻣــﺔ‬
‫ﺍﻟﻌ‬ ‫ﺍﻟﻤﻜﺘﺒﺔ‬ ‫ﺘﻔﺘﻘﺭ‬‫ﻓـﺎﻷﻤﺭ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻻﺨﺘﺼﺎﺼﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻤﺎ‬ ،‫ﹰ‬‫ﺍ‬‫ﺘﺤﺩﻴﺩ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺒﺎﻟﻁﺏ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬ ‫ﻤﺭﺍﺠﻊ‬ ‫ﺇﻟﻰ‬ ‫ﺭﺒﻴﺔ‬
‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺍﻟﻤﺭﺍﺠﻊ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻜﺜﻴﺭ‬ ‫ﺘﺠﺩ‬ ‫ﺇﺫ‬ ،‫ﻤﺨﺘﻠﻑ‬‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﻤﻜﺘﺒﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﻜﺘﺏ‬ ‫ﻭﺃﻤﻬﺎﺕ‬.
‫ﻭﺍﻻﻨﺘﺸـ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺨﺘﺼﺎﺹ‬ ‫ﺒﻬﺫﺍ‬ ‫ﺍﻟﻤﻬﺘﻤﻴﻥ‬ ‫ﻗﻠﺔ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻌﻭﺩ‬ ‫ﺍﻟﻌﺭﺒﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﻜﺘﺏ‬ ‫ﺘﻭﻓﺭ‬ ‫ﻋﺩﻡ‬ ‫ﻭﻟﻌل‬‫ﺍﻟﺒﻁـﻲﺀ‬ ‫ﺎﺭ‬
‫ﺍﻟﻌﺭﺒﻲ‬ ‫ﺍﻟﻌﺎﻟﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺨﺘﺼﺎﺹ‬ ‫ﻟﻬﺫﺍ‬.‫ﻤﺎ‬ ‫ﻭﻫﺫﺍ‬‫ﺃﺫﻫـﺎﻥ‬ ‫ﻓـﻲ‬ ‫ﻭﺍﻟﻔﻠﺴﻔﺔ‬ ‫ﺍﻟﻨﻔﺱ‬ ‫ﻭﻋﻠﻡ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺨﻁﻴﺭ‬ ‫ﺍﻟﺨﻠﻁ‬ ‫ﺭ‬‫ﺴ‬‫ﻴﻔ‬
‫ﻤﻨﻬﻡ‬ ‫ﺍﻟﻤﺜﻘﻔﻴﻥ‬ ‫ﺤﺘﻰ‬ ‫ﺍﻟﻜﺜﻴﺭﻴﻥ‬.‫ﻫﻭ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﺃﻥ‬ ‫ﺘﻌﺭﻑ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻤﻥ‬ ‫ﺃﻗﻠﻴﺔ‬ ‫ﺃﻥ‬ ‫ﺇﺫ‬‫ﻋﻠـﻡ‬ ‫ﻭﻫـﻭ‬ ‫ﺒﺫﺍﺘﻪ‬ ‫ﻗﺎﺌﻡ‬ ‫ﻁﺒﻲ‬ ‫ﺍﺨﺘﺼﺎﺹ‬
‫ﺠﻤﻴ‬ ‫ﻋﻨﻬﺎ‬ ‫ﺯﻩ‬‫ﻴ‬‫ﺘﻤ‬ ‫ﺭﻏﻡ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﻌﻠﻭﻡ‬ ‫ﻜﺒﺎﻗﻲ‬‫ﹰ‬‫ﺎ‬‫ﻌ‬.‫ﻭﻋﻠـﻡ‬ ‫ﺍﻷﺤﻴـﺎﺀ‬ ‫ﻋﻠﻡ‬ ‫ﻭﻤﻥ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﻌﻠﻭﻡ‬ ‫ﻜﺎﻓﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﻴﺴﺘﻔﻴﺩ‬ ‫ﺇﺫ‬
‫ﺃﺨﺭﻯ‬ ‫ﻭﻋﻠﻭﻡ‬ ‫ﺍﻟﻭﺭﺍﺜﺔ‬ ‫ﻭﻋﻠﻡ‬ ‫ﺍﻟﻨﻔﺱ‬ ‫ﻭﻋﻠﻡ‬ ‫ﺍﻟﻅﻭﺍﻫﺭ‬ ‫ﻭﻋﻠﻡ‬ ‫ﺍﻻﺠﺘﻤﺎﻉ‬.
‫ﺇﻟﻴﻬـﺎ‬ ‫ﻴﺤﺘﻜﻡ‬ ‫ﺘﺼﺎﻨﻴﻑ‬ ‫ﻭﻀﻊ‬ ‫ﻋﻠﻰ‬ ‫ﻫﺎﺌﻠﺔ‬ ‫ﺠﻬﻭﺩ‬ ‫ﺕ‬‫ﺒ‬‫ﺍﻨﺼ‬ ‫ﻓﻘﺩ‬ ،‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺘﻔﺴﺭ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﺁﻟﻴﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻭﻟﻌﺩﻡ‬
‫ﺍﻟﻨﻔﺴ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﺘﺸﺨﻴﺹ‬‫ﻭﺘﻜﻭﻥ‬ ‫ﻴﺔ‬‫ﹰ‬‫ﺎ‬‫ﻭﺃﻴﻀ‬ ،‫ﻭﺍﺤﺩﺓ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﻐﺔ‬ ‫ﺍﺴﺘﻌﻤﺎل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻌﺎﻟﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻨﻔﺴﻴﻴﻥ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﺒﻴﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺠﺴﺭ‬
‫ﻭﺍﻷﺒﺤﺎﺙ‬ ‫ﺍﻟﺩﺭﺍﺴﺎﺕ‬ ‫ﻓﻲ‬ ‫ﻭﺍﺴﺘﺨﺩﺍﻤﻬﺎ‬ ‫ﺍﻹﺤﺼﺎﺌﻴﺔ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻟﺠﻤﻊ‬.
‫ﻭﺍﻟﺴـﻠﻭﻜﻴﺔ‬ ‫ﺍﻟﻨﻔﺴـﻴﺔ‬ ‫ﺍﻷﻤـﺭﺍﺽ‬ ‫ﺘﺼﻨﻴﻑ‬ ‫ـ‬ ‫ﻟﻸﻤﺭﺍﺽ‬ ‫ﺍﻟﺩﻭﻟﻲ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ،‫ﻅﻬﺭﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﺼﺎﻨﻴﻑ‬ ‫ﺃﺒﺭﺯ‬ ‫ﻤﻥ‬ICD-10،
‫ﻭ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬ ‫ﻭﺍﻟﺩﻟﻴل‬‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻹﺤﺼﺎﺌﻲ‬‫ﺍﻟﻌﺭﺒﻲ‬ ‫ﺍﻟﻘﺎﺭﺉ‬ ‫ﻴﺩﻱ‬ ‫ﺒﻴﻥ‬ ‫ﻨﻀﻌﻪ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬.
‫ﻭﻭﻀـﻊ‬ ‫ﺍﻟﻨﻔﺴـﻴﺔ‬ ‫ﻭﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺤﺩﻭﺩ‬ ‫ﻭﺘﻭﻀﻴﺢ‬ ‫ﻴﺴﺘﺨﺩﻤﻬﺎ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺴﻬﻠﺔ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺩﻟﻴل‬ ‫ﻫﺫﺍ‬ ‫ﺯ‬‫ﻴ‬‫ﻴﻤ‬ ‫ﻤﺎ‬
‫ل‬‫ﻬ‬‫ﺘﺴ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﺤﻜﻤﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬
‫ﺭﺤﺎﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﻗﻴﻭﺩ‬ ‫ﻟﻠﺒﻌﺽ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺍﻟﺼﻔﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﻗﺩ‬ ،‫ﻤﻘﺎﺭﺒﺘﻬﺎ‬‫ﺘﻔـﻭﻕ‬ ‫ﻓﻭﺍﺌﺩﻫﺎ‬ ‫ﺃﻥ‬ ‫ﻏﻴﺭ‬ ،‫ﻓﻴﻬﺎ‬ ‫ﻤﺒﺎﻟﻎ‬ ‫ﻭﺼﺭﺍﻤﺔ‬ ‫ﺍﻟﻔﻜﺭ‬
‫ﺍﻟﺒﺤﺙ‬ ‫ﻓﻲ‬ ‫ﻜﺎﻥ‬ ‫ﺇﻥ‬ ‫ﻋﻠﻴﻬﺎ‬ ‫ﻴﺅﺨﺫ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺜﻴﺭ‬‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﻤﻤﺎﺭﺴﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻡ‬ ‫ﺍﻟﻌﻠﻤﻲ‬.‫ﺍﻟﻤﻘـﻴﻡ‬ ‫ﻟﻠﻁﺒﻴﺏ‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﻓﺎﺌﺩﺓ‬ ‫ﻡ‬‫ﺩ‬‫ﻴﻘ‬ ‫ﺍﻟﺩﻟﻴل‬ ‫ﻭﻫﺫﺍ‬
‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻻﺨﺘﺼﺎﺼﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻟﻸﻁﺒﺎﺀ‬ ‫ﻭﺤﺘﻰ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﻓﻲ‬ ‫ﻟﻼﺨﺘﺼﺎﺼﻲ‬ ‫ﻜﻤﺎ‬‫ﻓﻲ‬ ‫ﻭﻟﻠﻌﺎﻤﻠﻴﻥ‬‫ﻋ‬ ‫ﻭﻜﻠﻴﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻟﺼﺤﺔ‬‫ﻠﻡ‬
‫ﺍﻟﻨﻔﺱ‬.
‫ﺒﺈﻟﻐﺎﺌﻪ‬ ‫ﺘﻨﺎﺩﻱ‬ ‫ﻜﺜﻴﺭﺓ‬ ‫ﺃﺼﻭﺍﺕ‬ ‫ﺒﺩﺃﺕ‬ ‫ﺃﻤﺭ‬ ‫ﻭﻫﻭ‬ ،‫ﺍﻟﻁﺏ‬ ‫ﺘﻌﺭﻴﺏ‬ ‫ﺠﺩﻭﻯ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﻌﺽ‬ ‫ﻴﺠﺎﺩل‬ ‫ﻗﺩ‬.‫ﺢ‬‫ﻴﺼـ‬ ‫ﺫﻟـﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻭﻟﻜﻥ‬
‫ﻤﻌﻨـﻲ‬ ‫ﺍﻟﻌﺭﺒﻲ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﻓﺎﻟﻁﺒﻴﺏ‬ ،‫ﺍﻷﻭﻟﻰ‬ ‫ﺒﺎﻟﺩﺭﺠﺔ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻻﻴﺼﺢ‬ ‫ﻓﺈﻨﻪ‬ ،‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻻﺨﺘﺼﺎﺼﺎﺕ‬ ‫ﻋﻠﻰ‬
‫ﺍﻟﻨﻔﺴ‬ ‫ﺍﻟﻁﺏ‬ ‫ﻓﻲ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺘﻭﺍﺼل‬ ‫ﺃﺩﺍﺓ‬ ‫ﻭﻫﻲ‬ ،‫ﻭﻟﻐﺘﻪ‬ ‫ﺒﻤﺭﻴﻀﻪ‬‫ﺃﻥ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻭﺍﻟﻤﻘﺎﺒﻠﺔ‬ ‫ﻲ‬‫ﻟـﻥ‬ ‫ﻭﻤﺠﺎﻻﺘﻪ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﻤﻔﺎﻫﻴﻡ‬
‫ﻤـﻥ‬ ‫ﹼﻨﻨـﺎ‬‫ﻜ‬‫ﺘﻤ‬ ‫ﻋﺎﻟﻤﻴـﺔ‬ ‫ﻟﻐـﺔ‬ ‫ﺍﻤﺘﻼﻙ‬ ‫ﻀﺭﻭﺭﺓ‬ ‫ﻋﻥ‬ ‫ﻴﺼﺭﻓﻨﺎ‬ ‫ﻻ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬ ‫ﺍﻟﺘﻌﺭﻴﺏ‬ ‫ﻟﻜﻥ‬ ،‫ﺍﻷﻡ‬ ‫ﺒﻠﻐﺘﻬﻡ‬ ‫ﺇﻻ‬ ‫ﻟﻠﻨﺎﺱ‬ ‫ﻤﺘﺎﺤﺔ‬ ‫ﺘﻜﻭﻥ‬
‫ﺍﻻﻁﻼﻉ‬‫ﺍﻟﻁـ‬ ‫ﻭﺩﻓـﻊ‬ ،‫ﺍﻟﻁﺏ‬ ‫ﺘﻌﺭﻴﺏ‬ ‫ﻓﻭﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻨﺴﻴﺎﻨﻪ‬ ‫ﺠﺭﻯ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻷﻤﺭ‬ ،‫ﺍﻟﻌﺎﻟﻡ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻷﺒﺤﺎﺙ‬ ‫ﺍﻟﺩﺭﺍﺴﺎﺕ‬ ‫ﺃﺤﺩﺙ‬ ‫ﻋﻠﻰ‬‫ﻼﺏ‬
‫ﻓﻘﻁ‬ ‫ﺍﻟﻌﺭﺒﻴﺔ‬ ‫ﺒﺎﻟﻠﻐﺔ‬ ‫ﺍﻟﻁﺏ‬ ‫ﻴﺘﻌﻠﻤﻭﻥ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﻭﺍﻷﻁﺒﺎﺀ‬‫ﻭﻻﻴﺯﺍﻟﻭﻥ‬ ‫ﺜﻤﻨﻪ‬.
‫د‬.‫ﺣﺴﻮن‬ ‫ﺗﻴﺴﻴﺮ‬
‫ﻓﻲ‬ ‫ﺩﻤﺸﻕ‬2004/5/8

4. 3
‫ﺗﻤﻬﻴﺪ‬
‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻭﺍﻹﺤﺼﺎﺌﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ‫ﻤﺯﺍﻴﺎ‬ ‫ﺃﻫﻡ‬ ‫ﺇﺤﺩﻯ‬DSM-IV‫ﺘﺤﺴﻴﻥ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻘﺩﻴﻤﻪ‬ ‫ﻫﻲ‬
‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻷﺤﻜﺎﻡ‬ ‫ﻤﻭﺜﻭﻗﻴﺔ‬.‫ﻤﺭﺠﻊ‬ ‫ﺃﺠل‬ ‫ﻭﻤﻥ‬‫ﻓﻘﻁ‬ ‫ﻴﺘﻀﻤﻥ‬ ‫ﻭﻤﺭﻴﺢ‬ ‫ﺼﻐﻴﺭ‬ ‫ﺏ‬‫ﻴ‬‫ﻜﺘ‬ ‫ﻴﺩﻴﻪ‬ ‫ﺒﻴﻥ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻴﺭﻏﺏ‬ ‫ﻗﺩ‬ ،‫ل‬‫ﺠ‬‫ﻤﻌ‬
‫ﺍﻟﺘﺼﻨﻴﻑ‬)‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﻭﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻭﺍﻟﻤﺤ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﻭﺍﻷﻨﻤﺎﻁ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻻﺌﺤﺔ‬ ،‫ﺃﻱ‬(‫ﻭﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﺏ‬‫ﻴ‬‫ﺍﻟﻜﺘ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺘﺼﻑ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻭﺍﻟﻔﺼﻭل‬
‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻭﺯﻤﺭ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﻤﺘﻌﺩﺩ‬.‫ﻟﻜﻲ‬ ‫ﹼﺭ‬‫ﻐ‬‫ﺍﻟﻤﺼ‬ ‫ﻫﺫﺍ‬ ‫ﻀﻊ‬‫ﻭ‬‫ﺍﻟـ‬ ‫ﻤﻊ‬ ‫ﺒﺎﻻﻗﺘﺭﺍﻥ‬ ‫ﻴﺴﺘﺨﺩﻡ‬DSM-IV‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻭﻴﺘﻁﻠﺏ‬ ‫ﺍﻟﻜﺎﻤل؛‬
‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺯﻤﺭ‬ ‫ﻴﺭﺍﻓﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻟﻜل‬ ‫ﺍﻟﻨﺹ‬ ‫ﺘﻭﺼﻴﻔﺎﺕ‬ ‫ﻤﻊ‬ ‫ُﻟﻔﺔ‬‫ﻷ‬‫ﺍ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬.‫ﺍﻟـ‬ ‫ﻤﺭﺍﺠﻌﺔ‬ ‫ﺃﻥ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻟﻔﺕ‬ ‫ﻴﻨﺒﻐﻲ‬DSM-IV‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺎﺌﻡ‬
‫ﻋﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺼﺩﺭ‬ ‫ﻗﺩ‬ ،‫ﺍﻷﺩﻟﺔ‬2000‫ﺒﺎﻟـ‬ ‫ﻭﺴﻤﻲ‬DSM-IV‫ﺼ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺼﻠﻴﺔ‬ ‫ﺍﻟﻨﺴﺨﺔ‬ ‫ﻋﻥ‬ ‫ﻟﺘﻔﺭﻴﻘﻪ‬ ‫ﻭﺫﻟﻙ‬‫ﻋﺎﻡ‬ ‫ﺩﺭﺕ‬1994.‫ﻓﻲ‬ ‫ﺍﻟﺘﻐﻴﺭﺍﺕ‬ ‫ﻭﺘﻌﻜﺱ‬
‫ﺍﻟـ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﻨﻅﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻁﺭﺃﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﺴﺘﺠﺩﺍﺕ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺒﻌﺽ‬ICD-9-CM‫ﺒﻌﺽ‬ ‫ﺘﻨﺎﻭﻟﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﺼﺤﻴﺤﺎﺕ‬ ‫ﺃﻥ‬ ‫ﻜﻤﺎ‬
‫ﹼﺭ‬‫ﻐ‬‫ﻟﻠﻤﺼ‬ ‫ﺍﻟﻤﺭﺍﺠﻌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻭﺠﺒﺕ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﻭﺍﻟﻔﺌﺎﺕ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺯﻤﺭ‬.
‫ﺏ‬ ‫ﻤﺎﻴﻜل‬.‫ﻓﻲ‬ ‫ﺩﻜﺘﻭﺭ‬ ،‫ﻓﺭﺴﺕ‬
‫ﻤﺠﻤﻭ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺭﺭ‬ ،‫ﺍﻟﻁﺏ‬‫ﻋﺔ‬
‫ﺍﻟـ‬ ‫ﻟﻤﺭﺍﺠﻌﺔ‬ ‫ﺍﻟﻌﻤل‬DSM-IV
‫ﻭﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻟﻨﺹ‬ ‫ﻤﺭﺍﺠﻌﺔ‬ ‫ﻭﻓﻲ‬
‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-IV
‫ﺩﻜﺘﻭﺭ‬ ،‫ﺒﻨﻜﻭﺱ‬ ‫ﺃﻻﻥ‬ ‫ﻫﺎﺭﻭﻟﺩ‬
‫ﻓﻲ‬ ‫ﺸﺎﺭﻙ‬ ،‫ﺍﻟﻁﺏ‬ ‫ﻓﻲ‬
‫ﻟﻤﺭﺍﺠﻌﺔ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻤﺠﻤﻭﻋﺔ‬
DSM-IV.‫ﺍﻟﻤﺠﻤﻭﻋﺔ‬ ‫ﻤﻥ‬
‫ﻋﻠﻰ‬ ‫ﻟﻠﻌﻤل‬ ‫ﺍﻟﻤﻨﺩﺒﺔ‬DSM-V
‫ﻓﻲ‬ ‫ﺩﻜﺘﻭﺭ‬ ،‫ﻓﺭﺍﻨﺴﻴﺱ‬ ‫ِﻥ‬‫ﻟ‬‫ﺃ‬
‫ﺍﻟﻤﻨﺩﺒﺔ‬ ‫ﺍﻟﻤﺠﻤﻭﻋﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻁﺏ‬
‫ﻋﻠﻰ‬ ‫ﻟﻠﻌﻤل‬DSM-IV
‫ﺃ‬ ‫ﺘﻭﻤﺎﺱ‬.‫ﻭﻴﺩﻴ‬‫ﺠﺭ‬Ph.D
‫ﺃﺒﺤﺎﺙ‬ ‫ﻕ‬‫ﺴ‬‫ﻤﻨ‬
‫ﺗﻨﺒﻴﻪ‬
‫ﻴﻌﺯﺯ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻫﺫﻩ‬ ‫ﻤﺜل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻥ‬ ‫ﻥ‬‫ﻴ‬‫ﺘﺒ‬ ‫ﻗﺩ‬ ‫ﻷﻨﻪ‬ ،‫ﺍﻟﺘﺸﺎﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﻜﺈﺭﺸﺎﺩﺍﺕ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻟﻜل‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻡ‬‫ﺩ‬‫ﹸﻘ‬‫ﺘ‬
‫ﻭﺍﻟﺒﺎﺤﺜﻴﻥ‬ ‫ﻭﺍﻟﺴﺭﻴﺭﻴﻴﻥ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻻﺘﻔﺎﻕ‬.‫ﹰ‬‫ﻼ‬‫ﻜ‬ ‫ﻴﻘﺩﻡ‬ ‫ﻤﺘﺨﺼﺹ‬ ‫ﺴﺭﻴﺭﻱ‬ ‫ﺘﺩﺭﻴﺏ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻟﻬﺫﻩ‬ ‫ﺍﻟﺼﺤﻴﺢ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﺘﻁﻠﺏ‬‫ﺤﺠﻡ‬ ‫ﻤﻥ‬
‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻭﻤﻬﺎﺭﺍﺕ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬.
‫ﺍﻟـ‬ ‫ﺘﺼﻨﻴﻑ‬ ‫ﻭﻜﺫﻟﻙ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻌﻜﺱ‬DSM-IV‫ﺍﻟﻤﺘﺭﻗﻴﺔ‬ ‫ﻟﻠﻤﻌﺭﻓﺔ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺼﻴﺎﻏﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺇﺠﻤﺎﻋ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬
‫ﻤﻴﺩﺍﻨﻨﺎ‬ ‫ﻓﻲ‬.‫ﻤﻼﺌﻤ‬ ‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻬﺎ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﹶﺞ‬‫ﻟ‬‫ﻴﻌﺎ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺠﻤﻴﻊ‬ ‫ﺘﻜﺘﻨﻑ‬ ‫ﻻ‬ ‫ﺃﻨﻬﺎ‬ ‫ﺒﻴﺩ‬‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﻟﻠﺠﻬﻭﺩ‬ ‫ﺔ‬.
‫ﺍﻟـ‬ ‫ﻏﺭﺽ‬ ‫ﺇﻥ‬DSM-IV‫ﻭﺩﺭﺍﺴﺔ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻥ‬ ‫ﻭﺍﻟﺒﺎﺤﺜﻴﻥ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﻴﻥ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﹼﻥ‬‫ﻜ‬‫ﻴﻤ‬ ‫ﻟﻜﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﻟﻠﻔﺌﺎﺕ‬ ‫ﺩﻗﻴﻘﺔ‬ ‫ﺘﻭﺼﻴﻔﺎﺕ‬ ‫ﺘﻘﺩﻴﻡ‬ ‫ﻫﻭ‬
‫ﺒﺸﺄﻨﻬﻡ‬ ‫ﻭﺍﻟﺘﻭﺍﺼل‬ ‫ﻤﺨﺘﻠﻔﺔ‬ ‫ﻋﻘﻠﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﻤﻤﻥ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻭﻤﻌﺎﻟﺠﺔ‬.‫ﻷﻏﺭﺍﺽ‬ ،‫ﺏ‬‫ﻴ‬‫ﺍﻟﻜﺘ‬ ‫ﻫﺫﺍ‬ ‫ﺍﺸﺘﻤﺎل‬ ‫ﺃﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻔﻬﻭﻤ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﻭﺒﺤﺜ‬ ‫ﺴﺭﻴﺭﻴﺔ‬‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﺸﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﻀﻴﺔ‬ ‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﻤﺜل‬ ‫ﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﻓﺌﺔ‬ ‫ﻋﻠﻰ‬ ،‫ﻴﺔ‬)‫ﺍﻟﻐﻠﻤﺎﻥ‬(‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻗﺎﻨﻭﻨﻴﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺃﻥ‬ ‫ﻴﻌﻨﻲ‬ ‫ﻻ‬
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﻔﺎﻫﻴﻡ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﹰ‬‫ﺓ‬‫ﻤﺠﻴﺯ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻁﺒﻴﺔ‬.‫ﻴﻨﻁﻭﻱ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻭﺍﻟﻌﻠﻤﻴﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻻﻋﺘﺒﺎﺭﺍﺕ‬ ‫ﺇﻥ‬
‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺼﻨﻴﻑ‬ ‫ﻋﻠﻴﻬﺎ‬‫ﺍﻋﺘﺒﺎﺭﻫﺎ‬ ‫ﻓﻲ‬ ‫ﺘﺄﺨﺫ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ،‫ﺍﻟﻘﺎﻨﻭﻨﻴﺔ‬ ‫ﺒﺎﻷﺤﻜﺎﻡ‬ ‫ﹰ‬‫ﺎ‬‫ﻜﻠﻴ‬ ‫ﻤﺘﺼﻠﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻻ‬ ‫ﻗﺩ‬ ،‫ﻋﻘﻠﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬
‫ﻭﺍﻷﻫﻠﻴﺔ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﻭﺘﻘﺭﻴﺭ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﻤﺴﺅﻭﻟﻴﺔ‬ ‫ﻤﺜل‬ ‫ﻗﻀﺎﻴﺎ‬.
‫ﻓﻲ‬ ‫ﺍﻟﻨﺸﺭ‬ ‫ﺘﻡ‬17/5/2007

5. 4
‫ّﺐ‬‫ﻴ‬‫اﻟﻜﺘ‬ ‫اﺳﺘﺨﺪام‬
‫ﻤﻼﺤﻅﺔ‬:‫ﻓﺼل‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻘﺎﺭﺉ‬ ‫ﻴﻌﻭﺩ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬»‫ﺏ‬‫ﻴ‬‫ﺍﻟﻜﺘ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬«‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-IV-TR)‫ﺹ‬1(‫ﺍﻟﻨﻘﺎﺵ‬ ‫ﻤﻥ‬ ‫ﻟﻤﺯﻴﺩ‬.
‫ﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺭﻭﺍﻤﻴﺯ‬:
‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻟﺘﻌﺩﻴل‬ ،‫ﺍﻟﺘﺎﺴﻌﺔ‬ ‫ﺍﻟﻤﺭﺍﺠﻌﺔ‬ ،‫ﻟﻸﻤﺭﺍﺽ‬ ‫ﺍﻟﻌﺎﻟﻤﻲ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻜﺘﻴﺏ‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﻤﺘﺤﺩﺓ‬ ‫ﺍﻟﻭﻻﻴﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻌﺘﻤﺩ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﻨﻅﺎﻡ‬ ‫ﺇﻥ‬
(ICD-9-CM).‫ﺍﻟـ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻟﺩﻯ‬DSM-IV‫ﺍﻟـ‬ ‫ﻤﻥ‬ ‫ﺭﻗﻤﻲ‬ ‫ﺭﻤﺯ‬ICD-9-CM‫ﺍﻟﺘﺼ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﺴﻡ‬ ‫ﻴﺴﺒﻕ‬‫ﻭﻴﺼﺎﺤﺏ‬ ‫ﻨﻴﻑ‬
‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻟﻜل‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬.‫ﺍﻟﺘﺸﺎﺨﻴﺹ‬ ‫ﻟﺒﻌﺽ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬)‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬ ‫ﻤﺜل‬(‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﻴﻌﺘﻤﺩ‬
‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺩﺭﺝ‬ ‫ﻭﻫﻭ‬ ‫ﺇﻀﺎﻓﻲ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬.‫ﻀﻤﻥ‬ ‫ﻤﻭﻀﻭﻋﺔ‬ ‫ﺒﺩﻴﻠﺔ‬ ‫ﺘﻌﺎﺒﻴﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻌﺽ‬ ‫ﺃﺴﻤﺎﺀ‬ ‫ﻴﺘﻠﻭ‬
‫ﻓﻲ‬ ‫ﻜﺎﻨﺕ‬ ،‫ﻗﻭﺴﻴﻥ‬‫ﺍﻟـ‬ ‫ﺃﺴﻤﺎﺀ‬ ،‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻤﻌﻅﻡ‬DSM-III-R‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬.
‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﺭﻀﺕ‬‫ﻋ‬)‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺯ‬‫ﻤ‬‫ﻤﺭ‬ ‫ﺒﻌﻀﻬﺎ‬(‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﻤﻥ‬ ‫ﻤﺯﻴﺩ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻭﺍﻟﻤﺤ‬)‫ﺍﻟﺘﺨﺼﻴﺹ‬.(‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻑ‬‫ﺭ‬‫ﺘﻌ‬
‫ﺒﺈﻴﻌ‬ ‫ﺇﻟﻴﻬﺎ‬ ‫ﻭﻴﺸﺎﺭ‬ ‫ﻤﺎ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻀﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﻭﺍﻟﻤﺴﺘﻭﻓﺎﺓ‬ ‫ﺒﺎﻟﺘﺒﺎﺩل‬ ‫ﺍﻟﻤﺴﺘﺒﻌﺩﺓ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﺘﺤﺕ‬‫ﺎﺯ‬»‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬«‫ﺍﻟﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬
‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬.‫ﻓﺭﻋﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺃﻨﻤﺎﻁ‬ ‫ﺴﺒﻌﺔ‬ ‫ﺘﻘﺩﻴﻡ‬ ‫ﻤﻊ‬ ،‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻤﺤﺘﻭﻯ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻨﺎﺀ‬ ‫ﹰ‬‫ﺎ‬‫ﻓﺭﻋﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﻤﻁ‬ ‫ﺠﻌل‬‫ﻴ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬:‫ﺍﻟﻨﻤﻁ‬
‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬ ،‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﻨﻤﻁ‬ ،‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬ ،‫ﺍﻻﻀﻁﻬﺎﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬ ،‫ﺍﻟﻐﻴﺭﺓ‬ ‫ﻨﻤﻁ‬ ،‫ﺍﻟﻌﻅﻤﺔ‬ ‫ﻨﻤﻁ‬ ،‫ﺍﻟﻬﻭﺴﻲ‬ ‫ﺍﻟﺠﻨﺴﻲ‬.‫ﻴﻘﺼﺩ‬ ‫ﻻ‬ ،‫ﺫﻟﻙ‬ ‫ﺒﺨﻼﻑ‬
‫ﺒﺈﻴﻌﺎﺯ‬ ‫ﺇﻟﻴﻬﺎ‬ ‫ﻭﻴﺸﺎﺭ‬ ‫ﺍﻟﺠﺎﻤﻊ‬ ‫ﺍﻻﺴﺘﻴﻔﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﺒﺎﺩل‬ ‫ﺍﻻﺴﺘﺒﻌﺎﺩ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺒﺎﻟﻤﺤ‬»‫ﺩ‬‫ﺩ‬‫ﺤ‬«‫ﺃﻭ‬»‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬«‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬)‫ﺒﺎﻟﻨﺴﺒﺔ‬ ،‫ﻤﺜﺎل‬
‫ﻫﻲ‬ ‫ﺍﻹﻴﻌﺎﺯ‬ ‫ﻤﻼﺤﻅﺎﺕ‬ ،‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﻟﻠﺭﻫﺎﺏ‬»‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﹰ‬‫ﺎ‬‫ﻤﻌﻤﻤ‬«.(‫ﻓﺭﻋﻴ‬ ‫ﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﺇﻤﻜﺎﻨﻴﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﻤﻨﺢ‬‫ﻟﻤﺭﻀﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﺠﺎﻨﺴ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺔ‬
‫ﻤﺤﺩﺩﺓ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻭﻴﺘﻘﺎﺴﻤﻭﻥ‬ ‫ﻤﺤﺩﺩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻟﺩﻴﻬﻡ‬)‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜﺎل‬.(‫ﻴﺨﺼﺹ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﺃﻥ‬ ‫ﺭﻏﻡ‬
‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺃﻭ‬ ‫ﻓﺭﻋﻲ‬ ‫ﻨﻤﻁ‬ ‫ﻟﺘﺭﻤﻴﺯ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺤﻴﺎﻨ‬)،‫ﻤﺜﺎل‬294.11‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﻋﺘﻪ‬.‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬ ،‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬(‫ﺸﺩﺓ‬ ‫ﺃﻭ‬)296.21
‫ﺍ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺨﻔﻴﻔﺔ‬ ،‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﻜﺘﺌﺎﺒﻲ‬(‫ﺍﻟـ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻭﺍﻟﻤﺤ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻤﻌﻅﻡ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ‫ﻓﺈﻨﻪ‬ ،DSM-IV‫ﻨﻅﺎﻡ‬ ‫ﻀﻤﻥ‬
ICD-9-CM‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﺴﻡ‬ ‫ﺒﻌﺩ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﺒﺈﺩﺭﺍﺝ‬ ‫ﻓﻘﻁ‬ ‫ﻋﻠﻴﻬﺎ‬ ‫ﻭﻴﺴﺘﺩل‬)‫ﻤﻌﻤﻡ‬ ،‫ﺍﺠﺘﻤﺎﻋﻲ‬ ‫ﺭﻫﺎﺏ‬ ،‫ﻤﺜﺎل‬.(
‫ﻭﺍﻟﺴﻴﺭ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬
‫ﺍﻟـ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﻁﺒﻕ‬DSM-IV‫ﻤﻨﻬﺎ‬ ‫ﺘﻌﺎﻓﻰ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻘﺩﻴﻤﺔ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﺎﺕ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻺﺸﺎﺭﺓ‬ ‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻴﺴﺘﺨﺩﻡ‬ ‫ﻭﻻ‬ ‫ﻟﻠﻔﺭﺩ‬ ‫ﺍﻟﺭﺍﻫﻥ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻋﻠﻰ‬
‫ﺍﻟﻔﺭﺩ‬.‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺒﻌﺩ‬ ‫ﻭﺍﻟﺴﻴﺭ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺘﺸﻴﺭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺩﺍﺕ‬ ‫ﺇﺩﺭﺍﺝ‬ ‫ﻴﻤﻜﻥ‬:‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻭﻓﻲ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻭﻓﻲ‬ ‫ﻭﺸﺩﻴﺩ‬ ‫ﻭﻤﺘﻭﺴﻁ‬ ‫ﺨﻔﻴﻑ‬
‫ﺍﻟﻤﺭﻀﻴﺔ‬ ‫ﻭﺍﻟﺴﻭﺍﺒﻕ‬.
‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﻭﺼﻑ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺘﻘﺭﻴﺭ‬ ‫ﻭﻋﻨﺩ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﺍﻫﻨ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﻓﻘﻁ‬ ‫ﻭﺸﺩﻴﺩ‬ ‫ﻭﻤﺘﻭﺴﻁ‬ ‫ﺨﻔﻴﻑ‬ ،‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬
‫ﺍﺨﺘﻼل‬ ‫ﻭﺃﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻭﻋﻼﻤﺎﺕ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺸﺩﺓ‬ ‫ﻋﺩﺩ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻴﻀﻊ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺠﺏ‬ ،‫ﹰ‬‫ﺍ‬‫ﺸﺩﻴﺩ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺘﻭﺴﻁ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺨﻔﻴﻔ‬ ‫ﺒﺎﻋﺘﺒﺎﺭﻩ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬
‫ﺍﻟ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﻴﻨﺠﻡ‬‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺃﻭ‬ ‫ﻤﻬﻨﻲ‬.‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﻐﺎﻟﺒﻴﺔ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻹﺭﺸﺎﺩﺍﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬:
‫ﺨﻔﻴﻑ‬:‫ﺍﺨﺘﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻋﻥ‬ ‫ﻴﻨﺸﺄ‬ ‫ﻭﻻ‬ ،‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﻤﻁﻠﻭﺏ‬ ‫ﻫﻭ‬ ‫ﻤﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺯﻴﺎﺩﺓ‬ ‫ﻤﻨﻬﺎ‬ ‫ﺍﻟﻘﻠﻴل‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﻁﻔﻴﻑ‬.
‫ﻤﺘﻭﺴﻁ‬:‫ﻭﻅ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺠﻭﺩ‬‫ﺒﻴﻥ‬ ‫ﻴﻘﻊ‬ ‫ﻴﻔﻲ‬»‫ﺍﻟﺨﻔﻴﻑ‬«‫ﻭ‬»‫ﺍﻟﺸﺩﻴﺩ‬«.
‫ﺸﺩﻴﺩ‬:‫ﻴﻨﺠﻡ‬ ‫ﻜﻤﺎ‬ ،‫ﺨﺎﺹ‬ ‫ﻨﺤﻭ‬ ‫ﻋﻠﻰ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻀﻌﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﻤﻁﻠﻭﺏ‬ ‫ﻫﻭ‬ ‫ﻋﻤﺎ‬ ‫ﺘﺯﻴﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻜﺜﻴﺭ‬ ‫ﻭﺠﻭﺩ‬
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺼﺭﻴﺢ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻋﻥ‬.
‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﻟﻜﻥ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺘﺎﻤﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬‫ﻓﻘﻁ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻭﻋﻼﻤﺎﺕ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻌﺽ‬ ‫ﻫﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺒﻘﻰ‬ ‫ﻤﺎ‬.
‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﻟﺩﻴﻪ‬ ‫ﻓﺭﺩ‬ ‫ﻋﻨﺩ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬ ‫ـ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﺩﻭﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻨﺎﺴﺒ‬ ‫ﻴﺒﻘﻰ‬ ‫ﻭﻟﻜﻥ‬ ‫ـ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻴﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻌﺩ‬ ‫ﻟﻡ‬
‫ﻟﻤﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺨﺎﻟﻴ‬ ‫ﻅل‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺴﺎﺒﻘﺔ‬ ‫ﻨﻭﺒﺎﺕ‬3‫ﺒﺎ‬ ‫ﹶﺞ‬‫ﻟ‬‫ﻴﻌﺎ‬ ‫ﻭﻫﻭ‬ ‫ﺴﻨﻭﺍﺕ‬‫ﻟﻠﻴﺜﻴﻭﻡ‬.‫ﻴﻤﻜﻥ‬ ،‫ﺍﻟﺘﺎﻤﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬
‫ﺭﺍﻫﻥ‬ ‫ﻜﺘﺸﺨﻴﺹ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺯ‬‫ﻤ‬‫ﻟﻴﺭ‬ ‫ﺒﻌﺩﻫﺎ‬ ‫ﻴﻌﻭﺩ‬ ‫ﻻ‬ ‫ﻭﺒﺎﻟﺘﺎﻟﻲ‬ ،‫ﺘﻌﺎﻓﻰ‬ ‫ﺍﻟﻤﺭﻴﺽ‬ ‫ﺃﻥ‬ ‫ﺭ‬‫ﺩ‬‫ﻴﻘ‬ ‫ﺃﻥ‬ ‫ﻟﻠﻁﺒﻴﺏ‬.‫ﻭﺍﻟﺸﻔﺎﺀ‬ ‫ﺍﻟﺘﺎﻤﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﻔﺭﻴﻕ‬ ‫ﻴﺘﻁﻠﺏ‬
،‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺁﺨﺭ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻟﺯﻤﻥ‬ ‫ﻭﻁﻭل‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﻤﻴﺯ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬ ،‫ﻜﺜﻴﺭﺓ‬ ‫ﻋﻭﺍﻤل‬ ‫ﺍﻋﺘﺒﺎﺭ‬‫ﻭﺍﻟﺤﺎﺠﺔ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻜﻠﻴﺔ‬ ‫ﻭﺍﻟﻤﺩﺓ‬
‫ﻭﻗﺎﺌﻴﺔ‬ ‫ﻭﻤﻌﺎﻟﺠﺔ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﺘﻘﻴﻴﻡ‬ ‫ﺇﻟﻰ‬.

6. 5
‫ﺍﻟﻤﺭﻀﻴﺔ‬ ‫ﺍﻟﺴﻭﺍﺒﻕ‬)‫ﺍﻟﺴﺎﺒﻘﺔ‬ ‫ﺍﻟﻘﺼﺔ‬(:‫ﻟﻭ‬ ‫ﺤﺘﻰ‬ ،‫ﻤﺎ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻗﺼﺔ‬ ‫ﺘﺩﻭﻴﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻔﻴﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬ ،‫ﻤﺤﺩﺩﺓ‬ ‫ﺃﻏﺭﺍﺽ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﻤﻨﻪ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﺎﻓﻴ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺍﻋﺘﺒﺭ‬.‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺒﺎﺴﺘﺨﺩﺍﻡ‬ ‫ﺇﻟﻴﻬﺎ‬ ‫ﺴﻴﺸﺎﺭ‬ ‫ﺍﻟﻤﺎﻀﻴﺔ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻤﺜل‬‫ﻤﺭﻀﻴﺔ‬ ‫ﺴﻭﺍﺒﻕ‬ ‫ﺩ‬)،‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻴﻌﺩ‬ ‫ﻟﻡ‬ ‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻗﺼﺔ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻟﻔﺭﺩ‬ ‫ﺴﺎﺒﻘﺔ‬ ‫ﻗﺼﺔ‬.(
‫ﻴﻠﻲ‬ ‫ﻟﻤﺎ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﻭﺸﺩﻴﺩ‬ ‫ﻭﻤﺘﻭﺴﻁ‬ ‫ﺨﻔﻴﻑ‬ ‫ﻟﺘﺤﺩﻴﺩ‬ ‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﻋﺩﺕ‬:‫ﺍﻟ‬ ‫ﻭﺍﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻭﺍﻟﻨﻭﺒﺔ‬ ‫ﻬﻭﺴﻴﺔ‬
‫ﺍﻟﺠﺴﻴﻤﺔ‬.‫ﻴﻠﻲ‬ ‫ﻟﻤﺎ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺍﻟﺘﺎﻤﺔ‬ ‫ﻭﺍﻟﻬﺩﺃﺓ‬ ‫ﺍﻟﺠﺯﺌﻴﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﻟﺘﺤﺩﻴﺩ‬ ‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻭﺃﻋﺩﺕ‬:‫ﻋﻠﻰ‬ ‫ﻭﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻭﺍﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬
‫ﺍﻟﻤﻭﺍﺩ‬.
‫ﺍﻟﻤﻌﺎﻭﺩﺓ‬)‫ﺠﻌﺔ‬‫ﺭ‬‫ﺍﻟ‬(
‫ﻓ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﺘﻌﻭﺩ‬ ‫ﻻ‬ ‫ﺍﻟﺯﻤﻥ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬ ،‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﻤﻤﺎﺭﺴﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﻨﺎﺩﺭ‬ ‫ﻟﻴﺱ‬‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﻪ‬)‫ﺃﻭ‬ ‫ﺘﺎﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ،‫ﺃﻱ‬
‫ﺸﻔﺎﺀ‬ ‫ﺤﺎﻟﺔ‬(‫ﻟﺫﻟﻙ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻌﺘﺒﺔ‬ ‫ﺫﻟﻙ‬ ‫ﺭﻏﻡ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﻟﻜﻨﻬﺎ‬ ‫ﺍﻷﺼﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﻭﺩﺓ‬ ‫ﺘﻘﺘﺭﺡ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﺒﻌﺽ‬ ‫ﻟﺩﻯ‬ ‫ﻴﺘﻅﺎﻫﺭ‬ ‫ﺃﻥ‬ ،
‫ﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻴﺤﺩﺩ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.‫ﺍﻷ‬ ‫ﻫﺫﻩ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻺﺸﺎﺭﺓ‬ ‫ﺍﻟﻔﻀﻠﻰ‬ ‫ﺍﻟﻁﺭﻴﻘﺔ‬ ‫ﺇﻥ‬‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﻫﻲ‬ ‫ﻋﺭﺍﺽ‬.‫ﺍﻟﺨﻴﺎﺭﺍﺕ‬
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺘﺎﺤﺔ‬:
*‫ﺤﺎﻟﻲ‬ ‫ﺃﻨﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﻤﻜﻥ‬ ،‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﹸﺒﺭﺕ‬‫ﺘ‬‫ﺍﻋ‬ ‫ﺇﺫﺍ‬)‫ﻤﺅﻗﺕ‬ ‫ﺃﻭ‬(‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﺃﻥ‬ ‫ﻗﺒل‬ ‫ﺤﺘﻰ‬
)‫ﻟﻤﺩﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺒﻌﺩ‬ ،‫ﻤﺜﺎل‬10‫ﺍﻟـ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻭﻀ‬ ‫ﻓﻘﻁ‬ ‫ﺃﻴﺎﻡ‬14‫ﻴﻭﻤ‬‫ﻋﺎﺩﺓ‬ ‫ﺍﻟﻤﻁﻠﻭﺒﺔ‬ ‫ﹰ‬‫ﺎ‬.(
*‫ﻏﻴﺭ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻤﻤﻜﻥ‬ ‫ﻓﻤﻥ‬ ،‫ﺍﻷﺼﻠﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺘﺸﻜل‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﺍﻀﺤ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﹸﺒﺭﺕ‬‫ﺘ‬‫ﺍﻋ‬ ‫ﺇﺫﺍ‬
‫ﻟﺫﻟﻙ‬ ‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬.
*‫ﻴﻤﻜ‬ ‫ﺒل‬ ،‫ﺇﻀﺎﻓﻲ‬ ‫ﻤﺅﻗﺕ‬ ‫ﺃﻭ‬ ‫ﺤﺎﻟﻲ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﻀﺭﻭﺭﺓ‬ ‫ﻓﻼ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﹸﻌﺘﺒﺭ‬‫ﺘ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﺘﺩﻭﻴﻥ‬ ‫ﻥ‬»‫ﻤﺭﻀﻴﺔ‬ ‫ﺴﻭﺍﺒﻕ‬«.
‫ﺍﻟﺭﺌﻴﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬/‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺩﺍﻓﻊ‬)‫ﺍﻻﺴﺘﺸﺎﺭﺓ‬(
‫ﹰ‬‫ﺎ‬‫ﺃﺴﺎﺴ‬ ‫ﻤﺴﺅﻭﻟﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﻭ‬ ،‫ﺍﻟﺩﺭﺍﺴﺔ‬ ‫ﻭﺒﻌﺩ‬ ،‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻓﺈﻥ‬ ،‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻟﻤﺴﺘﺸﻔﻰ‬ ‫ﺩﺍﺨل‬ ‫ﻤﺎ‬ ‫ﻟﺸﺨﺹ‬ ‫ﺃﻋﻁﻲ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻤﺴﺘﺸﻔﻰ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻗﺒﻭل‬ ‫ﻋﻥ‬.‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻟﻤﺴﺘﺸﻔﻰ‬ ‫ﺨﺎﺭﺝ‬ ‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﻴﻌﻁﻰ‬ ‫ﻭﻋﻨﺩﻤﺎ‬‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺩﺍﻓﻊ‬ ‫ﻓﺈﻥ‬ ،
‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻴﺘﻠﻘﺎﻫﺎ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﺘﻐﻴﺭﺓ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺨﺩﻤﺎﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺴﺎﺴ‬ ‫ﻤﺴﺅﻭﻟﺔ‬.‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺴﺒﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻴﻜﻭﻥ‬ ،‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻓﻲ‬
‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻨﺘﺒﺎﻩ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﻫﻭ‬.‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬ ‫ﺍﻟﺼﻌﺏ‬ ‫ﻤﻥ‬)‫ﺍﻻﻋﺘﺒ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﺃﺤﻴﺎﻨ‬‫ﺎﻁﻲ‬(‫ﺃﻭ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﻭ‬ ‫ﻤﺎ‬ ‫ﺘﻘﺭﻴﺭ‬
‫ﺤﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺨﺎﺼﺔ‬ ،‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺩﺍﻓﻊ‬»‫ﺍﻟﺜﻨﺎﺌﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬«)‫ﻤﺘﻌﻠﻕ‬ ‫ﻏﻴﺭ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻊ‬ ‫ﻤﺘﺭﺍﻓﻕ‬ ‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﺜل‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺘﺸﺨﻴﺹ‬
‫ﹸﺼﺎﻡ‬‫ﻔ‬‫ﺍﻟ‬ ‫ﻤﺜل‬ ‫ﺒﻤﺎﺩﺓ‬.(‫ﺍﻋﺘﺒﺎﺭﻩ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﺍﻀﺤ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﻗﺩ‬ ‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻓﻌﻠﻰ‬»‫ﹰ‬‫ﺎ‬‫ﺃﺴﺎﺴﻴ‬«‫ﻟﺸﺨﺹ‬‫ﻭﻟﺩﻴﻪ‬ ‫ﺍﻟﻤﺴﺘﺸﻔﻰ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺩﺨل‬
‫ﻭﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺍﻟﻤﺴﺘﺸﻔﻰ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻘﺒﻭل‬ ‫ﺇﻟﻰ‬ ‫ﺒﺎﻟﺤﺎﺠﺔ‬ ‫ﻤﺘﺴﺎﻭﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﺴﺎﻫﻡ‬ ‫ﺃﻥ‬ ‫ﻟﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻜل‬ ‫ﻷﻥ‬ ،‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻭﺍﻨﺴﻤﺎﻡ‬ ‫ﹸﺼﺎﻡ‬‫ﻓ‬.
‫ﻤﺤﺎﻭﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻨﻅﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﻤﺘﻌﺩﺩ‬ ‫ﻨﻅﺎﻡ‬ ‫ﻓﻲ‬ ‫ﻤﺘﻌﺩﺩﺓ‬ ‫ﺘﺸﺨﻴﺼﺎﺕ‬ ‫ﺫﻜﺭ‬ ‫ﻴﻤﻜﻥ‬.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻫﻭ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬
I‫ﹰ‬‫ﻻ‬‫ﺃﻭ‬ ‫ﺒﺈﺩﺭﺍﺠﻪ‬ ‫ﻋﻠﻴﻪ‬ ‫ﱡ‬‫ل‬‫ﺴﺘﺩ‬‫ﻴ‬ ،.‫ﻭﺍﻟﻌﻼﺠﻴﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺃﻫﻤﻴﺘﻬﺎ‬ ‫ﺒﺤﺴﺏ‬ ‫ﺒﺎﻟﺘﺭﺘﻴﺏ‬ ‫ﹸﺩﺭﺝ‬‫ﺘ‬‫ﻓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻘﻴﺔ‬ ‫ﺃﻤﺎ‬.‫ﹰ‬‫ﺎ‬‫ﺘﺸﺨﻴﺼ‬ ‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﻴﺤﻭﺯ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺍﻟﻤﺤﻭﺭﻴﻥ‬ ‫ﻋﻠﻰ‬I‫ﻭ‬II‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺩﺍﻓﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺃﻥ‬ ‫ﺽ‬‫ﺭ‬‫ﻔﺘ‬‫ﻴ‬‫ﺴ‬ ،I‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺘﺒﻊ‬‫ﻴ‬ ‫ﻟﻡ‬ ‫ﻤﺎ‬II‫ﺒﺎﻟﻌﺒﺎﺭﺓ‬
‫ﺍﻟﻭﺼﻔﻴﺔ‬»)‫ﺃﺴﺎﺴﻲ‬ ‫ﺘﺸﺨﻴﺹ‬(«‫ﺃﻭ‬»)‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺩﺍﻓﻊ‬(«.
‫ﺍﻟﻤﺅﻗﺕ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬
‫ﺘﺘﻭﻓﺭ‬ ‫ﻻ‬ ‫ﺃﻨﻪ‬ ‫ﺒﻴﺩ‬ ،‫ﻤﺎ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺴﺘﺴﺘﻭﻓﻰ‬ ‫ﺍﻷﻤﺭ‬ ‫ﻨﻬﺎﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺒﺄﻨﻪ‬ ‫ﻗﻭﻱ‬ ‫ﺍﻓﺘﺭﺍﺽ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﻤﺅﻗﺕ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬
‫ﺠﺎﺯﻡ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬.‫ﺒﺘﺴﺠ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻓﻲ‬ ‫ﹸﺒﻬﺔ‬‫ﺸ‬‫ﺍﻟ‬ ‫ﺇﻟﻰ‬ ‫ﻴﺸﻴﺭ‬ ‫ﺃﻥ‬ ‫ﻟﻠﻁﺒﻴﺏ‬ ‫ﻴﻤﻜﻥ‬‫ﻜﻠﻤﺔ‬ ‫ﻴل‬»)‫ﻤﺅﻗﺕ‬(«‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺒﻌﺩ‬.‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬
‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹼﻕ‬‫ﻘ‬‫ﺘﺤ‬ ‫ﺘﺅﻜﺩ‬ ‫ﻭﺍﻓﻴﺔ‬ ‫ﻗﺼﺔ‬ ‫ﺘﻘﺩﻴﻡ‬ ‫ﻋﻥ‬ ‫ﻋﺎﺠﺯ‬ ‫ﻟﻜﻨﻪ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﺎ‬ ‫ﻤﺭﻴﺽ‬ ‫ﻴﺒﺩﻱ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬ ،‫ﺍﻟﻤﺜﺎل‬.
‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﺘﻔﺭﻴﻘﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻌﺘﻤﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻠﺤﺎﻻﺕ‬ ‫ﻭﺫﻟﻙ‬ ‫ﻤﺅﻗﺕ‬ ‫ﻟﺘﻌﺒﻴﺭ‬ ‫ﺁﺨﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺜﻤﺔ‬.‫ﺴ‬ ‫ﻓﻌﻠﻰ‬‫ﻴﺘﻁﻠﺏ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺒﻴل‬
‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻟﻡ‬ ‫ﻁﺎﻟﻤﺎ‬ ‫ﻤﺅﻗﺘﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺇﻻ‬ ‫ﺘﺴﺠﻴﻠﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ‫ﻟﻬﺫﺍ‬ ‫ﻭﻫﻭ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺍﻟﺴﺘﺔ‬ ‫ﻋﻥ‬ ‫ﺘﻘل‬ ‫ﻤﺩﺓ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬.
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﻓﺌﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬
‫ﺍﻟ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻜل‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻻﺼﻁﻼﺤﺎﺕ‬ ‫ﺘﻐﻁﻲ‬ ‫ﺃﻥ‬ ‫ﻓﻲ‬ ‫ﺍﺴﺘﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ،‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺘﻨﻭﻉ‬ ‫ﺒﺴﺒﺏ‬‫ﻤﺤﺘﻤﻠﺔ‬.‫ﺼﻨﻑ‬ ‫ﻟﻜل‬ ‫ﻓﺈﻥ‬ ‫ﺍﻟﺴﺒﺏ‬ ‫ﻟﻬﺫﺍ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﻓﺌﺎﺕ‬ ‫ﻋﺩﺓ‬ ‫ﺍﻷﺼﻨﺎﻑ‬ ‫ﻟﺒﻌﺽ‬ ‫ﺃﻥ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﻓﺌﺔ‬ ‫ﺘﺸﺨﻴﺼﻲ‬.‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺤﺎﻻﺕ‬ ‫ﺃﺭﺒﻊ‬ ‫ﺜﻤﺔ‬
‫ﹰ‬‫ﺎ‬‫ﻤﻨﺎﺴﺒ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻓﻴﻬﺎ‬:

7. 6
*،‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬ ‫ﺍﻟﺼﻨﻑ‬ ‫ﻓﻲ‬ ‫ﻋﻘﻠﻲ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﺨﻁﻭﻁ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻴﺘﻭﺍﻓﻕ‬‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻀﻴﺔ‬‫ﺭ‬‫ﻌ‬‫ﺍﻟ‬ ‫ﺍﻟﺼﻭﺭﺓ‬ ‫ﻟﻜﻥ‬
‫ﺍﻟﻨﻭﻋﻴﺔ‬.‫ﺘﻅﺎﻫﺭ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻟﻭﺍﺤﺩ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻌﺘﺒﺔ‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﻰ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺫﻟﻙ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻭﻗﺩ‬
‫ﻤﺨﺘﻠﻁ‬ ‫ﺃﻭ‬ ‫ﻻﻨﻤﻭﺫﺠﻲ‬.
*‫ﺍﻟـ‬ ‫ﺘﺼﻨﻴﻑ‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻏﻴﺭ‬ ‫ﻤﺎ‬ ‫ﻀﻲ‬‫ﺭ‬‫ﻋ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻴﺘﻭﺍﻓﻕ‬DSM-IV‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻴﺴﺒﺏ‬ ‫ﻟﻜﻨﻪ‬ ،.‫ﻨﺕ‬‫ﻤ‬‫ﻀ‬ ‫ﻭﻗﺩ‬
‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﻓﻲ‬ ‫ﻀﻴﺔ‬‫ﺭ‬‫ﺍﻟﻌ‬ ‫ﺍﻟﻨﻤﺎﺫﺝ‬ ‫ﻫﺫﻩ‬ ‫ﻟﺒﻌﺽ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬B)»‫ﻻﺤﻘﺔ‬ ‫ﺩﺭﺍﺴﺔ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻭﻤﺤﺎﻭﺭ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﺘﻘﺩﻴﻡ‬«(‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-
IV.
*‫ﺍﻟﺴﺒﺒﻴﺔ‬ ‫ﺍﻵﻟﻴﺔ‬ ‫ﻤﻥ‬ ‫ﺕ‬‫ﺒ‬‫ﺘﺜ‬ ‫ﻋﺩﻡ‬ ‫ﻫﻨﺎﻙ‬)‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﻥ‬ ،‫ﺃﻱ‬‫ﺒﺩﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻨﻪ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬.(
*‫ﻜﺎﻤﻠﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺤﺼﻭل‬ ‫ﺇﻤﻜﺎﻨﻴﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬)‫ﺍﻹﺴﻌﺎﻓﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻓﻲ‬ ،‫ﻤﺜﺎل‬(‫ﻟﻜﻥ‬ ،‫ﻤﺘﻨﺎﻗﻀﺔ‬ ‫ﺃﻭ‬ ‫ﹼﺴﻘﺔ‬‫ﺘ‬‫ﻤ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺼﻭل‬ ‫ﺃﻭ‬
‫ﻤﺤﺩﺩ‬ ‫ﺘﺸﺨﻴﺼﻲ‬ ‫ﺼﻨﻑ‬ ‫ﻀﻤﻥ‬ ‫ﻟﻭﻀﻌﻬﺎ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻤﻊ‬)‫ﺫﻫﺎﻨ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﺍﻟﻤﺭﻴﺽ‬ ‫ﻟﺩﻯ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻴﻘﺭﺭ‬ ،‫ﻤﺜﺎل‬‫ﺒﺤﻭﺯﺘﻪ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻴﺔ‬
‫ﻨﻭﻋﻲ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻟﺘﺸﺨﻴﺹ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬.(
‫اﻟـ‬ ‫ﺗﺼﻨﻴﻒ‬DSM-IV
NOS=‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬Not Otherwise Specified
‫ﺇﺸﺎﺭﺓ‬X‫ﻨﻭﻋﻲ‬ ‫ﺘﺭﻤﻴﺯﻱ‬ ‫ﺭﻗﻡ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻴﺘﻁﻠﺏ‬ ‫ﺃﻨﻪ‬ ‫ﺇﻟﻰ‬ ‫ﺘﺸﻴﺭ‬ ‫ﻤﺤﺩﺩ‬ ‫ﺘﺸﺨﻴﺼﻲ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻓﻲ‬ ‫ﺘﻅﻬﺭ‬ ‫ﺍﻟﺘﻲ‬.
‫ﺍﻟﻘﻭﺴﺎﻥ‬ ‫ﻴﺴﺘﺨﺩﻡ‬(...)‫ﻟ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻌﺽ‬ ‫ﺃﺴﻤﺎﺀ‬ ‫ﻓﻲ‬‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻋﻲ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﺴﻡ‬ ‫ﺇﺩﺨﺎل‬ ‫ﻴﺠﺏ‬ ‫ﺍﻻﺴﻡ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻋﻨﺩ‬ ‫ﺃﻨﻪ‬ ‫ﺇﻟﻰ‬ ‫ﻺﺸﺎﺭﺓ‬
‫ﺍﻟﻌﺎﻤﺔ‬)‫ﺍﻟﺩﺭﻕ‬ ‫ﻗﺼﻭﺭ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻫﺫﻴﺎﻥ‬ ،‫ﻤﺜﺎل‬.(
‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺃﺤﺩ‬ ‫ﺘﺩﻭﻴﻥ‬ ‫ﻴﻤﻜﻥ‬ ،‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﺍﻫﻨ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬:
‫ﺨﻔﻴﻔﺔ‬
‫ﻤﺘﻭﺴﻁﺔ‬
‫ﺸﺩﻴﺩﺓ‬
‫ﺘ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻤﺘﺤﻘﻘﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻌﺩ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺩﺍﺕ‬ ‫ﺃﺤﺩ‬ ‫ﺩﻭﻴﻥ‬:
‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﺴﺎﺒﻘﺔ‬ ‫ﻗﺼﺔ‬
‫ﺘﺸﺨﺹ‬ ‫ﻤﺎ‬ ‫ﺃﻭل‬ ‫ﻋﺎﺩﺓ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺯ‬‫ﻤ‬‫ﻴﺭ‬II.
317‫ﺍﻟﺨﻔﻴﻑ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
318.0‫ﺍﻟﻤﺘﻭﺴﻁ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
318.1‫ﺍﻟﺸﺩ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬‫ﻴﺩ‬
318.2‫ﺍﻟﻌﻤﻴﻕ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
319‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ،‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
‫اﻟﺘﻌﻠﻢ‬ ‫اﺿﻄﺮاﺑﺎت‬
315.00‫ﺍﻟﻘﺭﺍﺀﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
315.1‫ﺍﻟﺤﺴﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
315.2‫ﺍﻟﻜﺘﺎﺒﻲ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
315.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻌﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬

8. 7
‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
315.4‫ﺍﻟﻨﻤﺎﺌﻲ‬ ‫ﺍﻟﺘﻨﺎﺴﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻀﻁﺭﺍ‬‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺒﺎﺕ‬
315.31‫ﺍﻟﺘﻌﺒﻴﺭﻴﺔ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
315.32‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﺘﻌﺒﻴﺭﻴﺔ‬ ‫ـ‬ ‫ﺍﻻﺴﺘﻘﺒﺎﻟﻴﺔ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
315.39‫ﺍﻟﺼﻭﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
307.0‫ﺍﻟﺘﺄﺘﺄﺓ‬
307.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻨﻤﺎﺌﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺍﻻﺭﺘﻘﺎﺌﻴﺔ‬(‫ﺍﻟﺸﺎﻤﻠﺔ‬
299.00‫ﺍﻟﺘﻭﺤﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
299.80‫ﺭﻴ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺕ‬
299.10‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﻔﻜﻜﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
299.80‫ﺃﺴﺒﺭﺠﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
299.80‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﻨﻤﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻔﻭﻀﻭﻱ‬ ‫ﺏ‬‫ﺭ‬‫ﺍﻟﻤﺨ‬ ‫ﻭﺍﻟﺴﻠﻭﻙ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
314.XX‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬
.01‫ﺍﻟﻤﺸﺘﺭﻙ‬ ‫ﺍﻟﻨﻤﻁ‬
.00‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻼﺍﻨﺘﺒﺎﻩ‬ ‫ﻨﻤﻁ‬
.01‫ﺍﻟﻨﻤﻁ‬‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﻲ‬ ‫ـ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻤﻔﺭﻁ‬
314.9‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬
312.XX‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
.81‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﺎﺩﺉ‬ ‫ﺍﻟﻨﻤﻁ‬
.82‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﺎﺩﺉ‬ ‫ﺍﻟﻨﻤﻁ‬
.89‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺒﺩﺀ‬
313.81‫ﺍﻟﻤﻌﺎﺭﺽ‬ ‫ﺍﻟﺘﺤﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
312.9‫ﺍﻟﻔﻭﻀﻭﻱ‬ ‫ﺍﻟﻤﺨﺭﺏ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬
‫ﺍﻟﻤﺒﻜﺭﺓ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻟﻁﻌﺎﻡ‬ ‫ﺍﻹﻁﻌﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
307.52‫ﺍﻟﻭﺤﻡ‬)‫ﺍﻟﻘﻁﺎ‬(
307.53‫ﺍﻻﺠﺘﺭﺍﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
307.59‫ﺍﻟﻤﺒﻜﺭﺓ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻹﻁﻌﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺓ‬‫ﺭ‬‫ﺍﻟﻌ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
307.23‫ﺘﻭﺭﻴﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
307.22‫ﺍﻟﺼﻭﺘ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻤﺯﻤﻥ‬ ‫ﻴﺔ‬
307.21‫ﺍﻟﻌﺎﺒﺭ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬/‫ﻤﻌﺎﻭﺩﺓ‬
307.20‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬

9. 8
‫ﺍﻹﻓﺭﺍﻍ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
-.-‫ﺍﻟﻐﺎﺌﻁ‬ ‫ﺴﻠﺱ‬
387.6‫ﺒﺎﻹﻓﺎﻀﺔ‬ ‫ﻭﺴﻠﺴل‬ ‫ﺇﻤﺴﺎﻙ‬ ‫ﻤﻊ‬
307.7‫ﺒﺎﻹﻓﺎﻀﺔ‬ ‫ﻭﺴﻠﺱ‬ ‫ﺇﻤﺴﺎﻙ‬ ‫ﺩﻭﻥ‬
307.6‫ﺍﻟﺒﻭل‬ ‫ﺴﻠﺱ‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬(
‫ﺩ‬‫ﺤ‬‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬:‫ﻓﻘﻁ‬ ‫ﺍﻟﻠﻴل‬ ‫ﺃﺜﻨﺎﺀ‬/‫ﻓﻘﻁ‬ ‫ﺍﻟﻨﻬﺎﺭ‬ ‫ﺃﺜﻨﺎﺀ‬/‫ﻭﺍﻟﻨﻬﺎﺭ‬ ‫ﺍﻟﻠﻴل‬ ‫ﺃﺜﻨﺎﺀ‬
‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
309.21‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﻤﺒﻜﺭﺓ‬ ‫ﺒﺩﺍﻴﺔ‬
313.23‫ﺍﻻﻨﺘﻘﺎﺌﻲ‬ ‫ﺍﻟﺼﻤﺎﺕ‬
313.89‫ﺍﻟ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺭﺘﻜﺎﺴﻲ‬ ‫ﺍﻟﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻤﺒﻜﺭﺓ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﻤﺜﺒﻁ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﻥ‬/‫ﺍﻟﻤﺜﺒﻁ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﻥ‬
307.3‫ﺍﻟﻨﻤﻁﻲ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻟﻠﺫﺍﺕ‬ ‫ﻤﺅﺫ‬ ‫ﺴﻠﻭﻙ‬ ‫ﻤﻊ‬
313.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻭﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺍﻟﻌﺘﻪ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺃﺨﺭﻯ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻭﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻬﺫﻴﺎﻥ‬
293.0‫ﺍﻟﻬﺫ‬‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻴﺎﻥ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
-.-‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬
-.-‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬(
-.-‫ﺴﺒﺒ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬‫ﻋﺩﻴﺩﺓ‬ ‫ﻴﺎﺕ‬)‫ﻨﻭﻋﻲ‬ ‫ﺴﺒﺏ‬ ‫ﻜل‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬(
280.09‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬
‫ﺍﻟﻌﺘﻪ‬
294.XX*
‫ﺒﺎﻜﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬331.0‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻤﺭﺽ‬III(
.10‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬
.11‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬
294.XX*
‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﺃ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬‫ﹰ‬‫ﺎ‬‫ﻴﻀ‬331.0‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻤﺭﺽ‬III(
.10‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬
.11‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬
290.XX‫ﺍﻟﻭﻋﺎﺌﻲ‬ ‫ﺍﻟﻌﺘﻪ‬
.40‫ﻤﺨﺘﻠﻁ‬ ‫ﻏﻴﺭ‬
.41‫ﻫﺫﻴﺎﻥ‬ ‫ﻤﻊ‬
.42‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬
.43‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬
‫ﺤﺎﻟ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻟﻠﻌﺘﻪ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺔ‬:
0=‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬
1=‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬

10. 9
294.1X*
‫ﻤﺭﺽ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬HIV)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬042HIV‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬III(
294.1X*
‫ﺍﻟﺭﺃﺱ‬ ‫ﺭﻀﺢ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬854.00‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺭﺃﺱ‬ ‫ﺃﺫﻴﺔ‬III(
294.1X*
‫ﺒﺎﺭﻜﻨﺴﻭﻥ‬ ‫ﻤﺭﺽ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬332.0‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺒﺎﺭﻜﻨﺴﻭﻥ‬ ‫ﻤﺭﺽ‬III(
294.1X*
‫ﺒﻴﻙ‬ ‫ﻤﺭﺽ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬331.1‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻴﻙ‬ ‫ﻤﺭﺽ‬III(
294.1X*
‫ﺠﺎﻜﻭﺏ‬ ‫ـ‬ ‫ﻜﺭﻭﺘﺯﻓﻴﻠﺩ‬ ‫ﻤﺭﺽ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬046.1‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺠﺎﻜﻭﺏ‬ ‫ـ‬ ‫ﻜﺭﻭﺘﺯﻓﻴﻠﺩ‬ ‫ﻤﺭﺽ‬III(
X.1294*
‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬] ...‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬) [‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬III(
-.-‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬‫ﻟﻠﻤﻭﺍﺩ‬(
-.-‫ﻤﺘﻌﺩﺩﺓ‬ ‫ﺴﺒﺒﻴﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻷﺴﺒﺎﺏ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬(
294.8‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﺘﻪ‬
‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
294.0‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﹰ‬‫ﺍ‬‫ﻋﺎﺒﺭ‬/‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬
-.-‫ﺒﻤ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺎﺩﺓ‬)‫ﻟﻠﻤﻭﺍﺩ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬(
294.8‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺃﺨﺭﻯ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
294.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻤﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻏﻴﺭ‬
293.89‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
310.1‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﻐﻴﺭ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﻤﺘﻘﻠﺏ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﻤﺘﻘﻠﻘل‬/(‫ﺍﻟﻤﻨﻔﻠﺕ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﻤﺜﺒﻁ‬ ‫ﻏﻴﺭ‬/(‫ﺍﻟﻌﺩﻭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﻼﻤﺒﺎﻟﻲ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﺯﻭﺭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺁﺨﺭ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻨﻤﻁ‬‫ﺍﻟﻤﺸﺘﺭﻙ‬/‫ﺍﻟﻨﻤﻁ‬
‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬
293.9‫ﻋﻥ‬ ‫ﻭﺍﻟﻨﺎﺠﻡ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﻥ‬‫ﻭ‬‫ﻤﺩ‬ ‫ﻫﻭ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﻁﺒﻕ‬:
a-‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬
b-‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬
c-‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬
d-‫ﺸﺎﺩﺓ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬
‫ﻥ‬‫ﻭ‬‫ﻤﺩ‬ ‫ﻫﻭ‬ ‫ﻜﻤﺎ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﻁﺒﻕ‬:
I
‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻫﺠﻤﺔ‬ ‫ﻤﻊ‬/W
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻫﺠﻤﺔ‬ ‫ﻤﻊ‬
‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻜﺤﻭل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
303.90‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬a,b,c
305.00‫ﺍﻟﻜﺤﻭل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬

11. 10
291.81‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬
291.0‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
291.0‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻫﺫﻴﺎﻥ‬
291.2‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬‫ﺒﺎﻟﻜﺤﻭل‬
291.1‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
291.X‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.5‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I.W
.3‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I.W
291.89‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
291.89‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
291.89‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬I
291.89‫ﺍ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﻟﻤﺤﺩﺙ‬I.W
291.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﺸﺒﻴﻬﺔ‬ ‫ﺃﻭ‬(
‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.40‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬a,b,c
305.70‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻷﻤﻔﻴﺘ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬‫ﺎﻤﻴﻥ‬
292.89‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬
292.0‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬
292.81‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.XX‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I
292.84‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
292.89‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.89‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬I
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
305.90‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
292.89‫ﺒ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺎﻟﻜﺎﻓﺌﻴﻥ‬I
292.89‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.30‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬a,b,c

12. 11
305.20‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺍﻻﻨﺴﻤ‬‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺎﻡ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬
292.81‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.XX‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I
292.89‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺒ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬‫ﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬
‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.20‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬a,b,c
305.60‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬
292.0‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬
292.81‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.XX‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.21‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I
292.84‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
292.89‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
292.89‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬I
292.89‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
292.9‫ﺍﻟﻤ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺘﻌﻠﻕ‬
‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.50‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬b,c
305.30‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
292.89‫ﺒﺎﻟﻤﻬﻠﻭ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻹﺩﺭﺍﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺴﺎﺕ‬)‫ﺯﻤﻨﻴﺔ‬ ‫ﺭﺠﺎﺌﻊ‬(
292.81‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.XX‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I
292.84‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.89‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.9‫ﺁ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺨﺭ‬

13. 12
‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻨﺸﻭﻕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.60‫ﺍﻟﻨﺸﻭﻕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬b,c
305.90‫ﺍﻟﻨﺸﻭﻕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
292.81‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.82‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬
.XX‫ﺍﻟﻤﺤ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺩﺙ‬
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I
292.84‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.89‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺒﺎﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬a,b
‫ﺍﻻﻀ‬‫ﺒﺎﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﻁﺭﺍﺏ‬
292.0‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.00‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬a,b,c,d
305.50‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬
292.0‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬
292.81‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.XX‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I
292.84‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.89‫ﺒ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬‫ﺎﻷﻓﻴﻭﻥ‬I
292.89‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﺸﺒﻴﻬﺔ‬ ‫ﺃﻭ‬(
‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.60‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬b,c

14. 13
305.90‫ﺍ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬‫ﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬
‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬
292.81‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.XX‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I
292.84‫ﺒﺎ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬‫ﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬I
292.89‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.10‫ﺍﻟﻤﻬ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺩﺌﺎﺕ‬a,b,c
305.40‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
292.0‫ﺍ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬‫ﻟﻘﻠﻕ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬
292.81‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
292.81‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻫﺫﻴﺎﻥ‬
292.82‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬
292.83‫ﺍﻟﻤﺴﺘﺩﻴ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﻡ‬
292.XX‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I.W
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I.W
292.84‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬I.W
292.89‫ﺒﺎﻟﻤﻬﺩﺌ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺎﺕ‬W
292.89‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬I
292.89‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I.W
292.9‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬
‫ﻋﺩﻴﺩﺓ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
304.80‫ﻋﺩﻴﺩﺓ‬ ‫ﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬a,b,c,d
‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
304.90‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(a,b,c,d
305.90‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﻏﻴﺭ‬ ‫ﺃﻭ‬‫ﻤﻌﺭﻭﻓﺔ‬(
‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
‫ﻤﻊ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬

15. 14
292.0‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬
292.81‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
292.82‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
292.83‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
292.XX‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬I.W
.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬I.W
292.84‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(I.W
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(I.W
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(I
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(I.W
292.9‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﻤﺤ‬ ‫ﻏﻴﺭ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩﺩ‬
‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﹸﺼﺎﻡ‬‫ﻔ‬‫ﺍﻟ‬
295.XX‫ﺍﻟﻔﺼﺎﻡ‬
‫ﻟﻠﻔﺼﺎﻡ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﺠﻤﻴﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻁﻭﻻﻨﻲ‬ ‫ﻟﻠﺴﻴﺭ‬ ‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ‫ﻕ‬‫ﺒ‬‫ﻴﻁ‬:
‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬ ‫ﻨﻭﺒﻲ‬)‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬/(‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻨﻭﺒﻲ‬.
‫ﻤﺴﺘﻤﺭ‬)‫ﻜ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬‫ﺎﻥ‬:‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬(
‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬)‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬/(‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬
‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﻨﻤﻁ‬
.30‫ﺍﻟﺯﻭﺭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬
.10‫ﺍﻟﻤﺸﻭﺵ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﻤﻨﻅﻡ‬ ‫ﻏﻴﺭ‬(
.20‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬
.90‫ﺍﻟﻤﻤﻴﺯ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬
.60‫ﺍﻟﻤﺘﺒﻘﻲ‬ ‫ﺍﻟﻨﻤﻁ‬
292.40‫ﺍ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺍﻟﺸﻜل‬ ‫ﻟﻔﺼﺎﻤﻲ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺠﻴﺩﺓ‬ ‫ﺇﻨﺫﺍﺭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬/‫ﺠﻴﺩﺓ‬ ‫ﺇﻨﺫﺍﺭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬
295.70‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻨﻤﻁ‬/‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻟﻨﻤﻁ‬
297.1‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﻬﻭﺴﻲ‬ ‫ﺍﻟﻌﺸﻘﻲ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﻌﻅﻤﺔ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻐﻴﺭﺓ‬ ‫ﻨﻤﻁ‬/‫ﺍﻻﻀﻁﻬﺎﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬
298.8‫ﺍﻟﻭﺠﻴﺯ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺼﺭﻴﺢ‬ ‫ﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﻤﻊ‬/‫ﺼﺭﻴﺢ‬ ‫ﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﺒﺩﻭﻥ‬/‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
297.3‫ﺍﻟﻤﺸﺎﺭﻙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
293.XX‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
.81‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬
.82‫ﺃﻫﻼﺴﺎ‬ ‫ﻤﻊ‬‫ﺕ‬
-.-‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﻤﺎﺩﺓ‬ ‫ﻟﻜل‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
298.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬

16. 15
‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻻ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﻜﺘﺌﺎﺒﻲ‬I‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬:
1=‫ﺨﻔﻴﻑ‬
2=‫ﻤﺘﻭﺴﻁ‬
3=‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩ‬
4=‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩ‬
‫ﺤﺩﺩ‬:‫ﻤﻨﺴﺠﻤﺔ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬)‫ﻤﺘﻭﺍﻓﻘﺔ‬(‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻤﻊ‬/‫ﻤﻨﺴﺠﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬)‫ﻤﺘﻭﺍﻓﻘﺔ‬ ‫ﻏﻴﺭ‬(‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻤﻊ‬
5=‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
6=‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
0=‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﻁﺒﻕ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬(‫ﻥ‬‫ﻭ‬‫ﻤﺩ‬ ‫ﻫﻭ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﻭﺠﺩﺍﻥ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬:
a
‫ﺍﻟﺸﺩﺓ‬/‫ﺫﻫﺎﻨﻴﺔ‬/‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬/b
‫ﻤﺯﻤﻨﺔ‬/c
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬/d
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬/e
‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬/f
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍﻟﻤﺯ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺩﺍﺕ‬ ‫ﺘﻁﺒﻕ‬‫ﻥ‬‫ﻭ‬‫ﻤﺩ‬ ‫ﻫﻭ‬ ‫ﻜﻤﺎ‬ ‫ﺍﺝ‬:
g
‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬/h
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻊ‬/i
‫ﺴﺭﻴﻊ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬
‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
296.XX‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
.2X‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬a,b,c,d,e,f
.3X‫ﻤﻌﺎﻭﺩ‬a,b,c,d,e,f,g,h
300.4‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺒﺎﻜﺭ‬ ‫ﺒﺩﺀ‬/‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬
‫ﻜﺎ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬‫ﻥ‬:‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
311‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
296.XX‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I
.0X‫ﻭﺤﻴﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬a, c,f
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﹰ‬‫ﺎ‬‫ﻤﺨﺘﻠﻁ‬
.40‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬g,h,i
.4X‫ﻫﻭﺴﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬a, c, f,g,h,i
5X‫ﺍﻜﺘﺌﺎ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬‫ﺒﻴﺔ‬a,b,c,d,e,f,g,h,i
.7‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬g,h,i
296.89‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬IIa,b,c,d,e,f,g,h,i
‫ﺤﺩﺩ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬:(‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬/‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬
301.13‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
296.80‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
293.83‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻋﻥ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬/‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺒﺎﻻﻜﺘﺌﺎﺏ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬/‫ﻫﻭﺴﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬/‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
-.-‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﺎﺩﺓ‬ ‫ﺒﻜل‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬(
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻜﺘﺌﺎﺒ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬‫ﻴﺔ‬/‫ﻫﻭﺴﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬/‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬/‫ﺍﻟﺴﺤﺏ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬
296.90‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬

17. 16
‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
300.01‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
300.21‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
300.22‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻗﺼﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬‫ﻫﻠﻊ‬
300.29‫ﺍﻟﻨﻭﻋﻲ‬ ‫ﺍﻟﺭﻫﺎﺏ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﺤﻴﻭﺍﻥ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻟﺒﻴﺌﺔ‬ ‫ﻨﻤﻁ‬/‫ﺍﻷﺫﻴﺔ‬ ،‫ﺍﻟﺤﻘﻥ‬ ‫ـ‬ ‫ﺍﻟﺩﻡ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻅﺭﻓﻲ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺁﺨﺭ‬ ‫ﻨﻤﻁ‬
300.23‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺭﻫﺎﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﹰ‬‫ﺎ‬‫ﻤﻌﻤﻤ‬
300.3‫ﺍﻟﻘﻬﺭﻱ‬ ‫ﺍﻟﻭﺴﻭﺍﺴﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﻀﻌﻴﻔﺔ‬ ‫ﺒﺼﻴﺭﺓ‬ ‫ﻤﻊ‬
309.81‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺤﺩ‬‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬:‫ﺤﺎﺩ‬/‫ﻤﺯﻤﻥ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
308.3‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
300.02‫ﺍﻟﻤﻌﻤﻡ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
293.84‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﻤﻌﻤﻡ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬/‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻤﻊ‬/‫ﻗﻬﺭﻴﺔ‬ ‫ﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬
-.-‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻟﻠﻤﻭﺍﺩ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﻤﻌﻤﻡ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬/‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻤﻊ‬/‫ﻗﻬﺭﻴﺔ‬ ‫ﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬/‫ﺭﻫﺎﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
300.00‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻻﻀﻁﺭﺍ‬‫ﺍﻟﺸﻜل‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺒﺎﺕ‬
300.81‫ﺍﻟﺠﺴﺩﻨﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
300.82‫ﺍﻟﻤﻤﻴﺯ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
300.11‫ﺍﻟﺘﺤﻭﻴﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻋﺭﺽ‬ ‫ﻤﻊ‬/‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﻋﺭﺽ‬ ‫ﻤﻊ‬/‫ﺍﺨﺘﻼﺠﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻤﻊ‬/‫ﻤﺨﺘﻠﻁ‬ ‫ﺘﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
307.XX‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
.80‫ﻨﻔﺴﻴﺔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﻤﻊ‬ ‫ﻤﺘﺭﺍﻓﻕ‬
.89‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻤﻊ‬ ‫ﻤﺘﺭﺍﻓﻕ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻭﺤﺎﻟﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﹰ‬‫ﺍ‬‫ﺤﺎﺩ‬/‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬
300.7‫ﺍﻟﻤﺭﺍﻕ‬
‫ﻀﻌﻴﻔﺔ‬ ‫ﺒﺼﻴﺭﺓ‬ ‫ﻤﻊ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬
300.7‫ﺍﻟﺠﺴﺩ‬ ‫ﺸﻜل‬ ‫ﺘﺸﻭﻩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
300.82‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫اﻟﻤﻔﺘﻌﻠﺔ‬ ‫اﻻﺿﻄﺮاﺑﺎت‬
300.XX‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬(237)
.16‫ﻭﺃﻋﺭﺍﺽ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻤﻊ‬‫ﻨﻔﺴﻴﺔ‬
.19‫ﺠﺴﺩﻴﺔ‬ ‫ﻭﺃﻋﺭﺍﺽ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻤﻊ‬
.19‫ﻭﺠﺴﺩﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻭﺃﻋﺭﺍﺽ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﻤﺸﺎﺭﻜﺔ‬ ‫ﻤﻊ‬
300.19‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬

18. 17
‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
300.12‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬
300.13‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻟﺸﺭﺍﺩ‬
300.14‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
300.6‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
300.15‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫اﻟﺠﻨﺴﻴﺔ‬ ‫اﻟﻬﻮﻳﺔ‬ ‫واﺿﻄﺮاﺑﺎت‬ ‫اﻟﺠﻨﺴﻴﺔ‬ ‫اﻻﺿﻄﺮاﺑﺎت‬
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺍﺨﺘﻼﻻﺕ‬
‫ﺍﻟﺒﺩﺌﻴﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺍﺨﺘﻼﻻﺕ‬ ‫ﺠﻤﻴﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﻁﺒﻕ‬
‫ﺍﻟﺤﻴﺎﺓ‬ ‫ﻤﺩﻯ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻤﻜﺘﺴﺏ‬ ‫ﺍﻟﻨﻤﻁ‬
‫ﺍﻟﻤﻌﻤﻡ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﻅﺭﻓﻲ‬ ‫ﺍﻟﻨﻤﻁ‬
‫ﻨﻔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬‫ﺴﻴﺔ‬/‫ﻤﺸﺘﺭﻜﺔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
302.71‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻨﻘﺹ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
302.79‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻨﻔﻭﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
302.72‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
302.72‫ﺍﻟﺭﺠل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻨﻌﻭﻅ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﻫﺯﺓ‬(
302.73‫ﺍﻹﻴ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﻐﺎﻑ‬
302.74‫ﺍﻟﺭﺠل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
302.75‫ﺍﻟﻤﺒﻜﺭ‬ ‫ﺍﻟﻘﺫﻑ‬)‫ﺍﻟﻤﺒﺘﺴﺭ‬(
‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
302.76‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﻋﺴﺭ‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬(
306.51‫ﺍﻟﻤﻬﺒل‬ ‫ﺘﺸﻨﺞ‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬(
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬
625.8‫ﺍﻀﻁﺭﺍﺏ‬‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻨﻘﺹ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
608.89‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻨﻘﺹ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
607.84‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻨﻌﻭﻅ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
625.0‫ﻋﻨ‬ ‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﺴﺭ‬‫ﻋ‬‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻷﻨﺜﻰ‬ ‫ﺩ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
608.89‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﺴﺭ‬‫ﻋ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
625.8‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
608.89‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
-.-‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬)‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬(253)
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﻤﺨﺘﻠﺔ‬ ‫ﺭﻏﺒﺔ‬ ‫ﻤﻊ‬/‫ﻤﺨﺘﻠﺔ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﻤﻊ‬/‫ﻤﺨﺘل‬ ‫ﺇﻴﻐﺎﻑ‬ ‫ﻤﻊ‬/‫ﺠﻨﺴﻲ‬ ‫ﺃﻟﻡ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
302.70‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬

19. 18
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺸﺫﻭﺫﺍﺕ‬
302.4‫ﺍﻻﺴﺘﻌﺭﺍﺀ‬
302.81‫ﺍﻟﻔﻴﺘﻴﺸﻴﺔ‬)‫ﺍﻟﺼﻨﻤﻴﺔ‬(
302.89‫ﺍﻻﺤﺘﻜﺎﻜﻴﺔ‬
302.2‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﺸﻕ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﺫﻜﻭﺭ‬ ‫ﻨﺤﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬/‫ﺍﻹﻨﺎﺙ‬ ‫ﻨﺤﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬/‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﻟﻼﺜﻨﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﹰ‬‫ﺍ‬‫ﻤﻘﺘﺼﺭ‬‫ﺍﻟﻤﺤﺎﺭﻡ‬ ‫ﺴﻔﺎﺡ‬ ‫ﻋﻠﻰ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺤﺼﺭﻱ‬ ‫ﻨﻤﻁ‬/‫ﺤﺼﺭﻱ‬ ‫ﻏﻴﺭ‬ ‫ﻨﻤﻁ‬
302.83‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻤﺎﺯﻭﺨﻴﺔ‬
302.84‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺴﺎﺩﻴﺔ‬
302.3‫ﺍﻟﻔﻴﺘﻴﺸﻴﺔ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ِﺒﺴﺔ‬‫ﻟ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺠﻨﺴﻪ‬ ‫ﻤﻊ‬ ‫ﺍﻻﺭﺘﻴﺎﺡ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻊ‬
308.82‫ﺍﻟﺒﺼﺒﺼﺔ‬
302.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﺸﺫﻭﺫ‬
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
302.XX‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
.6‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬
.85‫ﺍﻟﺒﺎﻟﻐﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﻋﻨﺩ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﺫﻜﻭﺭ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬/‫ﺍﻹﻨﺎﺙ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬/‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﺍﻻﺜﻨﻴﻥ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬/‫ﻤﻨﻬﻤﺎ‬ ‫ﺃﻱ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬ ‫ﻏﻴﺭ‬
302.6‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
302.9‫ﺍﻻ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﻀﻁﺭﺍﺏ‬
‫ﺍﻷﻜل‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
307.1‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﻪ‬‫ﻤ‬‫ﹶ‬‫ﻘ‬‫ﺍﻟ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﻤﺤﺼﻭﺭ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﻤﻀﺒﻭﻁ‬(‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫؛‬/‫ﺒﺎﻟﻤﺴﻬﻼﺕ‬ ‫ﺍﻟﻤﻔﺭﻍ‬
307.51‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻨﻬﺎﻡ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟﻤﻔﺭﻍ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺍﻟﻤﻔﺭﻍ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬
307.50‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﻜل‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫اﻟﻨﻮم‬ ‫اﺿﻄﺮاﺑﺎت‬
‫ﺍﻟﺒﺩﺌﻴﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﺨﺘﻼﻻﺕ‬)‫ﺴﺭ‬‫ﻋ‬(‫ﺍﻟﻨﻭﻡ‬
307.42‫ﺍﻟﺒﺩﺌﻲ‬ ‫ﺍﻷﺭﻕ‬
307.44‫ﺍﻟﺒﺩﺌﻲ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﹰ‬‫ﺍ‬‫ﻤﻌﺎﻭﺩ‬
347‫ﺦ‬‫ﺒ‬‫ﺴ‬‫ﺍﻟ‬)‫ﺍﻻﻨﺘﻴﺎﺒﻲ‬ ‫ﺍﻟﻨﻭﻡ‬(
380.59‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
307.45‫ﻟﻠﻨﻭﻡ‬ ‫ﺍﻟﻴﻭﻤﺎﻭﻱ‬ ‫ﺍﻟﻨﻅﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:‫ﺍﻟ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺼﻔﺤﺔ‬ ‫ﻨﻤﻁ‬‫ﻤﺘﺄﺨﺭ‬/‫ﺍﻟﻤﺘﻐﻴﺭﺓ‬ ‫ﺍﻟﺯﻤﻨﻴﺔ‬ ‫ﺍﻟﻤﻨﻁﻘﺔ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻤﺘﻐﻴﺭﺓ‬ ‫ﺍﻟﻭﺍﺭﺩﻴﺎﺕ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬
307.47‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﺨﺘﻼل‬
‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺤﺎﻻﺕ‬
307.47‫ﺍﻟﻜﺎﺒﻭﺱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
307.46‫ﺍﻟﻨﻭﻤﻲ‬ ‫ﺍﻟﺭﻋﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬

20. 19
307.46‫ﺍﻟﺴﺭﻨﻤﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
307.47‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﺭﺘﺒﻁﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
307.42‫ﺒـ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻷﺭﻕ‬] ...‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬I‫ﺃﻭ‬II[
307.44‫ﺒـ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬] ...‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬I‫ﺃﻭ‬II[
‫ﺃﺨﺭﻯ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬(277)
780.XX‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬‫ﺍﻟﻌﺎﻤﺔ‬[
.52‫ﺍﻷﺭﻕ‬ ‫ﻨﻤﻁ‬
.54‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﻨﻤﻁ‬
.59‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻨﻤﻁ‬
.59‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﻨﻤﻁ‬
-.-‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺭﺍﺠﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻷﺭﻕ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻨﻤﻁ‬/‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﻨﻤﻁ‬
‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬‫ﻜﺎﻥ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻏﻴﺭ‬
312.34‫ﺍﻟﻤﺘﻘﻁﻊ‬ ‫ﺍﻻﻨﻔﺠﺎﺭﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
312.32‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﻫﻭﺱ‬
312.33‫ﺍﻟﺤﺭﺍﺌﻕ‬ ‫ﺇﺸﻌﺎل‬ ‫ﻫﻭﺱ‬
312.31‫ﺍﻟﻤﺭﻀﻴﺔ‬ ‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬
312.39‫ﺍﻟﺸﻌﺭ‬ ‫ﻨﺘﻑ‬ ‫ﻫﻭﺱ‬
312.30‫ﺍﻟﺩﺍ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻓﻊ‬
‫اﻟﺘﺄﻗﻠﻢ‬ ‫اﺿﻄﺮاﺑﺎت‬
309.XX‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
.0‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬
.24‫ﻗﻠﻕ‬ ‫ﻤﻊ‬
.28‫ﻤﺨﺘﻠﻁ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﻭﻤﺯﺍﺝ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬
.3‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬
.4‫ﻭﺍﻻﻨﻔﻌﺎﻻﺕ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻓﻲ‬ ‫ﻤﺨﺘﻠﻁ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬
.9‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﹰ‬‫ﺍ‬‫ﺤﺎﺩ‬/‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬
‫اﻟﺸﺨﺼﻴﺔ‬ ‫اﺿﻄﺮاﺑﺎت‬
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺯﺓ‬‫ﻤ‬‫ﻤﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻫﺫﻩ‬II
301.0‫ﺍﻟﺯﻭﺭﺍﻨﻲ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.20‫ﺍﻟﻔﺼﺎﻤﺎﻨﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.22‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.7‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.83‫ﺍﻟﺤﺩﻭﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬

21. 20
301.50‫ﺍﻟﻬﻴﺴﺘﺭﻴﻭﻨﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.81‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻨﺭﺠﺴﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬
301.82‫ﺍﻟﻤﺘﺠﻨﺒﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.6‫ﺍﻻﻋﺘﻤﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.4‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ـ‬ ‫ﺍﻟﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
301.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺳﺮﻳﺮي‬ ‫اهﺘﻤﺎم‬ ‫ﻣﺮآﺰ‬ ‫ﺗﻜﻮن‬ ‫ﻗﺪ‬ ‫أﺧﺮى‬ ‫ﺣﺎﻻت‬
‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺅﺜﺭﺓ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬
316] ...‫ﺍﻟﻌ‬‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺎﻤل‬[‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺅﺜﺭ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺀ‬‫ﺒﻨﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﺴﻤ‬ ‫ﺍﺨﺘﺭ‬:
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬
‫ﺍﻟﺼﻌﺎﺏ‬ ‫ﻤﻭﺍﺠﻬﺔ‬ ‫ﺃﺴﻠﻭﺏ‬ ‫ﺃﻭ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ِﻼل‬‫ﺨ‬)‫ﺍﻟﻘﻭﺏ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬
‫ﺴﻠﻭﻜﻴﺎﺕ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺼﺤﻴﺔ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬ ‫ﺒﺎﻟﺸﺩﺓ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻋﻭﺍﻤل‬
‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
332.1‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺒﺎﺭﻜﻨﺴﻭﻨﻴﺔ‬
333.92‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﻤﺘﻼﺯﻤﺔ‬‫ﺍﻟﺨﺒﻴﺜﺔ‬
333.7‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻤﻘﻭﻴﺔ‬ ‫ﻋﺴﺭ‬
333.99‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﺯﻟﺯ‬
333.82‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻵﺠل‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﻋﺴﺭ‬
333.1‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ِﻀﻌﺔ‬‫ﻭ‬‫ﺍﻟ‬ ‫ﻋﺎﺵ‬‫ﺭ‬
333.90‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺒ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺎﻷﺩﻭﻴﺔ‬
995.2‫ﻤﻨﺎﻭﺌﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬)‫ﻋﻜﺴﻴﺔ‬(‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻠﺩﻭﺍﺀ‬
‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬
V61.9‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﺭﺘﺒﻁﺔ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬
V61.20‫ﻭﺍﻟﻁﻔل‬ ‫ﺍﻟﻭﺍﻟﺩ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬
V61.10‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬
V61.8‫ﺒ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬‫ﺍﻷﺸﻘﺎﺀ‬ ‫ﻴﻥ‬
V61.81‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬
‫ﺍﻹﻫﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺒﺴﻭﺀ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬
V61.21‫ﻟﻠﻁﻔل‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬
)‫ﺯ‬‫ﻤ‬‫ﺭ‬995.54‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(
V61.21‫ﻟﻠﻁﻔل‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬
)‫ﺯ‬‫ﻤ‬‫ﺭ‬995.53‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(
V61.21‫ﺍﻟﻁﻔل‬ ‫ﺇﻫﻤﺎل‬
)‫ﺯ‬‫ﻤ‬‫ﺭ‬995.52‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(

22. 21
-.-‫ﻟﻠﺒﺎﻟﻎ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬
V61.12)‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬(
V62.83‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﻏﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﺨﺼ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(
)‫ﺯ‬‫ﻤ‬‫ﺭ‬995.81‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(
-.-‫ﻟﻠﺒﺎﻟﻎ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬
V61.12)‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﺸﺭﻴﻙ‬(
V62.83‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﻏﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﺨﺼ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(
)‫ﺯ‬‫ﻤ‬‫ﺭ‬995.83‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(
‫ﺴﺭﻴﺭﻱ‬ ‫ﺍﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺇﻀﺎﻓﻴﺔ‬ ‫ﺤﺎﻻﺕ‬
V15.81‫ﺍﻟﻌﻼﺝ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻁﺎﻭﻋﺔ‬ ‫ﻋﺩﻡ‬
V65.2‫ﺍﻟﺘﻤﺎﺭﺽ‬
V71.01‫ﺒﺎﻟﻎ‬ ‫ﻋﻨﺩ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﻤﻌﺎﺩ‬ ‫ﺴﻠﻭﻙ‬
V71.02‫ﻤﺭﺍﻫﻕ‬ ‫ﺃﻭ‬ ‫ﻁﻔل‬ ‫ﻋﻨﺩ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﻤﻌﺎﺩ‬ ‫ﺴﻠﻭﻙ‬
V62.89‫ﻭ‬‫ﺤﺩﻭﺩﻴﺔ‬ ‫ﻋﻘﻠﻴﺔ‬ ‫ﻅﻴﻔﺔ‬
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺭﻤﺯﺓ‬ ‫ﻫﺫﻩ‬II
780.9‫ﺒﺎﻟﻌﻤﺭ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻻﻨﺤﺩﺍﺭ‬
V62.82‫ِﺩﺍﺩ‬‫ﺤ‬‫ﺍﻟ‬
V62.3‫ﺃﻜﺎﺩﻴﻤﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬)‫ﺩﺭﺍﺴﻴﺔ‬(
V62.2‫ﻤﻬﻨﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬
313.82‫ﻫﻭﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬
V62.89‫ﺭﻭﺤﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺩﻴﻨﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬
V62.4‫ﺘﺜﺎﻗﻔﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬)‫ﺜﻘﺎﻓﻲ‬ ‫ﻊ‬‫ﺒ‬‫ﺘﻁ‬(
V62.89‫ﺒﻤﺭ‬ ‫ﻤﺘﺼﻠﺔ‬ ‫ﻤﺸﻜﻠﺔ‬‫ﺤﻴﺎﺘﻴﺔ‬ ‫ﺤﻠﺔ‬
‫ﺇﻀﺎﻓﻴﺔ‬ ‫ﺭﻭﺍﻤﻴﺯ‬(315)
300.9‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺫﻫﺎﻨﻲ‬ ‫ﻏﻴﺭ‬(
V71.09‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬I
799.9‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺠﻠﻴﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺘﺸﺨﻴﺹ‬I
V71.09‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬II
799.9‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺅﺠل‬ ‫ﺘﺸﺨﻴﺹ‬II
‫اﻟﻤﺤﺎور‬ ‫ﻣﺘﻌﺪد‬ ‫اﻟﻨﻈﺎم‬
‫ﺍﻟﻤﺤﻭﺭ‬I:‫ﺍﻻ‬‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺤﺎﻻﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬II:‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
‫ﺍﻟﻤﺤﻭﺭ‬III:‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻻﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬IV:‫ﺒﻴﺌﻴﺔ‬ ‫ﻭﻤﺸﻜﻼﺕ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬V:‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺸﺎﻤل‬ ‫ﺘﻘﻴﻴﻡ‬

23. 22
‫ا‬ ‫ﻣﺘﻌﺪد‬ ‫اﻟﺘﻘﻴﻴﻢ‬‫ﻟﻤﺤﺎور‬
Multiaxial Assessment
‫ﺍﻟﻌﻼﺠﻴﺔ‬ ‫ﺍﻟﺨﻁﺔ‬ ‫ﹸﻌﻴﻥ‬‫ﺘ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺨﺘﻠﻑ‬ ‫ﻤﺠﺎل‬ ‫ﺇﻟﻰ‬ ‫ﻤﻨﻬﺎ‬ ‫ﻜل‬ ‫ﻴﺤﻴل‬ ،‫ﻋﺩﺓ‬ ‫ﻤﺤﺎﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﻴﻴﻤ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﻨﻅﺎﻡ‬ ‫ﻴﺸﻤل‬
‫ﺍﻟﻤﺂل‬ ‫ﻭﺘﺘﻜﻬﻥ‬ ‫ﻟﻠﻁﺒﻴﺏ‬.‫ﺍﻟـ‬ ‫ﺘﺼﻨﻴﻑ‬ ‫ﻓﻲ‬ ‫ﻤﺩﺭﺠﺔ‬ ‫ﻤﺤﺎﻭﺭ‬ ‫ﺨﻤﺴﺔ‬ ‫ﺜﻤﺔ‬DSM-IV‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﻤﺘﻌﺩﺩ‬:
‫ﺍﻟﻤﺤﻭﺭ‬I:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺤﺎﻻﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬II:‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
‫ﺍﻟﻤﺤﻭﺭ‬III:‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻻﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬IV:‫ﺒﻴﺌﻴﺔ‬ ‫ﻭﻤﺸﻜﻼﺕ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬V:‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺸﺎﻤل‬ ‫ﺘﻘﻴﻴﻡ‬
‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﺍﻟﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﻨﻅﺎﻡ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ل‬‫ﻬ‬‫ﻴﺴ‬‫ﻭﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﻭﺍﻟﺤﺎﻻﺕ‬ ‫ﺍﻟﻤﺨﺘﻠﻔﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻤﻊ‬ ‫ﻭﺍﻟﻤﻨﻬﺠﻲ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬
‫ﻭﺤﻴﺩﺓ‬ ‫ﻤﺎﺜﻠﺔ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﹶل‬‫ﻔ‬‫ﹸﻐ‬‫ﺘ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺘﻲ‬ ،‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻭﻤﺴﺘﻭﻯ‬ ،‫ﺍﻟﺒﻴﺌﻴﺔ‬ ‫ﻭﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬.‫ﺍﻟﻨﻅﺎﻡ‬ ‫ﻴﻤﻨﺢ‬
‫ﹰ‬‫ﺍ‬‫ﻌﺩ‬‫ﺒ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﺍﻟﻤﺘﻌﺩﺩ‬)‫ﺼﻴﻐ‬‫ﺔ‬(‫ﻓﻲ‬ ‫ﺍﻟﺘﺒﺎﻴﻥ‬ ‫ﻭﻟﻭﺼﻑ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺒﺘﻌﻘﻴﺩ‬ ‫ﻭﻟﻺﻤﺴﺎﻙ‬ ،‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻭﺘﻭﺼﻴل‬ ‫ﻟﺘﻨﻅﻴﻡ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻼﺌﻤ‬
‫ﺫﺍﺘﻪ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺘﺤﺕ‬ ‫ﻴﻘﻌﻭﻥ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﻓﺭﺍﺩ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬.‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﺤﻴﻭﻱ‬ ‫ﺍﻟﻨﻤﻭﺫﺝ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﻨﻅﺎﻡ‬ ‫ﻴﻌﺯﺯ‬ ،‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬
‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬(Biopsychosocial Model)‫ﺍﻟﻤﻭ‬ ‫ﻓﻲ‬‫ﻭﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﻭﺍﻟﺘﻌﻠﻴﻤﻴﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻗﻊ‬.
‫ﺍﻟـ‬ ‫ﻤﺤﺎﻭﺭ‬ ‫ﻤﻥ‬ ‫ﻟﻜل‬ ‫ﹰ‬‫ﺎ‬‫ﻭﺼﻔ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻤﻥ‬ ‫ﺘﺒﻘﻰ‬ ‫ﻤﺎ‬ ‫ﻴﻘﺩﻡ‬DSM-IV.‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻋﺩﻡ‬ ‫ﺍﻟﻤﻌﺎﻫﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻭﺍﻗﻊ‬ ‫ﺒﻌﺽ‬ ‫ﻓﻲ‬ ،‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﺒﻌﺽ‬ ‫ﻴﻔﻀل‬ ‫ﻗﺩ‬
‫ﺍﻟـ‬ ‫ﺘﻘﻴﻴﻡ‬ ‫ﻨﺘﺎﺌﺞ‬ ‫ﻟﺼﻴﺎﻏﺔ‬ ‫ﺇﺭﺸﺎﺩﺍﺕ‬ ‫ﻤﺕ‬‫ﺩ‬‫ﹸ‬‫ﻗ‬ ‫ﺍﻟﺴﺒﺏ‬ ‫ﻭﻟﻬﺫﺍ‬ ،‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﺍﻟﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﻨﻅﺎﻡ‬DSM-IV‫ﺍﻟﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﻨﻅﺎﻡ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﺩﻭﻥ‬‫ﻓﻲ‬ ،‫ﺍﻟﺭﺴﻤﻲ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬
‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻨﻬﺎﻴﺔ‬.
‫ﺍﻟﻤﺤﻭﺭ‬I:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻌﻨﻰ‬‫ﻴ‬I‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﻭﺍﻟﺘﺨﻠﻑ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺨﺘﻠﻔﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺠﻤﻴﻊ‬ ‫ﺒﻭﺼﻑ‬)‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬
‫ﺍﻟﻤﺤﻭﺭ‬II.(‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﹸﺩﺭﺝ‬‫ﺘ‬ ‫ﻜﻤﺎ‬I‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺤﺎﻻﺕ‬.
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬I‫ﹰ‬‫ﺎ‬‫ﺠﻤﻴﻌ‬ ‫ﺫﻜﺭﻫﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ،.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬I‫ﺇﺩﺭﺍﺝ‬ ‫ﻴﻨﺒﻐﻲ‬ ،
‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺴﺒﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬)‫ﺍﻻﺴﺘﺸﺎﺭﺓ‬ ‫ﺩﺍﻋﻲ‬.(‫ﺸ‬ ‫ﻟﺩﻯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺎ‬ ‫ﺨﺹ‬I‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬II
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺴﺒﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺏ‬‫ﺴ‬‫ﺤ‬‫ﻴ‬‫ﺴ‬I‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﻌﻘﺏ‬ ‫ﻟﻡ‬ ‫ﻤﺎ‬II‫ﺩﺓ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺍﻟﻌﺒﺎﺭﺓ‬»)‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬(«‫ﺃﻭ‬
»)‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺴﺒﺏ‬(«.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻭﺠﺩ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬I‫ﺒـ‬ ‫ﺫﻟﻙ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻨﺒﻐﻲ‬ ،V71.09.‫ل‬‫ﺠ‬ُ‫ﺃ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺎ‬ ‫ﺘﺸﺨﻴﺹ‬I‫ﺒﺎﻨﺘﻅﺎﺭ‬ ،
‫ﺒـ‬ ‫ﺫﻟﻙ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺇﻀﺎﻓﻴﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺘﺠﻤﻴﻊ‬799.9.
‫ﺍﻟﻤﺤﻭﺭ‬II:‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻌﻨﻰ‬‫ﻴ‬II‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﻭﺍﻟﺘﺨﻠﻑ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻭﺼﻑ‬.‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﻟﻠﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﺒﺎﺭﺯﺓ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻟﺘﺩﻭﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻜﻤﺎ‬
‫ﻭﺍﻵﻟﻴ‬‫ﺍﻟﺩﻓﺎﻋﻴﺔ‬ ‫ﺎﺕ‬.‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻭﺠﻭﺩ‬ ،‫ﺒﺎﻟﺤﺴﺒﺎﻥ‬ ‫ﻭﺠﻭﺩﻫﺎ‬ ‫ﺇﻤﻜﺎﻨﻴﺔ‬ ‫ﺃﺨﺫ‬ ‫ﻤﺴﺘﻘل‬ ‫ﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﻭﺍﻟﺘﺨﻠﻑ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺇﺩﺭﺍﺝ‬ ‫ﻴﻀﻤﻥ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺘﻭﺠﻴﻪ‬ ‫ﻋﻨﺩ‬ ‫ﹶل‬‫ﻔ‬‫ﻐ‬‫ﻴ‬ ‫ﺃﻥ‬I‫ﺍﻟﻌﺎﺩﺓ‬ ‫ﻓﻲ‬ ‫ﺯﺨﺭﻓﺔ‬ ‫ﺍﻷﻜﺜﺭ‬.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﺇﻥ‬II‫ﺃﻻ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﺃﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻀﻤﻨ‬ ‫ﻴﻌﻨﻲ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺭﻤﺯﺓ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻋﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﺫﺭﻴ‬ ‫ﻤﺨﺘﻠﻑ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﺍﻟﻌﻼﺝ‬ ‫ﻁﻴﻑ‬ ‫ﺃﻭ‬ ‫ﺇﻤﺭﺍﺽ‬I.
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬II‫ﹰ‬‫ﺎ‬‫ﺠﻤﻴﻌ‬ ‫ﺘﺩﻭﻴﻨﻬﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﺸﺎﺌﻌﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻭﻫﻲ‬ ،.‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻭﻋﻨﺩﻤﺎ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻋﻠﻰ‬ ‫ﺘﺸﺨﻴﺹ‬I‫ﻭﺍﻟﻤﺤﻭﺭ‬II‫ﺍﻟﻤﺤﻭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺃﻥ‬ ‫ﻭﺤﻴﺙ‬ ،‫ﺭ‬II‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻓﺈﻨﻪ‬ ،‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺴﺒﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﻫﻭ‬
‫ﺍﻟﻭﺼﻔﻴﺔ‬ ‫ﺍﻟﻌﺒﺎﺭﺓ‬ ‫ﺒﺈﻀﺎﻓﺔ‬ ‫ﺫﻟﻙ‬»)‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬(«‫ﺃﻭ‬»)‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺴﺒﺏ‬(«‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺒﻌﺩ‬II.‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻭﺠﺩ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬

24. 23
‫ﺍﻟﻤﺤﻭﺭ‬II‫ﺒـ‬ ‫ﺫﻟﻙ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻨﺒﻐﻲ‬ ،V71.09.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺎ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬II‫ﺒﺎﻨﺘﻅﺎﺭ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺅﺠ‬‫ﺫﻟﻙ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺇﻀﺎﻓﻴﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺘﺠﻤﻴﻊ‬
‫ﺒـ‬799.9.
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬II،‫ﻤﺤﺩﺩ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﺘﺒﺔ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﻟﻠﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﺒﺎﺭﺯﺓ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻺﺸﺎﺭﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬)‫ﻓﻲ‬
‫ﺘﺭﻤﻴﺯﻱ‬ ‫ﺭﻗﻡ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻋﺩﻡ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﻜﻬﺫﻩ‬ ‫ﺤﺎﻻﺕ‬.(‫ﻵﻟ‬ ‫ﺍﻻﻋﺘﻴﺎﺩﻱ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﻴﻤﻜﻥ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺍﻟﺩﻓﺎﻉ‬ ‫ﻴﺎﺕ‬II.
‫ﺍﻟﻤﺤﻭﺭ‬III:‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬
‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﺩﺒﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺒﻔﻬﻡ‬ ‫ﺼﻠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺤﺘﻤل‬‫ﻴ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺒﻭﺼﻑ‬ ‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻫﺫﺍ‬ ‫ﻌﻨﻰ‬‫ﻴ‬.
‫ﻓﺼل‬ ‫ﺨﺎﺭﺝ‬ ‫ﻤﺼﻨﻔﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻭﻫﺫﻩ‬»‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬«‫ﺍﻟـ‬ ‫ﻓﻲ‬ICD-9-CM)‫ﺍﻟﻔﺼل‬ ‫ﺨﺎﺭﺝ‬ ‫ﻭﻜﺫﻟﻙ‬V‫ﺍﻟـ‬ ‫ﻤﻥ‬ICD-10) .(‫ﻤﻥ‬ ‫ﻟﻤﺯﻴﺩ‬
‫ﻟﻠـ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺘﺸﺘﻤل‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻔﺼﻠﺔ‬ ‫ﺍﻟﻘﻭﺍﺌﻡ‬ICD-9-CM‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺭﺍﺠﻊ‬ ،G.(
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﺍﻟﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﺘﻤﻴﻴﺯ‬ ‫ﻴﻌﻨﻲ‬ ‫ﻻ‬I‫ﻭﺍﻟﻤﺤﻭﺭ‬II‫ﻭﺍﻟﻤﺤﻭﺭ‬III‫ﺼﻠﺔ‬ ‫ﻻ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻤﻔﻬﻭﻤﻲ‬ ‫ﺘﺼﻭﺭﻫﺎ‬ ‫ﻓﻲ‬ ‫ﺠﻭﻫﺭﻴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻓﺭﻭﻗ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺃﻥ‬
‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺔ‬ ‫ﺍﻟﺤﺩﺜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻌﻭﺍﻤل‬ ‫ﻟﻬﺎ‬ ‫ﺼﻠﺔ‬ ‫ﻻ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺒﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﺤﺩﺜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻌﻭﺍﻤل‬ ‫ﻟﻬﺎ‬.‫ﺇﻥ‬
‫ﺍﻟ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻌﻨﻴﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻭﺘﻌﺯﻴﺯ‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻹﺤﻜﺎﻡ‬ ‫ﺍﻟﺩﻗﺔ‬ ‫ﺘﺸﺠﻴﻊ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺘﻤﻴﻴﺯ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻐﺭﺽ‬‫ﺼﺤﻴﺔ‬.
‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﺒﻁﺭﻕ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬.‫ﺒﺔ‬‫ﺒ‬‫ﺴ‬‫ﻤ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺃﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻠﻴ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺒﻌﺽ‬ ‫ﻓﻲ‬
‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺁﻟﻴﺔ‬ ‫ﺍﻟﺘﺄﺜﻴﺭ‬ ‫ﻫﺫﺍ‬ ‫ﺁﻟﻴﺔ‬ ‫ﻭﺃﻥ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻔﺎﻗﻡ‬ ‫ﺃﻭ‬ ‫ﻟﺘﻁﻭﺭ‬ ‫ﻤﺒﺎﺸﺭ‬ ‫ﺒﺸﻜل‬.‫ﻋﺎ‬ ‫ﻫﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻘﻠﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻀﻁﺭﺍﺒ‬ ‫ﺃﻥ‬ ‫ﺍﻋﺘﺒﺎﺭ‬ ‫ﻭﻋﻨﺩ‬‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻗﺒﺔ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬I‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻭﻴﺠﺏ‬
‫ﺍﻟﻤﺤﻭﺭﻴﻥ‬I‫ﻭ‬III.‫ﺍﻟﻤﺤﻭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻴﻜﻭﻥ‬ ،‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻸﻋﺭﺍﺽ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺒﺎﺸﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺒﺒ‬ ‫ﺍﻟﺩﺭﻗﻴﺔ‬ ‫ﻗﺼﻭﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻓﻌﻠﻰ‬‫ﺭ‬I‫ﻫﻭ‬293.83
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺯ‬‫ﻤ‬‫ﻭﻴﺭ‬ ‫ﹰ‬‫ﺔ‬‫ﺜﺎﻨﻴ‬ ‫ﺍﻟﺩﺭﻗﻴﺔ‬ ‫ﻗﺼﻭﺭ‬ ‫ﺩﺭﺝ‬‫ﻴ‬‫ﻭ‬ ،‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﺩﺭﻗﻴﺔ‬ ‫ﻗﺼﻭﺭ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬III‫ﺒـ‬244.9.
‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﺸﺨﻴﺼ‬ ‫ﻟﺘﺴﺘﺄﻫل‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﻭﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺴﺒﺒﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻭﻓﻲ‬
‫ﺍﻟﻤﺤﻭﺭ‬I‫ﻤﻨﺎﺴﺏ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺇﺩﺭﺍﺝ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻋﻘﻠﻲ‬ ‫ﻜﺎﻀﻁﺭﺍﺏ‬)‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬(‫ﻋﻠﻰ‬ ‫ﻭﺘﺭﻤﻴﺯﻩ‬
‫ﺍﻟﻤﺤﻭﺭ‬I‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻓﻘﻁ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻭﻴﻨﺒﻐﻲ‬ ‫؛‬III.
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻓﻴﻬﺎ‬ ‫ل‬‫ﺠ‬‫ﹸﺴ‬‫ﺘ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺤﺎﻻﺕ‬ ‫ﺜﻤﺔ‬III‫ﻓ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻷﻫﻤﻴﺘﻬﺎ‬‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻼﺝ‬ ‫ﺃﻭ‬ ‫ﺸﺎﻤل‬ ‫ﻬﻡ‬.
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺎ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬I‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﻔﺴﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﺭﺘﻜﺎﺴ‬III)‫ﺘﻁﻭﺭ‬ ،‫ﻤﺜﺎل‬309.0‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬ ‫ﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﺜﺩﻱ‬ ‫ﺴﺭﻁﺎﻥ‬ ‫ﻟﺘﺸﺨﻴﺹ‬ ‫ﻜﺎﺭﺘﻜﺎﺱ‬.(‫ﺒﺎﻻﻀﻁﺭ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺼﻠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺒﻌﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻻ‬ ‫ﻗﺩ‬‫ﻟﻬﺎ‬ ‫ﺫﻟﻙ‬ ‫ﺭﻏﻡ‬ ‫ﻭﻟﻜﻥ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﺏ‬
‫ﻤﻬﻤﺔ‬ ‫ﻋﻼﺠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺇﻨﺫﺍﺭﻴﺔ‬ ‫ﺘﻀﻤﻴﻨﺎﺕ‬)‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ،‫ﻤﺜﺎل‬I‫ﻫﻭ‬296.30‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻭﻋﻠﻰ‬ ،‫ﻤﻌﺎﻭﺩ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
III427.9‫ﺍﻟﺩ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﺇﺩﺨﺎل‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺎﻤﺔ؛‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺒﺎﻟﺤﺎﻟﺔ‬ ‫ﻴﺘﺄﺜﺭ‬ ‫ﺍﻟﺩﻭﺍﺌﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺍﺨﺘﻴﺎﺭ‬ ‫ﻓﺈﻥ‬ ،‫ﻨﻅﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻤﺴﺘﺸﻔﻰ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺴﻜﺭﻱ‬ ‫ﺍﺀ‬
‫ﺒﺎﻹﻨﺴﻭﻟﻴﻥ‬ ‫ﺍﻟﺘﺩﺒﻴﺭ‬ ‫ﻤﺭﺍﻗﺒﺔ‬ ‫ﻴﺠﺏ‬ ‫ﺤﻴﺙ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺘﻔﺎﻗﻡ‬ ‫ﺒﺴﺒﺏ‬.
‫ﺒﺎﻟﻤﺤﻭﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺼﻠﺔ‬ ‫ﺫﻱ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬III‫ﹰ‬‫ﺎ‬‫ﺠﻤﻴﻌ‬ ‫ﺘﺴﺠﻴﻠﻬﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ،.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻭﺠﺩ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬
III‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺒﺎﻟﻁﺭﻴﻘﺔ‬ ‫ﺫﻟﻙ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬ ‫ﻴﻨﺒﻐﻲ‬ ،:»‫ﺍﻟﻤﺤﻭﺭ‬III:‫ﺸﻲ‬ ‫ﻻ‬‫ﺀ‬«.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬III‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺘﺠﻤﻴﻊ‬ ‫ﺒﺎﻨﺘﻅﺎﺭ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺅﺠ‬
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺒﺎﻟﻁﺭﻴﻘﺔ‬ ‫ﺫﻟﻙ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺇﻀﺎﻓﻴﺔ‬:»‫ﺍﻟﻤﺤﻭﺭ‬III:‫ﻤﺅﺠل‬«.
‫ﺍﻟﻤﺤﻭﺭ‬IV:‫ﻭﺍﻟﺒﻴﺌﻴﺔ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻴﺴﻤﺢ‬IV‫ﺘ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺒﻴﺌﻴﺔ‬ ‫ﻭﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺒﻔﻬﻡ‬‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻭﺇﻨﺫﺍﺭ‬ ‫ﻭﻋﻼﺝ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﻠﻰ‬ ‫ﺅﺜﺭ‬
)‫ﺍﻟﻤﺤﻭﺭﻴﻥ‬I‫ﻭ‬II.(‫ﺃﻭ‬ ‫ﻋﺎﺌﻠﻴﺔ‬ ‫ﺸﺩﺓ‬ ‫ﺃﻭ‬ ،‫ﻗﺼﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺒﻴﺌﻴﺔ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻠﺒﻲ‬ ‫ﺤﻴﺎﺘﻲ‬ ‫ﺤﺩﺙ‬ ‫ﻋﻥ‬ ‫ﻋﺒﺎﺭﺓ‬ ‫ﺍﻟﺒﻴﺌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬
‫ﺒﺴ‬ ‫ﻤﺘﺼﻠﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﺭﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺩﻋﻡ‬ ‫ﻜﻔﺎﻴﺔ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻭ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬‫ﺍﻟﺸﺨﺹ‬ ‫ﺼﻌﻭﺒﺎﺕ‬ ‫ﻓﻴﻪ‬ ‫ﺤﺩﺜﺕ‬ ‫ﻴﺎﻕ‬.‫ﺘﺩﻋﻰ‬ ‫ﻤﺎ‬ ‫ﺃﻤﺎ‬
‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺸﺨﺹ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺤﺎل‬ ‫ﻫﻭ‬ ‫ﻤﺜﻠﻤﺎ‬ ،‫ﻤﺎ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﺇﻟﻰ‬ ‫ﻗﺎﺩﺕ‬ ‫ﺃﻭ‬ ‫ﺴﺎﻫﻤﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬ ‫ﺇﺩﺭﺍﺠﻬﺎ‬ ‫ﻓﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ﻜﺎﻟﺘﺭﻗﻴﺔ‬ ،‫ﺍﻹﻴﺠﺎﺒﻴﺔ‬ ‫ﺒﺎﻟﺸﺩﺍﺕ‬
‫ﺍﻟﺠﺩﻴﺩ‬ ‫ﺍﻟﻭﻀﻊ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬.‫ﺍﻟﻤﺸﻜ‬ ‫ﻓﺈﻥ‬ ،‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻔﺎﻗﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺇﻁﻼﻕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺩﻭﺭ‬ ‫ﺘﻠﻌﺏ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺘﺘﻁﻭﺭ‬ ‫ﻗﺩ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻼﺕ‬
‫ﻟﻠﺘﺩﺒﻴﺭ‬ ‫ﺍﻟﺸﺎﻤﻠﺔ‬ ‫ﺍﻟﺨﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻋﺘﺒﺎﺭﻫﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﻥ‬‫ﻭ‬‫ﺘﻜ‬ ‫ﻗﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻹﻤﺭﺍﻀﻴﺔ‬ ‫ﻜﻨﺘﻴﺠﺔ‬.
‫ﺼﻠﺔ‬ ‫ﺫﻭ‬ ‫ﺃﻨﻪ‬ ‫ﺭ‬‫ﺩ‬‫ﻴﻘ‬ ‫ﻤﺎ‬ ‫ﻜل‬ ‫ﻴﺴﺠل‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﻋﺩﻴﺩﺓ‬ ‫ﺒﻴﺌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬.،‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺠﺏ‬
‫ﺍﻟﺭﺍﻫﻥ‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﺴﺒﻘﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺴﻨﺔ‬ ‫ﺨﻼل‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻭﺍﻟﺒﻴﺌﻴﺔ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺘﻠﻙ‬ ‫ﻓﻘﻁ‬ ‫ﻴﺴﺠل‬ ‫ﺃﻥ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬.‫ﻴﻤﻜﻥ‬ ‫ﺃﻨﻪ‬ ‫ﺒﻴﺩ‬

25. 24
‫ﺒﺎﻻﻀﻁﺭﺍ‬ ‫ﺒﺠﻼﺀ‬ ‫ﺘﺴﺎﻫﻡ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻷﺨﻴﺭﺓ‬ ‫ﻟﻠﺴﻨﺔ‬ ‫ﺍﻟﺴﺎﺒﻘﺔ‬ ‫ﻭﺍﻟﺒﻴﺌﻴﺔ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻴﺨﺘﺎﺭ‬ ‫ﺃﻥ‬ ‫ﻟﻠﻁﺒﻴﺏ‬‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺏ‬
‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺩﺕ‬ ‫ﺴﺎﺒﻘﺔ‬ ‫ﻗﺘﺎﻟﻴﺔ‬ ‫ﺘﺠﺎﺭﺏ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬ ‫ـ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺒﺅﺭﺓ‬ ‫ﺃﺼﺒﺤﺕ‬ ‫ﺃﻭ‬.
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻤﻌﻅﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺸﺎﺭ‬‫ﻴ‬‫ﺴ‬ ،‫ﺍﻟﻌﻤﻠﻴﺔ‬ ‫ﺍﻟﻤﻤﺎﺭﺴﺔ‬ ‫ﻓﻲ‬IV.،‫ﺒﻴﺌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ،‫ﻭﻟﻜﻥ‬
‫ﻟﻼﻫﺘﻤﺎ‬ ‫ﺍﻟﺭﺌﻴﺴﻴﺔ‬ ‫ﺍﻟﺒﺅﺭﺓ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺘﺴﺠﻴﻠﻬﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻡ‬I‫ﻓﺼل‬ ‫ﻤﻥ‬ ‫ﻤﺴﺘﻤﺩ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻤﻊ‬ ،»‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺤﺎﻻﺕ‬
‫ﺍﻟﺴﺭﻴﺭﻱ‬«.
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻔﺌﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺨﺘﻠﻔﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺃﻨﻤﺎﻁ‬ ‫ﻀﻌﺕ‬‫ﻭ‬ ،‫ﻋﻤﻠﻴﺔ‬ ٍ‫ﻉ‬‫ﻟﺩﻭﺍ‬:
*‫ـ‬ ‫ﺍﻟﺭﺌﻴﺴﻴﺔ‬ ‫ﺍﻟﺩﻋﻡ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬‫ﻓﻲ‬ ‫ﺼﺤﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﺍﻟﻌﺎﺌﻠﺔ؛‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﺃﺤﺩ‬ ‫ﻤﻭﺕ‬ ‫ﻤﺜل‬‫ﺃﻭ‬ ‫ﺍﻟﻁﻼﻕ‬ ‫ﺒﺎﻻﻨﻔﺼﺎل؛‬ ‫ﺍﻟﻌﺎﺌﻠﺔ‬ ‫ﺘﻤﺯﻕ‬ ‫ﺍﻟﻌﺎﺌﻠﺔ؛‬
‫ﺍﻟﻜﺎﻓﻲ؛‬ ‫ﻏﻴﺭ‬ ‫ﺍﻻﻨﻀﺒﺎﻁ‬ ‫ﺍﻟﻁﻔل؛‬ ‫ﺇﻫﻤﺎل‬ ‫ﺍﻷﺒﻭﻴﺔ؛‬ ‫ﺍﻟﺤﻤﺎﻴﺔ‬ ‫ﻓﺭﻁ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ؛‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬ ‫ﻟﻠﻭﺍﻟﺩ؛‬ ‫ﺍﻟﺜﺎﻨﻲ‬ ‫ﺍﻟﺯﻭﺍﺝ‬ ‫ﺍﻟﺒﻴﺕ؛‬ ‫ﻤﻥ‬ ‫ﺍﻻﻨﺘﻘﺎل‬ ‫ﺤﺸﺔ؛‬‫ﻭ‬‫ﺍﻟ‬
‫ﺸﻘﻴﻕ‬ ‫ﻭﻻﺩﺓ‬ ‫ﺍﻷﺸﻘﺎﺀ؛‬ ‫ﻤﻊ‬ ‫ﺍﻟﻨﺯﺍﻉ‬.
*‫ـ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺒﺎﻟﻤﺤﻴﻁ‬ ‫ﺍﻟﻤﺘﺼﻠﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬‫ﺃﻭ‬ ‫ﻤﻭﺕ‬ ‫ﻤﺜل‬‫ﺍﻟﺜﻘﺎﻓﻲ؛‬ ‫ﻊ‬‫ﺒ‬‫ﺍﻟﺘﻁ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺍﻟﻤﻨﻔﺭﺩ؛‬ ‫ﺍﻟﻌﻴﺵ‬ ‫ﻜﺎﻑ؛‬ ‫ﻏﻴﺭ‬ ‫ﺍﺠﺘﻤﺎﻋﻲ‬ ‫ﺩﻋﻡ‬ ‫ﺼﺩﻴﻕ؛‬ ‫ﻓﻘﺩ‬
‫ﺍﻟﺤﻴﺎﺓ‬ ‫ﺩﻭﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﺤﻭل‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻟﺘﻤﻴﻴﺯ؛‬)‫ﺍﻟﺘﻘﺎﻋﺩ‬ ‫ﻤﺜل‬.(
*‫ـ‬ ‫ﺍﻟﺘﻌﻠﻴﻤﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬‫ﺍﻟﻤﻼﺌﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﺩﺭﺴﻴﺔ‬ ‫ﺍﻟﺒﻴﺌﺔ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ؛‬ ‫ﺯﻤﻼﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﻠﻤﻴﻥ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻨﺯﺍﻉ‬ ،‫ﺍﻷﻜﺎﺩﻴﻤﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺍﻷﻤﻴﺔ؛‬ ،‫ﻤﺜل‬.
*‫ﺍﻟ‬‫ـ‬ ‫ﺍﻟﻤﻬﻨﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬‫ﺘﻐﻴﻴﺭ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ؛‬ ‫ﻤﻥ‬ ‫ﺍﻻﺴﺘﻴﺎﺀ‬ ‫ﺍﻟﺼﻌﺒﺔ؛‬ ‫ﺍﻟﻌﻤل‬ ‫ﻅﺭﻭﻑ‬ ‫ﺍﻟﻀﺎﻏﻁ؛‬ ‫ﺍﻟﻌﻤل‬ ‫ﺠﺩﻭل‬ ‫ﺍﻟﻭﻅﻴﻔﺔ؛‬ ‫ﺒﻔﻘﺩﺍﻥ‬ ‫ﺍﻟﺘﻬﺩﻴﺩ‬ ‫ﺍﻟﺒﻁﺎﻟﺔ؛‬ ،‫ﻤﺜل‬
‫ﺍﻟﻌﻤل‬ ‫ﺯﻤﻼﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﻴﺭ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻨﺯﺍﻉ‬ ‫ﺍﻟﻌﻤل؛‬.
*‫ـ‬ ‫ﺍﻟﺴﻜﻥ‬ ‫ﻤﺸﻜﻼﺕ‬‫ﺍﻟﻤﺎﻟ‬ ‫ﻤﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻴﺭﺍﻥ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻨﺯﺍﻉ‬ ‫ﺍﻵﻤﻥ؛‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻭﺍﺭ‬ ‫ﺍﻟﻤﻼﺌﻡ؛‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺴﻜﻥ‬ ‫ﺍﻟﺘﺸﺭﺩ؛‬ ،‫ﻤﺜل‬‫ﻙ‬.
*‫ـ‬ ‫ﺍﻻﻗﺘﺼﺎﺩﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬‫ﺍﻟﻘﺎﺼﺭ‬ ‫ﺍﻟﻤﻌﻴﺸﻲ‬ ‫ﺍﻟﺩﻋﻡ‬ ‫ﻜﺎﻓﻴﺔ؛‬ ‫ﻏﻴﺭ‬ ‫ﺃﻤﻭﺍل‬ ‫ﺍﻟﻤﺩﻗﻊ؛‬ ‫ﺍﻟﻔﻘﺭ‬ ،‫ﻤﺜل‬.
*‫ـ‬ ‫ﺍﻟﺼﺤﻴﺔ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺨﺩﻤﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺼﻭل‬ ‫ﻤﺸﻜﻼﺕ‬‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺘﺴﻬﻴﻼﺕ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻨﻘل‬ ‫ﻨﻅﺎﻡ‬ ‫ﺘﻭﻓﺭ‬ ‫ﻋﺩﻡ‬ ‫ﺍﻟﻜﺎﻓﻴﺔ؛‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺼﺤﻴﺔ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺨﺩﻤﺎﺕ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻜﺎﻓﻲ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺼﺤﻲ‬ ‫ﺍﻟﻀﻤﺎﻥ‬ ‫ﺍﻟﺼﺤﻴﺔ؛‬.
*‫ﺍﻟﻤﺘﺼ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬‫ﺍﻟﻘﻀﺎﺌﻲ‬ ‫ﺍﻟﻨﻅﺎﻡ‬ ‫ﻤﻊ‬ ‫ﺒﺎﻟﻌﻼﻗﺔ‬ ‫ﻠﺔ‬/‫ـ‬ ‫ﺍﻟﺠﺭﻴﻤﺔ‬‫ﺠﺭﻴﻤﺔ‬ ‫ﻀﺤﻴﺔ‬ ‫ﺍﻟﻤﻘﺎﻀﺎﺓ؛‬ ‫ﺍﻟﺤﺒﺱ؛‬ ‫ﺍﻟﺘﻭﻗﻴﻑ؛‬ ،‫ﻤﺜل‬.
*‫ـ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻭﺒﻴﺌﻴﺔ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬‫ﻤﺎﺓ‬‫ﺤ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻨﺯﺍﻉ‬ ‫ﺍﻷﺨﺭﻯ؛‬ ‫ﺍﻻﻋﺘﺩﺍﺀﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺭﺏ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻜﻭﺍﺭﺙ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﻤﺜل‬)‫ﺭﺍﻋﻴﻥ‬(‫ﻏﻴﺭ‬ ‫ﻤﻥ‬
‫ﻋﺩﻡ‬ ‫ﺍﻟﻁﺒﻴﺏ؛‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻌﺎﻤل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺸﺩ‬ ‫ﻤﺜل‬ ‫ﺍﻷﺴﺭﺓ‬‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﺨﺩﻤﺔ‬ ‫ﻤﻜﺎﺘﺏ‬ ‫ﺘﻭﻓﺭ‬.
‫ﺍﻟﻤﺤﻭﺭ‬V:‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻴﺴﻤﺢ‬V‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺤﻜﻡ‬ ‫ﺃﻥ‬ ‫ﻟﻠﻁﺒﻴﺏ‬.‫ﻭﻗﻴﺎﺱ‬ ‫ﻟﻠﻤﻌﺎﻟﺠﺔ‬ ‫ﺍﻟﺘﺨﻁﻴﻁ‬ ‫ﻓﻲ‬ ‫ﻤﻔﻴﺩﺓ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻭﻫﺫﻩ‬
‫ﺍﻟﻨﺘﻴﺠﺔ‬ ‫ﺘﻭﻗﻊ‬ ‫ﻓﻲ‬ ‫ﻭﻜﺫﻟﻙ‬ ،‫ﺃﺜﺭﻫﺎ‬.
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺒﺘﺴﺠﻴل‬ ‫ﺍﻟﻘﻴﺎﻡ‬ ‫ﻴﻤﻜﻥ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺸﺎﻤل‬V‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﻟﺴ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﺒﺎﺴﺘﺨﺩﺍﻡ‬(GAF))*(
.‫ﹼﻡ‬‫ﻠ‬‫ﺴ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬(GAF)
‫ﺒ‬ ‫ﻭﺫﻟﻙ‬ ،‫ﺸﻤﻭﻟﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻟﻸﺸﺨﺎﺹ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻟﺘﺭﻗﻲ‬ ‫ﺃﺜﺭ‬ ‫ﺘﺘﺒﻊ‬ ‫ﻓﻲ‬ ‫ﺨﺎﺹ‬ ‫ﺒﻭﺠﻪ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻔﻴﺩ‬‫ﻭﺤﻴﺩ‬ ‫ﻗﻴﺎﺱ‬ ‫ﺎﺴﺘﺨﺩﺍﻡ‬.‫ﺘﺩﺭﻴﺞ‬ ‫ﻴﻨﺒﻐﻲ‬)‫ﺘﻘﻭﻴﻡ‬(‫ﺴﻠﻡ‬(GAF)
‫ﻭﺍﻟﻤﻬﻨﻲ‬ ‫ﻭﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺤﺴﺏ‬.،‫ﺍﻟﺘﻌﻠﻴﻤﺎﺕ‬ ‫ﺘﺤﺩﺩ‬ ‫ﺤﻴﺙ‬»‫ﺘﺤﺩﻴﺩﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﻥ‬‫ﻤ‬‫ﺘﻀ‬ ‫ﻻ‬
/‫ﺘﻘﻴﻴﺩﺍﺕ‬/‫ﺠﺴﺩﻴﺔ‬)‫ﺒﻴﺌﻴﺔ‬ ‫ﺃﻭ‬(«.
‫ﹼﻡ‬‫ﻠ‬‫ﺴ‬ ‫ﻘﺴﻡ‬‫ﻴ‬GAF‫ﺇﻟﻰ‬10‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﻤﺠﺎﻻﺕ‬.‫ﺇﺠﺭﺍﺀ‬ ‫ﻭﻴﺸﻤل‬‫ﺘﺩﺭﻴﺞ‬GAF‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﺃﻓﻀل‬ ‫ﻨﺤﻭ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻌﻜﺱ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﻗﻴﻤﺔ‬ ‫ﺍﻨﺘﻘﺎﺀ‬
‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬.‫ﺴﻠﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻌﺸﺭﺓ‬ ‫ﺍﻟﻨﻘﺎﻁ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺠﺎل‬ ‫ﻜل‬ ‫ﻭﺼﻑ‬ ‫ﻭﻴﻤﺘﻠﻙ‬GAF‫ﺠﺯﺌﻴﻥ‬:‫ﺃﻤﺎ‬ ،‫ﺍﻟﻌﺭﺽ‬ ‫ﺸﺩﺓ‬ ‫ﺍﻷﻭل‬ ‫ﺍﻟﺠﺯﺀ‬ ‫ﻴﻐﻁﻲ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻴﻐﻁﻲ‬ ‫ﺍﻟﺜﺎﻨﻲ‬.‫ﺴﻠﻡ‬ ‫ﻴﻌﺘﺒﺭ‬GAF‫ﺸﺩﺓ‬ ‫ﺇﻤﺎ‬ ‫ﻭﻗﻌﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺨﺎﺼﺔ‬ ‫ﻋﺸﺭﻴﺔ‬ ‫ﺴﻠﺴﻠﺔ‬ ‫ﻀﻤﻥ‬‫ﻀﻤﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬
‫ﺍﻟﻤﺠﺎل‬.‫ﺍﻟﻤﺠﺎل‬ ‫ﻤﻥ‬ ‫ﺍﻷﻭل‬ ‫ﺍﻟﺠﺯﺀ‬ ‫ﻴﺼﻑ‬ ‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻓﻌﻠﻰ‬41-50»‫ﺍﻟﺨﻁﻴﺭﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬)‫ﺍﻟﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺍﻟﻁﻘﻭﺱ‬ ،‫ﺍﻻﻨﺘﺤﺎﺭﻱ‬ ‫ﺍﻟﺘﻔﻜﻴﺭ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﻤﺘﻜﺭﺭﺓ‬ ‫ﺍﻟﻤﺤﻼﺕ‬ ‫ﺴﺭﻗﺔ‬ ،‫ﺍﻟﺸﺩﻴﺩﺓ‬(«‫ﺍﻟﻤﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺨﻁﻴﺭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻱ‬ ‫ﺍﻟﺜﺎﻨﻲ‬ ‫ﺍﻟﺠﺯﺀ‬ ‫ﻭﻴﺘﻀﻤﻥ‬‫ﺭﺴﻲ‬)‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬ ،‫ﻤﺜﺎل‬
‫ﺒﻌﻤل‬ ‫ﺍﻻﺤﺘﻔﺎﻅ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻋﺩﻡ‬ ،‫ﺃﺼﺩﻗﺎﺀ‬.(‫ﺍﻷﺩﺍﺀ‬ ‫ﻭﻤﺴﺘﻭﻯ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﺸﺩﺓ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻻﻨﺴﺠﺎﻡ‬ ‫ﻋﺩﻡ‬ ‫ﺤﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻨﻪ‬ ‫ﻤﻼﺤﻅﺔ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﺩﺭﺠﺔ‬ ‫ﻓﺈﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬GAF‫ﺃﺴﻭﺃﻫﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﺩﻭﻤ‬ ‫ﺘﻌﻜﺱ‬ ‫ﺍﻟﻨﻬﺎﺌﻴﺔ‬.‫ﺩﺭﺠﺔ‬ ‫ﺴﺘﻜﻭﻥ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬GAF‫ﺭﻏﻡ‬ ‫ﺫﺍﺘﻪ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺒﻴﺭ‬ ‫ﹰ‬‫ﺍ‬‫ﺨﻁﺭ‬ ‫ﻴﺸﻜل‬ ‫ﻟﺸﺨﺹ‬
‫ﺃﺩ‬‫ﺍﻟـ‬ ‫ﺩﻭﻥ‬ ،‫ﺍﻟﺠﻴﺩ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﺌﻪ‬20.‫ﺩﺭﺠﺔ‬ ‫ﻓﺈﻥ‬ ،‫ﻤﻤﺎﺜل‬ ‫ﻨﺤﻭ‬ ‫ﻭﻋﻠﻰ‬GAF‫ﻜﺒﻴﺭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻤﻊ‬ ‫ﻭﻟﻜﻥ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺍﻷﺩﻨﻰ‬ ‫ﺍﻟﺤﺩ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻟﺸﺨﺹ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬)‫ﺇﻤﺭﺍﻀﻴﺔ‬ ‫ﺃﻴﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻭﺃﺼﺩﻗﺎﺌﻪ‬ ‫ﻋﻤﻠﻪ‬ ‫ﻓﻘﺩﺍﻥ‬ ‫ﺇﻟﻰ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺒﺎﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻗﺎﺩﻩ‬ ‫ﺸﺨﺹ‬ ،‫ﻤﺜﺎل‬
‫ﻨﻔﺴﻴﺔ‬(‫ﺴﺘﻜﻭﻥ‬40‫ﺫﻟﻙ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺃﻭ‬.

26. 25
‫ﺍﻟﺘﺩﺭﻴﺞ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻓﻲ‬)‫ﺍﻟﺩﺭﺠﺎﺕ‬ ‫ﻭﻀﻊ‬(‫ﺴﻠﻡ‬ ‫ﻋﻠﻰ‬GAF‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺒﺎﻟﻔﺘﺭﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻌﻨﻴ‬)‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﻭﻗﺕ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺴﺘﻭﻯ‬ ،‫ﺃﻱ‬(
‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻼﺝ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺤﺎﺠﺔ‬ ‫ﻋﺎﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺴﻴﻌﻜﺱ‬ ‫ﺍﻟﺭﺍﻫﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺩﺭﺠﺎﺕ‬ ‫ﻭﻀﻊ‬ ‫ﻷﻥ‬.‫ﻭﺁﺨﺭ‬ ‫ﻴﻭﻡ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﻔﺎﻭﺕ‬ ‫ﻭﻟﺤﺴﺎﺏ‬‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬
‫ﺘﺩﺭﻴﺞ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻤﻠﻴ‬ ‫ﻴﺒﺭﻤﺞ‬ ،‫ﺍﻟﻭﻅﻴﻔﻲ‬GAF»‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﻟﻠﻔﺘﺭﺓ‬«‫ﺍﻟﻤﺎﻀﻲ‬ ‫ﻟﻸﺴﺒﻭﻉ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﻜﺄﺨﻔﺽ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺤﻴﺎﻨ‬.‫ﺒﻌﺽ‬ ‫ﻓﻲ‬ ،‫ﹰ‬‫ﺍ‬‫ﻤﻔﻴﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬
‫ﺴﻠﻡ‬ ‫ﺘﺩﺭﻴﺞ‬ ‫ﺘﺩﻭﻴﻥ‬ ،‫ﺍﻟﻤﻭﺍﻗﻊ‬GAF‫ﺍﻟﺘﺨﺭﻴﺞ‬ ‫ﻭﻭﻗﺕ‬ ‫ﺍﻟﻘﺒﻭل‬ ‫ﻭﻗﺕ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻓﻲ‬.‫ﺴﻠﻡ‬ ‫ﺝ‬‫ﺭ‬‫ﺩ‬‫ﻴ‬ ‫ﻗﺩ‬GAF‫ﺃﺨﺭﻯ‬ ‫ﻓﺘﺭﺍﺕ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬)‫ﺍﻟﻤﺴﺘﻭﻯ‬ ،‫ﻤﺜﺎل‬
‫ﺍ‬‫ﺍﻟﻤﺎﻀﻴﺔ‬ ‫ﺍﻟﺴﻨﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬ ‫ﻟﺒﻀﻌﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﻷﻋﻠﻰ‬.(‫ﺴﻠﻡ‬ ‫ل‬‫ﺠ‬‫ﺴ‬‫ﻴ‬GAF‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬V‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬:»GAF=«‫ﺒﺘﺩﺭﻴﺞ‬ ‫ﻊ‬‫ﺒ‬‫ﺘ‬‫ﻴ‬ ،
GAF‫ﻤﻥ‬0‫ﺇﻟﻰ‬100،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬ ‫ـ‬ ‫ﻗﻭﺴﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﺩﺭﻴﺞ‬ ‫ﻴﻌﻜﺴﻬﺎ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺯﻤﻨﻴﺔ‬ ‫ﺒﺎﻟﻔﺘﺭﺓ‬ ‫ﺘﺒﻊ‬‫ﻴ‬ ،»)‫ﺍﻟﺭﺍﻫﻥ‬(«،»)‫ﺍﻟﺴﻨﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﻠﻰ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬
‫ﺍﻟﻤﺎ‬‫ﻀﻴﺔ‬(«،»)‫ﺍﻟﺘﺨﺭﻴﺞ‬ ‫ﻋﻨﺩ‬(«.
‫ﺴﻠﻡ‬ ‫ﻤﻥ‬ ‫ﻋﻨﺼﺭ‬ ‫ﺃﻱ‬ ‫ﺇﻫﻤﺎل‬ ‫ﻋﺩﻡ‬ ‫ﻀﻤﺎﻥ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬GAF‫ﺘﺩﺭﻴﺞ‬ ‫ﺇﺠﺭﺍﺀ‬ ‫ﻋﻨﺩ‬GAF‫ﺘﺩﺭﻴﺞ‬ ‫ﺇﺠﺭﺍﺀ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻁﺭﻴﻘﺔ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬ ،GAF:
‫ﺍﻟﺨﻁﻭﺓ‬1:‫ﺒﺎﻟﺴﺅﺍل‬ ‫ﻤﺠﺎل‬ ‫ﻜل‬ ‫ﻡ‬‫ﻴ‬‫ﻗ‬ ،‫ﺍﻷﻋﻠﻰ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﺩﺀ‬»‫ﻤ‬ ‫ﺃﺴﻭﺃ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺸﺩﺓ‬ ‫ﻫل‬‫ﻥ‬‫ﻴ‬‫ﻤﺒ‬ ‫ﻫﻭ‬ ‫ﻤﺎ‬
‫ﺍﻟﻤﺠﺎل؟‬ ‫ﻭﺼﻑ‬ ‫ﻓﻲ‬«.
‫ﺍﻟﺨﻁﻭﺓ‬2:‫ﻴﻁﺎﺒﻕ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻤﺠﺎل‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﺤﺘﻰ‬ ‫ﺍﻟﺴﻠﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻨﺯﻭل‬ ‫ﺘﺎﺒﻊ‬)‫ﻴﻼﺌﻡ‬(،‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺸﺩﺓ‬
‫ﺃﺴﻭﺃ‬ ‫ﻭﺃﻴﻬﻤﺎ‬.
‫ﺍﻟﺨﻁﻭﺓ‬3:‫ﺍﻷﻭﺍﻥ‬ ‫ﻗﺒل‬ ‫ﹶ‬‫ﺕ‬‫ﺘﻭﻗﻔ‬ ‫ﻗﺩ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﺯﺩﻭﺝ‬ ‫ﺍﻟﺘﺤﻘﻕ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺍﻷﺨﻔﺽ‬ ‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﺍﻟﻤﺠﺎل‬ ‫ﺇﻟﻰ‬ ‫ﺍﻨﻅﺭ‬.‫ﹰ‬‫ﺍ‬‫ﺸﺩﻴﺩ‬ ‫ﺍﻟﻤﺠﺎل‬ ‫ﻫﺫﺍ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻭﻤﺴﺘﻭﻯ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺸﺩﺓ‬ ‫ﻨﺎﺤﻴﺔ‬ ‫ﻤﻥ‬.‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﺍﻟﻤﺠﺎل‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﺘﻡ‬ ‫ﻓﻘﺩ‬ ،‫ﻜﺫﻟﻙ‬ ‫ﺍﻷﻤﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﺍﻟﺨﻁﻭﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺘﺎﺒﻊ‬4.(‫ﻟﻡ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﺨﻁﻭﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺩﺭﺍﺠﻙ‬ ‫ﺩ‬‫ﻋ‬ ،‫ﻜﺫﻟﻙ‬ ‫ﻴﻜﻥ‬2‫ﺍﻟﺴﻠﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻨﺯﻭل‬ ‫ﻭﺘﺎﺒﻊ‬.
‫ﺍﻟﺨﻁﻭﺓ‬4:‫ﺘﺩﺭﻴﺞ‬ ‫ﻟﺘﺤﺩﻴﺩ‬GAF‫ﻀﻤﻥ‬ ‫ﺍﻟﻨﻭﻋﻲ‬‫ﺍﻟﻨﻬﺎﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻀﻊ‬ ،‫ﺍﻟﻤﺨﺘﺎﺭ‬ ‫ﺍﻟﻌﺸﺭ‬ ‫ﺍﻟﻨﻘﺎﻁ‬ ‫ﻤﺠﺎل‬
‫ﺍﻟﻌﺸﺭ‬ ‫ﺍﻟﻨﻘﺎﻁ‬ ‫ﻤﺠﺎل‬ ‫ﻤﻥ‬ ‫ﺍﻷﺨﻔﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻋﻠﻰ‬.‫ﺴﻠﻭﻜﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺅﺜﺭ‬ ‫ﻻ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺼﻭﺍﺘ‬ ‫ﻴﺴﻤﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﺨﺼ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻀﻊ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬)‫ﻤﺎ‬ ‫ﺸﺨﺹ‬ ‫ﻤﺜل‬
‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﻥ‬ ‫ﻜﺠﺯﺀ‬ ‫ﺃﻫﻼﺴﺎﺘﻪ‬ ‫ﻭﻴﻘﺒل‬ ‫ﻁﻭﻴل‬ ‫ﺯﻤﻥ‬ ‫ﻤﻨﺫ‬ ‫ﻓﺼﺎﻡ‬ ‫ﻟﺩﻴﻪ‬.(‫ﹰ‬‫ﺎ‬‫ﻨﺴﺒﻴ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺸﻜل‬ ‫ﺘﺤﺩﺙ‬ ‫ﺍﻷﺼﻭﺍﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬)‫ﺃﻭ‬ ‫ﺍﻷﺴﺒﻭﻉ‬ ‫ﻓﻲ‬ ‫ﻤﺭﺓ‬
‫ﺃﻗل‬(‫ﺍﻟﺘﺩﺭﻴﺞ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻓﻘﺩ‬ ،39‫ﺃﻭ‬40‫ﻤﻼﺀﻤﺔ‬ ‫ﺍﻷﻜﺜﺭ‬ ‫ﻫﻭ‬.‫ﺍﻟﺘﺩﺭﻴﺞ‬ ‫ﺴﻴﻜﻭﻥ‬ ،‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻤﺴﺘﻤﺭﺓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺼﻭﺍﺘ‬ ‫ﻴﺴﻤﻊ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ،‫ﺫﻟﻙ‬ ‫ﺒﺨﻼﻑ‬
31‫ﺃﻭ‬32‫ﻤﻼﺀﻤﺔ‬ ‫ﺃﻜﺜﺭ‬.
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻟﺴﻠﻡ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬(GAF)
‫ﻴ‬‫ﻗ‬‫ﻭﺍﻟﻤﺭﺽ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻟﺼﺤﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻓﺘﺭﺍﻀﻴﺔ‬ ‫ﻤﺘﺼﻠﺔ‬ ‫ﻜﻌﻤﻠﻴﺔ‬ ‫ﻭﺍﻟﻤﻬﻨﻲ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻡ‬.‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﻥ‬‫ﻤ‬‫ﺘﻀ‬ ‫ﻻ‬
‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﺘﻘﻴﻴﺩﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬)‫ﺍﻟﺒﻴﺌﻴﺔ‬ ‫ﺃﻭ‬.(
‫ﺯ‬‫ﻤ‬‫ﺭ‬)‫ﻤﻼﺤﻅﺔ‬:‫ﹰ‬‫ﺎ‬‫ﻤﻨﺎﺴﺒ‬ ‫ﺫﻟﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺭﻭﺍﻤﻴﺯ‬ ‫ﺍﺴﺘﺨﺩﻡ‬.(
100-91‫ﻤ‬ ‫ﻓﻲ‬ ‫ﺃﻋﻠﻰ‬ ‫ﻭﻅﻴﻔﻲ‬ ‫ﺃﺩﺍﺀ‬‫ﻟﺼﻔﺎﺘﻪ‬ ‫ﺍﻵﺨﺭﻭﻥ‬ ‫ﺇﻟﻴﻪ‬ ‫ﻴﺴﻌﻰ‬ ،‫ﺯﻤﺎﻤﻬﺎ‬ ‫ﺃﻓﻠﺕ‬ ‫ﻗﺩ‬ ‫ﺃﻨﻪ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﺘﺒﺩﻭ‬ ‫ﻻ‬ ‫ﺍﻟﺤﻴﺎﺓ‬ ‫ﻤﺸﻜﻼﺕ‬ ،‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺴﻊ‬ ‫ﺠﺎل‬
‫ﺍﻟﻌﺩﻴﺩﺓ‬ ‫ﺍﻹﻴﺠﺎﺒﻴﺔ‬.‫ﺃﻋﺭﺍﺽ‬ ‫ﻻ‬.
90-81‫ﺍﻷﺩﻨﻰ‬ ‫ﺤﺩﻫﺎ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﻏﺎﺌﺒﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬)‫ﻤﺎ‬ ‫ﺍﻤﺘﺤﺎﻥ‬ ‫ﻗﺒل‬ ‫ﺨﻔﻴﻑ‬ ‫ﻗﻠﻕ‬ ،‫ﻤﺜﺎل‬(،‫ﻓﻲ‬ ‫ﻭﻤﻨﺨﺭﻁ‬ ‫ﻡ‬‫ﻬﺘ‬‫ﻤ‬ ،‫ﺍﻟﺼﻌﺩ‬ ‫ﻜﺎﻓﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺠﻴﺩ‬ ‫ﻭﻅﻴﻔﻲ‬ ‫ﺃﺩﺍﺀ‬
‫ﺍ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺴﻊ‬ ‫ﻤﺠﺎل‬‫ﺸﺒﻊ‬‫ﻤ‬ ،‫ﹰ‬‫ﺎ‬‫ﺍﺠﺘﻤﺎﻋﻴ‬ ‫ﻤﺅﺜﺭ‬ ،‫ﻷﻨﺸﻁﺔ‬)‫ﻤﺴﺭﻭﺭ‬(‫ﺍﻨﺸﻐﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻫﻭ‬ ‫ﻤﺎ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻟﻴﺱ‬ ،‫ﺒﺎﻟﺤﻴﺎﺓ‬ ‫ﻋﺎﻡ‬ ‫ﺒﺸﻜل‬
‫ﻴﻭﻤﻴﺔ‬)‫ﻭﺍﻵﺨﺭ‬ ‫ﺍﻟﺤﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﺎﺌﻠﺔ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﻤﻊ‬ ‫ﺠﺩﺍل‬ ،‫ﻤﺜﺎل‬.(
80-71‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺸﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻭﻗﻌﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺍﺭﺘﻜﺎﺴﺎﺕ‬ ‫ﻭﻫﻲ‬ ‫ﻋﺎﺒﺭﺓ‬ ‫ﻓﻬﻲ‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬)‫ﺍﻟ‬ ‫ﺼﻌﻭﺒﺔ‬ ،‫ﻤﺜﺎل‬‫ﺠﺩﺍل‬ ‫ﺒﻌﺩ‬ ‫ﺘﺭﻜﻴﺯ‬
‫ﻋﺎﺌﻠﻲ‬(،‫ﺍﻟﻤﺩﺭﺴﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﻁﻔﻴﻑ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻫﻭ‬ ‫ﻤﺎ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻟﻴﺱ‬)‫ﻓﻲ‬ ‫ﻤﺅﻗﺕ‬ ‫ﺘﻘﺼﻴﺭ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﻤﺩﺭﺴﻲ‬ ‫ﺍﻟﻭﺍﺠﺏ‬.(
70-61‫ﺍﻟﺨﻔﻴﻔﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺒﻌﺽ‬)‫ﺨﻔﻴﻑ‬ ‫ﻭﺃﺭﻕ‬ ‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬ ،‫ﻤﺜﺎل‬(‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺔ‬ ‫ﺒﻌﺽ‬ ‫ﺃﻭ‬
‫ﺍﻟﻤﺩﺭﺴﻲ‬)‫ﺍﻟﻤﻨﺯل‬ ‫ﻀﻤﻥ‬ ‫ﺴﺭﻗﺔ‬ ‫ﺃﻭ‬ ،‫ﻭﺍﻵﺨﺭ‬ ‫ﺍﻟﺤﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻤﻥ‬ ‫ﺏ‬‫ﺭ‬‫ﺍﻟﺘﺴ‬ ،‫ﻤﺜﺎل‬(‫ﺠﻴﺩ‬ ‫ﻭﻅﻴﻔﻲ‬ ‫ﺒﺄﺩﺍﺀ‬ ‫ﻴﻘﻭﻡ‬ ‫ﻋﺎﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻭﻟﻜﻥ‬
‫ﺍﻹﻴﺠﺎﺒﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﺒﻌﺽ‬ ‫ﻭﻴﻘﻴﻡ‬ ،‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﻭﻋ‬.
60-51‫ﻤﺘﻭﺴﻁﺔ‬ ‫ﺃﻋﺭﺍﺽ‬)‫ﹰ‬‫ﺎ‬‫ﺃﺤﻴﺎﻨ‬ ‫ﻫﻠﻊ‬ ‫ﻨﻭﺒﺎﺕ‬ ،‫ﺍﻟﻜﻼﻡ‬ ‫ﻓﻲ‬ ‫ﻭﻤﻭﺍﺭﺒﺔ‬ ‫ﻤﺴﻁﺢ‬ ‫ﻭﺠﺩﺍﻥ‬ ،‫ﻤﺜﺎل‬(‫ﺍﻷ‬ ‫ﻓﻲ‬ ‫ﻤﺘﻭﺴﻁﺔ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺩﺍﺀ‬
‫ﺍﻟﻤﺩﺭﺴﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬)‫ﺍﻟﻌﻤل‬ ‫ﺯﻤﻼﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻗﺭﺍﻥ‬ ‫ﻤﻊ‬ ‫ﻨﺯﺍﻋﺎﺕ‬ ،‫ﺃﺼﺩﻗﺎﺀ‬ ‫ﻗﻠﺔ‬ ،‫ﻤﺜﺎل‬.(

27. 50-41‫ﺨﻁﻴﺭﺓ‬ ‫ﺃﻋﺭﺍﺽ‬)‫ﺍﻟﺘﺠﺎﺭﻴﺔ‬ ‫ﻟﻠﻤﺤﻼﺕ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺴﺭﻗﺎﺕ‬ ،‫ﺸﺩﻴﺩﺓ‬ ‫ﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﻁﻘﻭﺱ‬ ،‫ﺍﻨﺘﺤﺎﺭﻱ‬ ‫ﺘﻔﻜﻴﺭ‬ ،‫ﻤﺜﺎل‬(‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺨﻁﻴﺭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻱ‬ ‫ﺃﻭ‬
‫ﺍﻟﻤﺩﺭﺴﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬)‫ﺒﻌﻤل‬ ‫ﺍﻻﺤﺘﻔﺎﻅ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻋﺩﻡ‬ ،‫ﺃﺼﺩﻗﺎﺀ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬ ،‫ﻤﺜﺎل‬.(
40-31‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﺒﻌﺽ‬)‫ﻤﻼﺌﻡ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻏﺎﻤﺽ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻁﻘﻲ‬ ‫ﻏﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺤﻴﺎﻨ‬ ‫ﺍﻟﻜﻼﻡ‬ ،‫ﻤﺜﺎل‬(‫ﻋﺩﺓ‬ ‫ﻓﻲ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬
‫ﺍﻟ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻔﻜﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺎﺌﻠﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻤﺜل‬ ‫ﻤﺠﺎﻻﺕ‬‫ﻤﺯﺍﺝ‬)‫ﺍﻷﺼﺩﻗﺎﺀ‬ ‫ﻴﺘﺤﺎﺸﻰ‬ ‫ﻤﻜﺘﺌﺏ‬ ‫ﺭﺠل‬ ،‫ﺫﻟﻙ‬ ‫ﻤﺜﺎل‬
‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﻔﺸل‬ ،‫ﺍﻟﺒﻴﺕ‬ ‫ﻓﻲ‬ ٍ‫ﺹ‬‫ﻌﺎ‬‫ﻤ‬ ،‫ﹰ‬‫ﺍ‬‫ﻋﻤﺭ‬ ‫ﻤﻨﻪ‬ ‫ﺃﺼﻐﺭ‬ ‫ﻫﻡ‬ ‫ﻤﻥ‬ ‫ﻴﻀﺭﺏ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺜﻴﺭ‬ ‫ﻭﻁﻔل‬ ‫ﺍﻟﻌﻤل؛‬ ‫ﻋﻥ‬ ‫ﻭﻋﺎﺠﺯ‬ ‫ﺍﻟﻌﺎﺌﻠﺔ‬ ‫ﻭﻴﻬﻤل‬.(
30-21‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻓﻲ‬ ‫ﺨﻁﻴﺭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻷﻭﻫﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺜﻴﺭ‬ ‫ﻴﺘﺄﺜﺭ‬ ‫ﺍﻟﺴﻠﻭﻙ‬)‫ﺃﺤﻴﺎﻨ‬ ‫ﻤﺘﻔﻜﻙ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬‫ﻏﻴﺭ‬ ‫ﺒﺸﻜل‬ ‫ﻴﺘﺼﺭﻑ‬ ،‫ﹰ‬‫ﺎ‬
‫ﺍﻨﺘﺤﺎﺭﻱ‬ ‫ﺍﻨﺸﻐﺎل‬ ،‫ﺒﻭﻀﻭﺡ‬ ‫ﻤﻨﺎﺴﺏ‬(‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﺍﻟﻤﺠﺎﻻﺕ‬ ‫ﻜﺎﻓﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬)‫ﻋﻤل‬ ‫ﻻ‬ ،‫ﺍﻟﻴﻭﻡ‬ ‫ﻁﻭﺍل‬ ‫ﺍﻟﺴﺭﻴﺭ‬ ‫ﻓﻲ‬ ‫ﻴﺒﻘﻰ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬
‫ﺃﺼﺩﻗﺎﺀ‬ ‫ﻻ‬ ‫ﺃﻭ‬ ،‫ﺒﻴﺕ‬ ‫ﻻ‬ ‫ﺃﻭ‬.(
20-11‫ﺒﺎﻵﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﺍﺕ‬ ‫ﺍﻷﺫﻯ‬ ‫ﻹﻟﺤﺎﻕ‬ ‫ﻤﻌﻴﻨﺔ‬ ‫ﺨﻁﻭﺭﺓ‬ ‫ﻭﺠﻭﺩ‬)‫ﻭﺍﻀﺢ‬ ‫ﺘﻭﻗﻊ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻨﺘﺤﺎﺭﻴﺔ‬ ‫ﻤﺤﺎﻭﻻﺕ‬ ،‫ﻤﺜﺎل‬‫ﺇﺜﺎﺭﺓ‬ ،‫ﻤﺘﻜﺭﺭ‬ ‫ﻋﻨﻑ‬ ،‫ﻟﻠﻤﻭﺕ‬
‫ﻫﻭﺴﻴﺔ‬(‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻨﻅﺎﻓﺔ‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﻰ‬ ‫ﺤﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﻔﺎﻅ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺤﻴﺎﻨ‬ ‫ﻴﺨﻔﻕ‬ ‫ﺃﻭ‬)‫ﺒﺎﻟﺒﺭﺍﺯ‬ ‫ﺍﻟﺘﻠﻁﺦ‬ ،‫ﻤﺜل‬(‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻓﻲ‬ ‫ﻓﺎﻀﺢ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬
)‫ﺼﺎﻤﺕ‬ ‫ﺃﻭ‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻤﻔﻜﻙ‬.(
10-1‫ﺒﺎﻵﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﺍﺕ‬ ‫ﺸﺩﻴﺩ‬ ‫ﺃﺫﻯ‬ ‫ﻹﻟﺤﺎﻕ‬ ‫ﺩﺍﺌﻤﺔ‬ ‫ﺨﻁﻭﺭﺓ‬)‫ﻤﻌﺎﻭﺩ‬ ‫ﻋﻨﻑ‬ ،‫ﻤﺜﺎل‬(‫ﺍﻟﺤﻔ‬ ‫ﻓﻲ‬ ‫ﺩﺍﺌﻡ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬‫ﺍﻟﻨﻅﺎﻓﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻷﺩﻨﻰ‬ ‫ﺍﻟﺤﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺎﻅ‬
‫ﻟﻠﻤﻭﺕ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺘﻭﻗﻊ‬ ‫ﻤﻊ‬ ‫ﺠﺩﻱ‬ ‫ﺍﻨﺘﺤﺎﺭﻱ‬ ‫ﻋﻤل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬.
0‫ﻜﺎﻓﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬.
‫ﻌﺩ‬‫ﺒ‬‫ﺍﻟ‬)‫ﺍﻟﺼﻴﻐﺔ‬(‫ﺍﻟﻤﺤﻭﺭﻱ‬ ‫ﻏﻴﺭ‬Nonaxial Format
‫ﺍﻟﻤﻨﺎﺴﺒﺔ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﺎﺕ‬ ‫ﻴﺩﺭﺠﻭﺍ‬ ‫ﺃﻥ‬ ‫ﺒﺒﺴﺎﻁﺔ‬ ‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﺍﻟﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﺒﻌﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻲ‬ ‫ﻴﺭﻏﺒﻭﻥ‬ ‫ﻻ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﻟﻸﻁﺒﺎﺀ‬ ‫ﻴﻤﻜﻥ‬.‫ﻭﻫﺅﻻﺀ‬‫ﻫﺫﻩ‬ ‫ﻴﺨﺘﺎﺭﻭﻥ‬ ‫ﺍﻟﺫﻴﻥ‬
‫ﻭﻋﻭﺍﻤل‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻭﺤﺎﻻﺕ‬ ‫ﻋﻘﻠﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﺘﺘﻭﺍﺠﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﺠﻤﻭﻉ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻘﺎﻋﺩﺓ‬ ‫ﻴﺘﺒﻌﻭﺍ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﺍﻟﻁﺭﻴﻘﺔ‬
‫ﻭﺒﻌﻼﺠﻪ‬ ‫ﺒﺎﻟﺸﺨﺹ‬ ‫ﺒﺎﻟﻌﻨﺎﻴﺔ‬ ‫ﺼﻠﺔ‬ ‫ﻟﻬﺎ‬ ‫ﺃﻥ‬ ‫ﻁﺎﻟﻤﺎ‬ ‫ﺃﺨﺭﻯ‬.‫ﹰ‬‫ﻻ‬‫ﺃﻭ‬ ‫ﺍﻟﺯﻴﺎﺭﺓ‬ ‫ﺴﺒﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺌﻴﺴﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻴﺩﺭﺝ‬ ‫ﺃﻥ‬ ‫ﻭﻴﻨﺒﻐﻲ‬.
*‫ﺘﺭﻤﻴﺯ‬CM-9-ICD‫ﺍﻷﻭل‬ ‫ﺘﺸﺭﻴﻥ‬ ‫ﺸﻬﺭ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻟﻤﻘﺭﺭ‬)‫ﺃﻜﺘﻭﺒﺭ‬(1،2000.
)*(‫ﻤ‬‫ﺼ‬‫ﻤﻥ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺴ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﻡ‬0‫ﻭﺤﺘﻰ‬100‫ﺍﻟﻤﺭﺽ‬ ‫ـ‬ ‫ﺍﻟﺼﺤﺔ‬ ‫ﺘﻘﻴﻴﻡ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺴ‬ ‫ﻓﻲ‬ ‫ﻭﺫﻟﻙ‬ ‫ﻟﻴﻭﺒﻭﺭﺴﻜﻲ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬)‫ل‬ ‫ﻟﻴﻭﺒﻭﺭﺴﻜﻲ‬:»‫ﺍﻟﺘﻘﻴﻴﻤﺎﺕ‬
‫ﺍﻟﻌﻘﻴﻠﺔ‬ ‫ﻟﻠﺼﺤﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬«‫ﺍﻟﻌﺎﻡ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻁﺏ‬ ‫ﺃﺭﺸﻴﻑ‬7:407-417،1962.(‫ﺘﻘﻴﻴﻡ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺴ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻨﺴﺨﺔ‬ ‫ﻁﻭﺭﻭﺍ‬ ‫ﻓﻘﺩ‬ ‫ﻭﺯﻤﻼﺅﻩ‬ ‫ﺴﺒﻴﺘﺯﺭ‬ ‫ﺃﻤﺎ‬‫ﹼﻡ‬‫ﻠ‬‫ﺴ‬ ‫ﻲ‬‫ﻤ‬‫ﺴ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ـ‬ ‫ﺍﻟﺼﺤﺔ‬
‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬(GAS))‫ﺝ‬ ‫ﻜﻭﻫﻴﻥ‬ ،‫ل‬ ‫ﺝ‬ ‫ﻓﻼﻴﺱ‬ ،‫ﺭل‬ ‫ﺴﺒﻴﺘﺯﺭ‬ ،‫ﺝ‬ ‫ﺇﻴﻨﺩﻴﻜﻭﺕ‬:»‫ﺍﻟﺸﺎﻤل‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺴ‬:‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺸﺎﻤﻠﺔ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻟﻘﻴﺎﺱ‬ ‫ﻁﺭﻴﻘﺔ‬«‫ﺍﻟﻁﺏ‬ ‫ﺃﺭﺸﻴﻑ‬
‫ﺍﻟﻌﺎﻡ‬ ‫ﺍﻟﻨﻔﺴﻲ‬33:766-771،1976.(‫ﺍﻟـ‬ ‫ﻓﻲ‬ ‫ﺃﺩﺭﺝ‬DSM-III-R‫ﺍﻟـ‬ ‫ﻤﻥ‬ ‫ﻟﺔ‬‫ﺩ‬‫ﻤﻌ‬ ‫ﻨﺴﺨﺔ‬GAS‫ﺸﻜل‬ ‫ﻋﻠﻰ‬:‫ﺍ‬‫ﻟـ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻟﺴﻠﻡ‬ ‫ﺍﻟﺸﺎﻤل‬ ‫ﻟﺘﻘﻴﻴﻡ‬(GAF).
26

28. ‫ﻋﺎدة‬ ‫ﺗﺸـﺨﻴﺼﻬﺎ‬ ‫ﻳﺘـﻢ‬ ‫ﻣﺎ‬ ‫أول‬ ‫اﺿﻄﺮاﺑﺎت‬
‫اﻟﻤﺮاهﻘﺔ‬ ‫أو‬ ‫اﻟﻄـﻔﻮﻟﺔ‬ ‫أو‬ ‫اﻟﺮﺿﺎﻋﺔ‬ ‫ﺳﻦ‬ ‫ﻓﻲ‬
Disorders usually First Diagnosed
in Infancy, Childhood, or Adolescence
‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬ ‫ﻋﺎﺩﺓ‬ ‫ﺘﺸﺨﺹ‬ ‫ﻤﺎ‬ ‫ﺃﻭل‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺱ‬‫ﺭ‬‫ﻤﻜ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬.‫ﻟﺴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﻓﻘ‬ ‫ﻟﻠﺘﺼﻨﻴﻑ‬ ‫ﺍﻟﺘﻘﺴﻴﻡ‬ ‫ﻭﻫﺫﺍ‬
‫ﹰ‬‫ﺎ‬‫ﻤﻁﻠﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺴﻴﻤ‬ ‫ﻭﻟﻴﺱ‬ ‫ﺍﻟﺘﺒﺴﻴﻁ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻅﻬﻭﺭ‬.‫ﺒﻌﺽ‬ ‫ﻓﺈﻥ‬ ،‫ﻭﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺠﻠﻴﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﻋﺎﺩﺓ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﻥ‬ ‫ﻭﺭﻏﻡ‬
‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﺘﺸﺨﺹ‬ ‫ﻤﻤﻥ‬ ‫ﺍﻷﻓﺭﺍﺩ‬)‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬/‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬(‫ﺴﻥ‬ ‫ﺤﺘﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻴﻠﻔﺘﻭﻥ‬ ‫ﻻ‬ ‫ﻗﺩ‬
‫ﺍﻟﺭﺸﺩ‬.‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻓﺼﻭل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻌﺩﻴﺩ‬ ‫ﻴﺘﺒﺩﻯ‬ ‫ﺃﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﻨﺎﺩﺭ‬ ‫ﻟﻴﺱ‬ ،‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬)،‫ﻤﺜل‬
‫ﺍﻟﻤﻌﻤﻡ‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.(‫ﻤ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺴﺎﺴ‬ ‫ﻴﻌﻤﻠﻭﻥ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻟﺫﺍ‬‫ﺃﻥ‬ ‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻊ‬
‫ﺍﻟﻔﺼل‬ ‫ﺒﻬﺫﺍ‬ ‫ﻤﻌﺭﻓﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻜﻭﻨﻭﺍ‬ ‫ﺃﻥ‬ ‫ﺍﻟﺭﺍﺸﺩﻴﻥ‬ ‫ﻤﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺴﺎﺴ‬ ‫ﻴﻌﻤﻠﻭﻥ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺩﻟﻴل‬ ‫ﺒﻜﺎﻤل‬ ‫ﻤﻌﺭﻓﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻜﻭﻨﻭﺍ‬.
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬Mental Retardation
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺯ‬‫ﻤ‬‫ﻤﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻫﺫﺍ‬II.
■‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬:
A-‫ﺃﺩﻨﻰ‬ ‫ﻋﻘﻠﻴﺔ‬ ‫ﻭﻅﻴﻔﺔ‬‫ﺼﺭﻴﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻁﺒﻴﻌﻲ‬ ‫ﺍﻟﻤﻌﺩل‬ ‫ﻤﻥ‬:‫ﺍﻟﺫﻜﺎﺀ‬ ‫ﺤﺎﺼل‬IQ‫ﺍﻟـ‬ ‫ﻴﻘﺎﺭﺏ‬70‫ﺍﻟﻔﺭﺩﻱ‬ ‫ﺍﻟﺫﻜﺎﺀ‬ ‫ﺤﺎﺼل‬ ‫ﺒﺎﺨﺘﺒﺎﺭ‬ ‫ﺃﺩﻨﻰ‬ ‫ﺃﻭ‬)‫ﺒﺎﻟﻨﺴﺒﺔ‬
‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺒﺎﻟﺘﻘﻴﻴﻡ‬ ‫ﻭﺫﻟﻙ‬ ‫ﺼﺭﻴﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻤﻌﺩل‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﻰ‬ ‫ﻋﻘﻠﻴﺔ‬ ‫ﻭﻅﻴﻔﺔ‬ ،‫ﻟﻸﻁﻔﺎل‬.(
B-‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺘﻜﻴﻔﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﻤﺘﺯﺍﻤﻥ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﻋﺠﺯ‬)‫ﻤ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻠﺒﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻓﻌﺎﻟﻴﺔ‬ ‫ﺃﻱ‬‫ﺍﻟﺜﻘﺎﻓﻴﺔ‬ ‫ﻤﺠﻤﻭﻋﺘﻪ‬ ‫ﺃﻭ‬ ‫ﻟﻌﻤﺭﻩ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺘﻭﻗﻌﺔ‬(‫ﻓﻲ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺤﻘﻭل‬ ‫ﻤﻥ‬ ‫ﺍﺜﻨﻴﻥ‬:‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ،‫ﺍﻟﻤﻨﺯﻟﻴﺔ‬ ‫ﺍﻟﺤﻴﺎﺓ‬ ،‫ﺍﻟﺫﺍﺘﻴﺔ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ،‫ﺍﻟﺘﻭﺍﺼل‬/،‫ﺍﻟﻤﺠﺘﻤﻊ‬ ‫ﻤﻭﺍﺭﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ،‫ﻭﺍﻟﺸﺨﺼﻴﺔ‬
‫ﺍﻷﻤﻥ‬ ،‫ﺍﻟﺼﺤﺔ‬ ،‫ﺍﻟﻔﺭﺍﻍ‬ ‫ﻭﻗﺕ‬ ،‫ﺍﻟﻌﻤل‬ ،‫ﺍﻟﻭﻅﻴﻔﻴﺔ‬ ‫ﺍﻟﺩﺭﺍﺴﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ،‫ﺍﻟﺫﺍﺘﻲ‬ ‫ﺍﻟﺘﻭﺠﻪ‬.
C-‫ﺍ‬‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﻟﺒﺩﺍﻴﺔ‬18‫ﺴﻨﺔ‬.
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﻭﻴﻌﻜﺱ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﺩﺭﺠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺒﻨﻲ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬:
317‫ﻤﺴﺘﻭﻯ‬ ‫ﺍﻟﺨﻔﻴﻑ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬IQ‫ﻤﻥ‬50-55‫ﻭﺤﺘﻰ‬70‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬.
318.0‫ﻤﺴﺘﻭﻯ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﺍﻟﻤﺘﻭﺴﻁ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬IQ‫ﻤﻥ‬35-40‫ﻭﺤﺘﻰ‬50-55.
318.1‫ﻤﺴﺘﻭﻯ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬IQ‫ﻤﻥ‬20-25‫ﻭﺤﺘﻰ‬35-40.
318.2‫ﻤﺴﺘﻭﻯ‬ ‫ﺍﻟﻌﻤﻴﻕ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬IQ‫ﺩﻭﻥ‬20‫ﺃﻭ‬25.
319‫ﺸﺩﺘﻪ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ،‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬:‫ﺍﻟﺸﺨﺹ‬ ‫ﺫﻜﺎﺀ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﻗﻭﻱ‬ ‫ﺍﻓﺘﺭﺍﺽ‬ ‫ﺜﻤﺔ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺒﺎﻻﺨﺘﺒﺎﺭﺍﺕ‬)‫ﺸﺩﻴ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﻟﻸﺸﺨﺎﺹ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ‫ﺍﻟﺤﺎل‬ ‫ﻫﻭ‬ ‫ﻜﻤﺎ‬‫ﻊ‬‫ﻀ‬‫ﻟﻠﺭ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻌﺎﻭﻨﻴﻥ‬ ‫ﻟﻐﻴﺭ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺩ‬.(
‫ﺍﻟﺘﻌﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Learning Disorders
)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﺩﺭﺍﺴﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
Formerly Academic Skills Disorders(
■315.55‫ﺍﻟﻘﺭﺍﺀﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Reading Disorder
A-‫ﺍﻟ‬ ‫ﺍﻻﺨﺘﺒﺎﺭﺍﺕ‬ ‫ﺒﻭﺍﺴﻁﺔ‬ ‫ﻴﻘﺎﺱ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻘﺭﺍﺀﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻴﻜﻭﻥ‬‫ﺍﻟﻤﻨﺘﻅﺭ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﺩﻭﻥ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ،‫ﺍﻟﻔﻬﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺭﺍﺀﺓ‬ ‫ﻟﺩﻗﺔ‬ ‫ﺍﻟﻔﺭﺩﻴﺔ‬ ‫ﻤﻌﻴﺎﺭﻴﺔ‬
‫ﻟﻠﻌﻤﺭ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﻭﺍﻟﺘﻌﻠﻴﻡ‬ ‫ﻭﺍﻟﺫﻜﺎﺀ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻤﺭ‬ ‫ﻤﻥ‬.
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺅﺜﺭ‬A‫ﺍﻟﻘﺭﺍﺀﺓ‬ ‫ﻓﻲ‬ ‫ﻤﻬﺎﺭﺍﺕ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﺭﺍﺴﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬.
C-‫ﻓﺈ‬ ،‫ﻲ‬‫ﺤﺴ‬ ‫ﻋﺠﺯ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﻋﺎﺩﺓ‬ ‫ﺘﺼﺎﺤﺒﻬﺎ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻟﻘﺭﺍﺀﺓ‬ ‫ﺼﻌﻭﺒﺎﺕ‬ ‫ﻥ‬.
27

29. 28
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ‫ﻋﺼﺒﻴﺔ‬(‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬III.
■315.1‫ﺍﻟﺤﺴﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Mathematics Disorder
A-‫ﺍﻟﻔﺭ‬ ‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺍﻻﺨﺘﺒﺎﺭﺍﺕ‬ ‫ﺒﻭﺍﺴﻁﺔ‬ ‫ﺘﻘﺎﺱ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺤﺴﺎﺒﻴﺔ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺘﻜﻭﻥ‬‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻤﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻨﺘﻅﺭ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﺩﻭﻥ‬ ،‫ﺼﺭﻴﺤﺔ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ،‫ﺩﻴﺔ‬
‫ﻟﻠﻌﻤﺭ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﻭﺍﻟﺘﻌﻠﻴﻡ‬ ‫ﻭﺍﻟﺫﻜﺎﺀ‬.
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺅﺜﺭ‬A‫ﺤﺴﺎﺒﻴﺔ‬ ‫ﻗﺩﺭﺍﺕ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﺭﺍﺴﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬.
C-‫ﺘ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻟﺤﺴﺎﺒﻴﺔ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﻓﺈﻥ‬ ،‫ﻲ‬‫ﺤﺴ‬ ‫ﻋﺠﺯ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﻋﺎﺩﺓ‬ ‫ﺘﺼﺎﺤﺒﻬﺎ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻠﻙ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ‫ﻋﺼﺒﻴﺔ‬(‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬III.
■315.2‫ﺍﻟﻜﺘﺎﺒﻲ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Disorder of Written Expression
A-‫ﺍﻟﻔﺭﺩ‬ ‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺍﻻﺨﺘﺒﺎﺭﺍﺕ‬ ‫ﺒﻭﺍﺴﻁﺔ‬ ‫ﺘﻘﺎﺱ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻜﺘﺎﺒﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ‫ﺘﻜﻭﻥ‬‫ﻴﺔ‬)‫ﺍﻟﻜﺘﺎﺒﻴﺔ‬ ‫ﻟﻠﻤﻬﺎﺭﺍﺕ‬ ‫ﺍﻟﻭﻅﻴﻔﻴﺔ‬ ‫ﺍﻟﺘﻘﻴﻴﻤﺎﺕ‬ ‫ﺃﻭ‬(‫ﺼﺭﻴﺤﺔ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ،
‫ﻟﻠﻌﻤﺭ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﻭﺍﻟﺘﻌﻠﻴﻡ‬ ‫ﻭﺍﻟﺫﻜﺎﺀ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻤﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻨﺘﻅﺭ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﺩﻭﻥ‬.
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺅﺜﺭ‬A‫ﻤﻜﺘﻭﺒﺔ‬ ‫ﻨﺼﻭﺹ‬ ‫ﺇﻨﺸﺎﺀ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﺭﺍﺴﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬)‫ﻤﺜل‬
‫ﺴﻠﻴﻤﺔ‬ ‫ﺠﻤﻠﺔ‬ ‫ﻜﺘﺎﺒﺔ‬‫ﻤﻨﻅﻤﺔ‬ ‫ﻭﻓﻘﺭﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﻗﻭﺍﻋﺩﻴ‬.(
C-‫ﻋﺎﺩﺓ‬ ‫ﻤﻌﻪ‬ ‫ﺘﺘﺭﺍﻓﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻟﻜﺘﺎﺒﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﻓﺈﻥ‬ ،‫ﻲ‬‫ﺤﺴ‬ ‫ﻋﺠﺯ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ‫ﻋﺼﺒﻴﺔ‬(‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬III.
■315.9‫ﻤ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻌﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬ ‫ﻜﺎﻥ‬
Learning Disorder Not otherwise Specified
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺘﻌﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﻌﻠﻡ‬ ‫ﺒﺎﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻌﻨﻰ‬.‫ﺍﻟﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺸﻤل‬ ‫ﻗﺩ‬
‫ﺍﻟﺜﻼﺜﺔ‬)‫ﺍﻟﻜﺘﺎﺒﻲ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ،‫ﺍﻟﺤﺴﺎﺏ‬ ،‫ﺍﻟﻘﺭﺍﺀﺓ‬(‫ﺍﻟﺩ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺒﺸﻜل‬ ‫ﺘﺅﺜﺭ‬ ‫ﻭﺍﻟﺘﻲ‬‫ﺘﻘﻴﺱ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﺨﺘﺒﺎﺭﺍﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻴﻜﻥ‬ ‫ﻟﻡ‬ ‫ﻭﺇﻥ‬ ‫ﺤﺘﻰ‬ ‫ﺭﺍﺴﻲ‬
‫ﻟﻠﻌﻤﺭ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﻭﺍﻟﺘﻌﻠﻴﻡ‬ ‫ﻭﺍﻟﺫﻜﺎﺀ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻤﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻨﺘﻅﺭ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﺩﻭﻥ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺤﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻬﺎﺭﺓ‬ ‫ﻜل‬.
‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Motors Skills Disorders
■315.4‫ﺍﻟﻨﻤﺎﺌﻲ‬ ‫ﺍﻟﺘﻨﺎﺴﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Developmental Coordination Disorder
A-‫ﻭﺫﻜﺎﺌﻪ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻤﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻨﺘﻅﺭ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﺩﻭﻥ‬ ،‫ﺼﺭﻴﺤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ،‫ﹰ‬‫ﺎ‬‫ﺤﺭﻜﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻨﺎﺴﻘ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺍﻟﻨﺸﺎﻁﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻴﻜﻭﻥ‬.‫ﻭﻗﺩ‬
‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﺘﻁﻭﺭﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻟﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﺍﻀﺢ‬ ‫ﺍﻟﺘﺄﺨﺭ‬ ‫ﻓﻲ‬ ‫ﺫﻟﻙ‬ ‫ﻴﺘﺒﺩﻯ‬)‫ﺍﻟﺠﻠﻭﺱ‬ ،‫ﺍﻟﺤﺒﻭ‬ ،‫ﺍﻟﻤﺸﻲ‬ ،‫ﻤﺜﺎل‬(‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﺇﺴﻘﺎﻁ‬ ‫ﺃﻭ‬»‫ﺍﻟﺨﺭﺍﻗﺔ‬«‫ﺃﻭ‬
‫ﺍﻟﻜﺘﺎﺒﺔ‬ ‫ﻓﻲ‬ ‫ﻀﻌﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻴﺎﻀﻴﺎﺕ‬ ‫ﻓﻲ‬ ‫ﻀﻌﻴﻑ‬ ‫ﺃﺩﺍﺀ‬.
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺅﺜﺭ‬A‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﺭﺍﺴﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻬﻡ‬ ‫ﺒﺸﻜل‬.
C-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﻋﻀﻠﻲ‬ ‫ﺤﺜل‬ ‫ﺃﻭ‬ ‫ﻨﺼﻔﻲ‬ ‫ﺸﻠل‬ ‫ﺃﻭ‬ ‫ﺩﻤﺎﻏﻲ‬ ‫ﺸﻠل‬ ،‫ﻤﺜﺎل‬(‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻴﻪ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻭﻻ‬
‫ﺸﺎﻤل‬.
D-‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﻋﺎﺩﺓ‬ ‫ﺘﺼﺎﺤﺒﻪ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﻓﺈﻥ‬ ،‫ﻋﻘﻠﻲ‬ ‫ﺘﺨﻠﻑ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻭﺠﺩﺕ‬ ‫ﺇﺫﺍ‬)‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ‫ﻋﺼﺒﻴﺔ‬(‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬III.

30. 29
‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Communication Disorders
■315.31‫ﺍﻟﺘﻌﺒﻴﺭﻱ‬ ‫ﺍﻟﻠﻐﻭﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Expressive Language Disorder
A-‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﺘﻜﻭﻥ‬)‫ﺍﻟﻨﻘﺎﻁ‬ ‫ﺃﻭ‬(‫ﻤﻥ‬ ‫ﺤﺭﺯﺓ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺘﻠﻙ‬ ‫ﺩﻭﻥ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺘﻌﺒﻴﺭﻱ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﻨﻤﺎﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻔﺭﺩﻴﺔ‬ ‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺍﻟﻘﻴﺎﺴﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺤﺭﺯﺓ‬‫ﻤ‬‫ﺍﻟ‬
‫ﺍﻻﺴﺘﻘﺒﺎﻟﻲ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﻭﻨﻤﺎﺀ‬ ‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻟﻤﻘﺩﺭﺓ‬ ‫ﻤﻥ‬ ‫ﻟﻜل‬ ‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺍﻟﻘﻴﺎﺴﺎﺕ‬.‫ﻤﺤﺩﻭ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺒﺄﻋﺭﺍﺽ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻗﺩ‬‫ﻭﺍﻀﺤﺔ‬ ‫ﺩﻴﺔ‬
‫ﺍﻟﻠﻐﻭﻴﺔ‬ ‫ﻟﻠﺤﺼﻴﻠﺔ‬)‫ﺍﻟﻘﺎﻤﻭﺱ‬(‫ﹰ‬‫ﺎ‬‫ﺘﻁﻭﺭﻴ‬ ‫ﻤﻨﺎﺴﺒﻴﻥ‬ ‫ﻭﺘﻌﻘﻴﺩ‬ ‫ﻁﻭل‬ ‫ﺫﺍﺕ‬ ‫ﺠﻤل‬ ‫ﺇﻨﺸﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻜﻠﻤﺎﺕ‬ ‫ﺘﺫﻜﺭ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﻌل‬ ‫ﺃﺯﻤﻨﺔ‬ ‫ﻓﻲ‬ ‫ﺃﺨﻁﺎﺀ‬ ‫ﺃﻭ‬.
B-‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺍﻟﺘﺤﺼﻴل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﺒﻴﺭﻴﺔ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﺘﺅﺜﺭ‬.
C-‫ﺍﻻ‬ ‫ﺍﻟﻠﻐﻭﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻌﺒﻴﺭﻱ‬ ‫ـ‬ ‫ﺴﺘﻘﺒﺎﻟﻲ‬.
D-‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻴﺼﺎﺤﺏ‬ ‫ﻋﻤﺎ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺍﻟﻠﻐﻭﻴﺔ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﺘﻜﻭﻥ‬ ،‫ﺒﻴﺌﻲ‬ ‫ﺤﺭﻤﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺘﺨﻠﻑ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻌﺎﺩﺓ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﻋﺼﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻭﺠﺩﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻤﺤﻭﺭ‬III.
■315.32‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﺘﻌﺒﻴﺭﻱ‬ ‫ـ‬ ‫ﺍﻻﺴﺘﻘﺒﺎﻟﻲ‬ ‫ﺍﻟﻠﻐﻭﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Mixed Receptive-Expressive Language Disorder
A-‫ﺩﻭﻥ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﺴﺘﻘﺒﺎﻟﻲ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﻭﻨﻤﺎﺀ‬ ‫ﺍﻟﺘﻌﺒﻴﺭﻱ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﻨﻤﺎﺀ‬ ‫ﻤﻥ‬ ‫ﻟﻜل‬ ‫ﺍﻟﻔﺭﺩﻴﺔ‬ ‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺍﻟﻘﻴﺎﺴﺎﺕ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﺤﺭﺯﺓ‬ ‫ﺍﻟﻨﻘﺎﻁ‬ ‫ﺘﻜﻭﻥ‬
‫ﻤﻥ‬ ‫ﺤﺭﺯﺓ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺘﻠﻙ‬‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﻟﻠﻤﻘﺩﺭﺓ‬ ‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺍﻟﻘﻴﺎﺴﺎﺕ‬.‫ﺒﺎﻹﻀﺎﻓﺔ‬ ‫ﺍﻟﺘﻌﺒﻴﺭﻱ‬ ‫ﺍﻟﻠﻐﻭﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﺎﻫﺩﺓ‬ ‫ﺘﻠﻙ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺘﻀﻤﻥ‬
‫ﺍﻟﻔﺭﺍﻏﻴﺔ‬ ‫ﻜﺎﻟﺘﻌﺎﺒﻴﺭ‬ ،‫ﺍﻟﻜﻠﻤﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﺃﻨﻤﺎﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻤل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻜﻠﻤﺎﺕ‬ ‫ﻓﻬﻡ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺇﻟﻰ‬.
B-‫ﻋﻠﻰ‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻭﺍﻟﺘﻌﺒﻴﺭﻴﺔ‬ ‫ﺍﻻﺴﺘﻘﺒﺎﻟﻴﺔ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﺘﺅﺜﺭ‬‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺍﻟﺘﺤﺼﻴل‬.
C-‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬.
D-‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻴﺼﺎﺤﺏ‬ ‫ﻋﻤﺎ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺍﻟﻠﻐﻭﻴﺔ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﺘﻜﻭﻥ‬ ،‫ﺒﻴﺌﻲ‬ ‫ﺤﺭﻤﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺘﺨﻠﻑ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻌﺎﺩﺓ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺃﻭ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬III.
■315.39‫ﺍﻟﺼﻭﺘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﻨﻤﺎﺌﻲ‬ ‫ﺍﻟﻨﻁﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬(
Phonological Disorder (Formerly Developmental
Articulation Disorder)
A-‫ﻭﺍﻟﻠﻐ‬ ‫ﺍﻟﻌﻤﺭ‬ ‫ﻤﻊ‬ ‫ﻴﺘﻨﺎﺴﺏ‬ ‫ﺒﻤﺎ‬ ‫ﺘﻁﻭﺭﻱ‬ ‫ﺒﺸﻜل‬ ‫ﺘﻜﺘﺴﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺼﻭﺍﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬‫ﺔ‬)‫ﻭﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺍﻟﺼﻭﺕ‬ ‫ﺇﻅﻬﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺃﺨﻁﺎﺀ‬ ،‫ﻤﺜﺎل‬
‫ﺘﻨﻅﻴﻤﻪ‬ ‫ﺃﻭ‬ ‫ﻭﺒﻴﺎﻨﻪ‬.‫ﺒﺂﺨﺭ‬ ‫ﺼﻭﺕ‬ ‫ﺍﺴﺘﺒﺩﺍل‬ ،‫ﺫﻟﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻘﺘﺼﺭ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬ ،‫ﻴﺘﻀﻤﻥ‬ ‫ﻭﻫﺫﺍ‬]‫ﺍﺴﺘﺨﺩﺍﻡ‬/‫ﺕ‬/‫ﻤﻥ‬ ‫ﹰ‬‫ﻻ‬‫ﺒﺩ‬/‫ﻙ‬/‫ﺇﺴﻘﺎﻁ‬ ‫ﺃﻭ‬)‫ﺤﺫﻑ‬(‫ﺒﻌﺽ‬
‫ﻨﻬﺎﺌﻴﺔ‬ ‫ﻤﻭﺍﻀﻊ‬ ‫ﻓﻲ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻜﺎﻟﺘﻲ‬ ‫ﺍﻷﺼﻭﺍﺕ‬.(
B-‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﺭﺍﺴﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺼﻭﺕ‬ ‫ﺇﻅﻬﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﺘﺅﺜﺭ‬‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻋﻠﻰ‬.
C-‫ﻓﻲ‬ ‫ﺘﺼﺎﺤﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻟﺤﺩﻴﺙ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﻓﺈﻥ‬ ،‫ﺒﻴﺌﻲ‬ ‫ﺤﺭﻤﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺘﺨﻠﻑ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺍﻟﻌﺎﺩﺓ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﺃﻭ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬III.
■307.0‫ﺍﻟﺘﺄﺘﺄﺓ‬Stuttering
A-‫ﺍﻟﻜﻼﻡ‬ ‫ﻟﻨﻅﻡ‬ ‫ﺍﻟﻁﺒﻴﻌﻲ‬ ‫ﺍﻻﻨﺴﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺸﺨﺹ‬ ‫ﻭﻋﻤﺭ‬ ‫ﻴﺘﻨﺎﺴﺏ‬ ‫ﻻ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻭﺍﺤﺩﺓ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺒﺤﺩﻭﺙ‬ ‫ﻴﺘﺼﻑ‬ ،:
(1)‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﻭﻟﻠﻤﻘﺎﻁﻊ‬ ‫ﻟﻸﺼﻭﺍﺕ‬ ‫ﺘﻜﺭﺍﺭﺍﺕ‬.

31. 30
(2)‫ﺍﻟﺼﻭﺕ‬ ‫ﻓﻲ‬ ‫ﺇﻁﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺩ‬‫ﻤ‬.
(3)‫ﺍﻋﺘﺭﺍﻀﻴﺎﺕ‬.
(4)‫ﻤﺘﻘﻁﻌﺔ‬ ‫ﻜﻠﻤﺎﺕ‬)‫ﺍﻟﺘﻭﻗﻔﺎﺕ‬ ‫ﻤﺜل‬‫ﻜﻠﻤﺔ‬ ‫ﻀﻤﻥ‬.(
(5)‫ﻤﺴﻤﻭﻉ‬ ‫ﺃﻭ‬ ‫ﺼﺎﻤﺕ‬ ‫ﺇﺤﺼﺎﺭ‬)‫ﻓﺎﺭﻏﺔ‬ ‫ﺃﻭ‬ ‫ﻤﻤﻠﻭﺀﺓ‬ ‫ﺍﻟﺤﺩﻴﺙ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﺘﻭﻗﻔﺎﺕ‬.(
(6)‫ﻤﺩﺍﻭﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻭﺍﺭﺒﺎﺕ‬)‫ﺍﻟﻌﻭﻴﺼﺔ‬ ‫ﺍﻟﻜﻠﻤﺎﺕ‬ ‫ﺘﺠﻨﺏ‬ ‫ﺒﻬﺩﻑ‬ ‫ﺒﺄﺨﺭﻯ‬ ‫ﻜﻠﻤﺎﺕ‬ ‫ﺍﺴﺘﻌﺎﻀﺔ‬]‫ﺍﻹﺸﻜﺎﻟﻴﺔ‬.([
(7)‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﺘﻭﺘﺭ‬ ‫ﺯﻴﺎﺩﺓ‬ ‫ﻋﻨﺩ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻜﻠﻤﺎﺕ‬ ‫ﺇﻁﻼﻕ‬.
(8)‫ﹰ‬‫ﺎ‬‫ﻜﻠﻴ‬ ‫ﺍﻟﻤﻘﻁﻊ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﻟﻜﻠﻤﺔ‬ ‫ﺘﻜﺭﺍﺭﺍﺕ‬)،‫ﻤﺜﺎل‬»‫ﺃ‬..‫ﺃ‬..‫ﺃ‬..‫ﺃ‬..‫ﺭﺍﻩ‬«.(
B-‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﺭﺍﺴﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺅﺜﺭ‬ ‫ﺍﻟﻜﻼﻡ‬ ‫ﺍﻨﺴﻴﺎﺒﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺇﻥ‬.
C-‫ﻋﺎﺩﺓ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺼﺎﺤﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻟﺤﺩﻴﺙ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺎﺕ‬ ‫ﻓﺈﻥ‬ ،‫ﻋﺼﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﻲ‬‫ﺤﺴ‬ ‫ﻋﺠﺯ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻋ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﻋﺼﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻁﻘﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺴﻲ‬ ‫ﺠﺯ‬III.
■307.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Communication Disorder Not otherwise Specified
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺒﺎﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻌﻨﻰ‬.‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬‫ﺼﻭﺘﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،)‫ﻓﻲ‬ ‫ﺸﺫﻭﺫ‬ ‫ﺃﻱ‬
‫ﻨﻭﻋﻴﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺍﺭﺘﻔﺎﻋﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺼﻭﺕ‬ ‫ﻁﺒﻘﺔ‬)‫ﺼﻔﺘﻪ‬(‫ﺭﻨﻴﻨﻪ‬ ‫ﺃﻭ‬ ‫ﻨﻐﻤﺘﻪ‬ ‫ﺃﻭ‬.(
‫ﺍﻟﺸﺎﻤﻠﺔ‬ ‫ﺍﻟﻨﻤﺎﺌﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Pervasive Developmental Disorders
■299.00‫ﺍﻟﺘﻭﺤﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬Autistic Disorder
A-‫ﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺴﺘﺔ‬ ‫ﻤﺠﻤﻭﻋﻪ‬ ‫ﻤﺎ‬ ‫ﺘﻭﻓﺭ‬ ‫ﻴﻨﺒﻐﻲ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻤﻥ‬(1)‫ﻭ‬(2)‫ﻭ‬(3)‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺘﻅﺎﻫﺭﻴﻥ‬ ،(1)‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻤﻥ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻭﺘﻅﺎﻫﺭ‬(2)‫ﻭ‬(3).
(1)‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺍﺜﻨﺘﻴﻥ‬ ‫ﻓﻲ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻔﺎﻋل‬ ‫ﻓﻲ‬ ‫ﻜﻴﻔﻲ‬ ‫ﺍﺨﺘﻼل‬:
(a)‫ﺍﻟﺠﺴﺩ‬ ‫ﻭﺍﻟﻭﻀﻌﺎﺕ‬ ‫ﺍﻟﻭﺠﻬﻲ‬ ‫ﻭﺍﻟﺘﻌﺒﻴﺭ‬ ‫ﻋﻴﻥ‬ ‫ﻓﻲ‬ ‫ﻋﻴﻥ‬ ‫ﻜﺎﻟﺘﺤﺩﻴﻕ‬ ‫ﺍﻟﻌﺩﻴﺩﺓ‬ ‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻲ‬ ‫ﺼﺭﻴﺢ‬ ‫ﺍﺨﺘﻼل‬‫ﻴﺔ‬
‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻔﺎﻋل‬ ‫ﺘﻨﻅﻴﻡ‬ ‫ﻓﻲ‬ ‫ﺘﺨﺩﻡ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻭﺍﻹﻴﻤﺎﺀﺍﺕ‬.
(b)‫ﺍﻟﺘﻁﻭﺭﻴﺔ‬ ‫ﻟﻠﻤﺭﺤﻠﺔ‬ ‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻷﻗﺭﺍﻥ‬ ‫ﻤﻊ‬ ‫ﻋﻼﻗﺎﺕ‬ ‫ﺘﻁﻭﻴﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬.
(c)‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻤﻊ‬ ‫ﺍﻹﻨﺠﺎﺯﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻫﺘﻤﺎﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻌﺔ‬ ‫ﻓﻲ‬ ‫ﻟﻠﻤﺸﺎﺭﻜﺔ‬ ‫ﺍﻟﻌﻔﻭﻱ‬ ‫ﺍﻟﺴﻌﻲ‬ ‫ﻏﻴﺎﺏ‬)‫ﺃﻭ‬ ‫ﺍﻟﻅﻬﻭﺭ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺒﺤﺙ‬ ‫ﻋﺩﻡ‬ ‫ﻤﺜل‬
‫ﺍﻟ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬‫ﺇﺤﻀﺎﺭﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺒﻬﺎ‬ ‫ﻴﻬﺘﻡ‬ ‫ﺘﻲ‬.(
(d)‫ﺍﻻﻨﻔﻌﺎﻟﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﺒﺎﺩل‬ ‫ﺍﻨﻌﺩﺍﻡ‬.
(2)‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻓﻲ‬ ‫ﺘﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻓﻲ‬ ‫ﻜﻴﻔﻴﺔ‬ ‫ﺍﺨﺘﻼﻻﺕ‬:
(a)‫ﺍﻟﻜﺎﻤل‬ ‫ﻏﻴﺎﺒﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻁﻭﻗﺔ‬ ‫ﺍﻟﻠﻐﺔ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻓﻲ‬ ‫ﺘﺄﺨﺭ‬)‫ﻤﻥ‬ ‫ﺒﺩﻴﻠﺔ‬ ‫ﻨﻤﺎﺫﺝ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻌﺎﻭﻀﺔ‬ ‫ﻤﺤﺎﻭﻟﺔ‬ ‫ﻤﻊ‬ ‫ﺫﻟﻙ‬ ‫ﻴﺘﺭﺍﻓﻕ‬ ‫ﻭﻻ‬‫ﺍﻟﺘﻭﺍﺼل‬
‫ﻭﺍﻟﺘﻠﻤﻴﺢ‬ ‫ﻜﺎﻹﻴﻤﺎﺀ‬.(
(b)‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬ ‫ﺒﻪ‬ ‫ﺍﻻﺴﺘﻤﺭﺍﺭ‬ ‫ﺃﻭ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﻬﻼل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﹰ‬‫ﺎ‬‫ﻜﺎﻓﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻜﻼﻤ‬ ‫ﻴﻤﺘﻠﻜﻭﻥ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﻜﻭﻥ‬.
(c)‫ﺨﺎﺼﺔ‬ ‫ﻟﻐﺔ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻐﺔ‬ ‫ﻭﻨﻤﻁﻲ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
(d)‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﺤﺎﻜﺎﺓ‬ ‫ﺃﻟﻌﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻋﺔ‬ ‫ﺍﻟﺨﻴﺎل‬ ‫ﺃﻟﻌﺎﺏ‬ ‫ﺍﻨﻌﺩﺍﻡ‬‫ﺍﻟﺘﻁﻭﺭﻱ‬ ‫ﻟﻠﻤﺴﺘﻭﻯ‬ ‫ﺍﻟﻤﻨﺎﺴﺒﺔ‬.
(3)‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻓﻲ‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﻭﺍﻟﻨﻤﻁﻴﺔ‬ ‫ﺍﻟﺘﻜﺭﺍﺭﻴﺔ‬ ‫ﺍﻟﻤﻘﻴﺩﺓ‬ ‫ﻭﺍﻷﻨﺸﻁﺔ‬ ‫ﻭﺍﻻﻫﺘﻤﺎﻤﺎﺕ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻤﻥ‬ ‫ﻨﻤﺎﺫﺝ‬:
(a)‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻓﻲ‬ ‫ﺇﻤﺎ‬ ‫ﺸﺎﺫﺓ‬ ‫ﻭﻨﻤﻁﻴﺔ‬ ‫ﻤﻘﻴﺩﺓ‬ ‫ﺍﻫﺘﻤﺎﻡ‬ ‫ﻤﻭﺍﻀﻴﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻫﺘﻤﺎﻡ‬ ‫ﺒﻤﻭﻀﻭﻉ‬ ‫ﻜﻠﻲ‬ ‫ﺍﻨﺸﻐﺎل‬.
(b)‫ﺒ‬ ‫ﺍﻟﺼﺎﺭﻡ‬ ‫ﺍﻟﺘﻘﻴﺩ‬‫ﻭﻅﻴﻔﻴﺔ‬ ‫ﻭﻏﻴﺭ‬ ‫ﻨﻭﻋﻴﺔ‬ ‫ﺭﻭﺘﻴﻨﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﻁﻘﻭﺱ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺼﻭﺭﺓ‬.
(c)‫ﻭﻨﻤﻁﻴﺔ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﺃﺴﻠﻭﺒﻴﺔ‬)‫ﺍﻟﺠﺴﻡ‬ ‫ﻟﻜﺎﻤل‬ ‫ﻤﻌﻘﺩﺓ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻬﻤﺎ‬‫ﻴ‬‫ﻟ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻹﺼﺒﻊ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻴﺩ‬ ‫ﺍﻟﻀﺭﺏ‬ ‫ﻤﺜل‬.(

32. 31
(d)‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﻤﻥ‬ ‫ﺒﺄﺠﺯﺍﺀ‬ ‫ﺍﻟﻤﺴﺘﻤﺭ‬ ‫ﺍﻻﻨﺸﻐﺎل‬.
B-‫ﻓ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺠﺎﻻﺕ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻓﻲ‬ ‫ﻁﺒﻴﻌﻲ‬ ‫ﻏﻴﺭ‬ ‫ﺃﺩﺍﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺘﺄﺨﺭ‬‫ﻗﺒل‬ ‫ﻴﻤﺎ‬3‫ﺴﻨﻭﺍﺕ‬:(1)‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻔﺎﻋل‬(2)‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﻠﻐﺔ‬
‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻓﻲ‬(3)‫ﺍﻟﺭﻤﺯﻱ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻴﺎﻟﻲ‬ ‫ﺍﻟﻠﻌﺏ‬.
C-‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﻔﻜﻜﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺭﻴﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬.
■299.80‫ﺭﻴﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Rett’s Disorder
A-‫ﻴﻠﻲ‬ ‫ﻤﺎ‬ ‫ﻜل‬ ‫ﻭﺠﻭﺩ‬:
(1)‫ﻓﺘ‬ ‫ﻓﻲ‬ ‫ﻁﺒﻴﻌﻲ‬ ‫ﺘﻁﻭﺭ‬‫ﺍﻟﻭﻻﺩﺓ‬ ‫ﺤﻭل‬ ‫ﻭﻤﺎ‬ ‫ﺍﻟﻭﻻﺩﺓ‬ ‫ﻗﺒل‬ ‫ﻤﺎ‬ ‫ﺭﺓ‬.
(2)‫ﺍﻟﻭﻻﺩﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﺨﻤﺴﺔ‬ ‫ﺍﻷﺸﻬﺭ‬ ‫ﺨﻼل‬ ‫ﻁﺒﻴﻌﻲ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﺘﻁﻭﺭ‬.
(3)‫ﺍﻟﻭﻻﺩﺓ‬ ‫ﻋﻨﺩ‬ ‫ﻁﺒﻴﻌﻲ‬ ‫ﺍﻟﺭﺃﺱ‬ ‫ﻤﺤﻴﻁ‬.
B-‫ﻁﺒﻴﻌﻴﺔ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬ ‫ﻴﻠﻲ‬ ‫ﻤﺎ‬ ‫ﻜل‬ ‫ﺒﺩﺀ‬:
(1)‫ﺴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺭﺃﺱ‬ ‫ﻨﻤﻭ‬ ‫ﺘﺒﺎﻁﺅ‬5‫ﻭ‬ ‫ﺃﺸﻬﺭ‬48‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬.
(2)‫ﺍ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻬﺎﺩﻓﺔ‬ ‫ﺍﻟﻴﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬ ‫ﻓﻘﺩ‬‫ﻋﻤﺭ‬ ‫ﺒﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﻜﺘﺴﺒﺕ‬5‫ﻭﻋﻤﺭ‬ ‫ﺃﺸﻬﺭ‬30‫ﻨﻤﻁﻴﺔ‬ ‫ﻴﺩ‬ ‫ﻟﺤﺭﻜﺎﺕ‬ ‫ﻻﺤﻕ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻤﻊ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬)‫ﺤﺭﻜﺔ‬ ‫ﻤﺜل‬
‫ﺍﻟﻴﺩ‬ ‫ﻏﺴﻴل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺼﺭ‬.(
(3)‫ﺠﺯﻋﻴﺔ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻅﻬﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻨﺎﺴﻕ‬ ‫ﺴﻴﺌﺔ‬ ‫ﻤﺸﻴﺔ‬ ‫ﻅﻬﻭﺭ‬.
(4)‫ﺸﺩﻴﺩ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﺘﺄﺨﺭ‬ ‫ﻤﻊ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﻭﺘﻌﺒﻴﺭﻴﺔ‬ ‫ﺍﺴﺘﻘﺒﺎﻟﻴﺔ‬ ‫ﻟﻐﺔ‬ ‫ﺘﻁﻭﺭ‬.
■299.10‫ﺍﻟﻁﻔﻭﻟ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﻔﻜﻜﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺔ‬
Childhood Disintegrative Disorder
A-‫ﻔﻲ‬‫ﻴ‬‫ﺘﻜ‬ ‫ﻭﺴﻠﻭﻙ‬ ‫ﻭﻟﻌﺏ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻭﻋﻼﻗﺎﺕ‬ ‫ﻟﻔﻅﻲ‬ ‫ﻭﻏﻴﺭ‬ ‫ﻟﻔﻅﻲ‬ ‫ﺘﻭﺍﺼل‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﻴﺘﺠﻠﻰ‬ ،‫ﺍﻟﻭﻻﺩﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺘﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ‫ﻁﺒﻴﻌﻲ‬ ‫ﺘﻁﻭﺭ‬
‫ﻟﻠﻌﻤﺭ‬ ‫ﻤﻨﺎﺴﺒﺔ‬.
B-‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻜﺘﺴﺒﺕ‬ ‫ﻟﻤﻬﺎﺭﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﻓﻘﺩ‬)‫ﻋﻤﺭ‬ ‫ﻗﺒل‬10‫ﺴﻨﻭﺍﺕ‬(‫ﺍﻟﻤﺠ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﺜﻨﻴﻥ‬ ‫ﻓﻲ‬‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺎﻻﺕ‬:
(1)‫ﻭﺘﻌﺒﻴﺭﻴﺔ‬ ‫ﺍﺴﺘﻘﺒﺎﻟﻴﺔ‬ ‫ﻟﻐﺔ‬.
(2)‫ﻔﻲ‬‫ﻴ‬‫ﺘﻜ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻤﻬﺎﺭﺍﺕ‬.
(3)‫ﺍﻷﻤﻌﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺜﺎﻨﺔ‬ ‫ﻀﺒﻁ‬.
(4)‫ﺍﻟﻠﻌﺏ‬.
(5)‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻤﻬﺎﺭﺍﺕ‬.
C-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺠﺎﻻﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺠﺎﻟﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺸﺫﻭﺫﺍﺕ‬:
(1)‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻔﺎﻋل‬ ‫ﻓﻲ‬ ‫ﻜﻴﻔﻲ‬ ‫ﺍﺨﺘﻼل‬)‫ﺍﻟ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﻤﺜل‬‫ﺍﻨﻌﺩﺍﻡ‬ ،‫ﺍﻷﻗﺭﺍﻥ‬ ‫ﻤﻊ‬ ‫ﻋﻼﻗﺎﺕ‬ ‫ﺘﻁﻭﻴﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬ ،‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬
‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﻔﻌﺎﻟﻲ‬ ‫ﺍﻟﺘﺒﺎﺩل‬.(
(2)‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻓﻲ‬ ‫ﻨﻭﻋﻴﺔ‬ ‫ﺍﺨﺘﻼﻻﺕ‬)‫ﺍﺴﺘﺨﺩﺍﻡ‬ ،‫ﺒﻪ‬ ‫ﺍﻻﺴﺘﻤﺭﺍﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﻬﻼل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ،‫ﺍﻟﻤﻨﻁﻭﻕ‬ ‫ﺍﻟﻜﻼﻡ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺃﻭ‬ ‫ﺘﺄﺨﺭ‬ ‫ﻤﺜل‬
‫ﺍﻟﺨﻴ‬ ‫ﺃﻟﻌﺎﺏ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ،‫ﻟﻠﻐﺔ‬ ‫ﻭﻨﻤﻁﻲ‬ ‫ﻤﺘﻜﺭﺭ‬‫ﺍﻟﻤﺘﻨﻭﻋﺔ‬ ‫ﺎل‬.(
(3)‫ﻭﺃﺴﻠﻭﺒﻴﺎﺕ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﻨﻤﻁﻴﺎﺕ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬ ،‫ﻭﻨﻤﻁﻴﺔ‬ ‫ﻭﺘﻜﺭﺍﺭﻴﺔ‬ ‫ﻤﻘﻴﺩﺓ‬ ‫ﻭﺃﻨﺸﻁﺔ‬ ‫ﻭﺍﻫﺘﻤﺎﻤﺎﺕ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﻨﻤﺎﺫﺝ‬.
D-‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺸﺎﻤﻠﺔ‬ ‫ﺍﻟﻨﻤﺎﺌﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬.
■299.80‫ﺃﺴﺒﺭﺠﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Asperger’s Disorder
A-‫ﺍﻟﺘﻔﺎﻋل‬ ‫ﻓﻲ‬ ‫ﻜﻴﻔﻲ‬ ‫ﺍﺨﺘﻼل‬‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﺜﻨﻴﻥ‬ ‫ﻓﻲ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬:
(1)‫ﺍﻟﺘﻔﺎﻋل‬ ‫ﺘﻨﻅﻡ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻹﻴﻤﺎﺀﺍﺕ‬ ،‫ﺍﻟﻭﺠﻬﻲ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ،‫ﻋﻴﻥ‬ ‫ﻓﻲ‬ ‫ﻋﻴﻥ‬ ‫ﺍﻟﺘﺤﺩﻴﻕ‬ ‫ﻤﺜل‬ ‫ﺍﻟﻌﺩﻴﺩﺓ‬ ‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺍﺨﺘﻼل‬
‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬.
(2)‫ﺍﻟﺘﻁﻭ‬ ‫ﻟﻠﻤﺴﺘﻭﻯ‬ ‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﺍﻷﻗﺭﺍﻥ‬ ‫ﻤﻊ‬ ‫ﻋﻼﻗﺎﺕ‬ ‫ﺇﻗﺎﻤﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬‫ﺭﻱ‬.

33. 32
(3)‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻤﻊ‬ ‫ﺍﻹﻨﺠﺎﺯﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻫﺘﻤﺎﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻌﺔ‬ ‫ﻓﻲ‬ ‫ﻟﻠﻤﺸﺎﺭﻜﺔ‬ ‫ﺍﻟﻌﻔﻭﻱ‬ ‫ﺍﻟﺴﻌﻲ‬ ‫ﺍﻨﻌﺩﺍﻡ‬)‫ﻋﺩﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻅﻬﻭﺭ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺒﺤﺙ‬ ‫ﻋﺩﻡ‬ ‫ﻤﺜل‬
‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﺒﻬﺎ‬ ‫ﻴﻬﺘﻡ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬.(
(4)‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﻔﻌﺎﻟﻲ‬ ‫ﺍﻟﺘﺒﺎﺩل‬ ‫ﺍﻨﻌﺩﺍﻡ‬.
B-‫ﻤﻘﻴﺩ‬ ‫ﻭﺍﻷﻨﺸﻁﺔ‬ ‫ﻭﺍﻻﻫﺘﻤﺎﻤﺎﺕ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻤﻥ‬ ‫ﻨﻤﺎﺫﺝ‬‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺇﺤﺩﻯ‬ ‫ﻓﻲ‬ ‫ﺘﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ،‫ﻭﻨﻤﻁﻴﺔ‬ ‫ﻭﺘﻜﺭﺍﺭﻴﺔ‬ ‫ﺓ‬:
(1)‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻓﻲ‬ ‫ﺇﻤﺎ‬ ‫ﺸﺎﺫ‬ ‫ﺍﻨﺸﻐﺎل‬ ‫ﻭﻫﻭ‬ ،‫ﻭﺍﻟﻨﻤﻁﻴﺔ‬ ‫ﺍﻟﻤﻘﻴﺩﺓ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻨﻤﺎﺫﺝ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻓﻲ‬ ‫ﻜﻠﻲ‬ ‫ﺍﻨﺸﻐﺎل‬.
(2)‫ﻭﻅﻴﻔﻴﺔ‬ ‫ﻭﻏﻴﺭ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻭﺭﻭﺘﻴﻨﺎﺕ‬ ‫ﺒﻁﻘﻭﺱ‬ ‫ﺍﻟﺼﺎﺭﻡ‬ ‫ﺍﻟﺘﻤﺴﻙ‬.
(3)‫ﻭﺘﻜ‬ ‫ﻨﻤﻁﻴﺔ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﺃﺴﻠﻭﺒﻴﺎﺕ‬‫ﺭﺍﺭﻴﺔ‬)‫ﻜﻠﻪ‬ ‫ﻟﻠﺠﺴﻡ‬ ‫ﻤﻌﻘﺩﺓ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻬﻤﺎ‬‫ﻴ‬‫ﺒﻠ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻹﺼﺒﻊ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻴﺩ‬ ‫ﺍﻟﻀﺭﺏ‬ ‫ﻤﺜل‬.
(4)‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﺒﺄﺠﺯﺍﺀ‬ ‫ﺍﻟﻤﺴﺘﻤﺭ‬ ‫ﺍﻻﻨﺸﻐﺎل‬.
C-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
D-‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﻋﺎﻡ‬ ‫ﺘﺄﺨﺭ‬ ‫ﻴﻭﺠﺩ‬ ‫ﻻ‬)‫ﺒﻌﻤﺭ‬ ‫ﺘﻭﺍﺼﻠﻴﺔ‬ ‫ﻋﺒﺎﺭﺍﺕ‬ ‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﻜﻤﺎ‬ ،‫ﺴﻨﺘﻴﻥ‬ ‫ﺒﻌﻤﺭ‬ ‫ﻤﻔﺭﺩﺓ‬ ‫ﻜﻠﻤﺎﺕ‬ ‫ﹸﺴﺘﺨﺩﻡ‬‫ﺘ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬3‫ﺴﻨﻭﺍﺕ‬.(
E-‫ﺍﻟﺘﻜﻴﻔﻲ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤﺭ‬ ‫ﻤﻊ‬ ‫ﻴﺘﻨﺎﺴﺏ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺇﻋﺎﻨﺔ‬ ‫ﻤﻬﺎﺭﺍﺕ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻟﺘﻁﻭﺭ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺘﺄﺨﺭ‬ ‫ﻴﻭﺠﺩ‬ ‫ﻻ‬)‫ﻋﺩﺍ‬ ‫ﻤﺎ‬
‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻔﺎﻋل‬(‫ﺃﺜﻨﺎ‬ ‫ﺍﻟﻤﺤﻴﻁ‬ ‫ﻨﺤﻭ‬ ‫ﺍﻟﻔﻀﻭل‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺀ‬.
F-‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﻨﻭﻋﻲ‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬.
■299.80‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
)‫ﺍﻟﻼﻨﻤﻭﺫﺠﻲ‬ ‫ﺍﻟﺘﻭﺤﺩ‬ ‫ﻭﻴﺸﻤل‬(
Pervasive Developmental Disorder Not otherwise
Specified (Including Atypical Autism)
‫ﺍﻟﻔﺌ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﻤﻬﺎﺭﺍﺕ‬ ‫ﻓﻲ‬ ‫ﺇﻤﺎ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻤﻊ‬ ‫ﺍﻟﻤﺘﺭﺍﻓﻕ‬ ‫ﺍﻟﺘﺒﺎﺩﻟﻲ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻔﺎﻋل‬ ‫ﺘﻁﻭﺭ‬ ‫ﻓﻲ‬ ‫ﻭﺸﺎﻤل‬ ‫ﺸﺩﻴﺩ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺔ‬
‫ﺃﻭ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﻨﻤﻁﻴﺔ‬ ‫ﻭﺃﻨﺸﻁﺔ‬ ‫ﻭﺍﻫﺘﻤﺎﻤﺎﺕ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﻔﻅﻴﺔ‬ ‫ﺍﻟﺘﻭﺍﺼل‬
‫ﺍﻟﻨﻤ‬ ‫ﻤﻥ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻓﺼﺎﻡ‬‫ﻤﺘﺠﻨﺒﺔ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﻁ‬.‫ﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻭﺘﺸﻤل‬»‫ﺍﻟﺘﻭﺤﺩ‬
‫ﺍﻟﻼﻨﻤﻭﺫﺠﻲ‬«‫ﻋﺘﺒﺔ‬ ‫ﺩﻭﻥ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻼﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﺄﺨﺭ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺴﻥ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺍﻟﺘﻭﺤﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬
‫ﺴﺒﻕ‬ ‫ﻤﺎ‬ ‫ﺠﻤﻴﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﺤﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.
‫ﺍﻻﻨ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬‫ﻉ‬‫ﺩ‬‫ﺍﻟﻤﺼ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻭﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺘﺒﺎﻩ‬)‫ﺍﻟﻤﺸﻭﺵ‬(
Attention-Deficit and Disruptive Behavior Disorders
■‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬
Attention Deficit/ Hyperactivity Disorder
A-‫ﺇﻤﺎ‬(1)‫ﺃﻭ‬(2)
(1)‫ﺴﺘﺔ‬ ‫ﺍﺴﺘﻤﺭﺍﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺴﺘﺔ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻥ‬‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﻭﺍﻓﻕ‬ ‫ﻭﻋﺩﻡ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻭﺀ‬ ‫ﺩﺭﺠﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬
‫ﺍﻟﺘﻁﻭﺭﻱ‬:
‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺩﻡ‬:
(a)‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﻨﺸﺎﻁﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﻴﺔ‬ ‫ﺍﻟﻭﺍﺠﺒﺎﺕ‬ ‫ﻓﻲ‬ ‫ﻁﻴﺵ‬ ‫ﺃﺨﻁﺎﺀ‬ ‫ﻴﺭﺘﻜﺏ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺘﻔﺎﺼﻴل‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺇﻋﺎﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻴﺨﻔﻕ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(b)‫ﺃﺩ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬ ‫ﻟﺩﻴﻪ‬‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻤﻤﺎﺭﺴﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﺍﺀ‬.
(c)‫ﺇﻟﻴﻪ‬ ‫ﺍﻟﺤﺩﻴﺙ‬ ‫ﺘﻭﺠﻴﻪ‬ ‫ﻋﻨﺩ‬ ٍ‫ﻎ‬‫ﻤﺼ‬ ‫ﻏﻴﺭ‬ ‫ﻴﺒﺩﻭ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(d)‫ﺍﻟﻌﻤﻠﻴﺔ‬ ‫ﺍﻟﻭﺍﺠﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺍﻟﺭﻭﺘﻴﻨﻴﺔ‬ ‫ﺍﻷﻋﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﻲ‬ ‫ﺍﻟﻭﺍﺠﺏ‬ ‫ﺇﻨﻬﺎﺀ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺨﻔﻕ‬ ‫ﺍﻟﺘﻌﻠﻴﻤﺎﺕ‬ ‫ﻴﺘﺒﻊ‬ ‫ﻻ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬)‫ﺴﻠﻭﻙ‬ ‫ﻟﺴﺒﺏ‬ ‫ﻟﻴﺱ‬
‫ﺍﻟﺘﻌﻠﻴﻤﺎﺕ‬ ‫ﻓﻬﻡ‬ ‫ﻓﻲ‬ ‫ﺇﺨﻔﺎﻕ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﺭﺽ‬.(
(e)‫ﻴﻜﻭ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬‫ﻭﺍﻷﻨﺸﻁﺔ‬ ‫ﺍﻟﻤﻬﺎﻡ‬ ‫ﺘﻨﻅﻴﻡ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻥ‬.

34. 33
(f)‫ﹰ‬‫ﻼ‬‫ﻤﺘﻭﺍﺼ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻘﻠﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﺠﻬﺩ‬ ‫ﻤﻨﻪ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﻤﻬﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﺨﺭﺍﻁ‬ ‫ﻴﺭﻓﺽ‬ ‫ﺃﻭ‬ ‫ﻴﻤﻘﺕ‬ ‫ﺃﻭ‬ ‫ﻴﺘﺠﻨﺏ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬)‫ﻓﻲ‬ ‫ﺍﻟﻭﺍﺠﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﻲ‬ ‫ﻜﺎﻟﻌﻤل‬
‫ﺍﻟﻤﻨﺯل‬.(
(g)‫ﻭﺃﻨﺸﻁﺘﻪ‬ ‫ﻤﻬﺎﻤﻪ‬ ‫ﻟﻤﻤﺎﺭﺴﺔ‬ ‫ﻀﺭﻭﺭﻴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻏﺭﺍﻀ‬ ‫ﻴﻀﻴﻊ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬)‫ﺍﻷ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻜﺘﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻗﻼﻡ‬ ‫ﺃﻭ‬ ‫ﻜﺎﻷﻟﻌﺎﺏ‬‫ﺩﻭﺍﺕ‬.(
(h)‫ﺨﺎﺭﺠﻲ‬ ‫ﻪ‬‫ﺒ‬‫ﺒﻤﻨ‬ ‫ﺍﻨﺘﺒﺎﻫﻪ‬ ‫ﺘﺸﺘﻴﺕ‬ ‫ﻴﺴﻬل‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(i)‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺤﻴﺎﺘﻪ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻨﺴﻴﺎﻥ‬ ‫ﻜﺜﻴﺭ‬.
(2)‫ﺴﺘﺔ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻭﻋﺩﻡ‬ ‫ﻑ‬‫ﻴ‬‫ﺍﻟﺘﻜ‬ ‫ﺴﻭﺀ‬ ‫ﺩﺭﺠﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺴﺘﺔ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﺴﺘﻤﺭﺕ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬ ‫ـ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻥ‬
‫ﺍﻟﺘﻁﻭﺭﻱ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﻭﺍﻓﻕ‬.
‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬Hyperactivity
(a)‫ﻜﺭﺴﻴﻪ‬ ‫ﻓﻲ‬ ‫ﻴﺘﻠﻭﻯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺩﻤﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻴﺩﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺘﻤﻠﻤل‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻴﺒﺩﻱ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(b)‫ﻤﻘﻌﺩﻩ‬ ‫ﻴﻼﺯﻡ‬ ‫ﺃﻥ‬ ‫ﻤﻨﻪ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻨﺘﻅﺭ‬‫ﻴ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺤﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺼﻑ‬ ‫ﻓﻲ‬ ‫ﻤﻘﻌﺩﻩ‬ ‫ﻴﻐﺎﺩﺭ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(c)‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺒﺎﻟﺘﺴﻠﻕ‬ ‫ﻴﻘﻭﻡ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﺇﻟﻰ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻤﻥ‬ ‫ﻴﻨﺘﻘل‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬)‫ﺍﻟﻤﺭﺍﻫﻘ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻷﻤﺭ‬ ‫ﻴﻘﺘﺼﺭ‬ ‫ﻗﺩ‬‫ﻋﻠﻰ‬ ‫ﺍﻟﺭﺍﺸﺩﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻴﻥ‬
‫ﻭﺍﻻﻨﺯﻋﺎﺝ‬ ‫ﺍﻟﺼﺒﺭ‬ ‫ﺒﻌﺩﻡ‬ ‫ﺫﺍﺘﻴﺔ‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬.(
(d)‫ﺘﺭﻓﻴﻬﻴﺔ‬ ‫ﻨﺸﺎﻁﺎﺕ‬ ‫ﻀﻤﻥ‬ ‫ﺒﻬﺩﻭﺀ‬ ‫ﺍﻻﻨﺨﺭﺍﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﻌﺏ‬ ‫ﻓﻲ‬ ‫ﻤﺼﺎﻋﺏ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(e)‫ﺃﻨﻪ‬ ‫ﻟﻭ‬ ‫ﻜﻤﺎ‬ ‫ﻴﺘﺼﺭﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﺩﺍﺌﻡ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬»‫ﺒﻤﺤﺭﻙ‬ ‫ﻤﺩﻓﻭﻉ‬«)‫ﻨﺎﺒﺽ‬ ‫ﻋﻠﻰ‬.(
(f)‫ﺒﺈﻓﺭﺍﻁ‬ ‫ﻴﺘﺤﺩﺙ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬Impulsivity
(g)‫ﺍﻷﺴﺌﻠﺔ‬ ‫ﺍﻜﺘﻤﺎل‬ ‫ﻗﺒل‬ ‫ﺒﺄﺠﻭﺒﺔ‬ ‫ﻴﻨﻁﻕ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(h)‫ﺩﻭﺭﻩ‬ ‫ﺍﻨﺘﻅﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﻴﺠﺩ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(i)‫ﺸﺅﻭﻨﻬﻡ‬ ‫ﻓﻲ‬ ‫ﻨﻔﺴﻪ‬ ‫ﻴﻘﺤﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻴﻘﺎﻁﻊ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬)‫ﺃﻟﻌﺎﺒﻬﻡ‬ ‫ﺃﻭ‬ ‫ﺃﺤﺎﺩﻴﺜﻬﻡ‬ ‫ﻓﻲ‬ ‫ﻨﻔﺴﻪ‬ ‫ﻴﺤﺸﺭ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬.(
B-‫ﺴ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬ ‫ـ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻌﺽ‬ ‫ﻭﺠﻭﺩ‬‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ،‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺒﺒﺕ‬7‫ﺴﻨﻭﺍﺕ‬.
C-‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺒﻴﺌﺘﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﻤﻥ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﺩﺭﺠﺔ‬ ‫ﻭﺠﻭﺩ‬)‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬]‫ﺍﻟﻌﻤل‬ ‫ﺃﻭ‬[‫ﺍﻟﻤﻨﺯل‬ ‫ﻭﻓﻲ‬.(
D-‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬.
E-‫ﺍﻷﻋﺭﺍ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﻭﻟﻴﺴﺕ‬ ‫ﺁﺨﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻓﺼﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺼﺭﻴ‬ ‫ﺽ‬
‫ﺁﺨﺭ‬)‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜل‬.(
‫ﺍﻟﻨﻤﻁ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻨﺎﺀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬:
314.01‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﺍﻟﻤﺸﺘﺭﻙ‬ ‫ﺍﻟﻨﻤﻁ‬ ،‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬:‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺇﺫﺍ‬A1‫ﻭ‬A2‫ﻤﻀﺕ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺴﺘﺔ‬ ‫ﻟﻤﺩﺓ‬.
314.00‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﺍﻟﻼﺍﻨﺘﺒﺎﻩ‬ ‫ﻨﻤﻁ‬ ‫ﺴﻴﻁﺭﺓ‬ ،‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬:‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺇﺫﺍ‬A1‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻴﺘﺤﻘﻕ‬ ‫ﻭﻟﻡ‬A2‫ﺍﻟﻤﺎﻀﻴﺔ‬ ‫ﺍﻟﺴﺘﺔ‬ ‫ﺍﻷﺸﻬﺭ‬ ‫ﻓﻲ‬.
314.01‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬ ‫ـ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬ ‫ﻨﻤﻁ‬ ‫ﺴﻴﻁﺭﺓ‬ ،‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬:‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺇﺫﺍ‬A2‫ﻭﻟﻡ‬‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻴﺘﺤﻘﻕ‬A1‫ﻓﻲ‬
‫ﺍﻟﻤﺎﻀﻴﺔ‬ ‫ﺍﻟﺴﺘﺔ‬ ‫ﺍﻷﺸﻬﺭ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻟﻸﺸﺨﺎﺹ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬)‫ﻭﺍﻟﺭﺍﺸﺩﻴﻥ‬ ‫ﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺨﺎﺼﺔ‬(‫ﻭﻀﻊ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻌﺩ‬ ‫ﻟﻡ‬ ‫ﺍﻟﺫﻴﻥ‬
‫ﺘﺸﺨﻴﺹ‬»‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬«.
■314.9‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬
‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬ ‫ـ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺒﺎﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻌﻨﻰ‬/‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬.
‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺸﻤل‬:
1-‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﻭﺍﻻﺨﺘﻼل‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﻘﻕ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺸﺨﺎﺼ‬/‫ﻟ‬ ‫ﺍﻟﻼﺍﻨﺘﺒﺎﻩ؛‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻨﻤﻁ‬ ،‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬‫ﺒﺩﺀ‬ ‫ﻋﻨﺩ‬ ‫ﺃﻋﻤﺎﺭﻫﻡ‬ ‫ﻜﻥ‬
‫ﻫﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬7‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺴﻨﻭﺍﺕ‬.

35. 34
2-‫ﺴﻠﻭﻜﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﺒل‬ ،‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻭﻻ‬ ،‫ﺍﻨﺘﺒﺎﻩ‬ ‫ﻋﺩﻡ‬ ‫ﻴﺒﺩﻭﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺸﺨﺎﺼ‬
‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﻭﻨﻘﺹ‬ ‫ﺍﻟﻴﻘﻅﺔ‬ ‫ﻭﺃﺤﻼﻡ‬ ‫ﺒﺎﻟﺒﻼﺩﺓ‬ ‫ﻴﺘﻤﻴﺯ‬.
■‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Conduct Disorder
A-‫ﻨﻤﻭ‬‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻥ‬‫ﻟﺴ‬ ‫ﺍﻟﻤﻨﺎﺴﺒﺔ‬ ‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻘﻭﺍﻋﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺤﻘﻭﻕ‬ ‫ﻓﻴﻪ‬ ‫ﺘﻨﺘﻬﻙ‬ ،‫ﻭﻤﺴﺘﻤﺭ‬ ‫ﺘﻜﺭﺍﺭﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻤﻥ‬ ‫ﺫﺝ‬
‫ﺜﻼﺜﺔ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺫﻟﻙ‬ ‫ﻴﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻘﻭﺍﻨﻴﻥ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟـ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬12‫ﺍﻟﺴﺘﺔ‬ ‫ﺍﻷﺸﻬﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﻌﻴﺎﺭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻤﺎﻀﻴﺔ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬
‫ﺍﻟﻤﺎﻀﻴﺔ‬:
‫ﺍﻟﻌ‬‫ﻭﺍﻟﺤﻴﻭﺍﻨﺎﺕ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻭﺍﻥ‬
Aggression to People and Animals
(1)‫ﻴﺨﻴﻔﻬﻡ‬ ‫ﺃﻭ‬ ‫ﻴﻬﺩﺩﻫﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺭ‬‫ﻤ‬‫ﻴﺘﻨ‬ ‫ﻋﺎﺩﺓ‬.
(2)‫ﺠﺴﺩﻴﺔ‬ ‫ﻋﺭﺍﻜﺎﺕ‬ ‫ﻴﺒﺩﺃ‬ ‫ﻤﺎ‬ ‫ﻋﺎﺩﺓ‬.
(3)‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﺨﻁﻴﺭ‬ ‫ﺠﺴﺩﻱ‬ ‫ﺃﺫﻯ‬ ‫ﻴﻠﺤﻕ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﻼﺤ‬ ‫ﺍﺴﺘﺨﺩﻡ‬)‫ﻤﺴﺩﺱ‬ ،‫ﺴﻜﻴﻥ‬ ،‫ﻤﻜﺴﻭﺭﺓ‬ ‫ﺯﺠﺎﺠﺔ‬ ،‫ﺁﺠﺭﺓ‬ ،‫ﻋﺼﺎ‬ ‫ﻤﺜل‬.(
(4)‫ﹰ‬‫ﺎ‬‫ﺠﺴﺩﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻗﺎﺴﻴ‬ ‫ﻜﺎﻥ‬‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻨﺤﻭ‬.
(5)‫ﺍﻟﺤﻴﻭﺍﻨﺎﺕ‬ ‫ﻨﺤﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﺴﺩﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻗﺎﺴﻴ‬ ‫ﻜﺎﻥ‬.
(6)‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻴﻭﺍﺠﻪ‬ ‫ﻭﻫﻭ‬ ‫ﺴﺭﻕ‬)‫ﻤﺴﻠﺢ‬ ‫ﺴﻁﻭ‬ ،‫ﺍﺒﺘﺯﺍﺯ‬ ،‫ﻤﺤﻔﻅﺔ‬ ‫ﻨﺸل‬ ،‫ﺍﻟﺴﻠﺏ‬ ‫ﻤﺜل‬.(
(7)‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻤﺎﺭﺴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺒﺎﻟﻘﻭﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﺨﺼ‬ ‫ﺃﺠﺒﺭ‬.
‫ﻤﻠﻜﻴﺔ‬ ‫ﺘﺩﻤﻴﺭ‬Destruction of Property
(8)‫ﺍﻷﺫﻯ‬ ‫ﺇﻟﺤﺎﻕ‬ ‫ﺒﻘﺼﺩ‬ ‫ﻨﺎﺭ‬ ‫ﺇﺸﻌﺎل‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﺍﻨﺨﺭﻁ‬.
(9)‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﺭ‬‫ﻤ‬‫ﺩ‬‫ﺁﺨﺭﻴﻥ‬ ‫ﻤﻠﻜﻴﺔ‬)‫ﺍﻟﻨﺎﺭ‬ ‫ﺇﺸﻌﺎل‬ ‫ﻏﻴﺭ‬ ‫ﺒﻭﺴﻴﻠﺔ‬.(
‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﺩﺍﻉ‬Deceitfulness or Theft
(10)‫ﺁﺨﺭ‬ ‫ﺸﺨﺹ‬ ‫ﺴﻴﺎﺭﺓ‬ ‫ﺃﻭ‬ ‫ﻤﺒﻨﻰ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺯل‬ ‫ﺇﻟﻰ‬ ‫ﺘﺴﻠل‬.
(11)‫ﺍﻟﺘﺯﺍﻤﺎﺕ‬ ‫ﻟﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻤﺘﻴﺎﺯﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺒﻀﺎﺌﻊ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺤﺼﻭل‬ ‫ﻴﻜﺫﺏ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬)‫ﺃﻱ‬»‫ﻴﺨﺩﻉ‬«/‫ﻴﺒﻠﻑ‬/‫ﺍﻵﺨﺭﻴﻥ‬.(
(12)‫ﺍﻟﻀ‬ ‫ﻤﻭﺍﺠﻬﺔ‬ ‫ﺩﻭﻥ‬ ‫ﻗﻴﻤﺔ‬ ‫ﺫﺍﺕ‬ ‫ﺃﺸﻴﺎﺀ‬ ‫ﺴﺭﻕ‬‫ﺤﻴﺔ‬)‫ﺘﺯﻴﻴﻑ‬ ،‫ﻭﺍﻗﺘﺤﺎﻡ‬ ‫ﻜﺴﺭ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻤﺤﻼﺕ‬ ‫ﺴﺭﻗﺔ‬ ‫ﻤﺜل‬.(
‫ﻟﻠﻘﻭﺍﻋﺩ‬ ‫ﺨﻁﻴﺭﺓ‬ ‫ﺍﻨﺘﻬﺎﻜﺎﺕ‬Serious Violations of Rules
(13)‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﻭﺫﻟﻙ‬ ،‫ﺍﻟﻭﺍﻟﺩﻴﻥ‬ ‫ﻤﻨﻊ‬ ‫ﺭﻏﻡ‬ ‫ﹰ‬‫ﻼ‬‫ﻟﻴ‬ ‫ﺍﻟﻤﻨﺯل‬ ‫ﺨﺎﺭﺝ‬ ‫ﻴﻤﻜﺙ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬13‫ﺴﻨﺔ‬.
(14)‫ﻭﺍﻟﺩﻴﻪ‬ ‫ﺃﻭ‬ ‫ﻭﺍﻟﺩﻴﻪ‬ ‫ﻜﻨﻑ‬ ‫ﻓﻲ‬ ‫ﻴﻌﻴﺵ‬ ‫ﻭﻫﻭ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺭﺘﻴﻥ‬ ‫ﺍﻟﻠﻴل‬ ‫ﻁﻭﺍل‬ ‫ﺍﻟﺒﻴﺕ‬ ‫ﻤﻥ‬ ‫ﻫﺭﺏ‬‫ﺒﺎﻟﺘﺒﻨﻲ‬)‫ﻟﻤﺩﺓ‬ ‫ﻭﺫﻟﻙ‬ ‫ﻋﻭﺩﺓ‬ ‫ﺩﻭﻥ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻤﺭﺓ‬ ‫ﺃﻭ‬
‫ﻁﻭﻴﻠﺔ‬.(
(15)‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﻭﺫﻟﻙ‬ ،‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻋﻥ‬ ‫ﻴﺘﻐﻴﺏ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬13‫ﺴﻨﺔ‬.
B-‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻫﺎﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻤﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬18‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ،‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺴﻨﺔ‬‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬.
‫ﺍﻟﺒﺩﺀ‬ ‫ﻥ‬‫ﺴ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻨﺎﺀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬:
312.81‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻨﻤﻁ‬ ،‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Conduct Disorder, Childhood-Onset Type
‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﻭﺼﻔﻲ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﻌﻴﺎﺭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻓﻲ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺒﺩﺀ‬10‫ﺴﻨﻭﺍﺕ‬.
312.82‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻨﻤﻁ‬ ،‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Conduct Disorder, Adolescent-Onset Type
‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﻭﺼﻔﻲ‬ ‫ﻤﻌﻴﺎﺭ‬ ‫ﺃﻱ‬ ‫ﻏﻴﺎﺏ‬10‫ﺴﻨﻭﺍﺕ‬.
312.89‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺒﺩﺀ‬ ،‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Conduct Disorder, Unspecified Onset
‫ﻤﻌﺭﻭﻑ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺴﻥ‬.
‫ﺍﻟﺸﺩﺓ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:

36. 35
‫ﺨﻔﻴﻑ‬Mild:‫ﻤﺸﺎﻜل‬ ‫ﺘﻭﺠﺩ‬ ‫ﻻ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻤﺸﺎﻜل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻘﻠﻴل‬ ‫ﺴﻭﻯ‬ ‫ﻴﻭﺠﺩ‬ ‫ﻻ‬‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﺍﻟﻤﻁﻠﻭﺒﺔ‬ ‫ﺘﻠﻙ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﻤﺴﻠﻙ‬.‫ﻻ‬ ،‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬
‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﺒﺴﻴﻁ‬ ‫ﺃﺫﻯ‬ ‫ﺴﻭﻯ‬ ‫ﺍﻟﻤﺴﻠﻜﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺘﺴﺒﺏ‬)‫ﺇﺫﻥ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻟﻅﻼﻡ‬ ‫ﻫﺒﻭﻁ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻟﺒﻴﺕ‬ ‫ﺨﺎﺭﺝ‬ ‫ﺍﻟﺒﻘﺎﺀ‬ ،‫ﺍﻟﺘﻐﻴﺏ‬ ،‫ﺍﻟﻜﺫﺏ‬ ‫ﻤﺜل‬.(
‫ﻤﺘﻭﺴﻁ‬Moderate:‫ﺒﻴﻥ‬ ‫ﻴﻘﻊ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺃﺜﺭﻫﺎ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﻤﻥ‬ ‫ﻋﺩﺩ‬»‫ﺍﻟﺨﻔﻴﻑ‬«‫ﻭ‬»‫ﺍﻟﺸﺩﻴﺩ‬«)‫ﺍﻟﺴ‬ ،‫ﻤﺜل‬،‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻤﻭﺍﺠﻬﺔ‬ ‫ﺩﻭﻥ‬ ‫ﺭﻗﺔ‬
‫ﺍﻟﻤﺘﻌﻤﺩ‬ ‫ﺍﻟﺘﺨﺭﻴﺏ‬Vandalism.(
‫ﺸﺩﻴﺩ‬Severe:‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺒﻴﺭ‬ ‫ﺃﺫﻯ‬ ‫ﺘﺴﺒﺏ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﺍﻟﻤﻁﻠﻭﺒﺔ‬ ‫ﺘﻠﻙ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻌﺩﻴﺩ‬)‫ﻤﺜل‬
‫ﻭ‬ ‫ﺍﻟﻜﺴﺭ‬ ،‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻤﻭﺍﺠﻬﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺴﺭﻗﺔ‬ ،‫ﺴﻼﺡ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ،‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﻘﺴﻭﺓ‬ ،‫ﺍﻟﻘﺴﺭﻱ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻤﺎﺭﺴﺔ‬‫ﺍﻻﻗﺘﺤﺎﻡ‬.(
■313.81‫ﺍﻟﻤﻌﺎﺭﺽ‬ ‫ﺍﻟﺘﺤﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Oppositional Defiant Disorder
A-‫ﻤﺩﺓ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﺘﻤﺭ‬ ‫ﺍﻟﺫﻱ‬ ‫ﻭﺍﻟﻤﺘﺤﺩﻱ‬ ‫ﻭﺍﻟﻌﺩﻭﺍﻨﻲ‬ ‫ﺍﻟﻤﻌﺎﻨﺩ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻭﺫﺝ‬6‫ﺃﺭﺒﻌﺔ‬ ‫ﺃﺜﻨﺎﺀﻫﺎ‬ ‫ﻴﻜﻭﻥ‬ ،‫ﺃﺸﻬﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﹰ‬‫ﺍ‬‫ﻤﻭﺠﻭﺩ‬ ‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬:
(1)‫ﺃﻋﺼﺎﺒﻪ‬ ‫ﻴﻔﻘﺩ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬loses temper)‫ﻓﻭﺭ‬ ‫ﻤﻥ‬ ‫ﻴﻌﺎﻨﻲ‬‫ﻏﻀﺏ‬ ‫ﺍﺕ‬.(
(2)‫ﺍﻟﺭﺍﺸﺩﻴﻥ‬ ‫ﻤﻊ‬ ‫ﻴﺘﺠﺎﺩل‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(3)‫ﺍﻹﺫﻋﺎﻥ‬ ‫ﺒﺈﺼﺭﺍﺭ‬ ‫ﻴﺭﻓﺽ‬ ‫ﺃﻭ‬ ‫ﻴﺘﺤﺩﻯ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬)‫ﺍﻻﺴﺘﺠﺎﺒﺔ‬(‫ﻗﻭﺍﻨﻴﻨﻬﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺍﺸﺩﻴﻥ‬ ‫ﻟﻁﻠﺒﺎﺕ‬.
(4)‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻴﺯﻋﺞ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(5)‫ﺍﻟﺴﻴﺊ‬ ‫ﺴﻠﻭﻜﻪ‬ ‫ﺃﻭ‬ ‫ﺃﺨﻁﺎﺌﻪ‬ ‫ﻓﻲ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻠﻭﻡ‬ ‫ﻴﻠﻘﻲ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(6)‫ﺃﻭ‬ ‫ﺍﻟﺘﺄﺜﺭ‬ ‫ﺴﺭﻴﻊ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺒﺴﻬﻭﻟﺔ‬ ‫ﻴﻨﺯﻋﺞ‬.
(7)‫ﹰ‬‫ﺎ‬‫ﻭﻤﻤﺘﻌﻀ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻀﺒ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(8)‫ﹰ‬‫ﺎ‬‫ﻭﺍﻨﺘﻘﺎﻤﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺎﻗﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻭﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﺍﻟﻌﻤﺭ‬ ‫ﻨﻔﺱ‬ ‫ﻤﻥ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﻋﻨﺩ‬ ‫ﻨﻤﻭﺫﺠﻲ‬ ‫ﺒﺸﻜل‬ ‫ﻤﻼﺤﻅﺘﻪ‬ ‫ﻭﻟﻴﺱ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺒﺘﻜﺭﺍﺭ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬ ‫ﻤﺴﺘﻭﻓﻰ‬ ‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺍﻋﺘﺒﺭ‬
‫ﺍﻟﺘﻁﻭﺭﻱ‬.
B-‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻫﺎﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬.
C-‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﺴﻠﻭﻜﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬.
D-‫ﺒﻌﻤﺭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻜﺎﻥ‬ ‫ﻭﺇﺫﺍ‬ ،‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬18‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﺈﻥ‬ ،‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺴﻨﺔ‬.
■312.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﺸﻭﺵ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Disruptive Behaviour Disorder Not otherwise Specified
‫ﺍﻟﻤﻌﺎﺭﺽ‬ ‫ﺍﻟﺘﺤﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻠﺒﻲ‬ ‫ﻻ‬ ‫ﻤﺘﺤﺩﻴﺔ‬ ‫ﻤﻌﺎﺭﻀﺔ‬ ‫ﺒﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺘﺘﻤﻴﺯ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻌﻨﻰ‬.‫ﻓﻬﻲ‬
‫ﺍﻟﺴﺭﻴ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ‫ﺘﺸﻤل‬‫ﻫﻨﺎﻙ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﺭﺽ‬ ‫ﺍﻟﺘﺤﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﻷﻱ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺴﺘﻭﻓﻲ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺭﻴﺔ‬
‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺍﺨﺘﻼل‬.
‫ﻭﺍﻟﻁﻌﺎﻡ‬ ‫ﺍﻹﻁﻌﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻤﺒﻜﺭﺓ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬
Feeding and Eating Disorders
of Infancy or Early Childhood
■307.52‫ﺍﻟﻭﺤﻡ‬)‫ﺍﻟﻘﻁﺎ‬(Pica
A-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﻏﺫﺍﺌﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺴﺘﻤﺭ‬ ‫ﺍﻷﻜل‬.
B-‫ﺍﻟﺘﻁﻭﺭﻴﺔ‬ ‫ﻟﻠﻤﺭﺤﻠﺔ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻐﺫﺍﺌﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺃﻜل‬.
C-‫ﹰ‬‫ﺎ‬‫ﺜﻘﺎﻓﻴ‬ ‫ﻤﻘﺒﻭﻟﺔ‬ ‫ﻤﻤﺎﺭﺴﺔ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺠﺯﺀ‬ ‫ﻟﻴﺱ‬ ‫ﺍﻟﻁﻌﺎﻤﻲ‬ ‫ﺍﻟﺴﻠﻭﻙ‬.

37. 36
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻁﻌﺎﻤﻲ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺤﺩﺙ‬ ‫ﺇﺫﺍ‬)‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬ ،‫ﻤﺜل‬‫ﻓﺼﺎﻡ‬ ،‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬(‫ﻤﻥ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻓﺈﻨﻪ‬ ،
‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﺘﺒﺎﻫ‬ ‫ﻟﻴﺴﺘﺤﻕ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬.
■307.53‫ﺍﻻﺠﺘﺭﺍﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Rumination Disorder
A-‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻤﻥ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﺘﺎﻟﻲ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﻟﻠﻁﻌﺎﻡ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﻤﻀﻊ‬ ‫ﻭﺇﻋﺎﺩﺓ‬ ‫ﻗﻠﺱ‬.
B-‫ﺤﺎﻟ‬ ‫ﺃﻭ‬ ‫ﻤﻌﻭﻱ‬ ‫ﻤﻌﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻤﺭﺍﻓﻘﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺔ‬)‫ﺍﻟﻤﺭﻴﺌﻲ‬ ‫ﺍﻟﺠﺫﺭ‬ ‫ﻤﺜل‬.(
C-‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻨﻬﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺤﺩﺜﺕ‬ ‫ﻭﺇﺫﺍ‬
‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﺘﺒﺎﻫ‬ ‫ﺘﺴﺘﺄﻫل‬ ‫ﻟﻜﻲ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﺒﺸﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﻓﺈﻥ‬ ،‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺎﻕ‬.
■307.59‫ﺍﻟﻤﺒﻜﺭﺓ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻹﻁﻌﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Feeding Disorder of Infancy or Early Childhood
A-‫ﺨﻼل‬ ‫ﻟﻠﻭﺯﻥ‬ ‫ﺒﺎﺭﺯ‬ ‫ﻓﻘﺩﺍﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺇﺨﻔﺎﻕ‬ ‫ﻤﻊ‬ ‫ﻜﺎﻑ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﺘﻨﺎﻭل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺴﺘﻤﺭ‬ ‫ﺒﺎﻹﺨﻔﺎﻕ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﺇﻁﻌﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬.
B-‫ﺍﻻ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻤﺭﺍﻓﻘﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻤﻌﻭﻱ‬ ‫ﻤﻌﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬ ‫ﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﺭﻴﺌﻲ‬ ‫ﺍﻟﺠﺫﺭ‬ ‫ﻤﺜل‬.(
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬)‫ﺍﻻﺠﺘﺭﺍﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬(‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﺘﻭﻓﺭ‬ ‫ﻨﻘﺹ‬ ‫ﺃﻭ‬.
D-‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﺍﻟﺒﺩﺍﻴﺔ‬6‫ﺴﻨﻭﺍﺕ‬.
‫ﺓ‬‫ﺭ‬‫ﺍﻟﻌ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Tic Disorders
■307.23‫ﺘﻭﺭﻴﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Tourette’s Disorder
A-‫ﻭﺠﻭﺩﻫﻤﺎ‬ ‫ﻀﺭﻭﺭﺓ‬ ‫ﻋﺩﻡ‬ ‫ﺭﻏﻡ‬ ،‫ﺍﻟﻤﺭﺽ‬ ‫ﺃﻭﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻭﻗﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻭﺘﻴﺔ‬ ‫ﺍﻟﻌﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻤﻊ‬ ‫ﻤﺘﻌﺩﺩﺓ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﻋﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻭﺠﻭﺩ‬
‫ﻤﺘﺯﺍﻤﻨﺔ‬ ‫ﺒﺼﻭﺭﺓ‬) .‫ﻨﻤﻁﻴﺔ‬ ،‫ﻤﺘﻨﺎﻏﻤﺔ‬ ‫ﻏﻴﺭ‬ ،‫ﻤﻌﺎﻭﺩﺓ‬ ،‫ﺴﺭﻴﻌﺔ‬ ،‫ﻤﻔﺎﺠﺌﺔ‬ ‫ﺘﺼﻭﻴﺕ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﺔ‬ ‫ﻫﻲ‬ ‫ﺓ‬‫ﺭ‬‫ﺍﻟﻌ‬.(
B-‫ﺍﻟﻴﻭﻡ‬ ‫ﻓﻲ‬ ‫ﻜﺜﻴﺭﺓ‬ ‫ﻤﺭﺍﺕ‬ ‫ﺍﻟﻌﺭﺍﺕ‬ ‫ﺘﺤﺩﺙ‬)‫ﻨﻭ‬ ‫ﺸﻜل‬ ‫ﻋﻠﻰ‬ ‫ﻋﺎﺩﺓ‬‫ﺒﺎﺕ‬(‫ﻫﻨﺎﻙ‬ ‫ﻟﻴﺱ‬ ‫ﺍﻟﻤﺭﺤﻠﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻭﺨﻼل‬ ،‫ﺍﻟﺴﻨﺔ‬ ‫ﻋﻥ‬ ‫ﺘﺯﻴﺩ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬
‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﻌﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺨﺎﻟﻴﺔ‬ ‫ﻓﺘﺭﺓ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬3‫ﻤﺘﺘﺎﻟﻴﺔ‬ ‫ﺃﺸﻬﺭ‬.
C-‫ﺴﻥ‬ ‫ﻗﺒل‬ ‫ﺍﻟﺒﺩﺍﻴﺔ‬18‫ﺴﻨﺔ‬.
D-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺍﻟﻤﻨﺸﻁﺎﺕ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﻫﻨ‬ ‫ﺩﺍﺀ‬ ‫ﻤﺜل‬‫ﺍﻟﺘﻬﺎﺏ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺘﻨﻐﺘﻭﻥ‬
‫ﺍﻟﻔﻴﺭﻭﺴﻲ‬ ‫ﺍﻟﺩﻤﺎﻍ‬.(
■307.22‫ﺍﻟﻤﺯﻤﻥ‬ ‫ﺍﻟﺼﻭﺘﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Chronic Motor or Vocal Tic Disorder
A-‫ﻤﻔﺭﺩﺓ‬ ‫ﺃﻭ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺼﻭﺘﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﻋﺭﺍﺕ‬)‫ﻭﻨﻤﻁﻴﺔ‬ ،‫ﻤﺘﻨﺎﻏﻤﺔ‬ ‫ﻏﻴﺭ‬ ،‫ﻤﻌﺎﻭﺩﺓ‬ ،‫ﺴﺭﻴﻌﺔ‬ ،‫ﻤﻔﺎﺠﺌﺔ‬ ‫ﺘﺼﻭﻴﺘﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﺃﻱ‬(‫ﻟﻴﺱ‬ ‫ﻭﻟﻜﻥ‬ ،
‫ﻨﻔﺱ‬ ‫ﻓﻲ‬ ‫ﻜﻠﺘﺎﻫﻤﺎ‬‫ﺍﻟﻤﺭﺽ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻟﺒﻌﺽ‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ،‫ﺍﻟﻭﻗﺕ‬.
B-‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻟﻴﺱ‬ ‫ﺍﻟﻤﺭﺤﻠﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻭﺨﻼل‬ ،‫ﺍﻟﺴﻨﺔ‬ ‫ﻋﻥ‬ ‫ﺘﺯﻴﺩ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﻤﺘﻘﻁﻊ‬ ‫ﺒﺸﻜل‬ ‫ﺃﻭ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ،‫ﺍﻟﻴﻭﻡ‬ ‫ﻓﻲ‬ ‫ﻜﺜﻴﺭﺓ‬ ‫ﻤﺭﺍﺕ‬ ‫ﺍﻟﻌﺭﺍﺕ‬ ‫ﺘﺤﺩﺙ‬
‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﺍﻟﻌﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺨﺎﻟﻴﺔ‬ ‫ﻓﺘﺭﺓ‬3‫ﻤﺘﺘﺎﻟﻴﺔ‬ ‫ﺃﺸﻬﺭ‬.
C-‫ﺴﻥ‬ ‫ﻗﺒل‬ ‫ﺍﻟﺒﺩﺍﻴﺔ‬18‫ﺴﻨﺔ‬.
D-‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬)‫ﺍﻟﻤﻨﺸﻁﺎﺕ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﺍﻟﺘﻬﺎﺏ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﻫﻨﺘﻨﻐﺘﻭﻥ‬ ‫ﺩﺍﺀ‬ ‫ﻤﺜل‬
‫ﺍﻟﻔﻴﺭﻭﺴﻲ‬ ‫ﺍﻟﺩﻤﺎﻍ‬.(
E-‫ﺘﻭﺭﻴﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬.

38. 37
■307.21‫ﺍﻟﻌﺎﺒﺭ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Transient Tic Disorder
A-‫ﻭ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﻋﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺭﺩﺓ‬ ‫ﻋﺭﺓ‬/‫ﺼﻭﺘﻴﺔ‬ ‫ﺃﻭ‬)‫ﻨﻤﻁﻴﺔ‬ ،‫ﻤﺘﻨﺎﻏﻤﺔ‬ ‫ﻏﻴﺭ‬ ،‫ﻤﻌﺎﻭﺩﺓ‬ ،‫ﺴﺭﻴﻌﺔ‬ ،‫ﻤﻔﺎﺠﺌﺔ‬ ‫ﺘﺼﻭﻴﺘﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﺃﻱ‬.(
B-‫ﻟﻤﺩﺓ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ،‫ﺍﻟﻴﻭﻡ‬ ‫ﻓﻲ‬ ‫ﻜﺜﻴﺭﺓ‬ ‫ﻤﺭﺍﺕ‬ ‫ﺍﻟﻌﺭﺍﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺤﺩﺙ‬4‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺴﺎﺒﻴﻊ‬12‫ﹰ‬‫ﺎ‬‫ﻤﺘﺘﺎﻟﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬..
C-‫ﺴﻥ‬ ‫ﻗﺒل‬ ‫ﺍﻟﺒﺩﺀ‬18‫ﺴﻨﺔ‬.
D-‫ﻟ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻤﺎﺩﺓ‬)‫ﻜﺎﻟﻤﻨﺒﻬﺎﺕ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﺍﻟﺘﻬﺎﺏ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺃﻭ‬ ‫ﻫﻨﺘﻨﻐﺘﻭﻥ‬ ‫ﺩﺍﺀ‬ ‫ﻤﺜل‬
‫ﺍﻟﻔﻴﺭﻭﺴﻲ‬ ‫ﺍﻟﺩﻤﺎﻍ‬.(
E-‫ﺍﻟﻤﺯﻤﻥ‬ ‫ﺍﻟﺼﻭﺘﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺭﻜﻲ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺘﻭﺭﻴﺕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬.
‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺃﻭ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬.
■307.20‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Tic Disorder Not otherwise Specified
‫ﺍﻟﻨﻭﻋﻲ‬ ‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻠﺒﻲ‬ ‫ﻻ‬ ‫ﺍﺕ‬‫ﺭ‬‫ﻋ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺘﺘﻤﻴﺯ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻌﻨﻰ‬.‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺘﺩﻭﻡ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﺕ‬‫ﺭ‬‫ﺍﻟﻌ‬ ‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﻭﺘﺸﻤل‬4
‫ﺍﻟـ‬ ‫ﺴﻥ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ‫ﺃﺴﺎﺒﻴﻊ‬18‫ﺴﻨﺔ‬.
‫ﺍﻹﻓﺭﺍﻍ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Elimination Disorders
■‫ﺍﻟﻐﺎﺌﻁ‬ ‫ﺴﻠﺴل‬Encopresis
A-‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻭﺍﻀﻊ‬ ‫ﻓﻲ‬ ‫ﻟﻠﺒﺭﺍﺯ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺇﻓﺭﺍﻍ‬)‫ﺍﻟﻤﻨﺯل‬ ‫ﺃﺭﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﺒﺎﺱ‬ ‫ﻤﺜل‬.(
B-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺜﻼﺜﺔ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﺸﻬﺭ‬ ‫ﻓﻲ‬ ‫ﻜﻬﺫﻩ‬ ‫ﺤﺎﺩﺜﺔ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻫﻨﺎﻙ‬.
C-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﻤﺭ‬4‫ﺴﻨﻭﺍﺕ‬)‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﻁﻭﺭ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﻓﻲ‬ ‫ﻴﻌﺎﺩﻟﻪ‬ ‫ﻤﺎ‬ ‫ﺃﻭ‬.(
D-‫ﻓﻴﺯﻴﻭﻟﻭ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺠﻴﺔ‬)‫ﻜﺎﻟﻤﺴﻬﻼﺕ‬(‫ﻴﺴﺒﺒﻬﺎ‬ ‫ﺁﻟﻴﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻋﺩﺍ‬ ‫ﻓﻴﻤﺎ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬ ،
‫ﺍﻹﻤﺴﺎﻙ‬.
‫ﻜﺎﻟﺘﺎﻟﻲ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬:
787.6‫ﺒﺎﻹﻓﺎﻀﺔ‬ ‫ﻭﺴﻠﺴل‬ ‫ﺇﻤﺴﺎﻙ‬ ‫ﻤﻊ‬
With Constipation and Overflow Incontinence
‫ﺒﺎﻟﻘﺼﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﻴﺯﻴﺎﺌﻲ‬ ‫ﺒﺎﻟﻔﺤﺹ‬ ‫ﺇﻤﺴﺎﻙ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬.
307.7‫ﻭﺴﻠﺴل‬ ‫ﺇﻤﺴﺎﻙ‬ ‫ﺒﺩﻭﻥ‬‫ﺒﺎﻹﻓﺎﻀﺔ‬
Without Constipation and Overflow Incontinence
‫ﺒﺎﻟﻘﺼﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﻴﺯﻴﺎﺌﻲ‬ ‫ﺒﺎﻟﻔﺤﺹ‬ ‫ﺇﻤﺴﺎﻙ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬ ‫ﻟﻴﺱ‬.
■307.6‫ﺍﻟﺒﻭل‬ ‫ﺴﻠﺱ‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬(
Enuresis (not due to a general medical condition)
A-‫ﺃ‬ ‫ﺍﻟﻔﺭﺍﺵ‬ ‫ﻓﻲ‬ ‫ﻟﻠﺒﻭل‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺇﻓﺭﺍﻍ‬‫ﺍﻟﻤﻼﺒﺱ‬ ‫ﻓﻲ‬ ‫ﻭ‬)‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﺃﻭ‬ ‫ﺇﺭﺍﺩﻱ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻜﺎﻥ‬ ‫ﺴﻭﺍﺀ‬.(
B-‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺘﺎﻟﻴﺔ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺜﻼﺜﺔ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻷﺴﺒﻭﻉ‬ ‫ﻓﻲ‬ ‫ﻤﺭﺘﻴﻥ‬ ‫ﺒﺘﻜﺭﺍﺭﻩ‬ ‫ﺇﻤﺎ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺍﻟﺴﻠﻭﻙ‬
‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬)‫ﺍﻟﻤﻬﻨﻲ‬(‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ،.
C-‫ﻫﻭ‬ ‫ﺍﻟﻌﻤﺭ‬5‫ﻋﻠﻰ‬ ‫ﺴﻨﻭﺍﺕ‬‫ﺍﻷﻗل‬)‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﻁﻭﺭ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﻓﻲ‬ ‫ﻴﻌﺎﺩﻟﻪ‬ ‫ﻤﺎ‬ ‫ﺃﻭ‬.(
D-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺭ‬‫ﺩ‬‫ﻤ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬ ،)،‫ﺍﻟﻤﺸﻘﻭﻕ‬ ‫ﺍﻟﺸﻭﻙ‬ ،‫ﺍﻟﺴﻜﺭﻱ‬ ‫ﻤﺜل‬
‫ﺼﺭﻋﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(

39. 38
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺃ‬‫ﻓﻘﻁ‬ ‫ﺍﻟﻠﻴل‬ ‫ﺜﻨﺎﺀ‬Nocturnal Only:‫ﻟﻴ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻓﻘﻁ‬ ‫ﺍﻟﺒﻭل‬ ‫ﺇﻓﺭﺍﻍ‬‫ﹰ‬‫ﻼ‬.
‫ﻓﻘﻁ‬ ‫ﺍﻟﻨﻬﺎﺭ‬ ‫ﺃﺜﻨﺎﺀ‬Diurnal Only:‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺒﻭل‬ ‫ﺇﻓﺭﺍﻍ‬.
‫ﻭﺍﻟﻨﻬﺎﺭ‬ ‫ﺍﻟﻠﻴل‬ ‫ﺃﺜﻨﺎﺀ‬Nocturnal and Diurnal:‫ﺍﻟﻤﺫﻜﻭﺭﻴﻥ‬ ‫ﺍﻟﻨﻤﻁﻴﻥ‬ ‫ﺘﺸﺎﺭﻙ‬.
‫ﺃﺨﺭﻯ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬
Other Disorders of Infancy, Childhood, or Adolescence
■309.21‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Separation Anaxiety Disorder
A-‫ﺒﺜﻼﺜﺔ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ،‫ﺒﻬﻡ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﻴﺕ‬ ‫ﻋﻥ‬ ‫ﺒﺎﻻﻨﻔﺼﺎل‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻁﻭﺭﻴ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻭﻏﻴﺭ‬ ‫ﻤﻔﺭﻁ‬ ‫ﻗﻠﻕ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬:
(1)‫ﻴﺘﻌﻠﻕ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﻴﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﺤﺩﻭﺙ‬ ‫ﺃﻭ‬ ‫ﺘﻭﻗﻊ‬ ‫ﻋﻨﺩ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﻤﻔﺭﻁ‬ ‫ﻀﻴﻕ‬‫ﺒﺸﺩﺓ‬ ‫ﺒﻬﻡ‬.
(2)‫ﺒﺸﺩﺓ‬ ‫ﺒﻬﻡ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﻟﻸﺸﺨﺎﺹ‬ ‫ﻤﺤﺘﻤل‬ ‫ﺃﺫﻯ‬ ‫ﺒﺤﺩﻭﺙ‬ ‫ﺃﻭ‬ ،‫ﺒﺎﻟﻔﻘﺩ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﻭﻤﻔﺭﻁ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﻗﻠﻕ‬.
(3)‫ﺒﺸﺩﺓ‬ ‫ﺒﻪ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﺸﺨﺹ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﺇﻟﻰ‬ ‫ﺴﻴﻘﻭﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺸﺅﻭﻤ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﺩﺜ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﻭﻤﻔﺭﻁ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﻗﻠﻕ‬)‫ﺨﻁﻔﻪ‬ ‫ﺃﻭ‬ ‫ﻓﻘﺩﺍﻨﻪ‬ ‫ﻤﺜل‬.(
(4)‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﺇﻟﻰ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺫﻫﺎﺏ‬ ‫ﺭﻓﺽ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﻤﺭﺓ‬ ‫ﻤﻘﺎﻭﻤﺔ‬‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺒﺴﺒﺏ‬.
(5)‫ﺒﺎﻟﻐﻴﻥ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﺯل‬ ‫ﻓﻲ‬ ‫ﺒﺸﺩﺓ‬ ‫ﺒﻬﻡ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﺃﺸﺨﺎﺹ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻭﺤﻴﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻷﻥ‬ ‫ﻤﻤﺎﻨﻌﺔ‬ ‫ﺃﻭ‬ ‫ﻭﺒﺈﻓﺭﺍﻁ‬ ‫ﺒﺎﺴﺘﻤﺭﺍﺭ‬ ‫ﺍﻟﺨﻭﻑ‬
‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﻀﻊ‬ ‫ﻓﻲ‬ ‫ﺃﻫﻤﻴﺔ‬ ‫ﺫﻭﻱ‬.
(6)‫ﺃ‬ ‫ﺃﻭ‬ ،‫ﺒﺸﺩﺓ‬ ‫ﺒﻪ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﺸﺨﺹ‬ ‫ﻤﻥ‬ ‫ﻤﻘﺭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺨﻠﻭﺩ‬ ‫ﺭﻓﺽ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﻤﺭﺓ‬ ‫ﻤﻤﺎﻨﻌﺔ‬‫ﺍﻟﺒﻴﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﻌﻴﺩ‬ ‫ﻴﻨﺎﻡ‬ ‫ﻥ‬.
(7)‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻤﻭﻀﻭﻉ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﻜﻭﺍﺒﻴﺱ‬.
(8)‫ﺠﺴﺩﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺸﻜﺎﻭﻯ‬)‫ﺍﻹﻗﻴﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻐﺜﻴﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺩﺓ‬ ‫ﺁﻻﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺼﺩﺍﻉ‬ ‫ﻤﺜل‬(‫ﺸﺨﺹ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻴﺘﻭﻗﻊ‬ ‫ﺃﻭ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺤﻴﻥ‬
‫ﺒﻪ‬ ‫ﺍﻟﺘﻌﻠﻕ‬ ‫ﺸﺩﻴﺩ‬.
B-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻫﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺩﺓ‬4‫ﺃﺴﺎﺒﻴﻊ‬.
C-‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﺍﻟﺒﺩﺀ‬18‫ﺴ‬‫ﻨﺔ‬.
D-‫ﺃﺨﺭﻯ‬ ‫ﻭﻅﻴﻔﻴﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
E-‫ﺭﻩ‬‫ﺴ‬‫ﻴﻔ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺒﺎﻟﻐﻴﻥ‬ ‫ﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﻭﻋﻨﺩ‬ ،‫ﺁﺨﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻓﺼﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬
‫ﺍﻟﺴﺎﺡ‬ ‫ﻫﺎﺏ‬‫ﺭ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
‫ﺩ‬‫ﺤ‬‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬:
‫ﻤﺒﻜﺭﺓ‬ ‫ﺒﺩﺍﻴﺔ‬Early Onset‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﺍﻟﺒﺩﺍﻴﺔ‬ ‫ﺘﺤﺩﺙ‬6‫ﺴﻨﻭﺍﺕ‬.
■313.23‫ﺍﻻﻨﺘﻘﺎﺌﻲ‬ ‫ﻤﺎﺕ‬‫ﺼ‬‫ﺍﻟ‬)‫ﺍﻻﺨﺘﻴﺎﺭﻱ‬ ‫ﻤﺎﺕ‬‫ﺼ‬‫ﺍﻟ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬(
Selective Mutism (Formerly Elective Mutism)
A-‫ﻤﺤﺩﺩﺓ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻜﻼﻡ‬ ‫ﻋﻥ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻋﺠﺯ‬)‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻤﺜل‬ ‫ﺍﻟﻜﻼﻡ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﻭﻗﻊ‬‫ﻴ‬ ‫ﺤﻴﺙ‬(‫ﺭﻏﻡ‬‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﻴﺘﻜﻠﻡ‬ ‫ﺍﻟﻁﻔل‬ ‫ﺃﻥ‬.
B-‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻠﻤﻴﺔ‬ ‫ﺍﻹﻨﺠﺎﺯﺍﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺅﺜﺭ‬.
C-‫ﺸﻬﺭ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻫﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺩﺓ‬)‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻭل‬ ‫ﺍﻟﺸﻬﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻘﺘﺼﺭ‬ ‫ﻻ‬.(
D-‫ﻭﻫﻭ‬ ‫ﻤﻌﻬﺎ‬ ‫ﺒﺎﻟﺭﺍﺤﺔ‬ ‫ﺒﺎﻹﺤﺴﺎﺱ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻁﻭﻗﺔ‬ ‫ﺒﺎﻟﻠﻐﺔ‬ ‫ﺍﻟﻤﻌﺭﻓﺔ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻤﻭﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻁﻠﻭﺏ‬ ‫ﺍﻷﻤﺭ‬.
E-‫ﺘﻭﺍﺼﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺭ‬‫ﺴ‬‫ﻴﻔ‬ ‫ﻻ‬)‫ﺍﻟﺘﺄﺘﺄﺓ‬ ‫ﻤﺜل‬(‫ﺃﻭ‬ ‫ﻓﺼﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻭﻻ‬
‫ﺁﺨﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.

40. 39
■313.19‫ﺍﻟﻤﺒﻜﺭﺓ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺭﺘﻜﺎﺴﻲ‬ ‫ﺍﻟﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Reactive Attachment Disorder of Infancy
or Early Childhood
A-‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﻴﺒﺘﺩﺉ‬ ،‫ﺍﻟﻅﺭﻭﻑ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻓﻲ‬ ،‫ﹰ‬‫ﺎ‬‫ﺘﻁﻭﺭﻴ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻭﻏﻴﺭ‬ ‫ﺒﻭﻀﻭﺡ‬ ‫ﻤﻀﻁﺭﺏ‬ ‫ﺍﺠﺘﻤﺎﻋﻲ‬ ‫ﺘﻌﻠﻕ‬5‫ﻓﻲ‬ ‫ﺇﻤﺎ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﺴﻨﻭﺍﺕ‬(1)‫ﻓﻲ‬ ‫ﺃﻭ‬
(2)
(1)‫ﺍﻟﻤﺒﺎﺩﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﺇﺨﻔﺎﻕ‬)‫ﺍﻟﻤﺒﺎﺩﺃﺓ‬(‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﺘﻔﺎﻋﻼﺕ‬ ‫ﻟﻤﻌﻅﻡ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻁﻭﺭﻴ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺍﻻﺴﺘﺠﺎﺒﺔ‬ ‫ﺃﻭ‬‫ﻴﺘﻅﺎﻫﺭ‬ ‫ﻜﻤﺎ‬ ،
‫ﻭﻤﺘﻨﺎﻗﻀﺔ‬ ‫ﻭﻤﺘﺭﺩﺩﺓ‬ ‫ﺍﻟﺤﺫﺭ‬ ‫ﻤﻔﺭﻁﺔ‬ ‫ﺒﺸﺩﺓ‬ ‫ﻤﺜﺒﻁﺔ‬ ‫ﺒﺎﺴﺘﺠﺎﺒﺎﺕ‬)،‫ﻭﺍﻟﺘﺠﻨﺏ‬ ‫ﺍﻻﻗﺘﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺒﻤﺯﻴﺞ‬ ‫ﻴﺭﻋﺎﻩ‬ ‫ﺍﻟﺫﻱ‬ ‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﻟﻁﻔل‬ ‫ﻴﺴﺘﺠﻴﺏ‬ ‫ﻗﺩ‬ ،‫ﻤﺜﺎل‬
‫ﹰ‬‫ﺍ‬‫ﺒﺎﺭﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﺤﺘﺭﺍﺴ‬ ‫ﻴﺒﺩﻱ‬ ‫ﻗﺩ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺘﻁﻤﻴﻥ‬ ‫ﻤﻘﺎﻭﻤﺔ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﺃﻴﻀ‬)‫ﺍﻟﺘﺠﻤﺩﻱ‬ ‫ﺍﻟﺘﺭﻗﺏ‬Frozen Watchfulness.(
(2)‫ﺘﻌﻠﻘﺎﺕ‬)‫ﺭﻭﺍﺒﻁ‬(‫ﺍﻨﺘﺸﺎﺭﻴﺔ‬Diffuse Attachments‫ﺘﻌﻠﻘﺎﺕ‬ ‫ﺇﻅﻬﺎﺭ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻀﺢ‬ ‫ﻋﺠﺯ‬ ‫ﻤﻊ‬ ‫ﺘﻤﻴﻴﺯ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺒﺘﺨﺎﻟﻁﻴﺔ‬ ‫ﺘﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬
‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﺍﻨﺘﻘﺎﺌﻴﺔ‬)‫ﺒﻬﻡ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﺃﺸﺨﺎﺹ‬ ‫ﺍﺨﺘﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﺘﻘﺎﺌﻴﺔ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻗﺎﺭﺏ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺒﻌﻴﺩﻴﻥ‬ ‫ﺍﻟﻐﺭﺒﺎﺀ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻤﻔﺭﻁﺔ‬ ‫ﺍﻷﻟﻔﺔ‬ ،‫ﻤﺜﺎل‬.(
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺇﻥ‬A‫ﺒﻤﻔﺭﺩﻩ‬ ‫ﺍﻟﻨﻤﺎﺌﻲ‬ ‫ﺍﻟﺘﺄﺨﺭ‬ ‫ﻴﻌﻠﻠﻪ‬ ‫ﻻ‬)‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺤﺎل‬ ‫ﻜﻤﺎ‬(‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﺴﺘﻭﻓﻲ‬ ‫ﻭﻻ‬
‫ﺸﺎﻤل‬.
C-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬ ‫ﺒﻭﺍﺤﺩ‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﻤﺭﻀﻴﺔ‬ ‫ﺭﻋﺎﻴﺔ‬:
(1)‫ﺍﻹﻫﻤﺎل‬)‫ﺍﻻﺴﺘﺨﻔﺎﻑ‬(‫ﻭﺍﻟﺤﺏ‬ ‫ﻭﺍﻟﺘﺤﻔﻴﺯ‬ ‫ﺍﻟﺭﺍﺤﺔ‬ ‫ﻓﻲ‬ ‫ﻟﻠﻁﻔل‬ ‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺍﻟﻌﺎﻁﻔﻴﺔ‬ ‫ﻟﻠﺤﺎﺠﺎﺕ‬ ‫ﺍﻟﻤﺴﺘﻤﺭ‬(Affection).
(2)‫ﺍﻟ‬ ‫ﺍﻟﻁﻔل‬ ‫ﻟﺤﺎﺠﺎﺕ‬ ‫ﺍﻟﻤﺴﺘﻤﺭ‬ ‫ﺍﻹﻫﻤﺎل‬‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺠﺴﺩﻴﺔ‬.
(3)‫ﻟﻠﻁﻔل‬ ‫ﺍﻟﺭﺍﻋﻲ‬ ‫ﺍﻷﺴﺎﺴﻲ‬ ‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﻟﻤﺘﻜﺭﺭ‬ ‫ﺍﻟﺘﻐﻴﻴﺭ‬Caregiver‫ﺜﺎﺒﺘﺔ‬ ‫ﺭﻭﺍﺒﻁ‬ ‫ﺘﻜﻭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻴﻤﻨﻌﻪ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻷﻤﺭ‬)‫ﺍﻟﻤﺘﻜﺭﺭ‬ ‫ﺍﻟﺘﻐﻴﻴﺭ‬ ،‫ﻤﺜﺎل‬
‫ﻟﻠﻤﺭﺒﻴﺔ‬.(
D-‫ﺍﺴﺘﺩﻻل‬ ‫ﻫﻨﺎﻙ‬)‫ﺍﻓﺘﺭﺍﺽ‬(‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺒﺄﻥ‬C‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻤﺴﺅﻭﻟﺔ‬ ‫ﻫﻲ‬A)‫ﻓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ،‫ﻤﺜﺎل‬‫ﻲ‬
‫ﺍﻟﻤﻌﻴﺎﺭ‬A‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺭﻀﻴﺔ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺃﺕ‬C.(
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻁ‬‫ﺒ‬‫ﺍﻟﻤﺜ‬ ‫ﺍﻟﻨﻤﻁ‬Inhibited Type:‫ﻟﻠﻤﻌﻴﺎﺭ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬A1‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬.
‫ﻁ‬‫ﺒ‬‫ﺍﻟﻤﺜ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬Disinhibited Type:‫ﻟﻠﻤﻌﻴﺎﺭ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬A2‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬.
■307.3‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻨﻤﻁﻲ‬ ‫ﺍﻟﺤﺭﻜﺔ‬)‫ﺍﻟﻨﻤﻁ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬/‫ﺍﻟﻌﺎﺩﺓ‬(
Stereotypic Movement Disorder (Formerly Stereotypy/ Habit Disorder)
A-‫ﹰ‬‫ﺎ‬‫ﻤﺩﻓﻭﻋ‬ ‫ﻭﻴﺒﺩﻭ‬ ‫ﻭﻅﻴﻔﻲ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﺴﻠﻭﻙ‬]‫ﺩﺍﻓﻊ‬ ‫ﻭﺭﺍﺀﻩ‬) [‫ﺃﺸﻴﺎﺀ‬ ‫ﺇﺩﺨﺎل‬ ،‫ﺍﻟﺭﺃﺱ‬ ‫ﺃﺭﺠﺤﺔ‬ ،‫ﺍﻟﺠﺴﻡ‬ ‫ﺃﺭﺠﺤﺔ‬ ،‫ﺒﻬﺎ‬ ‫ﺍﻟﺘﻠﻭﻴﺢ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻴﺩ‬ ‫ﻫﺯ‬ ‫ﻤﺜل‬
‫ﻋﺽ‬ ،‫ﺍﻟﻔﻡ‬ ‫ﺇﻟﻰ‬‫ﺍﻟﺠﺴﻡ‬ ‫ﻀﺭﺏ‬ ،‫ﺍﻟﺫﺍﺕ‬.(
B-‫ﹰ‬‫ﺎ‬‫ﻁﺒﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻼﺠ‬ ‫ﻴﺘﻁﻠﺏ‬ ‫ﺫﺍﺘﻲ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺠﺴﺩﻱ‬ ‫ﺃﺫﻯ‬ ‫ﻋﻨﻪ‬ ‫ﻴﻨﺠﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻟﻨﺸﺎﻁﺎﺕ‬ ‫ﻤﻊ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻴﺘﺩﺍﺨل‬)‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺃﺫﻴﺔ‬ ‫ﻋﻨﻪ‬ ‫ﺴﻴﻨﺸﺄ‬ ‫ﺃﻭ‬
‫ﻭﻗﺎﺌﻴﺔ‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺘﺴﺘﺨﺩﻡ‬.(
C-‫ﻤ‬ ‫ﺩﺭﺠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺫﺍﺘﻲ‬ ‫ﺍﻷﺫﻯ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻤﺅﺩﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻤﻁﻲ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻓﺈﻥ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺘﺨﻠﻑ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﻟﻴﺼﺒﺢ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻥ‬)‫ﺒﺅﺭﺓ‬(
‫ﺍﻟﻌﻼﺝ‬.
D-‫ﻗﻬﺭﻱ‬ ‫ﻓﻌل‬ ‫ﻴﻌﻠﻠﻪ‬ ‫ﻻ‬ ‫ﺍﻟﺴﻠﻭﻙ‬)‫ﺍﻟﻘﻬﺭﻱ‬ ‫ﺍﻟﻭﺴﻭﺍﺱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﻋﺭﺓ‬ ‫ﺃﻭ‬)‫ﺍﻟﻌﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﹰ‬‫ﺍ‬‫ﺠﺯﺀ‬ ‫ﺒﺎﻋﺘﺒﺎﺭﻫﺎ‬ ‫ﻨﻤﻁﻴﺔ‬ ‫ﺤﺭﻜﺔ‬ ‫ﺃﻭ‬
‫ﺍﻟﺸﻌﺭ‬ ‫ﻨﺘﻑ‬ ‫ﺃﻭ‬ ‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬)‫ﺍﻟﺸﻌﺭ‬ ‫ﻨﺘﻑ‬ ‫ﻫﻭﺱ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬Trichotillomania.(
E-‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻟﻴﺱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬.
F-‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻴﺴﺘﻤﺭ‬4‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺃﺴﺎﺒﻴﻊ‬.
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻟﻠﺫﺍﺕ‬ ‫ﻤﺅﺫ‬ ‫ﺴﻠﻭﻙ‬With Self-injurous Behavior)‫ﺨﺎﺼﺔ‬ ‫ﻋﻨﺎﻴﺔ‬ ‫ﻴﺘﻁﻠﺏ‬ ‫ﻟﻠﺠﺴﺩ‬ ‫ﺃﺫﻯ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻋﻥ‬ ‫ﻨﺸﺄ‬ ‫ﺇﺫﺍ‬) (‫ﺃﻥ‬ ‫ﺍﻟﻤﻤﻜﻥ‬ ‫ﻤﻥ‬ ‫ﻜﺎﻥ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺃﻭ‬
‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﻟﻡ‬ ‫ﻟﻭ‬ ‫ﺠﺴﺩﻱ‬ ‫ﺃﺫﻯ‬ ‫ﻋﻨﻪ‬ ‫ﻴﻨﺸﺄ‬‫ﻭﻗﺎﺌﻴﺔ‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬.(
■313.9‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﺍﻀﻁﺭﺍﺏ‬

41. 40
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬Disorder of Infancy, Childhood,
or Adolescence Not otherwise Specified
‫ﺘﻠﺒﻲ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎﻋﺔ‬ ‫ﺴﻥ‬ ‫ﻓﻲ‬ ‫ﺘﺒﺩﺃ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬
‫ﺍﻟﺘﺼﻨﻴﻑ‬.
‫اﻟﻨﺴﺎوة‬ ‫واﺿﻄﺮاﺑﺎت‬ ‫واﻟﻌﺘﻪ‬ ‫اﻟﻬﺬﻳﺎن‬
‫اﺳ‬ ‫واﺿﻄﺮاﺑﺎت‬‫ــ‬‫ﺘﻌﺮاﻓ‬‫ـ‬‫أﺧ‬ ‫ﻴﺔ‬‫ـ‬‫ﺮى‬
Delirium, Dementia, and Amnestic
and other Cognitive Disorders
‫ﺍﻟﻬﺫﻴﺎﻥ‬Delirium
■293.0‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
Delirium due to... [Indicate to General Medical Condition]
A-‫ﺍﻟﻭﻋﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻟﻠﻤﺤﻴﻁ‬ ‫ﺍﻟﻭﻋﻲ‬ ‫ﺼﻔﺎﺀ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻱ‬(‫ﺘﺤﻭﻴﻠﻪ‬ ‫ﺃﻭ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻭﺍﻟﺤﻔﺎﻅ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺘﺭﻜﻴﺯ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﻤﻊ‬.
B-‫ﺍﻻﺴﺘﻌﺭﺍﻑ‬ ‫ﻓﻲ‬ ‫ﺘﺒﺩل‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﺘﻭﺠﻪ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ،‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﻋﺠﺯ‬ ‫ﻤﺜل‬(‫ﺃ‬‫ﻤﺴﺅﻭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺇﺩﺭﺍﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻭ‬‫ﻋﻨﻪ‬ ‫ﹰ‬‫ﻻ‬‫ـ‬‫ﻋﺘﻪ‬
‫ﺘﻁﻭﺭ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺭﺍﺴﺨﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﻤﻭﺠﻭﺩ‬‫ـ‬.
C-‫ﺍﻟﻭﻗﺕ‬ ‫ﻤﻥ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻁﻭﺭ‬)‫ﺃﻴﺎﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻋﺎﺩﺓ‬(‫ﺍﻟﻴﻭﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺘﻤﻭﺝ‬ ‫ﺇﻟﻰ‬ ‫ﻭﻴﻤﻴل‬.
D-‫ﻓﻴﺯﻴﻭﻟﻭ‬ ‫ﻋﻘﺎﺒﻴل‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻤﻲ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺠﻴﺔ‬
‫ﻋﺎﻤﺔ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬Coding note:‫ﺒﺎﻟﺭﻤﺯ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬ ،‫ﺴﺎﺒﻕ‬ ‫ﻭﻋﺎﺌﻲ‬ ‫ﻋﺘﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺘﺭﺍﻜﺏ‬ ‫ﺇﺫﺍ‬290.41‫ﻫﺫﻴﺎﻥ‬ ‫ﻤﻊ‬ ،‫ﻭﻋﺎﺌﻲ‬ ‫ﻋﺘﻪ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬Coding note:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I‫ﻤﺜل‬ ،293.0‫ﺩﻤﺎﻏ‬ ‫ﺍﻋﺘﻼل‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬‫ﻜﺫﻟﻙ‬ ،‫ﻜﺒﺩﻱ‬ ‫ﻲ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺒﺎﻟﺭﻤﻭﺯ‬ ‫ﺍﻟﺨﺎﺹ‬.(
‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬Substance-Induced delirium
■‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬
Substance Intoxication delirium
A-‫ﺍﻟﻭﻋﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻟﻠﻤﺤﻴﻁ‬ ‫ﺍﻟﻭﻋﻲ‬ ‫ﺼﻔﺎﺀ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻱ‬(‫ﺍﻨ‬ ‫ﻤﻊ‬‫ﻭﺘﺤﻭﻴﻠﻪ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻭﺍﻟﺤﻔﺎﻅ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺘﺭﻜﻴﺯ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺨﻔﺎﺽ‬.
B-‫ﺍﻻﺴﺘﻌﺭﺍﻑ‬ ‫ﻓﻲ‬ ‫ﺘﺒﺩل‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﺘﻭﺠﻪ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ،‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﻋﺠﺯ‬ ‫ﻤﺜل‬(‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﻤﻭﺠﻭﺩ‬ ‫ﻋﺘﻪ‬ ‫ﻋﻨﻪ‬ ‫ﹰ‬‫ﻻ‬‫ﻤﺴﺅﻭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺇﺩﺭﺍﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﻁﻭﺭ‬ ‫ﺃﻭ‬
‫ﺃﻭ‬‫ﻋﺘﻪ‬‫ﺘﻁﻭﺭ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺭﺍﺴﺨﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬.
C-‫ﺍ‬ ‫ﻤﻥ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻁﻭﺭ‬‫ﻟﻭﻗﺕ‬)‫ﺃﻴﺎﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻋﺎﺩﺓ‬(‫ﺍﻟﻴﻭﻡ‬ ‫ﺨﻼل‬ ‫ﺍﻟﺘﻤﻭﺝ‬ ‫ﺇﻟﻰ‬ ‫ﻭﻴﻤﻴل‬.
D-‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻤﻲ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬(1)‫ﺃﻭ‬(2)
(1)‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬A‫ﻭﺍﻟﻤﻌﻴﺎﺭ‬B‫ﺘﻁﻭﺭ‬‫ﺕ‬‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬.
(2)‫ﺒﺎﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺘﺼل‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬(*)
‫ﹰ‬‫ﺎ‬‫ﺴﺒﺒﻴ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻭﻀ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﺫﺍ‬ ‫ﻭﻀﻊ‬ ‫ﻴﺠﺏ‬،‫ﻤﻊ‬ ‫ﻋﺎﺩﺓ‬ ‫ﺘﺘﺭﺍﻓﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻑ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﻓﻘﻁ‬
‫ﻟﻜ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﻋﻨﺩﻤﺎ‬ ‫ﺍﻻﻨﺴﻤﺎﻤﻴﺔ‬ ‫ﺍﻟﻤﺘﻼﺯﻤﺔ‬‫ﻤﺴﺘﻘﻠﺔ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻋﻨﺎﻴﺔ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﻲ‬.
‫ﺍﻻﻨﺴﻤﺎﻤﻲ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺘﺭﻤﻴﺯ‬]‫ﻨﻭﻋﻴﺔ‬ ‫ﺒﻤﺎﺩﺓ‬:[

42. 41
)291.0‫ﺍﻟﻜﺤﻭل؛‬292.81‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬]‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬[‫؛‬291.81‫ﺍﻟﺤﺸﻴﺵ‬)‫ﺍﻟﻘﻨﺏ‬(‫؛‬292.81‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ؛‬292.81،‫ﺍﻟﻤﻬﻠﻭﺴﺔ‬ ‫ﺍﻟﻤﻭﺍﺩ‬
292.81،‫ﺇﻨﺸﺎﻗﻴﺔ‬ ‫ﻤﻭﺍﺩ‬292.81‫ﺍﻷﻓﻴﻭﻥ؛‬292.81‫ﻓﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬]‫ﺃﻭ‬‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬[‫؛‬292.81‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬
،‫ﺍﻟﻘﻠﻕ‬292.81‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬) [‫ﺒﻴﻨﺯﺘﺭﻭﺒﻴﻥ‬ ،‫ﺍﻟﺩﻴﺠﻴﺘﺎل‬ ،‫ﺴﻴﺴﻤﻴﺘﺩﻴﻥ‬ ‫ﻤﺜل‬.([
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
■‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬
Substance Withdrawal Delirium
A-‫ﺍﻟﻭﻋﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﺤﻴﻁ‬ ‫ﻭﻋﻲ‬ ‫ﺼﻔﺎﺀ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻱ‬(‫ﻭﺘﺤﻭﻴﻠﻪ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻭﺍﻟﺤﻔﺎﻅ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺘﺭﻜﻴﺯ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﻤﻊ‬.
B-‫ﺍﻻﺴﺘﻌﺭﺍﻑ‬ ‫ﻓﻲ‬ ‫ل‬‫ﺩ‬‫ﺘﺒ‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﺘﻭﺠﻪ‬ ‫ﻋﺩﻡ‬ ،‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﻋﺠﺯ‬ ‫ﻤﺜل‬(‫ﻤﻭﺠﻭﺩ‬ ‫ﻋﺘﻪ‬ ‫ﻤﺴﺅﻭﻟﻴﺘﻪ‬ ‫ﻴﺘﺤﻤل‬ ‫ﻻ‬ ‫ﺇﺩﺭﺍﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﻁﻭﺭ‬ ‫ﺃﻭ‬
‫ﺘﻁﻭ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺭﺍﺴﺨﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬‫ﺭ‬.
C-‫ﻭﺠﻴﺯﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻁﻭﺭ‬)‫ﺃﻴﺎﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻋﺎﺩﺓ‬(‫ﺍﻟﻴﻭﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺘﻤﻭﺝ‬ ‫ﺇﻟﻰ‬ ‫ﻭﻴﻤﻴل‬.
D-‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬‫ﺍﻟﺠﺴﻤﻲ‬‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬A‫ﻭﺍﻟﻤﻌﻴﺎﺭ‬B‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬
‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺒﻌﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻤﺘﻨﺎﻉ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻭﻀﻊ‬ ‫ﻴﺠﺏ‬‫ﻋﺎﺩﺓ‬ ‫ﺘﺭﺍﻓﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﻓﻘﻁ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻭﻀ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﺫﺍ‬
‫ﻤﺴﺘﻘﻠﺔ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻋﻨﺎﻴﺔ‬ ‫ﻟﺘﺴﺘﻠﻔﺕ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﻋﻨﺩﻤﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﺘﻼﺯﻤﺔ‬.
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺘﺭﻤﻴﺯ‬]‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﺎﺩﺓ‬[
)291.0،‫ﺍﻟﻜﺤﻭل‬292.81‫ﺍﻟﻤﻬﺩﺌ‬،‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺎﺕ‬292.81‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬([
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
■‫ﻤﺘﻌﺩﺩﺓ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﺁﻟﻴﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬
Delirium Due to Multiple Etiologies
A-‫ﺍﻟﻭﻋﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﺤﻴﻁ‬ ‫ﻭﻋﻲ‬ ‫ﺼﻔﺎﺀ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻱ‬(‫ﺍﻻ‬ ‫ﺘﺭﻜﻴﺯ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﻤﻊ‬‫ﻭﺘﺤﻭﻴﻠﻪ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻭﺍﻟﺤﻔﺎﻅ‬ ‫ﻨﺘﺒﺎﻩ‬.
B-‫ﺍﻻﺴﺘﻌﺭﺍﻑ‬ ‫ﻓﻲ‬ ‫ل‬‫ﺩ‬‫ﺘﺒ‬)‫ﻟﻐﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﺘﻭﺠﻪ‬ ‫ﻋﺩﻡ‬ ،‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﻋﺠﺯ‬ ،‫ﻤﺜل‬(‫ﻤﻭﺠﻭﺩ‬ ‫ﻋﺘﻪ‬ ‫ﻤﺴﺅﻭﻟﻴﺘﻪ‬ ‫ﻴﺘﺤﻤل‬ ‫ﻻ‬ ‫ﺇﺩﺭﺍﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﻁﻭﺭ‬ ‫ﺃﻭ‬
‫ﺘﻁﻭﺭ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺭﺴﻭﺥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬.
C-‫ﻭﺠﻴﺯﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻁﻭﺭ‬)‫ﺃﻴﺎﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻋﺎﺩﺓ‬(‫ﺍﻟﺘﻤ‬ ‫ﺇﻟﻰ‬ ‫ﻭﻴﻤﻴل‬‫ﺍﻟﻴﻭﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻭﺝ‬.
D-‫ﻭﺍﺤﺩﺓ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﺁﻟﻴﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻟﻠﻬﺫﻴﺎﻥ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻨﺘﺎﺌﺞ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻤﻲ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬)‫ﺃﻭ‬ ‫ﻋﺎﻡ‬ ‫ﻁﺒﻲ‬ ‫ﺴﺒﺏ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬
‫ﻟﺩﻭﺍﺀ‬ ‫ﺠﺎﻨﺒﻲ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻨﺴﻤﺎﻡ‬ ‫ﺯﺍﺌﺩ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬.(
‫ﻟﻠﺘﺭﻤﻴﺯ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺭ‬ ‫ﻤﺨﺘﻠﻔﺔ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﺁﻟﻴﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻟﻠﻬﺫﻴﺎﻥ‬ ‫ﻟﻴﺱ‬‫ﻜﺘﺸﺨﻴﺹ‬ ‫ﺘﺴﺠﻴﻠﻪ‬ ‫ﻋﺩﻡ‬ ‫ﻭﻴﺠﺏ‬ ،‫ﻤﺴﺘﻘل‬ ‫ﻤﺯ‬.‫ﻫﺫﻴﺎﻥ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ،‫ﹰ‬‫ﻼ‬‫ﻓﻤﺜ‬
‫ﻤﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻜ‬ ‫ﻴﺴﺠل‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺠﺏ‬ ،‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻥ‬ ‫ﻭﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻜﺒﺩﻱ‬ ‫ﺩﻤﺎﻏﻲ‬ ‫ﺍﻋﺘﻼل‬ ‫ﻤﻥ‬ ٍ‫ل‬‫ﻜ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬293.0‫ﺩﻤﺎﻏﻲ‬ ‫ﺍﻋﺘﻼل‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
‫ﻭ‬ ‫ﻜﺒﺩﻱ‬291.0‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻫﺫﻴﺎﻥ‬I‫ﻭ‬572.2‫ﺩﻤﺎﻏﻲ‬ ‫ﺍﻋﺘﻼل‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻜﺒﺩﻱ‬III.
■780.09‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬
Delirium not Otherwise Specified
‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻭﺼﻭﻓﺔ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺃﻨﻤﺎﻁ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﺴﺘﻭﻓﻲ‬ ‫ﻻ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﻟﺘﺸﺨﻴﺹ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺸﻤل‬:
1-‫ﺒ‬ ‫ﻙ‬‫ﺸ‬‫ﻴ‬ ‫ﻟﻠﻬﺫﻴﺎﻥ‬ ‫ﺴﺭﻴﺭﻱ‬ ‫ﺘﻅﺎﻫﺭ‬‫ﻨﻭﻋﻴﺔ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﺁﻟﻴﺔ‬ ‫ﻟﺘﺄﻜﻴﺩ‬ ‫ﻜﺎﻑ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺄﻨﻪ‬.
2-‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﻤﺩﺭﺠﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﺴﺒﺎﺏ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬)‫ﺍﻟﺤﺴﻲ‬ ‫ﺍﻟﺤﺭﻤﺎﻥ‬ ،‫ﻤﺜﺎل‬.(
‫ﺍﻟﻌﺘﻪ‬)‫ﺍﻟﺨﺭﻑ‬(Dementia
■294.1X‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻌﺘﻪ‬

43. 42
Dementia of the Alzheimer’s Type
A-‫ﻤﻥ‬ ‫ﺒﻜل‬ ‫ﺘﺘﻅﺎﻫﺭ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻋﺠﻭﺯﺍﺕ‬ ‫ﺘﻁﻭﺭ‬:
(1)‫ﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﱠﻤﺔ‬‫ﻠ‬‫ﺘﻌ‬‫ﻤ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺘﻌﻠﻡ‬ ‫ﻤﻥ‬ ‫ﻤﺨﺘﻠﺔ‬ ‫ﻗﺩﺭﺓ‬.(
(2)‫ﻭﺍﺤﺩﺓ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬:
(a)‫ﺤﺒﺴﺔ‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
(b)‫ﺤﺭﻜﻲ‬ ‫ﻋﻤﻪ‬]‫ﻻﺃﺩﺍﺌﻴﺔ‬[)‫ﻓﻲ‬ ‫ﻤﺨﺘﻠﺔ‬ ‫ﻗﺩﺭﺓ‬‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﻓﻌﺎﻟﻴﺎﺕ‬ ‫ﺘﻨﻔﻴﺫ‬.(
(c)‫ﺤﺴﻲ‬ ‫ﻋﻤﻪ‬)‫ﺍﻟﺤﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺘﺤﺩﻴﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﺭﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬.(
(d)‫ﺍﻟﺘﻨﻔﻴﺫﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺠﺭﻴﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﺍﻟﻲ‬ ‫ﺘﺭﺘﻴﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻨﻅﻴﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺨﻁﻴﻁ‬ ،‫ﺃﻱ‬.(
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬A1‫ﻭ‬A2‫ﺘ‬‫ﹰ‬‫ﺎ‬‫ﻫﺒﻭﻁ‬ ‫ﻭﺘﻤﺜل‬ ‫ﺍﻟﻤﻬﻨﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﺎﺭﺯ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﻤﻨﻬﺎ‬ ٌ‫ل‬‫ﻜ‬ ‫ﺴﺒﺏ‬)‫ﹰ‬‫ﺍ‬‫ﺍﻨﺤﺩﺍﺭ‬(
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﺎﺭﺯ‬.
C-‫ﻤﺴﺘﻤﺭ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﻭﻫﺒﻭﻁ‬ ‫ﺘﺩﺭﻴﺠﻴﺔ‬ ‫ﺒﺒﺩﺍﻴﺔ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺘﻤﻴﻴﺯ‬.
D-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬A1‫ﻭ‬A2‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﻟﻴﺴﺕ‬:
(1)‫ﺤﺎﻻ‬‫ﻭﺍﻻﺴﺘﻌﺭﺍﻑ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻤﺘﺭﻗﻴﺔ‬ ‫ﻋﺠﻭﺯﺍﺕ‬ ‫ﺘﺴﺒﺏ‬ ‫ﺍﻟﻤﺭﻜﺯﻴﺔ‬ ‫ﺍﻟﻌﺼﺒﻴﺔ‬ ‫ﺍﻟﺠﻤﻠﺔ‬ ‫ﻓﻲ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺕ‬)‫ﻤﺭﺽ‬ ،‫ﺩﻤﺎﻏﻲ‬ ‫ﻭﻋﺎﺌﻲ‬ ‫ﻤﺭﺽ‬ ،‫ﻤﺜل‬
‫ﺩﻤﺎﻏﻲ‬ ‫ﻭﺭﻡ‬ ،‫ﺍﻟﺘﻭﺘﺭ‬ ‫ﺴﻭﻱ‬ ‫ﺍﻟﺭﺃﺱ‬ ‫ﺍﺴﺘﺴﻘﺎﺀ‬ ،‫ﺍﻟﺠﺎﻓﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺩﻤﻭﻱ‬ ‫ﻭﺭﻡ‬ ،‫ﻫﻨﺘﻨﻐﺘﻭﻥ‬ ‫ﻤﺭﺽ‬ ،‫ﺒﺎﺭﻜﻨﺴﻭﻥ‬.(
(2)‫ﹰ‬‫ﺎ‬‫ﻋﺘﻬ‬ ‫ﺘﺴﺒﺏ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻌﺭﻑ‬‫ﻴ‬ ‫ﺠﻬﺎﺯﻴﺔ‬ ‫ﺤﺎﻻﺕ‬)‫ﻓﻴﺘﺎ‬ ‫ﻋﻭﺯ‬ ،‫ﺍﻟﺩﺭﻕ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻨﻘﺹ‬ ،‫ﻤﺜل‬‫ﻤﻴﻥ‬B12‫ﻜﻠﺱ‬ ‫ﻓﺭﻁ‬ ،‫ﺍﻟﻨﻴﺎﺴﻴﻥ‬ ‫ﻋﻭﺯ‬ ،‫ﺍﻟﻔﻭﻟﻴﻙ‬ ‫ﺤﻤﺽ‬ ‫ﺃﻭ‬
‫ﺍﻟﻤﻜﺘﺴﺏ‬ ‫ﺍﻟﺒﺸﺭﻱ‬ ‫ﺍﻟﻤﻨﺎﻋﺔ‬ ‫ﻋﻭﺯ‬ ‫ﺒﻔﻴﺭﻭﺱ‬ ‫ﺍﻟﺨﻤﺞ‬ ،‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﺯﻫﺭﻱ‬ ،‫ﺍﻟﺩﻡ‬HIV.(
(3)‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺤﺎﻻﺕ‬.
E-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬.
F-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻌﻠل‬‫ﻴ‬ ‫ﻻ‬)‫ﺍﻀﻁ‬ ،‫ﻤﺜل‬‫ﹸﺼﺎﻡ‬‫ﻓ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺭﺍﺏ‬.(
‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺒﻨﻲ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬:
294.10‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬:‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺄﻱ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﺭﺍﻓﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬.
294.11‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬:‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﺭﺍﻓﻕ‬ ‫ﺇﺫﺍ‬)‫ﻤﺜل‬‫ﹼﻭﺍﻑ‬‫ﻁ‬‫ﺍﻟ‬ ،)‫ﺍﻟﺘﺴﻜﻊ‬(‫ﺍﻟﻬﻴﺎﺝ‬ ،.(
‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺒﺎﻜﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬:‫ﺒﺴﻥ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬65‫ﺃﺩﻨﻰ‬ ‫ﺃﻭ‬.
‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬:‫ﺒﻌﺩ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬65‫ﺴﻨﺔ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬331.0‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻤﺭﺽ‬III.‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﺒﻤﺭﺽ‬ ‫ﺍﻟﻤﺘﺼﻠﺔ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﺒﺎﺭﺯﺓ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬I)،‫ﻤﺜﺎل‬293.83‫ﻭ‬ ،‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻤﺭﺽ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬310.1‫ﻤﺭﺽ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﻐﻴﺭ‬
‫ﻋﺩﻭﺍﻨﻲ‬ ‫ﻨﻤﻁ‬ ،‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬.(
■290.4X‫ﺍﻟﻭﻋﺎﺌﻲ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﻌﺩﻴﺩ‬ ‫ﺍﻻﺤﺘﺸﺎﺀ‬ ‫ﻋﺘﻪ‬(
Vascular Dementia (Formerly Multi-Infract Dementia)
A-‫ﻋ‬ ‫ﺤﺩﻭﺙ‬‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺒﻜل‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺠﻭﺯﺍﺕ‬:
(1)‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﱠﻤﺔ‬‫ﻠ‬‫ﺘﻌ‬‫ﻤ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺘﻌ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﺨﺘﻼل‬.(
(2)‫ﻭﺍﺤﺩ‬ ‫ﺤﺩﻭﺙ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬:
(a)‫ﺒﺴﺔ‬‫ﺤ‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
(b)‫ﺍﻟﻼﺃﺩﺍﺌﻴﺔ‬)‫ﺍﻟﻘﺩ‬ ‫ﺍﺨﺘﻼل‬‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﺒﻔﻌﺎﻟﻴﺎﺕ‬ ‫ﺍﻟﻘﻴﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺭﺓ‬.(
(c)‫ﻤﻪ‬‫ﻋ‬‫ﺤﺴﻲ‬)‫ﺍﻟﺤﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺘﺤﺩﻴﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﺭﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬.(
(d)‫ﺍﻟﺘﻨﻔﻴﺫﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺠﺭﻴﺩ‬ ،‫ﺍﻟﺘﻭﺍﻟﻲ‬ ‫ﺘﺭﺘﻴﺏ‬ ،‫ﺍﻟﺘﻨﻅﻴﻡ‬ ،‫ﺍﻟﺘﺨﻁﻴﻁ‬ ،‫ﺃﻱ‬.(

44. 43
B-‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺴﺒﺏ‬‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬A1‫ﻭ‬A2‫ﻋﻥ‬ ‫ﺩﻻﻟﺔ‬ ‫ﺫﺍ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻨﺤﺩﺍﺭ‬ ‫ﻭﻴﻤﺜل‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬.
C-‫ﺒﺅﺭﻴﺔ‬ ‫ﻋﺼﺒﻴﺔ‬ ‫ﻭﺃﻋﺭﺍﺽ‬ ‫ﻋﻼﻤﺎﺕ‬)،‫ﺍﻟﻤﺸﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺸﺫﻭﺫﺍﺕ‬ ،‫ﻜﺎﺫﺏ‬ ‫ﺒﺼﻠﻲ‬ ‫ﺸﻠل‬ ،‫ﺒﺎﺴﻁﺔ‬ ‫ﺃﺨﻤﺼﻴﺔ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ،‫ﺍﻟﻌﻤﻴﻘﺔ‬ ‫ﺍﻟﻭﺘﺭﻴﺔ‬ ‫ﺍﻟﻤﻨﻌﻜﺴﺎﺕ‬ ‫ﺍﺸﺘﺩﺍﺩ‬
‫ﺍﻷﻁﺭﺍﻑ‬ ‫ﺃﺤﺩ‬ ‫ﻀﻌﻑ‬(‫ﺩﻤﺎﻏﻲ‬ ‫ﻭﻋﺎﺌﻲ‬ ‫ﻤﺭﺽ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻨﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻤﺨﺒﺭﻱ‬ ‫ﺩﻟﻴل‬ ‫ﺃﻭ‬)‫ﻭﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﻟﺩﻤﺎﻏﻴﺔ‬ ‫ﺍﻟﻘﺸﺭﺓ‬ ‫ﺘﺸﻤل‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺍﺤﺘﺸﺎﺀﺍﺕ‬ ‫ﻭﺠﻭﺩ‬ ،‫ﻤﺜل‬
‫ﺘﺤﺘﻬﺎ‬ ‫ﺍﻟﺒﻴﻀﺎﺀ‬(‫ﺒﺎﻻﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺒﺒﻴ‬ ‫ﻤﺘﺼﻠﺔ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻴﻔﺘﺭﺽ‬.
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬.
‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺒﻨﻲ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬:
290.41‫ﻫﺫﻴﺎﻥ‬ ‫ﻤﻊ‬:‫ﺘﺭ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻌﺘﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺍﻜﺏ‬.
290.42‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻫﻲ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
290.43‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬:‫ﺍﻟﻤﻨﺨﻔﺽ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﺘﺤﻘﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬‫ﺍﻟ‬‫ﺍﻟﻌﺭﻀ‬ ‫ﻤﻌﺎﻴﻴﺭ‬‫ﻴﺔ‬‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬(‫ﻫﻭ‬
‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬.‫ﺤﺎﻟ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻨﻔﺼل‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻌﻁﻰ‬‫ﻴ‬ ‫ﻻ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺔ‬.
290.40‫ﻤﺨﺘﻠﻁ‬ ‫ﻏﻴﺭ‬:‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﻠﻭﺤﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺎﺒﻘﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬)‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻴﻘﻪ‬ ‫ﻴﻤﻜﻥ‬:(
‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬:‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻡ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺜﻤﺔ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﺍﻟﺘﺠﻭﺍل‬ ،‫ﻤﺜل‬.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺤ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺩﻤﺎﻏﻴﺔ‬ ‫ﺍﻟﻭﻋﺎﺌﻴﺔ‬ ‫ﺎﻟﺔ‬III.
■294.1X‫ﺃﺨﺭﻯ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻻﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬
Dementia Due to Other General Medical Conditions
A-‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺒﻜل‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻋﺠﻭﺯﺍﺕ‬ ‫ﺤﺩﻭﺙ‬:
(1)‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬)‫ﺍﺴﺘﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺘﻌ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﺨﺘﻼل‬‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﱠﻤﺔ‬‫ﻠ‬‫ﺘﻌ‬‫ﻤ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻋﺎﺀ‬.(
(2)‫ﻭﺍﺤﺩ‬ ‫ﺤﺩﻭﺙ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬:
(a)‫ﺒﺴﺔ‬‫ﺤ‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
(b)‫ﺍﻟﻼﺃﺩﺍﺌﻴﺔ‬)‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﺒﻔﻌﺎﻟﻴﺎﺕ‬ ‫ﺍﻟﻘﻴﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﺨﺘﻼل‬.(
(c)‫ﻤﻪ‬‫ﻌ‬‫ﺍﻟ‬‫ﺍﻟﺤﺴﻲ‬)‫ﺘ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﺭﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬‫ﺍﻟﺤﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺤﺩﻴﺩﻫﺎ‬.(
(d)‫ﺍﻟﺘﻨﻔﻴﺫﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺠﺭﻴﺩ‬ ،‫ﺍﻟﺘﻭﺍﻟﻲ‬ ‫ﺘﺭﺘﻴﺏ‬ ،‫ﺍﻟﺘﻨﻅﻴﻡ‬ ،‫ﺍﻟﺘﺨﻁﻴﻁ‬ ،‫ﺃﻱ‬.(
B-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺴﺒﺏ‬A‫ﻭ‬B‫ﻋﻥ‬ ‫ﺩﻻﻟﺔ‬ ‫ﺫﺍ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻨﺤﺩﺍﺭ‬ ‫ﻭﻴﻤﺜل‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬
‫ﻟﻸ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺩﺍﺀ‬.
C-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻨﺘﻴﺠﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻻﺌل‬ ‫ﺜﻤﺔ‬
‫ﻭﻋﺎﺌﻲ‬ ‫ﺩﻤﺎﻏﻲ‬ ‫ﻤﺭﺽ‬ ‫ﺃﻭ‬ ‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻤﺭﺽ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬)‫ﺨﻤﺞ‬ ،‫ﻤﺜﺎل‬HIV‫ﻫﻨﺘﻨﻐﺘﻭﻥ‬ ‫ﻤﺭﺽ‬ ‫ﺃﻭ‬ ،‫ﺒﺎﺭﻜﻨﺴﻭﻥ‬ ‫ﻤﺭﺽ‬ ‫ﺃﻭ‬ ‫ﺭﻀﺤﻴﺔ‬ ‫ﺩﻤﺎﻏﻴﺔ‬ ‫ﺃﺫﻴﺔ‬ ‫ﺃﻭ‬
‫ﻤﺭﺽ‬ ‫ﺃﻭ‬ ‫ﺒﻴﻙ‬ ‫ﻤﺭﺽ‬ ‫ﺃﻭ‬‫ﻓﻴﺘﺎﻤﻴﻥ‬ ‫ﻋﻭﺯ‬ ‫ﺃﻭ‬ ‫ﺩﻤﺎﻏﻲ‬ ‫ﻭﺭﻡ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺩﺭﻕ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻨﻘﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﺘﺭ‬ ‫ﺴﻭﻱ‬ ‫ﺍﻟﺩﻤﺎﻍ‬ ‫ﺍﺴﺘﺴﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺠﺎﻜﻭﺏ‬ ‫ـ‬ ‫ﻜﺭﻭﺘﺯﻓﻴﻠﺩ‬
B12.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬.
‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺒﻨﻲ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬:
294.10‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬:‫ﺍﻻ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﺭﺍﻓﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺴﺘﻌﺭﺍﻓﻲ‬.
294.11‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬:‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻡ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﺭﺍﻓﻕ‬ ‫ﺇﺫﺍ‬)‫ﺍﻟﺘﺠﻭﺍل‬ ،‫ﻤﺜل‬)‫ﺍﻟﺘﺴﻜﻊ‬(‫ﺍﻟﻬﻴﺎﺝ‬ ،.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬III)،‫ﻤﺜﺎل‬042‫ﺍﻟـ‬ ‫ﺨﻤﺞ‬HIV،854.00،‫ﺍﻟﺭﺃﺱ‬ ‫ﺃﺫﻴﺔ‬332.0،‫ﺒﺎﺭﻜﻨﺴﻭﻥ‬ ‫ﻤﺭﺽ‬
333.4،‫ﻫﻨﺘﻨﻐﺘﻭﻥ‬ ‫ﻤﺭﺽ‬331.1،‫ﺒﻴﻙ‬ ‫ﻤﺭﺽ‬046.1‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬ ‫ﺠﺎﻜﻭﺏ؛‬ ‫ـ‬ ‫ﻜﺭﻭﺘﺯﻓﻴﻠﺩ‬ ‫ﻤﺭﺽ‬G‫ﺍﻹﻀﺎﻓﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
■‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬

45. 44
Substance-Induced Persisting Dementia
A-‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺒﻜل‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻋﺠﻭﺯﺍﺕ‬ ‫ﺤﺩﻭﺙ‬:
(1)‫ﺍﺨﺘﻼ‬‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ل‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﱠﻤﺔ‬‫ﻠ‬‫ﺘﻌ‬‫ﻤ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺘﻌ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﺨﺘﻼل‬.(
(2)‫ﻭﺍﺤﺩ‬ ‫ﺤﺩﻭﺙ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬:
(a)‫ﺒﺴﺔ‬‫ﺤ‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
(b)‫ﺍﻟﻼﺃﺩﺍﺌﻴﺔ‬)‫ﺍﻟ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﺒﻔﻌﺎﻟﻴﺎﺕ‬ ‫ﺍﻟﻘﻴﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﺨﺘﻼل‬‫ﺤﺭﻜﻴﺔ‬.(
(c)‫ﻤﻪ‬‫ﻌ‬‫ﺍﻟ‬)‫ﺍﻟﺤﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺘﺤﺩﻴﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﺭﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬.(
(d)‫ﺍﻟﺘﻨﻔﻴﺫﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺠﺭﻴﺩ‬ ،‫ﺍﻟﺘﻭﺍﻟﻲ‬ ‫ﺘﺭﺘﻴﺏ‬ ،‫ﺍﻟﺘﻨﻅﻴﻡ‬ ،‫ﺍﻟﺘﺨﻁﻴﻁ‬ ،‫ﺃﻱ‬.(
B-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺴﺒﺏ‬A1‫ﻭ‬A2‫ﺍﻻﺠﺘﻤﺎﻋ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬‫ﻋﻥ‬ ‫ﺩﻻﻟﺔ‬ ‫ﺫﺍ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻨﺤﺩﺍﺭ‬ ‫ﻭﻴﻤﺜل‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﻲ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬.
C-‫ﻋﻨﻬﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﻟﻼﻨﺴﻤﺎﻡ‬ ‫ﺍﻟﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺇﻟﻰ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﻭﻫﻲ‬ ‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬.
D-‫ﺍ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻻﺌل‬ ‫ﺜﻤﺔ‬‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺴﺘﻤﺭﺓ‬ ‫ﺒﺎﻟﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺒﺒﻴ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻟﻌﺠﻭﺯﺍﺕ‬
)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬.(
‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬]‫ﻨﻭﻋﻴﺔ‬ ‫ﺒﻤﺎﺩﺓ‬:[
)291.2‫ﺍﻟﻜﺤﻭل؛‬292.82‫ﺍﻟﻨﺸﻭﻕ؛‬292.82‫ﺍﻟﻘﻠﻕ؛‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬292.82‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬.([
‫ﺘﺭ‬ ‫ﻤﻼﺤﻅﺔ‬‫ﻤﻴﺯﻴﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﻻﺤﻘ‬ ‫ﺍﻨﻅﺭ‬.
■‫ﻋﺩﻴﺩﺓ‬ ‫ﺴﺒﺒﻴﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬
Dementia Due to Multiple Etiologies
A-‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺒﻜل‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻋﺠﻭﺯﺍﺕ‬ ‫ﺤﺩﻭﺙ‬:
(1)‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﱠﻤﺔ‬‫ﻠ‬‫ﺘﻌ‬‫ﻤ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺘﻌ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﺨﺘﻼل‬(.
(2)‫ﻭﺍﺤﺩ‬ ‫ﺤﺩﻭﺙ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬:
(a)‫ﺒﺴﺔ‬‫ﺤ‬)‫ﺍﻟﻠﻐﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
(b)‫ﺍﻟﻼﺃﺩﺍﺌﻴﺔ‬)‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﺒﻔﻌﺎﻟﻴﺎﺕ‬ ‫ﺍﻟﻘﻴﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﺨﺘﻼل‬.(
(c)‫ﻤﻪ‬‫ﻌ‬‫ﺍﻟ‬‫ﺍﻟﺤﺴﻲ‬)‫ﺍﻟﺤﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺭﻏﻡ‬ ‫ﻭﺘﺤﺩﻴﺩﻫﺎ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﺭﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬(.
(d)‫ﺍﻟﺘﻨﻔﻴﺫﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺠﺭﻴﺩ‬ ،‫ﺍﻟﺘﻭﺍﻟﻲ‬ ‫ﺘﺭﺘﻴﺏ‬ ،‫ﺍﻟﺘﻨﻅﻴﻡ‬ ،‫ﺍﻟﺘﺨﻁﻴﻁ‬ ،‫ﺃﻱ‬.(
B-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺴﺒﺏ‬A1‫ﻭ‬A2‫ﻋﻥ‬ ‫ﺩﻻﻟﺔ‬ ‫ﺫﺍ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻨﺤﺩﺍﺭ‬ ‫ﻭﻴﻤﺜل‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬.
C-‫ﻤﻥ‬ ‫ﺩﻻﻟﺔ‬ ‫ﺜﻤﺔ‬‫ﻭﺍﺤﺩ‬ ‫ﺴﺒﺏ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬)‫ﻋﻼﻭﺓ‬ ‫ﺭﺃﺱ‬ ‫ﺭﻀﺢ‬ ،‫ﻤﺜﺎل‬
‫ﻭﻋﺎﺌﻲ‬ ‫ﻟﻌﺘﻪ‬ ‫ﻻﺤﻕ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻤﻊ‬ ‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﻋﺘﻪ‬ ،‫ﺍﻟﻤﺯﻤﻥ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﺘﻨﺎﻭل‬ ‫ﻋﻠﻰ‬.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻌﺠﻭﺯﺍﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺴﺒﺒ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻟﻠﻌﺘﻪ‬ ‫ﻟﻴﺱ‬‫ﹰ‬‫ﺎ‬‫ﺘﺸﺨﻴﺼ‬ ‫ﺒﺎﻋﺘﺒﺎﺭﻩ‬ ‫ل‬‫ﺠ‬‫ﺴ‬‫ﻴ‬ ‫ﺃﻻ‬ ‫ﻭﻴﻨﺒﻐﻲ‬ ‫ﻤﻨﻔﺼل‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﻴﺎﺕ‬.‫ﺍﻟﻌﺘﻪ‬ ‫ﻤﻥ‬ ‫ﱞ‬‫ل‬‫ﻜ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻓﻌﻠﻰ‬
‫ﺒﻌﺩ‬ ‫ﻭﺍﻟﺫﻱ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬ ،‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﻋﺘﻪ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻓﺭﺩ‬ ‫ﻟﺩﻯ‬ ‫ﺘﺸﺨﻴﺼﻬﻤﺎ‬ ‫ﻴﺠﺏ‬ ‫ﺍﻟﻭﻋﺎﺌﻲ‬ ‫ﻭﺍﻟﻌﺘﻪ‬ ‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬
‫ﺍﻟﻭﻅﻴ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﺤﺩﺍﺭ‬ ‫ﻤﻥ‬ ‫ﻤﺯﻴﺩ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻨﺸﺒﺎﺕ‬ ‫ﻋﺩﺓ‬‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻔﺔ‬.‫ﻤﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻜ‬ ‫ﻴﺩﺭﺝ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﻋﺘﻪ‬
‫ﻭ‬ ‫ﺴﻠﻭﻜﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬ ،‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬290.40‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ،‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﻏﻴﺭ‬ ،‫ﺍﻟﻭﻋﺎﺌﻲ‬ ‫ﺍﻟﻌﺘﻪ‬I‫ﻭ‬ ،331.0‫ﻭ‬ ‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻤﺭﺽ‬436
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻨﺸﺒﺔ‬III.
■294.8‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﺘﻪ‬
Dementia Not Otherwise Specified

46. 45
‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﺼﻔﺕ‬‫ﻭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﺴﺘﻭﻓﻲ‬ ‫ﻻ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻌﺘﻪ‬ ‫ﻟﺘﺸﺨﻴﺹ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬.
‫ﻨﻭﻋﻴﺔ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﺁﻟﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻜﺎﻑ‬ ‫ﺩﻟﻴل‬ ‫ﻟﻪ‬ ‫ﻴﺘﻭﻓﺭ‬ ‫ﻻ‬ ‫ﻟﻌﺘﻪ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻟﻭﺤﺔ‬ ‫ﺫﻟﻙ‬ ‫ﻭﻤﺜﺎل‬.
‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Amnestic Disorders
■294.0‫ﺍ‬‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
A-‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﱠﻤﺔ‬‫ﻠ‬‫ﺍﻟﻤﺘﻌ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺘﻌ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺨﺘﻼل‬ ‫ﻴﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺤﺩﻭﺙ‬.
B-‫ﻭﻴﻤﺜل‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﻋﻥ‬ ‫ﺸﺄﻥ‬ ‫ﺫﺍ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻨﺤﺩﺍﺭ‬.
C-‫ﻋﺘﻪ‬ ‫ﺃﻭ‬ ‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
D-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻋﺎﻗﺒﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬)‫ﺒﻤﺎ‬
‫ﺠﺴﺩﻱ‬ ‫ﺭﻀﺢ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬.(
‫ﺇ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬‫ﻜﺎﻥ‬ ‫ﺫﺍ‬:
‫ﻋﺎﺒﺭ‬:‫ﺃﻗل‬ ‫ﺃﻭ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺍﺴﺘﻤﺭ‬ ‫ﺇﺫﺍ‬.‫ﺘﻌﺒﻴﺭ‬ ‫ﺇﻀﺎﻓﺔ‬ ‫ﻴﻤﻜﻥ‬ ،‫ﺍﻟﺸﻔﺎﺀ‬ ‫ﺍﻨﺘﻅﺎﺭ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻷﻭل‬ ‫ﺍﻟﺸﻬﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻴﻭﻀﻊ‬ ‫ﻋﻨﺩﻤﺎ‬
»‫ﻤﺅﻗﺕ‬«.
‫ﻤﺯﻤﻥ‬:‫ﺸﻬﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺍﺴﺘﻤﺭ‬ ‫ﺇﺫﺍ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I،‫ﻤﺜﺎل‬ ،294.0‫ﺍﻀﻁ‬‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﺍﻟﺭﺃﺱ؛‬ ‫ﺭﻀﺢ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺭﺍﺏ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
■‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:
A-‫ﺍﻟﻤﻌﻠﻭ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﹼﻡ‬‫ﻠ‬‫ﺘﻌ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺨﺘﻼل‬ ‫ﻴﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺤﺩﻭﺙ‬‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﱠﻤﺔ‬‫ﻠ‬‫ﺍﻟﻤﺘﻌ‬ ‫ﻤﺎﺕ‬.
B-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﻟﻸﺩﺍﺀ‬ ‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﻋﻥ‬ ‫ﺸﺄﻥ‬ ‫ﺫﺍ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻨﺤﺩﺍﺭ‬ ‫ﻭﻴﻤﺜل‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺒﺎﻟﻤ‬ ‫ﻟﻼﻨﺴﻤﺎﻡ‬ ‫ﺍﻟﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺇﻟﻰ‬ ‫ﻴﺴﺘﻤﺭ‬ ‫ﻭﻫﻭ‬ ‫ﻋﺘﻪ‬ ‫ﺃﻭ‬ ‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﻋﻨﻬﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺎﺩﺓ‬.
D-‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺴﺘﻤﺭﺓ‬ ‫ﺒﺎﻟﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺴﺒﻴ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬
‫ﺍﻟﻤﺎﺩﺓ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜﺎل‬.(
‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬]‫ﻨﻭﻋﻴﺔ‬ ‫ﺒﻤﺎﺩﺓ‬:[
)291.1‫ﺍﻟﻜﺤﻭل؛‬292.83‫ﺍﻟﻘﻠﻕ؛‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬292.83‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬.([
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﹰ‬‫ﺎ‬‫ﻻﺤﻘ‬ ‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
■294.8‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:
‫ﺍﻟﻨﻭ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻴﻪ‬ ‫ﹸﺴﺘﻭﻓﻰ‬‫ﺘ‬ ‫ﻻ‬ ‫ﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻟﺘﺸﺨﻴﺹ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﺠﺏ‬‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﻭﺼﻔﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻋﻴﺔ‬.
‫ﻨﻭﻋﻴﺔ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﺁﻟﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻜﺎﻑ‬ ‫ﺩﻟﻴل‬ ‫ﻟﻬﺎ‬ ‫ﻴﺘﻭﻓﺭ‬ ‫ﻻ‬ ‫ﻟﻨﺴﺎﻭﺓ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻟﻭﺤﺔ‬ ،‫ﺫﻟﻙ‬ ‫ﻤﺜﺎل‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺃﻭ‬ ‫ﺘﻔﺎﺭﻗﻴﺔ‬ ،‫ﺃﻱ‬.(
‫ﺃﺨﺭﻯ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
Other Cognitive Disorders
■294.9‫ﺁﺨ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺭ‬
‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻴﻔﺘﺭﺽ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺒﻌﺴﺭ‬ ‫ﺘﺘﺼﻑ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﺨﺼﺼﺔ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬
‫ﺘﺼﻨﻴﻔﻬﺎ‬ ‫ﻴﻔﻀل‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺘﻪ‬ ‫ﺤﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﺫﻴﺎﻨﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻋﺎﻤﺔ‬
‫ﻤ‬ ‫ﻏﻴﺭ‬ ‫ﻜﻬﺫﻴﺎﻥ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻋﺘﻪ‬ ‫ﺃﻭ‬ ،‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺤﺩﺩ‬.‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻟﻌﺴﺭ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﺌﺔ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﺠﺏ‬ ،‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬.
‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:

47. 46
1-‫ﺨﻔ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﻋﺼﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻴﻑ‬:‫ﺍﻟﻜﻤﻲ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺒﺎﻟﺘﻘﻴﻴﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺒﺎﻻﺨﺘﺒﺎﺭ‬ ‫ﺫﻟﻙ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬
‫ﺍﻟﻤﺭﻜﺯﻴﺔ‬ ‫ﺍﻟﻌﺼﺒﻴﺔ‬ ‫ﺍﻟﺠﻤﻠﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻅﻴﻔﻲ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺠﻬﺎﺯﻴﺔ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻭﻀﻭﻋﻲ‬ ‫ﺩﻟﻴل‬ ‫ﻤﻊ‬ ‫ﻴﺘﺭﺍﻓﻕ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-
IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
2-‫ﺍﻟﺩﻤﺎﻍ‬ ‫ﺍﺭﺘﺠﺎﺝ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻊ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﺍﻟﺭﺃﺱ‬ ‫ﻋﻠﻰ‬ ‫ﺭﻀﺢ‬ ‫ﺒﻌﺩ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬
DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
‫اﻻ‬‫ﺿﻄﺮاﺑ‬‫ﺎ‬‫اﻟﻨﺎﺟﻤﺔ‬ ‫اﻟﻌﻘﻠﻴﺔ‬ ‫ت‬
‫ﻋﺎﻣﺔ‬ ‫ﻃﺒﻴﺔ‬ ‫ﺣﺎﻟﺔ‬ ‫ﻋﻦ‬
Mental Disorders Due to
a General Medical Condition
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻋﺎﻗﺒﺔ‬ ‫ﺒﺄﻨﻬﺎ‬ ‫ﹶﻡ‬‫ﻜ‬‫ﺤ‬‫ﻴ‬ ‫ﻋﻘﻠﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﺼﻑ‬.‫ﺘﻌﺒﻴﺭ‬ ‫ﻴﺸﻴﺭ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺯﺓ‬‫ﻤ‬‫ﺍﻟﻤﺭ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺇﻟﻰ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬III‫ﺍﻟـ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻟﻤﺩﺭﺠﺔ‬ICD‫ﻓﺼل‬ ‫ﺨﺎﺭﺝ‬»‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬«)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻟﻬﺫﻩ‬ ‫ﻤﻭﺠﺯﺓ‬ ‫ﻻﺌﺤﺔ‬.(‫ﺘﺼﻭﺭﻫﺎ‬ ‫ﻓﻲ‬ ‫ﺠﻭﻫﺭﻴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻓﺭﻭﻗ‬ ‫ﺜﻤﺔ‬ ‫ﺃﻥ‬ ‫ﻴﻌﻨﻲ‬ ‫ﻻ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﻭﺍﻟﺤﺎﻻﺕ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﻤﻴﻴﺯ‬ ‫ﺇﻗﺎﻤﺔ‬ ‫ﺇﻥ‬
‫ﺒﻌﻭ‬ ‫ﺘﺘﺼل‬ ‫ﻻ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺒﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺤﺩﺜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﻌﻭﺍﻤل‬ ‫ﺘﺘﺼل‬ ‫ﻻ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻤﻔﻬﻭﻤﻲ‬‫ﺃﻭ‬ ‫ﺍﻤل‬
‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺤﺩﺜﻴﺎﺕ‬.‫ﻭﻟﺘﻘﺩﻴﻡ‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﺸﻤﻭﻟﻴﺔ‬ ‫ﺘﺸﺠﻴﻊ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺘﻤﻴﻴﺯ‬ ‫ﻭﺭﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻐﺭﺽ‬ ‫ﺇﻥ‬
‫ﺍﻟﺼﺤﻴﺔ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﺘﻐﻠﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺘﻌﺯﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻤﺨﺘﺯل‬ ‫ﺘﻌﺒﻴﺭ‬.‫ﻤﺼﻁﻠﺤ‬ ‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﺃﻥ‬ ،‫ﺍﻟﻌﻤﻠﻴﺔ‬ ‫ﺍﻟﻤﻤﺎﺭﺴﺔ‬ ‫ﻓﻲ‬ ،‫ﻴﺘﻭﻗﻊ‬ ‫ﺃﻨﻪ‬ ‫ﺒﻴﺩ‬‫ﺃﻜﺜﺭ‬ ‫ﺎﺕ‬
‫ﺍﻟﻤﻌﻨﻴﺔ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻟﺘﺤﺩﻴﺩ‬ ‫ﻨﻭﻋﻴﺔ‬.
‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻤﻥ‬ ‫ﻟﺜﻼﺜﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻭﻀﻌﺕ‬ ‫ﻟﻘﺩ‬)‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻭﺘﻐﻴﺭ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ،‫ﺃﻱ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻭﺍﻟﻨﺎﺠﻡ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺏ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬(‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﻤﻭﻟﺔ‬ ‫ﻭﻫﻲ‬‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬.‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﻤﺎ‬
‫ﺍﻟﻅﻭﺍﻫﺭﻴﺔ‬ ‫ﺍﻟﻨﺎﺤﻴﺔ‬ ‫ﻤﻥ‬ ‫ﻤﻌﻬﺎ‬ ‫ﺘﺘﺸﺎﺭﻙ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬ ‫ﻭﺫﻟﻙ‬ ‫ﺏ‬‫ﻴ‬‫ﺍﻟﻜﺘ‬ ‫ﻫﺫﺍ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻓﺼﻭل‬ ‫ﻓﻲ‬ ‫ﻀﻌﺕ‬‫ﻭ‬ ‫ﻓﻘﺩ‬ ،‫ﺃﺩﻨﺎﻩ‬ ‫ﺠﺔ‬‫ﺭ‬‫ﺩ‬‫ﻤ‬‫ﺍﻟ‬.‫ﻫﺫﺍ‬ ‫ﺘﻨﻅﻴﻡ‬ ‫ﺠﺭﻯ‬ ‫ﻭﻗﺩ‬
‫ﺍﻟﺘﻔﺭﻴﻘﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬ ‫ﻭﻀﻌﻬﻡ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺤﺴﺒﺎﻨﻬﻡ‬ ‫ﻓﻲ‬ ‫ﻴﺄﺨﺫﻭﺍ‬ ‫ﺃﻥ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﻟﺘﻨﺒﻴﻪ‬ ‫ﺍﻟﻁﺭﻴﻘﺔ‬ ‫ﺒﻬﺫﻩ‬ ‫ﺍﻟﻜﺘﻴﺏ‬.
293.0‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬)‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
-.-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
294.0‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
293.8X‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
293.83‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
293.84‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
-.-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬)‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
780.5X‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻨﻅﺭ‬‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻤﻌﺎﻴﻴﺭ‬(
■293.89‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
A-‫ﺍﻟﻤﻔﺭﻁﺔ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻔﻌﺎﻟﻴﺔ‬ ‫ﺃﻭ‬ ،‫ﺒﺎﻟﻼﺤﺭﻜﻴﺔ‬ ‫ﻴﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺠﺎﻤﻭﺩ‬ ‫ﻭﺠﻭﺩ‬)‫ﺨﺎﺭﺠﻲ‬ ‫ﺒﻤﻨﺒﻪ‬ ‫ﺘﺘﺄﺜﺭ‬ ‫ﻭﻻ‬ ‫ﻟﻬﺎ‬ ‫ﻏﺭﺽ‬ ‫ﻻ‬ ‫ﻭﻫﻲ‬(‫ﺍﻟﺼﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻨﺩﺓ‬ ‫ﺃﻭ‬
‫ﺩﺍ‬‫ﺼ‬‫ﺍﻟ‬ ‫ﺃﻭ‬ ‫ﺍﻹﺭﺍﺩﻴﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻐﺭﺍﺒﺔ‬ ‫ﺃﻭ‬‫ﺍﻟﺤﺭﻜﻲ‬ ‫ﺩﺍﺀ‬‫ﺼ‬‫ﺍﻟ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﻔﻅﻲ‬ ‫ﺀ‬.
B-‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻋﺎﻗﺒﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﻀﻴﺔ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬
‫ﻋﺎﻤﺔ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬)‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﺜل‬.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.

48. ‫ﻤ‬‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I‫ﻤﺜﺎل‬ ،293.89‫ﻜﺒﺩﻱ؛‬ ‫ﻤﻨﺸﺄ‬ ‫ﻤﻥ‬ ‫ﺩﻤﺎﻏﻲ‬ ‫ﺍﻋﺘﻼل‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺠﺎﻤﻭﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
■310.1‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺭ‬‫ﻴ‬‫ﺘﻐ‬] ...‫ﺍﻟﻁ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺒﻴﺔ‬[
A-‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﻓﻲ‬ ‫ﺯ‬‫ﻴ‬‫ﺍﻟﻤﻤ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺘﻐﻴﺭ‬ ‫ﹼل‬‫ﺜ‬‫ﻴﻤ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬) .‫ﹰ‬‫ﺎ‬‫ﺍﻨﺤﺭﺍﻓ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻀﻤﻥ‬)‫ﹰ‬‫ﺍ‬‫ﺍﺒﺘﻌﺎﺩ‬(
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺴﻨﺔ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﺴﺘﻤﺭ‬ ‫ﺍﻟﻁﻔل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻤﻌﺘﺎﺩ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻨﻤﺎﺫﺝ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺭ‬‫ﻴ‬‫ﺘﻐ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻭﻱ‬ ‫ﺍﻟﺘﻁﻭﺭ‬ ‫ﻋﻥ‬.(
B-‫ﺍﻟﻤﺭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻋﺎﻗﺒﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﻀﻴﺔ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﹼل‬‫ﻠ‬‫ﻴﻌ‬ ‫ﻻ‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻤﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
E-‫ﺍﻻﻀ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻁﺭﺍﺏ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺍﻟﻤﻘﻠﻘل‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ـ‬:‫ﹰ‬‫ﺎ‬‫ﻭﺠﺩﺍﻨﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﻠﺒ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﻤﺜﺒﻁ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ـ‬)‫ﺍﻟﻤﻨﻔﻠﺕ‬(:‫ﻜﻤ‬ ‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻀﻌﻔ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﺦ‬ ،‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻁﻴﺵ‬ ‫ﺤﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﺎ‬.
‫ﺍﻟﻌﺩﻭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ـ‬:‫ﹰ‬‫ﺎ‬‫ﻋﺩﻭﺍﻨﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﻠﻭﻜ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﻼﻤﺒﺎﻟﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ـ‬:‫ﻭﺍﻀﺤﺔ‬ ‫ﻻﻤﺒﺎﻻﺓ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﺯﻭﺭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ـ‬:‫ﹰ‬‫ﺎ‬‫ﺯﻭﺭﺍﻨﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﻭﺘﻔﻜﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﺭﺘﻴﺎﺒ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺁﺨﺭ‬ ‫ﻨﻤﻁ‬ ‫ـ‬:‫ﻴ‬‫ﻤﻤ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﺴﺎﺒﻘﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻤﻥ‬ ‫ﻷﻱ‬ ‫ﺯ‬.
‫ﺍﻟﻤﺸﺘﺭﻙ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ـ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﻠﻭﺤﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﻤﻅﻬﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ـ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﺃﺩﺭﺝ‬I،‫ﻤﺜﺎل‬ ،310.1‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺍﻟﺼﺩﻏﻲ؛‬ ‫ﺍﻟﻔﺹ‬ ‫ﺼﺭﻉ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﻐﻴﺭ‬
‫ﺍﻟ‬ ‫ﺍﻟﺤﺎﻟﺔ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬III)‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬.(
■293.9‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻭﺍﻟﻨﺎﺠﻡ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﺒﺏ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺍﻟﺘﺄﻜﺩ‬ ‫ﺠﺭﻯ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻠﺤﺎﻻﺕ‬ ‫ﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﻟﻜﻥ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﻨﻭﻋﻲ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻨﻁﺒﻕ‬ ‫ﻻ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬)‫ﻤﻌﻘﺩﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﺔ‬‫ﻴ‬‫ﺘﻔﺎﺭﻗ‬ ‫ﺃﻋﺭﺍﺽ‬ ،‫ﺫﻟﻙ‬ ُ‫ل‬‫ﹶ‬‫ﺜ‬‫ﻤ‬.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬ ،293.9‫ﻤﺭﺽ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻤ‬ ‫ﺍﻟﻤﻨﺎﻋﺔ‬ ‫ﻨﻘﺹ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﻜﺘﺴﺏ؛‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
(*)
‫ﻤﻼﺤﻅﺔ‬:‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻫﺫﻴﺎﻥ‬ ‫ﺃﻨﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻴﺴﺠل‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬‫ﺍﻟﺩﻭﺍﺌﻲ‬ ‫ﺒﺎﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻋﻼﻗﺔ‬ ‫ﻫﻨﺎﻙ‬.‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬G‫ﻟﻠﺭﻤﻭﺯ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬E‫ﺇﻟﻰ‬ ‫ﺘﺸﻴﺭ‬ ‫ﺍﻟﺘﻲ‬
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻷﺩﻭﻴﺔ‬.
‫ﺑﺎﻟﻤﻮاد‬ ‫اﻟﻤﺘﻌﻠـﻘﺔ‬ ‫اﻻﺿﻄﺮاﺑــﺎت‬
Substance-Related Disorders
‫ﻤﺠﻤﻭﻋﺘﻴﻥ‬ ‫ﺇﻟﻰ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﹸﻘﺴﻡ‬‫ﺘ‬:‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺍﺴ‬ ‫ﻭﺴﻭﺀ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺘﺨﺩﺍﻡ‬(‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺒﺎﻟﻤﻭﺍﺩ‬)،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬ ،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ،‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
‫ﺍﻟﻤﺤ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻠل‬ ،‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺩﺙ‬
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(‫ﻗﺎﺒﻠﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻭﻫﻲ‬ ،‫ﻋﻨﻬﺎ‬ ‫ﻭﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺒﻬﺎ‬ ‫ﻭﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻬﺎ‬ ‫ﻭﺴﻭﺀ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻼﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺒﻭﻀﻊ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻴﺒﺩﺃ‬
47

49. 48
‫ﻋﺎﻡ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺃﺼﻨﺎﻑ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺘﻁﺒﻴﻕ‬.‫ﺍﻟﺠﺩﻭل‬ ‫ﻴﺸﻴﺭ‬1‫ﻟﻠﻤﻭﺍﺩ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻷﺼﻨﺎﻑ‬ ‫ﺇﻟﻰ‬‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﻟﺩﻴﻬﺎ‬ ‫ﻭﺍﻟﺘﻲ‬
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬.‫ﻤﻥ‬ ‫ﻟﻜل‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﻭﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻭﻴﺸﻤل‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻷﺼﻨﺎﻑ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﺭﺘﻴﺒ‬ ‫ﻓﻴﻀﻡ‬ ‫ﺍﻟﻘﺴﻡ‬ ‫ﺒﻘﻴﺔ‬ ‫ﺃﻤﺎ‬
‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻫﺫﻩ‬ ‫ﻤﻥ‬ ‫ﻋﺸﺭ‬ ‫ﺍﻷﺤﺩ‬ ‫ﺍﻷﺼﻨﺎﻑ‬.‫ﻨﺕ‬‫ﻤ‬‫ﻀ‬ ‫ﺍﻟﺘﻔﺭﻴﻘﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻟﺘﺴﻬﻴل‬‫ﻤﻊ‬ ‫ﺍﻟﺩﻟﻴل‬ ‫ﻓﺼﻭل‬ ‫ﻓﻲ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺒﺎﻗﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻌﺎﻴﻴﺭ‬
‫ﹰ‬‫ﺎ‬‫ﻅﻭﺍﻫﺭﻴ‬ ‫ﺘﺸﺎﻁﺭﻫﺎ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬.
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻭﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﻭﺍﻟﻌﺘﻪ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺍﻀﻁﺭﺍﺏ‬«.
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻭﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﻭﺍﻟﻌﺘﻪ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬«.
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻭﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﻭﺍﻟﻌﺘﻪ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺍﻀﻁﺭﺍﺏ‬«.
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻟﺫﻫﺎﻨﻴ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺼﺎﻡ‬‫ﺍﻷﺨﺭﻯ‬ ‫ﺔ‬«.‫ﻓﻲ‬ ‫ﻤﺼﻨﻔﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻜﺎﻨﺕ‬
DSM-III-R‫ﺍﺴﻡ‬ ‫ﺘﺤﺕ‬»‫ﻋﻀﻭﻱ‬ ‫ﻼﺱ‬‫ﻫ‬«‫ﻭ‬»‫ﺍﻟﻌﻀﻭﻱ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬«.
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬«.
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬«.
‫ﺍﻟ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺃﺩﺍﺀ‬ ‫ﺨﻠل‬‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﻤﺤﺩﺙ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﻭﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬«.
‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﻓﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬»‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬«.
‫ﻥ‬‫ﻤ‬‫ﻀ‬ ‫ﻓﻘﺩ‬ ،‫ﺫﻟﻙ‬ ‫ﺇﻟﻰ‬ ‫ﺒﺎﻹﻀﺎﻓﺔ‬‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻹﺩﺭﺍﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺯﻤﻨﻴﺔ‬ ‫ﺇﺭﺠﺎﻋﺎﺕ‬Flash backs(‫ﻋﻨﻭﺍﻥ‬ ‫ﺘﺤﺕ‬»‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬
‫ِﺴﺎﺕ‬‫ﻭ‬‫ﺒﺎﻟﻤﻬﻠ‬«‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬.
‫ﺍﻟﺠﺩﻭل‬ ‫ﻓﻲ‬ ‫ﻤﻌﺭﻭﻀﺔ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻓﺼﻭل‬ ‫ﻓﻲ‬ ‫ﻀﻌﺕ‬‫ﻭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻤﻥ‬ ‫ﻤﺤﺩﺩ‬ ‫ﺼﻨﻑ‬ ‫ﻟﻜل‬ ‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﺎﺕ‬ ‫ﺇﻥ‬2.
‫ﺍﻟﺠﺩﻭل‬1‫ـ‬‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻷﺼﻨﺎﻑ‬ ‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﺎﺕ‬
‫ﺍﻻﻋﺘﻤﺎﺩ‬‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬‫ﺍﻻﻨﺴﻤﺎﻡ‬‫ﺍﻟﺴﺤﺏ‬
‫ﺍﻟﻜﺤﻭل‬
XXXX
‫ﺍﻷ‬‫ﻤﻔﻴﺘﺎﻤﻴﻨﺎﺕ‬XXXX
‫ﺍﻟﻜﺎﻓﺌﻴﻥ‬X
‫ﺍﻟﺤﺸﻴﺵ‬XXX
‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬XXXX
‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬XXX
‫ﺍﻟﻨﺸﻭﻗﺎﺕ‬XXX
‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬XX
‫ﺍﻷﻓﻴﻭﻨﺎﺕ‬XXXX
‫ﺍﻟﻔﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬XXX
‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬‫ﺃﻭ‬
‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬
XXXX
‫ﻤﺘﻌﺩﺩﺓ‬ ‫ﻤﻭﺍﺩ‬X
‫ﺃﺨﺭﻯ‬XXXX

50. 49
‫ﻤﻼﺤﻅ‬‫ﺔ‬:‫ﺘﺸﻴﺭ‬X‫ﺒﻬﺎ‬ ‫ﻑ‬‫ﺭ‬‫ﻤﻌﺘ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﺃﻥ‬ ‫ﺇﻟﻰ‬)‫ﺓ‬‫ﺭ‬‫ﻘ‬‫ﻤ‬(‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-IV
‫ﺃﺨﺭﻯ‬
‫ﻤﻭﺍﺩ‬
‫ﻋ‬‫ﺩﻴﺩﺓ‬
‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬
‫ﺃﻭ‬
‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬
‫ﺃﻭ‬
‫ﻤﻀﺎﺩﺍ‬
‫ﺕ‬
‫ﺍﻟﻘﻠﻕ‬
‫ﺍﻟﻔﻴﻨ‬
‫ﺴﻴﻜﻠﻴﺩ‬
‫ﻴﻥ‬
‫ﺍﻷﻓﻴﻭ‬
‫ﻨﺎﺕ‬
IIII
WW
PP
PP
I/WI/WII
I/WIII
I/WII
II
*‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻹﺩﺭﺍﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬
‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬)‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺭﺠﻭﻉ‬.(
‫ﻤﻼﺤﻅﺔ‬:‫ﺘﺸﻴﺭ‬X‫ﺃﻭ‬I‫ﺃﻭ‬W‫ﺃﻭ‬I/W‫ﺃﻭ‬P‫ﺃﻥ‬ ‫ﺇﻟﻰ‬
‫ﺍﻟـ‬ ‫ﻓﻲ‬ ‫ﺓ‬‫ﺭ‬‫ﻘ‬‫ﻤ‬ ‫ﺍﻟﻔﺌﺔ‬DSM-IV.‫ﻭﺘﺸﻴﺭ‬/‫ﺃﻥ‬ ‫ﺇﻟﻰ‬
‫ﻴﺴﺘﺨ‬ ‫ﻗﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ‫ـ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬‫ﻟﻠﻔﺌﺔ‬ ‫ﺩﻡ‬
)‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬(‫ﻭﺘﺸﻴﺭ‬ ‫؛‬W‫ﻤﻊ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺒﺄﻥ‬
‫ﻟﻠﻔﺌﺔ‬ ‫ﻴﺴﺘﺨﺩﻡ‬ ‫ﻗﺩ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬)‫ﻫﺫﻴﺎﻥ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬
‫ﺍﻻﻤﺘﻨﺎﻉ‬(‫ﺘﺸﻴﺭ‬ ‫ﻜﻤﺎ‬ ‫؛‬I/W‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ‫ﺇﻤﺎ‬ ‫ﺒﺄﻨﻪ‬
‫ﻟﻠﻔﺌﺔ‬ ‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﻗﺩ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬.
‫ﺃﻤﺎ‬P‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﺇﻟﻰ‬ ‫ﻓﺘﺸﻴﺭ‬.
I/WI/W
‫ﺍﻟﺠﺩﻭل‬2‫ـ‬‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻤﻥ‬ ‫ﻤﺨﺘﻠﻔﺔ‬ ‫ﻷﺼﻨﺎﻑ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﻓﻘ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺤﺩﺜﺔ‬‫ﻤ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻨﻴﻜ‬‫ﻭﺘﻴﻥ‬‫ﺍﻟﻨﺸﻭﻗﺎﺕ‬‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬‫ﺍﻟﺤﺸﻴﺵ‬‫ﺍﻟﻜﺎﻓﺌﻴﻥ‬‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻨﺎﺕ‬‫ﺍﻟﻜﺤﻭل‬
IIII*II‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬
W‫ﺍﻟﺴﺤﺏ‬ ‫ﻫﺫﻴﺎﻥ‬
PP‫ﺍﻟﻌﺘﻪ‬
P‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
II*IIII/W‫ﺍﻟﺫﻫﻨﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
III/WI/WI/W‫ﺍﻀﻁﺭ‬‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﺒﺎﺕ‬
III/WIIII/W‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
II‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺃﺩﺍﺀ‬ ‫ﺨﻠل‬
I/WII/WI/W‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Substance Use Disorders
■‫ﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬Substance Dependence
‫ﻴﺅﺩ‬ ،‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻭﺀ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬‫ﺜﻼﺜﺔ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﻴﺘﻅﺎﻫﺭ‬ ‫ﻜﻤﺎ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺇﻟﻰ‬ ‫ﻱ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻭﻫﻭ‬ ،‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬
‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻭﻗﺕ‬ ‫ﺃﻱ‬ ‫ﻓﻲ‬ ‫ﻴﺤﺩﺙ‬12‫ﻤﺘﻭﺍﺼﻠﺔ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬:
(1)‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺒﻭﺍﺤﺩ‬ ‫ﺩ‬‫ﺩ‬‫ﻴﺤ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺘﺤﻤل‬:
(a)‫ﻤﺭﻏﻭﺏ‬ ‫ﺃﻭ‬ ‫ﺴﻤﻲ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﻟﺒﻠﻭﻍ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻤﻘﺎﺩﻴﺭ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺯﻴﺎﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺤﺎﺠﺔ‬.
(b)‫ﻭﺍ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻤﺘﻀﺎﺌل‬ ‫ﺘﺄﺜﻴﺭ‬‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻘﺩﺍﺭ‬ ‫ﻟﻨﻔﺱ‬ ‫ﺍﻟﻤﺘﻭﺍﺼل‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﻊ‬ ‫ﻀﺤﺔ‬.

51. 50
(2)‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺒﻭﺍﺤﺩ‬ ‫ﻴﺘﻅﺎﻫﺭ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻻﻤﺘﻨﺎﻉ‬:
(a)‫ﻟﻤﺎﺩﺓ‬ ‫ﺯﺓ‬‫ﻴ‬‫ﺍﻟﻤﻤ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﺘﻼﺯﻤﺔ‬)‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﺭﺍﺠﻊ‬A‫ﻭ‬B‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﻭﺍﺩ‬ ‫ﻋﻥ‬ ‫ﻟﻼﻤﺘﻨﺎﻉ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬.(
(b)‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻨﻔﺱ‬ ‫ﺘﻨﺎﻭل‬)‫ﻤﻨﻬﺎ‬ ‫ﺍﻟﺼﻠﺔ‬ ‫ﻗﺭﻴﺒﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬(‫ﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﻟﺘﺨﻔﻴﻑ‬‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻋﺭﺍﺽ‬.
(3)‫ﹰ‬‫ﺍ‬‫ﻤﻘﺼﻭﺩ‬ ‫ﻜﺎﻥ‬ ‫ﻤﻤﺎ‬ ‫ﺃﻁﻭل‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺃﻜﺒﺭ‬ ‫ﺒﻤﻘﺎﺩﻴﺭ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺘﺅﺨﺫ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(4)‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻀﺒﻁ‬ ‫ﺃﻭ‬ ‫ﻟﺘﺨﻔﻴﺽ‬ ‫ﻨﺎﺠﺤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺠﻬﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺘﻭﺍﺼﻠﺔ‬ ‫ﺭﻏﺒﺔ‬ ‫ﻫﻨﺎﻙ‬.
(5)‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺤﺼﻭل‬ ‫ﺍﻀﻁﺭﺍﺭﻴﺔ‬ ‫ﻨﺸﺎﻁﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻤﻥ‬ ‫ﻜﺜﻴﺭ‬ ‫ﻴﺒﺫل‬)‫ﺍﻟﺴﻴﺎﻗﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻌﺩﻴﺩ‬ ‫ﺯﻴﺎﺭﺓ‬ ‫ﻤﺜل‬‫ﻁﻭﻴﻠﺔ‬ ‫ﻟﻤﺴﺎﻓﺎﺕ‬(‫ﻓﻲ‬ ‫ﺃﻭ‬ ،
‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬)‫ﺍﻨﻘﻁﺎﻉ‬ ‫ﺒﻼ‬ ‫ﺍﻟﺘﺩﺨﻴﻥ‬ ‫ﻤﺜل‬(‫ﺘﺄﺜﻴﺭﺍﺘﻬﺎ‬ ‫ﻤﻥ‬ ‫ﺍﻹﺒﻼل‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ،.
(6)‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺍﻟﺘﺭﻭﻴﺤﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﺸﺎﻁﺎﺕ‬ ‫ﱠﺽ‬‫ﻔ‬‫ﹸﺨ‬‫ﺘ‬ ‫ﺃﻭ‬ ‫ﺭ‬‫ﺠ‬‫ﹸﻬ‬‫ﺘ‬.
(7)‫ﻤﻌﺎﻭ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺍﻟﻌﻠﻡ‬ ‫ﺭﻏﻡ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﺘﻭﺍﺼل‬‫ﻓﺎﻗﻤﺘﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺒﺘﻬﺎ‬‫ﺒ‬‫ﺴ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺃﻥ‬ ‫ﺢ‬‫ﺠ‬‫ﺭ‬‫ﻴ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﻭﻫﻲ‬ ،‫ﺩﺓ‬
)‫ﹰ‬‫ﺍ‬‫ﺴﻭﺀ‬ ‫ﺘﺯﺩﺍﺩ‬ ‫ﺍﻟﻘﺭﺤﺔ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻟﻤﻌﺭﻓﺔ‬ ‫ﺭﻏﻡ‬ ‫ﺍﻟﻤﺘﻭﺍﺼل‬ ‫ﺍﻟﺸﺭﺏ‬ ‫ﺃﻭ‬ ،‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻜﺘﺌﺎﺒ‬ ‫ﻴﺴﺒﺏ‬ ‫ﺒﺄﻨﻪ‬ ‫ﺍﻟﻌﻠﻡ‬ ‫ﺭﻏﻡ‬ ‫ﻟﻠﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺤﺎﻟﻲ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﺜل‬
‫ﺍﻟﻜﺤﻭل‬ ‫ﺒﺘﻨﺎﻭل‬.(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬:‫ﺃ‬ ‫ل‬‫ﻤ‬‫ﺍﻟﺘﺤ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻻﺌل‬‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻭ‬)‫ﺍﻟﺒﻨﺩ‬ ‫ﺇﻤﺎ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻱ‬1‫ﺍﻟﺒﻨﺩ‬ ‫ﺃﻭ‬2.(
‫ﻨﻔﺴﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬:‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺤﻤل‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻻﺌل‬ ‫ﻻ‬)‫ﻟﻠﺒﻨﺩ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻻ‬ ‫ﺃﻱ‬1‫ﺍﻟﺒﻨﺩ‬ ‫ﺃﻭ‬2.(
‫ﺍﻟﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﺘﻌﺭﻴﻔﺎﺕ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﺹ‬ ‫ﺍﻨﻅﺭ‬:(
‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬
‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬‫ﺠ‬ ‫ﻫﺩﺃﺓ‬‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺯﺌﻴﺔ‬
‫ﺓ‬‫ﺩ‬‫ﺸﺎ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬an Agonist Therapy
‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬
‫ﺍﻟﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﺘﻁﻭﺭ‬(Course Specifiers
‫ﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻼﻋﺘﻤﺎﺩ‬ ‫ﻤﺘﺎﺤﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺴﺘﺔ‬ ‫ﺜﻤﺔ‬.‫ﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻨﻔﻲ‬ ‫ﺒﻌﺩ‬ ‫ﻓﻘﻁ‬ ‫ﺍﻷﺭﺒﻌﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﻤﺤﺩﺩﺍﺕ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬
‫ﻟﻤﺩﺓ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬.‫ﺃﻱ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬ ‫ﻋﻨﺩ‬ ‫ﻓﻘﻁ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬ ،‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻠﻤﻌﺎﻴﻴﺭ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬
‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻤﻥ‬ ‫ﻨﺎﺤﻴﺔ‬)‫ﻫﺩﺃﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻋﺘﺒﺎﺭﻩ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺃﺤﻘﻴﺔ‬ ‫ﻹﺴﻘﺎﻁ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻭﺍﺤﺩ‬ ‫ﺴﻴﺎﻗﺔ‬ ‫ﺤﺎﺩﺙ‬ ‫ﺴﻴﻜﻔﻲ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬.(‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﺇﻥ‬
‫ﻋﻠﻰ‬ ‫ﻤﺒﻨﻲ‬ ‫ﻟﻠﻬﺩﺃﺓ‬ ‫ﺍﻷﺭﺒﻌﺔ‬‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﻭﻗﻑ‬ ‫ﻤﻨﺫ‬ ‫ﺍﻨﻘﻀﻰ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺯﻤﻨﻲ‬ ‫ﺍﻟﻔﺎﺼل‬ ‫ﺃﺴﺎﺱ‬)‫ﺍﻟﻤﺴﺘﻘﺭﺓ‬ ‫ﻤﻘﺎﺒل‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﺎﻜﺭﺓ‬ ‫ﺍﻟﻬﺩﺃﺓ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﻭﻋﻠﻰ‬
‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﻟﻼﻋﺘﻤﺎﺩ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﻤﻭﻟﺔ‬ ‫ﺍﻟﻔﻘﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻭﺍﺤﺩ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻫﻨﺎﻙ‬)‫ﻤﻘﺎﺒل‬ ‫ﻓﻲ‬ ‫ﺍﻟﺠﺯﺌﻴﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬
‫ﺍﻟﺘﺎﻤﺔ‬.(‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬ ‫ﻋﺸﺭ‬ ‫ﺍﻻﺜﻨﻲ‬ ‫ﻭﻷﻥ‬‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﺘﺭﺓ‬ ‫ﻫﺫﻩ‬ ‫ﺩﺩﺕ‬‫ﺤ‬ ‫ﻓﻘﺩ‬ ،‫ﻟﻠﻨﻜﺱ‬ ‫ﻋﺎﻟﻴﺔ‬ ‫ﺨﻁﻭﺭﺓ‬ ‫ﺨﺎﺹ‬ ‫ﺒﺸﻜل‬ ‫ﻴﺤﻤل‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻫﻲ‬ ‫ﻟﻼﻋﺘﻤﺎﺩ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻭﻟﻰ‬

52. ‫ﺒﺎﻜﺭﺓ‬ ‫ﻫﺩﺃﺓ‬ ‫ﺃﻨﻬﺎ‬.‫ﺍﻟﺜﺎﺒﺘﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺩﺨل‬ ،‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻨﻜﺱ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻟﺒﺎﻜﺭﺓ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬ ‫ﻋﺸﺭ‬ ‫ﺍﺜﻨﻲ‬ ‫ﻤﺭﻭﺭ‬ ‫ﺒﻌﺩ‬)‫ﺍﻟﻤﺴﺘﻘﺭﺓ‬.(
‫ﻭﺍﻟﻬﺩ‬ ‫ﺍﻟﺒﺎﻜﺭﺓ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﻤﻥ‬ ‫ﻟﻜل‬ ‫ﻭﻴﻌﻁﻰ‬‫ﺍﻟﻬﺩﺃﺓ؛‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻴﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺇﻀﺎﻓﻲ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﺍﻟﻤﺴﺘﻘﺭﺓ‬ ‫ﺃﺓ‬
‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ،‫ﻤﺴﺘﻤﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺘﻘﻁﻊ‬ ‫ﺒﺸﻜل‬ ،‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬ ‫ﻟﻠﺠﺯﺌﻲ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻭﻴﻌﻁﻰ‬.
‫ﺍ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻤﺴﺘﻘﺭﺓ‬ ‫ﺍﻟﺘﺎﻤﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺘﻔﺭﻴﻕ‬ ‫ﻴﺘﻁﻠﺏ‬‫ﻟﺸﻔﺎﺀ‬)‫ﺭﺍﻫﻥ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬(‫ﺍﻷﺨﻴﺭﺓ‬ ‫ﺍﻟﻔﺘﺭﺓ‬ ‫ﻤﻨﺫ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻁﻭل‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺨﺫ‬
‫ﺍﻟﻤﺴﺘﻤﺭ‬ ‫ﻟﻠﺘﻘﻴﻴﻡ‬ ‫ﻭﺍﻟﺤﺎﺠﺔ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻜﻠﻴﺔ‬ ‫ﻭﺍﻟﻤﺩﺓ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬.‫ﻓﺈﻥ‬ ،‫ﺃﺨﺭﻯ‬ ‫ﻤﺭﺓ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻌﺘﻤﺩ‬ ،‫ﺍﻟﺸﻔﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬ ،‫ﺍﻟﻤﺭﺀ‬ ‫ﺃﺼﺒﺢ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬
‫ﻴﻜ‬ ‫ﺒﺄﻥ‬ ‫ﻴﺘﻁﻠﺏ‬ ‫ﺍﻟﻤﺒﻜﺭﺓ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻴﻪ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺭﺓ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻭﻥ‬.
‫ﺇﻀﺎﻓﻴﺎﻥ‬ ‫ﺩﺍﻥ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻡ‬‫ﺩ‬‫ﹸ‬‫ﻗ‬:‫ﺓ‬‫ﺩ‬‫ﺍﻟﺸﺎ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬)‫ﺍﻟﻤﻐﺎﻟﺒﺔ‬(‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻭﻓﻲ‬.‫ﻋﻥ‬ ‫ﺍﻟﺘﻭﻗﻑ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺒﻜﺭﺓ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ‫ﺒﺄﻨﻪ‬ ‫ﺸﺨﺹ‬ ‫ﺘﻭﺼﻴﻑ‬ ‫ﻴﺘﻡ‬ ‫ﻟﻜﻲ‬
‫ﺘﻭ‬ ‫ﻴﺠﺏ‬ ،‫ﺍﻟﻤﻀﺒﻭﻁﺔ‬ ‫ﺍﻟﺒﻴﺌﺔ‬ ‫ﻤﻥ‬ ‫ﺇﻁﻼﻗﺔ‬ ‫ﺃﻭ‬ ‫ﺓ‬‫ﺩ‬‫ﺍﻟﺸﺎ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﻤﻌﻴﺎﺭ‬ ‫ﺃﻱ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺸﻬﺭ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﺭ‬.
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻋﺩﻡ‬ ‫ﺒﻌﺩ‬ ‫ﻓﻘﻁ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬.‫ﻫﺫﻩ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ‫ﺃﻨﻪ‬ ‫ﻻﺤﻅ‬
‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺓ‬‫ﺩ‬‫ﺍﻟﺸﺎ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬)‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬.(
‫ﺒﺎﻜﺭﺓ‬ ‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬.‫ﻤﻥ‬ ‫ﻷﻗل‬ ‫ﻭﻟﻜﻥ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺴﺘﺨﺩﻡ‬12‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬.
.‫ﺘﺤﻘﻕ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺴﺘﺨﺩﻡ‬ ‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬‫ﻟﻤﺩ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻤﻌﻴﺎﺭ‬‫ﻤﻥ‬ ‫ﻷﻗل‬ ‫ﻭﻟﻜﻥ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﺓ‬
12‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬)‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﻟﻼﻋﺘﻤﺎﺩ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻟﻜﻥ‬.(
‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬.‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬ ‫ﻭﻗﺕ‬ ‫ﺃﻱ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻴﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺴﺘﺨﺩﻡ‬12‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬. ‫ﺍﻻﻋﺘﻤ‬
‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬.‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺴﺘﺨﺩﻡ‬‫ﻟﻔﺘﺭﺓ‬ ‫ﻟﻼﻋﺘﻤﺎﺩ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬12‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻌﻴﺎﺭ‬ ‫ﻟﻜﻥ‬ ‫ﺃﻜﺜﺭ؛‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬
‫ﺘﺤﻘﻕ‬ ‫ﻗﺩ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬.
‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺓ‬‫ﺩ‬‫ﺍﻟﺸﺎ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﻁﺒﻕ‬.
51

53. 52
‫ﺸﺎﺩ‬ ‫ﺃﻭ‬ ‫ﺠﺯﺌﻲ‬ ‫ﺸﺎﺩ‬ ‫ﺒﺎﺴﺘﻌﻤﺎل‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﻴﻥ‬ ‫ﺃﻭﻟﺌﻙ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻁﺒﻕ‬/‫ﻀﺎﺩﺓ‬.
‫ﻓ‬‫ﻲ‬‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻭﻟﻡ‬ ،‫ﺍﻟﻤﻀﺒﻭﻁﺔ‬ ‫ﻭﺍﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﻓﻴﻬﺎ‬ ‫ﺩ‬‫ﻴ‬‫ﻴﻘ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻀﻤﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﺘﺨﺩﻡ‬
‫ﺍﻟﻤﻐﻠﻘﺔ‬ ‫ﺍﻟﻤﺸﺎﻓﻲ‬ ‫ﻭﺤﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻼﺠﻴﺔ‬ ‫ﺔ‬.
■
A‫ﺒﻭﺍﺤﺩ‬ ‫ﻴﺘﻅﺎﻫﺭ‬ ‫ﻜﻤﺎ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺇﻟﻰ‬ ‫ﻴﻘﻭﺩ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻲ‬ ‫ﻑ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻀﻤﻥ‬ ‫ﻴﺤﺩﺙ‬ ،‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬
‫ﻓﺘﺭﺓ‬12‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬:
‫ﺇ‬ ‫ﻋﻨﻪ‬ ‫ﻴﻨﺸﺄ‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﺎﻭﺩ‬‫ﺍﻟﻤﻨﺯل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺒﺎﻻﻟﺘﺯﺍﻤﺎﺕ‬ ‫ﺍﻹﻴﻔﺎﺀ‬ ‫ﻓﻲ‬ ‫ﺨﻔﺎﻕ‬)‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻜﺭﺭ‬ ‫ﺍﻟﻐﻴﺎﺏ‬ ،‫ﻤﺜﺎل‬
‫ﺇﻫﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ؛‬ ‫ﻤﻥ‬ ‫ﺍﻟﻁﺭﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻌﻁﻴل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻗﻔﺎﺕ‬ ،‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺘﺼﻠﺔ‬ ‫ﺍﻟﻐﻴﺎﺒﺎﺕ‬ ،‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺒﺎﺴﺘﺨﺩﺍﻡ‬ ‫ﻭﺍﻟﻤﺘﺼل‬ ‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻀﻌﻴﻑ‬ ‫ﺍﻷﺩﺍﺀ‬
‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺼﻠﺔ‬ ‫ﺫﻱ‬ ‫ﻀﻁﺭﺏ‬.(
‫ﺍﻻ‬ ‫ﻟﻤﺸﻜﻼﺕ‬‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﺒﺴﺒﺏ‬ ‫ﹶﻡ‬‫ﻗ‬‫ﹸﻔﺎ‬‫ﺘ‬ ‫ﺃﻭ‬ ‫ﺙ‬‫ﺩ‬‫ﹸﺤ‬‫ﺘ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻌﺎﻭﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺘﻤﺎﻋﻴﺔ‬
‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﻭﺍﻟﻤﺸﺎﺠﺭﺍﺕ‬ ،‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻋﻘﺎﺒﻴل‬.(
B-‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺼﻨﻑ‬ ‫ﻟﻬﺫﺍ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ِ‫ﻑ‬‫ﺘﺴﺘﻭ‬ ‫ﻟﻡ‬ ‫ﺍﻷﻋﺭﺍﺽ‬.
‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Substance-Induced Disorders
‫ﻟﻤﺎﺩﺓ‬ ‫ﺤﺩﻴﺙ‬ ‫ﻫﻀﻡ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﻋﻜﻭﺴﺔ‬ ‫ﻟﻠﻤﺎﺩﺓ‬ ‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﺘﻼﺯﻤﺔ‬)‫ﻟﻬﺎ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﺃﻭ‬.(‫ﻤﻼﺤﻅﺔ‬:‫ﻤﺘﻼﺯﻤﺎﺕ‬ ‫ﻤﺨﺘﻠﻔﺔ‬ ‫ﺩ‬‫ﻤﻭﺍ‬ ‫ﹸﺤﺩﺙ‬‫ﺘ‬ ‫ﻗﺩ‬
‫ﻤﺘﻁﺎﺒﻘﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺘﺸﺎﺒﻬﺔ‬.
B-‫ﻨﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻑ‬‫ﻴ‬‫ﺍﻟﺘﻜ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺭﺍﺕ‬‫ﻴ‬‫ﺘﻐ‬‫ﺍﻟﻤﺭﻜﺯﻱ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﺠﻬﺎﺯ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﻋﻥ‬ ‫ﺠﻤﺔ‬)‫ﺘﻘﻠﻘل‬ ،‫ﺍﻟﻘﺘﺎل‬ ‫ﺤﺏ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﻷﺩﺍﺀ‬(‫ﻤﻥ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﺘﻁﻭﺭ‬ ‫ﻭﻫﻲ‬
‫ﺍﺴﺘﺨﺩﺍﻤﻬﺎ‬.
C-‫ﹼﻠﻬﺎ‬‫ﻠ‬‫ﻴﻌ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
‫ﺓ‬‫ﺩ‬‫ﺍﻟﺸﺎ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬.‫ﺍﻟ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺴﺘﺨﺩﻡ‬‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻭﻟﻡ‬ ‫ﺍﻟﻤﻴﺜﺎﺩﻭﻥ‬ ‫ﻤﺜل‬ ‫ﻤﻭﺼﻭﻑ‬ ‫ﺸﺎﺩ‬ ‫ﻋﻼﺝ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻭﻀﻭﻋ‬ ‫ﺸﺨﺹ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﺁﺨﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺼﻨﻑ‬ ‫ﻟﺫﻟﻙ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﻋﻨﻪ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺎﺩ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺘﺤﻤل‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬.(
‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬.‫ﻴﺴ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﺁﺨﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬.‫ﺃﻭ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﺎﻟﻴﺔ‬ ‫ﺍﻟﺴﺠﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻟﺼﻴﻘﺔ‬ ‫ﻤﺭﺍﻗﺒﺔ‬ ‫ﺍﻟﻤﺭﺍﻗﺒﺔ‬ ‫ﺘﻠﻙ‬ ‫ﺍﻟﺒﻴﺌﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻷﻤﺜﻠﺔ‬
‫ﺍﻟﺘﺠ‬‫ﺍﻟﺴﻜﺎﻨﻴ‬ ‫ﻤﻌﺎﺕ‬
‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬Substance Abuse
-‫ﺍﻟﺘﻜﻴ‬ ‫ﺴﻭﺀ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬
(1)‫ﻤﻌ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬
‫ﺍﻟﺒﻴﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻁﻔﺎل‬.(
(2)‫ﺍﻟﻤﻌﺎﻭﺩ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬‫ﺠﺴﺩﻴﺔ‬ ‫ﺨﻁﻭﺭﺓ‬ ‫ﺘﺴﺒﺏ‬ ‫ﺃﻭﻀﺎﻉ‬ ‫ﻓﻲ‬ ‫ﻟﻠﻤﺎﺩﺓ‬)‫ﺠﺭﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻟﻤﺭﺀ‬ ‫ﺁﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﻤل‬ ‫ﺃﻭ‬ ‫ﺴﻴﺎﺭﺓ‬ ‫ﻗﻴﺎﺩﺓ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.(
(3)‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﺴﺒﺏ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻗﺎﻨﻭﻨﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬)‫ﻤ‬ ‫ﻤﺴﻠﻙ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺍﻟﺘﻭﻗﻴﻔﺎﺕ‬ ،‫ﻤﺜل‬
(4)‫ﺍ‬ ‫ﺭﻏﻡ‬ ‫ﻟﻠﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺴﺘﻤﺭ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬
)‫ﺤﻭل‬ ‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻤﺠﺎﺩﻻﺕ‬ ‫ﻤﺜل‬
■‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬Substance Intoxication
A-‫ﺘﻁﻭﺭ‬
‫ﺍ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﻤﺨﺘﻠﺔ‬ ‫ﻤﺤﺎﻜﻤﺔ‬ ،‫ﺍﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﻤﺯﺍﺝ‬

54. 53
‫ﺇﻴﻘﺎﻑ‬ ‫ﻥ‬)‫ﺇﻨﻘﺎﺹ‬ ‫ﺃﻭ‬(‫ﹰ‬‫ﻼ‬‫ﻭﻁﻭﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺒﻴﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
‫ﻤﺠﺎﻻ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺕ‬.
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹼﻠﻬﺎ‬‫ﻠ‬‫ﻌ‬.
،‫ﺒﺎﻻﻋﺘﻤﺎﺩ‬ ‫ﺼﺔ‬
»‫ﺁﺨﺭ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬«‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬ ‫ﻤﻊ‬
292.0‫ﺍﻻﻤﺘﻨﺎﻉ‬304.00‫ﻫﻨﺎﻙ‬
‫ﻏﻴﺭ‬ ‫ﻓﺌﺔ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻴﻤﻜﻥ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻷﻱ‬ ‫ﻤﺴﺘﻭﻓﺎﺓ‬ ‫ﻏﻴﺭ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩﺓ‬)،‫ﻤﺜﺎل‬292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
‫ﺍﻟﺩﻟﻴل‬ ‫ﻤﻥ‬ ‫ﺁﺨﺭ‬ ‫ﻗﺴﻡ‬ ‫ﻓﻲ‬ ‫ﻤﻭﺼﻭﻓﺔ‬ ،‫ﻋﺩﻴﺩﺓ‬ ‫ﻤﻭﺍﺩ‬.
‫ﺒﺠﺭﻋﺎﺕ‬ ‫ﺍﻟﻤﻭﺼﻭﻓﺔ‬ ‫ﻟﻸﺩﻭﻴﺔ‬
‫ﺍﻟ‬ ‫ﺒﺈﺩﺭﺍﺝ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬ ‫ﻴﻤﻜﻥ‬ ،‫ﻋﻼﺠﻴﺔ‬I)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G.(‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﺴﻡ‬ ‫ﺘﺒﻊ‬‫ﻴ‬)‫ﻤﺜل‬
‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺘﻁﻭ‬ ‫ﺍﻟﺫﻱ‬ ‫ﻭﺍﻟﺴﻴﺎﻕ‬ ‫ﺍﻟﻐﺎﻟﺏ‬ ‫ﻌﺭﺽ‬‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻓﻴﻪ‬ ‫ﺭﺕ‬
■‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬Substance Withdrawal
A-‫ﻋ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﻟﻠﻤﺎﺩﺓ‬ ‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺘﻁﻭﺭ‬
B-‫ﻀﺎﺌﻘﺔ‬ ‫ﻟﻠﻤﺎﺩﺓ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻤﺘﻼﺯﻤﺔ‬ ‫ﺘﺴﺒﺏ‬
C-‫ﻴ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬
‫ﺍﻟﺨﺎ‬ ‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬
‫ﻭﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻭﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻭﺴﻭﺀ‬
‫ﻟﻠﻌﻘﺎﺭﺍﺕ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬Drugs‫ﺍﺴﺘﺨﺩﺍﻤﻬﺎ‬ ‫ﺴﺎﺀ‬‫ﻴ‬ ‫ﺍﻟﺘﻲ‬
For Drugs of Abuse
‫ﺒ‬‫ﻴﻁ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﻴﺴﺘﺨﺩﻡ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﺍﻟﺼﻨﻑ‬ ‫ﺍﺴﻡ‬ ‫ﻭﻟﻴﺱ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﻡ‬ ‫ﻴﺴﺠل‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ،‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺼﻨﻑ‬ ‫ﻋﻠﻰ‬ ‫ﻕ‬.‫ﻋﻠﻰ‬ ،‫ﹰ‬‫ﻼ‬‫ﻓﻤﺜ‬
‫ل‬‫ﺠ‬‫ﻴﺴ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬292.0‫ﺍﻟﺴﻴﻜﻭﺒﺎﺭﺒﻴﺘﺎل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﻗﻠﻕ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺃﻭ‬ ‫ﻡ‬‫ﻭ‬‫ﻤﻨ‬ ‫ﺃﻭ‬ ‫ﻤﻬﺩﺉ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻭﻟﻴﺱ‬(‫ﺃﻭ‬305.70‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺍﻟﻤﻴﺘﺄﻤﻔﻴﺘﺎﻤﻴﻥ‬)‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻭﻟﻴﺱ‬.(‫ﺍ‬ ‫ﻟﻠﻤﻭﺍﺩ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬‫ﺼﻨﻑ‬ ‫ﺃﻱ‬ ‫ﻤﻊ‬ ‫ﺘﺘﻭﺍﻓﻕ‬ ‫ﻻ‬ ‫ﻟﺘﻲ‬)‫ﻨﺘﺭﻴﺕ‬ ‫ﺃﻤﻴل‬ ‫ﻤﺜل‬(‫ﻤﻨﺎﺴﺏ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﺠﺏ‬ ،
‫ﻤﺜل‬»‫ﺁﺨﺭ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬«‫ﺃﻭ‬»‫ﺁﺨﺭ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬«‫ﺃﻭ‬ ،»‫ﺁﺨﺭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬«‫ﺃﻭ‬ ،
‫ﺍﻟﻨﻭﻋﻴﺔ‬)‫ﻤﺜﺎل‬305.90‫ﻨﺘﺭﻴﺕ‬ ‫ﺃﻤﻴل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬.(‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﺨﺎﺹ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﺘﻨﺎﻭﻟﺔ‬
‫ﺒﺎﻟﺼﻨﻑ‬»‫ﺃﻭ‬ ‫ﺁﺨﺭ‬)‫ﻤﻌﺭﻭﻑ‬ ‫ﻏﻴﺭ‬(«)،‫ﻤﺜﺎل‬292.89‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬.(‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﺴﺘﻭﻓﻴﺕ‬ ‫ﺇﺫﺍ‬ ،‫ﻤﺨﺼﻭﺼﺔ‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬
‫ﹰ‬‫ﺎ‬‫ﺠﻤﻴﻌ‬ ‫ﺘﺸﺨﻴﺼﻬﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)،‫ﻤﺜﺎل‬،‫ﺍﻟﻬﻴﺭﻭﻴﻥ‬ ‫ﻋﻥ‬‫ﺍﻟﻬﻴﺭﻭﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬.(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻟﻜﻥ‬ ‫ﻤﺨﺼﻭﺼﺔ‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺼﺎﺤﺒﺔ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻋﺭﺽ‬
‫ﻋﺩ‬ ‫ﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﻤﺕ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺠﻤﻴﻊ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﺠﺏ‬ ،‫ﻴﺩﺓ‬)،‫ﻤﺜﺎل‬292.89‫ﺒﺎﻟﻤﻴﺴﻜﺎﻟﻴﻥ؛‬ ‫ﺍﻟﺘﺴﻤﻡ‬304.20‫ﺍﻻﻋﺘﻤﺎﺩ‬
‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻋﻠﻰ‬.(‫ﺘﺸﺨﻴﺹ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻭﻀﻊ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺇﻥ‬304.80‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬
‫ﻭﺍﻟﺫﻴﻔﺎﻨﺎﺕ‬ ‫ﻟﻸﺩﻭﻴﺔ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬for Medications and Toxins
‫ﺃﻋﻼﻩ‬ ‫ﺘﻐﻁﻴﺘﻬﺎ‬ ِ‫ﺭ‬‫ﺘﺠ‬ ‫ﻟﻡ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻸﺩﻭﻴﺔ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬)‫ﺍﻟﺫﻴﻔﺎﻨﺎﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬(‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻓﺈﻨﻪ‬»‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬«.‫ﻨﻭﻋﻲ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻜﻤﺎ‬
‫ﺘﺭﻤﻴﺯ‬ ‫ﺒﺈﺩﺭﺍﺝ‬E‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬I)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G) (،‫ﻤﺜﺎل‬292.89‫ﺒﺎﻟﺒﻨﺯﺘﺭﻭﺒﻴﻥ؛‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬E941.1‫ﺒﻨﺯﺘﺭﻭﺒﻴﻥ‬.(‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﺠﺏ‬ ‫ﻜﻤﺎ‬‫ﺘﺭﻤﻴﺯﺍﺕ‬
E‫ﻭﺼﻔﻪ‬ ‫ﺒﻭﺍﺴﻁﺔ‬ ‫ﺘﻨﺎﻭﻟﻬﺎ‬ ‫ﻴﺠﺭﻱ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻷﺼﻨﺎﻑ‬)‫ﺍﻷﻓﻴﻭﻨﺎﺕ‬ ‫ﻤﺜل‬.(
‫ﺏ‬‫ﻴ‬‫ﺍﻟﻜﺘ‬ ‫ﻤﻥ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻟﻤﺸﻤﻭﻟﺔ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻋﻨﻭﺍﻥ‬ ‫ﻴﺒﺩﺃ‬)‫ﺍﻟﺩﻴﻜﺴﺎﻤﻴﺜﺎﺯﻭﻥ‬ ،‫ﺍﻟﺩﻴﺎﺯﻴﺒﺎﻡ‬ ،‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ،‫ﻤﺜل‬(‫ﻴﻔ‬ ‫ﺍﻟﺘﻲ‬‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺃﻨﻬﺎ‬ ‫ﺘﺭﺽ‬.‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﺨﺘﻴﺎﺭ‬ ‫ﻭﻴﺘﻡ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺨﺎﺹ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺘﺎﺒﻌﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻘﺩﻤﺔ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺃﺼﻨﺎﻑ‬ ‫ﻗﺎﺌﻤﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬.‫ﺘﺘﻭﺍﻓﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻠﻤﻭﺍﺩ‬ ‫ﻭﺒﺎﻟﻨﺴﺒﺔ‬
‫ﺍﻷﺼﻨﺎﻑ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻊ‬)‫ﺍﻟﺩﻴﻜﺴﺎﻤﻴﺜﺎﺯﻭﻥ‬ ‫ﻤﺜل‬(‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻴﺠﺏ‬»‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬«.‫ﻭ‬ ،‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬‫ﺒﺎﻟﻨﺴﺒﺔ‬
‫ﺘﺭﻤﻴﺯ‬E‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺫﻟﻙ‬ ‫ﺍﻟﻤﻼﺌﻡ‬
‫ﺒﺎﻟﺩﻴﺎﺯﻴﺒﺎﻡ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬(‫ﺍﻟ‬ ‫ﺒﺘﻭﺼﻴﻑ‬

55. 54
)،‫ﻤﺜﺎل‬292.11،‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﺭﺍﺏ‬29‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﺩﻴﺎﺯﻴﺒﺎﻡ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻤﻨﻔﺼﻠﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺇﺩﺭﺍﺠﻬﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻓﺈﻨﻪ‬ ،‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻫﺎﻤ‬ ‫ﹰ‬‫ﺍ‬‫ﺩﻭﺭ‬ ‫ﺘﻠﻌﺏ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻤﻥ‬.‫ﹸ‬‫ﺘ‬‫ﺍﻋ‬ ‫ﻤﺎ‬ ‫ﻭﺇﺫﺍ‬‫ﻤﺎ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺒﺭﺕ‬
‫ﺼﻨﻑ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻴﺠﺏ‬ ،‫ﻤﻌﺭﻭﻓﻴﻥ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺼﻨﻑ‬ ‫ﺃﻭ‬ ‫ﺔ‬»‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺎﺩﺓ‬«.
‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Alcohol-Related D
‫ﻲ‬/‫ﺒﺩﻭﻥ‬‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬.
‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺔ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
‫ﻌﺎﻴﻴﺭ‬.(
‫ﻌﺎﻴﻴﺭ‬.(
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬.
‫ﻻﻨﺴﻤﺎﻡ‬/‫ﺃﺜﻨﺎ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺀ‬.
291.‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﻤﺤﺩﺙ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
‫ﺍﻻﻨﺴﻤﺎﻡ؛‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬2.89
‫ﺍﻻﻤﺘﻨﺎﻉ‬.(‫ﺃﻜﺜﺭ‬ ‫ﺃﻥ‬ ‫ﺍﻋﺘﺒﺎﺭ‬ ‫ﻋﻨﺩ‬
‫ﺍﻟﻨﻭﻋﻴ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﹰ‬‫ﺎ‬‫ﻤﺴﺒﺒ‬ ‫ﹰ‬‫ﻼ‬‫ﻋﺎﻤ‬
isorder
‫ﺍﻟﻜﺤﻭل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
303.90‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻜﺎﻤﻠ‬ ‫ﻫﺩﺃﺓ‬
305.90‫ﺍﻟﻜﺤﻭل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬
‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
303.00‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺍﻟﻤ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬
291.81‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﺍﻨ‬‫ﺍﻟﻤ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﺎﻩ‬ ‫ﻅﺭ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
291.0‫ﺍﻟﻜﺤﻭﻟﻲ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬.(
291.0‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬.(
291.2‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬.(
291.1‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻨ‬‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻅﺭ‬.(
291.5‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬
291.3‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬
291.89‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
291.89‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
89‫ﺍﻷﺩ‬ ‫ﺨﻠل‬‫ﺍﻟ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﺀ‬

56. 55
‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﻤﺤﺩﺙ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
A
B‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺔ‬)،‫ﻤﺜل‬‫ﻤﺤﺎﻜﻤﺔ‬ ،‫ﻤﺯﺍﺝ‬ ‫ﺘﻘﻠﻘل‬ ،‫ﻋﺩﻭﺍﻨﻲ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﻤﻼﺌﻡ‬ ‫ﻏﻴﺭ‬ ‫ﺠﻨﺴﻲ‬ ‫ﺴﻠﻭﻙ‬
‫ﻤﺨﺘل‬ ‫ﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﺠﺘﻤﺎﻋﻲ‬ ‫ﻭﻅﻴﻔﻲ‬ ‫ﺃﺩﺍﺀ‬ ،‫ﻤﺨﺘﻠﺔ‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺘﻨﺎﻭﻟﻪ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﺘﻨﺎﻭل‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬.
C-‫ﻭﺍﺤﺩﺓ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬:
(1)Slurred Speech.
(2)
(4)‫ﺭﺃﺭﺃﺓ‬.
(5)‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬.
(6)‫ﺒﺎﺕ‬‫ﺴ‬ ‫ﺃﻭ‬ ‫ﺫﻫﻭل‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹼﻠﻬﺎ‬‫ﻠ‬‫ﻴﻌ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
■291.81‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬Alcohol Withdrawal
A-‫ﺇﻴﻘﺎﻑ‬)‫ﺇﻨﻘ‬ ‫ﺃﻭ‬‫ﺎﺹ‬(‫ﻁﻭﻴﻠﺔ‬ ‫ﻭﻟﻔﺘﺭﺓ‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﺒﻤﻘﺎﺩﻴﺭ‬ ‫ﻜﺎﻥ‬ ‫ﻭﺍﻟﺫﻱ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
B-‫ﺍﺜﻨﺎﻥ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﱡﻕ‬‫ﻘ‬‫ﺘﺤ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻴﺎﻡ‬ ‫ﺒﻀﻌﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﻋﺩﺓ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺘﺘﻁﻭﺭ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬A:
(1)‫ﺫﺍﺘﻲ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬)‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﺍﻟﻨﺒﺽ‬ ‫ﻤﻌﺩل‬ ‫ﺍﺭﺘﻔﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻌﺭﻕ‬ ‫ﻤﺜل‬100.(
(2)‫ﺍﻟﻴﺩ‬ ‫ﺍﺭﺘﻌﺎﺵ‬ ‫ﺍﺯﺩﻴﺎﺩ‬.
(3)‫ﺃﺭﻕ‬.
(4)
(5)‫ﺇﺨﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﻋﺎﺒﺭﺓ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺼﺭﻴﺔ‬ ‫ﺃﻫﻼﺴﺎﺕ‬.
291.89‫ﺍﻟ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
291.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﺌﺔ‬ ‫ﺇﻥ‬‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻫﻲ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻜﺤﻭل‬ ‫ﻤﺘﻌﻠﻕ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬.
■303.00‫ﺍﻟﻜﺤﻭﻟﻲ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬Alcohol Intoxication
-‫ﻟﻠﻜﺤﻭل‬ ‫ﺤﺩﻴﺙ‬ ‫ﺘﻨﺎﻭل‬.
-‫ﺴﻠﻭﻜﻴ‬ ‫ﺘﻐﻴﺭﺍﺕ‬
‫ﻤﺘﺜﺎﻗل‬ ‫ﻜﻼﻡ‬)‫ﺃ‬‫ﻤﻠﻔﻠﻑ‬ ‫ﻭ‬(
‫ﻻﺘﻨﺎﺴﻕ‬.
(3)‫ﹼﺯﻨﺔ‬‫ﺘ‬‫ﻤ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺸﻴﺔ‬.
‫ﺇﻗﻴﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻏﺜﻴﺎﻥ‬.

57. 56
(7)‫ﻗﻠﻕ‬.
(8)‫ﻜﺒﻴﺭ‬ ‫ﺼﺭﻉ‬ ‫ﻨﻭﺏ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬B‫ﻟﻸﺩﺍﺀ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﻀﺎﺌﻘﺔ‬
‫ﻜﺎﻥ‬:
‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬:‫ﺃﻭ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺇﺨﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻤﻊ‬ ‫ﺕ‬ ‫ﺤ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﻫﺫﺍ‬ ‫ﻥ‬‫ﻭ‬‫ﻴﺩ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺼﺭﻴﺔ‬.‫ﺘﻌﻨﻲ‬‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﻤﺜل‬ ‫ﻭﻻ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺒﻭﺍﺴﻁﺔ‬ ‫ﺤﺩﺜﺔ‬‫ﻤ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬
‫ﺍﻟﺨﺎﺭﺠﻲ‬.‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺒﺎﺭ‬ ‫ﺴ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺃﻫﻼﺴﺎﺕ‬.
‫ﺎﻤﻴﻥ‬ ‫ﺍﻻﻀ‬
)‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﺸﺒﻴﻬﺔ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺃﻭ‬(
Amphetamine (or Amphetamine
Related Disor
‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺩﻭﻥ‬.
‫ﻤﺔ‬‫ﻤﺴﺘﻘﺭﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻊ‬.(
‫ﹰ‬‫ﺎ‬‫ﻻﺤﻘ‬(
(6)‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬.
‫ﺍﻟﻭﻅﻴﻔﻲ‬.
D-‫ﺘﻨﺠ‬ ‫ﻻ‬‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻡ‬.
‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬
‫ﺃﻫﻼﺴﺎ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺤﻴﻥ‬ ‫ﻭﺫﻟﻙ‬ ‫ﻨﺎﺩﺭﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬
‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬‫ﺒﺄﻥ‬ ‫ﻴﻌﺭﻑ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺃﻥ‬
‫ﺍﻻﻋﺘ‬ ‫ﺒﻌﻴﻥ‬ ‫ﺍﻷﺨﺫ‬ ‫ﻴﺠﺏ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﻼﻤﺔ‬
‫ﺒﺎﻷﻤﻔﻴﺘ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﻁﺭﺍﺒﺎﺕ‬
-Like) -
ders
‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.40‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺭﺍﺠﻊ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﺒ‬
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺘﺎ‬ ‫ﻫﺩﺃﺓ‬
305.70‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺭﺍﺠ‬
‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺍﻨﻅﺭ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.0‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﺍﻟﻤ‬ ‫ﺍﻨﻅﺭ‬‫ﻌﺎﻴﻴﺭ‬(

58. 57
‫ﺍﻻﻨﺴﻤﺎﻡ‬.
.
292.89‫ﺒﺎﻷ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻠل‬‫ﻤﻔﻴﺘﺎﻤﻴﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.9‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬.‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬)‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬
B‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻑ‬)‫ﺸﻤﻕ‬ ،‫ﻤﺜل‬Euphoria،‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﺨﺎﻟﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﹼﺩ‬‫ﻠ‬‫ﺘﺒ‬ ‫ﺃﻭ‬
‫ﹼﻅ‬‫ﻘ‬‫ﺍﻟﺘﻴ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬Hypervigilance‫ﺍﻟﻤﺤﺎ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﻨﻤﻁﻴﺔ‬ ‫ﺴﻠﻭﻜﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻐﻀﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﺘﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺤﺴﺎﺴﻴﺔ‬ ‫ﺃﻭ‬‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﻜﻤﺔ‬
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﻓﻲ‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺒﻪ‬ ‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬.
C‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺒﻪ‬ ‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻁﻭﺭﺕ‬:
‫ﺍﻟﺸﺭﻴﺎﻨﻲ‬.
‫ﻗﻠﺒﻴﺔ‬ ‫ﻻﻨﻅﻤﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺼﺩﺭﻱ‬ ‫ﺃﻟﻡ‬ ‫ﺃﻭ‬ ‫ﺘﻨﻔﺴﻲ‬ ‫ﺘﺜﺒﻴﻁ‬ ‫ﺃﻭ‬ ‫ﻋﻀﻠﻲ‬.
(9)‫ﺃﻭ‬ ‫ﺍﺨﺘﻼﺠﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺃﻭ‬ ،‫ﺘﺨﻠﻴﻁ‬‫ﺴﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻘﻭﻴﺔ‬ ‫ﻋﺴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﻋﺴﺭ‬.
292.81‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬
292.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬‫ﻨﺴﻤﺎﻡ‬.
292.84‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬
292.89‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬.
‫ﺒﻪ‬(‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬ ‫ﹼﻔﺔ‬‫ﻨ‬‫ﺍﻟﻤﺼ‬ ‫ﻭﻏﻴﺭ‬.
■292.89‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬Amphetamine Intoxication
A-‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬ ‫ﻟﻸﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬)‫ﻓﻴﻨﻴﺩﻴﺕ‬ ‫ﺍﻟﻤﻴﺜﻴل‬ ،‫ﻤﺜل‬Methyl Phenidate.(
-‫ﺍﻟﺘﻜﻴ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺭﺍﺕ‬‫ﻴ‬‫ﺘﻐ‬
‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬
-‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺍﺜﻨﺎﻥ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺘ‬
(1)‫ﻗﻠﺒﻲ‬ ‫ﺒﻁﺀ‬ ‫ﺃﻭ‬ ‫ﻉ‬‫ﺭ‬‫ﺘﺴ‬.
(2)‫ﺍﻟﺤﺩﻗﺔ‬ ‫ﺘﻭﺴﻊ‬.
(3)‫ﺍﻟﺘﻭﺘﺭ‬ ‫ﻫﺒﻭﻁ‬ ‫ﺃﻭ‬ ‫ﺍﺭﺘﻔﺎﻉ‬
(4)‫ﻨﻭﺍﻓﺽ‬ ‫ﺃﻭ‬ ‫ﻕ‬‫ﺭ‬‫ﺘﻌ‬Chills.
(5)‫ﺇﻗﻴﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻏﺜﻴﺎﻥ‬.
(6)‫ﻭﺯﻥ‬ ‫ﻓﻘﺩﺍﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻟﻴل‬.
(7)‫ﺘﻌﻭﻴﻕ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬Retardation.
(8)‫ﻀﻌﻑ‬

59. 58
‫ﻓﻲ‬ ،‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺼﺭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺇﺨﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻤﻊ‬
‫ﻏﻴﺎﺏ‬‫ﺍﻟﺨﺎﺭﺠﻲ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﹼل‬‫ﺜ‬‫ﺘﻤ‬ ‫ﻭﻻ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺜﺔ‬‫ﺩ‬‫ﺤ‬‫ﻤ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺒﺄﻥ‬ ‫ﻴﻌﺭﻑ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻭﺍﻗﻊ‬.‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺤﺩﻭﺙ‬ ‫ﻋﻨﺩ‬
‫ﺴﺎﺕ‬.
A‫ﻨﻘﺎﺹ‬(‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬)‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬(‫ﻁﻭﻴﻠﺔ‬ ‫ﻭﻟﻤﺩﺓ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺒﻴﺭ‬ ‫ﻜﺎﻥ‬ ‫ﻭﺍﻟﺫﻱ‬.
B‫ﺃﻜﺜﺭ‬(‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻴﺎﻡ‬ ‫ﻋﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﺒﻀﻌﺔ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺘﺘﻁﻭﺭ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻔﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺍﻟﺘﻐﻴﺭﺍﺕ‬ ‫ﻤﻥ‬A:
‫ﻬﺔ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬B‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﻨﻲ‬ ‫ﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﻀﺎﺌﻘﺔ‬.
D-‫ﻴﻌ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬
‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﻌﻠﻘﺔ‬
Caffeine-Related Disorders
‫ﺍﻟﻤ‬ ‫ﻨﻭﻡ‬‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺤﺩﺙ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
‫ﹼﻔﺔ‬‫ﻨ‬‫ﺍﻟﻤﺼ‬ ‫ﻭﻏﻴﺭ‬ ‫ﺍﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻌﻨﻰ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬.‫ﺍﻟﻜ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻭﻜﻤﺜﺎل‬‫ﺎﻓﺌﻴﻥ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬:‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﺘﺩﻭﻴﻥ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﻬﺫﻴﺎﻥ‬.‫ﺘﻌ‬‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻨﻲ‬
‫ﺃﻫﻼ‬ ‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﺙ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺒﺎﻻﻋﺘﺒﺎﺭ‬ ‫ﺍﻷﺨﺫ‬ ‫ﻓﻴﺠﺏ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬
■292.0‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬Amphetamine Withdrawal
-‫ﺇﻴﻘﺎﻑ‬)‫ﺇ‬ ‫ﺃﻭ‬
-‫ﺍﺜﻨﻴﻥ‬ ‫ﻤﻊ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬)‫ﺃﻭ‬
(1)‫ﺘﻌﺏ‬.
(2)‫ﻜﺭﻴ‬ ‫ﺯﺍﻫﻴﺔ‬ ‫ﺃﺤﻼﻡ‬
(3)‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﺃﺭﻕ‬‫ﻨﻭﻡ‬.
(4)‫ﺍﻟﺸﻬﻴﺔ‬ ‫ﺍﺯﺩﻴﺎﺩ‬.
(5)‫ﻫﻴﺎﺝ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﺘﻌﻭﻴﻕ‬.
‫ﺍﻟﻤﻬ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻬﻤ‬
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻠﻠﻬﺎ‬.
‫ﺍﻟﻤﺘ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬Caffeine-Induced Disorders
305.90‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.89‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.89‫ﺍﻟ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
‫ﻟﻠﺒﺤﺙ‬ ‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬.(

60. 59
A‫ﻰ‬250‫ﻤﻠﻎ‬)‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ،‫ﻤﺜﺎل‬2-3‫ﺍﻟﻤﻐﻠﻴﺔ‬ ‫ﺍﻟﻘﻬﻭﺓ‬ ‫ﻤﻥ‬ ‫ﻓﻨﺎﺠﻴﻥ‬.
B‫ﺘ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺎﺕ‬‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻭﺓ‬ ‫ﺍﺴﺘﻬﻼﻙ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭ‬:
‫ﺍﺴﺘﻘﺭﺍﺭ‬ ‫ﻋﺩﻡ‬(Restlessness.
Nervousness.
Flushed.
‫ﻫﺩﻯ‬ ‫ﻏﻴﺭ‬Rambling Flow.
‫ﻗﻠﺒﻴﺔ‬ ‫ﻴﺎﺕ‬.
(12)‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬B‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺤﻘﻭل‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﻀﺎﺌﻘﺔ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬.
D-‫ﻁﺒﻴ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬‫ﻴ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﺔ‬‫ﻗﻠﻕ‬.(
‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬
Cannabis-Related Disorders
‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬.
■305.90‫ﺒﺎﻟﻜﺎﻓﺌﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬Caffeine Intoxication
-‫ﻋﻠ‬ ‫ﻋﺎﺩﺓ‬ ‫ﻴﺭﺒﻭ‬ ‫ﻤﺎ‬ ،‫ﻟﻠﻜﺎﻓﺌﻴﻥ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﻬﻼﻙ‬
-‫ﺨﻤﺱ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﻌﻼﻤ‬ ‫ﻤﻥ‬
(1)‫ﺘﻤﻠﻤل‬)
(2)‫ﺔ‬‫ﻴ‬‫ﻋﺼﺒ‬
(3)‫ﺇﺜﺎﺭﺓ‬.
(4)‫ﺃﺭﻕ‬.
(5)‫ﻎ‬‫ﻴ‬‫ﻤﺘﺒ‬ ‫ﻭﺠﻪ‬)‫ﻤﺘﻭﻫﺞ‬(Face
(6)‫ﺇﺒﺎﻟﺔ‬.
(7)‫ﻤﻌﻭﻱ‬ ‫ﻤﻌﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
(8)‫ﻋﻀﻠﻲ‬ ‫ﻨﻔﺽ‬.
(9)‫ﻋﻠﻰ‬ ‫ﻭﺍﻟﻜﻼﻡ‬ ‫ﺍﻟﺘﻔﻜﻴﺭ‬ ‫ﺠﺭﻴﺎﻥ‬
(10)‫ﻻﻨﻅﻤ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﺏ‬ ‫ﺘﺴﺭﻉ‬
(11)‫ﺍﻹﺠﻬﺎﺩ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺍﺕ‬.
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻌﻠﻠﻬﺎ‬)‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬
‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Cannabis Use Disorders
304.30‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬

61. 60
‫ﺭﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
‫ﻴﺭ‬(
Cannabis-Induced Diso
‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻨﻅﺭ‬(
‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﻴﺵ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬‫ﻨﺴﻤﺎﻡ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.‫ﹼﻔﺔ‬‫ﻨ‬‫ﺍﻟﻤﺼ‬ ‫ﻭﻏﻴﺭ‬ ‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬
‫ﺃﻋﻼﻩ‬ ‫ﻭﺭﺓ‬.
A-‫ﻟﻠﺤﺸﻴﺵ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
B-‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻑ‬‫ﻴ‬‫ﺍﻟﺘﻜ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺭﺍﺕ‬‫ﻴ‬‫ﺘﻐ‬)‫ﺍﺨﺘﻼل‬ ،‫ﺍﻟﺯﻤﻥ‬ ‫ﺒﺘﺒﺎﻁﺅ‬ ‫ﺇﺤﺴﺎﺱ‬ ،‫ﻗﻠﻕ‬ ،‫ﺸﻤﻕ‬ ،‫ﺍﻟﺤﺭﻜﻲ‬ ‫ﺍﻟﺘﻨﺎﺴﻕ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﻤﺜل‬
‫ﻲ‬ ‫ﺍﻟﻤ‬(‫ﺃﻭ‬ ‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺒﻌﺩ‬.
C‫ﺭ‬(‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﻥ‬ ‫ﺴﺎﻋﺘﻴﻥ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬:
‫ﻤﺔ‬.
‫ﻗﻠﺒﻲ‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬
305.20‫ﺍﻟﺤﺸﻴﺵ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺍﻟﻤﻌﺎﻴ‬ ‫ﺍﻨﻅﺭ‬
‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺜﺔ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬rders
292.89‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.81‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍ‬
292.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.12‫ﺒﺎﻟﺤﺸ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
292.89‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺍﻟﻤﺫﻜ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬
■292.89‫ﺒﺎﻟﺤﺸﻴﺵ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬Cannabis Intoxication
‫ﺍﺠﺘﻤﺎﻋ‬ ‫ﺍﻨﺴﺤﺎﺏ‬ ،‫ﺤﺎﻜﻤﺔ‬
-‫ﺍﺜﻨﻴﻥ‬ ‫ﺘﻁﻭﺭ‬)‫ﺃﻜﺜ‬ ‫ﺃﻭ‬
(1)‫ﺍﻟﻤﻠﺘﺤ‬ ‫ﺍﺤﺘﻘﺎﻥ‬
(2)‫ﺍﻟﺸﻬﻴﺔ‬ ‫ﺍﺯﺩﻴﺎﺩ‬.
(3)‫ﺍﻟﻔﻡ‬ ‫ﺠﻔﺎﻑ‬.
(4)‫ﻉ‬‫ﺭ‬‫ﺘﺴ‬

62. 61
‫ﻓﻲ‬ ‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺔ‬
‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﻏﻴﺎﺏ‬.‫ﺍﻟﺨﺎﺭﺠﻲ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﻤﺜل‬ ‫ﻭﻻ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺤﺩﺜﺔ‬‫ﻤ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺒﺄﻥ‬ ‫ﻴﻌﺭﻑ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻭﺘﻌﻨﻲ‬.‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺒﺎﻻﻋﺘﺒﺎﺭ‬ ‫ﺍﻷﺨﺫ‬ ‫ﺏ‬.
‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﹼﻘﺔ‬‫ﻠ‬‫ﺍﻟﻤﺘﻌ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Cocaine-Related Disorders
Cocaine Us
‫ﺭﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
Cocain
‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬(
‫ﻤﻌﺎﻴﻴﺭ‬(
‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬) :‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.(
‫ﻜﻭﻜﺎﺌﻴﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻤﻊ‬‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬.‫ﺒ‬ ‫ﺃﻭ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺇﺨﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻤﻊ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻥ‬‫ﻭ‬‫ﺩ‬‫ﻴ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻷﻫﻼﺴﺎﺕ‬‫ﻓﻴﺠ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬
‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬e Disorders
304.20‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬‫ﻜﺎﻥ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬.
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬
305.60‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬-Induced Disorders
992.89‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.0‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﺍﻟ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬
292.81‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴ‬ ‫ﺍﻨﻅﺭ‬‫ﻴﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍ‬
292.84‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺍﻻ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬‫ﻤﺘﻨﺎﻉ‬.
292.89‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻟ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻠل‬

63. 62
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻭﻏﻴﺭ‬ ‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬
‫ﻥ‬Cocaine Intoxication
‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﺔ‬)‫ﻓﺭﻁ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ؛‬ ‫ﺍﻟﺘﺨﺎﻟﻁ‬ ‫ﻓﻲ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺍﻟﻭﺠﺩﺍﻨﻲ؛‬ ‫ﺍﻟﺘﺒﻠﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻤﻕ‬ ‫ﻤﺜل‬
‫ﺍﻟ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﻨﻤﻁﻴﺔ‬ ‫ﺴﻠﻭﻜﺎﺕ‬ ‫ﻏﻀﺏ؛‬ ‫ﺃﻭ‬ ‫ﺘﻭﺘﺭ؛‬ ‫ﻗﻠﻕ؛‬ ‫ﺸﺨﺼﻴﺔ؛‬ ‫ﺒﻴﻥ‬ ‫ﺤﺴﺎﺴﻴﺔ‬ ‫ﺍﻟﺘﻴﻘﻅ؛‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻼل‬ ‫ﺃﻭ‬ ‫ﻤﺤﺎﻜﻤﺔ؛‬(‫ﺘﻁﻭﺭﺕ‬
C‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﺘﻁﻭﺭ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬:
‫ﻗﻠﺒﻲ‬ ‫ﺅ‬.
‫ﺍﻟﺸﺭﻴﺎﻨﻲ‬ ‫ﺍﻟﺘﻭﺘﺭ‬.
.
‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﺭﺍﺽ‬‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬.
‫ﻓﻲ‬ ‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺔ‬
‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﻏﻴﺎﺏ‬.‫ﻤﺤﺩﺜ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺒﺄﻥ‬ ‫ﻴﻌﺭﻑ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺘﻌﻨﻲ‬‫ﺍﻟﺨﺎﺭﺠﻲ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﻤﺜل‬ ‫ﻭﻻ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺔ‬.‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺒﺎﻻﻋﺘﺒﺎﺭ‬ ‫ﺍﻷﺨﺫ‬ ‫ﻴﺠﺏ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻟﻜﻭﻜ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺎﺌﻴﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬.
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬.
■292.89‫ﺍﻻ‬‫ﺒﺎﻟﻜﻭﻜﺎﺌﻴ‬ ‫ﻨﺴﻤﺎﻡ‬
A-‫ﻟﻠﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
B-‫ﻨﻔﺴﻴ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬
‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬.
-‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺍﺜﻨﺎﻥ‬
(1)‫ﺘﺒﺎﻁ‬ ‫ﺃﻭ‬ ‫ﻉ‬‫ﺭ‬‫ﺘﺴ‬
(2)‫ﺤﺩﻗﺔ‬ ‫ﻊ‬‫ﺴ‬‫ﺘﻭ‬.
(3)‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻭ‬ ‫ﺍﺭﺘﻔﺎﻉ‬
(4)‫ﻨﻭﺍﻓﺽ‬ ‫ﺃﻭ‬ ‫ﻕ‬‫ﺭ‬‫ﺘﻌ‬
(5)‫ﺇﻗﻴﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻏﺜﻴﺎﻥ‬.
(6)‫ﻭﺯﻥ‬ ‫ﻓﻘﺩﺍﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻟﻴل‬.
(7)‫ﺘﻌﻭﻴﻕ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬.
(8)‫ﻗﻠﺒﻴﺔ‬ ‫ﻻﻨﻅﻤﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺼﺩﺭﻱ‬ ‫ﺃﻟﻡ‬ ‫ﺃﻭ‬ ‫ﺘﻨﻔﺴﻲ‬ ‫ﺘﺜﺒﻴﻁ‬ ‫ﺃﻭ‬ ‫ﻋﻀﻠﻲ‬ ‫ﻀﻌﻑ‬.
(9)‫ﺴﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻘﻭﻴﺔ‬ ‫ﻋﺴﺭ‬ ‫ﺃﻭ‬ ،‫ﺤﺭﻜﺔ‬ ‫ﻋﺴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﺨﺘﻼﺠﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺘﺨﻠﻴﻁ‬.
D-‫ﺍﻷﻋ‬ ‫ﻟﻴﺴﺕ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬:‫ﺒ‬ ‫ﺃﻭ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺇﺨﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻤﻊ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﺘﺩﻭﻴﻥ‬ ‫ﻴﻤﻜﻥ‬

64. 63
■292.0‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬Cocaine Withdrawal
A-‫ﺇﻴﻘﺎﻑ‬)‫ﺇﻨﻘﺎﺹ‬ ‫ﺃﻭ‬(‫ﻭﻁﻭﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺒﻴﺭ‬ ‫ﻜﺎﻥ‬ ‫ﻭﺍﻟﺫﻱ‬ ‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬‫ﹰ‬‫ﻼ‬.
B-‫ﻭﺍﺜﻨﻴﻥ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻴﺎﻡ‬ ‫ﻋﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﺒﻀﻊ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺘﺘﻁﻭﺭ‬ ‫ﻭﺍﻟﺘﻲ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻔﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺍﻟﺘﻐﻴﺭﺍﺕ‬ ‫ﻤﻥ‬A:
(1)‫ﺘﻌﺏ‬.
(2)‫ﻜﺭﻴﻬﺔ‬ ‫ﺯﺍﻫﻴﺔ‬ ‫ﺃﺤﻼﻡ‬.
(3)‫ﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﺃﺭﻕ‬.
(4)‫ﺍﻟﺸﻬﻴﺔ‬ ‫ﺍﺯﺩﻴﺎﺩ‬.
(5)‫ﻫﻴﺎﺝ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﺘﻌﻭﻴﺽ‬.
C-‫ﺍﻟﻤﻌﻴﺎ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬‫ﺭ‬B‫ﺃﺨﺭﻯ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﺎﺭﺯ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﻀﺎﺌﻘﺔ‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Hallucinogen-Related Disorders
‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Hallucinogen Use Disorders
304.50‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
305.30‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.89‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.89‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻹﺩﺭﺍﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺯﻤﻨﻴﺔ‬ ‫ﺇﺭﺠﺎﻋﺎﺕ‬flashbacks) (‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬(
292.81‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.84‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(

65. 64
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﺘﻠﻙ‬ ،‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬.
■292.89‫ﺒﺎﻟﻤﻬﻠﻭﺴﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬Hallucinogen Intoxication
A-‫ِﺱ‬‫ﻭ‬‫ﹾ‬‫ﻠ‬‫ﻬ‬‫ﻤ‬‫ﻟ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
B-‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬)،‫ﻋﻘﻠﻪ‬ ‫ﺍﻟﻤﺭﺀ‬ ‫ﻴﻔﻘﺩ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﺨﻭﻑ‬ ،‫ﺇﺸﺎﺭﺓ‬ ‫ﺃﻓﻜﺎﺭ‬ ،‫ﻭﺍﻀﺤﻴﻥ‬ ‫ﺍﻜﺘﺌﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻕ‬ ‫ﻤﺜل‬
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ،‫ﻤﺨﺘﻠﺔ‬ ‫ﻤﺤﺎﻜﻤﺔ‬ ،‫ﺯﻭﺭﺍﻨﻲ‬ ‫ﺘﻔﻜﻴﺭ‬(‫ﺍﺴﺘ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻠﻭﺱ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺨﺩﺍﻤﻪ‬.
C-‫ﻭﺍﻻﺤﺘﺭﺍﺱ‬ ‫ﺍﻟﺘﺎﻤﺔ‬ ‫ﺍﻟﻴﻘﻅﺔ‬ ‫ﻤﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬)،‫ﺇﺨﺎﻻﺕ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﺒﺩﺩ‬ ،‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ،‫ﺍﻹﺩﺭﺍﻜﺎﺕ‬ ‫ﺒﺤﺩﺓ‬ ‫ﺫﺍﺘﻲ‬ ‫ﺸﻌﻭﺭ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻤﺸﺘﺭﻙ‬ ‫ﺍﻟﺤﺱ‬ ،‫ﺃﻫﻼﺴﺎﺕ‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻠﻭﺱ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬.
D-‫ﻋﻼﻤﺘﺎﻥ‬ ‫ﺘﺘﻁﻭﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﻌﻼﻤ‬ ‫ﻤﻥ‬‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻠﻭﺱ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺎﺕ‬:
(1)‫ﺤﺩﻗﺔ‬ ‫ﺘﻭﺴﻊ‬.
(2)‫ﻗﻠﺒﻲ‬ ‫ﺘﺴﺭﻉ‬.
(3)‫ﺘﻌﺭﻕ‬.
(4)‫ﺨﻔﻘﺎﻨﺎﺕ‬.
(5)‫ﺍﻟﺭﺅﻴﺔ‬ ‫ﺵ‬‫ﺒ‬‫ﺘﻐ‬.
(6)‫ﺭﻋﺎﺸﺎﺕ‬.
(7)‫ﺘﻨﺎﺴﻕ‬ ‫ﻋﺩﻡ‬.
E-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
■292.89‫ﺍﻟﻤﺴﺘ‬ ‫ﺍﻹﺩﺭﺍﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻤﻬﻠﻭﺱ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺩﻴﻡ‬
)‫ﺯﻤﻨﻴﺔ‬ ‫ﺇﺭﺠﺎﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺇﻋﺎﺩﺍﺕ‬Flashbacks(

66. 65
A-‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﻋﻭﺩﺓ‬)‫ﺘﺠﺭﺒﺔ‬(‫ﺒﺎﻟﻤﻬﻠﻭﺱ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻋﻨﺩ‬ ‫ﺍﺨﺘﺒﺭﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻹﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻋﺭﺽ‬)،‫ﺍﻟﻬﻨﺩﺴﻴﺔ‬ ‫ﺍﻷﺸﻜﺎل‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ،‫ﻤﺜﺎل‬
‫ﻗﻭﺍﻓ‬ ،‫ﺤﺎﺩﺓ‬ ‫ﺃﻟﻭﺍﻥ‬ ،‫ﻟﻭﻨﻴﺔ‬ ‫ﻭﻤﻀﺎﺕ‬ ،‫ﺍﻟﻤﺤﻴﻁﻴﺔ‬ ‫ﺍﻟﺒﺼﺭﻴﺔ‬ ‫ﺍﻟﺤﻘﻭل‬ ‫ﻓﻲ‬ ‫ﺯﺍﺌﻔﺔ‬ ‫ﺤﺭﻜﺔ‬ ‫ﺇﺩﺭﺍﻜﺎﺕ‬‫ل‬)‫ﺘﺘﺎﺒﻊ‬(‫ﻓﻲ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺨﻴﺎﻻﺕ‬ ،‫ﻤﺘﺤﺭﻜﺔ‬ ‫ﺃﺠﺴﺎﻡ‬ ‫ﻟﺨﻴﺎﻻﺕ‬
‫ﺭﺓ‬‫ﺒ‬‫ﻤﻜ‬ ‫ﺭﺅﻴﺔ‬ ،‫ﻤﺼﻐﺭﺓ‬ ‫ﺭﺅﻴﺔ‬ ،‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﺤﻭل‬ ‫ﻫﺎﻟﺔ‬ ،‫ﺼﺭﻴﺤﺔ‬ ‫ﺍﻟﺫﻫﻥ‬.(
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬A‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﻀﺎﺌﻘﺔ‬.
C-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬)‫ﺘﺸﺭﻴﺤﻴ‬ ‫ﺁﻓﺎﺕ‬ ‫ﻤﺜل‬‫ﺒﺼﺭﻴﺔ‬ ‫ﺼﺭﻭﻋﺎﺕ‬ ،‫ﺍﻟﺩﻤﺎﻍ‬ ‫ﻓﻲ‬ ‫ﻭﺃﺨﻤﺎﺝ‬ ‫ﺔ‬(‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬
)‫ﺍﻟﻔﺼﺎﻡ‬ ،‫ﺍﻟﻌﺘﻪ‬ ،‫ﺍﻟﻬﺫﻴﺎﻥ‬ ،‫ﻤﺜل‬(‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺼﺤﻭ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬.
‫ﹼﺸﻭﻗﺎﺕ‬‫ﻨ‬‫ﺒﺎﻟ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Inhalant-Related Disorders
‫ﺍﻟﻨﺸﻭﻗﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.60‫ﺍﻟﻨﺸﻭﻗﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺇﺫ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺍ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
305.90‫ﺍﻟﻨﺸﻭﻕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺒﺎﻟﻨﺸﻭﻗﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.81‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.82‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.84‫ﺍ‬‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.

67. 66
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬‫ﹼﻔﺔ‬‫ﻨ‬‫ﺍﻟﻤﺼ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﺸﻭﻗﺎﺕ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬.
■292.89‫ﺒﺎﻟﻨﺸﻭﻕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
A-‫ﻁﻴﺎﺭﺓ‬ ‫ﻟﻨﺸﻭﻗﺎﺕ‬ ‫ﻗﺼﻴﺭ‬ ‫ﻭﻷﻤﺩ‬ ‫ﻋﺎﻟﻴﺔ‬ ‫ﻟﺠﺭﻋﺎﺕ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﺃﻭ‬ ،‫ﺤﺩﻴﺙ‬ ‫ﻤﻘﺼﻭﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬)‫ﺍﻟﻭﻋﺎﺌﻴﺔ‬ ‫ﻌﺎﺕ‬‫ﺴ‬‫ﻭﺍﻟﻤﻭ‬ ‫ﺍﻟﻤﺨﺩﺭﺓ‬ ‫ﺍﻟﻐﺎﺯﺍﺕ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬
‫ﺍﻟﻤﻔﻌﻭل‬ ‫ﻗﺼﻴﺭﺓ‬.(
B-‫ﻑ‬‫ﻴ‬‫ﺍﻟﺘﻜ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬)‫ﺍﻻﻨﻔﻌﺎﻟﻲ‬ ‫ﺍﻟﻔﺘﻭﺭ‬ ،‫ﺍﻟﻌﺩﻭﺍﻥ‬ ،‫ﺍﻟﻘﺘﺎل‬ ‫ﺤﺏ‬ ،‫ﻤﺜل‬Apathy،‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﺍﺨﺘﻼل‬ ،
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺍﺨﺘﻼل‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ،‫ﻟﻬﺎ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻴﺎﺭﺓ‬ ‫ﺍﻟﻨﺸﻭﻗﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬.
C-‫ﻋﻼﻤﺘﺎﻥ‬ ‫ﺘﺘﻁﻭﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺃ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ،‫ﻟﻪ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﺸﻭﻕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺜﻨﺎﺀ‬:
(1)‫ﺩﻭﺍﻡ‬.
(2)‫ﺭﺃﺭﺃﺓ‬.
(3)‫ﺍﻟﺘﻨﺎﺴﻕ‬ ‫ﻋﺩﻡ‬.
(4)‫ﻤﺘﺜﺎﻗل‬ ‫ﻜﻼﻡ‬)‫ﻤﻠﻔﻠﻑ‬ ‫ﺃﻭ‬.(
(5)‫ﻤﺘﺯﻨﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺸﻴﺔ‬.
(6)‫ﻭﺴﻥ‬.
(7)‫ﻤﺜﺒﻁﺔ‬ ‫ﻤﻨﻌﻜﺴﺎﺕ‬.
(8)‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﺘﻌﻭﻴﻕ‬.
(9)‫ﻋﺎﺵ‬‫ﺭ‬.
(10)‫ﻤﻌﻤﻡ‬ ‫ﻋﻀﻠﻲ‬ ‫ﻀﻌﻑ‬.
(11)‫ﺍﻟﺭﺅ‬ ‫ﺍﺯﺩﻭﺍﺝ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺅﻴﺔ‬ ‫ﺵ‬‫ﺒ‬‫ﺘﻐ‬‫ﻴﺔ‬)‫ﺸﻔﻊ‬.(
(12)‫ﺴﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺫﻫﻭل‬.
(13)‫ﺸﻤﻕ‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﺒﺎﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Nicotine-Related Disorders

68. 67
‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
305.1‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬/‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬.
‫ﺒﺎﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
292.0‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﺍﻟ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻭﻏﻴﺭ‬ ‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻔﺌﺔ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬.
■292.0‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬
A-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺴﺎﺒﻴﻊ‬ ‫ﻟﻌﺩﺓ‬ ‫ﻟﻠﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻴﻭﻤﻲ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
B-‫ﺨﻼل‬ ‫ﻴﺘﻠﻭﻩ‬ ،‫ﺍﻟﻤﺴﺘﺨﺩﻡ‬ ‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﺇﻨﻘﺎﺹ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﻔﺎﺠﺊ‬ ‫ﺇﻴﻘﺎﻑ‬24‫ﺃﺭﺒﻊ‬ ‫ﺴﺎﻋﺔ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬:
(1)‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺃﻭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬.
(2)‫ﺃﺭﻕ‬.
(3)‫ﻏﻀﺏ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﺴﺘﺜﺎﺭﺓ‬.
(4)‫ﻗﻠﻕ‬.
(5)‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﺼﻌﻭﺒﺔ‬.
(6)‫ﺘﻤﻠﻤل‬.
(7)‫ﺍﻟﻘﻠﻕ‬ ‫ﺴﺭﻋﺔ‬ ‫ﻨﻘﺹ‬.
(8)‫ﺍﻟﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻬﻴﺔ‬ ‫ﺯﻴﺎﺩﺓ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬B‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﻀﺎﺌﻘﺔ‬‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Opioid-Related Disorders

69. 68
‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.00‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺇﺫ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬‫ﻜﺎﻥ‬ ‫ﺍ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬/‫ﺓ‬‫ﺩ‬‫ﺸﺎ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬.
305.50‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺍﻻ‬‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﻨﺴﻤﺎﻡ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.0‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬(
292.81‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻤﻊ‬‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬.
292.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.84‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻠل‬)‫ﺍﻟﻤ‬ ‫ﺍﻨﻅﺭ‬‫ﻌﺎﻴﻴﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﺍﻟﻤﺼﻨﻔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﻓﻴﻭﻨﺎﺕ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬‫ﺔ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬.
■292.89‫ﺒﺎﻷﻓﻴﻭﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬

70. 69
A-‫ﻟﻸﻓﻴﻭﻥ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬
B-‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬)‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬ ‫ﺃﻭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻨﻔﻌﺎﻟﻲ‬ ‫ﻓﺘﻭﺭ‬ ‫ﻴﺘﺒﻌﻪ‬ ‫ﺒﺩﺌﻲ‬ ‫ﺸﻤﻕ‬ ‫ﻤﺜل‬
‫ﺍﻷﺩﺍﺀ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺘﻌﻭﻴﻕ‬‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬.
C-‫ﺤﺩﻗﺔ‬ ‫ﻕ‬‫ﻴ‬‫ﺘﻀ‬)‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻟﺠﺭﻋﺔ‬ ‫ﻓﺭﻁ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺃﻭﻜﺴﺠﻴﻨﻲ‬ ‫ﻋﻭﺯ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺤﺩﻗﺔ‬ ‫ﻊ‬‫ﺴ‬‫ﺘﻭ‬ ‫ﺃﻭ‬(‫ﻋﻼﻤﺔ‬ ‫ﻤﻊ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺘﺘﻁﻭﺭ‬ ،‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬
‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬:
(1)‫ﺴﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻨﻌﺎﺱ‬.
(2)‫ﻤﺘﺜﺎﻗل‬ ‫ﻜﻼﻡ‬.
(3)‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺍﺨﺘﻼل‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬:‫ﺃﻭ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺇﺨﺎﻻﺕ‬ ‫ﻤﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻤﻊ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻨﺎﺩﺭﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻴﻤﻜﻥ‬
‫ﺒﺼﺭ‬‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻴﺔ‬.‫ﺍﻟﺨﺎﺭﺠﻲ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﻤﺜل‬ ‫ﻭﻻ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻥ‬ ‫ﻴﻌﺭﻑ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﺘﻌﻨﻲ‬.
‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺨﺫ‬ ‫ﻴﺠﺏ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬.
■292.0‫ﺍﻷ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬‫ﻓﻴﻭﻨﺎﺕ‬
A-‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﻭﺍﺤﺩ‬ ‫ﺘﻭﺍﻓﺭ‬:
(1)‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﻭﻗﻑ‬)‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺇﻨﻘﺎﺹ‬ ‫ﺃﻭ‬(‫ﻁﻭﻴﻠﺔ‬ ‫ﻭﻟﻤﺩﺓ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺒﻴﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻫﺫﺍ‬ ،)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺃﺴﺎﺒﻴﻊ‬ ‫ﻋﺩﺓ‬.(
(2)‫ﺍﻷﻓﻴﻭﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻓﻴﻭﻨﻲ‬ ‫ﻀﺎﺩ‬ ‫ﺇﻋﻁﺎﺀ‬.
B-‫ﺜﻼﺜﺔ‬ ‫ﺘﻁﻭﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺇﻟ‬ ‫ﺩﻗﺎﺌﻕ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻴﺎﻡ‬ ‫ﺒﻀﻌﺔ‬ ‫ﻰ‬A:
(1)‫ﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬.
(2)‫ﺇﻗﻴﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻏﺜﻴﺎﻥ‬.
(3)‫ﻋﻀﻠﻴﺔ‬ ‫ﺁﻻﻡ‬.
(4)‫ﺃﻨﻔﻲ‬ ‫ﺭ‬‫ﹶ‬‫ﺜ‬ ‫ﺃﻭ‬ ‫ﻤﺎﻉ‬‫ﺩ‬.
(5)‫ﺘﻌﺭﻕ‬ ‫ﺃﻭ‬ ‫ﺸﻌﺭ‬ ‫ﺍﻨﺘﺼﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺤﺩﻗﺔ‬ ‫ﻊ‬‫ﺴ‬‫ﺘﻭ‬.
(6)‫ﺇﺴﻬﺎل‬.

71. 70
(7)‫ﺘﺜﺎﺅﺏ‬.
(8)‫ﺤﻤﻰ‬.
(9)‫ﺃﺭﻕ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬B‫ﺍﻻ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺠﺘﻤﺎﻋﻲ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺃﺸﺒﺎﻩ‬ ‫ﺃﻭ‬(
Phencyclidine (or Phencyclidine-Like)-
Related Disorders
‫ﺍﻟ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬‫ﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬
304.60‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
305.90‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.81‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺭﺍﺠﻊ‬(
292.11‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.12‫ﻤﺤ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺩﺙ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.84‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬‫ﺍﻻﻨﺴﻤﺎﻡ‬.

72. 71
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﻭﻏﻴﺭ‬ ‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬.
■292.89‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬
A-‫ﻟﻠﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬)‫ﺼﻠ‬ ‫ﺫﺍﺕ‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﺃﻭ‬‫ﺔ‬.(
B-‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬)‫ﺃﻭ‬ ‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬ ،‫ﺘﻘﻠﺏ‬ ،‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬ ،‫ﺍﻟﻌﺩﺍﺌﻴﺔ‬ ،‫ﺍﻟﻘﺘﺎل‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻤﻴل‬ ‫ﻤﺜل‬
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺍﺨﺘﻼل‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬.
C-‫ﺴﺎﻋﺔ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬)‫ﹼ‬‫ﺨ‬‫ﺩ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻗل‬ ‫ﺃﻭ‬‫ﺍﻟﻭﺭﻴﺩ‬ ‫ﻁﺭﻴﻕ‬ ‫ﻋﻥ‬ ‫ُﺨﺫ‬‫ﺃ‬ ‫ﺃﻭ‬ ‫ﻥ‬(‫ﻋﻼﻤﺘﺎﻥ‬ ‫ﺘﺤﺩﺙ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺃﻓﻘﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺸﺎﻗﻭﻟﻴﺔ‬ ‫ﺭﺃﺭﺃﺓ‬.
(2)‫ﻗﻠﺒﻲ‬ ‫ﺘﺴﺭﻉ‬ ‫ﺃﻭ‬ ‫ﺸﺭﻴﺎﻨﻲ‬ ‫ﺘﻭﺘﺭ‬ ‫ﺍﺭﺘﻔﺎﻉ‬.
(3)‫ﻟﻸﻟﻡ‬ ‫ﻤﻨﺨﻔﻀﺔ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ‫ﺃﻭ‬ ‫ل‬‫ﻤ‬‫ﺘﻨ‬.
(4)‫ﹶﺢ‬‫ﻨ‬‫ﺭ‬.
(5)‫ﱠﻪ‬‫ﺘ‬‫ﺭ‬)‫ﹼﻅ‬‫ﻔ‬‫ﺍﻟﺘﻠ‬ ‫ﻋﺴﺭ‬.(
(6)‫ﻋﻀﻠﻴﺔ‬ ‫ﺼﻼﺒﺔ‬.
(7)‫ﺴﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﺨﺘﻼﺠﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬.
(8)‫ﺍﻟﺴﻤﻊ‬ ‫ﺓ‬‫ﺩ‬‫ﺤ‬Hyperacusis.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬:‫ﻓﻲ‬ ‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺼﺭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺇﺨﺎﻻﺕ‬ ‫ﻤﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻤﻊ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻥ‬‫ﻭ‬‫ﻴﺩ‬ ‫ﻗﺩ‬
‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﻏﻴﺎﺏ‬.‫ﺴﻼﻤﺔ‬ ‫ﻭﺘﻌﻨﻲ‬‫ﺍﻟﺨﺎﺭﺠﻲ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﻤﺜل‬ ‫ﻭﻻ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻥ‬ ‫ﻴﻌﺭﻑ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬.‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺨﺫ‬ ‫ﻴﺠﺏ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬.
‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬
Sedativ-, Hypnotic-,
or Anxiolitic-Related Disorders

73. 72
‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
304.10‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻫ‬‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬.
305.40‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
292.89‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.0‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.81‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻫﺫﻴﺎﻥ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.81‫ﺍﻟﻤﻨﻭﻤﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻫﺫﻴﺎﻥ‬‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺕ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.82‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.83‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.11‫ﺍﻟﻤ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻨﻭﻤﺎﺕ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.12‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬‫ﻻﻤﺘﻨﺎﻉ‬.
292.84‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺨﻠل‬‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬

74. 73
292.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬
‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜﻭﺍﺤﺩﺓ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬.
■292.89‫ﻤﻀﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬‫ﺍﻟﻘﻠﻕ‬ ‫ﺩﺍﺕ‬
Sedative, Hypnotic, or Anaxiolytic Intoxication
A-‫ﻗﻠﻕ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﻟﻤﻬﺩﺉ‬ ‫ﺤﺩﻴﺙ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
B-‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬)،‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺘﻘﻠﻘل‬ ،‫ﻋﺩﻭﺍﻨﻲ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺠﻨﺴﻲ‬ ‫ﺴﻠﻭﻙ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬
‫ﺍﻻﺠﺘﻤ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺍﺨﺘﻼل‬‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺎﻋﻲ‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺫﻟﻙ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﻤﻬﺩﺉ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﻭﻫﻲ‬.
C-‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺭ‬‫ﻭ‬‫ﺘﻁ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻫﺫﺍ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺃﻭ‬ ‫ﻡ‬‫ﻭ‬‫ﻤﻨ‬ ‫ﺃﻭ‬ ‫ﻤﻬﺩﺉ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ،:
(1)‫ﻤﺘﺜﺎﻗل‬ ‫ﻜﻼﻡ‬.
(2)‫ﺍﻟﺘﻨﺎﺴﻕ‬ ‫ﻋﺩﻡ‬.
(3)‫ﻤﺘﺯﻨﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺸﻴﺔ‬.
(4)‫ﺭﺃﺭﺃﺓ‬.
(5)‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺍﺨﺘﻼل‬.
(6)‫ﺴﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺫﻫﻭل‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬.
■292.0‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬
A-‫ﺇﻴﻘﺎﻑ‬)‫ﺇﻨﻘﺎﺹ‬ ‫ﺃﻭ‬(‫ﻤﻀﺎﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺉ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬‫ﹰ‬‫ﺍ‬‫ﻭﻤﺩﻴﺩ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺒﻴﺭ‬ ‫ﻜﺎﻥ‬ ‫ﻭﺍﻟﺫﻱ‬ ‫ﺍﻟﻘﻠﻕ‬.
B-‫ﺍﺜﻨﻴﻥ‬ ‫ﺘﻁﻭﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻴﺎﻡ‬ ‫ﺒﻀﻌﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺴﺎﻋﺎﺕ‬ ‫ﻋﺩﺓ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬A:
(1)‫ﺫﺍﺘﻲ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬)‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻟﻘﻠﺏ‬ ‫ﺴﺭﻋﺔ‬ ‫ﺍﺯﺩﻴﺎﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻌﺭﻕ‬ ‫ﻤﺜل‬100.(
(2)‫ﺍﻟﻴﺩ‬ ‫ﺭﻋﺎﺵ‬ ‫ﺍﺯﺩﻴﺎﺩ‬.
(3)‫ﺃﺭﻕ‬.
(4)‫ﺇﻗﻴﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻏﺜﻴﺎﻥ‬.
(5)‫ﻟﻤ‬ ‫ﺃﻭ‬ ‫ﺒﺼﺭﻴﺔ‬ ‫ﺃﻫﻼﺴﺎﺕ‬‫ﺇﺨﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﻋﺎﺒﺭﺓ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻴﺔ‬.

75. 74
(6)‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬.
(7)‫ﻗﻠﻕ‬.
(8)‫ﻜﺒﻴﺭ‬ ‫ﺼﺭﻉ‬ ‫ﻨﻭﺒﺎﺕ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬B‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬.
D-‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬:‫ﻓﻲ‬ ‫ﻟﻤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺼﺭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺇﺨﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻤﻊ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﻏﻴﺎﺏ‬.‫ﺍﻟﺨﺎﺭﺠﻲ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﻤﺜل‬ ‫ﻭﻻ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻥ‬ ‫ﻴﻌﺭﻑ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻭﺘﻌﻨﻲ‬.‫ﻋﻨ‬‫ﺘﺤﺩﺙ‬ ‫ﺩﻤﺎ‬
‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺨﺫ‬ ‫ﻓﻴﺠﺏ‬ ،‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﺴﻼﻤﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬.
‫ﻋﺩﻴﺩﺓ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Polysubstance-Related Disorder
■304.80‫ﻋﺩﻴﺩﺓ‬ ‫ﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬
Polysubstance Dependence
‫ﻟﺴﻠ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺒﻬﺫﺍ‬ ‫ﻴﺤﺘﻔﻅ‬‫ﻴﺴﺘﻤﺭ‬ ‫ﻭﻙ‬12‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻤﻥ‬ ‫ﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﺜﻼﺙ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ‫ﺨﻼﻟﻪ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺘﻌﺎﻁﻰ‬ ،‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬)‫ﻴﺸﻤل‬ ‫ﻻ‬
‫ﻭﺍﻟﻨﻴﻜﻭﺘﻴﻥ‬ ‫ﺍﻟﻜﺎﻓﺌﻴﻥ‬(‫ﺒﻤﻔﺭﺩﻫﺎ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻴﺔ‬ ‫ﻏﻠﺒﺔ‬ ‫ﺩﻭﻥ‬ ،.‫ﺘﺘﺤﻘﻕ‬ ‫ﻭﻟﻡ‬ ‫ﻜﻤﺠﻤﻭﻋﺔ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺍﻟﻔﺘﺭﺓ‬ ‫ﻫﺫﻩ‬ ‫ﻭﻀﻤﻥ‬ ،‫ﺫﻟﻙ‬ ‫ﻭﺒﻌﺩ‬ ‫ﺜﻡ‬
‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻷﻴﺔ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬.‫ﺴﻴ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻤﺜ‬‫ﺨﻼل‬ ،‫ﺸﺨﺹ‬ ‫ﻋﻠﻰ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻁﺒﻕ‬12‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺒﺴﺒﺏ‬ ‫ﻋﻤﻠﻪ‬ ‫ﹶﺩ‬‫ﻘ‬‫ﹶ‬‫ﻓ‬ ،‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬
‫ﻋﻥ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﹰ‬‫ﺍ‬‫ﻋﺎﺠﺯ‬ ‫ﻭﻜﺎﻥ‬ ،‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻻﺴﺘﻬﻼﻙ‬ ‫ﻤﻥ‬ ‫ﻟﻴﺎل‬ ‫ﺒﻌﺩ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺍﻜﺘﺌﺎﺒﺎﺕ‬ ‫ﺤﺩﻭﺙ‬ ‫ﺭﻏﻡ‬ ‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻲ‬ ‫ﻭﺍﺴﺘﻤﺭ‬ ،‫ﻟﻠﻜﺤﻭل‬
‫ﻴﺘﻌﻠ‬ ‫ﻤﺎ‬ ‫ﻓﻲ‬ ‫ﻨﻔﺴﻪ‬ ‫ﻋﻠﻰ‬ ‫ﻓﺭﻀﻬﺎ‬ ‫ﺤﺩﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬‫ﺍﻟﻜﻭﺩﺌﻴﻥ‬ ‫ﺒﺎﺴﺘﺨﺩﺍﻡ‬ ‫ﻕ‬.‫ﻤﺎﺩﺓ‬ ‫ﺃﻴﺔ‬ ‫ﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺃﻥ‬ ‫ﻭﺭﻏﻡ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬
‫ﻭﺒﺎﻟﺘﺎﻟﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺒﺄﺩﺍﺌﻪ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺒﺸﻜل‬ ‫ﱠ‬‫ل‬‫ﺃﺨ‬ ‫ﺒﻤﺠﻤﻠﻪ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﺈﻥ‬ ،‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻟﺘﺴﻭﻴﻎ‬ ‫ﺘﻜﻔﻲ‬ ‫ﺒﺤﻴﺙ‬ ‫ﺍﻟﺸﻤﻭل‬ ‫ﻤﻥ‬ ‫ﺘﻜﻥ‬ ‫ﻟﻡ‬ ‫ﺒﻤﻔﺭﺩﻫﺎ‬
‫ﻜﻤﺠﻤﻭﻋﺔ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺍﺴﺘﻭﺠﺏ‬.‫ﻤﻼﺤﻅ‬ ‫ﻴﻤﻜﻥ‬‫ﻋﺎﻟﻲ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻓﻴﻪ‬ ‫ﻜﺎﻥ‬ ‫ﻭﻀﻊ‬ ‫ﻓﻲ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻋﻠﻰ‬ ،‫ﺍﻟﻨﻤﻭﺫﺝ‬ ‫ﻫﺫﺍ‬ ‫ﻤﺜل‬ ‫ﺔ‬
‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﺘﺒﺩل‬ ‫ﻜﺎﻨﺕ‬ ‫ﺍﻟﻤﻔﻀﻠﺔ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﻟﻜﻥ‬ ‫ﺍﻻﻨﺘﺸﺎﺭ‬.‫ﻋﺩﻴﺩﺓ‬ ‫ﻟﻌﻘﺎﻗﻴﺭ‬ ‫ﻤﺼﺎﺤﺏ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻭﺠﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻸﻭﻀﺎﻉ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬
‫ﻭﺍﺤﺩ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹶ‬‫ﻑ‬‫ﺘﺴﺘﻭ‬ ‫ﻭﻟﻡ‬)‫ﺍ‬ ‫ﻤﺜل‬‫ﻋﻠﻰ‬ ‫ﻭﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺍﻟﻜﺤﻭل‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﻻﻋﺘﻤﺎﺩ‬
‫ﺍﻟﺤﺸﻴﺵ‬(‫ﺘﺸﺨﻴﺹ‬ ‫ﻜل‬ ‫ﻭﻀﻊ‬ ‫ﻴﺠﺏ‬ ،.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬.
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬/‫ﻤﻌﺎ‬ ‫ﻋﻠﻰ‬‫ﺓ‬‫ﺩ‬‫ﺸﺎ‬ ‫ﻟﺠﺔ‬.
‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
Other (or Unknown) Substance-Related Disorders

76. 75
‫ﺍﻟﻔﺼل‬ ‫ﻓﻲ‬ ‫ﻤﺩﺭﺠﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﺘﺼﻨﻴﻑ‬ ‫ﻤﺨﺼﺼﺔ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬.‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻫﺫﻩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬
‫ﺍﻻﺒﺘﻨﺎﺌﻴﺔ‬ ‫ﺍﻟﺴﺘﻴﺭﻭﺌﻴﺩﺍﺕ‬Anabolic Steroids‫ﻓﻲ‬ ‫ﻋﻨﻬﺎ‬ ‫ﻩ‬‫ﻭ‬‫ﺍﻟﻤﻨ‬ ‫ﻭﻏﻴﺭ‬ ‫ﺍﻟﺼﻴﺩﻟﻴﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺘﺒﺎﻉ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ،‫ﺍﻵﺯﻭﺘﻲ‬ ‫ﺍﻷﻭﻜﺴﻴﺩ‬ ،‫ﺍﻟﻨﻴﺘﺭﻴﺕ‬ ‫ﻨﺸﻭﻗﺎﺕ‬ ،
‫ﻋﺸﺭﺓ‬ ‫ﺍﻹﺤﺩﻯ‬ ‫ﺍﻟﻔﺌﺎﺕ‬)‫ﺍﻟﺒﻨﺯﺘﺭﻭﺒﻴﻥ‬ ،‫ﺍﻟﻬﻴﺴﺘﺎﻤﻴﻥ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ،‫ﺍﻟﻜﻭﺭﺘﻴﺯﻭل‬ ،‫ﻤﺜل‬(‫ﹰ‬‫ﺎ‬‫ﻨﻔﺴﻴ‬ ‫ﻓﻌﺎﻟﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﺘﻤﺘﻠﻙ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻭﻤﻭﺍﺩ‬ ،.‫ﻴﻤﻜﻥ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬
‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺤﻴﻨﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﺃﻥ‬‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬)‫ﺍﻻﺴﻡ‬ ‫ﻤﻐﻔﻠﺔ‬ ‫ﺍﻟﺤﺒﻭﺏ‬ ‫ﻤﻥ‬ ‫ﺯﺠﺎﺠﺔ‬ ‫ﺘﻨﺎﻭل‬ ‫ﺒﻌﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ،‫ﻤﺜل‬.(‫ﺘﺭﻤﻴﺯ‬ ‫ﻜﻴﻔﻴﺔ‬ ‫ﻤﻨﺎﻗﺸﺔ‬
‫ﺴﺎﺒﻘﺔ‬ ‫ﺼﻔﺤﺔ‬ ‫ﻓﻲ‬ ‫ﻨﺠﺩﻫﺎ‬ ‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬.
‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
304.90‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬‫ﻜﺎﻥ‬:‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻤﻊ‬/‫ﻓﻴﺯﻴﻭﻟﻭﺠﻲ‬ ‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺒﺩﻭﻥ‬.
‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:‫ﺒﺎﻜﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﺒﺎﻜﺭﺓ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﺴﺘﻘﺭﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬/‫ﻤﻀﺒﻭﻁﺔ‬ ‫ﺒﻴﺌﺔ‬ ‫ﻓﻲ‬/‫ﺓ‬‫ﺩ‬‫ﺸﺎ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻠﻰ‬.
305.90‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺒﻤﻭﺍﺩ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬‫ﺃﺨﺭﻯ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.0‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬.
292.81‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻬﺫﻴﺎﻥ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.82‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻌﺘﻪ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.83‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
292.11‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ،)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬‫ﻜﺎﻥ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.12‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.84‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻨﻅﺭ‬‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.

77. 76
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻠل‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.89‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬()‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻨﻅﺭ‬(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬/‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬.
292.9‫ﺃﺨﺭﻯ‬ ‫ﺒﻤﻭﺍﺩ‬ ‫ﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬(‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺩﺓ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻏﻴﺭ‬.
‫اﻷﺧﺮى‬ ‫اﻟﺬهﺎﻧﻴﺔ‬ ‫واﻻﺿﻄﺮاﺑﺎت‬ ‫اﻟﻔﺼﺎم‬
Schizophrenia
and Other Psychotic Disorders
■‫ﹸﺼﺎﻡ‬‫ﻔ‬‫ﺍﻟ‬Schizophrenia
A-‫ﺍﻟﻭﺼﻔﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬:‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺍﺜﻨﻴﻥ‬ ‫ﻭﺠﻭﺩ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﺨﻼل‬ ‫ﻭﺫﻟﻙ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻤﻥ‬ ‫ﻤﻌﺘﺒﺭﺓ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﻤﻨﻬﻤﺎ‬ ‫ﻜل‬ ‫ﻴﻭﺠﺩ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ،
‫ﺍﻷﻗل‬)‫ﺒﻨﺠﺎﺡ‬ ‫ﻋﻭﻟﺠﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻗل‬ ‫ﺃﻭ‬:(
(1)‫ﺃﻭﻫﺎﻡ‬.
(2)‫ﺃﻫﻼﺴﺎﺕ‬.
(3)‫ﻤﻨﻅﻡ‬ ‫ﻏﻴﺭ‬ ‫ﻜﻼﻡ‬)‫ﺍﻟﺘﻔﻜﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻁ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻤﺘﻜﺭﺭ‬ ‫ﺍﻟﺨﺭﻭﺝ‬ ،‫ﻤﺜﺎل‬.(
(4)‫ﻓﺎﻀﺢ‬ ‫ﺒﺸﻜل‬ ‫ﻤﻨﻅﻡ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺠﺎﻤﻭﺩﻱ‬ ‫ﺴﻠﻭﻙ‬.
(5)‫ﺃﻱ‬ ،‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬:‫ﺍﻟﻜﻼﻡ‬ ‫ﻨﺩﺭﺓ‬ ‫ﺃﻭ‬ ‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﺘﺴﻁﺢ‬Alogia‫ﺍﻹﺭﺍﺩﺓ‬ ‫ﻓﻘﺩ‬ ‫ﺃﻭ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤ‬ ‫ﻤﻥ‬ ‫ﻓﻘﻁ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻋﺭﺽ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻴﻠﺯﻡ‬‫ﻌﻴﺎﺭ‬A‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﻠﻴﻕ‬ ‫ﻓﻲ‬ ‫ﻴﺴﺘﻤﺭ‬ ‫ﺼﻭﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺘﻜﻭﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻭ‬ ‫ﻏﺭﻴﺒﺔ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﺒﻌﺽ‬ ‫ﺒﻌﻀﻬﺎ‬ ‫ﻤﻊ‬ ‫ﺘﺘﺤﺎﺩﺙ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺼﻭﺘﻴﻥ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ،‫ﺃﻓﻜﺎﺭﻩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺴﻠﻭﻙ‬.
B–‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻠل‬/‫ﺍﻟﻤﻬﻨﻲ‬:‫ﻤ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﻻ‬‫ﻤﺠﺎ‬ ‫ﻓﺈﻥ‬ ،‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻭﻤﻨﺫ‬ ،‫ﺍﻟﻭﻗﺕ‬ ‫ﻤﻥ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺨﻼل‬‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻥ‬
‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻗﺒل‬ ‫ﺍﻟﻤﺘﺤﻘﻕ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬ ‫ﺩﻭﻥ‬ ‫ﺠﻠﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻫﻲ‬ ‫ﺍﻟﺫﺍﺘﻴﺔ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻜﺎﻟﻌﻤل‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬)‫ﺒﻠﻭﻍ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬ ‫ﺃﻭ‬
‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻬﺠﻤﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻨﺘﻅﺭ‬ ‫ﺍﻟﻤﺴﺘﻭﻯ‬.(
C-‫ﺍﻟﻤﺩﺓ‬:‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺴﺘﺔ‬ ‫ﺍﻟﻤﺴﺘﻤﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﺘﺩﻭﻡ‬.‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬ ‫ﻫﺫﻩ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺍﻟﺴﺘﺔ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬)‫ﺃﻗل‬ ‫ﺃﻭ‬
‫ﺒﻨﺠﺎﺡ‬ ‫ﻋﻭﻟﺠﺕ‬ ‫ﺇﺫﺍ‬(‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺍﻟﺘﻲ‬A)‫ﺍﻹﻴﺠﺎﺒﻲ‬ ‫ﺍﻟﻁﻭﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻱ‬(‫ﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﺎﺩﺭﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺍﺕ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻭﻗﺩ‬.‫ﻴﺘﺒﺩﻯ‬ ‫ﻗﺩ‬

78. 77
‫ﻫﺫﻩ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺍﺜﻨﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻓﺤﺴﺏ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺒﺄﻋﺭﺍﺽ‬ ‫ﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﺎﺩﺭﻴﺔ‬ ‫ﺍﻟﻔﺘﺭﺍﺕ‬A‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬
‫ﱠﻑ‬‫ﻔ‬‫ﻤﺨ‬ ‫ﺒﺸﻜل‬ ‫ﻤﻭﺠﻭﺩﺓ‬)‫ﻤﺄﻟﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺨﺒﺭﺍﺕ‬ ،‫ﻤﺴﺘﻐﺭﺒﺔ‬ ‫ﺍﻋﺘﻘﺎﺩﺍﺕ‬ ،‫ﻤﺜﺎل‬.(
D-‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﺴﺘﺒﻌﺎﺩ‬:‫ﺍﻟﻭﺠﺩﺍ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﹸﺒﻌﺩ‬‫ﺘ‬‫ﺍﺴ‬‫ﺇﻤﺎ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬ ‫ﻨﻲ‬
(1)‫ﺃﻭ‬ ‫ﺍﻹﻴﺠﺎﺒﻲ‬ ‫ﺍﻟﻁﻭﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻭﻗﺕ‬ ‫ﻓﻲ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻟﻡ‬ ‫ﻷﻨﻪ‬(2)‫ﺤﺩﺜﺕ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬
‫ﺍﻹ‬ ‫ﺍﻟﻔﺘﺭﺘﻴﻥ‬ ‫ﻤﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺍﻟﻜﻠﻴﺔ‬ ‫ﻤﺩﺘﻬﺎ‬ ‫ﻓﺈﻥ‬ ،‫ﺍﻹﻴﺠﺎﺒﻲ‬ ‫ﺍﻟﻁﻭﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻨﻭﺒﺎﺕ‬‫ﻭﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﻴﺠﺎﺒﻴﺔ‬.
E-‫ﻤﺎﺩﺓ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﺍﺴﺘﺒﻌﺎﺩ‬/‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬:‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻟﻡ‬)‫ﺩﻭﺍﺀ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺇﺴﺎﺀﺓ‬ ،‫ﻤﺜﺎل‬(‫ﺃﻭ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬.
F-‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻼﻗﺔ‬:‫ﺘﺸﺨ‬ ‫ﻓﺈﻥ‬ ،‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺘﻭﺤﺩﻱ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﻗﺼﺔ‬ ‫ﺜﻤﺔ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﻴﻭﻀﻊ‬ ‫ﻟﻠﻔﺼﺎﻡ‬ ‫ﹰ‬‫ﺎ‬‫ﺇﻀﺎﻓﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻴﺼ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬)‫ﺒﻨﺠﺎﺡ‬ ‫ﻋﻭﻟﺠﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻗل‬ ‫ﺃﻭ‬.(
‫ﻟﻠﻔﺼﺎﻡ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬:
‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﻭﻗﺕ‬ ‫ﺍﻟﺴﺎﺌﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻁﺭﻴﻕ‬ ‫ﻋﻥ‬ ‫ﹸﺼﺎﻡ‬‫ﻔ‬‫ﻟﻠ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﹸﺤﺩﺩ‬‫ﺘ‬.
■295.30‫ﺍﻟﺯﻭﺭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬Paranoid Type
‫ﺍﻟ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﺴﺘﻭﻓﻲ‬ ‫ﻔﺼﺎﻡ‬:
A-‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺒﻭﻫﻡ‬ ‫ﺍﻻﺴﺘﻐﺭﺍﻕ‬.
B-‫ﹰ‬‫ﺍ‬‫ﺒﺎﺭﺯ‬ ‫ﻴﻠﻲ‬ ‫ﻤﺎ‬ ‫ﻟﻴﺱ‬:‫ﻤﺸﻭﺵ‬ ‫ﻜﻼﻡ‬)‫ﻤﻨﻅﻡ‬ ‫ﻏﻴﺭ‬(‫ﻤﺸﻭﺵ‬ ‫ﺴﻠﻭﻙ‬ ،)‫ﻤﻨﻅﻡ‬ ‫ﻏﻴﺭ‬(‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺴﻁﺢ‬ ‫ﻭﺠﺩﺍﻥ‬ ‫ﺃﻭ‬ ،‫ﺠﺎﻤﻭﺩﻱ‬ ‫ﺃﻭ‬.
■295.10‫ﺍﻟﻤﺸﻭﺵ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﻤﻨﻅﻡ‬ ‫ﻏﻴﺭ‬(Disorganised Type
‫ﻴﺴﺘﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻲ‬:
A-‫ﺒﺎﺭﺯ‬ ‫ﻴﻠﻲ‬ ‫ﻤﺎ‬ ‫ﺠﻤﻴﻊ‬:
(1)‫ﻤﺸﻭﺵ‬ ‫ﻜﻼﻡ‬.
(2)‫ﻤﺸﻭﺵ‬ ‫ﺴﻠﻭﻙ‬.
(3)‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺴﻁﺢ‬ ‫ﻭﺠﺩﺍﻥ‬.
B-‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﻭﺍﻓﻕ‬ ‫ﻻ‬.
■295.20‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﻜﺘﺎﺘﻭﻨﻲ‬(Catatonic Type
‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﺜﻨﺎﻥ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺼﻭﺭﺘﻪ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬:

79. 78
(1)‫ﺒﺎﻟﺘﺨﺸﺏ‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﻻﺤﺭﻜﻴﺔ‬)‫ﺍﻟﺸﻤﻌﻴﺔ‬ ‫ﺍﻟﻤﺭﻭﻨﺔ‬ ‫ﺫﻟﻙ‬ ‫ﻭﻴﺸﻤل‬(‫ﺍﻟﺫﻫﻭل‬ ‫ﺃﻭ‬.
(2)‫ﻤﻔﺭﻁﺔ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﻓﻌﺎﻟﻴﺔ‬)‫ﺨﺎﺭﺠﻲ‬ ‫ﺒﻤﻨﺒﻪ‬ ‫ﺘﺘﺄﺜﺭ‬ ‫ﻭﻻ‬ ‫ﻫﺩﻑ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻭﻫﻲ‬.(
(3)‫ﻗﺼﻭﻯ‬ ‫ﻤﻌﺎﻨﺩﺓ‬)‫ﺍﻟﺘﺤﺭﻴﻙ‬ ‫ﻤﺤﺎﻭﻻﺕ‬ ‫ﻜﺎﻓﺔ‬ ‫ﺘﻌﺎﻜﺱ‬ ‫ﻤﺘﺼﻠﺒﺔ‬ ‫ﻌﺔ‬‫ﻀ‬‫ﻭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻌﻠﻴﻤﺎﺕ‬ ‫ﻟﻜل‬ ‫ﻟﻬﺎ‬ ‫ﻏﺭﺽ‬ ‫ﻻ‬ ‫ﻤﻘﺎﻭﻤﺔ‬ ‫ﻭﻫﻲ‬(‫ﻤﺎﺕ‬‫ﺼ‬ ‫ﺃﻭ‬.
(4)‫ﻭﻀﻌﻴﺔ‬ ‫ﺒﺎﺘﺨﺎﺫ‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻹﺭﺍﺩﻴﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﻓﻲ‬ ‫ﻏﺭﺍﺒﺔ‬)‫ﹰ‬‫ﺎ‬‫ﺇﺭﺍﺩﻴ‬ ‫ﻏﺭﻴﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﻼﺌﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻭﻀﻌﻴﺎﺕ‬ ‫ﺍﺘﺨﺎﺫ‬(‫ﺃﻭ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﺃﺴﻠﻭﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻨﻤﻁﻴﺔ‬ ‫ﺤﺭﻜﺎﺕ‬
‫ﺘﺸﻤﻴﺯ‬)‫ﺍﻟﻭﺠﻪ‬ ‫ﺘﻜﻠﻴﺢ‬(‫ﺒﺎﺭﺯ‬.
(5)‫ﺤﺭﻜﻲ‬ ‫ﺩﺍﺀ‬‫ﺼ‬ ‫ﺃﻭ‬ ‫ﺼﻭﺘﻲ‬ ‫ﺩﺍﺀ‬‫ﺼ‬.
■295.90‫ﺍﻟﻤﻤﻴﺯ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬Undifferentiated Type
‫ﺍﻷﻋﺭ‬ ‫ﻓﻴﻪ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﻠﺒﻲ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﺽ‬A‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺸﻭﺵ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺯﻭﺭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﺘﻁﻠﺒﺎﺕ‬ ‫ﺘﻔﻲ‬ ‫ﻻ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻟﻜﻥ‬ ،‫ﻤﻭﺠﻭﺩﺓ‬.
■295.60‫ﺍﻟﻤﺘﺒﻘﻲ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﺜﻤﺎﻟﻲ‬(Resudual Type
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺠﻤﻴﻊ‬ ‫ﻓﻴﻪ‬ ‫ﺘﺘﻭﻓﺭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬:
A-‫ﺍﻟﺴﻠ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻭﻜﺫﻟﻙ‬ ‫ﺍﻟﻤﺸﻭﺵ‬ ‫ﻭﺍﻟﻜﻼﻡ‬ ‫ﻭﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺍﻟﺒﺎﺭﺯﺓ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻏﻴﺎﺏ‬‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺸﻭﺵ‬ ‫ﺍﻟﻭﺍﻀﺢ‬ ‫ﻭﻙ‬.
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻋﺭﻀﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﻭﺍﺼل‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬A
‫ﻤﺨﻔﻔﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﺘﻭﺍﺠﺩ‬ ‫ﻭﺍﻟﺘﻲ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬)‫ﻤﺄﻟﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺨﺒﺭﺍﺕ‬ ،‫ﺴﺘﻐﺭﺒﺔ‬‫ﻤ‬ ‫ﺍﻋﺘﻘﺎﺩﺍﺕ‬ ،‫ﻤﺜل‬.(
‫ﺍﻟﻁﻭﻟﻲ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺘﺼﻨﻴﻑ‬‫ﻟﻠﻔﺼﺎﻡ‬
Classification of Longitudinal Course for Schizophrenia
‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬)‫ﺍﻟﻤﺤﺩﺩﺍﺕ‬(‫ﺍﻹﻴﺠﺎﺒﻴﺔ‬ ‫ﺍﻟﻤﺭﺤﻠﺔ‬ ‫ﻷﻋﺭﺍﺽ‬ ‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺔ‬ ‫ﺍﻨﻘﻀﺎﺀ‬ ‫ﺒﻌﺩ‬ ‫ﻓﻘﻁ‬:
‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬ ‫ﻨﻭﺒﻲ‬.‫ﺍﻟﻤﻌﻴﺎ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻰ‬‫ﺒ‬‫ﻠ‬‫ﻴ‬ ‫ﺒﻨﻭﺒﺎﺕ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﻴﺘﺼﻑ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬‫ﺭ‬A‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻭﻴﻜﻭﻥ‬ ‫ﻟﻠﻔﺼﺎﻡ‬
‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺒﺎﺭﺯﺓ‬.‫ﺇﻀﺎﻓﺔ‬ ‫ﻴﻤﻜﻥ‬‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬‫ﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﺍﻟﻔﺘﺭﺍﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺠﺩﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻨﻭﺒﻲ‬.‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻰ‬‫ﺒ‬‫ﻠ‬‫ﻴ‬ ‫ﺒﻨﻭﺒﺎﺕ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﻴﺘﺼﻑ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬A‫ﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻓﻲ‬‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺤﻴﺙ‬
‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬.
‫ﻤﺴﺘﻤﺭ‬.‫ﻟﻠﻤﻌﻴﺎﺭ‬ ‫ﺍﻟﻤﻤﻴﺯﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺘﻭﻓﻰ‬ ‫ﺤﻴﻥ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬A‫ﻜﺎﻤل‬ ‫ﺨﻼل‬)‫ﻤﻌﻅﻡ‬ ‫ﺃﻭ‬(‫ﺍﻟﺴﻴﺭ‬.‫ﺇﻀﺎﻓﺔ‬ ‫ﻴﻤﻜﻥ‬‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬
‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻤﻊ‬ ‫ﻤﻔﺭﺩﺓ‬ ‫ﻨﻭﺒﺔ‬.‫ﺍﻟ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺘﺴﺘﻭﻓﻲ‬ ‫ﻤﻔﺭﺩﺓ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻨﺩ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬A‫ﺍﻟﺸﻲﺀ‬ ‫ﺒﻌﺽ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻘﺎﺀ‬ ‫ﻤﻊ‬ ‫ﻟﻠﻔﺼﺎﻡ‬
‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬.‫ﺇﻀﺎﻓﺔ‬ ‫ﻴﻤﻜﻥ‬‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬‫ﺒﺎﺭﺯﺓ‬ ‫ﺴﻠﺒﻴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻀﻤﻨﺕ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬.
‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻤﻊ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬.‫ﻓﻴ‬ ‫ﻴﺴﺘﻭﻓﻰ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻨﺩ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻬﺎ‬A‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﻤﺘﺒﻘﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻘﺎﺀ‬ ‫ﺩﻭﻥ‬ ‫ﻟﻠﻔﺼﺎﻡ‬.

80. 79
‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﻨﻤﻭﺫﺝ‬.‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﺴﻴﺭ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻭﺠﺩ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺴﺘﺨﺩﻡ‬.
■295.40‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Schizophreni form Disorder
A-‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬A‫ﻭ‬D‫ﻭ‬E‫ﻤﺴﺘﻭﻓﺎﺓ‬.
B-‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺘﺴﺘﻤﺭ‬)‫ﻭﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﻭﺍﻟﻔﻌﺎﻟﺔ‬ ‫ﺍﻟﺒﺎﺩﺭﻴﺔ‬ ‫ﺍﻟﻤﺭﺍﺤل‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬(‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﻭﻟﻜﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬6‫ﺃﺸﻬﺭ‬) .‫ﻭﻀﻊ‬ ‫ﻀﺭﻭﺭﺓ‬ ‫ﻋﻨﺩ‬
‫ﻭﺼﻔﻪ‬ ‫ﻴﺠﺏ‬ ،‫ﺍﻟﺸﻔﺎﺀ‬ ‫ﺍﻨﺘﻅﺎﺭ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬»‫ﺒﺎﻟﻤﺅﻗﺕ‬«.(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻴﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺠﻴﺩﺓ‬ ‫ﺇﻨﺫﺍﺭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬.
‫ﺠﻴﺩﺓ‬ ‫ﺇﻨﺫﺍﺭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬:‫ﺒﺎﺜﻨﻴﻥ‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬:
(1)‫ﺍﻟﻤﻌﺘﺎﺩ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻓﻲ‬ ‫ﻅ‬‫ﺤ‬‫ﻼ‬‫ﻤ‬ ‫ﺘﻐﻴﺭ‬ ‫ﺃﻭل‬ ‫ﻤﻥ‬ ‫ﺍﻷﺭﺒﻌﺔ‬ ‫ﺍﻷﺴﺎﺒﻴﻊ‬ ‫ﻀﻤﻥ‬ ‫ﺍﻟﺒﺎﺭﺯﺓ‬ ‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻨﻭﺒﺔ‬.
(2)‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺫﺭﻭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺤﻴﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺨﻠﻴﻁ‬.
(3)‫ﺍﻟﻤﺭﺽ‬ ‫ﻗﺒل‬ ‫ﺠﻴﺩ‬ ‫ﻭﺍﺠﺘﻤﺎﻋﻲ‬ ‫ﻤﻬﻨﻲ‬ ‫ﻭﻅﻴﻔﻲ‬ ‫ﺃﺩﺍﺀ‬.
(4)‫ﺍﻟﻤﺴﻁﺢ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﺒﻠﺩ‬ ‫ﺍﻟﻭﺠﺩﺍﻥ‬ ‫ﻏﻴﺎﺏ‬.
■295.70‫ﺍﻟﻔﺼ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺎﻡ‬Schizoaffective Disorder
A-‫ﺍﻟﻭﻗﺕ‬ ‫ﻨﻔﺱ‬ ‫ﻓﻲ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺇﻤﺎ‬ ،‫ﻤﺎ‬ ‫ﻭﻗﺕ‬ ‫ﻓﻲ‬ ،‫ﺨﻼﻟﻬﺎ‬ ‫ﻴﻭﺠﺩ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﻥ‬ ‫ﻤﻨﻘﻁﻌﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻓﺘﺭﺓ‬
‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻴﺴﺘﻭﻓﻴﻬﺎ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻊ‬A‫ﻟﻠﻔﺼﺎﻡ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﻌﻴﺎ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬‫ﺭ‬A1:‫ﺍﻟﻤﻨﺨﻔﺽ‬ ‫ﺍﻟﻤﺯﺍﺝ‬.
B-‫ﺍﻟﺒﺎﺭﺯﺓ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺒﻐﻴﺎﺏ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺴﺒﻭﻋﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬ ،‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻔﺘﺭﺓ‬ ‫ﻨﻔﺱ‬ ‫ﺨﻼل‬ ‫ﻴﻭﺠﺩ‬.
C-‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﻥ‬ ‫ﻭﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﺍﻟﻔﻌﺎﻟﺔ‬ ‫ﻟﻠﻔﺘﺭﺍﺕ‬ ‫ﺍﻟﻜﻠﻴﺔ‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﻤﻥ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺠﺯﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻠﺒﻲ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻭﺠﺩ‬.
D-‫ﺍﻻﻀ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﻁﺭﺍﺏ‬)‫ﺩﻭﺍﺀ‬ ‫ﺃﻭ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻟﻨﻤﻁ‬:‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﻀﻤﻥ‬ ‫ﺇﺫﺍ‬)‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻭﻨﻭﺒﺎﺕ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬.(
‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻟﻨﻤﻁ‬:‫ﺍﻜﺘﺌﺎﺒﻴ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﻀﻤﻥ‬ ‫ﺇﺫﺍ‬‫ﻓﻘﻁ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺔ‬.

81. 80
■297.1‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬Delusional Disorder
A-‫ﻏﺭﻴﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﻭﻫﺎﻡ‬)‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺒﻭﺒ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺨﻤﻭﺠ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺴﻤﻭﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻘ‬‫ﺤ‬‫ﻤﻼ‬ ‫ﺍﻟﻤﺭﺀ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻤﺜل‬ ،‫ﺍﻟﻭﺍﻗﻌﻴﺔ‬ ‫ﺍﻟﺤﻴﺎﺓ‬ ‫ﻓﻲ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻤﻭﺍﻗﻑ‬ ‫ﺘﺘﻀﻤﻥ‬ ،‫ﺃﻱ‬
‫ﻤﺭﺽ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺃﻭ‬ ‫ﻌﺩ‬‫ﺒ‬(‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬.
B-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺴﺘﻭﻑ‬‫ﻴ‬ ‫ﻟﻡ‬A‫ﺍﻟ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬‫ﻔﺼﺎﻡ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻟﺸﻤﻴﺔ‬ ‫ﺍﻟﻠﻤﺴﻴﺔ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺘﻭﺠﺩ‬ ‫ﻗﺩ‬
‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺒﺎﻟﻤﻭﻀﻭﻉ‬.
C-‫ﺒﺠﻼﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﺎﺫ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺭﻴﺒ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺃﻥ‬ ‫ﻜﻤﺎ‬ ،‫ﻭﺍﻀﺤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻴﺨﺘل‬ ‫ﻻ‬ ،‫ﺘﻅﺎﻫﺭﺍﺘﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﺍﺴﺘﺒﻌﺩﻨﺎ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬.
D-‫ﺍﻟﻤﺯﺍ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺤﺩﺜﺕ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﺘﻭﻫﻤﻴﺔ‬ ‫ﺍﻟﻔﺘﺭﺍﺕ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺒﺎﻟﻘﻴﺎﺱ‬ ‫ﻭﺠﻴﺯﺓ‬ ‫ﺍﻟﻜﻠﻴﺔ‬ ‫ﻤﺩﺘﻬﺎ‬ ‫ﻓﺈﻥ‬ ،‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻤﻊ‬ ‫ﺒﺎﻟﺘﺯﺍﻤﻥ‬ ‫ﺠﻴﺔ‬.
E-‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬)‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻟﻤﻭﻀﻭﻉ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻨﺎﺀ‬ ‫ﺤﺩﺩﺕ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬:(
‫ﺍ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻨﻤﻁ‬‫ﻟﻬﻭﺴﻲ‬:‫ﺍﻟﺸﺨﺹ‬ ‫ﻤﻊ‬ ‫ﺤﺏ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ،‫ﻋﻠﻴﺎ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻁﺒﻘﺔ‬ ‫ﻤﻥ‬ ‫ﻭﻋﺎﺩﺓ‬ ،‫ﺁﺨﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﺨﺼ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻷﻭﻫﺎﻡ‬.
‫ﺍﻟﻌﻅﻤﺔ‬ ‫ﻨﻤﻁ‬:‫ﻤﺸﻬﻭﺭ‬ ‫ﺒﺸﺨﺹ‬ ‫ﺃﻭ‬ ‫ﺒﺈﻟﻪ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻤﺘﻀﺨﻤﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺭﻓﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻠﻁﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻀﺨﻤﺔ‬ ‫ﺍﻟﻘﻴﻤﺔ‬ ‫ﺃﻭﻫﺎﻡ‬.
‫ﺍﻟﻐﻴﺭﺓ‬ ‫ﻨﻤﻁ‬:‫ﻤﺨﻠﺹ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻷﻭﻫﺎﻡ‬.
‫ﺍﻻ‬ ‫ﺍﻟﻨﻤﻁ‬‫ﻀﻁﻬﺎﺩﻱ‬:‫ﺍﻟﺸﺨﺹ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻷﻭﻫﺎﻡ‬)‫ﻟﺩﻴﻪ‬ ‫ﺏ‬‫ﺭ‬‫ﻤﻘ‬ ‫ﻤﺎ‬ ‫ﺃﺤﺩ‬ ‫ﺃﻭ‬(‫ﻤﺎ‬ ‫ﺒﻁﺭﻴﻘﺔ‬ ‫ﺒﺨﺒﺙ‬ ‫ل‬‫ﻤ‬‫ﻴﻌﺎ‬.
‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬:‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﺴﺩﻴ‬ ‫ﹰ‬‫ﻼ‬‫ﺨﻠ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻷﻭﻫﺎﻡ‬.
‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﻨﻤﻁ‬:‫ﻤﻨﻬﺎ‬ ‫ﻤﻭﻀﻭﻉ‬ ‫ﺃﻱ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺫﻜﻭﺭﺓ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﻤﻤﻴﺯﺓ‬ ‫ﺃﻭﻫﺎﻡ‬.
‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬.
■298.8‫ﺍﻟﻭﺠﻴﺯ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬Brief Psychotic Disorder
A-‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻭﺠﻭﺩ‬:
(1)‫ﺃﻭﻫﺎﻡ‬.
(2)‫ﺃﻫﻼﺴﺎﺕ‬.
(3)‫ﻤﺸﻭﺵ‬ ‫ﻜﻼﻡ‬)‫ﺍﻟﺘﻔﻜﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻁﻁ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻤﺘﻜﺭﺭ‬ ‫ﺍﻟﺨﺭﻭﺝ‬ ‫ﻤﺜل‬.(
(4)‫ﻓﺎﻀﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺠﺎﻤﻭﺩﻱ‬ ‫ﺃﻭ‬ ‫ﻤﺸﻭﺵ‬ ‫ﺴﻠﻭﻙ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﺴﺘﺠﺎﺒ‬ ‫ﻨﻤﻁ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﺭﻀ‬ ‫ِﺝ‬‫ﺭ‬‫ﹸﺩ‬‫ﺘ‬ ‫ﻻ‬‫ﹰ‬‫ﺎ‬‫ﺜﻘﺎﻓﻴ‬ ‫ﺠﺎﺌﺯ‬ ‫ﺔ‬)‫ﹰ‬‫ﺎ‬‫ﺤﻀﺎﺭﻴ‬.(

82. 81
B-‫ﺍﻟﻤﺭﺽ‬ ‫ﻗﺒل‬ ‫ﻤﺎ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻨﻬﺎﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻜﺎﻤﻠﺔ‬ ‫ﻋﻭﺩﺓ‬ ‫ﻤﻊ‬ ‫ﺸﻬﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﻭﻟﻜﻥ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻴﻭﻡ‬ ‫ﻫﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﺩﺓ‬.
C-‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻭﻟﻴﺱ‬ ‫ﺒﻔﺼﺎﻡ‬ ‫ﺃﻭ‬ ‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﹸﺼﺎﻡ‬‫ﻓ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬
‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬)‫ﺩﻭﺍﺀ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻴﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻭﺍﻀﺢ‬ ‫ﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﻤﻊ‬)‫ﺍﺭﺘﻜﺎﺴﻲ‬ ‫ﺫﻫﺎﻥ‬/‫ﺘﻔﺎﻋﻠﻲ‬/‫ﻭﺠﻴﺯ‬:(‫ﺃﻭ‬ ‫ﻤﻨﻔﺭﺩﺓ‬ ،‫ﺃﺤﺩﺍﺙ‬ ‫ﻋﻠﻰ‬ ‫ﻜﺎﺴﺘﺠﺎﺒﺔ‬ ‫ﻭﺒﻭﻀﻭﺡ‬ ‫ﻭﺠﻴﺯﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺤﺩﺜﺕ‬ ‫ﺇﺫﺍ‬
‫ﺘﻘﺭﻴ‬ ‫ﻜﺎﻥ‬ ‫ﻱ‬‫ﺃ‬ ‫ﻋﻠﻰ‬ ‫ﺸﺩﺓ‬ ‫ﺫﺍﺕ‬ ‫ﺒﻭﻀﻭﺡ‬ ‫ﺴﺘﻜﻭﻥ‬ ،‫ﻤﺠﺘﻤﻌﺔ‬‫ﺍﻟﻔﺭﺩ‬ ‫ﺜﻘﺎﻓﺔ‬ ‫ﻨﻔﺱ‬ ‫ﻭﻓﻲ‬ ‫ﺍﻟﻅﺭﻭﻑ‬ ‫ﻨﻔﺱ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺒ‬.
‫ﻭﺍﻀﺢ‬ ‫ﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﺒﺩﻭﻥ‬:‫ﺴﺘﻜﻭﻥ‬ ،‫ﻤﺠﺘﻤﻌﺔ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻔﺭﺩﺓ‬ ،‫ﺃﺤﺩﺍﺙ‬ ‫ﻋﻠﻰ‬ ‫ﻜﺎﺴﺘﺠﺎﺒﺔ‬ ‫ﻭﺍﻀﺢ‬ ‫ﻭﺒﺸﻜل‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻔﺭﺩ‬ ‫ﺜﻘﺎﻓﺔ‬ ‫ﻨﻔﺱ‬ ‫ﻭﻓﻲ‬ ‫ﺍﻟﻅﺭﻭﻑ‬ ‫ﻨﻔﺱ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻜﺎﻥ‬ ‫ﻱ‬‫ﺃ‬ ‫ﻋﻠﻰ‬ ‫ﺸﺩﺓ‬ ‫ﺫﺍﺕ‬ ‫ﺒﻭﻀﻭﺡ‬.
‫ﺍﻟﻭﻻﺩﺓ‬ ‫ﻋﻘﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬:‫ﻜﺎﻨ‬ ‫ﺇﺫﺍ‬‫ﻟﻠﻭﻻﺩﺓ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﺭﺒﻌﺔ‬ ‫ﺍﻷﺴﺎﺒﻴﻊ‬ ‫ﻀﻤﻥ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺕ‬.
■297.3‫ﺍﻟﻤﺸﺎﺭﻙ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﻻﺜﻨﻴﻥ‬ ‫ﺤﻤﺎﻗﺔ‬(
Shared Psychotic Disorder (Folie à deux)
A-‫ﺸﺨﺹ‬ ‫ﻤﻊ‬ ‫ﻟﺼﻴﻘﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﺘﻁﻭﺭ‬ ‫ﻭﻫﻡ‬)‫ﺁﺨﺭﻴﻥ‬ ‫ﺃﺸﺨﺎﺹ‬ ‫ﺃﻭ‬(‫ﺒﺎﻷﺼل‬ ‫ﺜﺎﺒﺕ‬ ‫ﻭﻫﻡ‬ ‫ﻟﺩﻴﻪ‬.
B-‫ﻟﻭﻫﻡ‬ ‫ﻤﻀﻤﻭﻨﻪ‬ ‫ﻓﻲ‬ ‫ﻤﺸﺎﺒﻪ‬ ‫ﺍﻟﻭﻫﻡ‬‫ﺍﻷﺼل‬ ‫ﻓﻲ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻭﻫﻡ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺸﺨﺹ‬.
C-‫ﺁﺨﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺄﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬)‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﺜل‬(‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻫﻭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬
‫ﻤﺜل‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬)‫ﺩﻭﺍﺀ‬ ‫ﺃﻭ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■293.XX‫ﻨﺎﺠ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻋﻥ‬ ‫ﻡ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
A-‫ﺒﺎﺭﺯﺓ‬ ‫ﺃﻭﻫﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺃﻫﻼﺴﺎﺕ‬.
B-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻋﺎﻗﺒﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺄﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬.
D-‫ﺃﺜﻨﺎ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺀ‬.
‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﺃﺴﺎﺱ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬:
81‫ﺃﻭﻫﺎﻡ‬ ‫ﻤﻊ‬:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻫﻲ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
82‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻫﻲ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.

83. 82
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I،‫ﻤﺜﺎل‬ ،293.81‫ﺭﺌ‬ ‫ﻭﺭﻡ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﺨﺒﻴﺙ‬ ‫ﺔ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺒﺨﺼﻭﺹ‬.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﻤﺜﺎل‬ ،‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﺒﺘﺭﻤﻴﺯ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﺇﻟﻰ‬ ‫ِﺭ‬‫ﺸ‬‫ﺃ‬ ،‫ﺍﻟﻭﻋﺎﺌﻲ‬ ‫ﺍﻟﻌﺘﻪ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺠﺯﺀ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬290.42‫ﻤﻊ‬ ،‫ﻭﻋﺎﺌﻲ‬ ‫ﻋﺘﻪ‬
‫ﺃﻭﻫﺎﻡ‬.
■‫ﺍﻟﻤﺤ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺩﺙ‬
Substance-Induced Psychotic Disorder
A-‫ﺒﺎﺭﺯﺓ‬ ‫ﺃﻭﻫﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺃﻫﻼﺴﺎﺕ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺒﺄﻨﻬﺎ‬ ‫ﺒﺼﻴﺭﺓ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﻥ‬‫ﻤ‬‫ﹸﻀ‬‫ﺘ‬ ‫ﻻ‬.
B-‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬(1)‫ﺃﻭ‬(2)
(1)‫ﺍﻟﻤﻌﻴ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻁﻭﺭﺕ‬‫ﺎﺭ‬A‫ﻋﻨﻬﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻥ‬ ‫ﺸﻬﺭ‬ ‫ﻀﻤﻥ‬ ‫ﺃﻭ‬ ‫ﺨﻼل‬.
(2)‫ﺒﺎﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﺫﻭ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
C-‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬.‫ﻗﺩ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺤﺩﺙ‬‫ﻤ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﺘﻌ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻟﺩﻻﺌل‬
‫ﻴﻠﻲ‬ ‫ﻤﺎ‬ ‫ﺘﺘﻀﻤﻥ‬:‫ﺍﺴﺘ‬ ‫ﺒﺩﺀ‬ ‫ﺘﺴﺒﻕ‬ ‫ﺍﻷﻋﺭﺍﺽ‬‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺨﺩﺍﻡ‬)‫ﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬(‫ﺍﻟﺯﻤﻥ‬ ‫ﻤﻥ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫؛‬)‫ﺍﻟﺸﻬﺭ‬ ‫ﺤﻭﺍﻟﻲ‬ ،‫ﻤﺜﺎل‬(‫ﺒﻌﺩ‬
‫ﻤﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻤﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻜﻤﻴﺔ‬ ‫ﺒﺎﻻﻋﺘﺒﺎﺭ‬ ‫ﺃﺨﺫﻨﺎ‬ ‫ﺇﺫﺍ‬ ‫ﺘﻭﻗﻌﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻤﺎ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﻭﻗﻑ‬
‫ﻴ‬ ‫ﺁﺨﺭ‬ ‫ﹰ‬‫ﻼ‬‫ﺩﻟﻴ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ؛‬‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﻟﻴﺱ‬ ‫ﻤﺴﺘﻘل‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻘﺘﺭﺡ‬)‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻗﺼﺔ‬ ،‫ﻤﺜﺎل‬
‫ﺒﺎﻟﻤﻭﺍﺩ‬.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻴﺼﺎﺤﺏ‬ ‫ﻤﺎ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺤﻴﻥ‬ ‫ﻓﻘﻁ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻭﻀ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﺫﺍ‬ ‫ﻭﻀﻊ‬ ‫ﻴﺠﺏ‬
‫ﻋﺎ‬‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﺘﺒﺎﻫ‬ ‫ﻟﺘﺴﺘﻭﺠﺏ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺤﻴﻥ‬ ‫ﻭﻜﺫﻟﻙ‬ ،‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺩﺓ‬.
‫ﻤﺤﺩﺙ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬]‫ﻨﻭﻋﻴﺔ‬ ‫ﺒﻤﺎﺩﺓ‬:[
)291.5‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻜﺤﻭل‬291.3‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬291.11‫ﺃﻤﻔﻴﺘﺎﻤﻴﻥ‬]‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬[‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،292.12‫ﺃﻤﻔﻴﺘ‬‫ﺎﻤﻴﻥ‬]‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬
‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬[‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬ ،292.11‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﺍﻟﺤﺸﻴﺵ‬292.12‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬ ‫ﺍﻟﺤﺸﻴﺵ‬292.11‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬292.12
‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ‬292.11‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ‬292.12‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬ ،‫ِﺴﺎﺕ‬‫ﻭ‬‫ﺍﻟﻤﻬﻠ‬292.11‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﹶﺸﻭﻕ‬‫ﻨ‬292.12‫ﻤﻊ‬ ،‫ﹶﺸﻭﻕ‬‫ﻨ‬
‫ﺃﻫﻼﺴﺎﺕ؛‬292.11‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﺃﻓﻴﻭﻥ‬292.12‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬ ،‫ﺃﻓﻴﻭﻥ‬292.11‫ﻓﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬]‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬[‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،292.12
‫ﻓﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬]‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬[‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬ ،292.11‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،‫ﻗﻠﻕ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﻤﻬﺩﺉ‬292.12‫ﻤﻀﺎﺩ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﻤﻬﺩﺉ‬
‫ﻗﻠ‬‫ﺃﻫﻼﺴﺎﺕ؛‬ ‫ﻤﻊ‬ ،‫ﻕ‬292.11‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬[‫ﺃﻭﻫﺎﻡ؛‬ ‫ﻤﻊ‬ ،292.12‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬[‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﻤﻊ‬ ،.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻅﺎﻫﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﻴﻌﺘﻤﺩ‬.‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬)‫ﻤ‬ ‫ﺍﻟﺠﺩﻭل‬ ‫ﺍﻨﻅﺭ‬‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﺃﺠل‬ ‫ﻥ‬:(
‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﺴﺘﻭﻓﻴﺕ‬ ‫ﺇﺫﺍ‬.

84. 83
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬:‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺒﻌﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﺴﺘﻭﻓﻴﺕ‬ ‫ﺇﺫﺍ‬.
■298.9‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬
Psychotic Disorder Not otherwise Specified
‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺘﻀﻤﻥ‬)‫ﻓﺎﻀﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﺠﺎﻤﻭﺩﻱ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺸﻭﺵ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺸﻭﺵ‬ ‫ﺍﻟﻜﻼﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ،‫ﺃﻱ‬(‫ﺍﻟﺘﻲ‬
‫ﻫﻨ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﻤﺤﺩﺩ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺒﺨﺼﻭﺼﻬﺎ‬ ‫ﺘﺘﻭﻓﺭ‬ ‫ﻻ‬‫ﻻ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﻭ‬ ،‫ﺒﺸﺄﻨﻬﺎ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻌﺎﺭﻀ‬ ‫ﺎﻙ‬
‫ﻨﻭﻋﻲ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺴﺘﻭﻓﻲ‬.
‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﻭﺘﺘﻀﻤﻥ‬:
1-‫ﻨﺎﺠﻡ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﻭﺠﻴﺯ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﻠﺒﻲ‬ ‫ﻻ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺫﻫﺎﻥ‬
‫ﺍﻀ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬‫ﺒﻤﺎﺩﺓ‬ ‫ﺙ‬‫ﺩ‬‫ﺤ‬‫ﻤ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﻁﺭﺍﺏ‬.
2-‫ﹶ‬‫ﻑ‬‫ﹸﺴﺘﻭ‬‫ﺘ‬ ‫ﻟﻡ‬ ‫ﻭﺠﻴﺯ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﺈﻥ‬ ‫ﻭﺒﺎﻟﺘﺎﻟﻲ‬ ،‫ﺒﻌﺩ‬ ‫ﺘﻬﺠﻊ‬ ‫ﻟﻡ‬ ‫ﻟﻜﻨﻬﺎ‬ ‫ﺸﻬﺭ‬ ‫ﻤﻥ‬ ‫ﻷﻗل‬ ‫ﺍﺴﺘﻤﺭﺕ‬ ‫ﻗﺩ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬.
3-‫ﺃﺨﺭﻯ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻴﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﺴﻤﻌﻴﺔ‬ ‫ﺃﻫﻼﺴﺎﺕ‬.
4-‫ﺠﻭﻫ‬ ‫ﻟﺠﺯﺀ‬ ‫ﺍﺴﺘﻤﺭﺕ‬ ‫ﻤﺯﺍﺠﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺘﺭﺍﻜﺏ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺍﺕ‬ ‫ﻤﻊ‬ ‫ﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﻤﺴﺘﻐﺭﺒﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭﻫﺎﻡ‬‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺭﻱ‬.
5-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺒﺩﺌﻴ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻗﺎﺩﺭ‬ ‫ﻏﻴﺭ‬ ‫ﻭﻟﻜﻨﻪ‬ ،‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﻗﺭﺍﺭ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﻭﺼل‬ ‫ﺤﺎﻻﺕ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﺃﻭ‬.
‫اﻟﻤﺰاج‬ ‫اﺿﻄﺮاﺑﺎت‬
Mood Disorders
‫ﺃﻗﺴﺎﻡ‬ ‫ﺜﻼﺜﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻴﻘﺴﻡ‬.‫ﺍﻷﻭل‬ ‫ﺍﻟﻘﺴﻡ‬ ‫ﻴﺼﻑ‬‫ﺍﻟ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬‫ﻤﺯﺍﺠﻴﺔ‬)‫ﺘﺤﺕ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬
‫ﺍﻟﻬﻭﺴﻴﺔ‬(‫ﺍﻟﻤﺨﺘﻠﻔﺔ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻏﺭﺽ‬ ‫ﺘﻼﺌﻡ‬ ‫ﻟﻜﻲ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻤﻨﻔﺼل‬ ‫ﺒﺸﻜل‬ ‫ﺃﺩﺭﺠﺕ‬ ‫ﺍﻟﺘﻲ‬.‫ﺭﻭﺍﻤﻴﺯ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻟﻬﺫﻩ‬ ‫ﻟﻴﺱ‬ ‫ﺇﺫ‬
‫ﻤﻨ‬ ‫ﻜﻴﻨﻭﻨﺎﺕ‬ ‫ﺒﺎﻋﺘﺒﺎﺭﻫﺎ‬ ‫ﺘﺸﺨﻴﺼﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻭﻻ‬ ،‫ﺒﺎﻟﺨﺎﺼﺔ‬ ‫ﺘﺸﺨﻴﺼﻴﺔ‬‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺃﺴﺎﺱ‬ ‫ﻜﺄﺤﺠﺎﺭ‬ ‫ﺘﺨﺩﻡ‬ ‫ﻟﻜﻨﻬﺎ‬ ،‫ﻔﺼﻠﺔ‬.
‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻟﺜﺎﻨﻲ‬ ‫ﺍﻟﻘﺴﻡ‬ ‫ﻴﺘﻀﻤﻥ‬‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ،‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ،‫ﻤﺜل‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﺤﺩﺙ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬.(‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﻁﻠﺏ‬‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﻤﻌﻅﻡ‬
‫ﺍﻟﻔﺼل‬ ‫ﻤﻥ‬ ‫ﺍﻷﻭل‬ ‫ﺍﻟﺠﺯﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻭﺼﻭﻓﺔ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬.‫ﻓﻴﺘﻀﻤﻥ‬ ‫ﺍﻟﺜﺎﻟﺙ‬ ‫ﺍﻟﻘﺴﻡ‬ ‫ﺃﻤﺎ‬‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬‫ﺃﻭ‬ ‫ﺤﺩﺍﺜﺔ‬ ‫ﺍﻷﻜﺜﺭ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺇﻤﺎ‬ ‫ﺘﺼﻑ‬ ‫ﺍﻟﺘﻲ‬
‫ﺍﻟﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺴﻴﺭ‬.
‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬Mood Episodes
■‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬Major Depressive Episode
A-‫ﺃﻋﺭﺍﺽ‬ ‫ﺨﻤﺴﺔ‬ ‫ﻭﺠﻭﺩ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻭﺍﺤﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ،‫ﺍﻟﺴﺎﺒﻕ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺘﻐﻴﺭ‬ ‫ﺘﻤﺜل‬ ‫ﻭﺍﻟﺘﻲ‬ ،‫ﺃﺴﺒﻭﻋﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬
‫ﺇﻤﺎ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬(1)‫ﺃﻭ‬ ‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬(2)‫ﺍﻟﻤﺘﻌﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻓﻘﺩ‬.

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‫ﻤﻼﺤﻅﺔ‬:‫ﻋ‬ ‫ﺠﻠﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻨﺎﺠﻤﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬‫ﻀ‬‫ﺘ‬ ‫ﻻ‬‫ﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻤﻨﺴﺠﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﺃﻭ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻥ‬.
(1)‫ﹰ‬‫ﺎ‬‫ﺫﺍﺘﻴ‬ ‫ﺇﻤﺎ‬ ‫ﻋﻨﻪ‬ ‫ﺭ‬‫ﺒ‬‫ﻌ‬‫ﻴ‬‫ﻭ‬ ،‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ،‫ﺍﻟﻴﻭﻡ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬)‫ﺒﺎﻟﻔﺭﺍﻍ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺤﺯﻥ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ‫ﻤﺜل‬(‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﻅ‬‫ﺤ‬‫ﻴﻼ‬ ‫ﺃﻭ‬)‫ﻤﺜل‬
‫ﹰ‬‫ﺎ‬‫ﺩﺍﻤﻌ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺯﻴﻨ‬ ‫ﻴﺒﺩﻭ‬ ‫ﺃﻥ‬.(
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﺭﺍﻫﻘﻴﻥ‬.
(2)‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻴﻭﻡ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻭﺫﻟﻙ‬ ‫ﻤﻌﻅﻤﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻤﺘﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺍﻨﺨﻔﺎﺽ‬) (‫ﺫﻟﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻭﻴﺴﺘﺩل‬
‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺒﻤﻼﺤﻅﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺘﻴﺔ‬ ‫ﺒﺎﻟﺭﻭﺍﻴﺔ‬.(
(3)‫ﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺤﻤﻴﺔ‬ ‫ﺒﻐﻴﺎﺏ‬ ‫ﺒﺎﺭﺯ‬ ‫ﻭﺯﻥ‬ ‫ﻓﻘﺩ‬)‫ﻤ‬ ‫ﻷﻜﺜﺭ‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﻐﻴﺭ‬ ،‫ﻤﺜل‬‫ﻥ‬5%‫ﺍﻟﺸﻬﺭ‬ ‫ﻓﻲ‬(‫ﺃﻭ‬ ‫ﺍﻟﺸﻬﻴﺔ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻭ‬
‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ،‫ﺯﻴﺎﺩﺘﻬﺎ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ،‫ﺍﻟﻤﺘﻭﻗﻊ‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬ ،‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻀﻊ‬.
(4)‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ‫ﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﺃﺭﻕ‬.
(5)‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ،‫ﺘﻌﻭﻴﻕ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬)‫ﺒﺎﻟﺘﻤ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺃﺤﺎﺴﻴﺱ‬ ‫ﻤﺠﺭﺩ‬ ‫ﻭﻟﻴﺱ‬ ،‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﻤﻼﺤﻅ‬‫ﺍﻟﺒﻁﺎﺀﺓ‬ ‫ﺃﻭ‬ ‫ﻠﻤل‬.(
(6)‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ‫ﻁﺎﻗﺔ‬ ‫ﻓﻘﺩ‬ ‫ﺃﻭ‬ ‫ﺘﻌﺏ‬.
(7)‫ﺒﺎﻟﺫﻨﺏ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺭﻁ‬ ‫ﺸﻌﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻴﻤﺔ‬ ‫ﺒﺎﻨﻌﺩﺍﻡ‬ ‫ﺃﺤﺎﺴﻴﺱ‬)‫ﹰ‬‫ﺎ‬‫ﺘﻭﻫﻤﻴ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﻭﺍﻟﺫﻱ‬(‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﻟﻭﻡ‬ ‫ﻤﺠﺭﺩ‬ ‫ﻭﻟﻴﺱ‬ ،‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬
‫ﹰ‬‫ﺎ‬‫ﻤﺭﻴﻀ‬ ‫ﻟﻜﻭﻨﻪ‬ ‫ﺒﺎﻟﺫﻨﺏ‬ ‫ﺸﻌﻭﺭ‬.(
(8)‫ﺍﻟﺤﺴﻡ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻔﻜﻴﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺍﻨﺨﻔﺎﺽ‬‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬ ،)‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﻅ‬‫ﺤ‬‫ﻤﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺫﺍﺘﻴ‬ ‫ﻋﻨﻪ‬ ‫ﺭ‬‫ﺒ‬‫ﻤﻌ‬ ‫ﺇﻤﺎ‬.(
(9)‫ﺍﻟﻤﻭﺕ‬ ‫ﻋﻥ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺃﻓﻜﺎﺭ‬)‫ﻓﻘﻁ‬ ‫ﺍﻟﻤﻭﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻭﻟﻴﺱ‬(‫ﺨﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻨﺘﺤﺎﺭ‬ ‫ﻤﺤﺎﻭﻟﺔ‬ ‫ﺃﻭ‬ ،‫ﻤﺤﺩﺩﺓ‬ ‫ﺨﻁﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺍﻨﺘﺤﺎﺭﻱ‬ ‫ﺘﻔﻜﻴﺭ‬ ‫ﺃﻭ‬ ،
‫ﻟﻼﻨﺘﺤﺎﺭ‬ ‫ﻤﺤﺩﺩﺓ‬.
B-‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬.
C-‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬.
D-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﺍﻟﺩﺭﻕ‬ ‫ﻗﺼﻭﺭ‬ ‫ﻤﺜل‬.(
E-‫ﺒﺼﻭﺭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬‫ﻭﻅﻴﻔﻲ‬ ‫ﺒﺎﺨﺘﻼل‬ ‫ﺘﺘﺼﻑ‬ ‫ﺃﻭ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﺇﺫ‬ ،‫ﻋﺯﻴﺯ‬ ‫ﻓﻘﺩ‬ ‫ﺒﻌﺩ‬ ،‫ﺃﻱ‬ ،‫ﺍﻟﻔﻘﺩ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺓ‬
‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﺘﻌﻭﻴﻕ‬ ‫ﺃﻭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻨﺘﺤﺎﺭﻱ‬ ‫ﺘﻔﻜﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻴﻤﺔ‬ ‫ﺒﺎﻨﻌﺩﺍﻡ‬ ‫ﻤﺭﻀﻲ‬ ‫ﺍﻨﺸﻐﺎل‬ ‫ﺃﻭ‬ ‫ﻜﺒﻴﺭ‬.
■‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬Manic Episode
A-‫ﺸﺎﺫﺓ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻓﺘﺭﺓ‬‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺴﺒﻭﻉ‬ ‫ﻟﻤﺩﺓ‬ ‫ﻴﺴﺘﻤﺭ‬ ‫ﻭﺤﻴﺙ‬ ،‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺘﻤﺩﺩ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺭﺘﻔﻌ‬ ‫ﻭﻤﺘﻭﺍﺼﻠﺔ‬)‫ﻓﺘﺭﺓ‬ ‫ﺃﻱ‬ ‫ﺃﻭ‬
‫ﹰ‬‫ﺎ‬‫ﻀﺭﻭﺭﻴ‬ ‫ﺍﻻﺴﺘﺸﻔﺎﺀ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.(

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B-‫ﺃﻋﺭﺍﺽ‬ ‫ﺜﻼﺜﺔ‬ ،‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﺍﺴﺘﻤﺭﺕ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬)‫ﻓﻘﻁ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﺭﺒﻌﺔ‬(
‫ﻤﻭﺠﻭﺩ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﻭﻜﺎﻨﺕ‬‫ﻤﻬﻤﺔ‬ ‫ﺩﺭﺠﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺓ‬:
(1)‫ﻋﻅﻤﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺘﻘﺩﻴﺭ‬ ‫ﺘﻀﺨﻡ‬.
(2)‫ﺍﻟﻨﻭﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺤﺎﺠﺔ‬ ‫ﺍﻨﺨﻔﺎﺽ‬)‫ﻨﻭﻡ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺎﻟﺭﺍﺤﺔ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬3‫ﻓﻘﻁ‬ ‫ﺴﺎﻋﺎﺕ‬.(
(3)‫ﺍﻟﻜﻼﻡ‬ ‫ﻓﻲ‬ ‫ﻟﻼﺴﺘﻤﺭﺍﺭ‬ ‫ﺍﻟﻀﻐﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺘﺎﺩ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺜﺭﺜﺭﺓ‬.
(4)‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﺒﺘﺴﺎﺒﻕ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺨﺒﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﺘﻁﺎﻴﺭ‬.
(5)‫ﺍﻟﺘﺸﺘﺕ‬)‫ﺒﺴ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﺘﺤﻭﻴل‬ ‫ﺃﻱ‬‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﻭ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺨﺎﺭﺠﻴﺔ‬ ‫ﻤﺜﻴﺭﺍﺕ‬ ‫ﺇﻟﻰ‬ ‫ﻬﻭﻟﺔ‬.(
(6)‫ﺍﻟﻬﺎﺩﻑ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﺍﺯﺩﻴﺎﺩ‬)‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﺃﻭ‬ ‫ـ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ـ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﺠﺘﻤﺎﻋﻴ‬ ‫ﺇﻤﺎ‬(‫ﺤﺭﻜﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻫﻴﻭﺠﻴﺔ‬ ‫ﺃﻭ‬.
(7)‫ﻤﺅﻟﻤﺔ‬ ‫ﻟﻌﻭﺍﻗﺏ‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﺇﻤﻜﺎﻨﻴﺔ‬ ‫ﺘﺤﻤل‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻤﺘﻌﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻻﻨﻐﻤﺎﺱ‬)‫ﺃﻭ‬ ‫ﺸﺭﺍﺀ‬ ‫ﻋﻤﻠﻴﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺇﺴﺭﺍﻑ‬ ،‫ﻤﺜل‬‫ﺃﻭ‬ ‫ﺠﻨﺴﻲ‬ ‫ﻁﻴﺵ‬
‫ﺍﻷﻋﻤﺎل‬ ‫ﻤﺠﺎل‬ ‫ﻓﻲ‬ ‫ﺤﻤﻘﺎﺀ‬ ‫ﺍﺴﺘﺜﻤﺎﺭﺍﺕ‬.(
C-‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬.
D-‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺼﺭﻴﺤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﻟﻴﺴﺒﺏ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬.‫ﺘﻁ‬ ‫ﻫﺫﺍ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ،‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺫﺍﺕ‬ ‫ﺍﻷﺫﻯ‬ ‫ﻟﻤﻨﻊ‬ ‫ﺍﻻﺴﺘﺸﻔﺎﺀ‬ ‫ﻠﺏ‬.
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬)‫ﺃﺨﺭﻯ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﺃﻭ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬
‫ﻋﺎﻤﺔ‬)‫ﺍﻟﺩﺭﻕ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬ ‫ﻤﺜل‬.(
‫ﻤﻼﺤﻅﺔ‬:‫ﺍ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺸﺒﻪ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﺩﻡ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﻟﻼﻜﺘﺌﺎﺏ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺴﺒﺒﺘﻬﺎ‬ ‫ﻟﺘﻲ‬)‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ،‫ﺍﻟﻤﺨﻠﺠﺔ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ،‫ﺍﻷﺩﻭﻴﺔ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻀﻭﺌﻴﺔ‬(‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻜﺎﻀﻁﺭﺍﺏ‬I.
■‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬Mixed Episode
A-‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻭﺍﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻥ‬ ‫ﱟ‬‫ل‬‫ﻜ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﱡﻕ‬‫ﻘ‬‫ﺘﺤ‬)‫ﺍﻟﻤﺩﺓ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬(‫ﺃﺴﺒﻭﻉ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻡ‬ ‫ﻜل‬‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬.
B-‫ﻤﻊ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺃﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺼﺭﻴﺤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﻟﻴﺴﺒﺏ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻜﻭﻥ‬
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺃﻭ‬ ،‫ﺒﺎﻵﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﺍﺕ‬ ‫ﺍﻷﺫﻯ‬ ‫ﺇﻟﺤﺎﻕ‬ ‫ﻟﻤﻨﻊ‬ ‫ﺍﻻﺴﺘﺸﻔﺎﺀ‬ ‫ﻟﻴﺘﻁﻠﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭﻴﻥ‬.
C-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬)‫ﺃﺨﺭﻯ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﺃﻭ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ‫ﺃﻭ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬
‫ﻋﺎﻤﺔ‬)‫ﺍﻟﺩﺭﻕ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬ ‫ﻤﺜل‬.(
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﻋﻥ‬ ‫ﻭﺍﻟﻨﺎﺠﻤﺔ‬ ‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺸﺒﻪ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﺩﻡ‬ ‫ﻴﻨﺒﻐﻲ‬)‫ﺍﻟﺤﻴﻭﻴﺔ‬(‫ﻟﻼﻜﺘﺌﺎﺏ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬)‫ﺍ‬ ‫ﻤﺜل‬‫ﺒﺎﻟﺘﺨﻠﻴﺞ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ،‫ﻟﺩﻭﺍﺀ‬
‫ﺍﻟﻀﻭﺌﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ،‫ﺍﻟﻜﻬﺭﺒﺎﺌﻲ‬(‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬I.
■‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻟﻨﻭﺒﺔ‬Hypomanic Episode

87. 86
A-‫ﻟﻔﺘﺭﺓ‬ ‫ﺘﺩﻭﻡ‬ ‫ﻭﻫﻲ‬ ،‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺘﻤﺩﺩ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺭﺘﻔﻌ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﻭﺒﺸﻜل‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺘﻤﻴﺯﺓ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻓﺘﺭﺓ‬4‫ﻴﻜﻭﻥ‬ ‫ﻭﺤﻴﺙ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﻴﺎﻡ‬
‫ﻤ‬ ‫ﺍﻟﻤﺯﺍﺝ‬‫ﺍﻻﻋﺘﻴﺎﺩﻱ‬ ‫ﺍﻟﻤﻨﺨﻔﺽ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺨﺘﻠﻔ‬.
B-‫ﺜﻼﺜﺔ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻴﺘﻭﺍﺠﺩ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬)‫ﻓﻘﻁ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺃﺭﺒﻌﺔ‬(‫ﻤﻬﻤﺔ‬ ‫ﺩﺭﺠﺎﺕ‬ ‫ﺇﻟﻰ‬:
(1)‫ﺍﻟﻌﻅﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺘﻘﺩﻴﺭ‬ ‫ﺘﻀﺨﻡ‬.
(2)‫ﺍﻟﻨﻭﻡ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺤﺎﺠﺔ‬ ‫ﺍﻨﺨﻔﺎﺽ‬)‫ﻨ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺎﻟﻜﻔﺎﻴﺔ‬ ‫ﺍﻟﻤﺭﻴﺽ‬ ‫ﻴﺸﻌﺭ‬ ،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬‫ﻭﻡ‬3‫ﻓﻘﻁ‬ ‫ﺴﺎﻋﺎﺕ‬.(
(3)‫ﺍﻟﻜﻼﻡ‬ ‫ﻟﻤﺘﺎﺒﻌﺔ‬ ‫ﺍﻟﻀﻐﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺘﺎﺩ‬ ‫ﻤﻥ‬ ‫ﺜﺭﺜﺭﺓ‬ ‫ﺃﻜﺜﺭ‬.
(4)‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﺒﺘﺴﺎﺒﻕ‬ ‫ﺫﺍﺘﻴﺔ‬ ‫ﺨﺒﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﺘﻁﺎﻴﺭ‬.
(5)‫ﺍﻟﺘﺸﺘﺕ‬)‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺨﺎﺭﺠﻴﺔ‬ ‫ﻤﺜﻴﺭﺍﺕ‬ ‫ﻨﺤﻭ‬ ‫ﺒﺴﻬﻭﻟﺔ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ل‬‫ﻭ‬‫ﺘﺤ‬ ‫ﺃﻱ‬.(
(6)‫ﺍﻟﻬﺎﺩﻑ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﺍﺯﺩﻴﺎﺩ‬)‫ﺍﻟﻤﺩﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ،‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺇﻤﺎ‬‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺃﻭ‬ ،‫ﺴﺔ‬(‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﻫﻴﺎﺝ‬ ‫ﺃﻭ‬.
(7)‫ﻤﺅﻟﻤﺔ‬ ‫ﻟﻌﻘﺎﺒﻴل‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﺇﻤﻜﺎﻨﻴﺔ‬ ‫ﺘﺤﻤل‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻤﺘﻌﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﻤﻔﺭﻁ‬ ‫ﺍﻨﻐﻤﺎﺱ‬)‫ﻁﻴﺵ‬ ‫ﺃﻭ‬ ،‫ﻤﻘﻴﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺴﺭﻓﺔ‬ ‫ﺸﺭﺍﺀﺍﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﺨﺭﺍﻁ‬ ‫ﻤﺜل‬
‫ﺍﻷﻋﻤﺎل‬ ‫ﻤﺠﺎل‬ ‫ﻓﻲ‬ ‫ﺤﻤﻘﺎﺀ‬ ‫ﺍﺴﺘﺜﻤﺎﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺠﻨﺴﻲ‬.(
C-‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ،‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﻓﻴﻪ‬ ‫ﻟﺒﺱ‬ ‫ﻻ‬ ‫ﺘﺒﺩل‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻴﺼﺎﺤﺏ‬‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻨﺩ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻌﻬﻭﺩ‬.
D-‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺭ‬‫ﻴ‬‫ﻭﺍﻟﺘﻐ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻅ‬‫ﺤ‬‫ﻴﻼ‬.
E-‫ﻤﻅﺎﻫﺭ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻭﻻ‬ ،‫ﻟﻼﺴﺘﺸﻔﺎﺀ‬ ‫ﺍﻻﺤﺘﻴﺎﺝ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺼﺭﻴﺤ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﻟﺘﺴﺒﺏ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻻ‬
‫ﺫﻫﺎﻨﻴﺔ‬.
F-‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬)‫ﺃﺨﺭﻯ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﺃﻭ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ‫ﺃﻭ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬
‫ﻋﺎﻤﺔ‬)‫ﺍﻟﺩﺭﻕ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬ ‫ﻤﺜل‬.(
‫ﻤﻼﺤﻅﺔ‬:‫ﺠﺴﺩﻱ‬ ‫ﻋﻼﺝ‬ ‫ﻋﻥ‬ ‫ﻭﺍﻟﻨﺎﺠﻤﺔ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺒﺘﺤﺕ‬ ‫ﺍﻟﺸﺒﻴﻬﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﺩﻡ‬ ‫ﻴﻨﺒﻐﻲ‬)‫ﺤﻴﻭﻱ‬(‫ﻟﻼﻜﺘﺌﺎﺏ‬ ‫ﻤﻀﺎﺩ‬)‫ﺒﺎﻟﺘﺨﻠ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ،‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﻤﺜل‬‫ﻴﺞ‬
‫ﺍﻟﻀﻭﺌﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ،‫ﺍﻟﻜﻬﺭﺒﺎﺌﻲ‬(‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬II.
‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬Depressive Disorders
■296.2X‫ﻤﻔﺭﺩﺓ‬ ‫ﻨﻭﺒﺔ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Major Depressive Disorder, Single Episode
A-‫ﻤﻔﺭﺩﺓ‬ ‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻭﺠﻭﺩ‬.
B-‫ﺍﻻﻜﺘﺌ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻓﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺭﺍﻜﺒﺔ‬‫ﻤ‬ ‫ﻟﻴﺴﺕ‬ ‫ﻭﻫﻲ‬ ،‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﻓﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺎﺒﻴﺔ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺘﻭﻫﻤﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﻓﺼﺎﻤﻲ‬.

88. 87
C-‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺜﻤﺔ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﻴﻜﻥ‬ ‫ﻟﻡ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻜﺎ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻻﺴﺘﺒﻌﺎﺩ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬ ‫ﻻ‬‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺜﺔ‬ ،‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺒﺘﺤﺕ‬ ‫ﺍﻟﺸﺒﻴﻬﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﺸﺒﻴﻬﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﺸﺒﻴﻬﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺠﻤﻴﻊ‬ ‫ﻨﺕ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺒﻤﻌﺎﻟﺠﺔ‬.
‫ﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺤﺎﻟﺘﻬﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬/‫ﻤﻅﺎﻫﺭﻫﺎ‬ ‫ﺃﻭ‬:
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬
‫ﻤﺯﻤﻨﺔ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬)‫ﻜﺘﺎﺘﻭﻨﻴﺔ‬(
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬)‫ﻤﻴﻼﻨﺨﻭﻟﻴﺔ‬(
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﻟﻼﻀﻁ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﺍﻷﻜﺜﺭ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺭﺍﺏ‬
‫ﺤﺩﺍﺜﺔ‬)‫ﺍﻷﺤﺩﺙ‬:(
‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﻤﺯﻤﻥ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﻻﺤﻘ‬ ‫ﺍﻨﻅﺭ‬.
■296.3X‫ﺍﻟﻤﻌﺎﻭﺩ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Major Depressive Disorder, Recurrent
A-‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻨﻭﺒﺘﻴﻥ‬ ‫ﻭﺠﻭﺩ‬.

89. 88
‫ﻤﻼﺤﻅﺔ‬:‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺨﻼﻟﻬﻤﺎ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺘﺎﻟﻴﻴﻥ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺒﻴﻨﻬﻤﺎ‬ ‫ﻓﺎﺼل‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﻤﻨﻔﺼﻠﺘﻴﻥ‬ ‫ﻨﻭﺒﺘﻴﻥ‬ ‫ﺍﻋﺘﺒﺎﺭﻫﻤﺎ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬.
B-‫ﺍﻟﻨﻭﺒﺎ‬ ‫ﺘﻌﻠل‬ ‫ﻻ‬‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻓﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺭﺍﻜﺒﺔ‬‫ﻤ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻜﻤﺎ‬ ،‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﻓﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺕ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺘﻭﻫﻤﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﻓﺼﺎﻤﻲ‬.
C-‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻥ‬ ‫ﻟﻡ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍ‬ ‫ﻫﺫﺍ‬ ‫ﻕ‬‫ﺒ‬‫ﻴﻁ‬ ‫ﻻ‬‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺸﺒﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺸﺒﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺸﺒﻪ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺠﻤﻴﻊ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻻﺴﺘﺒﻌﺎﺩ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﻜﺎﻨﺕ‬.
‫ﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺤﺎﻟﺘﻬﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬/‫ﺃﻭ‬‫ﻤﻅﺎﻫﺭﻫﺎ‬:
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬/‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬
‫ﻤﺯﻤﻨﺔ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬ ‫ﻟﺠﺴﻴﻡ‬:
‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻻ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺍﻟﻁﻭﻻﻨﻴﺔ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬(
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬
■‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬Recording Procedures

90. 89
3-‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺸﺩﺘﻬﺎ‬ ‫ﺇﻟﻰ‬ ‫ﻴﺸﻴﺭ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﺈﻥ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬:
‫ﺍ‬ ‫ﺍﺨﺘﻴﺎﺭ‬ ‫ﻴﺠﺭﻱ‬‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﻟﺭﻭﺍﻤﻴﺯ‬)‫ﺍﻟﻤﻔﺭﺩﺓ‬ ‫ﺍﻟﻨﻭﺒﺔ‬]‫ﺍﻟﻭﺤﻴﺩﺓ‬[‫ﻭﺍﻟﻤﻌﺎﻭﺩﺓ‬(‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬:
1-‫ﻫﻲ‬ ‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﺜﻼﺜﺔ‬ ‫ﺍﻷﺭﻗﺎﻡ‬296.
2-‫ﺇﻤﺎ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺭﺍﺒﻊ‬ ‫ﺍﻟﺭﻗﻡ‬2)‫ﻓﻘﻁ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬(‫ﺃﻭ‬3)‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.(
1،‫ﺍﻟﺸﺩﺓ‬ ‫ﻟﻠﺨﻔﻴﻔﺔ‬2،‫ﺍﻟﺸﺩﺓ‬ ‫ﻟﻠﻤﺘﻭﺴﻁﺔ‬3،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻟﻠﺸﺩﻴﺩﺓ‬4‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻟﻠﺸﺩﻴﺩﺓ‬.
‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﺈﻥ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﻭﺇﺫﺍ‬‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﻴﺸﻴﺭ‬ ‫ﺍﻟﺨﺎﻤﺱ‬
‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬:5،‫ﺍﻟﺠﺯﺌﻴﺔ‬ ‫ﻟﻠﻬﺩﺃﺓ‬6‫ﺍﻟﺘﺎﻤﺔ‬ ‫ﻟﻠﻬﺩﺃﺓ‬.‫ﺤﻴﻨﺌﺫ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻴﻜﻭﻥ‬ ،‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺸﺩﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬0.‫ﻭﻻ‬
‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬.
‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﺒﺎﻟﺘﺭﺘﻴﺏ‬ ‫ﺍﻟﻤﺼﻁﻠﺤﺎﺕ‬ ‫ﺇﺩﺭﺍﺝ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺍﺴﻡ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻋﻨﺩ‬:‫ﺍﻟﺭﺍﺒﻊ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﺭﻤﺯ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)،‫ﻤﺜل‬
‫ﺍﻟﻤﻌﺎﻭﺩ‬(‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﺭﻤﺯ‬ ،)‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﺨﻔﻴﻔﺔ‬ ،‫ﻤﺜﺎل‬(‫ﻋﺩﻴﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻭﻫﻨﺎﻙ‬ ،)‫ﺒﺩﻭﻥ‬
‫ﺭﻭﺍﻤﻴﺯ‬(‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻕ‬)‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﻤﺜل‬(‫ﻋﺩﻴﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻭﻤﺤ‬ ،)‫ﺭﻭﺍﻤﻴﺯ‬ ‫ﺒﺩﻭﻥ‬(‫ﺘﻁﺒﻕ‬
‫ﺍﻟﻨﻭﺏ‬ ‫ﺴﻴﺭ‬ ‫ﻋﻠﻰ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﻜﺎﻤل‬ ‫ﺸﻔﺎﺀ‬ ‫ﻤﻊ‬ ،‫ﻤﺜل‬:(،‫ﻤﺜﺎل‬296.32‫ﻤﻊ‬ ،‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﺘﻭﺴﻁ‬ ،‫ﻤﻌﺎﻭﺩ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺸﻔﺎﺀ‬ ‫ﻤﻊ‬ ،‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﻜﺎﻤل‬.
■300.4‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Dysthymic Disorder
A-‫ﻟﺫﻟﻙ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺒﻤﻼﺤﻅﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺘﻲ‬ ‫ﺒﺎﻟﻭﺼﻑ‬ ‫ﺇﻤﺎ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺘﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ،‫ﺍﻷﻴﺎﻡ‬ ‫ﺃﻜﺜﺭ‬ ،‫ﺍﻟﻴﻭﻡ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻭﻴﺠﺏ‬ ،‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺔ‬ ‫ﻤﺩﺓ‬.
B-‫ﺘﻅﺎﻫﺭﻴﻥ‬ ‫ﻭﺠﻭﺩ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬:
(1)‫ﺍﻷﻜل‬ ‫ﻓﻲ‬ ‫ﺯﻴﺎﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺸﻬﻴﺔ‬ ‫ﻀﻌﻑ‬.
(2)‫ﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﺃﺭﻕ‬.
(3)‫ﺘﻌﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﺎﻗﺔ‬ ‫ﺍﻨﺨﻔﺎﺽ‬.
(4)‫ﺍﻟﺫﺍﺕ‬ ‫ﻗﻴﻤﺔ‬ ‫ﺍﻨﺨﻔﺎﺽ‬.
(5)‫ﺍﻟﻘﺭﺍﺭﺍﺕ‬ ‫ﺍﺘﺨﺎﺫ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﻀﻌﻑ‬.
(6)‫ﺍﻷﻤل‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﻤﺸﺎﻋﺭ‬)‫ﺍﻟﻼﺠﺩﻭﻯ‬.(
C-‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﻨﺘﻲ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺸﺨﺹ‬ ُ‫ل‬‫ﻴﺨ‬ ‫ﻟﻡ‬)‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﻟﻸﻁﻔﺎل‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺴﻨﺔ‬(‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬A‫ﻭ‬B
‫ﻤﺘﻭﺍﺼﻠﻴﻥ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺘﺯﻴﺩ‬ ‫ﻟﻤﺩﺓ‬.

91. 90
D-‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻷﻭﻟﻴﻥ‬ ‫ﺍﻟﻌﺎﻤﻴﻥ‬ ‫ﺨﻼل‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬)‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﻟﻸﻁﻔﺎل‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺴﻨﺔ‬(‫ﺃﻱ‬ ‫؛‬‫ﺘﻌﻠﻴل‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ‫ﺃﻨﻪ‬
‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻤﺯﻤﻥ‬ ‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺸﺭﻁ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺤﺩﺜﺕ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬)‫ﻁﻭﺍل‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻷﻋﺭﺍﺽ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻻ‬
‫ﺸﻬﺭﻴﻥ‬(‫ﺍﻀﻁﺭﺍ‬ ‫ﺘﻁﻭﺭ‬ ‫ﻗﺒل‬‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺏ‬.‫ﺍﻷﻭﻟﻴﻥ‬ ‫ﺍﻟﻌﺎﻤﻴﻥ‬ ‫ﻭﺒﻌﺩ‬ ،‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬)‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﻟﻸﻁﻔﺎل‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻋﺎﻡ‬(‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬
‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﻥ‬ ‫ﻜﻼ‬ ‫ﻭﻀﻊ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻜﻬﺫﻩ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻭﻓﻲ‬ ‫ﺍﻟﺠﺴﻴﻡ؛‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺘﻀﺎﻑ‬ ‫ﻗﺩ‬ ،‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬
‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬.
E-‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﺘﻭﺠﺩ‬ ‫ﻟﻡ‬‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﻜﻤﺎ‬ ،‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬.
F-‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻜﺎﻟﻔﺼﺎﻡ‬ ‫ﻤﺯﻤﻥ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭﺩ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
G-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﺃ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻭ‬)‫ﺍﻟﺩﺭﻗﻴﺔ‬ ‫ﻗﺼﻭﺭ‬ ‫ﻤﺜل‬.(
H-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻤﺒﻜﺭ‬ ‫ﺒﺩﺀ‬:‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬21‫ﺴﻨﺔ‬.
‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬:‫ﻋﻤﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬21‫ﺃﻭ‬ ‫ﺴﻨﺔ‬‫ﺃﻜﺜﺭ‬.
‫ﺩ‬‫ﺩ‬‫ﺤ‬)‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺴﻨﺘﻴﻥ‬ ‫ﺁﺨﺭ‬ ‫ﻷﺠل‬:(
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬.
■311‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Depressive Disorder Not Otherwise Specified
‫ﻭﺍﻟ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺫﺍﺕ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ،‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﺌﺔ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺘﻲ‬
‫ﻤﺨﺘﻠﻁ‬ ‫ﻭﻗﻠﻕ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬.‫ﻴﻤﻜﻥ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﻜﺠﺯﺀ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺤﻴﺎﻨ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺘﻭﺍﺠﺩ‬ ‫ﺃﻥ‬.‫ﺍﻻﻀﻁ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺸﻤل‬‫ﻏﻴﺭ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺭﺍﺏ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬:
1-‫ﺍﻟﻌﻜﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﺘﻤﻠﻤل‬(Dysphoric‫ﺍﻟﻁﻤﺙ‬ ‫ﻗﺒل‬:‫ﺍﻟﻤﺎﻀﻴﺔ‬ ‫ﺍﻟﺴﻨﺔ‬ ‫ﻭﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﻁﻤﺜﻴﺔ‬ ‫ﺍﻟﺩﻭﺭﺍﺕ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﺩﺙ‬)‫ﻤﺜل‬
‫ﺒﺎﻷﻨﺸﻁﺔ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ،‫ﻭﺍﻀﺢ‬ ‫ﻭﺠﺩﺍﻨﻲ‬ ‫ﺘﻘﻠﻘل‬ ،‫ﻭﺍﻀﺢ‬ ‫ﻗﻠﻕ‬ ،‫ﺒﻭﻀﻭﺡ‬ ‫ﻤﻜﺘﺌﺏ‬ ‫ﻤﺯﺍﺝ‬(‫ﺍﻷﺴﺒﻭﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻤﻨﺘﻅﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬‫ﺍﻟﻁﻭﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻷﺨﻴﺭ‬
‫ﺍﻟﻠﻭﺘﻴﺌﻴﻨﻲ‬)‫ﺍﻟﻁﻤﺜﻴﺔ‬ ‫ﺍﻟﺩﻭﺭﺍﺕ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻥ‬ ‫ﺃﻴﺎﻡ‬ ‫ﺒﻀﻌﺔ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﻭﺘﻬﺠﻊ‬.(‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ﺒﻭﻀﻭﺡ‬ ‫ﺘﺅﺜﺭ‬ ‫ﺒﺤﻴﺙ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬
‫ﺍﻟﻁﻤﺜﻴﺔ‬ ‫ﺍﻟﺩﻭﺭﺍﺕ‬ ‫ﺒﻌﺩ‬ ‫ﺃﺴﺒﻭﻉ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺒﺎﻟﻜﺎﻤل‬ ‫ﻏﺎﺌﺒﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﺃﻥ‬ ‫ﺍﻟﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﺃﻭ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﻓﻲ‬DSM-IV-TR‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍ‬‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﻟﻤﻌﺎﻴﻴﺭ‬.(
2-‫ﺍﻷﺼﻐﺭﻱ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬:‫ﺍﻟﺒﻨﻭﺩ‬ ‫ﻋﻥ‬ ‫ﺘﻘل‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﻫﺫﻩ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺴﺒﻭﻋﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻋﻥ‬ ‫ﻋﺒﺎﺭﺓ‬
‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﻁﻠﻭﺒﺔ‬ ‫ﺍﻟﺨﻤﺴﺔ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(

92. 91
3-‫ﺍﻟﻤﻌﺎﻭﺩ‬ ‫ﺍﻟﻭﺠﻴﺯ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬:‫ﻭﺫﻟﻙ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺸﻬﺭ‬ ‫ﻓﻲ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻤﺭﺓ‬ ‫ﺘﺤﺩﺙ‬ ،‫ﺃﺴﺒﻭﻋﻴﻥ‬ ‫ﻭﺤﺘﻰ‬ ‫ﻴﻭﻤﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬
‫ﻟﻤﺩﺓ‬12‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬)‫ﺍﻟﻁﻤﺜﻴﺔ‬ ‫ﺍﻟﺩﻭﺭﺓ‬ ‫ﻤﻊ‬ ‫ﻤﺘﺭﺍﻓﻕ‬ ‫ﻏﻴﺭ‬(‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
4-‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬:‫ﺍﻟﺜﻤﺎﻟﻲ‬ ‫ﺍﻟﻁﻭﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬)‫ﺍﻟﻤﺘﺒﻘﻲ‬(‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﻥ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B
‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
5-‫ﻤﻥ‬ ‫ﺍﻟﻔﻌﺎل‬ ‫ﺍﻟﻁﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺘﻭﻫﻤﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻀﺎﻑ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬‫ﺍﻟﻔﺼﺎﻡ‬.
6-‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻫﺫﺍ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻗﺎﺩﺭ‬ ‫ﻏﻴﺭ‬ ‫ﻭﻟﻜﻨﻪ‬ ،‫ﻤﻭﺠﻭﺩ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻤﺅﺩﺍﻫﺎ‬ ‫ﻨﺘﻴﺠﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺼل‬ ‫ﺤﺎﻻﺕ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺜﺎﻨﻭﻴ‬.
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬Bipolar Disorder
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬IBipolar I Disorder
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﻤﻨﻔﺼﻠﺔ‬ ‫ﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﺴﺕ‬ ‫ﻭﻀﻌﺕ‬I:‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﻭﺤﻴﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬
‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻷﺤﺩﺙ‬.‫ﻨﻭﺒﺔ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺼﻁﻠﺢ‬ ‫ﻴﺴﺘﺨﺩﻡ‬
‫ﻭ‬ ‫ﻫﻭﺴﻴﺔ‬‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭل‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻟﻭﺼﻑ‬ ‫ﺤﻴﺩﺓ‬.‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﻟﺘﺤﺩﻴﺩ‬ ‫ﻓﺘﺴﺘﺨﺩﻡ‬ ‫ﺍﻟﻤﺘﺒﻘﻴﺔ‬ ‫ﺍﻟﻤﻌﻴﺎﺭﻴﺔ‬ ‫ﺍﻟﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﺃﻤﺎ‬
)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻤﺯﺍﺠﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﺤﺩﺙ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻋﻨﺩ‬.
■296.0X‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﻭﺤﻴﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ،
Bipolar I Disorder, Single Manic Episode
A-‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺤﺼﻭل‬ ‫ﺩﻭﻥ‬ ‫ﻓﻘﻁ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻭﺠﻭﺩ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻫﻭﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻤﺩﺘﻬﺎ‬ ‫ﻓﺎﺼﻠﺔ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﻁﻼﻗ‬ ‫ﺍﻟﻘﻁﺒﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺭ‬‫ﻴ‬‫ﺘﻐ‬ ‫ﺇﻤﺎ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﻌﺎﻭﺩﺓ‬ ‫ﻑ‬‫ﺭ‬‫ﹸﻌ‬‫ﺘ‬.
B-‫ﺃﻓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻭﻟﻴﺴﺕ‬ ‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﻀل‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.
‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻤﺨﺘﻠﻁﺔ‬:‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻜﺘﺌﺎﺒ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬‫ﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺤﺎﻟﺘﻬﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﻴﺔ‬/‫ﻤﻅﺎﻫﺭﻫﺎ‬ ‫ﺃﻭ‬:
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬/‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬

93. 92
‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬I‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬
‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬:
‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﻻﺤﻘ‬ ‫ﺍﻨﻅﺭ‬.
■296.40‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬Bipolar Disorder Most Recent Episode Hypomanic
A-‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬)‫ﹰ‬‫ﺎ‬‫ﺤﺩﻴﺜ‬ ‫ﺃﻭ‬(‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻓﻲ‬.
B-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺴﺎﺒﻕ‬ ‫ﻭﺠﻭﺩ‬.
C-‫ﻤﺠﺎﻻﺕ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬.
D-‫ﺍﻟ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬‫ﻤﻌﻴﺎﺭ‬A‫ﻭ‬B‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﻭﻫﻲ‬ ‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻁﻭﻻﻨﻴﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬(
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬)‫ﻓﻘ‬ ‫ﻴﻁﺒﻕ‬‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻋﻠﻰ‬ ‫ﻁ‬(
‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬)‫ﺘﻌﺎﻗﺏ‬(‫ﺴﺭﻴﻊ‬
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
■296.4X‫ﻫﻭﺴﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Bipolar I Disorder, Most Recent Episode Manic
A-‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻓﻲ‬.
B-‫ﺍﻷ‬ ‫ﻋﻠﻰ‬ ‫ﺴﺎﺒﻕ‬ ‫ﻭﺠﻭﺩ‬‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﻗل‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬A‫ﻭ‬B‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺸﻜل‬
‫ﻤﻜﺎ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬ ‫ﻥ‬.

94. 93
‫ﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺤﺎﻟﺘﻬﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬/‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬:
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬/‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬I‫ﻭ‬/‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬
‫ﺍﻷﺤﺩﺙ‬:
‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻁﻭﻻﻨﻴﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬(
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬)‫ﺍ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻋﻠﻰ‬ ‫ﻓﻘﻁ‬ ‫ﻴﻁﺒﻕ‬‫ﻟﺠﺴﻴﻤﺔ‬(
‫ﺴﺭﻴﻊ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
■296.6X‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Bipolar I Disorder, Most Recent Episode Mixed
A-‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻓﻲ‬.
B-‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﺎﺒﻕ‬ ‫ﻭﺠﻭﺩ‬‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬A‫ﻭ‬B‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﻭﻫﻲ‬ ،‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.
‫ﻟ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬‫ﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺤﺎﻟﺘﻬﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬/‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬:
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬/‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬

95. 94
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬I‫ﻭ‬/‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬
‫ﺍﻷﺤﺩﺙ‬:
‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻁﻭﻻﻨﻴﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬(
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬)‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻋﻠﻰ‬ ‫ﻓﻘﻁ‬ ‫ﻴﻁﺒﻕ‬(
‫ﺴﺭﻴﻊ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍ‬‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﻨﻅﺭ‬.
■296.5X‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Bipolar I Disorder, Most Recent Episode Depressed
A-‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻓﻲ‬.
B-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﺎﺒﻕ‬ ‫ﻭﺠﻭﺩ‬.
C-‫ﺍﻟﻤ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺯﺍﺝ‬A‫ﻭ‬B‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬.
‫ﺤﺎﻟﺘﻬﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬‫ﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬/‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬:
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﻌﺘﺩﻟﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬/‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬
‫ﻤﺯﻤﻨﺔ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬

96. 95
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍﻟﺭﺍﻫ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﻨﺔ‬I‫ﻭ‬/‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬
‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬:
‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﻤﺯﻤﻨﺔ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻁﻭﻻﻨﻴﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬(
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬)‫ﻴ‬‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻋﻠﻰ‬ ‫ﻓﻘﻁ‬ ‫ﻁﺒﻕ‬(
‫ﺴﺭﻴﻊ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
■296.7‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Bipolar I Disorder, Most Recent Episode Unspecified
A-‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(‫ﺍﻟﻤﺩﺓ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ،.
B-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺴﺎﺒﻕ‬ ‫ﻭﺠﻭﺩ‬.
C-‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬.
D-‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬A‫ﻭ‬B‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬.
E-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬A‫ﻭ‬B‫ﺘﺄﺜﻴﺭﺍ‬ ‫ﻋﻥ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺕ‬)‫ﺃﻭ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ‫ﺃﻭ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬
‫ﺃﺨﺭﻯ‬ ‫ﻤﻌﺎﻟﺠﺔ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﺍﻟﺩﺭﻗﻴﺔ‬ ‫ﻗﺼﻭﺭ‬ ،‫ﻤﺜل‬.(

97. 96
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻁﻭﻻﻨﻴﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺸﻔﺎﺀ‬ ‫ﻭﺒﺩﻭﻥ‬ ‫ﻤﻊ‬(
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬)‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻋﻠﻰ‬ ‫ﻓﻘﻁ‬ ‫ﻴﻁﺒﻕ‬(
‫ﺴﺭ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬‫ﻴﻊ‬
‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬Recording Procedures
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺍﺨﺘﻴﺎﺭ‬ ‫ﻴﺠﺭﻱ‬I‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬:
1-‫ﻫﻲ‬ ‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﺜﻼﺜﺔ‬ ‫ﺍﻷﺭﻗﺎﻡ‬296.
2-‫ﻫﻭ‬ ‫ﺍﻟﺭﺍﺒﻊ‬ ‫ﺍﻟﺭﻗﻡ‬0‫ﻭﺤﻴﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.‫ﺍ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺭﺍﺒﻊ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻴﺸﻴﺭ‬ ،‫ﺍﻟﻤﻌﺎﻭﺩﺓ‬ ‫ﻟﻠﻨﻭﺒﺎﺕ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺃﻤﺎ‬‫ﻟﺤﺎﻟﻴﺔ‬)،‫ﺃﻭ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻁﺒﻴﻌﺔ‬I‫ﺘﺎﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬(‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬ ‫ﻭﺫﻟﻙ‬:4‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬
،‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺔ‬5،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬6‫ﻭ‬ ،‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬7‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬‫ﻏﻴﺭ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬
‫ﻤﺤﺩﺩﺓ‬.
3-‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻴﺸﻴﺭ‬)‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﺩﺍ‬ ‫ﻓﻴﻤﺎ‬I‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،I‫ﻏﻴﺭ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،
‫ﺍﻟﻤﺤﺩﺩﺓ‬(‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺸﺩﺓ‬ ‫ﺇﻟﻰ‬:1‫ﺍ‬ ‫ﻟﻠﺨﻔﻴﻔﺔ‬،‫ﻟﺸﺩﺓ‬2‫ﻟﻠﻤﺘﻭﺴﻁﺔ‬
،‫ﺍﻟﺸﺩﺓ‬3،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻟﻠﺸﺩﻴﺩﺓ‬4‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬ ‫ﻟﻠﺸﺩﻴﺩﺓ‬.‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﻴﺸﻴﺭ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﺈﻥ‬ ،‫ﺠﺴﻴﻤﺔ‬I‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬:5،‫ﺍﻟﺠﺯﺌﻴﺔ‬ ‫ﻟﻠﻬﺩﺃﺓ‬6‫ﻟﻠﻬ‬‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺩﺃﺓ‬.‫ﺇﺫﺍ‬
‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻴﻜﻭﻥ‬ ،‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻜﺎﻨﺕ‬0.‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬I.
‫ﻫﻭ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ،‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬0‫ﹰ‬‫ﺎ‬‫ﺩﻭﻤ‬.‫ﺍﻟﻨ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬‫ﺍﻷﺤﺩﺙ‬ ‫ﻭﺒﺔ‬
‫ﺨﺎﻤﺱ‬ ‫ﺭﻗﻡ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻟﻴﺱ‬ ،‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬.
‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﺒﺎﻟﺘﺭﺘﻴﺏ‬ ‫ﺍﻟﺘﻌﺎﺒﻴﺭ‬ ‫ﹸﺩﺭﺝ‬‫ﺘ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﻤﺎ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺍﺴﻡ‬ ‫ﺘﺴﺠﻴل‬ ‫ﻋﻨﺩ‬:‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﺍﻟﺭﺍﺒﻊ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺭﻤﺯﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ،
)‫ﻫﻭﺴﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،‫ﻤﺜﺎل‬(‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺭﻤﺯﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ،)‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩ‬ ،‫ﺨﻔﻴﻑ‬ ،‫ﻤﺜﺎل‬‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬(‫ﻋﺩﺓ‬ ‫ﻭﻫﻨﺎﻙ‬ ،
‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺭﻭﺍﻤﻴﺯ‬ ‫ﺒﺩﻭﻥ‬(‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻕ‬)‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﻤﺜﺎل‬(‫ﻋﺩﻴﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺃﻥ‬ ‫ﻜﻤﺎ‬ ،
)‫ﺭﻭﺍﻤﻴﺯ‬ ‫ﺒﺩﻭﻥ‬(‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺴﻴﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻕ‬‫ﺒ‬‫ﺘﻁ‬)‫ﺴﺭﻴﻊ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬ ،‫ﻤﺜل‬(‫ﻤﺜﺎل‬ ‫؛‬296.54‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﺍﻟ‬ ،‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﻨﻭﺒﺔ‬
‫ﺴﺭﻴﻊ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬ ،‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬.
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻭﺤﻴﺩﺓ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻨﻪ‬ ‫ﻻﺤﻅ‬I‫ﺃﻨﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺇﻟﻰ‬ ‫ﺸﺎﺭ‬‫ﻴ‬‫ﻓﺴ‬ ،‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻫﻲ‬296.0X‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻘﻁﺏ‬I‫ﻤﺨﺘﻠﻁﺔ‬ ،‫ﻭﺤﻴﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ،.
■296.89‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺍﻟﻘﻁﺏ‬II)‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻤﻊ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬(
Bipolar II Disorder (Recurrent Major Depressive Episodes with Hypomanic Episodes)
A-‫ﻭﺠﻭﺩ‬)‫ﺤﺩﻭﺙ‬ ‫ﻗﺼﺔ‬ ‫ﺃﻭ‬(‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬.
B-‫ﻭﺠﻭﺩ‬)‫ﺤﺩﻭﺙ‬ ‫ﻗﺼﺔ‬ ‫ﺃﻭ‬(‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺔ‬.

98. 97
C-‫ﻋﻠﻰ‬ ‫ﺘﻭﺠﺩ‬ ‫ﻟﻡ‬‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺍﻹﻁﻼﻕ‬.
D-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﱠل‬‫ﻠ‬‫ﹸﻌ‬‫ﺘ‬ ‫ﻻ‬A‫ﻭ‬B‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﻭﻫﻲ‬ ‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬.
E-‫ﺍﻷﻋ‬ ‫ﺘﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺭﺍﺽ‬.
‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬:‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬.
‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬:‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬.
‫ﻭ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺤﺎﻟﺘﻬﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬/‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬:
‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬/‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺼﻔﺤﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺩﺩﺓ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﺭﻭﺍﻤﻴﺯ‬(198)‫ﺜ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺭﻤﺯ‬ ‫ﻷﻥ‬ ‫ﻫﻨﺎ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﻨﺎﺌﻲ‬II‫ﹸﺨﺩﻡ‬‫ﺘ‬‫ﻭﺍﺴ‬ ‫ﺴﺒﻕ‬ ‫ﻗﺩ‬
‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻟﻪ‬.
‫ﻤﺯﻤﻨﺔ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬II‫ﻭ‬/‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺃﻭ‬
‫ﺍﻻﻜ‬‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺘﺌﺎﺒﻴﺔ‬)‫ﻤﺯﺍﺠﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻤﻭﺫﺝ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬:(
‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ،‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺼﻔﺤﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺩﺩﺓ‬ ‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﺭﻭﺍﻤﻴﺯ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﺘﻌﺫﺭ‬198‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺭﻤﺯ‬ ‫ﻷﻥ‬ ‫ﻫﻨﺎ‬II‫ﺍﻟﺭﻗﻡ‬ ‫ﻭﺍﺴﺘﺨﺩﻡ‬ ‫ﺴﺒﻕ‬ ‫ﻗﺩ‬
‫ﺍﻟﺨﺎﻤﺱ‬.
‫ﻤﺯﻤﻨﺔ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬‫ﺴﻭﺩﺍﻭﻴﺔ‬

99. 98
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻁﻭﻻﻨﻴﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬(
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬)‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻋﻠﻰ‬ ‫ﻓﻘﻁ‬ ‫ﻴﻁﺒﻕ‬(
‫ﺴﺭﻴﻊ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬
■301.13‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Cyclothymic Disorder
A-‫ﻋﺩﻴﺩﺓ‬ ‫ﻓﺘﺭﺍﺕ‬ ‫ﻭﺠﻭﺩ‬‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺘﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻷﻋﺭﺍﺽ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﻭﻓﺘﺭﺍﺕ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻷﻋﺭﺍﺽ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺔ‬ ‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬.
B-‫ﺍﻟﺴﻨﺘﻴﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬)‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺴﻨﺔ‬(‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ُ‫ل‬‫ﻴﺨ‬ ‫ﻟﻡ‬A‫ﻤﺘﺘﺎﻟﻴﻴﻥ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺘﺯﻴﺩ‬ ‫ﻟﻤﺩﺓ‬.
C-‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻭﻟﻴﻴﻥ‬ ‫ﺍﻟﺴﻨﺘﻴﻥ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻻ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺴﻨﺘﻴﻥ‬ ‫ﺃﻭل‬ ‫ﺒﻌﺩ‬)‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺴﻨﺔ‬(‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﹸﻀﺎﻑ‬‫ﺘ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬)‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻓﻲ‬
‫ﻴ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ٍ‫ل‬‫ﻜ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻜﻥ‬I‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬(‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺃﻭ‬)‫ﻤﻥ‬ ‫ﻜل‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻓﻲ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬II‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬.(
D-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﹸﻌﻠل‬‫ﺘ‬ ‫ﻻ‬A‫ﻤ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﻫﺫﻩ‬ ‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺸﻜل‬‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺭﺍﻜﺒﺔ‬
‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﻓﺭﻁ‬ ،‫ﻤﺜل‬
‫ﺍﻟﺩﺭﻗﻴﺔ‬ ‫ﻨﺸﺎﻁ‬.(
F-‫ﺍﻷﻋ‬ ‫ﺘﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺭﺍﺽ‬.
■296.80‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Bipolar Disorder Not Otherwise Speicified
‫ﺁ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﺌﺔ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺫﺍﺕ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺨﺭ‬
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺸﻤل‬:
1-‫ﹰ‬‫ﺍ‬‫ﺠﺩ‬ ‫ﺴﺭﻴﻊ‬ ‫ﺘﺒﺩل‬)‫ﺃﻴﺎﻡ‬ ‫ﺨﻼل‬(‫ﻋﺘﺒﻭﻴﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻭﺃﻋﺭﺍﺽ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻴﻥ‬)‫ﺍﺴﺘﻬﻼﻟﻴﺔ‬(‫ﺘﺤﻘﻕ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻟﻸﻋﺭﺍﺽ‬
‫ﻟﻠﻨﻭﺒ‬ ‫ﺍﻟﺩﻨﻴﺎ‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﻤﻌﺎﻴﻴﺭ‬‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺎﺕ‬.

100. 99
2-‫ﺒﻴﻨﻬﺎ‬ ‫ﻓﻴﻤﺎ‬ ‫ﻤﺘﺩﺍﺨﻠﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺎﺕ‬.
3-‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻤﺘﺒﻘﻲ‬ ‫ﻓﺼﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺘﻭﻫﻤﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺭﺍﻜﺒﺔ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬.
4-‫ﺍﻜﺘﺌﺎﺒ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻤﻭﺍﺯﺍﺓ‬ ،‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﻨﻭﺒﺎﺕ‬‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺇﻁﻼﻕ‬ ‫ﻴﺘﻌﺫﺭ‬ ‫ﺒﺤﻴﺙ‬ ‫ﻭﻗﻭﻋﻬﺎ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻨﺩﺭﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻭﻫﺫﻩ‬ ،‫ﻤﺯﻤﻨﺔ‬ ‫ﻴﺔ‬
‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬.
5-‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺒﺩﺌﻴ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻗﺎﺩﺭ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻜﻨﻪ‬ ،‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻤﻔﺎﺩﻫﺎ‬ ‫ﻨﺘﻴﺠﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺘﻭﺼل‬ ‫ﺤﺎﻻﺕ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬.
‫ﺍﻟﻤ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬‫ﺍﻷﺨﺭﻯ‬ ‫ﺯﺍﺝ‬Other Mood Disorders
■293.83‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
A-‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﻭﻴﺘﺼﻑ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺼﻭﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻓﻲ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)ّ‫ل‬‫ﻜ‬(‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬:
(1)‫ﻤﻌ‬ ‫ﺃﻭ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺼﺭﻴﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻤﺘﻌﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻅﻡ‬.
(2)‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺘﻤﺩﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺭﺘﻔﻊ‬ ‫ﻤﺯﺍﺝ‬.
B-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻨﺘﻴﺠﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻻﺌل‬ ‫ﺜﻤﺔ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬)‫ﻜﺎﺴ‬ ‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬‫ﻭﺠﻭﺩ‬ ‫ﻤﻥ‬ ‫ﻟﺸﺩﺓ‬ ‫ﺘﺠﺎﺒﺔ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
E-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬:‫ﺍﻟﻤﺴﻴﻁ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻟﻜﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻨﺨﻔﻀ‬ ‫ﺭ‬.
‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺒﻨﻭﺒﺔ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬:‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬)‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬D(‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬.
‫ﻫﻭﺴﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬:‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﻤﻘ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺭﺘﻔﻌ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬:‫ﺇﺫﺍ‬‫ﻤﻨﻬﻤﺎ‬ ‫ﺃﻱ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻭﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻟﻬﻭﺱ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺠﺩﺕ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I،‫ﻤﺜﺎل‬ ،293.83‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﺩﺭﻗﻴﺔ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻨﻘﺹ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ؛‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺍ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬‫ﻟﺭﻭﺍﻤﻴﺯ‬.(

101. 100
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﺒﺘﺭﻤﻴﺯ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺇﻟﻰ‬ ‫ِﺭ‬‫ﺸ‬‫ﺃ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﻤﻭﺠﻭﺩ‬ ‫ﻭﻋﺎﺌﻲ‬ ‫ﻋﺘﻪ‬ ‫ﻤﻥ‬ ‫ﻜﺠﺯﺀ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺤﺩﺜﺕ‬ ‫ﺇﺫﺍ‬
،‫ﻤﺜﺎل‬ ،‫ﺍﻟﻤﻨﺎﺴﺏ‬290.43‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻭﻋﺎﺌﻲ‬ ‫ﺍﻟﻌﺘﻪ‬ ،.
■‫ﺒﻤﺎﺩﺓ‬ ‫ﺤﺩﺙ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Substance-Induced Mood Disorder
A-‫ﺍ‬‫ﻭﺍﺤﺩ‬ ‫ﺇﻤﺎ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﻭﻴﺘﻤﻴﺯ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺼﻭﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻓﻲ‬ ‫ﻭﻤﺴﺘﻤﺭ‬ ‫ﺒﺎﺭﺯ‬ ‫ﻀﻁﺭﺍﺏ‬)‫ﻜﻼ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﻴﻥ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﻴﻥ‬:
(1)‫ﻤﻌﻅﻤﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺘﻌﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺼﺭﻴﺢ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺨﻔﺽ‬ ‫ﻤﺯﺍﺝ‬.
(2)‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺘﻤﺩﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺭﺘﻔﻊ‬ ‫ﻤﺯﺍﺝ‬.
B-‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬(1)‫ﺃﻭ‬(2):
(1)‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺤﺩﺜﺕ‬A‫ﺫﻟﻙ‬ ‫ﻴﺘﻠﻭ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺸﻬﺭ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﻋﻨﻬﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺨﻼل‬.
(2)‫ﺒﺎﻻﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺒﺒﻴ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
C-‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬.‫ﺍﻟ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻗﺩ‬‫ﺒﺼﻭﺭﺓ‬ ‫ﻴﻌﻠﻠﻬﺎ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻻﺌل‬
‫ﻴﻠﻲ‬ ‫ﻤﺎ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻓﻀل‬:‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﺩﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﻕ‬)‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬(‫ﻤﻥ‬ ‫ﻤﻌﺘﺒﺭﺓ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫؛‬
‫ﺍﻟﻭﻗﺕ‬)‫ﺸﻬﺭ‬ ‫ﺤﻭﺍﻟﻲ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬(‫ﺠﻭﻫﺭﻱ‬ ‫ﺒﺸﻜل‬ ‫ﺘﺯﻴﺩ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺘﻭﻗﻑ‬ ‫ﺒﻌﺩ‬‫ﺁﺨﺫﻴﻥ‬ ‫ﺍﻨﺘﻅﺎﺭﻩ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻋﻤﺎ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻴﻘﺘﺭﺡ‬ ‫ﺁﺨﺭ‬ ‫ﹰ‬‫ﻼ‬‫ﺩﻟﻴ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ؛‬ ‫ﻤﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻤﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﺃﻭ‬ ‫ﻨﻤﻁ‬ ‫ﺍﻻﻋﺘﺒﺎﺭ‬ ‫ﺒﻌﻴﻥ‬
‫ﻤﺴﺘﻘﻠﺔ‬)‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻗﺼﺔ‬ ‫ﻤﺜل‬.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
E-‫ﻀﺎ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺌﻘﺔ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻋﻥ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺤﻴﻥ‬ ‫ﻓﻘﻁ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻭﻀ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻭﻀﻊ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﺍﻻﻨ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﻋﺎﺩﺓ‬ ‫ﺘﺼﺎﺤﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﺘﺒﺎﻫ‬ ‫ﻟﺘﺴﻭﻍ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﻋﻨﺩﻤﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺴﻤﺎﻡ‬.
‫ـ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺭﻤﺯ‬]‫ﻨﻭﻋﻴﺔ‬ ‫ﺒﻤﺎﺩﺓ‬:[
)291.89‫ﺍﻟﻜﺤﻭل؛‬292.84‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬]‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬[‫؛‬292.84‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ؛‬292.84‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ؛‬292.84‫ﺍﻟﻨﺸﻭﻕ؛‬292.84
‫ﺍﻷ‬‫ﻓﻴﻭﻨﺎﺕ؛‬292.84‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬]‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬[‫؛‬292.84‫ﺍﻟﻘﻠﻕ؛‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬292.84‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬]‫ﺃﻭ‬
‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬.([
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﻟﻠﻤﻌﺎﻟﺠﺎﺕ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬)‫ﺍﻟﻜﻬﺭﺒﺎﺌﻲ‬ ‫ﺒﺎﻟﺘﺨﻠﻴﺞ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﻤﺜل‬(‫ﺘﺭﻤﻴﺯ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬»‫ﺃﺨﺭﻯ‬ ‫ﻤﻭﺍﺩ‬«.‫ﺍﻨﻅﺭ‬
‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:

102. 101
‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬:‫ﹰ‬‫ﺎ‬‫ﻤﻨﺨﻔﻀ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﻫﻭﺴﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬:‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﻤﻘ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺭﺘﻔﻌ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬:‫ﻤﻨﻬﻤﺎ‬ ‫ﺃﻱ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﺩﻭﻥ‬ ‫ﻭﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻟﻬﻭﺱ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻭﺠﺩﺕ‬ ‫ﺇﺫﺍ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻨ‬ ‫ﻤﻊ‬‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻭﺒﺔ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻊ‬:‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺒﻌﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬.
■296.90‫ﺁ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺨﺭ‬
Mood Disorder Not Othewise Specified
‫ﻓﻴﻬﺎ‬ ‫ﻴﺼﻌﺏ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻷﻱ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﺴﺘﻭﻓﻰ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺫﺍﺕ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺘﻀﻤﻥ‬
‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻻﺨﺘﻴﺎﺭ‬‫ﺁﺨﺭ‬)‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻬﻴﺎﺝ‬ ‫ﻤﺜل‬.(
‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺘﺼﻑ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬
Specifiers Describing Current or Most Recent Episode
‫ﺍﻟﺘﺤﺩﻴﺩ‬ ‫ﺯﻴﺎﺩﺓ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻭﺫﻟﻙ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻤﻥ‬ ‫ﻋﺩﺩ‬ ‫ﺃﻋﺩ‬)‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬(‫ﺍﻟﻤﺘﺠﺎﻨﺴﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻟﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺯﻴﺩ‬ ‫ﻭﺨﻠﻕ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬
‫ﻭﺍﻟﻤﺴﺎﻋﺩ‬‫ﺒﺎﻹﻨﺫﺍﺭ‬ ‫ﺍﻟﺘﻜﻬﻥ‬ ‫ﻭﺘﺤﺴﻴﻥ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺍﺨﺘﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺓ‬.‫ﺍﻟﺸﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﺼﻑ‬/‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬/‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬.
‫ﺍﻟﺭﺍﻫﻨﺔ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻭﺘﺼﻑ‬)‫ﻨﻭﺒﺔ‬ ‫ﺃﻴﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﺍﻫﻨ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﻭ‬:(
‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬ ،‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ،‫ﻤﺯﻤﻨﺔ‬.‫ﺍﻟﺸﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺘﺸﻴﺭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﻤﻌﻅﻡ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺭﺍﺒﻊ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﻭﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻭﺍﻟﻬﺩﺃﺓ‬.‫ﺘﺭﻤﻴﺯﻫﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻓﻼ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺃﻤﺎ‬.
‫ﺍﻟﺠ‬ ‫ﻴﺸﻴﺭ‬‫ﺩﻭل‬1‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜل‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺇﻟﻰ‬.
‫ﺍﻟﺠﺩﻭل‬1‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ـ‬
‫ﺍﻟﺸﺩﺓ‬/
‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬/
‫ﺍﻟﻬﺩﺃﺓ‬
‫ﻤﺯﻤﻨﺔ‬
‫ﻤﻊ‬
‫ﻤﻅﺎﻫﺭ‬
‫ﺠﺎﻤﻭﺩﻴﺔ‬
‫ﻤﻊ‬
‫ﻤﻅﺎﻫﺭ‬
‫ﺴﻭﺩﺍﻭﻴﺔ‬
‫ﻤﻊ‬
‫ﻤﻅﺎﻫﺭ‬
‫ﻻﻨﻤﻭﺫﺠ‬
‫ﻴﺔ‬
‫ﺒﺩﺀ‬ ‫ﻤﻊ‬
‫ﺒﻌﺩ‬
‫ﺍﻟﻭﻀﻊ‬
‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬XXXXXX
‫ﺍﻟﻤﻌﺎﻭﺩ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬XXXXXX
‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬X
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﻭﺤﻴﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬X
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﻫﻭﺴﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬XXX
‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬I‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬XXXXXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬

103. 102
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬II‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬II‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬XXXXXX
‫ﺍﻀﻁﺭ‬‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﺏ‬
■‫ﺍﻟﺸﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬/‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬/‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬.‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻭﺸﺩﻴﺩﺓ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﻌﺘﺩﻟﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻜﺘ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬‫ﺠﺴﻴﻤﺔ‬ ‫ﺌﺎﺒﻴﺔ‬.‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻭﻓﻲ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻭﻴﻤﻜﻥ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻭﻋﻠﻰ‬ ‫ﺍﻟﺠﺴﻴﻡ‬I‫ﺃﻭ‬II‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬.
1X-‫ﺨﻔﻴﻔﺔ‬:‫ﻭ‬ ‫ﺇﺫﺍ‬ ‫ﻫﺫﺍ‬ ،‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﻀﻌﺔ‬ ‫ﻭﺠﻭﺩ‬‫ﻓﻲ‬ ‫ﺒﺴﻴﻁ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻓﻘﻁ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻋﻥ‬ ‫ﻭﻴﻨﺸﺄ‬ ،‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﺍﻟﻤﻁﻠﻭﺒﺔ‬ ‫ﺘﻠﻙ‬ ‫ﻋﻥ‬ ‫ﺯﺍﺌﺩﺓ‬ ،‫ﺠﺩﺕ‬
‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻭﻓﻲ‬ ‫ﺍﻟﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺍﻷﺩﺍﺀ‬.
2X-‫ﻤﻌﺘﺩﻟﺔ‬:‫ﺒﻴﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬»‫ﺍﻟﺨﻔﻴﻔﺔ‬«‫ﻭ‬»‫ﺍﻟﺸﺩﻴﺩﺓ‬«.
3X-‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬:‫ﺃﻋ‬ ‫ﻋﺩﺓ‬ ‫ﻫﻨﺎﻙ‬‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺼﺭﻴﺢ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﺅﺜﺭ‬ ،‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻟﻭﻀﻊ‬ ‫ﺍﻟﻤﻁﻠﻭﺒﺔ‬ ‫ﺘﻠﻙ‬ ‫ﻋﻥ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺭﺍﺽ‬
‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬.
4X-‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬:‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬.‫ﻏ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﹰ‬‫ﺎ‬‫ﻤﻤﻜﻨ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﻟﻪ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﻴﺭ‬:
‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬Mood-Congruent Psychotic Features:‫ﺍﻟﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﻤﻊ‬ ‫ﺘﺎﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻨﺴﺠﻤ‬ ‫ﻤﺤﺘﻭﺍﻫﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬
‫ﺍﻟﻤﺴﺘﺤﻕ‬ ‫ﺍﻟﻌﻘﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺩﻤﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻭﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﻨﺏ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻲ‬ ‫ﺍﻟﻘﺼﻭﺭ‬ ‫ﻤﺜل‬ ‫ﺍﻟﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬.
‫ﻤﻅﺎﻫﺭ‬‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬Mood-Incongruent Psychotic Features:‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﻤﺤﺘﻭﺍﻫﺎ‬ ‫ﻴﺘﻀﻤﻥ‬ ‫ﻻ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬
‫ﺍﻟﻤﺴﺘﺤﻕ‬ ‫ﺍﻟﻌﻘﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺩﻤﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻭﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﻨﺏ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻲ‬ ‫ﺍﻟﻘﺼﻭﺭ‬ ‫ﻤﺜل‬ ‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬.‫ﻨﺠﺩ‬ ‫ﺒل‬
‫ﺍﻻﻀﻁﻬﺎﺩﻴﺔ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻤﺜل‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬)‫ﺍ‬ ‫ﻏﻴﺭ‬‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺒﺎﻟﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻟﻤﺭﺘﺒﻁﺔ‬(‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﻭﺃﻭﻫﺎﻡ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻭﺇﺫﺍﻋﺔ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻭﻏﺭﺯ‬ ،.
5X-‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﺃﻴﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﻋﺭﺍﺽ‬
‫ﺘﺎ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺘﺩﻭﻡ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻟﻨﻬﺎﻴﺔ‬ ‫ﻟﻴﺔ‬) .‫ﺘﺭﺍﻜﺒﺕ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬
‫ﻤﺴﺘﻭﻓﺎﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻌﻭﺩ‬ ‫ﻻ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﻟﻭﺤﺩﻩ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﻭﻀﻊ‬ ،‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬.(
6X-‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬‫ﺍﻷﺨﻴﺭﻴﻥ‬ ‫ﺍﻟﺸﻬﺭﻴﻥ‬ ‫ﺨﻼل‬.
0X-‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬.
■‫ﺍﻟﺸﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬/‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬/‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻟﻬﺩﺃﺓ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬.‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻭﺸﺩﻴﺩﺓ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬
‫ﻫﻭ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬‫ﺴﻴﺔ‬.‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻭﻴﻤﻜﻥ‬:‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻭﻓﻲ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬I
‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻤﻭﺫﺝ‬ ‫ﻫﻲ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬.
1X-‫ﺨﻔﻴﻔﺔ‬:‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻷﺩﻨﻰ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬.

104. 103
2X-‫ﻤﻌﺘﺩﻟﺔ‬:‫ﺍﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﻓﻲ‬ ‫ﻤﻔﺭﻁﺔ‬ ‫ﺯﻴﺎﺩﺓ‬.
3X-‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬:‫ﺒﺎﻵﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﺍﺕ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻷﺫﻯ‬ ‫ﺇﻟﺤﺎﻕ‬ ‫ﻟﻤﻨﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻤﺴﺘﻤﺭﺓ‬ ‫ﻤﺭﺍﻗﺒﺔ‬ ‫ﺍﻷﻤﺭ‬ ‫ﻴﺘﻁﻠﺏ‬.
4X-‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬:‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬.‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻴﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﹰ‬‫ﺎ‬‫ﻤﻤﻜﻨ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﻤﻁﺎ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﺒﻘﺔ‬:‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺘﻀﺨﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﻤﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻤﺎﻤ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻨﺴﺠﻤ‬ ‫ﻤﺤﺘﻭﺍﻫﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬
‫ﻤﺸﻬﻭﺭ‬ ‫ﺒﺸﺨﺹ‬ ‫ﺃﻭ‬ ‫ﺒﺈﻟﻪ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺭﻓﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻭﺓ‬.
‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬:‫ﻨﻤﻭﺫﺠﻴ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﻤﺤﺘﻭﺍﻫﺎ‬ ‫ﻴﺘﻀﻤﻥ‬ ‫ﻻ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬‫ﺃﻭ‬ ‫ﺍﻟﻘﻭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺘﻀﺨﻡ‬ ‫ﻤﻥ‬ ‫ﺔ‬
‫ﻤﺸﻬﻭﺭ‬ ‫ﺒﺸﺨﺹ‬ ‫ﺃﻭ‬ ‫ﺒﺈﻟﻪ‬ ‫ﺍﻟﺨﺎﺼﺔ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺭﻓﺔ‬.‫ﺍﻻﻀﻁﻬﺎﺩﻴﺔ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻤﺜل‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﻨﺠﺩ‬ ‫ﺒل‬)‫ﺒﺄﻓﻜﺎﺭ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺘﺭﺘﺒﻁ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬
‫ﺍﻟﻌﻅﻤﺔ‬ ‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﺃﻭ‬(‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﻭﺃﻭﻫﺎﻡ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻭﻏﺭﺯ‬ ،.
5X-‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﻋﺭﺍﺽ‬‫ﻤﻬﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻴﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﺃﻥ‬
‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻟﻨﻬﺎﻴﺔ‬ ‫ﺘﺎﻟﻴﺔ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬.
6X-‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﺍﻷﺨﻴﺭﻴﻥ‬ ‫ﺍﻟﺸﻬﺭﻴﻥ‬ ‫ﺨﻼل‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬.
0X-‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬.
■‫ﺍﻟﺸﺩﺓ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬/‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬/‫ﺍﻟﻬﺩﺃﺓ‬‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬)‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬(
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﺭﻗﻡ‬ ‫ﻓﻲ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬.‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻴﻤﻜﻥ‬:‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻭﺸﺩﻴﺩﺓ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬ ،‫ﻤﺘﻭﺴﻁﺔ‬ ،‫ﺨﻔﻴﻔﺔ‬
‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺘﺤﻘﻘﺕ‬.‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺘﻁﺒﻴﻕ‬ ‫ﻭﻴﻤﻜﻥ‬:‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻭﻓﻲ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬I
‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻤﻭﺫﺝ‬ ‫ﻫﻲ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬.
1X-‫ﺨﻔﻴﻔﺔ‬:‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻭﻨﻭﺒﺔ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﺩﻨﻴﺎ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬.
2X-‫ﻤﻌﺘﺩﻟﺔ‬:‫ﺒﻴﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬»‫ﺍﻟﺨﻔﻴﻔﺔ‬«‫ﻭ‬»‫ﺍﻟﺸﺩﻴﺩﺓ‬«.
3X-‫ﺫﻫﺎﻨ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺸﺩﻴﺩﺓ‬‫ﻴﺔ‬:‫ﺒﺎﻵﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﺍﺕ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻷﺫﻯ‬ ‫ﺇﻟﺤﺎﻕ‬ ‫ﻟﻤﻨﻊ‬ ‫ﻭﺫﻟﻙ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻤﺴﺘﻤﺭﺓ‬ ‫ﻤﺭﺍﻗﺒﺔ‬ ‫ﺍﻷﻤﺭ‬ ‫ﻴﺘﻁﻠﺏ‬.
4X-‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺸﺩﻴﺩﺓ‬:‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬.‫ﻟﻪ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﺍﻟﺫﻫﺎﻨﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬ ،‫ﹰ‬‫ﺎ‬‫ﻤﻤﻜﻨ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬:
‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬:‫ﺃﻫﻼ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬‫ﺍﻟﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﹰﻤﻊ‬‫ﺎ‬‫ﺘﻤﺎﻤ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻨﺴﺠﻤ‬ ‫ﻤﺤﺘﻭﺍﻫﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺴﺎﺕ‬.
‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻤﻁﺎﺒﻘﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬:‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﻤﺤﺘﻭﺍﻫﺎ‬ ‫ﻴﺘﻀﻤﻥ‬ ‫ﻻ‬ ‫ﺃﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻭﻫﺎﻡ‬.‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺒل‬
‫ﺍﻻﻀﻁﻬﺎﺩﻴﺔ‬ ‫ﺍﻷﻭﻫﺎﻡ‬ ‫ﻤﺜل‬)‫ﺍﻻﻜﺘﺌ‬ ‫ﺒﺎﻟﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺍﻟﻤﺭﺘﺒﻁﺔ‬ ‫ﻏﻴﺭ‬‫ﺍﻟﻌﻅﻤﺔ‬ ‫ﻤﻭﻀﻭﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺎﺒﻴﺔ‬(‫ﻭﺃﻭﻫﺎﻡ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻭﺇﺫﺍﻋﺔ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻭﻏﺭﺯ‬ ،
‫ﺍﻟﺴﻴﻁﺭﺓ‬.
5X-‫ﺠﺯﺌﻴﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﻤﻬﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻴﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﻋﺭﺍﺽ‬
‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻟﻨﻬﺎﻴﺔ‬ ‫ﺘﺎﻟﻴﺔ‬ ‫ﺸﻬﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﻟﻨﻭﺒﺔ‬.

105. 104
6X-‫ﻜﺎﻤﻠﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﻓﻲ‬:‫ﺍﻷﺨﻴﺭﻴﻥ‬ ‫ﺍﻟﺸﻬﺭﻴﻥ‬ ‫ﺨﻼل‬ ‫ﻟﻼﻀﻁﺭﺍﺏ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬.
0X-‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬.
■‫ﺍﻟﻤﺯﻤﻥ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬Chronic Specifier
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬)‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻭﻜﺫﻟﻙ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻴﻘﻪ‬ ‫ﻴﻤﻜﻥ‬‫ﻓﻲ‬ ‫ﺍﻟﺠﺴﻴﻡ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﺃﻭ‬II‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬.(
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺘﻴﻥ‬ ‫ﻵﺨﺭ‬ ‫ﻤﺴﺘﻤﺭﺓ‬ ‫ﻭﺒﺼﻭﺭﺓ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬.
■‫ﺍﻟﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬Catatonic Features Specifier
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬)‫ﻴ‬‫ﻓﻲ‬ ‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻴﻘﻬﺎ‬ ‫ﻤﻜﻥ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬II(‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻤﻥ‬ ‫ﺍﺜﻨﺎﻥ‬ ‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺼﻭﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬:
(1)‫ﻻﺤﺭﻜﻴ‬‫ﺒﺎﻟﺘﺨﺸﺏ‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﺔ‬)‫ﺍﻟﺸﻤﻌﻴﺔ‬ ‫ﺍﻟﻤﺭﻭﻨﺔ‬ ‫ﺫﻟﻙ‬ ‫ﻭﻴﺸﻤل‬(‫ﺍﻟﺫﻫﻭل‬ ‫ﺃﻭ‬.
(2)‫ﻤﻔﺭﻁﺔ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﻓﻌﺎﻟﻴﺔ‬)‫ﺨﺎﺭﺠﻲ‬ ‫ﺒﻤﻨﺒﻪ‬ ‫ﺘﺘﺄﺜﺭ‬ ‫ﻭﻻ‬ ‫ﻫﺩﻑ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻭﻫﻲ‬.(
(3)‫ﺸﺩﻴﺩﺓ‬ ‫ﻤﻌﺎﻨﺩﺓ‬)‫ﻗﺼﻭﻯ‬) (‫ﺍﻟﺘﺤﺭﻴﻙ‬ ‫ﻤﺤﺎﻭﻻﺕ‬ ‫ﻜﺎﻓﺔ‬ ‫ﺘﻌﺎﻜﺱ‬ ‫ﻤﺘﺼﻠﺒﺔ‬ ‫ﻭﻀﻌﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻌﻠﻴﻤﺎﺕ‬ ‫ﻟﻜل‬ ‫ﻟﻬﺎ‬ ‫ﻏﺭﺽ‬ ‫ﻻ‬ ‫ﻤﻘﺎﻭﻤﺔ‬ ‫ﻭﻫﻲ‬(‫ﻤﺎﺕ‬‫ﺼ‬ ‫ﺃﻭ‬.
(4)‫ﻏﺭﺍﺒﺔ‬‫ﻭﻀﻌﻴﺔ‬ ‫ﺒﺎﺘﺨﺎﺫ‬ ‫ﺘﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻹﺭﺍﺩﻴﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﻓﻲ‬)‫ﹰ‬‫ﺎ‬‫ﺇﺭﺍﺩﻴ‬ ‫ﻏﺭﻴﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﻼﺌﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻭﻀﻌﻴﺎﺕ‬ ‫ﺍﺘﺨﺎﺫ‬(‫ﺃﻭ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﺃﺴﻠﻭﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻨﻤﻁﻴﺔ‬ ‫ﺤﺭﻜﺎﺕ‬ ،
‫ﺘﺸﻤﻴﺯ‬)‫ﺘﻜﻠﻴﺢ‬(‫ﺍﻟﻭﺠﻪ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬.
(5)‫ﺤﺭﻜﻲ‬ ‫ﺩﺍﺀ‬‫ﺼ‬ ‫ﺃﻭ‬ ‫ﺼﻭﺘﻲ‬ ‫ﺩﺍﺀ‬‫ﺼ‬.
■‫ﺍﻟﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬Melancholic Features Specifer
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻤﻅﺎ‬ ‫ﻤﻊ‬‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻫﺭ‬)‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻭﻋﻠﻰ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻴﻘﻪ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬I‫ﺃﻭ‬II‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻓﻘﻁ‬.(
A-‫ﺍ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻷﺸﺩ‬ ‫ﺍﻟﻔﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻴﺤﺩﺙ‬ ،‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﻭﺍﺤﺩ‬‫ﻟﺤﺎﻟﻴﺔ‬:
1-‫ﻤﻌﻅﻤﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺠﻤﻴﻊ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺘﻌﺔ‬ ‫ﻓﻘﺩ‬.
2-‫ﻋﺎﺩﺓ‬ ‫ﺍﻟﻤﻤﺘﻌﺔ‬ ‫ﺍﻟﻤﻨﺒﻬﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﻌل‬ ‫ﺭﺩ‬ ‫ﺍﻨﻌﺩﺍﻡ‬)‫ﺠﻴﺩ‬ ‫ﺃﻤﺭ‬ ‫ﻴﺤﺼل‬ ‫ﻋﻨﺩﻤﺎ‬ ،‫ﻭﻗﺘﻲ‬ ‫ﻭﻟﻭ‬ ،‫ﺒﺘﺤﺴﻥ‬ ‫ﻴﺸﻌﺭ‬ ‫ﻻ‬.(

106. 105
B-‫ﺜﻼﺜﺔ‬ ‫ﻭﺠﻭﺩ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺔ‬‫ﻴ‬‫ﺴﻭ‬)‫ﻨﻭﻋﻴﺔ‬ ‫ﺃﻭ‬(‫ﺍﻟﻤﻨﺨﻔﺽ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻤﻴﺯﺓ‬)‫ﺍﻟﻤﻨ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺨﺘﺒﺭ‬‫ﻴ‬ ،‫ﺃﻱ‬‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻭﻉ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﺒﻭﻀﻭﺡ‬ ‫ﻤﺨﺘﻠﻔﺔ‬ ‫ﻜﺤﺎﻟﺔ‬ ‫ﺨﻔﺽ‬
‫ﻋﺯﻴﺯ‬ ‫ﻭﻓﺎﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺭ‬‫ﺒ‬‫ﺨﺘ‬‫ﻴ‬.(
(2)‫ﺍﻟﺼﺒﺎﺡ‬ ‫ﻓﻲ‬ ‫ﺒﺎﻨﺘﻅﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﺴﻭﺀ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻴﺯﺩﺍﺩ‬.
(3)‫ﺒﺎﻜﺭ‬ ‫ﺼﺒﺎﺤﻲ‬ ‫ﺍﺴﺘﻴﻘﺎﻅ‬)‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺒﺴﺎﻋﺘﻴﻥ‬ ‫ﻟﻼﺴﺘﻴﻘﺎﻅ‬ ‫ﺍﻟﻤﻌﺘﺎﺩ‬ ‫ﺍﻟﻤﻭﻋﺩ‬ ‫ﻗﺒل‬.(
(4)‫ﻫﻴﺎﺝ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺢ‬ ‫ﺤﺭﻜﻲ‬ ‫ﻨﻔﺴﻲ‬ ‫ﺘﻌﻭﻴﻕ‬.
(5)‫ﺸﺄﻥ‬ ‫ﺫﻭ‬ ‫ﻭﺯﻥ‬ ‫ﻓﻘﺩ‬ ‫ﺃﻭ‬ ‫ﻋﺼﺒﻲ‬ ‫ﻗﻤﻪ‬.
(6)‫ﺒﺎﻟﺫﻨﺏ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺸﻌﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺫﻨﺏ‬ ‫ﻤﻔﺭﻁ‬ ‫ﺸﻌﻭﺭ‬.
■‫ﺍﻟﻼﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬Atypical Features Specifier
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻻﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬)‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺤﺎﻟﻴﺔ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻨﻭﺒﺔ‬ ‫ﺍﻷﺨﻴﺭﻴﻥ‬ ‫ﺍﻷﺴﺒﻭﻋﻴﻥ‬ ‫ﺨﻼل‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺘﻁﺒﻴﻘﻪ‬ ‫ﻴﻤﻜﻥ‬
‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻡ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬II‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﻲ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺍﻷﺨﻴﺭﺘﻴﻥ‬ ‫ﺍﻟﺴﻨﺘﻴﻥ‬ ‫ﺨﻼل‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻤﺯﺍﺠﻴﺔ‬)‫ﺍﻷﺤﺩﺙ‬(‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺘﻜﻥ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻤﺎ‬ ‫ﺍﻟﻤﺯﺍﺝ؛‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬
‫ﻴ‬ ‫ﻓﺈﻨﻪ‬ ،‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﻫﻲ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﺃﺴﺒﻭﻋﻴﻥ‬ ‫ﺃﻱ‬ ‫ﺨﻼل‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻫﺫﺍ‬ ‫ﺴﻴﻁﺭ‬ ‫ﺇﺫﺍ‬ ‫ﻁﺒﻕ‬.(
A-‫ﺍﻟﻤﺯﺍﺠﻲ‬ ‫ﺍﻟﺘﻨﺸﻴﻁ‬ ‫ﺇﻋﺎﺩﺓ‬)‫ﻴﺸﺭﻕ‬ ،‫ﺃﻱ‬/‫ﻴﺒﺘﻬﺞ‬/‫ﻤﻤﻜﻨﺔ‬ ‫ﺃﻭ‬ ‫ﻓﻌﻠﻴﺔ‬ ‫ﺇﻴﺠﺎﺒﻴﺔ‬ ‫ﻷﺤﺩﺍﺙ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ‫ﺍﻟﻭﺠﺩﺍﻥ‬.(
B-‫ﺍﺜﻨﻴﻥ‬ ‫ﻭﺠﻭﺩ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﻅﺎﻫﺭ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻟﺸﻬﻴﺔ‬ ‫ﺯﻴﺎﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺸﺄﻥ‬ ‫ﺫﻭ‬ ‫ﻭﺯﻥ‬ ‫ﻜﺴﺏ‬.
(2)‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬.
(3)‫ﺭﺼﺎ‬ ‫ﺸﻠل‬‫ﺼﻲ‬)‫ﺍﻟﺴﺎﻗﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺭﺍﻋﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺒﺎﻟﺜﻘل‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬ ‫ﺃﻱ‬.(
(4)‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﻟﻠﺭﻓﺽ‬ ‫ﺍﻟﺤﺴﺎﺴﻴﺔ‬ ‫ﻤﻥ‬ ‫ﻤﺩﻴﺩ‬ ‫ﻨﻤﻭﺫﺝ‬)‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺤﺼﻭﺭ‬ ‫ﻟﻴﺱ‬(‫ﻓﻲ‬ ‫ﻤﻬﻡ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻋﻨﻪ‬ ‫ﻴﻨﺸﺄ‬
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬.
C-‫ﺠﺎﻤﻭﺩﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﺃﻭ‬ ‫ﺴﻭﺩﺍﻭﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻟـ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬‫ﺫﺍﺘﻬﺎ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬.
■‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬Postpartum onset Specifier
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:

107. ‫ﺍﻟﻭﻀﻊ‬ ‫ﺒﻌﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬)‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻁﺒﻕ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻴﻡ‬I‫ﻓﻲ‬ ‫ﺃﻭ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬II‫ﺍﻟﻭﺠﻴﺯ‬ ‫ﺍﻟﺫﻫﺎﻨﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻕ‬‫ﺒ‬‫ﻴﻁ‬ ‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺃﻭ‬ ‫؛‬.(
‫ﻟﻠﻭﻀﻊ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﺭﺒﻌﺔ‬ ‫ﺍﻷﺴﺎﺒﻴﻊ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺒﺩﺀ‬.
‫ﺍﻟﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺴﻴﺭ‬ ‫ﺘﺼﻑ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬
Specifiers Describing Course of Recurrent Episodes
‫ﺍﻟ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺴﻴﺭ‬ ‫ﺘﺼﻑ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﺍﻟﻁﻭﻻﻨﻲ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻤﻌﺎﻭﺩﺓ‬)‫ﺍﻟﻨﻭﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬ ‫ﺸﻔﺎﺀ‬ ‫ﻭﺒﺩﻭﻥ‬ ‫ﻤﻊ‬(‫ﻭﺍﻟﺩﻭﺭﺍﻥ‬ ‫ﺍﻟﻔﺼﻠﻲ‬ ‫ﻭﺍﻟﻨﻤﻭﺫﺝ‬
‫ﺍﻟﺴﺭﻴﻊ‬.‫ﺩﺍﺕ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬.‫ﺍﻟﺠﺩﻭل‬ ‫ﻭﻴﺸﻴﺭ‬2‫ﻤﺯﺍﺠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜل‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﺇﻟﻰ‬.
‫ﺍﻟﺠﺩﻭل‬2‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻋﻠﻰ‬ ‫ﻕ‬‫ﺒ‬‫ﺘﻁ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬ ‫ـ‬
‫ﻤﻊ‬/‫ﺒﺩﻭﻥ‬‫ﺸﻔﺎﺀ‬
‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬
‫ﺍﻟﻔﺼﻠﻲ‬ ‫ﺍﻟﻨﻤﻭﺫﺝ‬‫ﺍﻟﺴﺭﻴﻊ‬ ‫ﺍﻟﺩﻭﺭﺍﻥ‬
‫ﻭﺤﻴﺩﺓ‬ ‫ﻨﻭﺒﺔ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻤﻌﺎﻭﺩ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬XX
‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﻭﺤﻴﺩﺓ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ،
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﻫﻭﺴﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬I‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ،XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬II‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬ ،XXX
‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬II‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ،XXX
‫ﺍﻟﺩﻭﺭﻱ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
■‫ﺍﻟﻁﻭﻻﻨﻴﺔ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺩﺍﺕ‬‫ﺩ‬‫ﻤﺤ‬Longitudinal Course Specifiers
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬)‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻭﺩ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻴﻘﻬﺎ‬ ‫ﻴﻤﻜﻥ‬I‫ﺃﻭ‬II:(
‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬ ‫ﺸﻔﺎﺀ‬ ‫ﻤﻊ‬:‫ﺇ‬‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺘﻴﻥ‬ ‫ﺍﻟﻨﻭﺒﺘﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﺤﺩﺜﺕ‬ ‫ﺫﺍ‬.
‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬:‫ﺍﻷﺤﺩﺙ‬ ‫ﺍﻟﻤﺯﺍﺠﻴﺘﻴﻥ‬ ‫ﺍﻟﻨﻭﺒﺘﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺃﺓ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺍﻟﺴﻴﺭ‬ ‫ﺤﺎﻻﺕ‬ ‫ﺍﻷﺭﺒﻌﺔ‬ ‫ﺍﻟﻤﺨﻁﻁﺎﺕ‬ ‫ﺘﻤﺜل‬:
A-‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬ ،‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬ ‫ﺸﻔﺎﺀ‬ ‫ﻤﻊ‬ ،‫ﻤﻌﺎﻭﺩ‬
106

108. 107
B-‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ،‫ﻤﻌﺎﻭﺩ‬‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﺩﻭﻥ‬ ،‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬
C-‫ﺝ‬ ‫ﺍﻟﻤ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻀﺎﻑ‬ ،‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬ ‫ﺸﻔﺎﺀ‬ ‫ﻤﻊ‬ ،‫ﻤﻌﺎﻭﺩ‬)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬300.4( ‫ﺯﺍ‬
D-‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻀﺎﻑ‬ ،‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺎﻡ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺒﺩﻭﻥ‬ ،‫ﻤﻌﺎﻭﺩ‬)‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬300.4(
■‫ﺍﻟﻔﺼﻠﻲ‬ ‫ﺍﻟﻨﻤﻭﺫﺝ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬Seasonal Pattern Speicifier
‫ﻤﺤﺩﺩ‬ ‫ﻭﻗﺕ‬ ‫ﻭﺒﻴﻥ‬ ‫ﺍﻟﻤﻌﺎﻭﺩ‬)‫ﻤﺨﺼﻭﺹ‬(‫ﺍﻟﺴﻨﺔ‬ ‫ﻤﻥ‬)‫ﺍﻟﺸﺘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﺭﻴﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻟﻠﻨﻭﺒﺔ‬ ‫ﺍﻟﻤﻨﺘﻅﻡ‬ ‫ﺍﻟﻅﻬﻭﺭ‬ ،‫ﻤﺜل‬.(
‫ﺒﺎﻟﻔﺼل‬ ‫ﺍﻟﻤﺭﺘﺒﻁﺔ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻟﻠﺸﺩﺍﺕ‬ ‫ﺠﻠﻲ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ِﺝ‬‫ﺭ‬‫ﹸﺩ‬‫ﺘ‬ ‫ﻻ‬)‫ﺍﻟﺒ‬ ‫ﻤﺜل‬‫ﺸﺘﺎﺀ‬ ‫ﻜل‬ ‫ﻓﻲ‬ ‫ﻤﻨﺘﻅﻡ‬ ‫ﺒﺸﻜل‬ ‫ﻁﺎﻟﺔ‬.(
‫ﺫﺍﺘﻬﺎ‬ ‫ﺍﻟﻔﺘﺭﺓ‬ ‫ل‬.
‫ﻋﻼﻩ‬(‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻔﺼﻠﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺒﺸﻜل‬ ‫ﻋﺩﺩﻫﺎ‬ ‫ﻓﻲ‬
‫ﺍﻟﻔﺭﺩ‬ ‫ﺤﻴﺎﺓ‬ ‫ﺨﻼل‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬.
■‫ﺍﻟﺴﺭﻴﻊ‬ ‫ﺍﻟﺩﻭﺭﺍﻥ‬ ‫ﺩ‬‫ﺩ‬‫ﻤﺤ‬Rapid-Cycling Speicifier
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻊ‬)‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻴﻘﻪ‬ ‫ﻴﻤﻜﻥ‬I‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬II.(
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻓﺼﻠﻲ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻤﻊ‬)‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻨﻤﻭﺫﺝ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻁﺒﻴﻘﻪ‬ ‫ﻴﻤﻜﻥ‬I‫ﺍﻟﻘﻁﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬II‫ﺃﻭ‬ ،
‫ﺍﻟﻤﻌﺎﻭﺩ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬.(
A-‫ﺜﻨﺎ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺒﺩﺀ‬ ‫ﺒﻴﻥ‬ ‫ﻤﻨﺘﻅﻤﺔ‬ ‫ﺯﻤﻨﻴﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﻭﺠﻭﺩ‬‫ﺍﻟﻘﻁﺏ‬ ‫ﺌﻲ‬I‫ﺃﻭ‬II،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬
‫ﻤﻼﺤﻅﺔ‬:
B-‫ﺘﺎﻤﺔ‬ ‫ﻫﺩﺀﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺘﺤﺩﺙ‬)‫ﺍﻟﻬﻭﺱ‬ ‫ﺘﺤﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺱ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻤﻥ‬ ‫ﺘﺒﺩل‬ ‫ﺃﻭ‬(‫ﻓﻲ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﻴﺨﺘﻔﻲ‬ ،‫ﻤﺜﺎل‬ ،‫ﺍﻟﺴﻨﺔ‬ ‫ﻤﻥ‬ ‫ﻤﻤﻴﺯ‬ ‫ﺯﻤﻥ‬ ‫ﻓﻲ‬
‫ﺍﻟﺭﺒﻴﻊ‬.(
C-‫ﺍﻟﻤﻌﻴﺎﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﻓﺔ‬‫ﺭ‬‫ﺍﻟﻤﻌ‬ ‫ﺍﻟﺯﻤﻨﻴﺔ‬ ‫ﺍﻟﻔﺼﻠﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﺃﻅﻬﺭﺘﺎ‬ ‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺏ‬ ‫ﻨﻭﺒﺘﺎ‬ ‫ﺤﺩﺜﺕ‬ ،‫ﺍﻷﺨﻴﺭﺘﻴﻥ‬ ‫ﺍﻟﺴﻨﺘﻴﻥ‬ ‫ﻓﻲ‬A‫ﻭ‬B‫ﻨﻭﺒﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻭﻟﻡ‬
‫ﺨﻼ‬ ‫ﻻﻓﺼﻠﻴﺔ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬
D-‫ﺍﻟﻔﺼﻠﻴﺔ‬ ‫ﺍﻟﺠﺴﻴﻤﺔ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﻔﻭﻕ‬)‫ﺃ‬ ‫ﻭﺼﻔﺕ‬ ‫ﻤﺎ‬
‫ﺴﺭﻴ‬ ‫ﺩﻭﺭﺍﻥ‬ ‫ﻤﻊ‬

109. 108
‫ﻤﻼﺤﻅﺔ‬:‫ﻤﻤﻴ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬‫ﺒ‬ ‫ﺃﻭ‬ ‫ﺠﺯﺌﻴﺔ‬ ‫ﺒﻬﺩﺃﺓ‬ ‫ﺇﻤﺎ‬ ‫ﺍﻟﺤﺩﻭﺩ‬ ‫ﺯﺓ‬‫ﺍﻟﻤﻌﺎﻜﺱ‬ ‫ﺍﻟﻘﻁﺏ‬ ‫ﻤﻥ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺇﻟﻰ‬ ‫ل‬‫ﻭ‬‫ﺘﺤ‬ ‫ﺃﻭ‬)‫ﺘﺤﻭل‬ ‫ﻤﺜل‬
‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬.(
‫ﻓﻘﺩ‬ ،‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻋﺩﺓ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﺤﺩﺜﺎﻥ‬‫ﺎﺡ‬‫ﺴ‬‫ﺍﻟ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻭﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻀﻌﺕ‬‫ﻭ‬
‫ﺍﻟﺒﺩﺍﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻤﻨﻔﺼل‬ ‫ﺒﺸﻜل‬.‫ﻤﻨﻔﺼﻠﻴﻥ‬ ‫ﻜﻴﺎﻨﻴﻥ‬ ‫ﺒﻭﺼﻔﻬﻤﺎ‬ ‫ﺘﺸﺨﻴﺼﻬﻤﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻭﻻ‬ ‫ﺨﺎﺼﺔ‬ ‫ﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺭﻭﺍﻤﻴﺯ‬ ‫ﻟﻬﻤﺎ‬ ‫ﻟﻴﺱ‬ ‫ﺃﻨﻪ‬ ‫ﺒﻴﺩ‬.
Panic Atta
‫ﺍﻻﻨﺯﻋﺎﺝ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﻭﻑ‬)‫ﺍﻟﺘﻨﻐﻴﺹ‬(‫ﺃﺭﺒﻌﺔ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺤﺩﺙ‬ ،‫ﺍﻟﺸﺩﻴﺩ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻭﺘﺼل‬ ‫ﻓﺠﺄﺓ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬
‫ﺨﻼل‬ ‫ﺫﺭﻭﺘﻬﺎ‬ ‫ﺇﻟﻰ‬10‫ﺩﻗﺎﺌﻕ‬:
(1)‫ﺍﻟﻘﻠﺏ‬ ‫ﺴﺭﻋﺔ‬ ‫ﺘﺯﺍﻴﺩ‬ ‫ﺃﻭ‬ ‫ﺨﻔﻘﺎﻥ‬.
(2)‫ﻕ‬‫ﺭ‬‫ﺘﻌ‬.
(3)‫ﺍﺭﺘﻌﺎ‬‫ﺍﺭﺘﺠﺎﻑ‬ ‫ﺃﻭ‬ ‫ﺵ‬.
(4)‫ﺍﻻﺨﺘﻨﺎﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻔﺱ‬ ‫ﺒﻘﺼﺭ‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬.
(5)‫ﺹ‬‫ﺼ‬‫ﹶ‬‫ﻐ‬‫ﺒﺎﻟ‬ ‫ﺸﻌﻭﺭ‬.
(6)‫ﺼﺩﺭﻱ‬ ‫ﺍﻨﺯﻋﺎﺝ‬ ‫ﺃﻭ‬ ‫ﺃﻟﻡ‬.
(7)‫ﺒﻁﻨﻴﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﻏﺜﻴﺎﻥ‬.
(8)‫ﹾﻴﺔ‬‫ﺸ‬‫ﹶ‬‫ﻐ‬‫ﺍﻟ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺃﺱ‬ ‫ﺨﻔﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺜﺒﺎﺕ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺩﻭﺍﻡ‬ ‫ﺍﻹﺤﺴﺎﺱ‬.
(9)‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﺒﺩﺩ‬)‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺒﺘﺒﺩل‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬(‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ‫ﺃﻭ‬)‫ﹰ‬‫ﻼ‬‫ﻤﻨﻔﺼ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬‫ﺫﺍﺘﻪ‬ ‫ﻋﻥ‬.(
(10)‫ﺍﻟﺠﻨﻭﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﻓﻘﺩﺍﻥ‬ ‫ﻤﻥ‬ ‫ﺨﻭﻑ‬.
(11)‫ﺍﻟﻤﻭﺕ‬ ‫ﻤﻥ‬ ‫ﺨﻭﻑ‬.
(12)‫ﺍﻟﺤﺱ‬ ‫ﺸﻭﺍﺵ‬ ‫ﺃﻭ‬ ‫ﹶل‬‫ﺫ‬‫ﻤ‬)‫ﺒﺎﻟﻭﺨﺯ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺘﻨﻤﻴل‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬.(
‫ﺃﻭ‬ ‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺍﻟﺴﺎﺒﻘﺔ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬ ‫ﻋﺸﺭ‬ ‫ﺍﻻﺜﻨﻲ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺯﺍﺠﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺃﺭﺒﻊ‬ ‫ﺤﺩﻭﺙ‬
‫ﻫﻭﺴﻴﺔ‬ ‫ﺘﺤﺕ‬.
‫ﻟﻤﺩﺓ‬ ‫ﺘﺎﻤﺔ‬ ‫ﻬﺩﺃﺓ‬12‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻬﺭ‬
‫اﻟﻘـﻠﻖ‬ ‫اﺿـﻄﺮاﺑﺎت‬
Anxiety Disorders
‫ﺘ‬ ‫ﺎﺡ‬‫ﺴ‬‫ﺍﻟ‬ ‫ﻫﺎﺏ‬‫ﺭ‬‫ﻭ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻷﻥ‬
■‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ck
‫ﻤﻼﺤﻅﺔ‬:‫ﻟﻠﺘﺭﻤﻴﺯ‬ ‫ﹰ‬‫ﻼ‬‫ﻗﺎﺒ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻀﻁﺭﺍﺒ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ ‫ﻟﻴﺴﺕ‬.‫ﻓﻴﻪ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻨﻭﻋﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺔ‬)،‫ﻤﺜﺎل‬300.21(‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻤﻊ‬.(
‫ﻤﺘﻤﻴﺯﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻫﻲ‬)‫ﻭﺍﻀﺤﺔ‬(‫ﺍﻟﺨ‬ ‫ﻤﻥ‬

110. 109
‫ﻤﻼﺤﻅﺔ‬:‫ﻟﻠﺘﺭﻤﻴﺯ‬ ‫ﹰ‬‫ﻼ‬‫ﻗﺎﺒ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻀﻁﺭﺍﺒ‬ ‫ﻟﻴﺱ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬.‫ﻓﻴ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻨﻭﻋﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻪ‬)،‫ﻤﺜﺎل‬300.21‫ﺍﻀﻁﺭﺍﺏ‬
‫ﻅﺭﻓﻴ‬ ‫ﺒﺔ‬‫ﻫ‬‫ﻤﺅ‬ ‫ﺃﻭ‬ ‫ﺘﻭﻗﻌﺔ‬‫ﺍﻟﻬﻠﻊ‬ ‫ﺒﻬﺠﻤﺔ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬.‫ﻤﻥ‬ ‫ﻨﻤﻭﺫﺠﻲ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻴﺘﻀﻤﻥ‬
‫ﻴﺴﺎﻓﺭ‬ ‫ﺃﻭ‬ ‫ﺠﺴﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺼﻑ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺤﺸﺩ‬ ‫ﻀﻤﻥ‬ ‫ﻨﻔﺴﻪ‬ ‫ﻴﺠﺩ‬ ‫ﺃﻥ‬ ،‫ﻟﻭﺤﺩﻩ‬ ‫ﺍﻟﺒﻴﺕ‬ ‫ﺨﺎﺭﺝ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻜﻭﻥ‬ ‫ﺘﺸﻤل‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻤﻥ‬ ‫ﻭﺼﻔﻴﺔ‬ ‫ﻤﺠﻤﻭﻋﺎﺕ‬
B-‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻴﺠﺭﻱ‬)‫ﺍﻟﺴﻔﺭ‬ ‫ﺩ‬‫ﺩ‬‫ﻴﺤ‬ ‫ﺃﻥ‬ ‫ﻤﺜل‬(‫ﺃﻭ‬ ‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ‫ﺃﻭ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻤﻊ‬ ‫ﻠﻬﺎ‬‫ﻤ‬‫ﺘﺤ‬ ‫ﻴﺠﺭﻱ‬ ‫ﺃﻭ‬
‫ﺍﻟﻤﺼﺎﻋﺩ‬ ‫ﻤﺜل‬ ‫ﻭﺍﺤﺩ‬(‫ﻗﻬﺭﻱ‬ ‫ﻭﺴﻭﺍﺴﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،)‫ﺍﻟﻘﺫﺍﺭﺓ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻤﺜل‬
‫ﺍﻟﺘﻠﻭﺙ‬ ‫ﺤﻭل‬ ‫ﻭﺴﻭﺍﺱ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺸﺨﺹ‬ ‫ﻋﻨﺩ‬(‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،)‫ﺍﻟﺸﺩﺓ‬(‫ﻟﻠﺭﻀﺢ‬ ‫ﺍﻟﺘﺎﻟﻲ‬)‫ﻤﺜ‬‫ﺸﺩﻴﺩ‬ ‫ﻤﻜﺭﺏ‬ ‫ﻟﻌﺎﻤل‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺍﻟﻤﺜﻴﺭﺍﺕ‬ ‫ﺘﺠﻨﺏ‬ ،‫ﺎل‬(،
‫ﺍﻷﻗﺎﺭﺏ‬ ‫ﺃﻭ‬ ‫ﻨﺯل‬.(
Panic Disorder Without
A
(2)‫ﺃﻜﺜﺭ‬(‫ﻭﺍﺤﺩ‬ ‫ﻤﻥ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
،‫ﻗﻠﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺤﺼﻭل‬ ،‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﻓﻘﺩﺍﻥ‬ ،‫ﺜﺎل‬»‫ﺍﻟﺠﻨﻭﻥ‬«.(
‫ﺒﺎﻟﻬﺠﻤﺎﺕ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﺍﻟﺴﻠﻭﻙ‬.
C-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬)‫ﻨﺸﺎﻁ‬ ‫ﻓﺭﻁ‬ ‫ﻤﺜل‬
(13)‫ﺤﺎﺭﺓ‬ ‫ﻐﺎﺕ‬‫ﻴ‬‫ﺘﺒ‬ ‫ﺃﻭ‬ ‫ﻨﻭﺍﻓﺽ‬.
■‫ﺎﺡ‬‫ﺴ‬‫ﺍﻟ‬ ‫ﺭﻫﺎﺏ‬Agoraphobia
‫ﺃﻭ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻤﻊ‬ ‫ﻫﻠﻊ‬300.22‫ﻫﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻗﺼﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬.
A-‫ﹰ‬‫ﺎ‬‫ﺼﻌﺒ‬ ‫ﻤﻨﻬﺎ‬ ‫ﺍﻟﻬﺭﻭﺏ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺤﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻭﺍﻗﻊ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻘﻠﻕ‬)‫ﹰ‬‫ﺎ‬‫ﺤﺭﺠ‬‫ﻤ‬ ‫ﺃﻭ‬(‫ﻓﻲ‬ ‫ﻤﻤﻜﻨﺔ‬ ‫ﺍﻟﻤﺴﺎﻋﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺃﻭ‬
‫ﻤ‬ ‫ﻏﻴﺭ‬ ‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ ‫ﺤﺩﻭﺙ‬ ‫ﺤﺎل‬
‫ﺴﻴﺎﺭﺓ‬ ‫ﺃﻭ‬ ‫ﻗﻁﺎﺭ‬ ‫ﺃﻭ‬ ‫ﺤﺎﻓﻠﺔ‬ ‫ﻓﻲ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻗ‬ ‫ﺇﺫﺍ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻀﻊ‬‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﻭﺍﻗﻑ‬ ‫ﺒﻀﻌﺔ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻤﻭﻗﻑ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ‫ﺘﺼﺭ‬.
‫ﻤﺭﺍﻓﻕ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻴﺘﻁﻠﺏ‬ ‫ﺃﻭ‬ ،‫ﺒﺎﻟﻬﻠﻊ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﺃﻋﺭﺍﺽ‬.
C-‫ﺁﺨ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺭﻫﺎﺒﻲ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﻜﺎﻟﺭﻫﺎﺏ‬ ،‫ﺭ‬)‫ﺒﺴﺒﺏ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺒﺎﻟﻤﻭﺍﻗﻑ‬ ‫ﺍﻟﻤﺤﺼﻭﺭ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ،‫ﻤﺜﺎل‬
‫ﻨﻭﻋﻲ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺃﻭ‬ ،‫ﺍﻹﺤﺭﺍﺝ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬)‫ﺒﻤﻭﻗﻑ‬ ‫ﺍﻟﺨﺎﺹ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬)‫ﺍﻟﻤ‬ ‫ﻤﻐﺎﺩﺭﺓ‬ ‫ﺘﺠﻨﺏ‬ ،‫ﻤﺜﺎل‬
■300.01‫ﺎﺡ‬‫ﺴ‬‫ﺍﻟ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Agoraphobia
-(1)‫ﻭ‬(2)‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬:
(1)‫ﻤﺘﻭﻗﻌﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬.
‫ﻤ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﺤﺩﺓ‬‫ﺸﻬﺭ‬ ‫ﺘﻼﻫﺎ‬ ‫ﺍﻟﻬﺠﻤﺎﺕ‬ ‫ﻥ‬)‫ﺃﻭ‬
(a)‫ﺇﻀﺎﻓﻴﺔ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﺤﺼﻭل‬ ‫ﻤﻥ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻗﻠﻕ‬.
(b)‫ﻋﻘﺎﺒﻴﻠﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﺠﻤﺔ‬ ‫ﻨﺎﺕ‬‫ﻤ‬‫ﻤﻀ‬ ‫ﺤﻭل‬ ‫ﻗﻠﻕ‬)‫ﻤ‬
(c)‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺭ‬‫ﻴ‬‫ﺘﻐ‬
B-‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻏﻴﺎﺏ‬.
‫ﺍﻟﺩﺭﻕ‬.(

111. 110
‫ﺭﻱ‬)‫ﺍﻟﺘﻠﻭﺙ‬ ‫ﺤﻭل‬ ‫ﻭﺴﻭﺍﺱ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺸﺨﺹ‬ ‫ﺘﻌﺭﺽ‬ ‫ﻋﻨﺩ‬ ،‫ﻤﺜﺎل‬
‫ﻟﻠﻘﺫﺍﺭﺓ‬(‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،)‫ﺸﺩﻴﺩ‬ ‫ﻤﻜﺭﺏ‬ ‫ﻟﻌﺎﻤل‬ ‫ﻤﺼﺎﺤﺏ‬ ‫ﻟﻤﺜﻴﺭ‬ ‫ﻜﺎﺴﺘﺠﺎﺒﺔ‬ ،‫ﻤﺜﺎل‬(‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،)،‫ﻤﺜﺎل‬
‫ﺍﻟﻤﻘﺭﺒﻴﻥ‬ ‫ﺍﻷﻗﺎﺭﺏ‬ ‫ﺃﻭ‬.(
‫ﺒﺎﻟﻬﻠﻊ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺤﺩﻭﺙ‬ ‫ﻤﻥ‬)‫ﺍﻹﺴﻬﺎل‬ ‫ﺃﻭ‬ ‫ﻭﺍﻡ‬‫ﺩ‬‫ﺍﻟ‬ ،‫ﻤﺜﺎل‬.(
‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﻤﻭﺼﻭﻑ‬A‫ﻋﺎﺩﺓ‬ ‫ﻟﻠﺤﺎﻟﺔ‬ ‫ﺍﻟﻤﺭﺍﻓﻕ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺯﺍﺌﺩ‬ ‫ﺒﻭﻀﻭﺡ‬ ‫ﻴﻜﻭﻥ‬.
A-‫ﻤﺤﺩﺩ‬ ‫ﻤﻭﻗﻑ‬ ‫ﺃﻭ‬ ‫ﻤﻭﻀﻭﻉ‬ ‫ﺘﻭﻗﻊ‬ ‫ﺃﻭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻓﻴﻪ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺇﺸﺎﺭﺓ‬ ‫ﺘﻜﻭﻥ‬ ،‫ﻤﻌﻘﻭل‬ ‫ﻭﻏﻴﺭ‬ ‫ﺯﺍﺌﺩ‬ ‫ﻭﻫﻭ‬ ‫ﻭﻤﺴﺘﺩﻴﻡ‬ ‫ﻤﻠﺤﻭﻅ‬ ‫ﺨﻭﻑ‬)،‫ﺍﻟﻁﻴﺭﺍﻥ‬ ،‫ﻤﺜﺎل‬
B-‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﹰ‬‫ﺎ‬‫ﺩﺍﺌﻤ‬ ‫ﺍﻟﺭﻫﺎﺒﻲ‬ ‫ﻟﻠﻤﻨﺒﻪ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﻴﺤﺭﺽ‬)‫ﻟﻬﺎ‬ ‫ﻴﻬﻴﺊ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻭﻗﻑ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ ‫ﺸﻜل‬ ‫ﺘﺘﺨﺫ‬ ‫ﻗﺩ‬ ‫ﻭﺍﻟﺘﻲ‬ ،‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻗﻠﻘﻴﺔ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬
.
‫ﺍﻟﻤﻅﻬ‬‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﺌﺒ‬ ‫ﺭ‬.
E-‫ﻤﻬﻨﻴﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻻﻋﺘﻴﺎﺩﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻤﺨﻴﻔﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻟﺘﻭﻗﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ‫ﻴﺘﺩﺨل‬)‫ﺃﻭ‬
)‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺍﻟﻤﺜﻴﺭﺍﺕ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻤﺜل‬
‫ﺸﺩﻴﺩ‬ ‫ﻤﻜﺭﺏ‬ ‫ﻟﻌﺎﻤل‬(‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،)‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻤﺜل‬(‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺭﻫﺎﺏ‬ ‫ﺃﻭ‬ ،)‫ﺒﺴﺒﺏ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻤﺜل‬
‫ﻹﺤﺭﺍﺝ‬(‫ﺃﻭ‬ ،‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺭﻫﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﻫﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻗﺼﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬.
D-‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺭﻫﺎﺏ‬ ‫ﻤﺜل‬ ‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﺘﻌﻠل‬ ‫ﻻ‬)‫ﻤﺨﻴﻔﺔ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻤﻭﺍﻗﻑ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﺤﻴﻥ‬ ‫ﺤﺩﻭﺜﻬﺎ‬ ،‫ﻤﺜل‬(‫ﺃﻭ‬
‫ﻨﻭ‬ ‫ﺭﻫﺎﺏ‬‫ﻋﻲ‬)‫ﻨﻭﻋﻲ‬ ‫ﺭﻫﺎﺒﻲ‬ ‫ﻟﻤﻭﻗﻑ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﻤﺜل‬(‫ﻗﻬ‬ ‫ﻭﺴﻭﺍﺴﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،
‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﻌﻴﺩ‬ ‫ﻨﻔﺴﻪ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺠﺩ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻜﺎﺴﺘﺠﺎﺒﺔ‬‫ﺍﻟﻤﻨﺯل‬
■300.22‫ﻫﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻗﺼﺔ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬
Agoraphobia Without History of Panic Disorder
A-‫ﺒﺎﻟﺨﻭﻑ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻭﺠﻭﺩ‬
B-‫ﹰ‬‫ﺍ‬‫ﺃﺒﺩ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻟﻡ‬.
C-‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
D-‫ﺍﻟ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻓﺈﻥ‬ ،‫ﻤﺭﺍﻓﻘﺔ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬
■300.29‫ﺍﻟﻨﻭﻋﻲ‬ ‫ﺍﻟﺭﻫﺎﺏ‬)‫ﺍﻟﺭﻫ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬‫ﺍﻟﺒﺴﻴﻁ‬ ‫ﺎﺏ‬(
Specific Phobia (Formerly Simple Phobia)
‫ﺍﻟﺩﻡ‬ ‫ﺭﺅﻴﺔ‬ ،‫ﺤﻘﻨﺔ‬ ‫ﺃﺨﺫ‬ ،‫ﺍﻟﺤﻴﻭﺍﻨﺎﺕ‬ ،‫ﺍﻟﻤﺭﺘﻔﻌﺎﺕ‬.(
‫ﺍﻟﻤﻭﻗﻑ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﻭﺍﻟﺘﺸﺒﺙ‬ ‫ﺍﻟﺘﻌﻠﻕ‬ ‫ﺃﻭ‬ ‫ﺩ‬‫ﻤ‬‫ﺍﻟﺘﺠ‬ ‫ﺃﻭ‬ ‫ﻏﻀﺏ‬ ‫ﺴﻭﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﻜﺎﺀ‬ ‫ﻁﺭﻴﻕ‬ ‫ﻋﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻋﻥ‬ ‫ﺭ‬‫ﺒ‬‫ﻴﻌ‬ ‫ﻗﺩ‬
C-‫ﻤﻌﻘﻭل‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻓﻴﻪ‬ ‫ﻤﺒﺎﻟﻎ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺫﻟﻙ‬ ‫ﺃﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺩﺭﻙ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﻫﺫﺍ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬
D-‫ﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺸﺩﻴﺩ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ‫ﻠﻪ‬‫ﻤ‬‫ﺘﺤ‬ ‫ﻴﺠﺭﻱ‬ ‫ﻗﺩ‬ ‫ﺫﻟﻙ‬ ‫ﺒﺨﻼﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻭﻗﻑ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻴﺠﺭﻱ‬.
‫ﺃﻜﺎﺩﻴﻤﻴﺔ‬(‫ﻴﻜﻭ‬ ‫ﺃﻭ‬ ،‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺃﻭ‬‫ﺍﻟﺭﻫﺎﺏ‬ ‫ﺤﺼﻭل‬ ‫ﻤﻥ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻥ‬.
F-‫ﻋﻥ‬ ‫ﺃﻋﻤﺎﺭﻫﻡ‬ ‫ﺘﻘل‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻋﻨﺩ‬18‫ﺍﻟﻤﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ،‫ﺴﻨﺔ‬6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
G-‫ﺍﻟﻭﺴﻭﺍﺴﻲ‬ ‫ﻜﺎﻻﻀﻁﺭﺍﺏ‬ ،‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ،‫ﻨﻭﻋﻴﻴﻥ‬ ‫ﻤﻭﻗﻑ‬ ‫ﺃﻭ‬ ‫ﻟﻤﻭﻀﻭﻉ‬ ‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺍﻟﺭﻫﺎﺒﻲ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬
‫ﺍﻟﻘﻬﺭﻱ‬)‫ﺍﻟﻘﺫﺍﺭﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻤﺜل‬‫ﺍﻟﺘﻠﻭﺙ‬ ‫ﺤﻭل‬ ‫ﻭﺴﻭﺍﺱ‬ ‫ﻟﺩﻴﻪ‬ ‫ﺸﺨﺹ‬ ‫ﻋﻨﺩ‬(‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬
‫ﺍ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:

112. 111
‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻟﺒﻴﺌﺔ‬ ‫ﻨﻤﻁ‬:‫ﺍﻟﻤﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺘﻔﻌﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻜﺎﻟﻌﻭﺍﺼﻑ‬ ‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻟﺒﻴﺌﺔ‬ ‫ﻓﻲ‬ ‫ﺃﺸﻴﺎﺀ‬ ‫ﻟﻠﺨﻭﻑ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺇﺸﺎﺭﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.‫ﻴﺒﺩﺃ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻭﻫﺫﺍ‬
‫ﺍﻷﺫﻴﺔ‬ ‫ـ‬ ‫ﺍﻟﺤﻘﻥ‬ ‫ـ‬ ‫ﺍﻟﺩﻡ‬ ‫ﻨﻤﻁ‬:‫ﺁﺨﺭ‬ ‫ﻏﺎﺯﻱ‬ ‫ﻁﺒﻲ‬ ‫ﺇﺠﺭﺍﺀ‬ ‫ﺃﻭ‬ ‫ﺤﻘﻨﺔ‬ ‫ﺒﺘﻠﻘﻲ‬ ‫ﺃﻭ‬ ‫ﻤﺎ‬ ‫ﺃﺫﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﻡ‬ ‫ﺭﺅﻴﺔ‬ ‫ﻟﻠﺨﻭﻑ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺇﺸﺎﺭﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬
‫ﻁﺔ‬‫ﻭ‬.‫ﺍﻷﺨﺭﻯ‬ ‫ﺃﻤﺎ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﺫﺭﻭﺓ‬ ‫ﺃﻥ‬ ‫ﺤﻴﺙ‬ ،‫ﺍﻟﺒﺩﺀ‬ ‫ﺴﻥ‬ ‫ﺤﻴﺙ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻜﻴﻔﻴﺔ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﺘﻭﺯﻉ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻟﻬﺫﺍ‬
‫ﺍﻟﻌﺸﺭﻴ‬ ‫ﻤﻨﺘﺼﻑ‬ ‫ﻓﻔﻲ‬‫ﻨﻴﺎﺕ‬.‫ﺍﻟﺘﺠﻤﻊ‬ ‫ﻭﻨﻤﻁ‬ ‫ﺍﻟﺠﻨﺴﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻨﺴﺏ‬ ‫ﺤﻴﺙ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺸﺎﺒﻪ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﺃﻥ‬ ‫ﻭﻴﺒﺩﻭ‬
‫ﺃﺨﺭﻯ‬ ‫ﺍﺕ‬.‫ﺃﻭ‬ ‫ﺒﻤﺭﺽ‬ ‫ﺍﻹﺼﺎﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻗﻴﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻐﺼﺹ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺍﻟﻤﺜﻴﺭﺍﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻗﺩ‬
‫ﺭﻫﺎﺏ‬»‫ﺍﻟﻔﺭﺍﻍ‬«)‫ﺍﻟﻤﺎﺩﻱ‬ ‫ﺍﻟﺩﻋﻡ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻭﺴﺎﺌل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺩﺭﺍﻥ‬ ‫ﻋﻥ‬ ‫ﺍﺒﺘﻌﺩ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﺴﻘﻭﻁ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺨﻭﻑ‬ ‫ﺃﻱ‬(‫ﺍﻷﺼﻭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻭﺨﻭﻑ‬ ‫؛‬
‫ﺘﻤﺎﻋﻲ‬(
‫ﺒﻁﺭﻴﻘﺔ‬)‫ﻗﻠﻘﻴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﻴﺒﺩﻱ‬ ‫ﺃﻭ‬(‫ﺴﺘﻜﻭﻥ‬
‫ﻤﺤﺭﺠﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺫﻟﺔ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﻋﻨﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻤﺭ‬ ‫ﻤﻊ‬ ‫ﻴﺘﻨﺎﺴﺏ‬ ‫ﺒﻤﺎ‬ ‫ﺍﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﻋﻼﻗﺎﺕ‬ ‫ﺇﻗﺎﻤﺔ‬ ‫ﻤﻘﺩﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻻﺌل‬ ‫ﺍﻷﻁﻔﺎل‬
‫ﻤﺭ‬ ‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ ‫ﺸﻜل‬ ‫ﻴﺘﺨﺫ‬ ‫ﻗﺩ‬ ‫ﻭﺍﻟﺫﻱ‬ ،‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﺩﺍﺌﻡ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﻟﻠﻤﻭﻗﻑ‬ ‫ﺍﻟﺘﻌﺭﺽ‬‫ﻤﺤﺩﺩ‬ ‫ﺒﻅﺭﻑ‬ ‫ﻤﻬﻴﺄﺓ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻅﺭﻓﻴ‬ ‫ﺘﺒﻁﺔ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻨﺎﺱ‬ ‫ﻤﻊ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻤﻥ‬ ‫ﻭﺍﻻﻨﺴﺤﺎﺏ‬ ‫ﺍﻻﻨﻜﻤﺎﺵ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺠﻤﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻐﻀﺏ‬ ‫ﺴﻭﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺒﻜﺎﺀ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻟﺩﻯ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻋﻥ‬ ‫ﺭ‬‫ﺒ‬‫ﻌ‬‫ﻴ‬ ‫ﻗﺩ‬
E-‫ﺤﻴﺙ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻻﻋﺘﻴﺎﺩﻴﺔ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻤﺨﻴﻔﺔ‬ ‫ﺍﻷﺩﺍﺌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺘﻭﻗﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ‫ﻴﺅﺜﺭ‬
‫ﺍﻟﺭﻫﺎﺏ‬ ‫ﺤﺼﻭل‬ ‫ﻤﻥ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻭ‬.
‫ﻟﻤﺎﺩﺓ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬(‫ﻋﻥ‬ ‫ﺃﻭ‬‫ﻴﻌﻠﻠﻬﻤﺎ‬ ‫ﻭﻻ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩ‬ ‫ﺸﻜل‬ ‫ﺘﺸﻭﻩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺒﺩﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻊ‬ ‫ﻫﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬
‫ﺍﻟﻔﺼﺎﻤﺎﻨﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺸﺎﻤل‬ ‫ﺍﺭﺘﻘﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
‫ﺍﻟﺤﻴﻭﺍﻨﻲ‬ ‫ﺍﻟﻨﻤﻁ‬:‫ﺤﺸﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺤﻴﻭﺍﻨﺎﺕ‬ ‫ﻟﻠﺨﻭﻑ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺇﺸﺎﺭﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.‫ﻋﺎﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺩﺃ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬.
‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻋﺎﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬.
‫ﺸﺩﻴﺩﺓ‬ ‫ﻤﺒﻬﻤﻴﺔ‬ ‫ﻭﻋﺎﺌﻴﺔ‬ ‫ﺒﺎﺴﺘﺠﺎﺒﺔ‬ ‫ﻴﺘﺼﻑ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﻏﺎﻟﺒ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺒﺸﻜل‬ ‫ﻤﺄﻟﻭﻑ‬.
‫ﺍﻟﻅﺭﻓﻲ‬ ‫ﺍﻟﻨﻤﻁ‬Situational Type:‫ﺍﻟﻁﻴﺭﺍﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺼﺎﻋﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻨﻔﺎﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻤﺎﻋﻲ‬ ‫ﻜﺎﻟﻨﻘل‬ ‫ﹰ‬‫ﺎ‬‫ﻨﻭﻋﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻭﻗﻔ‬ ‫ﻟﻠﺨﻭﻑ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺇﺸﺎﺭﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻤﺤ‬ ‫ﺍﻷﻤﺎﻜﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻴﺎﻗﺔ‬ ‫ﺃﻭ‬
‫ﺍﻟﺒﺩﺀ‬ ‫ﻋﻨﺩ‬ ‫ﻭﺍﻟﻌﻤﺭ‬ ‫ﺍﻟﻌﺎﺌﻠﻲ‬.
‫ﺁﺨﺭ‬ ‫ﻨﻤﻁ‬:‫ﻤﺜﻴﺭ‬ ‫ﻟﻠﺨﻭﻑ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﺇﺸﺎﺭﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬
‫ﹰ‬‫ﺎ‬‫ﻤﻌﻴﻨ‬ ‫ﹰ‬‫ﺎ‬‫ﻴ‬‫ﺯ‬ ‫ﺘﺭﺘﺩﻱ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺘﻔﻌﺔ‬.
■300.23‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺭﻫﺎﺏ‬)‫ﺍﻻﺠ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Social Phobia (Social Anxiety Disorder)
A-‫ﻭﻤ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺨﻭﻑ‬‫ﻓﻴﻬﺎ‬ ‫ﻴﺘﻌﺭﺽ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻤﻭﻗﻑ‬ ‫ﻤﻥ‬ ‫ﺴﺘﺩﻴﻡ‬
‫ﺘﻔﺤﺹ‬ ‫ﻻﺤﺘﻤﺎل‬ ‫ﺃﻭ‬ ‫ﻏﺭﺒﺎﺀ‬ ‫ﻷﻨﺎﺱ‬ ‫ﺍﻟﺸﺨﺹ‬)‫ﻤﺭﺍﻗﺒﺔ‬(‫ﻟﻪ‬ ‫ﺍﻵﺨﺭﻴﻥ‬.‫ﺴﻴﺘﺼﺭﻑ‬ ‫ﺃﻨﻪ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺨﺎﻑ‬
‫ﺍﻟﺒﺎﻟﻐﻴﻥ‬ ‫ﻤﻊ‬ ‫ﻋﻼﻗﺎﺘﻪ‬ ‫ﻓﻲ‬ ‫ﻓﻘﻁ‬ ‫ﻭﻟﻴﺱ‬ ‫ﺃﻗﺭﺍﻨﻪ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻁﻔل‬ ‫ﺘﺠﻤﻊ‬ ‫ﻤﻭﺍﻗﻊ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺃﻥ‬ ‫ﻭﻴﺠﺏ‬ ‫ﺍﻟﻤﺄﻟﻭﻓﻴﻥ‬.
B-‫ﻴﺜﻴﺭ‬
‫ﺍﻟﻐﺭﺒﺎﺀ‬.
C-‫ﻤﻌﻘﻭل‬ ‫ﻭﻏﻴﺭ‬ ‫ﻓﻴﻪ‬ ‫ﻤﺒﺎﻟﻎ‬ ‫ﺨﻭﻓﻪ‬ ‫ﺃﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺩﺭﻙ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﺌﺒ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬.
D-‫ﺸﺩﻴﺩﻴﻥ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺘﺤﻤﻠﻬﺎ‬ ‫ﻗﺩ‬ ‫ﺫﻟﻙ‬ ‫ﺒﺨﻼﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺨﻴﻔﺔ‬ ‫ﺍﻷﺩﺍﺌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻴﺠﺭﻱ‬.
‫ﺍﻟﻤ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬‫ﻬﻨﻲ‬)‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬(،‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺃﻭ‬
F-‫ﻋﻥ‬ ‫ﺃﻋﻤﺎﺭﻫﻡ‬ ‫ﺘﻘل‬ ‫ﻤﻤﻥ‬ ‫ﻟﺩﻯ‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﺘﻜﻭﻥ‬18،‫ﺴﻨﺔ‬6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
G-‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬

113. 112
H-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻓﺈﻥ‬ ،‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬A‫ﺒﺴﺒﺏ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ،‫ﻤﺜﺎل‬ ،‫ﺒﻪ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺭﺘﺒﻁ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬
‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻨﻬﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻓﻲ‬ ‫ﺸﺎﺫ‬ ‫ﻁﻌﺎﻤﻲ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺇﻅﻬﺎﺭ‬ ‫ﺃﻭ‬ ‫ﺒﺎﺭﻜﻨﺴﻭﻥ‬ ‫ﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺭﺠﻔﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺄﺘﺄﺓ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻤﻌﻤﻡ‬:‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻤﻌﻅﻡ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺸﻤل‬ ‫ﺇﺫﺍ‬)،‫ﺼﻐﻴﺭﺓ‬ ‫ﻤﺠﻤﻭﻋﺎﺕ‬ ‫ﻀﻤﻥ‬ ‫ﺍﻟﻤﺸﺎﺭﻜﺔ‬ ،‫ﺍﻷﺤﺎﺩﻴﺙ‬ ‫ﻤﺘﺎﺒﻌﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺩﺀ‬ ،‫ﻤﺜﺎل‬‫ﻭﺍﻋﺩﺓ‬‫ﻤ‬‫ﺍﻟ‬Dating،
‫ﺤﻔﻼﺕ‬ ‫ﺤﻀﻭﺭ‬ ،‫ﺍﻟﺴﻠﻁﺔ‬ ‫ﺭﻤﻭﺯ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺘﺤﺩﺙ‬.(‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺘﺠﻨﺒﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﻹﻀﺎﻓﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻀﻊ‬.
■300.3‫ﺍﻟﻘﻬﺭﻱ‬ ‫ﺍﻟﻭﺴﻭﺍﺱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Obsessive-Compulsive Disorder
A-‫ﻗﻬﺭﻴﺔ‬ ‫ﺃﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﻭﺴﺎﻭﺱ‬ ‫ﺇﻤﺎ‬ ‫ﻭﺠﻭﺩ‬:
‫ﺒـ‬ ‫ﺍﻟﻭﺴﺎﻭﺱ‬ ‫ﻑ‬‫ﺭ‬‫ﹸﻌ‬‫ﺘ‬(1)‫ﻭ‬(2)‫ﻭ‬(3)‫ﻭ‬(4)
(1)‫ﺇﻗﺤﺎﻤﻴﺔ‬ ‫ﺒﺎﻋﺘﺒﺎﺭﻫﺎ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻤﺎ‬ ‫ﻭﻗﺕ‬ ‫ﻓﻲ‬ ،‫ﺍﻟﻤﺭﻴﺽ‬ ‫ﻴﺨﺘﺒﺭﻫﺎ‬ ،‫ﻭﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺼﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻨﺩﻓﺎﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﻓﻜﺎﺭ‬)‫ﺘﻁﻔﻠﻴﺔ‬(‫ﻭﻏﻴﺭ‬
‫ﻭﺍﻀﺤﻴﻥ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻗﻠﻘ‬ ‫ﻭﺘﺴﺒﺏ‬ ‫ﻤﻨﺎﺴﺒﺔ‬.
(2)‫ﺍﻟﻭﺍﻗﻌﻴﺔ‬ ‫ﺍﻟﺤﻴﺎﺓ‬ ‫ﻤﺸﺎﻜل‬ ‫ﻋﻥ‬ ‫ﻤﻔﺭﻁﺔ‬ ‫ﻗﻠﻘﻴﺔ‬ ‫ﺍﻨﺸﻐﺎﻻﺕ‬ ‫ﻤﺠﺭﺩ‬ ‫ﺍﻟﺼﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻟﻴﺴﺕ‬.
(3)‫ﺃﺨﺭﻯ‬ ‫ﺃﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﺒﺄﻓﻜﺎﺭ‬ ‫ﺘﻌﻁﻴﻠﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺼﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻫﺫﻩ‬ ‫ﻤﺜل‬ ‫ﻗﻤﻊ‬ ‫ﺃﻭ‬ ‫ﺘﺠﺎﻫل‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻴﺤﺎﻭل‬.
(4)‫ﻋﻘﻠﻪ‬ ‫ﻨﺘﺎﺝ‬ ‫ﺍﻟﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺍﻟﺼﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻴﺩﺭﻙ‬)‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻏﺭﺯ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺨﺎﺭﺝ‬ ‫ﻤﻥ‬ ‫ﻋﻠﻴﻪ‬ ‫ﹰ‬‫ﺔ‬‫ﻤﻔﺭﻭﻀ‬ ‫ﻟﻴﺴﺕ‬.(
‫ﺒـ‬ ‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ﺍﻷﻓﻌﺎل‬ ‫ﻑ‬‫ﺭ‬‫ﹸﻌ‬‫ﺘ‬(1)‫ﻭ‬(2):
(1)‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬)‫ﱡﻕ‬‫ﻘ‬‫ﺍﻟﺘﺤ‬ ،‫ﺍﻟﺘﺭﺘﻴﺏ‬ ،‫ﺍﻟﻴﺩﻴﻥ‬ ‫ﻏﺴل‬ ،‫ﻤﺜل‬(‫ﻋﻘﻠﻴﺔ‬ ‫ﺃﻓﻌﺎل‬ ‫ﺃﻭ‬)‫ﺒﺼﻤﺕ‬ ‫ﺍﻟﻜﻠﻤﺎﺕ‬ ‫ﺘﻜﺭﺍﺭ‬ ،‫ﺍﻟﻌﺩ‬ ،‫ﻋﺎﺀ‬‫ﺩ‬‫ﺍﻟ‬ ،‫ﻤﺜل‬(‫ﻴﺸﻌﺭ‬ ‫ﻭﺍﻟﺘﻲ‬
‫ﺒﺼﺭﺍﻤﺔ‬ ‫ﺘﻁﺒﻴﻘﻬﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻟﻘﻭﺍﻋﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﻓﻘ‬ ‫ﺃﻭ‬ ،‫ﻟﻭﺴﻭﺍﺱ‬ ‫ﹰ‬‫ﺔ‬‫ﺍﺴﺘﺠﺎﺒ‬ ‫ﻷﺩﺍﺌﻬﺎ‬ ‫ﺴﺎﻕ‬‫ﻤ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻤﺭﻴﺽ‬.
(2)‫ﺍ‬ ‫ﺘﻘﻠﻴل‬ ‫ﺃﻭ‬ ‫ﻤﻨﻊ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻷﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺘﻬﺩﻑ‬‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻷﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺒﻴﺩ‬ ‫ﻓﻅﻴﻊ؛‬ ‫ﻤﻭﻗﻑ‬ ‫ﺃﻭ‬ ‫ﺤﺎﺩﺙ‬ ‫ﻤﻨﻊ‬ ‫ﺃﻭ‬ ‫ﻟﻀﺎﺌﻘﺔ‬
‫ﻔﺭﻁﺔ‬‫ﻤ‬ ‫ﺃﻨﻬﺎ‬ ‫ﺃﻭ‬ ‫ﻤﻨﻌﻪ‬ ‫ﺃﻭ‬ ‫ﻟﺘﻌﻁﻴﻠﻪ‬ ‫ﻤﺔ‬‫ﻤ‬‫ﺼ‬‫ﻤ‬ ‫ﻫﻲ‬ ‫ﺒﻤﺎ‬ ‫ﻭﺍﻗﻌﻴﺔ‬ ‫ﺒﻁﺭﻴﻘﺔ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺃﻨﻬﺎ‬ ‫ﺇﻤﺎ‬.
B-‫ﻤﻌﻘﻭﻟﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺭﻁﺔ‬ ‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ﺍﻷﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺴﺎﻭﺱ‬ ‫ﺒﺄﻥ‬ ،‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﻤﺎ‬ ‫ﻤﺤﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﺃﺩﺭﻙ‬.
‫ﻤﻼﺤﻅ‬‫ﺔ‬:‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻷﻤﺭ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻨﻁﺒﻕ‬ ‫ﻻ‬.
C-‫ﻟﻠﻭﻗﺕ‬ ‫ﻌﺔ‬‫ﻴ‬‫ﻤﻀ‬ ‫ﻭﻫﻲ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ﻭﺍﻟﻔﻌﺎل‬ ‫ﺍﻟﻭﺴﺎﻭﺱ‬ ‫ﺘﺴﺒﺏ‬)‫ﹰ‬‫ﺎ‬‫ﻴﻭﻤﻴ‬ ‫ﺴﺎﻋﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺘﺴﺘﻐﺭﻕ‬(‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺒﺸﻜل‬ ‫ﺘﺘﺩﺨل‬ ‫ﺃﻭ‬ ،
‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﺒﻴﻌﻲ‬ ‫ﺍﻟﺭﻭﺘﻴﻨﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬)‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬ ‫ﺃﻭ‬(‫ﺍﻻﻋﺘﻴﺎﺩﻴﺔ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺃﻭ‬.
D-‫ﺇ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻤﻥ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﺩ‬ ‫ﺫﺍ‬I‫ﺒﻪ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺤﺼﻭﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ﺍﻷﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺴﺎﻭﺱ‬ ‫ﻤﺤﺘﻭﻯ‬ ‫ﻓﺈﻥ‬ ،)‫ﺃﺤﺩ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺒﺎﻟﻁﻌﺎﻡ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ،‫ﻤﺜل‬
‫ﺒﻭﺠﻭﺩ‬ ‫ﺒﺎﻟﻌﻘﺎﻗﻴﺭ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺍﻟﺠﺴﺩ؛‬ ‫ﺸﻜل‬ ‫ﺘﺸﻭﻩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﺤﻭل‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻟﺸﻌﺭ؛‬ ‫ﻨﺘﻑ‬ ‫ﻫﻭﺱ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺍﻟﺸﻌﺭ‬ ‫ﻨﺘﻑ‬ ‫ﺍﻷﻜل؛‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬

114. 113
‫ﺍﻟﻤ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺠﻨﺴﻲ‬ ‫ﺨﻁل‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﻫﻭﺍﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺭﻏﺒﺎﺕ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺭﺍﻕ؛‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺨﻁﻴﺭ‬ ‫ﺒﻤﺭﺽ‬ ‫ﺒﺎﻹﺼﺎﺒﺔ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻭﺍﺩ؛‬
Paraphilia‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺫﻨﺒﺔ‬‫ﻤ‬ ‫ﺍﺠﺘﺭﺍﺭﺍﺕ‬ ‫؛‬.
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜﺎل‬(‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻀﻌﻴﻔﺔ‬ ‫ﺒﺼﻴﺭﺓ‬ ‫ﻤﻊ‬:‫ﻤﻌﻘﻭﻟﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺭﻁﺔ‬ ‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ﻭﺍﻷﻓﻌﺎل‬ ‫ﺍﻟﻭﺴﺎﻭﺱ‬ ‫ﺃﻥ‬ ،‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻟﻤﻌﻅﻡ‬ ،‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻴﺩﺭﻙ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬.
■309.81‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Posttraumatic Stress Disorder
A-‫ﻤﻤﺎ‬ ‫ﱟ‬‫ل‬‫ﻜ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻤﻊ‬ ‫ﺭﻀﺤﻲ‬ ‫ﻟﺤﺎﺩﺙ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺽ‬‫ﺭ‬‫ﺘﻌ‬‫ﻴﻠﻲ‬:
(1)‫ﺍﻟﺴﻼﻤﺔ‬ ‫ﺘﻬﺩﻴﺩ‬ ‫ﺃﻭ‬ ‫ﺨﻁﻴﺭ؛‬ ‫ﺃﺫﻯ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻭﺕ‬ ‫ﹰ‬‫ﺍ‬‫ﺘﻬﺩﻴﺩ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻓﻌﻠﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻭﺘ‬ ‫ﺘﻀﻤﻨﺕ‬ ‫ﺤﻭﺍﺩﺙ‬ ‫ﺃﻭ‬ ‫ﺤﺎﺩﺙ‬ ‫ﻭﺍﺠﻪ‬ ‫ﺃﻭ‬ ‫ﺸﻬﺩ‬ ‫ﺃﻭ‬ ‫ﺭ‬ِ‫ﺒ‬‫ﹶ‬‫ﺨ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬
‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺫﺍﺕ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬.
(2)‫ﺍﻟﺘﺭﻭﻴﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺘﻀﻤﻨﺕ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻷﻁﻔﺎ‬ ‫ﻋﻨﺩ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻥ‬ ‫ﺭ‬‫ﺒ‬‫ﻴﻌ‬ ‫ﻗﺩ‬‫ﻤﺸﻭﺵ‬ ‫ﺒﺴﻠﻭﻙ‬ ‫ل‬
‫ﻤﺘﻬﻴﺞ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺃﻭ‬.
B-‫ﺒﻁﺭﻴﻘﺔ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﺭﻀﺤﻲ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﺨﺒﺭﺓ‬ ‫ﺍﺴﺘﻌﺎﺩﺓ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻁﺭﻕ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻹﺩﺭﺍﻜﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺼﻭﺭ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬ ،‫ﻟﻠﺤﺎﺩﺙ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺇﻗﺤﺎﻤﻴﺔ‬ ‫ﻜﺭﺒﺔ‬‫ﻤ‬ ‫ﺘﺫﻜﺭﺍﺕ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﻟﻌﺏ‬ ‫ﺍﻟﺼﻐﺎﺭ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻗﺩ‬
‫ﻤﻭ‬ ‫ﻋﻥ‬ ‫ﺨﻼﻟﻪ‬ ‫ﻤﻥ‬ ‫ﺭ‬‫ﺒ‬‫ﻌ‬‫ﻴ‬ ‫ﺘﻜﺭﺍﺭﻱ‬‫ﺍﻟﺭﻀﺢ‬ ‫ﻨﻭﺍﺤﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻀﻴﻊ‬.
(2)‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﻋﻥ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻤﻜﺭﺒﺔ‬ ‫ﺃﺤﻼﻡ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﻤﺤﺘﻭﺍﻫﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻌﺭﻑ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻤﺨﻴﻔﺔ‬ ‫ﺃﺤﻼﻡ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬ ،‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬.
(3)‫ﺍﻟﺤﺩﻭﺙ‬ ‫ﻴﻌﺎﻭﺩ‬ ‫ﺍﻟﺭﻀﺤﻲ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﺃﻥ‬ ‫ﻟﻭ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺼﺭﻑ‬)‫ﻭﺍﻷﻫﻼﺴﺎﺕ‬ ‫ﻭﺍﻹﺨﺎﻻﺕ‬ ‫ﺍﻟﺨﺒﺭﺓ‬ ‫ﺇﺤﻴﺎﺀ‬ ‫ﺒﺈﻋﺎﺩﺓ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﻌﻭﺭ‬ ‫ﺫﻟﻙ‬ ‫ﻭﻴﺸﻤل‬
‫ﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﻭﻨﻭﺏ‬‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻋﻨﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﻋﻨﺩ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺘﻠﻙ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬ ،‫ﺍﺴﺘﻌﺎﺩﻴﺔ‬.(‫ﻤﻼﺤﻅﺔ‬:‫ﺇﻋﺎﺩﺓ‬ ‫ﺍﻟﺼﻐﺎﺭ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻗﺩ‬
‫ﺒﺎﻟﺭﻀﺢ‬ ‫ﺨﺎﺼﺔ‬ ‫ﺘﻤﺜﻴل‬.
(4)‫ﺍﻟﺭﻀﺤﻲ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﺃﻭﺠﻪ‬ ‫ﺃﺤﺩ‬ ‫ﺘﺸﺎﺒﻪ‬ ‫ﺃﻭ‬ ‫ﺘﺭﻤﺯ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺨﺎﺭﺠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺩﺍﺨﻠﻴﺔ‬ ‫ﻹﺸﺎﺭﺍﺕ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﻋﻨﺩ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻀﺎﺌﻘﺔ‬.
(5)‫ﻋ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻔﻌﺎﻟﻴﺔ‬ ‫ﻋﻭﺩﺓ‬‫ﺍﻟﺭﻀﺤﻲ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﺃﻭﺠﻪ‬ ‫ﺃﺤﺩ‬ ‫ﺘﺸﺎﺒﻪ‬ ‫ﺃﻭ‬ ‫ﺘﺭﻤﺯ‬ ‫ﺨﺎﺭﺠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺩﺍﺨﻠﻴﺔ‬ ‫ﻹﺸﺎﺭﺍﺕ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﻨﺩ‬.
C-‫ﻭﺘﺨﺩﻴﺭ‬ ‫ﻟﻠﺭﻀﺢ‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﻟﻠﻤﺜﻴﺭﺍﺕ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺘﺠﻨﺏ‬Numbing‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻻﺴﺘﺠﺎﺒﺔ‬)‫ﺍﻟﺭﻀﺢ‬ ‫ﻗﺒل‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺓ‬ ‫ﻏﻴﺭ‬(‫ﻤﻥ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬
‫ﺜﻼﺜﺔ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻹ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻓﻜﺎﺭ‬ ‫ﻟﺘﺠﻨﺏ‬ ‫ﺠﻬﻭﺩ‬‫ﺍﻟﺭﻀﺢ‬ ‫ﺼﺎﺤﺒﺕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺤﺎﺩﻴﺙ‬ ‫ﺃﻭ‬ ‫ﺤﺴﺎﺴﺎﺕ‬.
(2)‫ﺍﻟﺭﻀﺢ‬ ‫ﺘﺫﻜﺭﺍﺕ‬ ‫ﻴﺜﻴﺭﻭﻥ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻤﺎﻜﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﻟﺘﺠﻨﺏ‬ ‫ﺠﻬﻭﺩ‬.

115. 114
(3)‫ﺍﻟﺭﻀﺢ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻡ‬ ‫ﺠﺎﻨﺏ‬ ‫ﺘﺫﻜﺭ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬.
(4)‫ﻤﻬﻤﺔ‬ ‫ﺃﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﺍﻀﺤﻴﻥ‬ ‫ﺍﻟﻤﺸﺎﺭﻜﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﺍﻨﺨﻔﺎﺽ‬.
(5)‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻐﺭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻻﻨﻔﺼﺎل‬ ‫ﺍﻟﺸﻌﻭﺭ‬.
(6)‫ﺍ‬ ‫ﺘﻀﻴﻕ‬‫ﺍﻟﻭﺠﺩﺍﻨﻲ‬ ‫ﻟﻤﺠﺎل‬)‫ﺔ‬‫ﺒ‬‫ﺤ‬‫ﻤ‬ ‫ﻤﺸﺎﻋﺭ‬ ‫ﺍﻤﺘﻼﻙ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﻤﺜل‬.(
(7)‫ﺍﻟﻤﺴﺘﻘﺒل‬ ‫ﺭ‬‫ﺼ‬‫ﺒﺘﻘﺎ‬ ‫ﺇﺤﺴﺎﺱ‬)‫ﺤﻴﺎﺓ‬ ‫ﻤﺩﻯ‬ ‫ﻟﺩﻴﻪ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺃﻁﻔﺎل‬ ‫ﻟﺩﻴﻪ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﻴﺘﺯﻭﺝ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻬﻨﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺤﺼل‬ ‫ﺃﻥ‬ ‫ﻴﺘﻭﻗﻊ‬ ‫ﻻ‬ ،‫ﻤﺜﺎل‬
‫ﻁﺒﻴﻌﻲ‬.(
D-‫ﻭﺍﻟﻴﻘﻅﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺍﺯﺩﻴﺎﺩ‬ ‫ﻤﻥ‬ ‫ﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬Arousal)‫ﺍﻟﺭﻀﺢ‬ ‫ﻗﺒل‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﺘﻜﻥ‬ ‫ﻟﻡ‬(،‫ﺍﺜﻨﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻋﻠﻴﻬﺎ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬:
(1)‫ﻋﻠﻴﻪ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﻟﻭﺝ‬ ‫ﺼﻌﻭﺒﺔ‬.
(2)‫ﻏﻀﺏ‬ ‫ﺍﻨﻔﺠﺎﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﺴﺘﺜﺎﺭﺓ‬.
(3)‫ﺘﺭﻜﻴﺯ‬ ‫ﺼﻌﻭﺒﺔ‬.
(4)‫ﺍﻟﺘﻴﻘﻅ‬ ‫ﻓﺭﻁ‬Hypervigilance.
(5)‫ﻓﻴﻬﺎ‬ ‫ﻤﺒﺎﻟﻎ‬ ‫ﺇﺠﻔﺎل‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬.
E-‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺩﺓ‬)‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬B‫ﻭ‬C‫ﻭ‬D(‫ﺸﻬﺭ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬.
F-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﹰ‬‫ﺍ‬‫ﺤﺎﺩ‬:‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﺩﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬3‫ﺃﺸﻬﺭ‬.
‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬:‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﺩﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬3‫ﺃﺸﻬﺭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﻤﺘﺄﺨﺭ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬:‫ﺍﻷ‬ ‫ﺒﺩﺃﺕ‬ ‫ﺇﺫﺍ‬‫ﺒﻌﺩ‬ ‫ﻋﺭﺍﺽ‬6‫ﺍﻟﻤﻜﺭﺏ‬ ‫ﻟﻠﻌﺎﻤل‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﺒﻌﺩ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
■308.3‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Acute Stress Disorder
A-‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﻜل‬ ‫ﻓﻴﻪ‬ ‫ﻴﺘﻭﺍﺠﺩ‬ ‫ﺭﻀﺤﻲ‬ ‫ﻟﺤﺎﺩﺙ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺽ‬‫ﺭ‬‫ﺘﻌ‬:
(1)‫ﺨﻁﻴ‬ ‫ﺃﺫﻯ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﻭﺕ‬ ‫ﹰ‬‫ﺍ‬‫ﺘﻬﺩﻴﺩ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻓﻌﻠﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻭﺘ‬ ‫ﺘﻀﻤﻨﺕ‬ ‫ﺤﻭﺍﺩﺙ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﺩﺜ‬ ‫ﻭﺍﺠﻪ‬ ‫ﺃﻭ‬ ‫ﺸﻬﺩ‬ ‫ﺃﻭ‬ ‫ﺨﺒﺭ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬‫ﺍﻟﺴﻼﻤﺔ‬ ‫ﺘﻬﺩﻴﺩ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﺭ‬
‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺫﺍﺕ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬.

116. 115
(2)‫ﺍﻟﺘﺭﻭﻴﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺘﻀﻤﻨﺕ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬.
B-‫ﺜﻼﺜﺔ‬ ،‫ﺍﻟﻤﻜﺭﺏ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﺨﺒﺭﺓ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺨﺒﺭﺓ‬ ‫ﻤﺭﻭﺭﻩ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺇﻤﺎ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺤﺩﺙ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬:
(1)‫ﺃﻭ‬ ‫ﺒﺨﺩﺭ‬ ‫ﺍﻟﺫﺍﺘﻲ‬ ‫ﺍﻹﺤﺴﺎﺱ‬‫ﺍﻻﻨﻔﻌﺎﻟﻴﺔ‬ ‫ﺍﻻﺴﺘﺠﺎﺒﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻨﻔﺼﺎل‬.
(2)‫ﺍﻟﻤﺤﻴﻁ‬ ‫ﻭﻋﻲ‬ ‫ﻓﻲ‬ ‫ﺍﻨﺨﻔﺎﺽ‬)‫ﺫﻫﻭل‬ ‫ﻓﻲ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ،‫ﻤﺜل‬)‫ﻩ‬‫ﺩ‬‫ﹶ‬‫ﺸ‬ ‫ﻓﻲ‬(Daze.(
(3)‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﺒﺩﺩ‬.
(4)‫ﺍﻟﺫﺍﺕ‬ ‫ﺘﺒﺩﺩ‬.
(5)‫ﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﻨﺴﺎﻭﺓ‬)‫ﺍﻟﺭﻀﺢ‬ ‫ﺃﻭﺠﻪ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻡ‬ ‫ﻭﺠﻪ‬ ‫ﺘﺫﻜﺭ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻱ‬.(
C-‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺒﻁﺭﻴﻘﺔ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﺭﻀﺤﻲ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﺨﺒﺭﺓ‬ ‫ﺍﺴﺘﻌﺎﺩﺓ‬‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻁﺭﻕ‬:‫ﺍﺴﺘﻌﺎﺩﻴﺔ‬ ‫ﻨﻭﺒﺎﺕ‬ ،‫ﺇﺨﺎﻻﺕ‬ ،‫ﺃﺤﻼﻡ‬ ،‫ﺃﻓﻜﺎﺭ‬ ،‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺼﻭﺭ‬
‫ﺍﻟﺭﻀﺤﻲ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﻟﺘﺫﻜﺭﺍﺕ‬ ‫ﺽ‬‫ﺭ‬‫ﺍﻟﺘﻌ‬ ‫ﻋﻨﺩ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﺒﺭﺓ‬ ‫ﺇﺤﻴﺎﺀ‬ ‫ﺒﺈﻋﺎﺩﺓ‬ ‫ﺇﺤﺴﺎﺱ‬ ‫ﺃﻭ‬)‫ﺒﻪ‬ ‫ﹼﺭ‬‫ﻜ‬‫ﻴﺫ‬ ‫ﻤﺎ‬.(
D-‫ﺍﻟﺭﻀﺢ‬ ‫ﺘﺫﻜﺭﺍﺕ‬ ‫ﺘﺴﺘﺩﻋﻲ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻠﻤﺜﻴﺭﺍﺕ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺘﺠﻨﺏ‬)‫ﺍﻟﻨﺎﺱ‬ ،‫ﺍﻷﻤﺎﻜﻥ‬ ،‫ﺍﻷﻨﺸﻁﺔ‬ ،‫ﺍﻷﺤﺎﺩﻴﺙ‬ ،‫ﺍﻟﻤﺸﺎﻋﺭ‬ ،‫ﺍﻷﻓﻜﺎﺭ‬ ،‫ﻤﺜل‬.(
E-‫ﺍﻟﻴﻘﻅﺔ‬ ‫ﺘﺯﺍﻴﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻤﻥ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬)‫ﺯﻟﺯ‬ ،‫ﻓﻴﻬﺎ‬ ‫ﻤﺒﺎﻟﻎ‬ ‫ﺇﺠﻔﺎل‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ،‫ﺍﻟﺘﻴﻘﻅ‬ ‫ﻓﺭﻁ‬ ،‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﻀﻌﻑ‬ ،‫ﺍﻻﺴﺘﺜﺎﺭﺓ‬ ،‫ﺍﻟﻨﻭﻡ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﻤﺜل‬
‫ﺤﺭﻜﻲ‬.(
F-‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬
‫ﱡ‬‫ل‬‫ﺨ‬‫ﻴ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺭ‬‫ﻴﻀ‬(‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﺭﺩ‬ ‫ﺘﻌﺒﺌﺔ‬ ‫ﺃﻭ‬ ‫ﻀﺭﻭﺭﻴﺔ‬ ‫ﻤﺴﺎﻋﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺼﻭل‬ ‫ﻤﺜل‬ ،‫ﻀﺭﻭﺭﻴﺔ‬ ‫ﻤﺎ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻤﺘﺎﺒﻌﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﺒﻘﺩﺭﺓ‬)‫ﺘﻨﻘﻴﻠﻬﺎ‬
Mobilizing(‫ﺍﻟﺭﻀﺤﻴﺔ‬ ‫ﺍﻟﺨﺒﺭﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻷﺴﺭﺓ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﺒﺈﺨﺒﺎﺭ‬.
G-‫ﻭ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻴﻭﻤﻴﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺘﻤﺭ‬4‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻭﻫﻭ‬ ‫ﺃﻗﺼﻰ‬ ‫ﻜﺤﺩ‬ ‫ﺃﺴﺎﺒﻴﻊ‬4‫ﻤ‬ ‫ﺃﺴﺎﺒﻴﻊ‬‫ﺍﻟﺭﻀﺤﻲ‬ ‫ﺍﻟﺤﺎﺩﺙ‬ ‫ﻥ‬.
H-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻴﻌﻠﻠﻪ‬ ‫ﻭﻻ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﻔﺎﻗﻡ‬ ‫ﻤﺠﺭﺩ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻫﻭ‬ ‫ﻭﺠﻴﺯ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬I‫ﺃﻭ‬II‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﻤﻭﺠﻭﺩ‬.
■300.02‫ﺍﻟﻤﻌﻤﻡ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻀﻁ‬ ‫ﻴﺸﻤل‬‫ﺍﻟﻁﻔﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺯﺍﺌﺩ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺭﺍﺏ‬(
Generalized Anxiety Disorder (Includes Overanxious
Disorder of Childhood)
A-‫ﻗﻠﻘﻲ‬ ‫ﻭﺍﻨﺸﻐﺎل‬ ‫ﺯﺍﺌﺩ‬ ‫ﻗﻠﻕ‬Worry)‫ﺘﻭﺠﺴﻲ‬ ‫ﺘﻭﻗﻊ‬(‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﺃﻏﻠﺏ‬ ‫ﻴﺤﺩﺙ‬6‫ﺍﻷﻨﺸﻁﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﻭﺍﺩﺙ‬ ‫ﻤﻥ‬ ‫ﻋﺩﺩ‬ ‫ﺤﻭل‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬)‫ﻤﺜل‬
‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ﺍﻹﻨﺠﺎﺯ‬.(
B-‫ﻴﺠ‬‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺩ‬.
C-‫ﺜﻼﺜﺔ‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﻭﺍﻻﻨﺸﻐﺎل‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻴﺼﺎﺤﺏ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺴﺕ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬)‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻷﻏﻠﺏ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺒﻌﺽ‬ ‫ﺘﻭﺍﺠﺩ‬ ‫ﻤﻊ‬
‫ﺍﻷﺨﻴﺭﺓ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺍﻟﺴﺘﺔ‬.(‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﻭﺍﺤﺩ‬ ‫ﺒﻨﺩ‬ ‫ﻴﻜﻔﻲ‬.

117. 116
(1)‫ﻀﻴﻕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺘﻭﺘﺭ‬ ‫ﺇﺤﺴﺎﺱ‬ ‫ﺃﻭ‬ ‫ﺘﻤﻠﻤل‬‫ﹸﻕ‬‫ﻠ‬‫ﹸ‬‫ﺨ‬‫ﺍﻟ‬on edge.
(2)‫ﺍﻟﺘﻌﺏ‬ ‫ﺴﻬﻭﻟﺔ‬.
(3)‫ﺍﻟﻌﻘل‬ ‫ﻓﺭﺍﻍ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﺼﻌﻭﺒﺔ‬.
(4)‫ﺍﺴﺘﺜﺎﺭﺓ‬.
(5)‫ﻋﻀﻠﻲ‬ ‫ﺘﻭﺘﺭ‬.
(6)‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ِﻊ‬‫ﺒ‬‫ﻭﺍﻟﻼﻤﺸ‬ ‫ﺍﻟﻤﺘﻤﻠﻤل‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﻓﻴﻪ‬ ‫ﺍﻟﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﻟﻭﺝ‬ ‫ﺼﻌﻭﺒﺔ‬.(
D-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﺤﺩ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺼﻭﺭﺓ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﻭﺍﻻﻨﺸﻐﺎل‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺒﺅﺭﺓ‬I،‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺔ‬ ‫ﺤﺼﻭل‬ ‫ﺤﻭل‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ،‫ﻤﺜﺎل‬
)‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﺍﻟﻤﻸ‬ ‫ﺃﻤﺎﻡ‬ ‫ﺍﻟﺤﺭﺝ‬ ‫ﺃﻭ‬ ،)‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﺭﻫﺎﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﺍﻟﺘﻠﻭﺙ‬ ‫ﺃﻭ‬ ،)‫ﺍﻟﻘﻬﺭﻱ‬ ‫ﺍﻟﻭﺴﻭﺍﺱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﺯل‬ ‫ﻋﻥ‬ ‫ﺍﻻﺒﺘﻌﺎﺩ‬ ‫ﺃﻭ‬
‫ﺍﻟﻤﻘﺭﺒﻴﻥ‬ ‫ﺍﻷﻗﺎﺭﺏ‬)‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﺍﻟﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﺃﻭ‬)‫ﻜﻤﺎ‬‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻓﻲ‬(‫ﻋﺩﻴﺩﺓ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺸﻜﺎﻭﻯ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ،)‫ﺍﻟﺠﺴﺩﻨﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(
‫ﺨﻁﻴﺭ‬ ‫ﻤﺭﺽ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬)‫ﺍﻟﻤﺭﺍﻕ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻭﻻ‬ ،.
E-‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻴﺴﺒﺏ‬‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬.
F-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﻓﺭﻁ‬ ،‫ﻤﺜل‬
‫ﺍﻟﺩﺭﻕ‬ ‫ﻨﺸﺎﻁ‬(‫ﺃﻭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻭﻻ‬‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
■293.84‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ِﺭ‬‫ﺸ‬‫ﺃ‬[
Anxiety Disorder Due to... [Indicate the General
Medical Condition]
A-‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺼﻭﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﻗﻬﺭﻴﺔ‬ ‫ﺃﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﻭﺴﺎﻭﺱ‬ ‫ﺃﻭ‬ ‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﺭﺯ‬ ‫ﻗﻠﻕ‬.
B-‫ﺃ‬ ،‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻻﺌل‬ ‫ﺜﻤﺔ‬‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻋﺎﻗﺒﺔ‬ ‫ﻫﻭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﻤﻥ‬ ‫ﻭ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬)‫ﺨﻁﻴﺭﺓ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺍﻟﻤﻜﺭﺏ‬ ‫ﺍﻟﻌﺎﻤل‬ ‫ﻓﻴﻪ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜل‬.(
D-‫ﺤﺎﻟ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﺍﻟﻬﺫﻴﺎﻥ‬ ‫ﺔ‬.
E-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﻤﻌﻤﻡ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭﺍﻥ‬ ‫ﻓﻌﺎﻟﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺃﺤﺩﺍﺙ‬ ‫ﻋﺩﺓ‬ ‫ﺤﻭل‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺯﺍﺌﺩ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﻫﺠ‬ ‫ﻤﻊ‬‫ﻫﻠﻊ‬ ‫ﻤﺎﺕ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.

118. 117
‫ﻗﻬﺭﻴﺔ‬ ‫ﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ﺍﻷﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺴﺎﻭﺱ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I،‫ﻤﺜﺎل‬ ،293.84‫ﺍﻟﻘﻭﺍ‬ ‫ﻭﺭﻡ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻤﻌﻤﻡ؛‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ،‫ﺘﻡ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺒﺎﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺍﻟﺨﺎﺹ‬.(
■‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Substance-Induced Anxiety Disorder
A-‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺼﻭﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﻗﻬﺭﻴﺔ‬ ‫ﺃﻓﻌﺎل‬ ‫ﺃﻭ‬ ‫ﻭﺴﺎﻭﺱ‬ ‫ﺃﻭ‬ ‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺒﺎﺭﺯ‬ ‫ﻗﻠﻕ‬.
B-‫ﺍ‬ ‫ﻤﻥ‬ ‫ﺩﻻﺌل‬ ‫ﺜﻤﺔ‬‫ﺇﻤﺎ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﻟﻘﺼﺔ‬(1)‫ﺃﻭ‬(2):
(1)‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬A‫ﻋﻨﻬﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺤﺩ‬ ‫ﺸﻬﺭ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺨﻼل‬ ‫ﺘﻁﻭﺭﺕ‬ ‫ﻗﺩ‬.
(2)‫ﺒﺎﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬.
C-‫ﺒﺎﻀﻁﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻗﻠﻘﻲ‬ ‫ﺍﺏ‬.‫ﻴﻤﻜﻥ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻗﻠﻘﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺘﻔﺴﻴﺭﻫﺎ‬ ‫ل‬‫ﻀ‬‫ﻔ‬‫ﻴ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻟﺩﻻﺌل‬
‫ﺍﻵﺘﻲ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺃﻥ‬:‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﺩﺀ‬ ‫ﺘﺴﺒﻕ‬ ‫ﺍﻷﻋﺭﺍﺽ‬)‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺃﻭ‬(‫ﺍﻟﻭﻗﺕ‬ ‫ﻤﻥ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﻭﻫﻲ‬ ،)‫ﺍﻟﺸﻬﺭ‬ ‫ﺤﻭﺍﻟﻲ‬ ،‫ﻤﺜﺎل‬(‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺘﻭﻗﻑ‬ ‫ﺒﻌﺩ‬
‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ؛‬ ‫ﻭﻤﺩﺓ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻤﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﺒﺎﻻﻋﺘﺒﺎﺭ‬ ‫ﺃﺨﺫﻨﺎ‬ ‫ﺇﺫﺍ‬ ‫ﺘﻭﻗﻌﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻤﺎ‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺴﺘﻘل‬ ‫ﻗﻠﻘﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻴﻘﺘﺭﺡ‬ ‫ﺁﺨﺭ‬ ‫ﹰ‬‫ﻼ‬‫ﺩﻟﻴ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺃﻥ‬)‫ﺒﺎﻟﻤﻭﺍﺩ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻗﺼﺔ‬ ،‫ﻤﺜل‬.(
D-‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﺍﻟﻬﺫﻴﺎﻥ‬.
E-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻋﻤﺎ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺤﻴﻥ‬ ‫ﻓﻘﻁ‬ ‫ﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻭﻀ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﺫﺍ‬ ‫ﻭﻀﻊ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﺍﻻﻨ‬ ‫ﻋﺎﺩﺓ‬ ‫ﻴﺼﺎﺤﺏ‬‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﺘﺒﺎﻫ‬ ‫ﺃﻭ‬ ‫ﻋﻨﺎﻴﺔ‬ ‫ﻟﺘﺴﺘﻭﺠﺏ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﻋﻨﺩﻤﺎ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻤﺎﻡ‬.
‫ـ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ـ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬]‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬[
)291.89‫ﺍﻟﻜﺤﻭل؛‬292.89‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬)‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬(‫؛‬292.89‫ﺍﻟﻜﺎﻓﺌﻴﻥ؛‬292.89‫ﺍﻟﺤﺸﻴﺵ؛‬292.89‫ﺍﻟﻜ‬‫ﻭﻜﺎﺌﻴﻥ؛‬292.89
‫ﺍﻟﻤﻬﻠﻭﺴﺎﺕ؛‬292.89‫ﺍﻟﻨﺸﻭﻗﺎﺕ؛‬292.89‫ﺍﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬)‫ﺒﺎﻟﻔﻴﻨﺴﻴﻜﻠﻴﺩﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬(‫؛‬292.89‫ﺍﻟﻘﻠﻕ؛‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬
292.89‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬.([
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﻤﻌﻤﻡ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬:‫ﺍﻟ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﻴﻁﺭﺍﻥ‬ ‫ﺍﻟﻔﻌﺎﻟﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﻭﺍﺩﺙ‬ ‫ﻤﻥ‬ ‫ﻋﺩﺩ‬ ‫ﺤﻭل‬ ‫ﺍﻟﻘﻠﻘﻲ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺃﻭ‬ ‫ﺯﺍﺌﺩ‬.
‫ﻫﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻤﻊ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.

119. 118
‫ﻗﻬﺭﻴﺔ‬ ‫ـ‬ ‫ﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﺍﻟﻘﻬﺭﻴﺔ‬ ‫ﺍﻷﻋﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺴﺎﻭﺱ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺭﻫ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻊ‬‫ﺎﺒﻴﺔ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﺍﻟﺭﻫﺎﺒﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬)‫ﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﻁﺒﻴﻕ‬ ‫ﺒﻘﺎﺒﻠﻴﺔ‬ ‫ﺍﻟﺨﺎﺹ‬ ‫ﺍﻟﺠﺩﻭل‬ ‫ﺍﻨﻅﺭ‬:(
‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻊ‬:‫ﻤﻌﺎ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺒﻌﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻴﻴﺭ‬.
■300.00‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Anxiety Disorder Not Otherwise Specified
‫ﺘﺤ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺒﺎﺭﺯﻴﻥ‬ ‫ﺍﻟﺭﻫﺎﺒﻲ‬ ‫ﺍﻟﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﺃﻭ‬ ،‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻘﻕ‬
‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺒﻤﺯﺍﺝ‬ ‫ﻤﺨﺘﻠﻁ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺸﻤل‬:
1-‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ـ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﻨﻭﻋﻲ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﻭﺍﺀ‬ ‫ﺘﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﻟﻜﻥ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺒﺎﺭﺯﺓ‬ ‫ﻭﺍﻜﺘﺌﺎﺏ‬ ‫ﻗﻠﻕ‬ ‫ﺃﻋﺭﺍﺽ‬
‫ﻗ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬‫ﻨﻭﻋﻲ‬ ‫ﻠﻕ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻼﻁﻼﻉ‬.(
2-‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺤﺼﻭل‬ ‫ﻤﻥ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺒﺎﻷﺜﺭ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺸﺄﻥ‬ ‫ﺫﺍﺕ‬ ‫ﺍﺠﺘﻤﺎﻋﻲ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺃﻋﺭﺍﺽ‬)‫ﺩﺍﺀ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﺘﺄﺘﺄﺓ‬ ،‫ﺍﻟﺠﻠﺩﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ،‫ﺒﺎﺭﻜﻨﺴﻭﻥ‬Stuttering‫ﺍﻀﻁﺭﺍ‬ ،‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ،‫ﺍﻟﺠﺴﺩ‬ ‫ﺸﻜل‬ ‫ﺘﺸﻭﻩ‬ ‫ﺏ‬.(
3-‫ﻋﻥ‬ ‫ﺍﻹﻓﺎﺩﺓ‬ ‫ﻓﻲ‬ ‫ﻴﺨﻔﻕ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﻜﻥ‬ ،‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻷﺤﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﺸﺨﻴﺼ‬ ‫ﻴﺴﺘﻭﺠﺏ‬ ‫ﻟﻜﻲ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﹰ‬‫ﺍ‬‫ﺸﺩﻴﺩ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺤﺎﻻﺕ‬
‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﺠﻤﻴﻊ‬ ‫ﻋﻥ‬ ‫ﹼﻎ‬‫ﻠ‬‫ﻴﺒ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺸﺨﺹ‬ ،‫ﺍﻟﻤﺜﺎل‬ ‫ﺴﺒﻴل‬ ‫ﻓﻌﻠﻰ‬ ‫ﻨﻭﻋﻲ؛‬ ‫ﻗﻠﻘﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻷﻱ‬ ‫ﻜﺎﻤﻠﺔ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻴﻕ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬
‫ﺍ‬‫ﻤﺤﺩﺩﺓ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺫﺍﺕ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻫﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻤﻴﻌ‬ ‫ﺍﻟﻬﻠﻊ‬ ‫ﻫﺠﻤﺎﺕ‬ ‫ﻜﻭﻥ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬ ‫ﺍﻟﺴﺎﺡ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻟﻬﻠﻊ‬.
4-‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺒﺩﺌﻴ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻗﺎﺩﺭ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻜﻨﻪ‬ ،‫ﻤﻭﺠﻭﺩ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺴﺘﻨﺘﺞ‬ ‫ﺤﺎﻻﺕ‬
‫ﺒﻤﺎﺩﺓ‬.
‫اﻟﺸﻜﻞ‬ ‫اﻟﺠﺴﺪﻳﺔ‬ ‫اﻻﺿﻄﺮاﺑﺎت‬
Somatoform Disorders
■300.81‫ﺍﻟﺠﺴﺩﻨﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Somatization Disorder
A-‫ﺴﻥ‬ ‫ﻗﺒل‬ ‫ﺘﺒﺩﺃ‬ ‫ﻋﺩﻴﺩﺓ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺸﻜﺎﻭﻯ‬ ‫ﻗﺼﺔ‬30‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﻤﻬﻡ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﻨﺸﺩﺍﻥ‬ ‫ﺇﻟﻰ‬ ‫ﻭﺘﻔﻀﻲ‬ ‫ﺴﻨﻭﺍﺕ‬ ‫ﺒﻀﻊ‬ ‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﺘﺤﺩﺙ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬.
B-‫ﺍﻵﺘ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﺘﺤﻘﻴﻕ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﻤﻥ‬ ‫ﻭﻗﺕ‬ ‫ﺃﻱ‬ ‫ﻓﻲ‬ ‫ﻤﺨﺼﻭﺼﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺤﺩﻭﺙ‬ ‫ﻤﻊ‬ ،‫ﻴﺔ‬:
(1)‫ﺃﻟﻤﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﺭﺒﻌﺔ‬:‫ﻤﺨﺘﻠﻔﺔ‬ ‫ﻭﻅﺎﺌﻑ‬ ‫ﺃﻭ‬ ‫ﻤﻭﺍﻗﻊ‬ ‫ﺒﺄﺭﺒﻌﺔ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﺃﻟﻡ‬ ‫ﻗﺼﺔ‬)،‫ﺍﻟﻤﻔﺎﺼل‬ ،‫ﺍﻟﻅﻬﺭ‬ ،‫ﺍﻟﺒﻁﻥ‬ ،‫ﺍﻟﺭﺃﺱ‬ ،‫ﻤﺜل‬
‫ﺍﻟﺘﺒﻭل‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﺍﻟﻁﻤﺜﻴﺔ‬ ‫ﺍﻟﺩﻭﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﺍﻟﻤﺴﺘﻘﻴﻡ‬ ،‫ﺍﻟﺼﺩﺭ‬ ،‫ﺍﻷﻁﺭﺍﻑ‬.(

120. 119
(2)‫ﻫﻀﻤﻴ‬ ‫ﻋﺭﻀﺎﻥ‬‫ﺎﻥ‬:‫ﺍﻷﻟﻡ‬ ‫ﻋﺩﺍ‬ ‫ﻤﺎ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻫﻀﻤﻴﻴﻥ‬ ‫ﻋﺭﻀﻴﻥ‬ ‫ﻗﺼﺔ‬)‫ﻋﺩﻡ‬ ،‫ﺍﻹﺴﻬﺎل‬ ،‫ﺍﻟﺤﻤل‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻹﻗﻴﺎﺀ‬ ،‫ﺍﻻﻨﺘﻔﺎﺥ‬ ،‫ﺍﻟﻐﺜﻴﺎﻥ‬ ،‫ﻤﺜﺎل‬
‫ﻤﺨﺘﻠﻔﺔ‬ ‫ﺃﻁﻌﻤﺔ‬ ‫ﻋﺩﺓ‬ ‫ﺘﺤﻤل‬.(
(3)‫ﻭﺍﺤﺩ‬ ‫ﺠﻨﺴﻲ‬ ‫ﻋﺭﺽ‬:‫ﺍﻷﻟﻡ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺘﻨﺎﺴﻠﻲ‬ ‫ﺃﻭ‬ ‫ﺠﻨﺴﻲ‬ ‫ﻋﺭﺽ‬ ‫ﻗﺼﺔ‬)‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﺼﺎﺒﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺨﻠل‬ ،‫ﺒﺎﻟﺠﻨﺱ‬ ‫ﺍﻫﺘﻤﺎﻡ‬ ‫ﻋﺩﻡ‬ ،‫ﻤﺜﺎل‬
‫ﺩ‬ ،‫ﺍﻟﻘﺫﻑ‬ ‫ﺨﻠل‬‫ﺍﻟﺤﻤل‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻹﻗﻴﺎﺀ‬ ،‫ﻏﺯﻴﺭ‬ ‫ﻁﻤﺜﻲ‬ ‫ﻨﺯﻑ‬ ،‫ﻤﻨﺘﻅﻤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻁﻤﺜﻴﺔ‬ ‫ﻭﺭﺍﺕ‬.(
(4)‫ﻜﺎﺫﺏ‬ ‫ﻋﺼﺒﻲ‬ ‫ﻋﺭﺽ‬:‫ﺒﺎﻷﻟﻡ‬ ‫ﻤﺤﺼﻭﺭﺓ‬ ‫ﻟﻴﺴﺕ‬ ‫ﻋﺼﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻴﻘﺘﺭﺡ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﻋﺭﺽ‬ ‫ﻗﺼﺔ‬)‫ﺍﺨﺘﻼل‬ ‫ﻤﺜل‬ ‫ﺘﺤﻭﻴﻠﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬
‫ﺒﻭﻟﻲ‬ ‫ﺍﺤﺘﺒﺎﺱ‬ ،‫ﺍﻟﺼﻭﺕ‬ ‫ﻓﻘﺩ‬ ،‫ﺍﻟﺤﻨﺠﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻜﺘﻠﺔ‬ ‫ﺃﻭ‬ ‫ﺒﻠﻊ‬ ‫ﺼﻌﻭﺒﺔ‬ ،‫ﻤﻭﻀﻌﻲ‬ ‫ﻀﻌﻑ‬ ‫ﺃﻭ‬ ‫ﺸﻠل‬ ،‫ﺍﻟﺘﻭﺍﺯﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻨﺎﺴﻕ‬‫ﺍﻟﻠﻤﺱ‬ ‫ﺤﺱ‬ ‫ﻓﻘﺩ‬ ،‫ﺃﻫﻼﺴﺎﺕ‬ ،
‫ﺍﻹﻏﻤﺎﺀ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻭﻋﻲ‬ ‫ﻓﻘﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﻤﺜل‬ ‫ﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺍﺨﺘﻼﺠﻴﺔ؛‬ ‫ﻨﻭﺒﺎﺕ‬ ،‫ﺼﻤﻡ‬ ،‫ﻋﻤﻰ‬ ،‫ﻤﺯﺩﻭﺠﺔ‬ ‫ﺭﺅﻴﺔ‬ ،‫ﺍﻷﻟﻡ‬ ‫ﺃﻭ‬.(
C-‫ﺇﻤﺎ‬(1)‫ﺃﻭ‬(2):
(1)‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﻋﺭﺽ‬ ‫ﻜل‬ ‫ﺘﻔﺴﻴﺭ‬ ‫ﻴﺘﻌﺫﺭ‬ ،‫ﻤﻨﺎﺴﺏ‬ ‫ﺍﺴﺘﻘﺼﺎﺀ‬ ‫ﺒﻌﺩ‬B‫ﻤﺒ‬ ‫ﺒﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺒﺤﺎﻟﺔ‬ ‫ﻜﺎﻤل‬ ‫ﺒﺸﻜل‬‫ﺎﺸﺭﺓ‬
‫ﻟﻤﺎﺩﺓ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬.(
(2)‫ﺘﻭﻗﻌﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻋﻤﺎ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﺸﻜﺎﻴﺎﺕ‬ ‫ﻓﺈﻥ‬ ،‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬.
D-‫ﹶ‬‫ﻠ‬‫ﺨﺘ‬‫ﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﺤﺩﺜﺔ‬‫ﻤ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻟﻴﺴﺕ‬‫ﻘﺔ‬)‫ﺍﻟﺘﻤﺎﺭﺽ‬ ‫ﺃﻭ‬ ‫ﻔﺘﻌل‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬.(
■300.82‫ﺍﻟﻤﻤﻴﺯ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Undifferentiated Somatoform Disorder
A-‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺸﻜﺎﻴﺔ‬)‫ﺒﻭﻟﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻫﻀﻤﻴﺔ‬ ‫ﺸﻜﺎﻭﻯ‬ ،‫ﺍﻟﺸﻬﻴﺔ‬ ‫ﻓﻘﺩ‬ ،‫ﺍﻟﺘﻌﺏ‬ ،‫ﻤﺜل‬.(
B-‫ﺇﻤﺎ‬(1)‫ﺃﻭ‬(2):
(1)‫ﺘﻌﻠﻴل‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ،‫ﻤﻨﺎﺴﺏ‬ ‫ﺍﺴﺘﻘﺼﺎﺀ‬ ‫ﺒﻌﺩ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺒﺤﺎﻟﺔ‬ ‫ﻜﺎﻤل‬ ‫ﺒﺸﻜل‬ ‫ﺍﻷﻋﺭﺍﺽ‬)‫ﺴﻭﺀ‬ ‫ﻤﺜل‬
‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.(
(2)‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺘﻭﻗﻌﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻋﻤﺎ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻻﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﺸﻜﺎﻭﻯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻨﺩ‬
‫ﺍﻟ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬‫ﻤﺨﺒﺭﻴﺔ‬.
C-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬.
D-‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺩﺓ‬6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
E-‫ﺁﺨﺭ‬ ‫ﻲ‬‫ﻋﻘﻠ‬ ‫ﺏ‬‫ﺍﻀﻁﺭﺍ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺏ‬‫ﺍﻻﻀﻁﺭﺍ‬ ُ‫ل‬‫ﱢ‬‫ﻠ‬‫ﻴﻌ‬ ‫ﻻ‬)‫ﺍﻟﺠ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ،‫ﺁﺨﺭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺠﺴﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜل‬،‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻨﺴﻴﺔ‬
‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
F-‫ﹰ‬‫ﺎ‬‫ﻤﺨﺘﻠﻘ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺩﺜ‬‫ﻤ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻟﻴﺱ‬)‫ﺍﻟﺘﻤﺎﺭﺽ‬ ‫ﺃﻭ‬ ‫ﻔﺘﻌل‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬.(

121. 120
■300.11‫ﺍﻟﺘﺤﻭﻴل‬ ‫ﺍﻀﻁﺭﺍﺏ‬Conversion Disorder
A-‫ﺘﻘﺘﺭﺡ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻹﺭﺍﺩﻴﺔ‬ ‫ﺍﻟﺤﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺅﺜﺭ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﻋﺭﺽ‬‫ﺃﺨﺭﻯ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻋﺼﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬.
B-‫ﺍﻟﻘﺭﺍﺭ‬ ‫ﻴﻜﻭﻥ‬)‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻟﺤﻜﻡ‬(‫ﺒﺼﺭﺍﻋﺎﺕ‬ ‫ﺒﻘﺕ‬‫ﺴ‬ ‫ﻗﺩ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻤﻔﺎﻗﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺩﺀ‬ ‫ﻷﻥ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻟﻠﻌﻭﺍﻤل‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻤﺼﺎﺤﺒﺔ‬ ‫ﻫﻭ‬
‫ﺃﺨﺭﻯ‬ ‫ﻤﻜﺭﺒﺔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﺃﻭ‬.
C-‫ﹶﻴﻥ‬‫ﻘ‬‫ﺨﺘﻠ‬‫ﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﹶﻴﻥ‬‫ﺜ‬‫ﻤﺤﺩ‬ ‫ﻟﻴﺴﺎ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬)‫ﺃﻭ‬ ‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬‫ﺍﻟﺘﻤﺎﺭﺽ‬.(
D-‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ،‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﺍﻻﺴﺘﻘﺼﺎﺀ‬ ‫ﺒﻌﺩ‬ ،‫ﻜﺎﻤل‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺘﻔﺴﻴﺭ‬ ‫ﹼﺭ‬‫ﺫ‬‫ﻴﺘﻌ‬
‫ﹰ‬‫ﺎ‬‫ﺜﻘﺎﻓﻴ‬ ‫ﻏﺔ‬‫ﻭ‬‫ﻤﺴ‬ ‫ﺘﺠﺭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﻠﻭﻜ‬ ‫ﺒﺎﻋﺘﺒﺎﺭﻫﻤﺎ‬ ‫ﺃﻭ‬ ‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬.
E-‫ﺍﻻﺠ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻴﺴﺒﺏ‬‫ﺃﻭ‬ ،‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺘﻤﺎﻋﻲ‬
‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﻴﻴﻤ‬ ‫ﻴﺴﺘﺤﻘﺎﻥ‬.
F-‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠﻠﻬﻤﺎ‬ ‫ﻭﻻ‬ ‫ﺍﻟﺠﺴﺩﻨﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﺤﺩﺜﺎﻥ‬ ‫ﻭﻻ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﺒﺨﻠل‬ ‫ﺃﻭ‬ ‫ﺒﺎﻷﻟﻡ‬ ‫ﻤﻘﻴﺩﻴﻥ‬ ‫ﻟﻴﺴﺎ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬.
‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺤﺭﻜﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﻋﺭﺽ‬ ‫ﻤﻊ‬)‫ﺃﻭ‬ ‫ﺍﻟﺒﻠﻊ‬ ‫ﺼﻌﻭﺒﺔ‬ ،‫ﻤﻭﻀﻌﻲ‬ ‫ﻀﻌﻑ‬ ‫ﺃﻭ‬ ‫ﺸﻠل‬ ،‫ﺍﻟﺘﻭﺍﺯﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻨﺎﺴﻕ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻤﺜل‬»‫ﺍﻟﺤﻨﺠﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻜﺘﻠﺔ‬«،‫ﺍﻟﺼﻭﺕ‬ ‫ﻓﻘﺩ‬ ،
‫ﺒﻭﻟﻲ‬ ‫ﺍﺤﺘﺒﺎﺱ‬.(
‫ﺤﺴﻲ‬ ‫ﻋﺠﺯ‬ ‫ﺃﻭ‬ ‫ﻋﺭﺽ‬ ‫ﻤﻊ‬)‫ﺍﻷﻫﻼﺴﺎﺕ‬ ،‫ﺍﻟﺼﻤﻡ‬ ،‫ﺍﻟﻌﻤﻰ‬ ،‫ﺍﻟﺭﺅﻴﺔ‬ ‫ﺍﺯﺩﻭﺍﺝ‬ ،‫ﺍﻷﻟﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﻤﺱ‬ ‫ﺤﺱ‬ ‫ﻓﻘﺩ‬ ‫ﻤﺜل‬.(
‫ﺍﺨﺘﻼﺠﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻤﻊ‬:‫ﺤﺴﻴ‬ ‫ﻤﻜﻭﻨﺎﺕ‬ ‫ﻤﻊ‬ ‫ﺍﺨﺘﻼﺠﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻭﺘﺸﻤل‬‫ﺇﺭﺍﺩﻴﺔ‬ ‫ﺤﺭﻜﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺔ‬.
‫ﻤﺨﺘﻠﻁﺔ‬ ‫ﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻊ‬:‫ﹰ‬‫ﺔ‬‫ﻭﺍﻀﺤ‬ ‫ﻓﺌﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
■‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Pain Disorder
A-‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﺘﺒﺎﻫ‬ ‫ﻴﺴﺘﺤﻕ‬ ‫ﻟﻜﻲ‬ ‫ﻜﺎﻓﻴﺔ‬ ‫ﺒﺸﺩﺓ‬ ‫ﻭﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺘﺸﺭﻴﺤﻲ‬ ‫ﻤﻭﻀﻊ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻟﻡ‬ ‫ﻴﻜﻭﻥ‬.
B-‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻷﻟﻡ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬.
C-‫ﻋﻠﻴﻪ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺸﺩﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﺒﺘﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻫﺎﻤ‬ ‫ﹰ‬‫ﺍ‬‫ﺩﻭﺭ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻟﻠﻌﻭﺍﻤل‬ ‫ﺃﻥ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻟﺤﻜﻡ‬ ‫ﻴﻜﻭﻥ‬.
D-‫ﻤﺨﺘﻠﻘﻴﻥ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﻋﻤﺩ‬ ‫ﻤﺤﺩﺜﻴﻥ‬ ‫ﻟﻴﺴﺎ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺭﺽ‬)‫ﺍﻟﺘﻤﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬‫ﺭﺽ‬.(
E-‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﻋﺴﺭ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﺤﻘﻕ‬ ‫ﻭﻻ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻕ‬ ‫ﺃﻭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺏ‬‫ﺍﻀﻁﺭﺍ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻡ‬‫ﺍﻷﻟ‬ ‫ﱢل‬‫ﻠ‬‫ﻴﻌ‬ ‫ﻻ‬.
‫ﻴﻠﻲ‬ ‫ﻜﻤﺎ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬:

122. 121
307.80‫ﻨﻔﺴﻴﺔ‬ ‫ﻟﻌﻭﺍﻤل‬ ‫ﺍﻟﻤﺼﺎﺤﺏ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺸﺩﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﺒﺘﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﺌﻴﺴ‬ ‫ﹰ‬‫ﺍ‬‫ﺩﻭﺭ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻟﻠﻌﻭﺍﻤل‬ ‫ﺃﻥ‬ ‫ﻔﺘﺭﺽ‬‫ﻴ‬ ‫ﺤﻴﺙ‬
‫ﻋﻠﻴﻪ‬.‫ﻜ‬ ‫ﺇﺫﺍ‬‫ﻋﻠﻴﻪ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺸﺩﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﺒﺘﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺭﺌﻴﺱ‬ ‫ﺩﻭﺭ‬ ‫ﻟﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﻓﺈﻨﻪ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻫﻨﺎﻙ‬ ‫ﺎﻥ‬.‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺸﺨﺹ‬ ‫ﻻ‬
‫ﺍﻟﺠﺴﺩﻨﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﹰ‬‫ﺍ‬‫ﺤﺎﺩ‬:‫ﺃﺸﻬﺭ‬ ‫ﺴﺘﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺍﻟﻤﺩﺓ‬.
‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬:‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺴﺘﺔ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺩﺓ‬.
307.89‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻭﻟﺤﺎﻟﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻟﻌﻭﺍﻤل‬ ‫ﺍﻟﻤﺼﺎﺤﺏ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﹰ‬‫ﺍ‬‫ﺩﻭﺭ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﻭﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﻤﻥ‬ ‫ﻟﻜل‬ ‫ﺃﻥ‬ ‫ﻴﻔﺘﺭﺽ‬ ‫ﺤﻴﺙ‬
‫ﻋﻠﻴﻪ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺸﺩﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﺒﺘﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﺌﻴﺴ‬.‫ﻟﻸﻟﻡ‬ ‫ﺍﻟﺘﺸﺭﻴﺤﻲ‬ ‫ﺍﻟﻤﻭﻗﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬)‫ﺃﺩﻨﺎﻩ‬ ‫ﺍﻨﻅﺭ‬(‫ﻋﻠﻰ‬ ‫ﻤﺭﻤﺯﺓ‬
‫ﺍﻟﻤﺤﻭﺭ‬III.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﹰ‬‫ﺍ‬‫ﺤﺎﺩ‬:‫ﺃﺸﻬﺭ‬ ‫ﺴﺘﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺍﻟﻤﺩﺓ‬.
‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬:‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺴﺘﺔ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺩﺓ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﻔﺭﻴﻘﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺘﺴﻬﻴل‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻫﻨﺎ‬ ‫ﻤﺸﻤﻭل‬ ‫ﻭﻫﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻘﻠﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻀﻁﺭﺍﺒ‬ ‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻴﻌﺘﺒﺭ‬ ‫ﻻ‬.
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﺍﻟﻤﺼﺎﺤﺏ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﺍﺒﺘﺩﺍ‬ ‫ﻓﻲ‬ ‫ﺃﺴﺎﺴﻲ‬ ‫ﺩﻭﺭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻫﻨﺎ‬‫ﻋﻠﻴﻪ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺸﺩﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺀ‬) .‫ﺇﺫﺍ‬
‫ﻋﻠﻴﻪ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺸﺩﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﺒﺘﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺭﺌﻴﺱ‬ ‫ﺩﻭﺭ‬ ‫ﻟﻬﺎ‬ ‫ﻟﻴﺱ‬ ‫ﺃﻥ‬ ‫ﻔﺘﺭﺽ‬‫ﻴ‬ ،‫ﻨﻔﺴﻴﺔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬.(‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﺨﺘﻴﺎﺭ‬ ‫ﻴﺠﺭﻱ‬
‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺄﻜﻴﺩ‬ ‫ﺘﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻨﺎﺀ‬ ‫ﻟﻸﻟﻡ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬)‫ﺍ‬ ‫ﺍﻨﻅﺭ‬‫ﻟﻤﻠﺤﻕ‬G(‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﻟﻸﻟﻡ‬ ‫ﺍﻟﺘﺸﺭﻴﺤﻲ‬ ‫ﺍﻟﻤﻭﻗﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻨﺎﺀ‬ ‫ﺃﻭ‬
‫ﺒﻌﺩ‬ ‫ﻭﺍﻀﺤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﺤﺩﺩﺕ‬ ‫ﻗﺩ‬ ‫ﺍﻟﻤﺴﺘﺒﻁﻨﺔ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺘﻜﻥ‬.‫ﺍﻟﻅﻬﺭ‬ ‫ﺃﺴﻔل‬ ،‫ﻤﺜﺎل‬(724.2)‫ﻭﺭﻜﻲ‬ ،(724.3)‫ﺤﻭﻀﻲ‬ ،(625.9)‫ﺼﺩﺍﻉ‬ ،
(784.0)‫ﻭﺠﻬﻲ‬ ،(784.0)‫ﺼﺩﺭﻱ‬ ،(786.50)‫ﻤﻔﺼﻠﻲ‬ ،(719.40)‫ﻋﻅﻤﻲ‬ ،(733.90)‫ﺒﻁﻨﻲ‬ ،(789.0)‫ﺜﺩﻴ‬ ،‫ﻲ‬(611.71)‫ﻜﻠﻭﻱ‬ ،(788.0)‫ﺃﺫﻨﻲ‬ ،
(388.70)‫ﻋﻴﻨﻲ‬ ،(378.91)‫ﺤﻨﺠﺭﻱ‬ ،(784.1)‫ﺴﻨﻲ‬ ،(525.9)‫ﺒﻭﻟﻲ‬ ،(788.0).
■300.7‫ﺍﻟﻤﺭﺍﻕ‬Hypochondriasis
A-‫ﺘﻔﺴﻴﺭ‬ ‫ﺴﻭﺀ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺒﻨﻲ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻭﻫﺫﺍ‬ ،‫ﹰ‬‫ﺍ‬‫ﺨﻁﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺭﻀ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺃﻥ‬ ‫ﺒﻔﻜﺭﺓ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺃﻭ‬ ‫ﺨﻁﻴﺭ‬ ‫ﻤﺭﺽ‬ ‫ﺤﺼﻭل‬ ‫ﻤﻥ‬ ‫ﺒﻤﺨﺎﻭﻑ‬ ‫ﺍﻻﻨﺸﻐﺎل‬
‫ﻟﻸﻋﺭﺍﺽ‬ ‫ﺍﻟﺸﺨﺹ‬‫ﺍﻟﺠﺴﺩﻴﺔ‬.
B-‫ﺍﻟﺘﻁﻤﻴﻥ‬ ‫ﻭﺭﻏﻡ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﺍﻟﻁﺒﻲ‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﺭﻏﻡ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻴﺴﺘﻤﺭ‬.
C-‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﻟﻼﻋﺘﻘﺎﺩ‬ ‫ﻟﻴﺱ‬A‫ﺘﻭﻫﻤﻴﺔ‬ ‫ﺸﺩﺓ‬)‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺘﻭﻫﻤﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﺤﻭل‬ ‫ﻤﺤﺩﺩ‬ ‫ﺒﻘﻠﻕ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺤﺼﻭﺭ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻫﻭ‬
)‫ﺍﻟﺠﺴﺩ‬ ‫ﺸﻜل‬ ‫ﺘﺸﻭﻩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬.(
D-‫ﺃ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﻭ‬.
E-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻫﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺩﺓ‬6‫ﺃﺸﻬﺭ‬.

123. 122
F-‫ﺃﻭ‬ ‫ﺠﺴﻴﻤﺔ‬ ‫ﺍﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺃﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻗﻬﺭﻱ‬ ‫ﻭﺴﻭﺍﺱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻤﻌﻤﻡ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺭ‬‫ﺴ‬‫ﻔ‬‫ﻴ‬ ‫ﻻ‬
‫ﺠﺴ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻗﻠﻕ‬‫ﺁﺨﺭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺩﻱ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﻀﻌﻴﻔﺔ‬ ‫ﺒﺼﻴﺭﺓ‬ ‫ﻤﻊ‬:‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻓﻴﻪ‬ ‫ﻤﺒﺎﻟﻎ‬ ،‫ﺨﻁﻴﺭ‬ ‫ﻤﺭﺽ‬ ‫ﺤﺩﻭﺙ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺃﻥ‬ ،‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﻭﻗﺕ‬ ‫ﻟﻤﻌﻅﻡ‬ ،‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺩﺭﻙ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬
‫ﻤﻌﻘﻭل‬.
■300.7‫ﺍﻟﺠﺴﺩ‬ ‫ﺸﻜل‬ ‫ﺘﺸﻭﻩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Body Dysmorphic Disorder
A-‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻓﻲ‬ ‫ﻤﺘﺨﻴل‬ ‫ﺒﻌﻴﺏ‬ ‫ﺍﻻﻨﺸﻐﺎل‬.‫ﺸﺫﻭﺫ‬ ‫ﺜﻤﺔ‬ ‫ﻜﺎﻥ‬ ‫ﻭﺇﺫﺍ‬‫ﺒﻭﻀﻭﺡ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻔﺭﻁ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻗﻠﻕ‬ ‫ﻓﺈﻥ‬ ،‫ﺒﺴﻴﻁ‬ ‫ﺠﺴﺩﻱ‬.
B-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﺭ‬‫ﺴ‬‫ﻔ‬‫ﻴ‬ ‫ﻻ‬)‫ﺍﻟﻘ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺠﺴﺩ‬ ‫ﻭﺤﺠﻡ‬ ‫ﺸﻜل‬ ‫ﻋﻥ‬ ‫ﺍﻟﺭﻀﺎ‬ ‫ﻋﺩﻡ‬ ،‫ﻤﺜﺎل‬‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﻤﻪ‬.(
■300.82‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺠﺴﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Somatoform Disorder Not Otherwise Specified
‫ﻨﻭﻋﻲ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺠﺴﺩﻱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻨﻁﻭﻱ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺘﻀﻤﻥ‬.‫ﺘﺸﻤل‬
‫ﺍﻷﻤﺜﻠﺔ‬:
1-‫ﺍﻟﻜﺎﺫﺏ‬ ‫ﺍﻟﺤﻤل‬Pseudcyesis:‫ﺍﻟﺒﻁﻥ‬ ‫ﺤﺠﻡ‬ ‫ﻜﺒﺭ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻗﺩ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﻟﻠﺤﻤل‬ ‫ﻤﻭﻀﻭﻋﻴﺔ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﻴﺼﺎﺤﺒﻪ‬ ‫ﺤﻤل‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺨﺎﻁﺊ‬ ‫ﺍﻋﺘﻘﺎﺩ‬
)‫ﺘﻨﻘﻠﺏ‬ ‫ﻻ‬ ‫ﺍﻟﺴﺭﺓ‬ ‫ﺃﻥ‬ ‫ﺭﻏﻡ‬(‫ﻭﺍﻹﻓﺭﺍﺯﺍﺕ‬ ‫ﺍﻟﺜﺩﻴﻴﻥ‬ ‫ﺍﻨﺘﻔﺎﺥ‬ ،‫ﺍﻟﻐﺜﻴﺎﻥ‬ ،‫ﺍﻟﺠﻨﻴﻥ‬ ‫ﺒﺤﺭﻜﺔ‬ ‫ﺍﻟﺫﺍﺘﻲ‬ ‫ﺍﻹﺤﺴﺎﺱ‬ ،‫ﺍﻟﻁﻤﺙ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ،‫ﺍﻟﻁﻤﺙ‬ ‫ﻏﺯﺍﺭﺓ‬ ‫ﻨﻘﺹ‬ ،
‫ﻟﻠﻭﻀﻊ‬ ‫ﺍﻟﻤﺘﻭﻗﻊ‬ ‫ﺍﻟﻤﻭﻋﺩ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺨﺎﺽ‬ ‫ﺁﻻﻡ‬ ،‫ﺍﻟﺜﺩﻴﻴﺔ‬.‫ﻫ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬‫ﺤﺎﻟﺔ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﺘﻼﺯﻤﺔ‬ ‫ﺘﻔﺴﻴﺭ‬ ‫ﻴﺘﻌﺫﺭ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﺍﻟﺼﻡ‬ ‫ﺍﻟﻐﺩﺩ‬ ‫ﻓﻲ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﻨﺎﻙ‬
‫ﺼﻤﻴﺔ‬ ‫ﻏﺩﻴﺔ‬ ‫ﺘﻐﻴﺭﺍﺕ‬ ‫ﺘﺴﺒﺏ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬)‫ﻟﻠﻬﺭﻤﻭﻥ‬ ‫ﻤﻔﺭﺯ‬ ‫ﻭﺭﻡ‬ ‫ﻤﺜل‬.(
2-‫ﻋﻥ‬ ‫ﺘﻘل‬ ‫ﻟﻤﺩﺓ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺭﺍﻗﻴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺸﻤل‬6‫ﺃﺸﻬﺭ‬.
3-‫ﺭﺓ‬‫ﺴ‬‫ﻤﻔ‬ ‫ﻏﻴﺭ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺸﻜﺎﻭﻯ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺸﻤل‬)‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻀﻌﻑ‬ ‫ﺃﻭ‬ ‫ﻜﺎﻟﺘﻌﺏ‬(‫ﻟﻤﺩﺓ‬‫ﻋﻥ‬ ‫ﺘﻘل‬6‫ﻋﻥ‬ ‫ﻨﺎﺠﻤﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﺍﻟﺸﻜﺎﻭﻯ‬ ‫ﻫﺫﻩ‬ ،‫ﺃﺸﻬﺭ‬
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
‫ﻠﺔ‬‫ﻌ‬‫ﻔﺘ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬
Factitious Disorders
■‫ل‬‫ﻌ‬‫ﻔﺘ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬Factitious Disorder
A-‫ﻨﻔﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﻋﻼﻤﺎﺕ‬ ‫ﺍﺨﺘﻼﻕ‬ ‫ﺃﻭ‬ ‫ﻤﻘﺼﻭﺩ‬ ‫ﺇﺤﺩﺍﺙ‬.

124. 123
B-‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﺍﻟﺩﻭﺭ‬ ‫ﺘﺒﻨﻲ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻭﺭﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺩﺍﻓﻊ‬.
C-‫ﺍﻟﺤﻭﺍﻓﺯ‬‫ﻟﻠﺴﻠﻭﻙ‬ ‫ﺍﻟﺨﺎﺭﺠﻴﺔ‬)‫ﺍﻟﺘﻤﺎﺭﺽ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﻌﺎﻓﻴﺔ‬ ‫ﺘﺤﺴﻴﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻘﺎﻨﻭﻨﻴﺔ‬ ‫ﺍﻟﻤﺴﺅﻭﻟﻴﺔ‬ ‫ﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻗﺘﺼﺎﺩﻱ‬ ‫ﺍﻟﻜﺴﺏ‬ ‫ﻤﺜل‬(‫ﻏﺎﺌﺒﺔ‬ ‫ﺘﻜﻭﻥ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬:
300.16‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻭﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻤﻊ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻭﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
300.19‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﻭﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﻤﻊ‬:‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﻭﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬.
300.19‫ﻭﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻭﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﺘﺸﺎﺭﻙ‬ ‫ﻤﻊ‬:‫ﺴﻴﻁﺭﺓ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻊ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻤﻭﺠﻭﺩﺓ‬ ‫ﻭﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻭﺍﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻨﻬﻤﺎ‬ ‫ﺃﻱ‬.
■300.19‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Factitious Disorder Not Otherwise Specified
‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻤﻔﺘﻌﻠﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻨﻁﻭﻱ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺘﻀﻤﻥ‬.‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻟﻤﺜﺎل‬
‫ِﻭﺽ‬‫ﻌ‬‫ﺒﺎﻟ‬)‫ﺒﺎﻟﻭﻜﺎﻟﺔ‬:(‫ﺍﻟﻤﻘﺼ‬ ‫ﺍﻹﺤﺩﺍﺙ‬ ‫ﻭﻫﻭ‬‫ﺭﻋﺎﻴﺘﻪ‬ ‫ﺘﺤﺕ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺁﺨﺭ‬ ‫ﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻼﻤﺎﺕ‬ ‫ﺍﺨﺘﻼﻕ‬ ‫ﺃﻭ‬ ‫ﻭﺩ‬
‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﻟﻠﺩﻭﺭ‬ ‫ﺍﻟﻤﺒﺎﺸﺭ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﺒﻨﻲ‬ ‫ﺒﻐﺭﺽ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
‫ّﺔ‬‫ﻴ‬‫اﻟﺘﻔﺎرﻗ‬ ‫اﻻﺿﻄﺮاﺑﺎت‬
Dissociative Disorders
■300.12‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬)‫ﺍﻟﻨ‬‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﻤﻨﺸﺄ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺴﺎﻭﺓ‬(
Dissociative Amnesia (Formerly Psychogenic Amnesia)
A-،‫ﻤﻜﺭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺭﻀﺤﻴﺔ‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﻤﻥ‬ ‫ﻋﺎﺩﺓ‬ ‫ﻭﻫﻲ‬ ،‫ﻫﺎﻤﺔ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻌﺎﺩﻱ‬ ‫ﺒﺎﻟﻨﺴﻴﺎﻥ‬ ‫ﺭ‬‫ﺴ‬‫ﺘﻔ‬ ‫ﻻ‬ ‫ﺃﻨﻬﺎ‬ ‫ﺒﺤﻴﺙ‬ ‫ﺸﺎﻤﻠﺔ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻜﻤﺎ‬.
B-‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻟﺸﺭﺍﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻫﻭ‬ ،‫ﺍﻟﺠﺴﺩﻨﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻜﺭﺏ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﻥ‬ ‫ﺃﻭ‬
‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬ ‫ﻋﺼﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬‫ﺃﺨﺭﻯ‬ ‫ﻋﺎﻤﺔ‬)‫ﺍﻟﺭﺃﺱ‬ ‫ﺭﻀﺢ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬.(
C-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﺏ‬.
■300.13‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻟﺸﺭﺍﺩ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﻤﻨﺸﺄ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﺸﺭﺍﺩ‬(
Dissociative Fugue (Formerly Psychogenic Fugue)

125. 124
A-‫ﺘﺫﻜﺭ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﻤﻊ‬ ،‫ﺍﻟﻤﻌﺘﺎﺩ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻤﻜﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﺯل‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﻌﻴﺩ‬ ،‫ﻤﺘﻭﻗﻊ‬ ‫ﻏﻴﺭ‬ ،‫ﻤﻔﺎﺠﺊ‬ ‫ﺍﺭﺘﺤﺎل‬ ‫ﺃﻭ‬ ‫ﺴﻔﺭ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬)‫ﺍﺴﺘﺩﻋﺎﺀ‬(
‫ﺍﻟﺸﺨﺹ‬ ‫ﻤﺎﻀﻲ‬.
B-‫ﺃﻭ‬ ‫ﺍﻟﺘﺨﻠﻴﻁ‬)‫ﺍﻟﺘﺸﻭﺵ‬(‫ﺠﺩﻴﺩﺓ‬ ‫ﻫﻭﻴﺔ‬ ‫ﺍﺘﺨﺎﺫ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺒﺸﺄﻥ‬)‫ﻜﻠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺯﺌﻴﺔ‬.(
C-‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻭﻟﻴﺱ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬)‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬
‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬ ،)‫ﺍﻟﺼﺩﻏﻲ‬ ‫ﺍﻟﻔﺹ‬ ‫ﺼﺭﻉ‬ ،‫ﻤﺜل‬.(
D-‫ﺃﺨﺭ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻯ‬.
■300.14‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﻌﺩﺩ‬ ‫ﺍﻀﻁﺭﺍﺏ‬(Dissociative Identity Disorder (Formerly
Multiple Personality Disorder)
A-‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺘﻤﺎﻴﺯﺘﻴﻥ‬ ‫ﺸﺨﺼﻴﺘﻴﻥ‬ ‫ﺤﺎﻟﺘﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻫﻭﻴﺘﻴﻥ‬ ‫ﻭﺠﻭﺩ‬)‫ﺇﺩﺭﺍ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺴﺒﻴ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻁﺭﺍﺯ‬ ‫ﻤﻨﻬﻤﺎ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﻟﻜل‬‫ﺒﻪ‬ ‫ﻭﺍﻟﻌﻼﻗﺔ‬ ‫ﻭﺍﻟﺫﺍﺕ‬ ‫ﺍﻟﻤﺤﻴﻁ‬ ‫ﻙ‬
‫ﻓﻴﻪ‬ ‫ﻭﺍﻟﺘﻔﻜﻴﺭ‬.(
B-‫ﺍﻟﺸﺨﺹ‬ ‫ﺴﻠﻭﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﻴﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﺜﻨﺘﻴﻥ‬ ‫ﺘﺘﻭﻟﻰ‬.
C-‫ﺍﻟﻌﺎﺩﻱ‬ ‫ﺒﺎﻟﻨﺴﻴﺎﻥ‬ ‫ﺘﻔﺴﻴﺭﻩ‬ ‫ﻴﺘﻌﺫﺭ‬ ‫ﺒﺤﻴﺙ‬ ‫ﺍﻟﺸﻤﻭل‬ ‫ﺫﺍﺕ‬ ‫ﺍﻟﻬﺎﻤﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺍﺴﺘﺩﻋﺎﺀ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬.
D-‫ﺘﺄﺜﻴ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺭﺍﺕ‬)‫ﺍﻟﺸﻭﺍﺸﻲ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻐﺸﻲ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻤﺜل‬chaotic‫ﺍﻟﻜﺤﻭﻟﻲ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬(‫ﺃﻭ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬)‫ﺍﻟﻤﻌﻘﺩﺓ‬ ‫ﺍﻟﺠﺯﺌﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻤﺜل‬.(‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺨﻴﺎل‬ ‫ﻷﻟﻌﺎﺏ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺩ‬‫ﺭ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ،‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬.
■300.6‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺩ‬‫ﺩ‬‫ﺘﺒ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Depersonalization Disorder
A-‫ﻟﻬﺎ‬ ‫ﺨﺎﺭﺠﻲ‬ ‫ِﺏ‬‫ﻗ‬‫ﻤﺭﺍ‬ ‫ﺃﻨﻪ‬ ‫ﻟﻭ‬ ‫ﻜﻤﺎ‬ ‫ﺠﺴﺩﻩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﻋﻤﻠﻴﺎﺘﻪ‬ ‫ﻋﻥ‬ ‫ﺒﺎﻻﻨﻔﺼﺎل‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺸﻌﻭﺭ‬ ‫ﻤﻥ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﺨﺒﺭﺍﺕ‬) .‫ﺸﻌﻭﺭ‬ ،‫ﻤﺜﺎل‬
‫ﺤﻠﻡ‬ ‫ﻓﻲ‬ ‫ﻭﻜﺄﻨﻪ‬ ‫ﺍﻟﺸﺨﺹ‬.(
B-‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ‫ﺨﺒﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﻠﻴﻤ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺍﺨﺘﺒﺎﺭ‬ ‫ﻴﺒﻘﻰ‬.
C-‫ﺍﻷ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺩﺍﺀ‬.
D-‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻬﻠﻊ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﹸﺼﺎﻡ‬‫ﻔ‬‫ﺍﻟ‬ ‫ﻤﺜل‬ ‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ‫ﺨﺒﺭﺓ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬
‫ﻟﻤ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ‫ﺃﻥ‬ ‫ﻜﻤﺎ‬ ،‫ﺁﺨﺭ‬ ‫ﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺎﺩﺓ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﻥ‬ ‫ﺃﻭ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬)‫ﺍﻟﺼﺩﻏﻲ‬ ‫ﺍﻟﻔﺹ‬ ‫ﺼﺭﻉ‬ ،‫ﻤﺜﺎل‬.(
■300.15‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Dissociative Disorder Not Otherwise Specified
‫ﹰ‬‫ﺎ‬‫ﺘﻔﺎﺭﻗﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﺭﻀ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺃﺩﺭﺠﺕ‬)‫ﻉ‬‫ﺩ‬‫ﺘﺼ‬ ،‫ﺃﻱ‬Disruption‫ﺍﻟﻤﺘﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺘﺎﺩﺓ‬ ‫ﺍﻟﻭﻅﺎﺌﻑ‬ ‫ﻓﻲ‬
‫ﺍﻟﻤﺤﻴﻁ‬ ‫ﺇﺩﺭﺍﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻭﻋﻲ‬(‫ﻨﻭﻋﻲ‬ ‫ﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺫﻱ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺸﻤل‬:

126. 125
1-‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻫﺫﺍ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻴﻕ‬ ‫ﻓﻲ‬ ‫ﺘﺨﻔﻕ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺸﺎﺒﻬﺔ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﺘﻅﺎﻫﺭﺍﺕ‬.‫ﺍﻷﻤﺜﻠ‬ ‫ﺘﺸﻤل‬‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺔ‬
(a)،‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺘﻤﺎﻴﺯﺘﺎﻥ‬ ‫ﺸﺨﺼﻴﺘﺎﻥ‬ ‫ﺤﺎﻟﺘﺎﻥ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬(b)‫ﺍﻟﻬﺎﻤﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻟﻠﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﻨﺴﺎﻭﺓ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬.
2-‫ﺍﻟﺒﺎﻟﻐﻴﻥ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺘﺒﺩﺩ‬ ‫ﻴﺭﺍﻓﻘﻪ‬ ‫ﻻ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﺘﺒﺩﺩ‬.
3-‫ﻻﺴﺘﻤﺎﻟﺔ‬ ‫ﺃﺨﻀﻌﻭﺍ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﻋﻨﺩ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺘﻔﺎﺭﻕ‬ ‫ﺤﺎﻻﺕ‬)‫ﺘﺭﻏﻴﺏ‬(‫ﻭﺸﺩﻴﺩﺓ‬ ‫ﻤﺩﻴﺩﺓ‬ ‫ﻗﺴﺭﻴﺔ‬)‫ﻏ‬ ،‫ﻤﺜل‬‫ﺃﻭ‬ ‫ﺍﻟﻔﻜﺭ‬ ‫ﺘﺸﻜﻴل‬ ‫ﺇﻋﺎﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﻤﺎﻍ‬ ‫ﺴل‬
‫ﺭ‬‫ﺴ‬‫ﺍﻷ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻫﻡ‬ ،‫ﺍﻟﻤﺒﺎﺩﺉ‬ ‫ﺘﺸﺭﻴﺏ‬.(
4-‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻐﻴﺒﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﻤﻨﺎﺴﺒﺔ‬ ،‫ﺍﻟﺫﺍﻜﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﻋﻲ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻨﻭﺒﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻭﺤﻴﺩﺓ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﻁﺒﻴﻌﻴﺔ‬(Indigenous‫ﻟﺜﻘﺎﻓﺎﺕ‬
‫ﻤﻌﻴﻨﺔ‬ ‫ﻭﻤﻨﺎﻁﻕ‬.‫ﺍﻟ‬ ‫ﻟﻠﻤﺤﻴﻁ‬ ‫ﺍﻟﻭﻋﻲ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻘ‬‫ﻴ‬‫ﺘﻀ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻐﻴﺒﺔ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﺴﻴﻁﺭﺓ‬ ‫ﺨﺎﺭﺝ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺨﺘﺒﺭ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻨﻤﻁﻴﺔ‬ ‫ﺴﻠﻭﻜﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﺒﺎﺸﺭ‬
‫ﺍﻟﺸﺨﺹ‬.‫ﺃﻭ‬ ‫ﻗﻭﺓ‬ ‫ﺃﻭ‬ ‫ﺭﻭﺡ‬ ‫ﻟﺘﺄﺜﻴﺭ‬ ‫ﹸﻌﺯﻯ‬‫ﺘ‬ ‫ﻭﻫﻲ‬ ،‫ﺠﺩﻴﺩﺓ‬ ‫ﺒﻬﻭﻴﺔ‬ ،‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﺎﻟﻬﻭﻴﺔ‬ ‫ﺍﻻﻋﺘﻴﺎﺩﻱ‬ ‫ﺍﻹﺤﺴﺎﺱ‬ ‫ﺍﺴﺘﺒﺩﺍل‬ ‫ﺍﻻﺴﺘﺤﻭﺍﺫ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻤﻠﻙ‬ ‫ﻏﻴﺒﺔ‬ ‫ﺘﺘﻀﻤﻥ‬
‫ﻨﻤﻁﻴﺔ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻤﻊ‬ ‫ﻭﺘﺘﺭﺍﻓﻕ‬ ‫ﺁﺨﺭ‬ ‫ﺸﺨﺹ‬ ‫ﺃﻭ‬ ‫ﺇﻟﻪ‬»‫ﻻﺇﺭﺍﺩﻴﺔ‬«‫ﺍﻻﻀ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﺭﺒﻤﺎ‬ ،‫ﻨﺴﺎﻭﺓ‬ ‫ﺃﻭ‬‫ﺁﺴﻴﺎ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﻴﻭﻋ‬ ‫ﺍﻷﻜﺜﺭ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﻁﺭﺍﺏ‬.‫ﻋﻠﻰ‬ ‫ﻭﺍﻷﻤﺜﻠﺔ‬
‫ﺃﻤﻭﻙ‬ ‫ﺫﻟﻙ‬Amok)‫ﺃﻨﺩﻭﻨﻴﺴﻴﺎ‬(‫ﺒﻴﺒﺎﻴﻨﺎﻥ‬ ،Bebainan)‫ﺃﻨﺩﻭﻨﻴﺴﻴﺎ‬(‫ﻻﺘﺎﻩ‬ ،Latah)‫ﻤﺎﻟﻴﺯﻴﺎ‬(‫ﺒﻴﺒﻠﻭﻜﺘﻭﻙ‬ ،Pibloktoq)‫ﺍﻟﺸﻤﺎﻟﻲ‬ ‫ﺍﻟﻘﻁﺏ‬(‫ﺃﺘﺎﻙ‬ ،
‫ﺩﻭﺭﻨﻭﺭﻓﻴﻭﺱ‬/‫ﻋﺼﺒﻴﺔ‬ ‫ﻨﻭﺒﺔ‬/Ataque de Nervios)‫ﺍﻟﻼﺘﻴﻨﻴﺔ‬ ‫ﺃﻤﺭﻴﻜﺎ‬(‫ﺍﻻﺴﺘﺤﻭﺍﺫ‬ ،Possession)‫ﺍﻟﻬﻨﺩ‬.(‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺇﻥ‬
‫ﻭﺍﺴﻊ‬ ‫ﺒﺸﻜل‬ ‫ﻤﻘﺒﻭﻟﺔ‬ ‫ﺜﻘﺎﻓﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺩﻴﻨﻴﺔ‬ ‫ﻤﻤﺎﺭﺴﺔ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻁﺒﻴﻌﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﺠﺯﺀ‬ ‫ﻟﻴﺱ‬ ‫ﺍﻟﻐﻴﺒﺔ‬) .‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬.(
5-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺇﺭﺠﺎﻋﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺴﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﻫﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﻋﻲ‬ ‫ﻏﻴﺎﺏ‬.
6-‫ﻤﺘﻼﺯﻤﺔ‬‫ﻏﺎﻨﺴﺭ‬Ganser:‫ﺍﻷﺴﺌﻠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻘﺭﻴﺒﻴﺔ‬ ‫ﺃﺠﻭﺒﺔ‬ ‫ﺘﻘﺩﻴﻡ‬)،‫ﻤﺜﺎل‬»‫ﺨﻤﺴﺔ‬ ‫ﻴﺴﺎﻭﻱ‬ ‫ﺍﺜﻨﺎﻥ‬ ‫ﺯﺍﺌﺩ‬ ‫ﺍﺜﻨﺎﻥ‬«(‫ﺃﻭ‬ ‫ﺍﻟﺘﻔﺎﺭﻗﻴﺔ‬ ‫ﺍﻟﻨﺴﺎﻭﺓ‬ ‫ﻤﺼﺎﺤﺒﺔ‬ ‫ﺒﺩﻭﻥ‬
‫ﺍﻟﺘﻔﺎﺭﻗﻲ‬ ‫ﺍﻟﺸﺭﺍﺩ‬.
‫اﻟﺠﻨﺴﻴﺔ‬ ‫اﻻﺿﻄﺮاﺑﺎت‬
‫اﻟﺠﻨﺴﻴﺔ‬ ‫اﻟﻬﻮﻳﺔ‬ ‫واﺿﻄﺮاﺑﺎت‬
Sexual and Gender Identity Disorders
‫ﻟﺨ‬ ‫ﺍﻟﻤﻭﻀﻭﻋﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻴﺤﺘﻭﻱ‬‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻭﺍﻟﺸﺫﻭﺫﺍﺕ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﺎﺌﻑ‬ ‫ﻠل‬Paraphilias‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﻭﺍﻀﻁﺭﺍﺒﺎﺕ‬.
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺍﺨﺘﻼﻻﺕ‬Sexual Dysfunctions
‫ﹰ‬‫ﺎ‬‫ﻻﺤﻘ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺃﺸﻜﺎل‬ ‫ﻜﺎﻓﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺘﻨﻁﺒﻕ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﺇﺩﺭﺍﺝ‬ ‫ﺘﻡ‬.‫ﺍﻟﺒﺩﺀ‬ ‫ﻟﻭﺼﻑ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬
‫ﻭﺍﻟ‬‫ﺍﻟﺴﺒﺒﻴﺔ‬ ‫ﻭﺍﻟﻌﻭﺍﻤل‬ ‫ﺴﻴﺎﻕ‬.
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Sexual Desire Disorders
■302.71‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻨﻘﺹ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Hypoactive Sexual Desire Disorder

127. 126
A-‫ﻨﻘﺹ‬)‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬(‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﻟﻠﻨﺸﺎﻁ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻭﺍﻟﺭﻏﺒﺔ‬ ‫ﻟﻠﺨﻴﺎﻻﺕ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻡ‬.‫ﺒﻌﻴﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺁﺨﺫ‬ ،‫ﺍﻟﻐﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻘﺹ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻴﻘﺭﺭ‬‫ﺍﻻﻋﺘﺒﺎﺭ‬
‫ﺍﻟﺸﺨﺹ‬ ‫ﺤﻴﺎﺓ‬ ‫ﻭﺴﻴﺎﻕ‬ ‫ﻜﺎﻟﻌﻤﺭ‬ ،‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺅﺜﺭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻌﻭﺍﻤل‬.
B-‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻌﻠل‬‫ﻴ‬ ‫ﻻ‬I)‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬(‫ﻻ‬ ‫ﻭﻫﻭ‬
‫ﻴﻨﺠﻡ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■302.79‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻨﻔﻭﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Sexual Aversion Disorder
A-‫ﻟﻜل‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻭﺘﺠﻨﺏ‬ ‫ﺸﺩﻴﺩ‬ ‫ﻨﻔﻭﺭ‬)‫ﻟﻜل‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﺃﻭ‬(‫ﺠﻨﺴﻲ‬ ‫ﺸﺭﻴﻙ‬ ‫ﻤﻊ‬ ‫ﺘﻨﺎﺴﻠﻲ‬ ‫ﺠﻨﺴﻲ‬ ‫ﺍﺘﺼﺎل‬.
B-‫ﺍﻻﻀﻁﺭ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﺏ‬.
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬I)‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬.(
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Sexual Arousal Disorders
■302.72‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Female Sexual Arousal Disorder
A-‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻌﻤل‬ ‫ﺇﺘﻤﺎﻡ‬ ‫ﺤﺘﻰ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻟﻺﺜﺎﺭﺓ‬ ‫ﺍﻻﻨﺘﻔﺎﺥ‬ ‫ـ‬ ‫ﺍﻟﺘﺯﻟﻴﻕ‬ ‫ﻤﻥ‬ ‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﻔﺎﻅ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﻓﻲ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻋﺠﺯ‬.
B-‫ﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺍ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﻀﻁﺭﺍﺏ‬I)‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬(‫ﻻ‬ ‫ﻭﻫﻭ‬
‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﻨﺠﻡ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■302.72‫ﺍﻟﻨﻌﻭﻅ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻻﻨﺘﺼﺎﺏ‬(‫ﺍﻟﺭﺠل‬ ‫ﻋﻨﺩ‬
Male Erectile Disorder
A-‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻋﺠﺯ‬‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻌﻤل‬ ‫ﺇﺘﻤﺎﻡ‬ ‫ﺤﺘﻰ‬ ‫ﻜﺎﻑ‬ ‫ﻨﻌﻭﻅ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﻔﺎﻅ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﻓﻲ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬.
B-‫ﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻨﺘﺼﺎﺒﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬I)‫ﺁﺨﺭ‬ ‫ﺠﻨﺴﻲ‬ ‫ﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬(‫ﻴﻨﺠﻡ‬ ‫ﻻ‬ ‫ﻭﻫﻭ‬
‫ﻓﻴﺯ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻴﻭﻟﻭﺠﻴﺔ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬)‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﻫﺯﺓ‬(Orgasmic Disorders
■302.73‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻤﻜﺒﻭﺕ‬ ‫ﺍﻹﻴﻐﺎﻑ‬(Female Orgasmic Disorder (Formerly

128. 127
Inhibited Female Orgasm)
A-‫ﻁﺒﻴﻌﻲ‬ ‫ﺠﻨﺴﻲ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﻟﻁﻭﺭ‬ ‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻟﻺﻴﻐﺎﻑ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺘﺄﺨﺭ‬.‫ﻴﻘﺩﺡ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺘﻨﺒﻴﻪ‬ ‫ﺸﺩﺓ‬ ‫ﺃﻭ‬ ‫ﻨﻤﻁ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﺍﺴﻌ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻨﻭﻋ‬ ‫ﺍﻟﻨﺴﺎﺀ‬ ‫ﹸﻅﻬﺭ‬‫ﺘ‬
)‫ِﻕ‬‫ﻠ‬‫ﻁ‬‫ﻴ‬(trigger‫ﺍﻹﻴﻐﺎﻑ‬.‫ﺃﺩﻨﻰ‬ ‫ﻟﻠﻤﺭﺃﺓ‬ ‫ﺍﻹﻴﻐﺎﻓﻴﺔ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﺤﻜﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﺒﻨﻰ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﻫﻭ‬ ‫ﻤﻤﺎ‬
‫ﺘﺘﻠﻘﺎﻩ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﺘﻨﺒﻴﻪ‬ ‫ﻭﻜﻔﺎﻴﺔ‬ ‫ﻭﺘﺠﺭﺒﺘﻬﺎ‬ ‫ﻟﻌﻤﺭﻫﺎ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﻤﻌﻘﻭل‬.
B-‫ﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻹﻴﻐﺎﻓﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬I)‫ﺁﺨﺭ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬(‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬ ‫ﻭﻫﻭ‬
‫ﻓﻴﺯ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻴﻭﻟﻭﺠﻴﺔ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■302.74‫ﺍﻟﺭﺠل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﺭﺠل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻤﻜﺒﻭﺕ‬ ‫ﺍﻹﻴﻐﺎﻑ‬(Male Orgasmic Disorder (Formerly
Inhibited Male Orgasm)
A-‫ﻟ‬ ‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻟﻺﻴﻐﺎﻑ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺘﺄﺨﺭ‬‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺁﺨﺫ‬ ،‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﺃﻥ‬ ‫ﺒﺤﻴﺙ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻁﺒﻴﻌﻲ‬ ‫ﺠﻨﺴﻲ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﻁﻭﺭ‬
‫ﻭﺍﻟﻤﺩﺓ‬ ‫ﻭﺍﻟﺸﺩﺓ‬ ‫ﺍﻟﺘﺭﻜﻴﺯ‬ ‫ﻓﻲ‬ ‫ﻜﺎﻑ‬ ‫ﺒﺄﻨﻪ‬ ‫ﻴﻘﺭﺭ‬ ،‫ﺍﻟﻤﺭﻴﺽ‬ ‫ﻋﻤﺭ‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬.
B-‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺍﻹﻴﻐﺎﻓﻲ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬I)‫ﺒﺎﺴﺘﺜﻨ‬‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬ ‫ﺎﺀ‬(‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬ ‫ﻭﻫﻭ‬
‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■302.75‫ﺍﻟﻤﺒﻜﺭ‬ ‫ﺍﻟﻘﺫﻑ‬)‫ﺍﻟﻤﺒﺘﺴﺭ‬(Premature Ejaculation
A-‫ﺃ‬ ‫ﻭﻗﺒل‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻔﺘﺭﺓ‬ ‫ﺒﻌﺩﻩ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻴﻼﺝ‬ ‫ﻋﻨﺩ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻗﺫﻑ‬‫ﻗﺒﻠﻪ‬ ‫ﺩﻨﻴﺎ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻭﺤﻴﺙ‬ ،‫ﺒﺫﻟﻙ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺭﻏﺏ‬ ‫ﻥ‬.‫ﻴﻨﺒﻐﻲ‬
‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﻭﺘﻭﺍﺘﺭ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﻭﻀﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﺓ‬‫ﺩ‬ِ‫ﺠ‬‫ﻭ‬ ‫ﻜﺎﻟﻌﻤﺭ‬ ،‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﻁﻭﺭ‬ ‫ﻤﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺅﺜﺭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﺍﻟﺤﺴﺒﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻴﺄﺨﺫ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻋﻠﻰ‬
‫ﹰ‬‫ﺍ‬‫ﻤﺅﺨﺭ‬.
B-‫ﺍﻟﺸﺨﺼ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬‫ﻴﺔ‬.
C-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻤﺒﻜﺭ‬ ‫ﺍﻟﻘﺫﻑ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺍﻷﻓﻴﻭﻨﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﺜل‬.(
‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﻟﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Sexual Pain Disorders
■302.76‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﺴﺭ‬‫ﻋ‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬(
Dyspareunia (Not Due a General Medical Condition)
A-‫ﺃﻭ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺘﻨﺎﺴﻠﻲ‬ ‫ﺃﻟﻡ‬‫ﺃﻨﺜﻰ‬ ‫ﺃﻭ‬ ‫ﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺴﻭﺍﺀ‬ ‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﻴﺼﺎﺤﺏ‬ ‫ﻤﺴﺘﺩﻴﻡ‬.
B-‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.

129. 128
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻴﻌﻠﻠﻪ‬ ‫ﻭﻻ‬ ،‫ﺍﻟﺘﺯﻟﻴﻕ‬ ‫ﻓﻘﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺒل‬ ‫ﺘﺸﻨﺞ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺴﺒﺏ‬ ‫ﻟﻴﺱ‬I)‫ﺁﺨﺭ‬ ‫ﺨﻠل‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬(‫ﺤﺼﺭ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬ ‫ﻭﻫﻭ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬
‫ﻋﺎﻤﺔ‬.
■306.51‫ﺍﻟﻤﻬﺒل‬ ‫ﺘﺸﻨﺞ‬)‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬(
Vaginismus (Not Due to a General Medical Condition)
A-‫ﻟﻠ‬ ‫ﺍﻟﺨﺎﺭﺠﻲ‬ ‫ﺍﻟﺜﻠﺙ‬ ‫ﻟﻌﻀﻼﺕ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺇﺭﺍﺩﻱ‬ ‫ﻏﻴﺭ‬ ‫ﺘﺸﻨﺞ‬‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺅﺜﺭ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﻤﻬﺒل‬.
B-‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬I)‫ﺍﻟﺠﺴﺩﻨﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬(‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬ ‫ﻭﻫﻭ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬.
‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬Subtypes
‫ﺍﻟﺒﺩﺌﻴﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺃﺸﻜﺎل‬ ‫ﻜﺎﻓﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﺘﻁﺒﻕ‬.
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺒﺩﺀ‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻺﺸﺎﺭﺓ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﺃﺤﺩ‬ ‫ﻴﺴﺘﺨﺩﻡ‬ ‫ﻗﺩ‬:
‫ﺍﻟﺤﻴﺎﺓ‬ ‫ﻤﺩﻯ‬ ‫ﻨﻤﻁ‬Life Long Type:‫ﺍﻷﺩ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻨﺫ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺠﺩ‬‫ﻭ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻕ‬‫ﺒ‬‫ﻴﻁ‬‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﺀ‬.
‫ﺍﻟﻤﻜﺘﺴﺏ‬ ‫ﺍﻟﻨﻤﻁ‬Acquired Type:‫ﺍﻟﻁﺒﻴﻌﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻋﻘﺏ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺘﻁﻭﺭ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬.
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻓﻴﻪ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺴﻴﺎﻕ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻺﺸﺎﺭﺓ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﺃﺤﺩ‬ ‫ﻴﺴﺘﺨﺩﻡ‬ ‫ﻗﺩ‬:
‫ﺍﻟﻤﻌﻤﻡ‬ ‫ﺍﻟﻨﻤﻁ‬Generalized Type:‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬‫ﺃﻭ‬ ‫ﺍﻷﻭﻀﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻨﺒﻴﻪ‬ ‫ﻤﻥ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﺃﻨﻤﺎﻁ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻘﺼﻭﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﻜﻥ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﺸﺭﻜﺎﺀ‬.
‫ﺍﻟﻅﺭﻓﻲ‬ ‫ﺍﻟﻨﻤﻁ‬Situational Type:‫ﺃﻭ‬ ‫ﺍﻟﺘﻨﺒﻴﻪ‬ ‫ﻤﻥ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﺃﻨﻤﺎﻁ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻘﺼﻭﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬
‫ﺍﻷﻭﻀﺎﻉ‬)‫ﺍﻟﻅﺭﻭﻑ‬(‫ﺍﻟﺸﺭﻜﺎﺀ‬ ‫ﺃﻭ‬.‫ﺍﻟﻅ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻴﺴﺎﻋﺩ‬ ‫ﻗﺩ‬‫ﺍﻟﺘﻔﺭﻴﻘﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻨﻭﻋﻲ‬ ‫ﺭﻓﻲ‬.‫ﺍﺨﺘﻼل‬ ‫ﻤﻊ‬ ‫ﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﺴﺘﻤﻨﺎﺌﻴﺔ‬ ‫ﻭﻅﻴﻔﺔ‬ ‫ﻭﺠﻭﺩ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻤﺜ‬
‫ﺩﺍﺨﻠﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﺃﻭ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﻤﺸﻜﻠﺔ‬ ‫ﺍﻟﻨﻌﻭﻅﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﻜﻭﻯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺘﺭﺠﻴﺢ‬ ‫ﺴﻴﻘﺘﺭﺡ‬ ‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬
‫ﻤﺎﺩﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺇﺭﺠﺎﻋﻬﺎ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬.
‫ﻴﺴﺘﺨﺩﻡ‬ ‫ﻗﺩ‬‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻟﺨﻠل‬ ‫ﺍﻟﻤﺼﺎﺤﺒﺔ‬ ‫ﺍﻟﺴﺒﺒﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﺇﻟﻰ‬ ‫ﻟﻺﺸﺎﺭﺓ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﺃﺤﺩ‬:
‫ﻨﻔﺴﻴﺔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬:‫ﺨﻠل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺍﺒﺘﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﺌﻴﺴ‬ ‫ﹰ‬‫ﺍ‬‫ﺩﻭﺭ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻟﻠﻌﻭﺍﻤل‬ ‫ﺃﻥ‬ ‫ﻴﻔﺘﺭﺽ‬ ‫ﺤﻴﻨﻤﺎ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬
‫ﻟﻠﺤﺎﻻ‬ ‫ﺩﻭﺭ‬ ‫ﺜﻤﺔ‬ ‫ﻟﻴﺱ‬ ‫ﺃﻥ‬ ‫ﻭﺤﻴﺙ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻟﻤﻭﺍﺩ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺕ‬.
‫ﻤﺸﺘﺭﻜﺔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬:‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻁﺒﻕ‬(1)‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺍﺒﺘﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﺌﻴﺴ‬ ‫ﹰ‬‫ﺍ‬‫ﺩﻭﺭ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﻟﻠﻌﻭﺍﻤل‬ ‫ﺃﻥ‬ ‫ﻴﻔﺘﺭﺽ‬ ‫ﺤﻴﻥ‬
‫ﻭ‬ ‫ﻋﻠﻴﻪ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺎﻗﻤﺘﻪ‬(2)‫ﻭﻟﻜﻥ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻤﺴﺎﻫﻤﺔ‬ ‫ﻴﻔﺘﺭﺽ‬ ‫ﺤﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻟﺘﻔﺴﺭﺍ‬ ‫ﻜﺎﻓﻴﺘﻴﻥ‬ ‫ﺘﻜﻭﻨﺎ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬.

130. 129
‫ﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬ ‫ﻤﺎ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬)‫ﻟﻸﺩﻭﻴﺔ‬ ‫ﺍﻟﺠﺎﻨﺒﻴﺔ‬ ‫ﺍﻵﺜﺎﺭ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬(‫ﺨﻠل‬ ،‫ﺘﺸﺨﻴﺹ‬ ‫ﻴﻭﻀﻊ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻟﺘﻔﺴﻴﺭ‬ ‫ﻜﺎﻓﻴﺔ‬
‫ﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬/‫ﺒﻤﺎ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻔﻴﺔ‬ ‫ﺨﻠل‬ ‫ﺃﻭ‬‫ﺩﺓ‬.
■‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬]...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[
Sexual Dysfunction Due to... [Indicate the General
Medical Condition]
A-‫ﺍﻟﺼ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭﺍﻥ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻋﻨﻪ‬ ‫ﻴﻨﺸﺄ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺸﺄﻥ‬ ‫ﺫﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺨﻠل‬‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬ ‫ﻭﺭﺓ‬.
B-‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﻜﺎﻤل‬ ‫ﺘﻔﺴﻴﺭﻩ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻻﺌل‬ ‫ﺜﻤﺔ‬
‫ﻤﺎ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﺍﻟﻤﺒﺎﺸﺭﺓ‬ ‫ﺍﻟﻔﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺍﻟﺘﺄﺜﻴﺭﺍﺕ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬)‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬.(
‫ﺍﺨﺘﺭ‬‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﺍﻋﺘﻤﺎﺩ‬ ‫ﻭﺍﻟﻤﺼﻁﻠﺢ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬:
625.8‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻨﻘﺹ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[:‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻨﻘﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻭ‬.
608.89‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻨﻘﺹ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.] ..‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[:‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻨﻘﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻭ‬.
607.84‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻨﻌﻭﻅ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[:‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻨﻌﻭﻅﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬
‫ﺍﻟﻤﺴﻴﻁﺭ‬.
625.0‫ﺍﻟ‬ ‫ﺍﻷﻨﺜﻰ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﺴﺭ‬‫ﻋ‬‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻭ‬ ‫ﻟﻠﺠﻤﺎﻉ‬ ‫ﺍﻟﻤﺼﺎﺤﺏ‬ ‫ﺍﻷﻟﻡ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
608.89‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻤﺎﻉ‬ ‫ﺴﺭ‬‫ﻋ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻭ‬ ‫ﻟﻠﺠﻤﺎﻉ‬ ‫ﺍﻟﻤﺼﺎﺤﺏ‬ ‫ﺍﻷﻟﻡ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
625.8‫ﺍﻷﻨ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺜﻰ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﻫﻭ‬ ‫ﻤﺎ‬ ‫ﺁﺨﺭ‬ ‫ﺘﻅﺎﻫﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﻤﺜل‬
‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﺍﻀﻁﺭﺍﺏ‬(‫ﺘﻅﺎﻫﺭ‬ ‫ﺃﻱ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻭ‬.
608.89‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﻫﻭ‬ ‫ﻤﺎ‬ ‫ﺁﺨﺭ‬ ‫ﺘﻅﺎﻫﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬)‫ﻤﺜل‬
‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻹﻴﻐﺎﻑ‬(‫ﺘﻅﺎﻫﺭ‬ ‫ﺃﻱ‬ ‫ﻴﺴﻴﻁﺭ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻭ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I،‫ﻤﺜﺎل‬ ،607.84‫ﺍﻟﺴﻜﺭﻱ؛‬ ‫ﺍﻟﺩﺍﺀ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﺫﻜﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻨﻌﻭﻅ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﻜﺫﻟﻙ‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺒﺎﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺍﻟﺨﺎﺹ‬.(
■‫ﺍﻟﺠﻨﺴﻴ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬‫ﺒﻤﺎﺩﺓ‬ ‫ﺙ‬‫ﺩ‬‫ﺤ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺔ‬
Substance-Induced Sexual Dysfunction

131. 130
A-‫ﺍﻟﺼﻭﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺘﺴﻴﻁﺭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻋﻨﻪ‬ ‫ﻴﻨﺸﺄ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﺸﺄﻥ‬ ‫ﺫﻭ‬ ‫ﺨﻠل‬
‫ﺍﻟﺴﺭﻴﺭﻴﺔ‬.
B-‫ﺘﻔﺴﻴﺭ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺃﻨﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻻﺌل‬ ‫ﺜﻤﺔ‬‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻜﺎﻤ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬
‫ﺒـ‬ ‫ﺇﻤﺎ‬ ‫ﺫﻟﻙ‬ ‫ﻴﺘﺠﻠﻰ‬ ‫ﻜﻤﺎ‬ ‫ﻤﺎﺩﺓ‬(1)‫ﺃﻭ‬(2):
(1)‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻥ‬A‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻥ‬ ‫ﺸﻬﺭ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻁﻭﺭﺕ‬.
(2)‫ﺒﺎﻻﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺒﺒﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬.
C-‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺒﺨﻠل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬.‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﻌﻠل‬ ‫ﻻ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻟﺩﻻﺌل‬
‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻗﺩ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﻟﻴﺱ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺨﻠل‬:‫ﻋﻠﻴﻬﺎ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﺩﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﻕ‬)‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬
‫ﺍﻟﺩﻭﺍﺀ‬(‫ﺍﻟﺯﻤﻥ‬ ‫ﻤﻥ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﺃﻭ‬ ‫؛‬)‫ﺤﻭﺍﻟﻲ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬‫ﺸﻬﺭ‬(‫ﻋﻤﺎ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺒﻘﺩﺭ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺘﻭﻗﻑ‬ ‫ﺒﻌﺩ‬
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺨﻠل‬ ‫ﻭﺠﻭﺩ‬ ‫ﻴﻘﺘﺭﺡ‬ ‫ﺁﺨﺭ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ؛‬ ‫ﻤﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻤﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻨﻤﻁ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺘﻭﻗﻌﻪ‬ ‫ﻴﻤﻜﻥ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻭﻏﻴﺭ‬ ‫ﻤﺴﺘﻘل‬)‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻗﺼﺔ‬ ،‫ﻤﺜﺎل‬.(
‫ﻤﻼﺤﻅﺔ‬:‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﻋﺎﺩﺓ‬ ‫ﻴﺼﺎﺤﺏ‬ ‫ﻤﺎ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﺯﻴﺩ‬ ‫ﺤﻴﻥ‬ ‫ﻓﻘﻁ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﻭﻀ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﺫﺍ‬ ‫ﻴﻭﻀﻊ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﻤﺴﺘﻘﻠﺔ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻋﻨﺎﻴﺔ‬ ‫ﻟﻴﺴﺘﺄﻫل‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻴﻜﻭﻥ‬ ‫ﻭﻋﻨﺩﻤﺎ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬.
‫ـ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬]‫ﻨﻭﻋﻴﺔ‬ ‫ﻤﺎﺩﺓ‬:[
)291.89‫ﺍﻟﻜ‬‫ﺤﻭل؛‬292.89‫ﺃﻤﻔﻴﺘﺎﻤﻴﻥ‬]‫ﺒﺎﻷﻤﻔﻴﺘﺎﻤﻴﻥ‬ ‫ﺸﺒﻴﻬﺔ‬ ‫ﻤﺎﺩﺓ‬ ‫ﺃﻭ‬[‫؛‬292.89‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ؛‬292.89‫ﺍﻷﻓﻴﻭﻨﺎﺕ؛‬292.89‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬
‫ﺍﻟﻘﻠﻕ؛‬ ‫ﻤﻀﺎﺩﺍﺕ‬292.89‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬.([
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﹼﺔ‬‫ﻠ‬‫ﻤﺨﺘ‬ ‫ﺭﻏﺒﺔ‬ ‫ﻤﻊ‬:‫ﺍ‬ ‫ﻏﻴﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻨﻘﺹ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻟﺭﻏﺒﺔ‬.
‫ﻤﺨﺘﻠﺔ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﻤﻊ‬:‫ﺍﻟﻤﺨﺘﻠﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺇﺫﺍ‬)‫ﺍﻟﺘﺯﻟﻴﻕ‬ ‫ﺍﺨﺘﻼل‬ ،‫ﺍﻟﻨﻌﻭﻅﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﻤﺜل‬(‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻲ‬.
ّ‫ل‬‫ﻤﺨﺘ‬ ‫ﺇﻴﻐﺎﻑ‬ ‫ﻤﻊ‬:‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺨﺘل‬ ‫ﺍﻹﻴﻐﺎﻑ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺠﻨﺴﻲ‬ ‫ﺃﻟﻡ‬ ‫ﻤﻊ‬:‫ﺍﻟﺘﻅﺎﻫ‬ ‫ﻫﻭ‬ ‫ﻟﻠﺠﻤﺎﻉ‬ ‫ﺍﻟﻤﺭﺍﻓﻕ‬ ‫ﺍﻷﻟﻡ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬.
■302.70‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬
Sexual Dysfunction Not Otherwise Specified

132. 131
‫ﺍﻟﺠﻨﺴ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺍﺨﺘﻼﻻﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﻨﻭﻋﻲ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﻭﻅﻴﻔﺔ‬ ‫ﺨﻠل‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻴﺔ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:
1-‫ﻭﺠﻭﺩ‬ ‫ﻋﺩﻡ‬)‫ﻜﺒﻴﺭ‬ ‫ﺍﻨﺨﻔﺎﺽ‬ ‫ﺃﻭ‬(‫ﻁﺒﻴﻌﻴﻴﻥ‬ ‫ﻭﺇﻴﻐﺎﻑ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺭﻏﻡ‬ ،‫ﺍﻟﺫﺍﺘﻴﺔ‬ ‫ﺸﺒﻘﺔ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻷﺤﺎﺴﻴﺱ‬ ‫ﻓﻲ‬.
2-‫ﹰ‬‫ﺎ‬‫ﺒﺩﺌﻴ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻗﺎﺩﺭ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻜﻨﻪ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻭﺠﻭﺩ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺘﻭﺼل‬ ‫ﺤﺎﻻﺕ‬‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺃﻭ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬.
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺸﺫﻭﺫﺍﺕ‬Paraphilias
■302.4‫ﺍﻻﺴﺘﻌﺭﺍﺀ‬Exhibitionism
1-‫ﻤﺩﻯ‬ ‫ﻋﻠﻰ‬ ،‫ﻀﺤﻴﺔ‬ ‫ﻟﻐﺭﻴﺏ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻷﻋﻀﺎﺌﻪ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻜﺸﻑ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬
‫ﻓﺘﺭﺓ‬6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
2-‫ﻴﻜﻭ‬ ‫ﺃﻥ‬‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﻟﻪ‬ ‫ﺴﺒﺒﺕ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺨﻴﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻟﻬﺫﻩ‬ ‫ﺍﻤﺘﺜل‬ ‫ﻗﺩ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻥ‬
‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬.
■302.81‫ﺍﻟﻔﻴﺘﻴﺸﻴﺔ‬)‫ﺍﻟﺼﻨﻤﻴﺔ‬(Fetishism
A-‫ﺃﺸﻴﺎﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬‫ﺤﻴﺔ‬ ‫ﻏﻴﺭ‬)‫ﻨﺴﺎﺌﻴﺔ‬ ‫ﺩﺍﺨﻠﻴﺔ‬ ‫ﻤﻼﺒﺱ‬ ‫ﻤﺜل‬(‫ﻋﻠﻰ‬ ،
‫ﻤﺩﻯ‬6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
B-‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻴﺎﻻﺕ‬ ‫ﺘﺴﺒﺏ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬.
C-‫ﺍﻟﻤ‬ ‫ﹶﻊ‬‫ﻁ‬ِ‫ﻗ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﻴﺘﻴﺸﻴﺔ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﺘﻘﺘﺼﺭ‬ ‫ﻻ‬‫ﹼﺙ‬‫ﻨ‬‫ﺍﻟﻤﺨ‬ ‫ﺍﻟﻠﺒﺎﺱ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻤﺔ‬ ‫ﺍﻟﻨﺴﺎﺌﻴﺔ‬ ‫ﻼﺒﺱ‬)‫ﺍﻟﻔﻴﺘﻴﺸﻴﺔ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﺴﺔ‬‫ﺒ‬ِ‫ﻟ‬ ‫ﻓﻲ‬ ‫ﻜﻤﺎ‬(‫ﺍﻷﺩﻭﺍﺕ‬ ‫ﺃﻭ‬
‫ﺍﻟﻠﻤﺴﻴﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﻟﻐﺭﺽ‬ ‫ﺍﻟﻤﺼﻤﻤﺔ‬)‫ﺍﻟﺭﺠﺭﺍﺝ‬ ‫ﺍﻟﺠﻬﺎﺯ‬ ،‫ﻤﺜل‬]‫ﺍﺯ‬‫ﺯ‬‫ﺍﻟﻬ‬[Vibrator.(
■302.89‫ﺍﻻﺤﺘﻜﺎﻜﻴﺔ‬Frotteurism
A-‫ﺃ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬‫ﻤﺩﻯ‬ ‫ﻋﻠﻰ‬ ،‫ﺭﻀﺎﻩ‬ ‫ﻋﺩﻡ‬ ‫ﺭﻏﻡ‬ ‫ﺒﻪ‬ ‫ﺍﻻﺤﺘﻜﺎﻙ‬ ‫ﺃﻭ‬ ‫ﺸﺨﺹ‬ ‫ﻤﻼﻤﺴﺔ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﻭ‬
6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
B-‫ﺍﻤﺘﺜل‬ ‫ﻗﺩ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬)‫ﺒﻤﻘﺘﻀﻰ‬ ‫ﺘﺼﺭﻑ‬(‫ﻀﺎﺌﻘﺔ‬ ‫ﻟﻪ‬ ‫ﺴﺒﺒﺕ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺨﻴﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻟﻬﺫﻩ‬
‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬.
■302.2‫ﺍﻷﻁﻔ‬ ‫ﻋﺸﻕ‬‫ﺎل‬Pedophilia
A-‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﺴﻥ‬ ‫ﻗﺒل‬ ‫ﺃﻁﻔﺎل‬ ‫ﺃﻭ‬ ‫ﻁﻔل‬ ‫ﻤﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺸﺎﻁ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬)‫ﻋﺎﻡ‬ ‫ﺒﺸﻜل‬
‫ﺴﻥ‬ ‫ﻓﻲ‬13‫ﺃﺼﻐﺭ‬ ‫ﺃﻭ‬(‫ﻤﺩﻯ‬ ‫ﻋﻠﻰ‬ ،6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.

133. 132
B-‫ﺍﻟﺨﻴﺎﻻ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺒﻤﻘﺘﻀﻰ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺘﺼﺭﻑ‬‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺘﺴﺒﺏ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺕ‬
‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬.
C-‫ﺍﻟﺸﺨﺹ‬ ‫ﻋﻤﺭ‬16‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔل‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﻨ‬ ‫ﺃﻜﺒﺭ‬ ‫ﻭﻫﻭ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺔ‬A‫ﺒـ‬5‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﻭﺍﺕ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺒﻌﻤﺭ‬ ‫ﻁﻔل‬ ‫ﻤﻊ‬ ‫ﻤﺘﻭﺍﺼﻠﺔ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﻴﻨﺨﺭﻁ‬ ‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻨﻬﺎﻴﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺸﺨﺼ‬ ‫ِﺝ‬‫ﺭ‬‫ﹸﺩ‬‫ﺘ‬ ‫ﻻ‬12‫ﺃﻭ‬13‫ﺴﻨﺔ‬.
‫ﺤﺩ‬‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬:
‫ﻟﻠﺫﻜﻭﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬
‫ﻟﻺﻨﺎﺙ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬
‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﻟﻼﺜﻨﻴﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﺍﻟﻤﺤﺎﺭﻡ‬ ‫ﺴﻔﺎﺡ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﻘﺘﺼﺭ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺤﺩﺩ‬:
‫ﺤﺼﺭﻱ‬ ‫ﻨﻤﻁ‬)‫ﻓﻘﻁ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﺇﻟﻰ‬ ‫ﻤﻨﺠﺫﺏ‬.(
‫ﺤﺼﺭﻱ‬ ‫ﻏﻴﺭ‬ ‫ﻨﻤﻁ‬.
■302.83‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻤﺎﺯﻭﺨﻴﺔ‬Sexual Masochism
A-‫ﺸﺩﻴﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬‫ﹰ‬‫ﻼ‬‫ﻓﻌ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻹﺜﺎﺭﺓ‬)‫ﹰ‬‫ﺍ‬‫ﻤﻘﻠﺩ‬ ‫ﻟﻴﺱ‬ ،‫ﹰ‬‫ﺎ‬‫ﺤﻘﻴﻘﻴ‬(‫ﺃﻭ‬ ‫ﻟﻺﺫﻻل‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻓﻴﻪ‬ ‫ﻴﺘﻌﺭﺽ‬
‫ﻤﺩﻯ‬ ‫ﻋﻠﻰ‬ ،‫ﺒﺄﺨﺭﻯ‬ ‫ﺃﻭ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻟﻠﻤﻌﺎﻨﺎﺓ‬ ‫ﻴﺨﻀﻊ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻘﻴﻴﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻀﺭﺏ‬6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
B-‫ﺍﻷﺩ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻴﺎﻻﺕ‬ ‫ﺘﺴﺒﺏ‬‫ﺃﺨﺭﻯ‬ ‫ﺤﻘﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﺀ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬.
■302.84‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺴﺎﺩﻴﺔ‬Sexual Sadism
A-‫ﹰ‬‫ﻻ‬‫ﺃﻓﻌﺎ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬)‫ﹼﺩﺓ‬‫ﻠ‬‫ﻤﻘ‬ ‫ﻟﻴﺴﺕ‬ ،‫ﺤﻘﻴﻘﻴﺔ‬(‫ﺃﻭ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻨﺎﺓ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺘﻜﻭﻥ‬
‫ﺍﻟﺠﺴﺩﻴﺔ‬)‫ﺍﻹﺫﻻل‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬(‫ﻟﻠﺸﺨﺹ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﺜﻴﺭﺓ‬ ‫ﻟﻠﻀﺤﻴﺔ‬.
B-‫ﻀﺎﺌﻘﺔ‬ ‫ﺘﺴﺒﺏ‬ ‫ﺍﻟﺨﻴﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺒﺫﻟﻙ‬ ‫ﺭﺍﺽ‬ ‫ﻏﻴﺭ‬ ‫ﺸﺨﺹ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺒﻤﻘﺘﻀﻰ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺘﺼﺭﻑ‬
‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬.
■302.3‫ﺍﻟﻔﻴﺘﻴﺸﻴﺔ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻟﺒﺴﺔ‬Transvestic Fetishism

134. 133
A-‫ﺇﻟﺤﺎﺤﺎ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬‫ﻤﺩﻯ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻼﺒﺱ‬ ‫ﺍﺭﺘﺩﺍﺀ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺕ‬6‫ﺃﺸﻬﺭ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬.
B-‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻴﺎﻻﺕ‬ ‫ﺘﺴﺒﺏ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺤﺩﺩ‬:
‫ﺠﻨﺴﻪ‬ ‫ﻤﻊ‬ ‫ﺍﻻﺭﺘﻴﺎﺡ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻊ‬:‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻫﻭﻴﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺩﻭﺭﻩ‬ ‫ﻤﻥ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﺍﻨﺯﻋﺎﺝ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺩﻯ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
■302.82‫ﺍﻟﺒﺼﺒﺼﺔ‬Voyeurism
A-‫ﻴﺨﻠﻊ‬ ‫ﻭﻫﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﻋﺎﺭﻴ‬ ‫ﻀﺤﻴﺔ‬ ‫ﺸﺨﺹ‬ ‫ﻤﺭﺍﻗﺒﺔ‬ ‫ﻓﻌل‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺇﻟﺤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻭﺠﻭﺩ‬
‫ﺍﻨﻐﻤﺎﺴ‬ ‫ﺤﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻼﺒﺴﻪ‬‫ﻤﺩﻯ‬ ‫ﻋﻠﻰ‬ ،‫ﺠﻨﺴﻲ‬ ‫ﻨﺸﺎﻁ‬ ‫ﻓﻲ‬ ‫ﻪ‬6‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬.
B-‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺘﺴﺒﺏ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺨﻴﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﻟﺤﺎﺤﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺒﻤﻘﺘﻀﻰ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺘﺼﺭﻑ‬
‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﻗﺔ‬.
■302.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﺸﺫﻭﺫ‬
Paraphilia Not Otherwise Specified
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻔﺌﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺸﺫﻭﺫﺍﺕ‬ ‫ﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺃﺩﺭﺠﺕ‬.‫ﺍﻟﺒﺫﺍﺀﺓ‬ ،‫ﻋﻠﻴﻬﺎ‬ ‫ﺍﻻﻗﺘﺼﺎﺭ‬ ‫ﺩﻭﻥ‬ ،‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬
‫ﺍﻟﻬﺎﺘﻔﻴﺔ‬)‫ﻤﺠﻭﻨﻴﺔ‬ ‫ﻫﺎﺘﻔﻴﺔ‬ ‫ﻤﻜﺎﻟﻤﺎﺕ‬(‫ﺍﻟﺠﺯﺌﻴﺔ‬ ،]‫ﺍﻟﺘﻔﺎﻀﻠﻴﺔ‬) [‫ﺍﻟﺠﺴﻡ‬ ‫ﻤﻥ‬ ‫ﺠﺯﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺤﺼﺭﻱ‬ ‫ﺘﺭﻜﻴﺯ‬(‫ﺒﺎﻟﺤﻘﻥ‬ ‫ﺍﻟﻭﻟﻊ‬ ،‫ﺒﺎﻟﺒﺭﺍﺯ‬ ‫ﺍﻟﻭﻟﻊ‬ ،‫ﺍﻟﺤﻴﻭﺍﻨﺎﺕ‬ ‫ﻋﺸﻕ‬ ،
‫ﺒﺎﻟﺒﻭل‬ ‫ﺍﻟﻭﻟﻊ‬ ،‫ﺍﻟﺸﺭﺠﻴﺔ‬.
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
Gender Identity Disorders
■‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Gender Identity Disorders
A-‫ﺍﻵﺨﺭ‬ ‫ﺒﺎﻟﺠﻨﺱ‬ ‫ﻭﻤﺴﺘﺩﻴﻡ‬ ‫ﺸﺩﻴﺩ‬ ‫ﺘﻤﺎﻫﻲ‬)‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﺭﺀ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻷﻥ‬ ‫ﻤﻔﻬﻭﻤﺔ‬ ‫ﺜﻘﺎﻓﻴﺔ‬ ‫ﻤﺯﺍﻴﺎ‬ ‫ﺒﺄﻴﺔ‬ ‫ﺭﻏﺒﺔ‬ ‫ﻤﺠﺭﺩ‬ ‫ﻭﻟﻴﺱ‬(‫ﻴﺘﻅﺎﻫﺭ‬
‫ﺍﻷ‬ ‫ﻋﻨﺩ‬ ،‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﺒﺄﺭﺒﻌﺔ‬ ،‫ﻁﻔﺎل‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻥ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﺇﺼﺭﺍﺭ‬ ‫ﺃﻭ‬ ،‫ﻋﻨﻬﺎ‬ ‫ﺍﻟﺘﺼﺭﻴﺢ‬ ‫ﻴﻜﺭﺭ‬ ‫ﺭﻏﺒﺔ‬.
(2)‫ﺍﻟﻨﻤﻁ‬ ‫ﺍﻟﺫﻜﻭﺭﻴﺔ‬ ‫ﺍﻟﻤﻼﺒﺱ‬ ‫ﺍﺭﺘﺩﺍﺀ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻹﺼﺭﺍﺭ‬ ،‫ﺍﻟﺒﻨﺎﺕ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻨﺴﻭﻱ؛‬ ‫ﺍﻟﺯﻱ‬ ‫ﺘﻘﻠﻴﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻼﺒﺱ‬ ‫ﺍﺭﺘﺩﺍﺀ‬ ‫ﺘﻔﻀﻴل‬ ،‫ﺍﻟﺼﺒﻴﺎﻥ‬ ‫ﻋﻨﺩ‬
‫ﻓﻘﻁ‬.
(3)‫ﺸ‬ ‫ﺘﻔﻀﻴﻼﺕ‬‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻥ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻷﻥ‬ ‫ﺍﻟﻤﺴﺘﻤﺭﺓ‬ ‫ﺍﻟﺘﺨﻴﻼﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻴﺎﻟﻴﺔ‬ ‫ﺍﻷﻟﻌﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﺃﺩﻭﺍﺭ‬ ‫ﻟﻠﻌﺏ‬ ‫ﻭﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﺩﻴﺩﺓ‬.
(4)‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻭﺘﺴﺎﻟﻲ‬ ‫ﺍﻟﻨﻤﻁﻴﺔ‬ ‫ﺍﻷﻟﻌﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺒﺎﻟﻤﺸﺎﺭﻜﺔ‬ ‫ﺸﺩﻴﺩﺓ‬ ‫ﺭﻏﺒﺔ‬.

135. 134
(5)‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻠﻌﺏ‬ ‫ﺭﻓﺎﻕ‬ ‫ﺘﻔﻀﻴل‬.
‫ﺍ‬ ‫ﻤﺜل‬ ‫ﺒﺄﻋﺭﺍﺽ‬ ‫ﻭﺍﻟﺒﺎﻟﻐﻴﻥ‬ ‫ﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻅﺎﻫﺭ‬‫ﻟﻠﺘﻨﻘل‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﻤﺤﺎﻭﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻥ‬ ‫ﻴﻜﻭﻨﻭﺍ‬ ‫ﺃﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﺭﻴﺤﺔ‬ ‫ﻟﺭﻏﺒﺔ‬
‫ﻭﺭﺩﻭﺩ‬ ‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻤﺸﺎﻋﺭ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻟﻘﻨﺎﻋﺔ‬ ‫ﺃﻭ‬ ،‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻥ‬ ‫ﺃﻨﻬﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻠﻭﺍ‬‫ﻤ‬‫ﻌﺎ‬‫ﻴ‬ ‫ﺃﻭ‬ ‫ﻴﻌﻴﺸﻭﺍ‬ ‫ﺃﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻥ‬ ‫ﺒﻭﺼﻔﻬﻡ‬
‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﺃﻓﻌﺎل‬.
B-‫ﺍﻟﻤﻼ‬ ‫ﺒﻌﺩﻡ‬ ‫ﺍﻹﺤﺴﺎﺱ‬ ‫ﺃﻭ‬ ‫ﺠﻨﺴﻪ‬ ‫ﻤﻥ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻨﺯﻋﺎﺝ‬‫ﺍﻟﻔﻌﻠﻲ‬ ‫ﻟﺠﻨﺴﻪ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﺩﻭﺭ‬ ‫ﻓﻲ‬ ‫ﺀﻤﺔ‬.
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬ ‫ﺒﺄﻱ‬ ،‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ،‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻅﺎﻫﺭ‬:‫ﺴﺘﺨﺘﻔﻲ‬ ‫ﺃﻨﻬﺎ‬ ‫ﺃﻭ‬ ‫ﻤﻘﺯﺯﺓ‬ ‫ﺍﻟﺨﺼﻴﺘﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻀﻴﺏ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻹﺼﺭﺍﺭ‬ ،‫ﺍﻟﺼﺒﻲ‬ ‫ﻋﻨﺩ‬
‫ﻭﺍﻷ‬ ‫ﻭﺍﻷﻟﻌﺎﺏ‬ ‫ﺏ‬‫ﻌ‬‫ﱡ‬‫ﻠ‬‫ﺍﻟ‬ ‫ﻭﺭﻓﺽ‬ ‫ﺍﻟﺨﺸﻨﺔ‬ ‫ﺍﻷﻟﻌﺎﺏ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻔﻭﺭ‬ ‫ﺃﻭ‬ ‫ﻗﻀﻴﺏ‬ ‫ﺍﻤﺘﻼﻙ‬ ‫ﻋﺩﻡ‬ ‫ﺍﻷﻓﻀل‬ ‫ﻤﻥ‬ ‫ﺃﻨﻪ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻹﺼﺭﺍﺭ‬ ‫ﺃﻭ‬‫ﻭﻋﻨﺩ‬ ‫ﺍﻟﻨﻤﻁﻴﺔ؛‬ ‫ﺍﻟﺫﻜﺭﻴﺔ‬ ‫ﻨﺸﻁﺔ‬
،‫ﺘﺤﻴﺽ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺜﺩﻴﺎﻫﺎ‬ ‫ﻴﻨﻤﻭ‬ ‫ﺃﻥ‬ ‫ﺘﺭﻴﺩ‬ ‫ﻻ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻹﺼﺭﺍﺭ‬ ‫ﺃﻭ‬ ،‫ﻗﻀﻴﺏ‬ ‫ﻟﺩﻴﻬﺎ‬ ‫ﺴﻴﻨﻤﻭ‬ ‫ﺒﺄﻨﻪ‬ ‫ﺍﻹﺼﺭﺍﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻠﻭﺱ‬ ‫ﻭﻀﻌﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺘﺒﻭل‬ ‫ﺭﻓﺽ‬ ،‫ﺍﻟﺒﻨﺎﺕ‬
‫ﺍﻟﻤﻌﻬﻭﺩ‬ ‫ﺍﻟﻨﺴﻭﻱ‬ ‫ﺍﻟﻠﺒﺎﺱ‬ ‫ﻤﻥ‬ ‫ﺼﺭﻴﺢ‬ ‫ﻨﻔﻭﺭ‬ ‫ﺃﻭ‬.
‫ﺍ‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﺘﺨﻠﺹ‬ ‫ﻜﺎﻻﻨﺸﻐﺎل‬ ‫ﺒﺄﻋﺭﺍﺽ‬ ‫ﻭﺍﻟﺒﺎﻟﻎ‬ ‫ﺍﻟﻤﺭﺍﻫﻕ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻅﺎﻫﺭ‬‫ﻭﺍﻟﺜﺎﻨﻭﻴﺔ‬ ‫ﺍﻷﻭﻟﻴﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻟﺨﺼﺎﺌﺹ‬)‫ﺃﻭ‬ ‫ﺍﻟﻬﻭﺭﻤﻭﻨﺎﺕ‬ ‫ﺍﻟﺘﻤﺎﺱ‬ ‫ﻤﺜل‬
‫ﺍﻵﺨﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﺤﺎﻜﺎﺓ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺎﺩﻴ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺨﺼﺎﺌﺹ‬ ‫ﻟﺘﺒﺩﻴل‬ ‫ﺃﺨﺭﻯ‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺭﺍﺤﺔ‬(‫ﺍﻟﺨﻁﺄ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻀﻤﻥ‬ ‫ﻭﻟﺩ‬ ‫ﻗﺩ‬ ‫ﺒﺄﻨﻪ‬ ‫ﺍﻻﻋﺘﻘﺎﺩ‬ ‫ﺃﻭ‬.
C-‫ﺠﺴﺩﻴﺔ‬ ‫ﺨﻨﺜﻭﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻤﻊ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺘﻭﺍﻓﻕ‬ ‫ﻻ‬.
D-‫ﺴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺭﻴﺭﻴ‬.
‫ﺍﻟﺭﺍﻫﻥ‬ ‫ﺍﻟﻌﻤﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺘﺭﻤﻴﺯ‬ ‫ﻴﻌﺘﻤﺩ‬:
302.6‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
302.85‫ﺍﻟﺒﺎﻟﻐﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬)‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﺍﻟﻨﺎﻀﺠﻴﻥ‬ ‫ﻟﻸﺸﺨﺎﺹ‬(:
‫ﺍﻟﺫﻜﻭﺭ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬
‫ﺍﻹﻨﺎﺙ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬
‫ﺍﻻﺜﻨﻴﻥ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬
‫ﻤﻨﻬﻤﺎ‬ ‫ﺃﻱ‬ ‫ﺇﻟﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ‫ﻤﻨﺠﺫﺏ‬ ‫ﻏﻴﺭ‬
■‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Gender Identity Disorder Not Otherwise Specified
‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺃﺩﺭﺠﺕ‬‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻜﺄﺤﺩ‬ ‫ﺘﺼﻨﻴﻔﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:
1-‫ﺍﻟﺨﻨﻭﺜﺔ‬ ‫ﺤﺎﻻﺕ‬)‫ﹾﻘﻲ‬‫ﻠ‬‫ﹶ‬‫ﺨ‬‫ﺍﻟ‬ ‫ﺍﻟﻜﻅﺭﻱ‬ ‫ﺍﻟﺘﻨﺴﺞ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﻟﻸﻨﺩﺭﻭﺠﻴﻥ‬ ‫ﺍﻟﺠﺯﺌﻴﺔ‬ ‫ﺍﻟﻼﺤﺴﺎﺴﻴﺔ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﻤﺜل‬(‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﻟﻠﻬﻭﻴﺔ‬ ‫ﺍﺭﺘﻴﺎﺡ‬ ‫ﻋﺩﻡ‬ ‫ﻴﺼﺎﺤﺒﻬﺎ‬.

136. 135
2-‫ﺍﻵ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﻤﻼﺒﺱ‬ ‫ﺍﺭﺘﺩﺍﺀ‬ ‫ﻓﻴﻪ‬ ‫ﻴﺘﻡ‬ ‫ﺒﺎﻟﺸﺩﺓ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﻋﺎﺒﺭ‬ ‫ﺴﻠﻭﻙ‬‫ﺨﺭ‬.
3-‫ﺍﻵﺨﺭ‬ ‫ﻟﻠﺠﻨﺱ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﺨﺼﺎﺌﺹ‬ ‫ﺒﺎﻤﺘﻼﻙ‬ ‫ﺍﻟﺭﻏﺒﺔ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻟﻘﻀﻴﺏ‬ ‫ﺒﺒﺘﺭ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺨﺼﺎﺀ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﺍﻨﺸﻐﺎل‬.
■302.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬
Sexual Disorder Not Otherwise Specified
‫ﺠﻨﺴﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﻴﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺃﺩﺭﺠﺕ‬‫ﻭﻻ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﺨﻠل‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﻭﺤﻴﺙ‬ ‫ﻨﻭﻋﻲ‬
‫ﺠﻨﺴﻲ‬ ‫ﺸﺫﻭﺫ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:
1-‫ﺃﻭ‬ ‫ﺍﻟﺫﻜﻭﺭﺓ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺫﺍﺘﻴ‬ ‫ﻤﻔﺭﻭﻀﺔ‬ ‫ﺒﻤﻘﺎﻴﻴﺱ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﺨﺼﺎﺌﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻴﺨﺹ‬ ‫ﻓﻴﻤﺎ‬ ‫ﺍﻟﻜﻔﺎﻴﺔ‬ ‫ﻋﻥ‬ ‫ﺒﻘﺼﻭﺭ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻤﺸﺎﻋﺭ‬
‫ﺍﻷﻨﻭﺜﺔ‬.
2-‫ﺍﻟ‬ ‫ﻤﻥ‬ ‫ﺘﻌﺎﻗﺏ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﺍﻟﻤﺘﻜﺭﺭﺓ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬ ‫ﺤﻭل‬ ‫ﻀﺎﺌﻘﺔ‬‫ﻟﻼﺴﺘﻌﻤﺎل‬ ‫ﺃﺸﻴﺎﺀ‬ ‫ﻓﻘﻁ‬ ‫ﺒﻭﺼﻔﻬﻡ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺨﺘﺒﺭﻫﻡ‬ ‫ﻌﺸﺎﻕ‬.
3-‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﺘﻭﺠﻪ‬ ‫ﺤﻭل‬ ‫ﻭﺼﺭﻴﺤﺔ‬ ‫ﻤﺴﺘﺩﻴﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬.
‫اﻷآﻞ‬ ‫اﺿﻄﺮاﺑﺎت‬
Eating Disorders
■307.1‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬Anorexia Nervosa
A-‫ﻭﺍﻟﻁﻭل‬ ‫ﻟﻠﻌﻤﺭ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺫﻟﻙ‬ ‫ﻤﻥ‬ ‫ﺃﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻡ‬ ‫ﻟﻭﺯﻥ‬ ‫ﺍﻟﻁﺒﻴﻌﻲ‬ ‫ﺍﻷﺩﻨﻰ‬ ‫ﺍﻟﺤﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﻔﺎﻅ‬ ‫ﺭﻓﺽ‬)‫ﻓﻘﺩ‬ ،‫ﻤﺜﺎل‬‫ﻋﻠﻰ‬ ‫ﺍﻹﺒﻘﺎﺀ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻘﻭﺩ‬ ‫ﻭﺯﻥ‬
‫ﻤﻥ‬ ‫ﺃﺩﻨﻰ‬ ‫ﺍﻟﺠﺴﻡ‬ ‫ﻭﺯﻥ‬85%‫ﺃﻗل‬ ‫ﺠﺴﻡ‬ ‫ﻭﺯﻥ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻘﻭﺩ‬ ‫ﻤﻤﺎ‬ ،‫ﺍﻟﻨﻤﻭ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻤﺘﻭﻗﻊ‬ ‫ﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻭﻗﻊ؛‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﻤﻥ‬
‫ﻤﻥ‬85%‫ﺍﻟﻤﺘﻭﻗﻊ‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﻤﻥ‬.(
B-‫ﺍﻟﻁﺒﻴﻌﻲ‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﻰ‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﺃﻥ‬ ‫ﺭﻏﻡ‬ ،‫ﺍﻟﺒﺩﺍﻨﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﻤﻥ‬ ‫ﺸﺩﻴﺩ‬ ‫ﺨﻭﻑ‬.
C-‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺸﻜﻠﻪ‬ ‫ﺃﻭ‬ ‫ﺠﺴﻤﻪ‬ ‫ﻭﺯﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺩﺭﻙ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻁﺭﻴﻘﺔ‬.‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺘﻲ‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺸﻜﻠﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﻡ‬ ‫ﻟﻭﺯﻥ‬ ‫ﻤﻼﺌﻡ‬ ‫ﻏﻴﺭ‬ ‫ﺘﺄﺜﻴﺭ‬ ‫ﺃﻭ‬
‫ﺍﻟﺠﺴﻡ‬ ‫ﻟﻭﺯﻥ‬ ‫ﺍﻟﺭﺍﻫﻥ‬ ‫ﺍﻻﻨﺨﻔﺎﺽ‬ ‫ﺨﻁﻭﺭﺓ‬ ‫ﺇﻨﻜﺎﺭ‬.
D-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺘﺘﺎﻟﻴﺔ‬ ‫ﻁﻤﺜﻴﺔ‬ ‫ﺩﻭﺭﺍﺕ‬ ‫ﺜﻼﺙ‬ ‫ﻏﻴﺎﺏ‬ ،‫ﺃﻱ‬ ،‫ﺍﻟﻁﻤﺙ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ،‫ﺍﻟﻁﻤﺙ‬ ‫ﺒﺩﺀ‬ ‫ﺒﻌﺩ‬ ‫ﺍﻟﻨﺴﺎﺀ‬ ‫ﻟﺩﻯ‬ ‫ﻴﺤﺩﺙ‬) .‫ﻓﻲ‬ ‫ﺍﻟﻤﺭﺃﺓ‬ ‫ﺘﻌﺘﺒﺭ‬‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺤﺎﻟﺔ‬
‫ﺍﻟﻁﻤﺙ‬]‫ﻬﻲ‬‫ﻀ‬‫ﺍﻟ‬[‫ﺍﻹﻴﺴﺘﺭﻭﺠﻴﻥ‬ ‫ﻤﺜل‬ ،‫ﺍﻟﻬﺭﻤﻭﻥ‬ ‫ﺘﻨﺎﻭل‬ ‫ﺒﻌﺩ‬ ‫ﺇﻻ‬ ‫ﻟﺩﻴﻬﺎ‬ ‫ﺍﻟﺸﻬﺭﻴﺔ‬ ‫ﺍﻟﺩﻭﺭﺓ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻟﻡ‬ ‫ﺇﺫﺍ‬.(
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺍﻟﻤﺤﺼﻭﺭ‬ ‫ﺍﻟﻨﻤﻁ‬)‫ﺍﻟﻤﻀﺒﻭﻁ‬(restricting type:‫ﻁﻌﺎﻡ‬ ‫ﺒﺴﻠﻭﻙ‬ ‫ﻤﻨﺘﻅﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﻨﻐﻤﺱ‬ ‫ﻟﻡ‬
‫ﻤﻔﺭﻁ‬‫ﺇﺴﻬﺎل‬ ‫ﺇﺤﺩﺍﺙ‬ ‫ﺃﻭ‬)‫ﺍﻟﺸﺭﺠﻴﺔ‬ ‫ﺍﻟﺤﻘﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻤﺴﻬﻼﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺘﻌل‬ ‫ﺇﻗﻴﺎﺀ‬ ،‫ﺃﻱ‬.(

137. 136
‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻤﻁ‬/‫ﺒﺎﻟﻤﺴﻬﻼﺕ‬ ‫ﺍﻟﻤﻔﺭﻍ‬Binge eating/ purging type:‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺍﻨﻐﻤﺱ‬
‫ﺒﺎﻟﻤﺴﻬﻼﺕ‬ ‫ﻤﻔﺭﻍ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺭﻁ‬ ‫ﻁﻌﺎﻤﻲ‬ ‫ﺒﺴﻠﻭﻙ‬ ‫ﻤﻨﺘﻅﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬)‫ﻤﻔﺘﻌ‬ ‫ﺇﻗﻴﺎﺀ‬ ،‫ﺃﻱ‬‫ﺍﻟﺤﻘﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻬﻼﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ل‬
‫ﺍﻟﺸﺭﺠﻴﺔ‬.(
■307.51‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻨﻬﺎﻡ‬Bulimia Nervosa
A-‫ﺍﻟﻁﻌﺎﻤﻲ‬ ‫ﺍﻹﻓﺭﺍﻁ‬ ‫ﻤﻥ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻨﻭﺒﺎﺕ‬.‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺒﻜل‬ ‫ﺍﻟﻁﻌﺎﻤﻲ‬ ‫ﺍﻹﻓﺭﺍﻁ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻭﺘﺘﺼﻑ‬:
(1)‫ﺍﻟﻭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻔﺘﺭﺓ‬ ‫ﻨﻔﺱ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻴﺄﻜﻠﻪ‬ ‫ﻤﻤﺎ‬ ‫ﺠﻠﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺃﻜﺒﺭ‬ ‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﻤﻥ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﺃﻜل‬‫ﺍﻟﻅﺭﻭﻑ‬ ‫ﻨﻔﺱ‬ ‫ﻭﺘﺤﺕ‬ ‫ﻗﺕ‬.‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻭﺫﻟﻙ‬
‫ﺍﻟﻭﻗﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺤﺩﻭﺩﺓ‬)‫ﺴﺎﻋﺘﻴﻥ‬ ‫ﺨﻼل‬ ،‫ﻤﺜﺎل‬.(
(2)‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻜل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺒﺎﻨﻌﺩﺍﻡ‬ ‫ﺇﺤﺴﺎﺱ‬)‫ﺃﻭ‬ ‫ﻤﺎﻫﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻜل‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﻭﻗﻑ‬ ‫ﻴﺴﺘﻁﻴﻊ‬ ‫ﻻ‬ ‫ﺍﻟﻤﺭﺀ‬ ‫ﺒﺄﻥ‬ ‫ﺍﻹﺤﺴﺎﺱ‬ ،‫ﻤﺜﺎل‬
‫ﻴﺄﻜل‬ ‫ﻤﺎ‬ ‫ﻤﻘﺩﺍﺭ‬.(
B-،‫ﺍﻟﻭﺯﻥ‬ ‫ﻜﺴﺏ‬ ‫ﻟﻤﻨﻊ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺘﻌﻭﻴﻀﻲ‬ ‫ﺴﻠﻭﻙ‬‫ﺃﻭ‬ ‫ﺍﻟﺸﺭﺠﻴﺔ‬ ‫ﺍﻟﺤﻘﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻬﻼﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻗﻴﺎﺀ‬ ‫ﺍﻓﺘﻌﺎل‬ ‫ﻤﺜل‬
‫ﺍﻟﺸﺩﻴﺩﺓ‬ ‫ﺍﻟﺘﻤﺎﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺼﻴﺎﻡ‬ ‫ﺃﻭ‬ ،‫ﺃﺨﺭﻯ‬ ‫ﺃﺩﻭﻴﺔ‬.
C-‫ﻟﻤﺩﺓ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺴﺒﻭﻋﻴ‬ ‫ﻤﺭﺘﻴﻥ‬ ،‫ﻭﺴﻁﻲ‬ ‫ﻜﻤﻌﺩل‬ ،‫ﺍﻟﻤﻨﺎﺴﺒﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻌﻭﻴﻀﻴﺔ‬ ‫ﻭﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺍﻟﻁﻌﺎﻤﻲ‬ ‫ﺍﻹﻓﺭﺍﻁ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻴﺤﺩﺙ‬3‫ﺃﺸﻬﺭ‬.
D-‫ﺒﺸ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺘﻘﻴﻴﻡ‬ ‫ﻴﺘﺄﺜﺭ‬‫ﺍﻟﺠﺴﻡ‬ ‫ﻭﻭﺯﻥ‬ ‫ﺒﺸﻜل‬ ‫ﺴﻠﻴﻡ‬ ‫ﻏﻴﺭ‬ ‫ﻜل‬.
E-‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺍﻟﻤﻔﺭﻍ‬ ‫ﺍﻟﻨﻤﻁ‬Purging type:‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻹﻗﻴﺎﺀ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﻟﻠﻨﻬﺎﻡ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﻤﻨﺘﻅﻤﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺍﻨﻐﻤﺱ‬
‫ﺍﻟﺸﺭﺠﻴﺔ‬ ‫ﺍﻟﺤﻘﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻬﻼﺕ‬.
‫ﺍ‬‫ﺍﻟﻤﻔﺭﻍ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻨﻤﻁ‬Non purging type:،‫ﺃﺨﺭﻯ‬ ‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺘﻌﻭﻴﻀﻴﺔ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﻟﻠﻨﻬﺎﻡ‬ ‫ﺍﻟﺤﺎﻟﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﺠﺄ‬
‫ﺍﻟﺸﺭﺠﻴﺔ‬ ‫ﺍﻟﺤﻘﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺩﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻬﻼﺕ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺘﻌﻠﺔ‬ ‫ﺇﻗﻴﺎﺀﺍﺕ‬ ‫ﻓﻲ‬ ‫ﻴﻨﻐﻤﺱ‬ ‫ﻟﻡ‬ ‫ﻟﻜﻨﻪ‬ ،‫ﺍﻟﺸﺩﻴﺩﺓ‬ ‫ﺍﻟﺘﻤﺎﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﻜﺎﻟﺼﻴﺎﻡ‬.
■307.50‫ﻏﻴ‬ ‫ﺍﻷﻜل‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﺭ‬
Eating Disorder Not Otherwise Specified
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻷﻜل‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﻜل‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﻜل‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻓﺌﺔ‬ ‫ﺨﺼﺼﺕ‬.
‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:
1-‫ﻭﺠﻭﺩ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺠﻤﻴﻊ‬ ‫ﺍﺴﺘﻴﻔﺎﺀ‬ ،‫ﻟﻠﻨﺴﺎﺀ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬‫ﻤﻨﺘﻅﻤﺔ‬ ‫ﻁﻤﻭﺙ‬.
2-‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻟﺤﺩﻭﺩ‬ ‫ﻀﻤﻥ‬ ‫ﻴﻜﻭﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺤﺎﻟﻴ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻭﺯﻥ‬ ‫ﻓﺈﻥ‬ ،‫ﺍﻟﻬﺎﻡ‬ ‫ﺍﻟﻭﺯﻥ‬ ‫ﻓﻘﺩ‬ ‫ﻭﺭﻏﻡ‬ ‫ﺃﻨﻪ‬ ‫ﻤﺎﻋﺩﺍ‬ ،‫ﻤﺘﺤﻘﻘﺔ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺠﻤﻴﻊ‬.

138. 137
3-‫ﹰ‬‫ﺎ‬‫ﺃﺴﺒﻭﻋﻴ‬ ‫ﻤﺭﺘﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺒﺘﻭﺍﺘﺭ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺍﻟﻤﻨﺎﺴﺒﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻌﻭﻴﻀﻴﺔ‬ ‫ﻭﺍﻵﻟﻴﺎﺕ‬ ‫ﺍﻟﻁﻌﺎﻤﻲ‬ ‫ﺍﻹﻓﺭﺍﻁ‬ ‫ﺃﻥ‬ ‫ﺒﺎﺴﺘﺜﻨﺎﺀ‬ ،‫ﻤﺘﺤﻘﻘﺔ‬ ‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﺍﻟﻘﻤﻪ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺠﻤﻴﻊ‬
‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺃﻭ‬3‫ﺃﺸﻬﺭ‬.
4-‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﻤﻥ‬ ‫ﺼﻐﻴﺭﺓ‬ ‫ﻜﻤﻴﺎﺕ‬ ‫ﺘﻨﺎﻭل‬ ‫ﺒﻌﺩ‬ ‫ﻁﺒﻴﻌﻲ‬ ‫ﻭﺯﻥ‬ ‫ﺫﻱ‬ ‫ﻓﺭﺩ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺘﻌﻭﻴﻀﻲ‬ ‫ﻟﺴﻠﻭﻙ‬ ‫ﺍﻟﻤﻨﺘﻅﻡ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬)‫ﺍﻹﻗﻴﺎﺀ‬ ‫ﺍﻓﺘﻌﺎل‬ ،‫ﻤﺜﺎل‬
‫ﻜﻌﻜﺘﻴﻥ‬ ‫ﺍﺴﺘﻬﻼﻙ‬ ‫ﺒﻌﺩ‬.(
5-‫ﻟﻭﻙ‬)‫ﻤﻀﻎ‬(‫ﺍﺒﺘﻼﻋﻬﺎ‬ ‫ﺩﻭﻥ‬ ‫ﻭﻟﻜﻥ‬ ،‫ﺒﺼﻘﻬﺎ‬ ‫ﺜﻡ‬ ‫ﺍﻟﻁﻌﺎﻡ‬ ‫ﻤﻥ‬ ‫ﻜﺒﻴﺭﺓ‬ ‫ﻜﻤﻴﺎﺕ‬.
6-‫ﺍﻹﻓﺭﺍﻁ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺍﻟﻁﻌﺎﻤﻲ‬Binge-eating disorder:‫ﻟﻠﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺍﻟﻤﻨﺘﻅﻡ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻷﻜل‬ ‫ﻤﻥ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻭﺠﻭﺩ‬
‫ﺍﻟﻌﺼﺒﻲ‬ ‫ﻟﻠﻨﻬﺎﻡ‬ ‫ﺔ‬‫ﻴ‬‫ﺍﻟﻭﺼﻔ‬ ‫ﺍﻟﻤﻨﺎﺴﺒﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻌﻭﻴﻀﻴﺔ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﻓﻲ‬DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
‫اﻟﻨﻮم‬ ‫اﺿﻄﺮاﺑﺎت‬
Sleep Disorders
‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬‫ﺍﻟﺒﺩﺌﻴﺔ‬
Primary Spleep Disorders
‫ﺍﺨﺘﻼﻻﺕ‬)‫ﺍﻟﻨﻭﻡ‬ ‫ﻋﺴﺭ‬(Dyssomnias
■307.42‫ﺍﻟﺒﺩﺌﻲ‬ ‫ﺍﻷﺭﻕ‬Primary insomnia
A-‫ﺍﻻﺴﺘﻐﺭﺍﻕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺔ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺸﻜﻭﻯ‬)‫ﺍﻻﺒﺘﺩﺍﺀ‬(‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬ ،‫ﺍﻟﺘﺭﻤﻴﻤﻲ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﻭ‬ ،‫ﻓﻴﻪ‬ ‫ﺍﻻﺴﺘﻤﺭﺍﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬.
B-‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬)‫ﺍﻟ‬ ‫ﺃﻭ‬‫ﺍﻟﻤﺭﺍﻓﻕ‬ ‫ﺍﻟﻨﻬﺎﺭﻱ‬ ‫ﺘﻌﺏ‬(‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬.
C-‫ﺦ‬‫ﺒ‬‫ﺴ‬‫ﺍﻟ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬)‫ﺍﻻﻨﺘﻴﺎﺒﻲ‬ ‫ﺍﻟﻨﻭﻡ‬(‫ﻟﻠﻨﻭﻡ‬ ‫ﻤﺎﻭﻱ‬‫ﻭ‬‫ﻴ‬‫ﺍﻟ‬ ‫ﺍﻟﻨﻅﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬
‫ﺃﻭ‬‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﺸﻜﺎل‬ ‫ﺃﺤﺩ‬Parasomnia.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬)‫ﻫﺫﻴﺎﻥ‬ ،‫ﺍﻟﻤﻌﻤﻡ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜل‬.(
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻟﻴﺱ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻁﺒ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬‫ﻋﺎﻤﺔ‬ ‫ﻴﺔ‬.
■307.44‫ﺍﻟﺒﺩﺌﻲ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬Primary Hypersomnia
A-‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺸﻜﻭﻯ‬)‫ﹰ‬‫ﺍ‬‫ﻤﻌﺎﻭﺩ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺃﻗل‬ ‫ﺃﻭ‬(‫ﺃﻭ‬ ‫ﻟﺔ‬‫ﻭ‬‫ﻤﻁ‬ ‫ﻨﻭﻡ‬ ‫ﺒﻨﻭﺒﺎﺕ‬ ‫ﺇﻤﺎ‬ ،‫ﺫﻟﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬
‫ﻴﻭﻤﻲ‬ ‫ﺒﺸﻜل‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﻨﻬﺎﺭﻴﺔ‬ ‫ﻨﻭﻡ‬ ‫ﺒﻨﻭﺒﺎﺕ‬.
B-‫ﻤﻬ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﺔ‬.

139. 138
C-‫ﺁﺨﺭ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬ ‫ﻭﻫﻭ‬ ‫ﺍﻷﺭﻕ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬)‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﺒﺦ‬ ،‫ﻤﺜل‬
‫ﻟﻠﻨﻭ‬ ‫ﺍﻟﻴﻭﻤﺎﻭﻱ‬ ‫ﺍﻟﻨﻅﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﻨﻭﻡ‬‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﺸﻜﺎل‬ ‫ﺃﺤﺩ‬ ‫ﺃﻭ‬ ‫ﻡ‬(‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻜﺎﻓﻲ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻟﻤﻘﺩﺍﺭ‬ ‫ﺘﻌﻠﻴﻠﻪ‬ ‫ﻭﻴﺘﻌﺫﺭ‬.
D-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﻤﻌ‬‫ﹰ‬‫ﺍ‬‫ﺎﻭﺩ‬:‫ﻴﺴﺘﻤﺭ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﻓﺘﺭﺍﺕ‬ ‫ﻫﻨﺎﻙ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬3‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺘﻴﻥ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﺴﻨﺔ‬ ‫ﻓﻲ‬ ‫ﻤﺭﺍﺕ‬ ‫ﻋﺩﺓ‬ ‫ﻭﻴﺤﺩﺙ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﻴﺎﻡ‬.
■347‫ﺍﻟﺴﺒﺦ‬)‫ﺍﻻﻨﺘﻴﺎﺒﻲ‬ ‫ﺍﻟﻨﻭﻡ‬(Narcolepsy
A-‫ﻟﻠﻨﺸﺎﻁ‬ ‫ﺍﻟﻤﺠﺩﺩ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﹸﻘﺎﻭﻡ‬‫ﺘ‬ ‫ﻻ‬ ‫ﻫﺠﻤﺎﺕ‬Refreshing sleep‫ﻤﺩﻯ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﻴﻭﻤﻴ‬ ‫ﺘﺤﺩﺙ‬3‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻌﺭ‬.
B-‫ﺍﻟﺘﺎﻟﻴﻴﻥ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺘﻅﺎﻫﺭ‬ ‫ﻭﺠﻭﺩ‬:
(1)‫ﺩﺓ‬‫ﻤ‬‫ﺠ‬‫ﺍﻟ‬Cataplexy)‫ﺍﻟﻌﻀﻠﻴﺔ‬ ‫ﻟﻠﻤﻘﻭﻴﺔ‬ ‫ﺍﻟﺠﺎﻨﺏ‬ ‫ﺜﻨﺎﺌﻲ‬ ‫ﻤﻔﺎﺠﺊ‬ ‫ﻓﻘﺩﺍﻥ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﺩﺓ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﻨﻭﺒﺎﺕ‬ ،‫ﺃﻱ‬.‫ﺸﺩﻴﺩ‬ ‫ﺍﻨﻔﻌﺎل‬ ‫ﺒﻤﺼﺎﺤﺒﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﻏﺎﻟﺒ‬.(
(2)‫ﺍﻟﺴﺭﻴﻌﺔ‬ ‫ﺍﻟﻌﻴﻥ‬ ‫ﺤﺭﻜﺔ‬ ‫ﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﻟﻌﻨﺎﺼﺭ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺍﻗﺘﺤﺎﻤﺎﺕ‬)‫ﺍﻟﺭﻴﻡ‬(‫ﻴ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﻴﻘﻅﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻻﻨﺘﻘﺎل‬ ‫ﻋﻨﺩ‬‫ﺍﻟﺩﺨﻭل‬ ‫ﺒﺈﻫﻼﺴﺎﺕ‬ ‫ﺇﻤﺎ‬ ‫ﺘﺠﻠﻰ‬
‫ﻨﻬﺎﻴﺘﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻨﻭﻤﻲ‬ ‫ﺸﻠل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﺭﻭﺝ‬ ‫ﺒﺄﻫﻼﺴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬.
C-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻟﻴﺱ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■380.59‫ﺒﺎﻟﺘ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻨﻔﺱ‬
Breathing-Related Sleep Disorder
A-‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻨﻭﻤﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ‫ﺃﻨﻪ‬ ‫ﺭ‬‫ﺭ‬‫ﻭﻴﻘ‬ ،‫ﺃﺭﻕ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺭﻁ‬ ‫ﻨﻭﻡ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻘﻭﺩ‬ ،‫ﺍﻟﻨﻭﻡ‬ ‫ﺘﺼﺩﻉ‬)‫ﺍﻟﻨﻭﻤﻲ‬ ‫ﺍﻟﺘﻨﻔﺱ‬ ‫ﺍﻨﻘﻁﺎﻉ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻤﺭﻜﺯﻱ‬ ‫ﺍﻟﺴﻨﺨﻲ‬ ‫ﺍﻟﺘﻬﻭﻴﺔ‬ ‫ﻨﻘﺹ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻤﺭﻜﺯﻱ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺴﺩﺍﺩﻱ‬.(
B-‫ﺃﻓﻀ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻫﻭ‬ ‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ل‬)‫ﺴﻭﺀ‬ ،‫ﻤﺜﺎل‬
‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬III‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬.
■307.45‫ﺍﻟﻨ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻟﻠﻨﻭﻡ‬ ‫ﺍﻟﻴﻭﻤﺎﻭﻱ‬ ‫ﻅﻡ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﻴﻘﻅﺔ‬ ‫ـ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻭﺘﻴﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬(
A-‫ﺘﺼﺩﻉ‬)‫ﺍﻨﻘﻁﺎﻉ‬(‫ﺍﻟﺘﻭﺍﻓﻕ‬ ‫ﻋﺩﻡ‬ ‫ﻋﻥ‬ ‫ﻨﺎﺠﻡ‬ ،‫ﺃﺭﻕ‬ ‫ﺃﻭ‬ ‫ﻤﻔﺭﻁ‬ ‫ﻨﻭﻡ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻘﻭﺩ‬ ‫ﻟﻠﻨﻭﻡ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺃﻭ‬ ‫ﻤﺴﺘﺩﻴﻡ‬)‫ﺍﻟﺘﺯﺍﻤﻥ‬(mismatch‫ﺍﻟﻴﻘﻅﺔ‬ ‫ـ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺠﺩﻭل‬ ‫ﺒﻴﻥ‬
‫ﺍﻟﻴﻘﻅﺔ‬ ‫ـ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻴﻭﻤﺎﻭﻱ‬ ‫ﻨﻤﻁﻪ‬ ‫ﻭﺒﻴﻥ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺒﻴﺌﺔ‬ ‫ﺘﺘﻁﻠﺒﻪ‬ ‫ﺍﻟﺫﻱ‬.
B-‫ﺍﻀﻁﺭ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﺏ‬.

140. 139
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
D-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﻋﻘﺎ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﺭ‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺼﻔﺤﺔ‬ ‫ﻨﻤﻁ‬)‫ﻁﻭﺭ‬(‫ﺍﻟﻤﺘﺄﺨﺭﺓ‬ ‫ﺍﻟﻨﻤﻭ‬Delayed Sleep Phase Type:‫ﻤﻊ‬ ،‫ﻤﺘﺄﺨﺭ‬ ‫ﺍﺴﺘﻴﻘﺎﻅ‬ ‫ﻭﺃﻭﻗﺎﺕ‬ ‫ﻟﻠﻨﻭﻡ‬ ‫ﻤﺘﺄﺨﺭﺓ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﺃﻭﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺴﺘﺩﻴﻡ‬ ‫ﻨﻤﻁ‬
‫ﻓﻴﻪ‬ ‫ﻤﺭﻏﻭﺏ‬ ‫ﺃﺒﻜﺭ‬ ‫ﻭﻗﺕ‬ ‫ﻓﻲ‬ ‫ﻭﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﻟﻭﺝ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬.
‫ﺍﻟﻤﺘﻐﻴﺭ‬ ‫ﺍﻟﺯﻤﻨﻴﺔ‬ ‫ﺍﻟﻤﻨﻁﻘﺔ‬ ‫ﻨﻤﻁ‬‫ﺓ‬Jet Lag Type:‫ﺍﻟﻨﻤﻁ‬ ‫ﻫﺫﺍ‬ ‫ﻭﻴﺤﺩﺙ‬ ،‫ﺍﻟﻤﺤﻠﻲ‬ ‫ﻟﻠﺘﻭﻗﻴﺕ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺍﻟﻴﻭﻡ‬ ‫ﻤﻥ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﻭﻗﺕ‬ ‫ﻓﻲ‬ ‫ﻴﻘﻌﺎﻥ‬ ‫ﻭﻴﻘﻅﺔ‬ ‫ﻨﻭﻡ‬
‫ﺯﻤﻨﻴﺔ‬ ‫ﻤﻨﻁﻘﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻋﺒﺭ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺴﻔﺭ‬ ‫ﺒﻌﺩ‬.
‫ﺍﻟﻌﻤل‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺘﺒﺩﻴل‬ ‫ﻨﻤﻁ‬)‫ﺍﻟﻤﺘﻐﻴﺭﺓ‬ ‫ﺍﻟﻭﺍﺭﺩﻴﺎﺕ‬(Shift Work Type:‫ﺍﻟﻴﻘﻅﺔ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻤﻔﺭﻁ‬ ‫ﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺌﻴﺴﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺘﺭﺓ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺃﺭﻕ‬،‫ﺍﻟﺭﺌﻴﺴﺔ‬
‫ﺍﻟﻌﻤل‬ ‫ﻟﻨﻭﺒﺎﺕ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺘﻐﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻴﻠﻴﺔ‬ ‫ﻋﻤل‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻤﻊ‬ ‫ﻴﺘﺭﺍﻓﻕ‬.
‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻤﻁ‬Unspecified Type) :‫ﺍﻟـ‬ ‫ﻨﻤﻁ‬ ‫ﻋﻥ‬ ‫ﻤﺨﺘﻠﻑ‬ ‫ﻴﻘﻅﺔ‬ ‫ـ‬ ‫ﻨﻭﻡ‬ ‫ﻨﻤﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻘﺩﻤﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺼﻔﺤﺔ‬ ،‫ﻤﺜل‬24‫ﻴﻘﻅﺔ‬ ‫ـ‬ ‫ﻨﻭﻡ‬ ‫ﻨﻤﻁ‬ ‫ﺃﻭ‬ ‫ﺴﺎﻋﺔ‬
‫ﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﻨﻤﻁ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺘﻅﻡ‬ ‫ﻏﻴﺭ‬.(
■307.47‫ﻋﺴﺭ‬)‫ﺍﺨﺘﻼل‬(‫ﻤﻜ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﻡ‬‫ﺁﺨﺭ‬ ‫ﺎﻥ‬
Dyssomnia Not Otherwise Specified
‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻴﻭﻤﺎﻭﻱ‬ ‫ﺍﻟﻨﻅﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺭﻕ‬ ‫ﻟﺤﺎﻻﺕ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻋﺴﺭ‬ ‫ﻓﺌﺔ‬ ‫ﺘﺨﺼﺹ‬
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻋﺴﺭ‬ ‫ﺤﺎﻻﺕ‬ ‫ﻤﻥ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:
1-‫ﺇﺭﺠﺎﻋﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻭ‬ ‫ﺃﺭﻕ‬ ‫ﺸﻜﺎﻭﻯ‬‫ﻤﺤﻴﻁﻴﺔ‬ ‫ﻋﻭﺍﻤل‬ ‫ﺇﻟﻰ‬)‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﻤﻘﺎﻁﻌﺎﺕ‬ ،‫ﺍﻟﻀﻭﺀ‬ ،‫ﺍﻟﻀﺠﺔ‬ ،‫ﻤﺜل‬.(
2-‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻭﺍﺼل‬ ‫ﺤﺭﻤﺎﻥ‬ ‫ﺇﻟﻰ‬ ‫ﺇﺭﺠﺎﻋﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻤﻔﺭﻁ‬ ‫ﻨﻭﻡ‬.
3-‫ﻤﺘﻼﺯﻤﺔ‬»‫ﺍﻟﻤﺘﻤﻠﻤﻠﺘﻴﻥ‬ ‫ﺍﻟﺴﺎﻗﻴﻥ‬«:‫ﺘﻭﺼﻑ‬ ‫ﻤﺯﻋﺠﺔ‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬ ‫ﻴﺼﺎﺤﺒﻬﺎ‬ ،‫ﺍﻟﺫﺭﺍﻋﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺩﻤﻴﻥ‬ ‫ﺘﺤﺭﻴﻙ‬ ‫ﻓﻲ‬ ‫ﺒﺎﻟﺭﻏﺒﺔ‬ ‫ﺍﻟﻤﺘﻼﺯﻤﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺘﺼﻑ‬
‫ﺩﺒ‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬ ‫ﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬‫ﺤﻜﺔ‬ ‫ﺃﻭ‬ ‫ﺤﺭﻕ‬ ‫ﺃﻭ‬ ‫ﻭﺨﺯ‬ ‫ﺃﻭ‬ ‫ﺯﺤﻑ‬ ‫ﺃﻭ‬ ‫ﻴﺏ‬.‫ﻤﻥ‬ ‫ﻟﻠﺘﺨﻠﺹ‬ ‫ﻤﺴﻌﻰ‬ ‫ﻓﻲ‬ ‫ﻟﻸﻁﺭﺍﻑ‬ ‫ﺍﻟﻤﺘﺤﺭﺭﺓ‬ ‫ﺍﻟﺤﺭﻜﺎﺕ‬ ‫ﺘﺤﺩﺙ‬
‫ﺍﻟﻤﺯﻋﺠﺔ‬ ‫ﺍﻹﺤﺴﺎﺴﺎﺕ‬.‫ﺒﺎﻟﺤﺭﻜﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﻗﺘﻴ‬ ‫ﹼ‬‫ﻑ‬‫ﺘﺨ‬ ‫ﻭﻫﻲ‬ ،‫ﺍﻟﻠﻴل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﺎﺀ‬ ‫ﻭﻓﻲ‬ ‫ﺭﺍﺤﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺃﺴﻭﺃ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬.‫ﺃﻥ‬ ‫ﻴﻤﻜﻥ‬
‫ﻭﺘﻭﻗﻅ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﺍﻷﻁﺭﺍﻑ‬ ‫ﻭﺤﺭﻜﺎﺕ‬ ‫ﺍﻟﻤﺯﻋﺠﺔ‬ ‫ﺍﻹﺤﺴﺎﺴﺎﺕ‬ ‫ﺘﺅﺨﺭ‬‫ﺍﻟﺘﻌﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻬﺎﺭﻱ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺇﻟﻰ‬ ‫ﻭﺘﻘﻭﺩ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﺨﺹ‬.
4-‫ﺍﻟﺩﻭﺭﻴﺔ‬ ‫ﺍﻟﻁﺭﻑ‬ ‫ﺤﺭﻜﺎﺕ‬:‫ﺍﻟﺴﻔﻠﻴﻴﻥ‬ ‫ﺍﻟﻁﺭﻓﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺨﺎﺼﺔ‬ ‫ﺘﺤﺩﺙ‬ ،‫ﻤﻨﺨﻔﻀﺔ‬ ‫ﺴﻌﺔ‬ ‫ﺫﺍﺕ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﻨﻔﻀﺎﺕ‬ ‫ﻫﻲ‬.‫ﻗﺭﺏ‬ ‫ﺍﻟﺤﺭﻜﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺒﺩﺃ‬
‫ﺍﻟﻤﺭﺤﻠﺘﻴﻥ‬ ‫ﺨﻼل‬ ‫ﻭﺘﻨﺨﻔﺽ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺒﺩﺍﻴﺔ‬3‫ﺃﻭ‬4‫ﺍﻟﺴﺭﻴﻌﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻴﻥ‬ ‫ﺤﺭﻜﺔ‬ ‫ﻨﻭﻡ‬ ‫ﻤﻥ‬(NREM)‫ﺍﻟﻌﻴ‬ ‫ﺤﺭﻜﺔ‬ ‫ﻭﻨﻭﻡ‬‫ﺍﻟﺴﺭﻴﻌﺔ‬ ‫ﻥ‬(REM).‫ﺘﺤﺩﺙ‬
‫ﻜل‬ ‫ﻨﻅﻤﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺤﺭﻜﺎﺕ‬20-60‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﺼﺤﻭ‬ ‫ﻓﺘﺭﺍﺕ‬ ‫ﻭﻴﺼﺎﺤﺒﻬﺎ‬ ‫ﺜﺎﻨﻴﺔ‬.،‫ﺍﻟﻔﻌﻠﻴﺔ‬ ‫ﻟﻠﺤﺭﻜﺎﺕ‬ ‫ﻭﺍﻋﻴﻥ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬
‫ﹰ‬‫ﺍ‬‫ﺠﺩ‬ ‫ﻜﺒﻴﺭ‬ ‫ﺍﻟﺤﺭﻜﺎﺕ‬ ‫ﻋﺩﺩ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺍﻟﻨﻬﺎﺭﻱ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻜﺭﺭﺓ‬ ‫ﺍﻻﺴﺘﻴﻘﺎﻅﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺭﻕ‬ ‫ﻤﻥ‬ ‫ﻴﺸﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﻟﻜﻨﻬﻡ‬.‫ﺘﻔﺎ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻴﻅﻬﺭ‬ ‫ﻗﺩ‬‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﺎ‬‫ﻭﺘ‬
‫ﺃﺨﺭﻯ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻴﻠﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺩﻭﺭﻴﺔ‬ ‫ﺍﻟﻁﺭﻑ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻋﺩﺩ‬.،‫ﺍﻟﻤﺘﻤﻠﻤﻠﺘﻴﻥ‬ ‫ﺍﻟﺴﺎﻗﻴﻥ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﻤﻊ‬ ‫ﺍﻷﺸﺨﺎﺹ‬ ‫ﻤﻌﻅﻡ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺩﻭﺭﻴﺔ‬ ‫ﺍﻟﻁﺭﻑ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﺘﺤﺩﺙ‬
‫ﺍﻟﻤﺘﻼﺯﻤﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺒﺩﻭﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻗﺩ‬ ‫ﻟﻜﻨﻬﺎ‬.

141. 140
5-‫ﺘﺤﺩﻴﺩ‬ ‫ﻴﺴﺘﻁﻴﻊ‬ ‫ﻻ‬ ‫ﻟﻜﻨﻪ‬ ،‫ﻤﻭﺠﻭﺩ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻋﺴﺭ‬ ‫ﺒﺄﻥ‬ ‫ﺍﺴﺘﻨﺘﺎﺝ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺘﻭﺼل‬ ‫ﺤﺎﻻﺕ‬‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺒﺩﺌﻴ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬.
‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺤﺎﻻﺕ‬Parasomnias
■307.47‫ﺍﻟﻜﺎﺒﻭﺱ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺍﻟﺤﻠﻤﻲ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬(
Nightmare Disorder (Formerly Dream Anxiety
Disorder)
A-‫ﺍﻹﻏﻔ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺌﻴﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺍﺴﺘﻴﻘﺎﻅﺎﺕ‬‫ﻋﺎﺩﺓ‬ ‫ﻭﺘﺘﻀﻤﻥ‬ ،‫ﹰ‬‫ﺍ‬‫ﺠﺩ‬ ‫ﻭﻤﺭﻋﺒﺔ‬ ‫ﻟﺔ‬‫ﻭ‬‫ﻤﻁ‬ ‫ﻷﺤﻼﻡ‬ ‫ﺘﻔﺼﻴﻠﻴﺔ‬ ‫ﺍﺴﺘﻌﺎﺩﺓ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺠﺭﻱ‬ ،‫ﺎﺀﺍﺕ‬
‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺜﺎﻨﻲ‬ ‫ﺍﻟﻨﺼﻑ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻋﺎﻤﺔ‬ ‫ﺍﻻﺴﺘﻴﻘﺎﻅﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ،‫ﺍﻟﺫﺍﺕ‬ ‫ﻟﺘﻘﺩﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻸﻤﻥ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺒﻘﺎﺀ‬ ‫ﺘﻬﺩﻴﺩﺍﺕ‬.
B-‫ﹰ‬‫ﺎ‬‫ﻭﻴﻘﻅ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺘﻭﺠﻬ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺼﺒﺢ‬ ‫ﻤﺎ‬ ‫ﺴﺭﻋﺎﻥ‬ ،‫ﺍﻟﻤﺭﻋﺒﺔ‬ ‫ﺍﻟﻜﻭﺍﺒﻴﺱ‬ ‫ﻤﻥ‬ ‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﻋﻨﺩ‬)‫ﻤﻥ‬ ‫ﺍﻟﻨﻘﻴﺽ‬ ‫ﻋﻠﻰ‬‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﺎﻫﺩ‬ ‫ﺍﻟﺘﻭﺠﻪ‬ ‫ﻭﺍﻨﻌﺩﺍﻡ‬ ‫ﺍﻟﺘﺨﻠﻴﻁ‬
‫ﺍﻟﺼﺭﻉ‬ ‫ﺃﺸﻜﺎل‬ ‫ﻭﺒﻌﺽ‬ ‫ﺍﻟﻨﻭﻤﻲ‬ ‫ﺍﻟﺭﻋﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(
C-‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﻋﻥ‬ ‫ﻴﻨﺸﺄ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﻠﻤﻴﺔ‬ ‫ﺍﻟﺘﺠﺭﺒﺔ‬ ‫ﺘﺴﺒﺏ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬.
D-‫ﺍﻟﻜﻭﺍﺒﻴﺱ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻻ‬‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬)‫ﺍﻟﺭﻀﺢ‬ ‫ﺒﻌﺩ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻜﺭﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻫﺫﻴﺎﻥ‬ ،‫ﻤﺜل‬(‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺘﻨﺠﻡ‬ ‫ﻭﻻ‬
‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■307.46‫ﺍﻟﻨﻭﻤﻲ‬ ‫ﺍﻟﺭﻋﺏ‬ ‫ﺍﻀﻁﺭﺍﺏ‬Sleep Terror Disorder
A-‫ﺍﺴﺘﻴ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻨﻭﺒﺎﺕ‬‫ﺫﻋﺭ‬ ‫ﺒﺼﺭﺨﺔ‬ ‫ﻭﺘﺒﺩﺃ‬ ‫ﺍﻟﺭﺌﻴﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻭل‬ ‫ﺍﻟﺜﻠﺙ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻭﻫﻲ‬ ،‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﻤﻔﺎﺠﺊ‬ ‫ﻘﺎﻅ‬.
B-‫ﻨﻭﺒﺔ‬ ‫ﻜل‬ ‫ﺃﺜﻨﺎﺀ‬ ،‫ﻭﺍﻟﺘﻌﺭﻕ‬ ‫ﺍﻟﺘﻨﻔﺱ‬ ‫ﻭﺘﺴﺭﻉ‬ ‫ﺍﻟﻘﻠﺏ‬ ‫ﺘﺴﺭﻉ‬ ‫ﻤﺜل‬ ‫ﺫﺍﺘﻴﺔ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﻭﻋﻼﻤﺎﺕ‬ ‫ﺸﺩﻴﺩ‬ ‫ﺨﻭﻑ‬.
C-‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻟﻠﻤﺭﻴﺽ‬ ‫ﺍﻟﺭﺍﺤﺔ‬ ‫ﺒﺙ‬ ‫ﻓﻲ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻟﺠﻬﻭﺩ‬ ‫ﻨﺴﺒﻴﺔ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ‫ﻋﺩﻡ‬.
D-‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬.
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■307.46‫ﺍﻟﺴﺭﻨﻤﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻨﻭﻤﻲ‬ ‫ﺍﻟﺴﻴﺭ‬(
Sleepwolking Disorder
A-‫ﺍﻟﺭﺌﻴﺴﻴﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻭل‬ ‫ﺍﻟﺜﻠﺙ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻋﺎﺩﺓ‬ ‫ﺘﺤﺩﺙ‬ ،‫ﻭﺍﻟﺘﺠﻭل‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺴﺭﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻬﻭﺽ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﻨﻭﺒﺎﺕ‬.
B-‫ﺇﻴﻘﺎﻅﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻭﻻ‬ ،‫ﻤﻌﻪ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻟﺠﻬﻭﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺴﺒﻴ‬ ‫ﻤﺴﺘﺠﻴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﻭﻫﻭ‬ ‫ﺘﻌﺎﺒﻴﺭ‬ ‫ﺩﻭﻥ‬ ،‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﻗ‬ ،‫ﻡ‬‫ﻤﺴﺭﻨ‬ ‫ﻭﻫﻭ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻭﺠﻪ‬ ‫ﻴﻜﻭﻥ‬
‫ﺒﺼ‬ ‫ﺇﻻ‬‫ﺒﺎﻟﻐﺔ‬ ‫ﻌﻭﺒﺔ‬.
C-‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﻋﻨﺩ‬)‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﺍﻟﺼﺒﺎﺡ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﺭﻨﻤﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻥ‬ ‫ﺇﻤﺎ‬(‫ﺍﻟﻨﻭﺒﺔ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺘﺫﻜﺭ‬ ‫ﻻ‬ ،.

142. 141
D-‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺜﻤﺔ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ،‫ﺍﻟﺴﺭﻨﻤﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﻋﻘﺏ‬ ‫ﺩﻗﺎﺌﻕ‬ ‫ﺒﻀﻊ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬)‫ﻫﻨﺎﻙ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺃﻨﻪ‬ ‫ﺭﻏﻡ‬
‫ﺍﻟﺘ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺨﻠﻴﻁ‬ ‫ﻤﻥ‬ ‫ﻗﺼﻴﺭﺓ‬ ‫ﺃﻭﻟﻴﺔ‬ ‫ﻓﺘﺭﺓ‬‫ﻭﺠﻪ‬.(
E-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﺴﺭﻨﻤﺔ‬ ‫ﺘﺴﺒﺏ‬.
F-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■307.47‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬
Parasomnia Not Otherwise Specified
‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺸﺎﺫﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺤﻭﺍﺩﺙ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺘﺘﺼﻑ‬ ‫ﺍﻟﺘﻲ‬ ‫ﻟﻼﻀﻁﺭﺍﺒﺎﺕ‬ ،‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺌﺔ‬ ‫ﺃﺩﺭﺠﺕ‬
‫ﻤﻀﻁﺭ‬ ‫ﻨﻭﻡ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﻟﻜﻨﻬﺎ‬ ،‫ﺍﻟﻴﻘﻅﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻌﺒﻭﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺃﻭ‬‫ﻨﻭﻋﻲ‬ ‫ﺏ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:
1-‫ﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬REM:‫ﺍﻟﺴﺭﻴﻌﺔ‬ ‫ﺍﻟﻌﻴﻥ‬ ‫ﺤﺭﻜﺔ‬ ‫ﻨﻭﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻨﺸﺄ‬ ،‫ﻋﻨﻴﻔﺔ‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﺫﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬ ،‫ﺤﺭﻜﻴﺔ‬ ‫ﻓﻌﺎﻟﻴﺔ‬(REM).‫ﻭﺒﺨﻼﻑ‬
‫ﺯﺍﻫﻴﺔ‬ ‫ﺃﺤﻼﻡ‬ ‫ﺘﺫﻜﺭ‬ ‫ﻤﻊ‬ ‫ﻭﺘﺘﺭﺍﻓﻕ‬ ‫ﺍﻟﻠﻴل‬ ‫ﻤﻥ‬ ‫ﻤﺘﺄﺨﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺤﺩﻭﺙ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻤﻴل‬ ،‫ﺍﻟﺴﺭﻨﻤﺔ‬.
2-‫ﺍﻟﻨﻭﻡ‬ ‫ﺸﻠل‬:‫ﺍﻟﻘﻴﺎ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻌﺠﺯ‬‫ﻭﺍﻟﻨﻭﻡ‬ ‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻻﻨﺘﻘﺎل‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺇﺭﺍﺩﻴﺔ‬ ‫ﺒﺤﺭﻜﺔ‬ ‫ﻡ‬.‫ﺍﻟﻨﻭﻡ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﻗﺩ‬)‫ﹸﻌﺎﺴﻴﺔ‬‫ﻨ‬hypnagogic(‫ﺃﻭ‬
‫ﺍﻻﺴﺘﻴﻘﺎﻅ‬ ‫ﻋﻨﺩ‬)‫ﻟﻠﻨﻭﻡ‬ ‫ﻁﺎﺭﺩﺓ‬hypnoponpic.(‫ﻭﺸﻴﻙ‬ ‫ﻤﻭﺕ‬ ‫ﻤﻥ‬ ‫ﺒﺎﻟﺨﻭﻑ‬ ،‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺒﻌﺽ‬ ‫ﻭﻓﻲ‬ ،‫ﺸﺩﻴﺩ‬ ‫ﺒﻘﻠﻕ‬ ‫ﻋﺎﺩﺓ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﺘﺭﺍﻓﻕ‬.‫ﺸﻠل‬ ‫ﻴﺤﺩﺙ‬
‫ﻟﻠﺴﺒ‬ ‫ﻤﺭﺍﺩﻑ‬ ‫ﻜﻌﺭﺽ‬ ‫ﺸﺎﺌﻊ‬ ‫ﺒﺸﻜل‬ ‫ﺍﻟﻨﻭﻡ‬‫ﻤﻨﻔﺼﻠﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺯ‬‫ﻤ‬‫ﻴﺭ‬ ‫ﺃﻻ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﻜﻬﺫﻩ‬ ‫ﺤﺎﻻﺕ‬ ‫ﻭﻓﻲ‬ ،‫ﺦ‬.
3-‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺒﺩﺌﻴ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﻤﺎ‬ ‫ﺘﻘﺭﻴﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻗﺎﺩﺭ‬ ‫ﻏﻴﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻟﻜﻨﻪ‬ ،‫ﻤﻀﻁﺭﺏ‬ ‫ﻨﻭﻡ‬ ‫ﺒﻭﺠﻭﺩ‬ ‫ﺍﺴﺘﻨﺘﺎﺝ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺘﻭﺼل‬ ‫ﺤﺎﻻﺕ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺤﺩﺜ‬ ‫ﺃﻭ‬ ‫ﻋﺎﻤﺔ‬.
‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﺭﺘﺒﻁﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
Sleep Disorders Related to
Another Mental Disorder
■307.42‫ﺒـ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻷﺭﻕ‬] ...‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬I‫ﺃﻭ‬II[Insomnia Related to...
[Indicate the Axis I or Axis II Disorder]
A-‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﻭ‬ ،‫ﻋﻠﻴﻪ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﺴﺘﻬﻼل‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺸﻜﻭﻯ‬‫ﺘﻌﺏ‬ ‫ﻤﻊ‬ ‫ﻴﺘﺭﺍﻓﻕ‬ ‫ﻭﺫﻟﻙ‬ ،‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬ ،‫ﺍﻟﺘﺭﻤﻴﻤﻲ‬
‫ﺍﻟﻨﻬﺎﺭﻱ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺃﻭ‬ ‫ﻨﻬﺎﺭﻱ‬.
B-‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬)‫ﺍﻟﻨﻬﺎﺭﻴﺔ‬ ‫ﻋﻭﺍﻗﺒﻪ‬ ‫ﺃﻭ‬(‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬.
C-‫ﺍﻷ‬ ‫ﺒﺄﻥ‬ ‫ﺭ‬‫ﺭ‬‫ﻘ‬‫ﻴ‬‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﻤﺘﻌﻠﻕ‬ ‫ﺭﻕ‬I‫ﺃﻭ‬II)‫ﻗﻠﻕ‬ ‫ﻤﻊ‬ ‫ﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﻌﻤﻡ‬ ‫ﻗﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜل‬(
‫ﻤﺴﺘﻘﻠﺔ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻋﻨﺎﻴﺔ‬ ‫ﻴﺴﺘﺤﻕ‬ ‫ﻟﻜﻲ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﻟﻜﻨﻪ‬.

143. 142
D-‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺁﺨﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻌﻠل‬ ‫ﻻ‬)‫ﺃﺤﺩ‬ ،‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﺴﺒﺦ‬ ‫ﻤﺜل‬‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﺸﻜﺎل‬
‫ﺍﻟﻤﻀﻁﺭﺏ‬.(
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
■307.44‫ﺒـ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬] ...‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬I‫ﺃﻭ‬II[Hypersomnia Related to...
[Indicate the Axis I or Axis II Disorder]
A-‫ﺒﺸﻜل‬ ‫ﺘﺤﺩﺙ‬ ‫ﻨﻬﺎﺭﻴﺔ‬ ‫ﻨﻭﻡ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻥ‬ ‫ﻤﻁﻭﻟﺔ‬ ‫ﺒﻨﻭﺒﺎﺕ‬ ‫ﺇﻤﺎ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺸﻬﺭ‬ ‫ﻟﻤﺩﺓ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻫﻲ‬ ‫ﺍﻟﺭﺌﻴﺴﻴﺔ‬ ‫ﺍﻟﺸﻜﻭﻯ‬
‫ﹰ‬‫ﺎ‬‫ﺘﻘﺭﻴﺒ‬ ‫ﻴﻭﻤﻲ‬.
B-‫ﻓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻤﻔﺭﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻲ‬.
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﺃﻥ‬ ‫ﺭ‬‫ﺭ‬‫ﻘ‬‫ﻴ‬I‫ﺃﻭ‬II)‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜل‬(‫ﻤﻥ‬ ‫ﻟﻜﻨﻪ‬ ،
‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻫﺘﻤﺎﻤ‬ ‫ﻴﺴﺘﺩﻋﻲ‬ ‫ﻟﻜﻲ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬.
D-‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﻓﻀﻠﻰ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻌﻠل‬‫ﻴ‬ ‫ﻻ‬‫ﺁﺨﺭ‬)‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﺸﻜﺎل‬ ‫ﺃﺤﺩ‬ ،‫ﺒﺎﻟﺘﻨﻔﺱ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﺍﻟﺴﺒﺦ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻤﻀﻁﺭﺏ‬(‫ﺍﻟﻨﻭﻡ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﻜﻔﺎﻴﺔ‬ ‫ﻋﺩﻡ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬.
E-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﻤﻭﺼﻭﻑ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬.
‫ﺃﺨﺭﻯ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Other Sleep Disorders
■780.XX‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[Sleep Disorder Due to...
[Indicate the General Medical Condition]
A-‫ﻤﺴﺘﻘﻠﺔ‬ ‫ﺴﺭﻴﺭﻴﺔ‬ ‫ﻋﻨﺎﻴﺔ‬ ‫ﻻﺴﺘﺩﻋﺎﺀ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﻭﻫﻭ‬ ،‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.
B-‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﻨﺘﻴﺠﺔ‬ ‫ﻫﻭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺒﺄﻥ‬ ،‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻴﻌ‬ ‫ﻻ‬)‫ﻁﺒﻲ‬ ‫ﻤﺭﺽ‬ ‫ﻓﻴﻪ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬
‫ﺨﻁﻴﺭ‬.(
D-‫ﻫ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﺫﻴﺎﻥ‬.
E-‫ﺍﻟﺴﺒﺦ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻨﻭﻡ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﻘﻕ‬ ‫ﻻ‬.
F-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
52.‫ﺍﻷﺭﻕ‬ ‫ﻨﻤﻁ‬:‫ﺍﻷﺭﻕ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.

144. 143
54.‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﻨﻤﻁ‬:‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
59.‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻨﻤﻁ‬:‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
59.‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﻨﻤﻁ‬:‫ﻤﻨﻬﺎ‬ ‫ﺃﻱ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﺒﺩﻭﻥ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺍﺴﻡ‬ ‫ﻥ‬‫ﻤ‬‫ﻀ‬I،،‫ﻤﺜﺎل‬780.52‫ﻨﻤﻁ‬ ،‫ﻤﺯﻤﻥ‬ ‫ﺤﺎﺼﺭ‬ ‫ﺭﺌﻭﻱ‬ ‫ﺩﺍﺀ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬ ‫ﺍﻷﺭﻕ؛‬III)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬G‫ﺍﻟﺭﻭﺍﻤﻴﺯ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(
■‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Substance-Induced Sleep Disorder
A-‫ﻻ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﻲ‬ ‫ﺒﺎﺭﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻤﺴﺘﻘل‬ ‫ﺴﺭﻴﺭﻱ‬ ‫ﺍﻨﺘﺒﺎﻩ‬ ‫ﺴﺘﺩﻋﺎﺀ‬.
B-‫ﺇﻤﺎ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺨﺒﺭﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺼﺔ‬ ‫ﻤﻥ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬(1)‫ﺃﻭ‬(2):
(1)‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻁﻭﺭﺕ‬A‫ﺫﻟﻙ‬ ‫ﻤﻥ‬ ‫ﺸﻬﺭ‬ ‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﻋﻨﻬﺎ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬.
(2)‫ﺍﻟﻨﻭﻡ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺒﺒﻴ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬.
C-‫ﻻ‬‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﺁﺨﺭ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬.‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﻌﻠل‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺃﻥ‬ ‫ﻋﻠﻰ‬ ‫ﻭﺍﻟﺩﻻﺌل‬
‫ﺍﻵﺘﻲ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻗﺩ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬:‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺴﺒﻕ‬)‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬(‫ﺘﺴﺘﻤﺭ‬ ‫؛‬
‫ﺍﻟﺯﻤﻥ‬ ‫ﻤﻥ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻟﻔﺘﺭﺓ‬ ‫ﺍﻷﻋﺭﺍﺽ‬)،‫ﹰ‬‫ﻼ‬‫ﻤﺜ‬‫ﺍﻟﺸﻬﺭ‬ ‫ﺤﻭﺍﻟﻲ‬(‫ﺒﺸﻜل‬ ‫ﺘﺯﻴﺩ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺘﻭﻗﻑ‬ ‫ﺒﻌﺩ‬
‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬ ‫ﻴﻘﺘﺭﺡ‬ ‫ﺩﻟﻴل‬ ‫ﻫﻨﺎﻙ‬ ‫ﺃﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﺨﺩﺍﻡ؛‬ ‫ﻤﺩﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻤﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﺃﻭ‬ ‫ﻟﻨﻤﻁ‬ ‫ﻤﻌﺭﻓﺘﻨﺎ‬ ‫ﻤﻥ‬ ‫ﺘﻭﻗﻌﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻋﻤﺎ‬ ‫ﻭﺍﻀﺢ‬
‫ﺒﻤﺎﺩﺓ‬ ‫ﻤﺤﺩﺙ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺴﺘﻘل‬)‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻌﺎﻭﺩﺓ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻗﺼﺔ‬ ،‫ﻤﺜل‬‫ﺒﻤﺎﺩﺓ‬.(
D-‫ﻫﺫﻴﺎﻥ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬.
E-‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺘﺸﺨﻴﺹ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﻻ‬‫ﺒﺩ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻫﺫﺍ‬ ‫ﻭﻀﻊ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﻴﺼﺎﺤﺏ‬ ‫ﻋﻤﺎ‬ ‫ﺯﺍﺌﺩﺓ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺤﻴﻥ‬ ‫ﻓﻘﻁ‬ ‫ﻤﺎﺩﺓ‬
‫ﻤﺴﺘﻘل‬ ‫ﺴﺭﻴﺭﻱ‬ ‫ﺍﻨﺘﺒﺎﻩ‬ ‫ﻻﺴﺘﺩﻋﺎﺀ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻭﻋﻨﺩﻤﺎ‬ ،‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺴﺤﺎﺏ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﻋﺎﺩﺓ‬.
‫ﺒﻤﺎﺩﺓ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺯ‬‫ﻤ‬‫ﺭ‬]‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﺍﺴﻡ‬:[
)291.89‫ﺍﻟﻜﺤﻭل؛‬292.89‫ﺍﻷﻤﻔﻴﺘﺎﻤﻴﻥ؛‬292.89‫ﺍﻟﻜﺎﻓﺌﻴﻥ؛‬292.89‫ﺍﻟﻜﻭﻜﺎﺌﻴﻥ؛‬292.89‫ﺍﻷﻓﻴﻭﻨﺎﺕ؛‬292.89‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﻭﻤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﺩﺌﺎﺕ‬
‫ﺍﻟﻘﻠﻕ؛‬292.89‫ﺃﺨﺭﻯ‬ ‫ﻤﺎﺩﺓ‬]‫ﻤﻌﺭﻭﻓﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬.([
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺘﺴﺠﻴل‬ ‫ﺇﺠﺭﺍﺀﺍﺕ‬ ‫ﺍﻨﻅﺭ‬.
‫ﺍﻟﻨﻤﻁ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:

145. 144
‫ﺍﻷﺭﻕ‬ ‫ﻨﻤﻁ‬:‫ﺍﻷﺭﻕ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﻨﻤﻁ‬:‫ﺍﻟﻤﺴﻴ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬‫ﺍﻟﻨﻭﻡ‬ ‫ﻓﺭﻁ‬ ‫ﻫﻭ‬ ‫ﻁﺭ‬.
‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻨﻤﻁ‬:‫ﺍﻟﻤﻀﻁﺭﺏ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻟﻤﺨﺘﻠﻁ‬ ‫ﺍﻟﻨﻤﻁ‬:‫ﻤﻨﻬﺎ‬ ‫ﺃﻱ‬ ‫ﺴﻴﻁﺭﺓ‬ ‫ﺩﻭﻥ‬ ‫ﻤﻥ‬ ‫ﻨﻭﻡ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:
‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬:‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺒﺎﻟﻤﺎﺩﺓ‬ ‫ﺍﻻﻨﺴﻤﺎﻡ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬.
‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻊ‬:‫ﻗﺼﻴﺭﺓ‬ ‫ﺒﻤﺩﺓ‬ ‫ﺒﻌﺩﻫﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻭﺘﻁﻭﺭﺕ‬ ‫ﺍﻟﻤﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻤﺘﻨﺎﻉ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬.
‫اﻟﺪاﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫اﻟﺴﻴﻄﺮة‬ ‫اﺿﻄﺮاﺑﺎت‬
‫ﺁﺧﺮ‬ ‫ﻣﻜﺎن‬ ‫ﻓﻲ‬ ‫اﻟﻤﺼﻨﻔﺔ‬ ‫ﻏﻴﺮ‬
Impulse-Control Disorders
Not Elsewhere Classified
■312.34‫ﺍﻟﻤﺘﻘ‬ ‫ﺍﻻﻨﻔﺠﺎﺭﻱ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬‫ﻁﻊ‬
Intermittent Explosive Disorder
A-‫ﻤﺘﻤﺎﻴﺯﺓ‬ ‫ﻨﻭﺒﺎﺕ‬ ‫ﻋﺩﺓ‬)‫ﻤﺤﺩﺩﺓ‬(‫ﻤﻤﺘﻠﻜﺎﺕ‬ ‫ﺘﺩﻤﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺨﻁﻴﺭﺓ‬ ‫ﻋﺩﻭﺍﻨﻴﺔ‬ ‫ﺃﻋﻤﺎل‬ ‫ﻋﻨﻬﺎ‬ ‫ﻴﻨﺸﺄ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺍﻟﻌﺩﻭﺍﻨﻴﺔ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﺎﺕ‬ ‫ﻤﻘﺎﻭﻤﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬ ‫ﻤﻥ‬.
B-‫ﺒﺔ‬‫ﺴ‬‫ﻤﺭ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺸﺩﺓ‬ ‫ﻋﻭﺍﻤل‬ ‫ﺃﻱ‬ ‫ﻤﻊ‬ ‫ﻭﺒﻭﻀﻭﺡ‬ ‫ﺘﺘﻨﺎﺴﺏ‬ ‫ﻻ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺘﻅﻬﺭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻌﺩﻭﺍﻨﻴﺔ‬ ‫ﺩﺭﺠﺔ‬.
C-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻌﺩﻭﺍﻨﻴﺔ‬ ‫ﺍﻟﻨﻭﺒﺎﺕ‬ ‫ﺘﻌﻠل‬ ‫ﻻ‬)‫ﺃﻭ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜل‬
‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻋﺠﺯ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺩﻭﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬/‫ﺍﻟﺤﺭﻜﻴﺔ‬ ‫ﻓﺭﻁ‬(‫ﻭﻻ‬
‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺘﻨﺠﻡ‬)‫ﻤﺜل‬‫ﺩﻭﺍﺀ‬ ‫ﺘﻨﺎﻭل‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﺃﻭ‬)،‫ﺍﻟﺭﺃﺱ‬ ‫ﺭﻀﺢ‬ ،‫ﻤﺜل‬
‫ﺃﻟﺯﻫﺎﻴﻤﺭ‬ ‫ﻤﺭﺽ‬.(
■312.32‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﻫﻭﺱ‬Kleptomania
A-‫ﺍﻟﻤﺎﻟﻴﺔ‬ ‫ﻟﻘﻴﻤﺘﻬﺎ‬ ‫ﻭﻻ‬ ‫ﺍﻟﺨﺎﺹ‬ ‫ﻻﺴﺘﺨﺩﺍﻤﻪ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﻴﺤﺘﺎﺠﻬﺎ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﻟﺴﺭﻗﺔ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﺎﺕ‬ ‫ﻤﻘﺎﻭﻤﺔ‬ ‫ﻓﻲ‬ ‫ﻤﻌﺎﻭﺩ‬ ‫ﺇﺨﻔﺎﻕ‬.
B-‫ﺍﺭ‬ ‫ﻗﺒل‬ ‫ﺒﺎﻟﺘﻭﺘﺭ‬ ‫ﻤﺘﺯﺍﻴﺩ‬ ‫ﺇﺤﺴﺎﺱ‬‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﺘﻜﺎﺏ‬.
C-‫ﻭﺍﻹﺸﺒﺎﻉ‬ ‫ﺒﺎﻟﻤﺘﻌﺔ‬ ‫ﺍﻹﺤﺴﺎﺱ‬)‫ﺍﻟﺭﻀﺎ‬(‫ﺍﻻﺭﺘﻴﺎﺡ‬ ‫ﺃﻭ‬)‫ﺍﻟﺘﻔﺭﻴﺞ‬(‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﺍﺭﺘﻜﺎﺏ‬ ‫ﻭﻗﺕ‬.
D-‫ﺃﻫﻼﺱ‬ ‫ﺃﻭ‬ ‫ﻟﻭﻫﻡ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬ ‫ﻟﻴﺴﺕ‬ ‫ﻭﻫﻲ‬ ‫ﺍﻻﻨﺘﻘﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻐﻀﺏ‬ ‫ﻋﻥ‬ ‫ﻟﻠﺘﻌﺒﻴﺭ‬ ‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﹸﺭﺘﻜﺏ‬‫ﺘ‬ ‫ﻻ‬.

146. 145
E-‫ﺍﻀﻁﺭﺍ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﻓﻌل‬ ‫ﻌﻠل‬‫ﻴ‬ ‫ﻻ‬‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﻤﻌﺎﺩﻴﺔ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺏ‬.
■312.33‫ﺍﻟﺤﺭﺍﺌﻕ‬ ‫ﺇﺸﻌﺎل‬ ‫ﻫﻭﺱ‬Pyromania
A-‫ﻓﺭﺼﺔ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺎﺴﺒﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻓﻲ‬ ‫ﻭﻫﺎﺩﻑ‬ ‫ﻤﻘﺼﻭﺩ‬ ‫ﻨﺎﺭ‬ ‫ﺇﺸﻌﺎل‬.
B-‫ﺍﻟﻔﻌل‬ ‫ﻗﺒل‬ ‫ﻋﺎﻁﻔﻴﺔ‬ ‫ﺇﺜﺎﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺘﻭﺘﺭ‬.
C-‫ﺍﻟﻅﺭﻓﻴﺔ‬ ‫ﻭﺒﺴﻴﺎﻗﺎﺘﻬﺎ‬ ‫ﻟﻬﺎ‬ ‫ﺍﻨﺠﺫﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺤﻭﻟﻬﺎ‬ ‫ﻓﻀﻭل‬ ‫ﺃﻭ‬ ‫ﺒﻬﺎ‬ ‫ﺍﻫﺘﻤﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻨﺎﺭ‬ ‫ﺍﻓﺘﺘﺎﻥ‬)‫ﺒﻬﺎ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻟﻤﻭﺍﻀﻴﻊ‬) (،‫ﻤﺜل‬،‫ﺒﺎﻟﻨﺎﺭ‬ ‫ﺍﻟﻤﺘﻌﻠﻘﺔ‬ ‫ﺍﻟﻤﻌﺩﺍﺕ‬
‫ﺍﻟﺤﺭﻴﻕ‬ ‫ﻋﻭﺍﻗﺏ‬ ،‫ﺍﺴﺘﺨﺩﺍﻤﺎﺘﻬﺎ‬.(
D-‫ﻋﻭﺍﻗﺒﻬﺎ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺸﺎﺭﻜﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺸﺎﻫﺩﺘﻬﺎ‬ ‫ﻋﻨﺩ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻴﺭﺍﻥ‬ ‫ﺇﺸﻌﺎل‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺘﻔﺭﻴﺞ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﻀﺎ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻤﺘﻌﺔ‬ ‫ﺍﻹﺤﺴﺎﺱ‬.
E-‫ﺍﻟﻐ‬ ‫ﻋﻥ‬ ‫ﻟﻠﺘﻌﺒﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺠﺭﻤﻲ‬ ‫ﻓﻌل‬ ‫ﻹﺨﻔﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺴﻴﺎﺴﻴﺔ‬ ‫ﺇﻴﺩﻴﻭﻟﻭﺠﻴﺎ‬ ‫ﻋﻥ‬ ‫ﻟﻠﺘﻌﺒﻴﺭ‬ ‫ﺃﻭ‬ ‫ﻤﺎﻟﻲ‬ ‫ﻜﺴﺏ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﺎﺭ‬ ‫ﺇﺸﻌﺎل‬ ‫ﻴﺘﻡ‬ ‫ﻻ‬‫ﺍﻻﻨﺘﻘﺎﻡ‬ ‫ﺃﻭ‬ ‫ﻀﺏ‬
‫ﻤﺨﺘﻠﺔ‬ ‫ﻟﻤﺤﺎﻜﻤﺔ‬ ‫ﻜﻨﺘﻴﺠﺔ‬ ‫ﺃﻭ‬ ‫ﺃﻫﻼﺱ‬ ‫ﺃﻭ‬ ‫ﻟﻭﻫﻡ‬ ‫ﻜﺎﺴﺘﺠﺎﺒﺔ‬ ‫ﺃﻭ‬ ،‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﻟﻤﻌﻴﺸﺔ‬ ‫ﻅﺭﻭﻑ‬ ‫ﻟﺘﺤﺴﻴﻥ‬ ‫ﺃﻭ‬)‫ﺍﻻﻨﺴﻤﺎﻡ‬ ،‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﺍﻟﺘﺨﻠﻑ‬ ،‫ﺍﻟﻌﺘﻪ‬ ،‫ﻤﺜل‬
‫ﺒﻤﺎﺩﺓ‬.(
F-‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﻤﻌﺎﺩﻴﺔ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻨﺎﺭ‬ ‫ﺇﺸﻌﺎل‬ ‫ﻌﻠل‬‫ﻴ‬ ‫ﻻ‬.
■312.31‫ﺍﻟﻤﻘﺎﻤ‬‫ﺍﻟﻤﺭﻀﻴﺔ‬ ‫ﺭﺓ‬Pathological Gambling
A-‫ﺒﺨﻤﺴﺔ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ،‫ﻭﻤﻌﺎﻭﺩ‬ ‫ﻤﺴﺘﻤﺭ‬ ‫ﺍﻟﺘﻼﺅﻡ‬ ‫ﺴﻴﺊ‬ ‫ﻤﻘﺎﻤﺭ‬ ‫ﺴﻠﻭﻙ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺒﺎﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﺍﻨﺸﻐﺎل‬)‫ﺍﻟﺘﻔﻜﻴﺭ‬ ‫ﺃﻭ‬ ،‫ﻟﻬﺎ‬ ‫ﺍﻟﺘﺨﻁﻴﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﻐﺎﻤﺭﺓ‬ ‫ﺒﺘﻌﻭﻴﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺎﻀﻴﺔ‬ ‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﺘﺠﺎﺭﺏ‬ ‫ﺇﺤﻴﺎﺀ‬ ‫ﺒﺈﻋﺎﺩﺓ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ،‫ﻤﺜل‬
‫ﺒﺄﺴﺎﻟﻴﺏ‬‫ﺒﻪ‬ ‫ﺴﻴﻘﺎﻤﺭ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻤﺎل‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺤﺼﻭل‬.(
(2)‫ﺍﻟﻤﺭﻏﻭﺒﺔ‬ ‫ﺍﻹﺜﺎﺭﺓ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻭﺼﻭل‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻭﺫﻟﻙ‬ ‫ﺍﻟﻤﺎل‬ ‫ﻤﻥ‬ ‫ﻤﺘﺯﺍﻴﺩﺓ‬ ‫ﺒﻤﻘﺎﺩﻴﺭ‬ ‫ﻟﻠﻤﻘﺎﻤﺭﺓ‬ ‫ﻴﺤﺘﺎﺝ‬.
(3)‫ﻋﻨﻬﺎ‬ ‫ﺍﻟﺘﻭﻗﻑ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺘﺭﺍﺠﻊ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺴﻴﻁﺭﺓ‬ ‫ﻨﺎﺠﺤﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺒﻤﺠﻬﻭﺩﺍﺕ‬ ‫ﻗﺎﻡ‬.
(4)‫ﻋﻤﻠﻴﺎﺕ‬ ‫ﺘﺨﻔﻴﺽ‬ ‫ﻤﺤﺎﻭﻟﺘﻪ‬ ‫ﻋﻨﺩ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺴﺘﺜﺎﺭ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﻼ‬‫ﻤﺘﻤﻠﻤ‬ ‫ﻴﻜﻭﻥ‬‫ﺇﻴﻘﺎﻓﻬﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬.
(5)‫ﻋﻜﺭ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻥ‬ ‫ﻟﻠﺘﺨﻔﻴﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻤﻥ‬ ‫ﻟﻠﻬﺭﻭﺏ‬ ‫ﻜﻭﺴﻴﻠﺔ‬ ‫ﻴﻘﺎﻤﺭ‬)‫ﺍﻻﻜﺘﺌﺎﺏ‬ ،‫ﺍﻟﻘﻠﻕ‬ ،‫ﺒﺎﻟﺫﻨﺏ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ،‫ﺍﻟﺤﻴﻠﺔ‬ ‫ﺒﺎﻨﻌﺩﺍﻡ‬ ‫ﺍﻟﺸﻌﻭﺭ‬ ،‫ﻤﺜل‬.(
(6)‫ﺨﺴﺎﺭﺘﻪ‬ ‫ﻟﻴﺴﺘﺭﺠﻊ‬ ‫ﺁﺨﺭ‬ ‫ﻴﻭﻡ‬ ‫ﻓﻲ‬ ‫ﻴﻌﻭﺩ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬ ،‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺎل‬ ‫ﺨﺴﺎﺭﺘﻪ‬ ‫ﺒﻌﺩ‬)‫ﺨﺴﺎﺭﺘﻪ‬ ‫ﻴﻁﺎﺭﺩ‬.(
(7)‫ﺍﻷﺴ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﻋﻠﻰ‬ ‫ﻴﻜﺫﺏ‬‫ﺒﺎﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﺘﻭﺭﻁﻪ‬ ‫ﻤﺩﻯ‬ ‫ﻟﻴﺨﻔﻲ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻟﺞ‬ ‫ﺃﻭ‬ ‫ﺭﺓ‬.
(8)‫ﻤﻘﺎﻤﺭﺍﺘﻪ‬ ‫ﻟﺘﻤﻭﻴل‬ ‫ﺍﻻﺨﺘﻼﺱ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺴﺭﻗﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺤﺘﻴﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺯﻭﻴﺭ‬ ‫ﻤﺜل‬ ‫ﻻﺸﺭﻋﻴﺔ‬ ‫ﹰ‬‫ﻻ‬‫ﺃﻓﻌﺎ‬ ‫ﻴﺭﺘﻜﺏ‬.
(9)‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﺒﺴﺒﺏ‬ ‫ﻤﻬﻨﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺼﻭل‬ ‫ﻓﺭﺼﺔ‬ ‫ﺃﻭ‬ ‫ﺘﻌﻠﻴﻡ‬ ‫ﺃﻭ‬ ‫ﻋﻤل‬ ‫ﺃﻭ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﻴﻔﻘﺩ‬ ‫ﺃﻭ‬ ‫ﻴﺨﺎﻁﺭ‬.
(10)‫ﺍﻟ‬ ‫ﻟﺘﺄﻤﻴﻥ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺘﻜل‬‫ﺍﻟﻤﻘﺎﻤﺭﺓ‬ ‫ﺴﺒﺒﺘﻪ‬ ‫ﻴﺎﺌﺱ‬ ‫ﻤﺎﻟﻲ‬ ‫ﻭﻀﻊ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﺭﻭﺝ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻤﺎل‬.

147. 146
B-‫ﻫﻭﺴﻴﺔ‬ ‫ﻨﻭﺒﺔ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻤﻘﺎﻤﺭ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻌﻠل‬‫ﻴ‬ ‫ﻻ‬.
■312.39‫ﺍﻟﺸﻌﺭ‬ ‫ﻨﺘﻑ‬ ‫ﻫﻭﺱ‬Trichotillomania
A-‫ﻭﺍﻀﺢ‬ ‫ﺸﻌﺭ‬ ‫ﻓﻘﺩ‬ ‫ﺇﻟﻰ‬ ‫ﻴﺅﺩﻱ‬ ‫ﻭﺍﻟﺫﻱ‬ ‫ﻟﺸﻌﺭﻩ‬ ‫ﺍﻟﻤﻌﺎﻭﺩ‬ ‫ﺍﻟﻤﺭﺀ‬ ‫ﻨﺘﻑ‬.
B-‫ﻋﻨ‬ ‫ﺃﻭ‬ ،‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﺍﻟﺸﻌﺭ‬ ‫ﻨﺘﻑ‬ ‫ﻗﺒل‬ ‫ﺒﺎﻟﺘﻭﺘﺭ‬ ‫ﻤﺘﺯﺍﻴﺩ‬ ‫ﺇﺤﺴﺎﺱ‬‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻫﺫﺍ‬ ‫ﻤﻘﺎﻭﻤﺔ‬ ‫ﻤﺤﺎﻭﻟﺘﻪ‬ ‫ﺩ‬.
C-‫ﺒﺎﻟﺭﻀﺎ‬ ‫ﺇﺤﺴﺎﺱ‬)‫ﺍﻹﺸﺒﺎﻉ‬(‫ﺍﻟﺸﻌﺭ‬ ‫ﺍﻗﺘﻼﻉ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﺘﻔﺭﻴﺞ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻌﺔ‬ ‫ﺃﻭ‬.
D-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻋﻥ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻭﻻ‬ ‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺨﻼل‬ ‫ﻤﻥ‬ ‫ﺃﻓﻀل‬ ‫ﺒﺸﻜل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻌﻠل‬‫ﻴ‬ ‫ﻻ‬)‫ﺠﻠﺩﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻤﺜل‬.(
E-‫ﺍﻻﺠ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺴﺒﺏ‬‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺘﻤﺎﻋﻲ‬.
■312.30‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Impulse-Control Disorder Not Otherwise Specified
‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺨﺼﺼﺕ‬)‫ﺍﻟﺠﻠﺩ‬ ‫ﻨﺯﻉ‬ ‫ﻤﺜل‬(‫ﺍﻀﻁﺭ‬ ‫ﺃﻱ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬‫ﺃﻭ‬ ‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺴﻴﻁﺭﺓ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺍﺏ‬
‫ﺍﻟﺩﻟﻴل‬ ‫ﻫﺫﺍ‬ ‫ﻤﻥ‬ ‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﻭﺼﻔﺕ‬ ‫ﻗﺩ‬ ‫ﻜﺎﻨﺕ‬ ‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻴﻤﺘﻠﻙ‬ ‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﻻﻀﻁﺭﺍﺏ‬)،‫ﻤﺎﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﻋﺘﻤﺎﺩ‬ ‫ﻤﺜل‬
‫ﺠﻨﺴﻲ‬ ‫ﺸﺫﻭﺫ‬.(
‫اﻟﺘﺄﻗﻠﻢ‬ ‫اﺿﻄﺮاﺑـﺎت‬
Adjustment Disorders
■‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬Adjustment Disorders
A-‫ﺍﻨﻔﻌ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﻁﻭﺭ‬‫ﻟﺸﺩﺓ‬ ‫ﻜﺎﺴﺘﺠﺎﺒﺔ‬ ‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺎﻟﻴﺔ‬)‫ﺸﺩﺍﺕ‬(‫ﻏﻀﻭﻥ‬ ‫ﻓﻲ‬ ‫ﻭﺘﺤﺩﺙ‬ ،‫ﺘﺤﺩﻴﺩﻫﺎ‬ ‫ﻴﻤﻜﻥ‬3‫ﺍﻟﺸﺩﺓ‬ ‫ﺒﺩﺍﻴﺔ‬ ‫ﻤﻥ‬ ‫ﺃﺸﻬﺭ‬)‫ﺍﻟﺸﺩﺍﺕ‬.(
B-‫ﺍﻟﺘﺎﻟﻴﻴﻥ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺒﻭﺍﺤﺩ‬ ‫ﻋﻠﻴﻬﺎ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺍﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻫﺫﻩ‬:
(1)‫ﺍﻟﺸﺩﺓ‬ ‫ﻟﻌﺎﻤل‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﻤﻥ‬ ‫ﺘﻭﻗﻌﻪ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻤﺎ‬ ‫ﺘﺘﺠﺎﻭﺯ‬ ‫ﺼﺭﻴﺤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬.
(2)‫ﻫﺎ‬ ‫ﺍﺨﺘﻼل‬‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﻡ‬)‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬.(
C-‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺁﺨﺭ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺒﺎﻟﺸﺩﺓ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﻘﻕ‬ ‫ﻻ‬I‫ﻋﻠﻰ‬ ‫ﺍﻟﻭﺠﻭﺩ‬ ‫ﺴﺎﺒﻕ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺘﻔﺎﻗﻡ‬ ‫ﻤﺠﺭﺩ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻫﻭ‬ ،
‫ﺍﻟﻤﺤﻭﺭ‬I‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﺃﻭ‬II.
D-‫ﺍﻟﻔﻘﺩ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﻤﺜل‬ ‫ﻻ‬)‫ﺍﻟﻔﺠﻴﻌﺔ‬.(
E-‫ﺍﻟﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﻴﻨﺘﻬﻲ‬ ‫ﺤﺎﻟﻤﺎ‬)‫ﻋﻘ‬ ‫ﺃﻭ‬‫ﺎﺒﻴﻠﻪ‬(‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺘﺩﻭﻡ‬ ‫ﻻ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻓﺈﻥ‬6‫ﺇﻀﺎﻓﻴﺔ‬ ‫ﺃﺸﻬﺭ‬.
‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺤ‬:

148. 147
‫ﹰ‬‫ﺍ‬‫ﺤﺎﺩ‬:‫ﻤﻥ‬ ‫ﺃﻗل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﺴﺘﻤﺭ‬ ‫ﺇﺫﺍ‬6‫ﺃﺸﻬﺭ‬.
‫ﹰ‬‫ﺎ‬‫ﻤﺯﻤﻨ‬:‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﺴﺘﻤﺭ‬ ‫ﺇﺫﺍ‬6‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﺃﺸﻬﺭ‬.‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺘﺩﻭﻡ‬ ‫ﺃﻥ‬ ‫ﻟﻸﻋﺭﺍﺽ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ،‫ﺒﺎﻟﺘﻌﺭﻴﻑ‬6،‫ﻋﻘﺎﺒﻴﻠﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﺍﻨﺘﻬﺎﺀ‬ ‫ﺒﻌﺩ‬ ‫ﺃﺸﻬﺭ‬
‫ﺍ‬ ‫ﺩ‬‫ﺩ‬‫ﺍﻟﻤﺤ‬ ‫ﻴﻁﺒﻕ‬ ‫ﻭﺒﺎﻟﺘﺎﻟﻲ‬‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻤﺩﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺤﻴﻥ‬ ‫ﻟﻤﺯﻤﻥ‬6‫ﺒﺎﻗﻴﺔ‬ ‫ﻋﻘﺎﺒﻴل‬ ‫ﻴﻤﺘﻠﻙ‬ ‫ﺸﺩﺓ‬ ‫ﻟﻌﺎﻤل‬ ‫ﺃﻭ‬ ‫ﻤﺯﻤﻥ‬ ‫ﺸﺩﺓ‬ ‫ﻟﻌﺎﻤل‬ ‫ﻜﺎﺴﺘﺠﺎﺒﺔ‬ ‫ﺃﺸﻬﺭ‬.
‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﻟﻸﻋﺭﺍﺽ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﺒﻌ‬ ‫ﺍﺨﺘﻴﺎﺭﻩ‬ ‫ﻴﺘﻡ‬ ‫ﻭﺍﻟﺫﻱ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻋﻠﻰ‬ ‫ﺒﻨﺎﺀ‬ ‫ﺍﻟﺘﺄﻗﻠﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﺠﺭﻱ‬.‫ﺍﻟﺸﺩﺓ‬ ‫ﺘﺤﺩﻴﺩ‬ ‫ﻴﻤﻜﻥ‬)‫ﺍﻟﺸﺩﺍﺕ‬(‫ﺍﻟﻨﻭﻋﻴﺔ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬IV.
309.0‫ﺍ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻤﻊ‬‫ﻜﺘﺌﺎﺒﻲ‬:‫ﺍﻟﺩﺍﻤﻊ‬ ‫ﺍﻟﺤﺯﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﺨﻔﺽ‬ ‫ﺍﻟﻤﺯﺍﺝ‬ ‫ﻤﺜل‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬Tearfulness‫ﺍﻟﻴﺄﺱ‬ ‫ﻤﺸﺎﻋﺭ‬ ‫ﺃﻭ‬.
309.24‫ﻗﻠﻕ‬ ‫ﻤﻊ‬:‫ﺍﻟﺠﺯﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻭﺠﺴﻲ‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺼﺒﻴﺔ‬ ‫ﻤﺜل‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬)‫ل‬‫ﻫ‬‫ﺍﻟﺘﻭ‬(Jitteriness‫ﻋﻨﺩ‬ ‫ﺃﻭ‬ ‫؛‬
‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻤﻥ‬ ‫ﺨﻭﻑ‬ ،‫ﺍﻷﻁﻔﺎل‬‫ﺭﻤﻭﺯ‬ ‫ﻋﻥ‬)‫ﺃﺸﺨﺎﺹ‬(‫ﺍﻟﺭﺌﻴﺴﻴﻴﻥ‬ ‫ﺍﻟﺘﻌﻠﻕ‬.
309.28‫ﻤﺨﺘﻠﻁ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﻭﻤﺯﺍﺝ‬ ‫ﻗﻠﻕ‬ ‫ﻤﻊ‬:‫ﻭﺍﻟﻘﻠﻕ‬ ‫ﺍﻻﻜﺘﺌﺎﺏ‬ ‫ﺒﻴﻥ‬ ‫ﺘﺸﺎﺭﻙ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬.
309.3‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬:‫ﻟﻸﻋﺭﺍﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻟﺤﻘﻭﻕ‬ ‫ﺍﻨﺘﻬﺎﻙ‬ ‫ﻓﻴﻪ‬ ‫ﻴﺤﺩﺙ‬ ،‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻓﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻫﻭ‬ ‫ﺍﻟﻤﺴﻴﻁﺭ‬ ‫ﺍﻟﺘﻅﺎﻫﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺍﻻ‬ ‫ﻭﺍﻟﻘﻭﺍﻋﺩ‬‫ﺍﻟﺸﺨﺹ‬ ‫ﺴﻥ‬ ‫ﺍﻻﻋﺘﺒﺎﺭ‬ ‫ﺒﻌﻴﻥ‬ ‫ﺍﻷﺨﺫ‬ ‫ﻤﻊ‬ ‫ﺠﺘﻤﺎﻋﻴﺔ‬)‫ﻋﻥ‬ ‫ﹼﻑ‬‫ﻠ‬‫ﺘﺨ‬ ،‫ﺍﻟﻌﺭﺍﻙ‬ ،‫ﺍﻟﻤﺘﻬﻭﺭﺓ‬ ‫ﺍﻟﻘﻴﺎﺩﺓ‬ ،‫ﺍﻟﺘﺨﺭﻴﺏ‬ ،‫ﺍﻟﻤﺩﺭﺴﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﻐﻴﺏ‬ ،‫ﻤﺜﺎل‬
‫ﻭﺇﻫﻤﺎﻟﻬﺎ‬ ‫ﺍﻟﻘﺎﻨﻭﻨﻴﺔ‬ ‫ﺍﻟﻤﺴﺅﻭﻟﻴﺎﺕ‬.(
309.4‫ﻭﺍﻻﻨﻔﻌﺎﻻﺕ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻓﻲ‬ ‫ﻤﺨﺘﻠﻁ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬:‫ﺍﻨﻔﻌﺎﻟﻴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻋﺭﺍﻀ‬ ‫ﺍﻟﻤﺴﻴﻁﺭﺓ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬)‫ﺍﻟﻘﻠﻕ‬ ،‫ﺍﻻﻜﺘﺌﺎﺏ‬ ،‫ﻤﺜل‬(‫ﻭﺍﻀﻁﺭﺍﺏ‬
‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﻓﻲ‬)‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻔﺭﻋﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﺍﻨﻅﺭ‬.(
309.9‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬:‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﻟﻼﺭﺘﻜﺎﺴﺎﺕ‬ ‫ﻭﺫﻟﻙ‬)‫ﺍﻟﻨﺸﺎﻁ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻋﻥ‬ ‫ﺍﻻﻨﻔﻜﺎﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻻﻨﺴﺤﺎﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﺸﻜﺎﻭﻯ‬ ‫ﻤﺜل‬
‫ﺍﻷﻜﺎﺩﻴﻤﻲ‬(‫ﺍﻟﺘ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻔﺭﻋﻴﺔ‬ ‫ﺍﻷﻨﻤﺎﻁ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺤﺩﺓ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻟﻌﻭﺍﻤل‬‫ﺄﻗﻠﻡ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺒﺈﺩﺭﺍﺠﻪ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻋﺎﻤل‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻹﺸﺎﺭﺓ‬ ‫ﻴﻤﻜﻥ‬ ،‫ﺍﻟﻤﺤﺎﻭﺭ‬ ‫ﺍﻟﻤﺘﻌﺩﺩ‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﻓﻲ‬IV)‫ﺍﻟﻁﻼﻕ‬ ‫ﻤﺜل‬.(
‫اﻟﺸﺨﺼﻴﺔ‬ ‫اﺿﻄﺮاﺑﺎت‬
Personality Disorders
‫ﺍﻟﻌﺸﺭﺓ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻜل‬ ‫ﻋﻠﻰ‬ ‫ﻴﻨﻁﺒﻕ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﺎﻡ‬ ‫ﺒﺘﻌﺭﻴﻑ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻴﺒﺩﺃ‬.‫ﻜ‬‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ل‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺯﺓ‬‫ﻤ‬‫ﺭ‬‫ﻤ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬II.
■‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬
A-‫ﺍﻟﻔﺭﺩ‬ ‫ﺜﻘﺎﻓﺔ‬ ‫ﻤﻥ‬ ‫ﻤﻨﺘﻅﺭ‬ ‫ﻫﻭ‬ ‫ﻋﻤﺎ‬ ‫ﻨﺔ‬‫ﻴ‬‫ﺒ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﻴﺤﻴﺩ‬ ‫ﺩﺍﺨﻠﻴﻴﻥ‬ ‫ﻭﺴﻠﻭﻙ‬ ‫ﺨﺒﺭﺓ‬ ‫ﻤﻥ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻁﺭﺍﺯ‬.‫ﻤﺠﺎﻟﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻁﺭﺍﺯ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺘﺒﺩﻯ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﻤﻥ‬
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻤﺠﺎﻻﺕ‬:
(1)‫ﺍﻻﺴﺘﻌﺭﺍﻑ‬)‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻁﺭﻕ‬ ‫ﺃﻱ‬‫ﻭﺍﻟﺤﻭﺍﺩﺙ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻭﺍﻟﻨﺎﺱ‬ ‫ﺫﺍﺘﻪ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺭ‬‫ﺴ‬‫ﻭﻴﻔ‬ ‫ﻴﺩﺭﻙ‬.(
(2)‫ﺍﻟﻭﺠﺩﺍﻨﻴﺔ‬Affectivity)‫ﺍﻻﻨﻔﻌﺎﻟﻴﺔ‬ ‫ﺍﻻﺴﺘﺠﺎﺒﺔ‬ ‫ﻭﻤﻼﺀﻤﺔ‬ ‫ﻭﺘﻘﻠﻘل‬ ‫ﻭﺸﺩﺓ‬ ‫ﻤﺩﻯ‬ ‫ﺃﻱ‬.(

149. 148
(3)‫ﺍﻟﺸﺨﺼﻲ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬Interpersonal Functioning.
(4)‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬.
B-‫ﻭﺍﻟﺸﻤﻭﻟﻴﺔ‬ ‫ﺍﻟﻤﺭﻭﻨﺔ‬ ‫ﺒﻌﺩﻡ‬ ‫ﺍﻟﺜﺎﺒﺕ‬ ‫ﺍﻟﻁﺭﺍﺯ‬ ‫ﻴﺘﺼﻑ‬‫ﻭﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻤﻥ‬ ‫ﻭﺍﺴﻊ‬ ‫ﻤﺠﺎل‬ ‫ﻓﻲ‬.
C-‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺍﺨﺘﻼل‬ ‫ﺇﻟﻰ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺜﺎﺒﺕ‬ ‫ﺍﻟﻁﺭﺍﺯ‬ ‫ﻴﻘﻭﺩ‬.
D-‫ﺍﻟﻤﺭﺍﻫﻘﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻌﻭﺩﺓ‬ ‫ﻓﻲ‬ ‫ﺒﺩﺍﻴﺘﻪ‬ ‫ﻲ‬‫ﺼ‬‫ﺘﻘ‬ ‫ﻭﻴﻤﻜﻥ‬ ‫ﻭﻤﺩﻴﺩ‬ ‫ﺜﺎﺒﺕ‬ ‫ﺒﺄﻨﻪ‬ ‫ﺍﻟﻁﺭﺍﺯ‬ ‫ﻴﺘﺼﻑ‬‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻤﺭﺤﻠﺔ‬ ‫ﺃﻭ‬.
E-‫ﺁﺨﺭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﺎﻗﺒﺔ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺍ‬‫ﺘﻅﺎﻫﺭ‬ ‫ﺒﺎﻋﺘﺒﺎﺭﻩ‬ ‫ﺍﻟﺜﺎﺒﺕ‬ ‫ﺍﻟﻁﺭﺍﺯ‬ ‫ﱠل‬‫ﻠ‬‫ﻌ‬‫ﻴ‬ ‫ﻻ‬.
F-‫ﻟﻤﺎﺩﺓ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺜﺎﺒﺕ‬ ‫ﺍﻟﻁﺭﺍﺯ‬ ‫ﻴﻨﺠﻡ‬ ‫ﻻ‬)‫ﺩﻭﺍﺀ‬ ،‫ﻋﻘﺎﺭ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ‫ﻤﺜل‬(‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬)‫ﺍﻟﺭﺃﺱ‬ ‫ﺭﻀﺢ‬ ‫ﻤﺜل‬.(
‫ﺍﻟﻤﺠﻤﻭﻋﺔ‬A‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬
■301.0‫ﺍﻟﺯﻭﺭﺍﻨﻲ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Paranoid Personality Disorder
A-‫ﺍﻟﻁﻭﻴﺔ‬ ‫ﺨﺒﻴﺜﺔ‬ ‫ﺃﻨﻬﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻭﺍﻓﻌﻬﻡ‬ ‫ﻴﻔﺴﺭ‬ ‫ﺒﺤﻴﺙ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﻋﻤﻴﻡ‬ ‫ﻭﺸﻙ‬ ‫ﺍﺭﺘﻴﺎﺏ‬Malevolent‫ﻭﻴﺘﺒﺩﻯ‬ ‫ﺍﻟﺒﺎﻜﺭ‬ ‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻤﻨﺫ‬ ‫ﺍﻻﺭﺘﻴﺎﺏ‬ ‫ﻫﺫﺍ‬ ‫ﻴﺒﺘﺩﺉ‬ ،
‫ﺘﺸﻜﻴﻠﺔ‬ ‫ﻓﻲ‬)‫ﺘﻨﻭﻉ‬(‫ﺃﺭﺒﻌﺔ‬ ‫ﻤﻥ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟ‬ ‫ﻤﻥ‬‫ﺘﺎﻟﻲ‬:
(1)‫ﻴﺨﺩﻋﻭﻨﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺫﻯ‬ ‫ﺒﻪ‬ ‫ﻴﻠﺤﻘﻭﻥ‬ ‫ﺃﻭ‬ ‫ﻴﺴﺘﻐﻠﻭﻨﻪ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺃﻥ‬ ‫ﻓﻲ‬ ،‫ﻜﺎﻑ‬ ‫ﺃﺴﺎﺱ‬ ‫ﺩﻭﻥ‬ ،‫ﺍﺭﺘﻴﺎﺒﺎﺕ‬.
(2)‫ﻭﺍﻟﺯﻤﻼﺀ‬ ‫ﺍﻷﺼﺩﻗﺎﺀ‬ ‫ﻭﺍﺌﺘﻤﺎﻨﻴﺔ‬ ‫ﻭﻓﺎﺀ‬ ‫ﺤﻭل‬ ‫ﻟﻬﺎ‬ ‫ﻍ‬‫ﻭ‬‫ﻤﺴ‬ ‫ﻻ‬ ‫ﺒﺸﻜﻭﻙ‬ ‫ﻤﻨﺸﻐل‬.
(3)‫ﻀﺩﻩ‬ ‫ﺨﺒﻴﺙ‬ ‫ﺒﺸﻜل‬ ‫ﺴﺘﺴﺘﺨﺩﻡ‬ ‫ﺍﻟﻤﻌﻠﻭﻤﺎﺕ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﻍ‬‫ﻭ‬‫ﺍﻟﻤﺴ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻭﺜﻭﻕ‬ ‫ﻋﻥ‬ ‫ﺤﺠﻡ‬‫ﻤ‬.
(4)‫ﻴﺴﺘﻨ‬‫ﺔ‬‫ﻴ‬‫ﺨﻔ‬ ‫ﻭﺘﻬﺩﻴﺩﺍﺕ‬ ‫ﺇﻫﺎﻨﺎﺕ‬ ‫ﺍﻟﺒﺭﻴﺌﺔ‬ ‫ﺍﻷﺤﺩﺍﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻼﺤﻅﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺒﻁ‬.
(5)‫ﺍﻻﺤﺘﻘﺎﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺫﻴﺎﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻫﺎﻨﺎﺕ‬ ‫ﻋﻥ‬ ‫ﻴﺼﻔﺢ‬ ‫ﻻ‬ ‫ﺃﻱ‬ ‫ﻤﺘﻭﺍﺼﻠﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻀﻐﺎﺌﻥ‬ ‫ﻴﺤﻤل‬.
(6)‫ﻤﻀﺎﺩ‬ ‫ﺒﻬﺠﻭﻡ‬ ‫ﺍﻟﻘﻴﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺒﻐﻀﺏ‬ ‫ﺍﻻﺴﺘﺠﺎﺒﺔ‬ ‫ﺴﺭﻴﻊ‬ ‫ﻭﻫﻭ‬ ‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﻅﺎﻫﺭﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺴﻤﻌﺘﻪ‬ ‫ﺃﻭ‬ ‫ﺸﺨﺼﻪ‬ ‫ﻋﻠﻰ‬ ‫ﻫﺠﻭﻤﺎﺕ‬ ‫ﻴﺴﺘﺸﻌﺭ‬.
(7)‫ﺸﻜﻭﻙ‬ ‫ﻟﺩﻴﻪ‬‫ﺍﻟﺠﻨﺴﻲ‬ ‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺯﻭﺝ‬ ‫ﺇﺨﻼﺹ‬ ‫ﻓﻲ‬ ،‫ﻍ‬‫ﻭ‬‫ﻤﺴ‬ ‫ﺩﻭﻥ‬ ،‫ﻤﺘﻜﺭﺭﺓ‬.
B-‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻭﻟﻴﺱ‬ ،‫ﺁﺨﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺃﻀﻑ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺒﺩﺀ‬ ‫ﻗﺒل‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬)‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﻗﺒل‬Premorbid(‫ﻤﺜﺎل‬:»‫ﺍﻟﺯﻭﺭﺍﻨﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﻗﺒل‬(«.
■301.20‫ﺍﻟﻔﺼﺎﻤﺎﻨﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬

150. 149
Schizoid Personality Disorder
A-‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺩﺃ‬ ،‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﻔﻌﺎﻟﻲ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ‫ﻤﻥ‬ ‫ﻀﻴﻕ‬ ‫ﻭﻤﺠﺎل‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻻﻨﻌﺯﺍل‬ ‫ﻤﻥ‬ ‫ﺸﺎﻤل‬ ‫ﻁﺭﺍﺯ‬
‫ﺍﻷﻭﻟﻰ‬‫ﺒﺄﺭﺒﻌﺔ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺘﻅﺎﻫﺭ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬:
(1)‫ﻋﺎﺌﻠﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﻓﺭﺩ‬ ‫ﻜﻭﻨﻪ‬ ‫ﺫﻟﻙ‬ ‫ﻓﻲ‬ ‫ﺒﻤﺎ‬ ،‫ﺒﻬﺎ‬ ‫ﻴﺴﺘﻤﺘﻊ‬ ‫ﻭﻻ‬ ‫ﺍﻟﺤﻤﻴﻤﺔ‬ ‫ﺒﺎﻟﻌﻼﻗﺔ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻴﺭﻏﺏ‬ ‫ﻻ‬.
(2)‫ﻓﺭﺩﻴﺔ‬ ‫ﺃﻨﺸﻁﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬ ‫ﻴﺨﺘﺎﺭ‬.
(3)‫ﺁﺨﺭ‬ ‫ﺸﺨﺹ‬ ‫ﻤﻊ‬ ‫ﺠﻨﺴﻴﺔ‬ ‫ﺘﺠﺎﺭﺏ‬ ‫ﺨﻭﺽ‬ ‫ﻓﻲ‬ ‫ﻤﻌﺩﻭﻤﺔ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻴﻠﺔ‬ ‫ﺭﻏﺒﺔ‬ ‫ﻴﺒﺩﻱ‬.
(4)‫ﻴﺴﺘﻤﺘﻊ‬ ‫ﻻ‬ ‫ﺃﻭ‬ ‫ﻗﻠﻴﻠﺔ‬ ‫ﻨﺸﺎﻁﺎﺕ‬ ‫ﻓﻲ‬ ‫ﻴﺴﺘﻤﺘﻊ‬.
(5)‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﺩﺭﺠﺔ‬ ‫ﺃﻗﺎﺭﺏ‬ ‫ﻋﺩﺍ‬ ‫ﻤﺎ‬ ‫ﻤﺅﺘﻤﻨﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺒﻴﻥ‬‫ﺭ‬‫ﻤﻘ‬ ‫ﺃﺼﺩﻗﺎﺀ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻔﺘﻘﺭ‬.
(6)‫ﺍﻨﺘﻘﺎﺩﺍﺘﻬﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻹﻁﺭﺍﺀ‬ ‫ﻻﻤﺒﺎﻻﺓ‬ ‫ﻴﻅﻬﺭ‬.
(7)‫ﹰ‬‫ﺎ‬‫ﻭﺠﺩﺍﻨﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﺴﻁﺤ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﻨﻌﺯﺍ‬ ‫ﺃﻭ‬ ،‫ﹰ‬‫ﺎ‬‫ﻋﺎﻁﻔﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﺒﺭﻭﺩ‬ ‫ﻴﺒﺩﻱ‬.
B-‫ﺍﻟﻔﺼﺎ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻻ‬‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﺁﺨﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﻡ‬
‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬ ‫ﻤﺒﺎﺸﺭﺓ‬ ‫ﻓﻴﺯﻴﻭﻟﻭﺠﻴﺔ‬ ‫ﺘﺄﺜﻴﺭﺍﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﺎﺠﻤ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻫﻭ‬ ‫ﺸﺎﻤل‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﹾ‬‫ﻑ‬ِ‫ﻀ‬‫ﺃ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺒﺩﺀ‬ ‫ﻗﺒل‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬»‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﻗﺒل‬«‫ﻤﺜﺎل‬:»،‫ﻓﺼﺎﻤﺎﻨﻴﺔ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﻗﺒل‬(«.
■301.22‫ﺍﻀ‬‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻁﺭﺍﺏ‬
Schizotypal Personality Disorder
A-‫ﺒﺘﻨﻐﻴﺹ‬ ‫ﻴﺘﻤﻴﺯ‬ ‫ﺍﻟﺸﺨﺼﻲ‬ ‫ﻭﺒﻴﻥ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﺍﻟﻘﺼﻭﺭ‬ ‫ﻤﻥ‬ ‫ﻤﻌﻤﻡ‬ ‫ﻁﺭﺍﺯ‬)‫ﺍﻨﺯﻋﺎﺝ‬(،‫ﺇﻗﺎﻤﺘﻬﺎ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻭﺍﻨﺨﻔﺎﺽ‬ ‫ﺍﻟﺤﻤﻴﻤﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺤﺎﺩ‬
‫ﺍ‬ ‫ﺍﻟﻜﻬﻭﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺩﺃ‬ ،‫ﺴﻠﻭﻜﻴﺔ‬ ‫ﻭﻏﺭﺍﺒﺎﺕ‬ ‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺘﺤﺭﻴﻔﺎﺕ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﻼ‬‫ﻓﻀ‬‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺘﻅﺎﻫﺭ‬ ‫ﻟﺒﺎﻜﺭﺓ‬
‫ﺒﺨﻤﺴﺔ‬ ‫ﻋﻠﻴﻪ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻟﻤﺭﺠﻊ‬ ‫ﺃﻓﻜﺎﺭ‬)‫ﺍﻹﺸﺎﺭﺓ‬) (‫ﺍﻟﻤﺭﺠﻊ‬ ‫ﺃﻭﻫﺎﻡ‬ ‫ﻨﻔﻲ‬ ‫ﻤﻊ‬.(
(2)‫ﺍﻟﺜﻘﺎﻓﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﻤﻊ‬ ‫ﻴﺘﻭﺍﻓﻕ‬ ‫ﻭﻻ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺅﺜﺭ‬ ‫ﺴﺤﺭﻱ‬ ‫ﺘﻔﻜﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺸﺎﺫﺓ‬ ‫ﺍﻋﺘﻘﺎﺩﺍﺕ‬)‫ﺒﺎﻻ‬ ‫ﺍﻹﻴﻤﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺨﺭﺍﻓﺎﺕ‬ ‫ﺍﻻﻋﺘﻘﺎﺩ‬ ،‫ﻤﺜل‬‫ﺴﺘﺒﺼﺎﺭ‬)‫ﻗﻭﺓ‬
‫ﺍﻟﻐﻴﺏ‬ ‫ﻜﺸﻑ‬(‫ﺃﻭ‬ ،‫ﺍﻟﺘﺨﺎﻁﺭ‬ ‫ﺃﻭ‬»‫ﺍﻟﺴﺎﺩﺴﺔ‬ ‫ﺍﻟﺤﺎﺴﺔ‬«‫ﻤﺴﺘﻐﺭﺒﺔ‬ ‫ﺍﻨﺸﻐﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺘﺨﻴﻼﺕ‬ ،‫ﻭﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻭﻋﻨﺩ‬ ،.(
(3)‫ﺠﺴﺩﻴﺔ‬ ‫ﺍﻨﺨﺩﺍﻋﺎﺕ‬ ‫ﻓﻴﻬﺎ‬ ‫ﺒﻤﺎ‬ ،‫ﻋﺎﺩﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺇﺩﺭﺍﻜﻴﺔ‬ ‫ﺨﺒﺭﺍﺕ‬.
(4)‫ﺸﺎﺫ‬ ‫ﻭﻜﻼﻡ‬ ‫ﺘﻔﻜﻴﺭ‬)‫ﻨﻤﻁﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺇﺴﻬﺎﺏ‬ ‫ﺃﻭ‬ ‫ﻤﺠﺎﺯﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺘﻔﺼﻴﻠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻏﻤﻭﺽ‬ ،‫ﻤﺜﺎل‬.(
(5)‫ﺍﺭﺘﻴﺎﺒﻲ‬ ‫ﺘﻔﻜﻴﺭ‬‫ﺯﻭﺭﺍﻨﻲ‬ ‫ﺃﻭ‬.

151. 150
(6)‫ﺩ‬‫ﺩ‬‫ﺤ‬‫ﻤ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﻭﺠﺩﺍﻥ‬)‫ﻕ‬‫ﻴ‬‫ﻤﺘﻀ‬.(
(7)‫ﻏﺭﻴﺏ‬ ‫ﺃﻭ‬ ‫ﺸﺎﺫ‬ ‫ﻤﻅﻬﺭ‬ ‫ﺃﻭ‬ ‫ﺴﻠﻭﻙ‬.
(8)‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻟﺩﺭﺠﺔ‬ ‫ﺃﻗﺎﺭﺏ‬ ‫ﻋﺩﺍ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻤﺅﺘﻤﻨﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻘﺭﺒﻴﻥ‬ ‫ﺍﻷﺼﺩﻗﺎﺀ‬ ‫ﺍﻨﻌﺩﺍﻡ‬.
(9)‫ﻟﻠﺫﺍﺕ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﻠﺒﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻘﻴﻴﻤ‬ ‫ﻭﻟﻴﺱ‬ ‫ﺯﻭﺭﺍﻨﻲ‬ ‫ﺨﻭﻑ‬ ‫ﻤﻊ‬ ‫ﻟﻠﺘﺭﺍﻓﻕ‬ ‫ﻭﻴﻤﻴل‬ ‫ﺒﺎﻷﻟﻔﺔ‬ ‫ﻴﺘﻨﺎﻗﺹ‬ ‫ﻻ‬ ‫ﻤﻔﺭﻁ‬ ‫ﺍﺠﺘﻤﺎﻋﻲ‬ ‫ﻗﻠﻕ‬.
B-‫ﻴﺤﺩ‬ ‫ﻻ‬‫ﺸﺎﻤل‬ ‫ﻨﻤﺎﺌﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺁﺨﺭ‬ ‫ﺫﻫﺎﻨﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺫﻫﺎﻨﻴﺔ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻤﻊ‬ ‫ﻤﺯﺍﺝ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺴﻴﺭ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﺙ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ِﻑ‬‫ﻀ‬‫ﺃ‬ ،‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺒﺩﺀ‬ ‫ﻗﺒل‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻘﺕ‬ ‫ﺇﺫﺍ‬»‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﻗﺒل‬«،‫ﻤﺜﺎل‬ ،»‫ﺍﻟﻔﺼﺎﻤﻲ‬ ‫ﺍﻟﻨﻤﻁ‬ ‫ﻤﻥ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬)‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﻗﺒل‬(«.
‫ﺍﻟﻤﺠﻤﻭﻋﺔ‬B‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬
Cluster B Personality Disorders
■301.7‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Antisocial Personality Disorder
A-‫ﺒﺜﻼﺜﺔ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﻋﺸﺭﺓ‬ ‫ﺍﻟﺨﺎﻤﺴﺔ‬ ‫ﺴﻥ‬ ‫ﻤﻨﺫ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻭﺍﻨﺘﻬﺎﻜﻬﺎ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺒﺤﻘﻭﻕ‬ ‫ﺍﻻﺴﺘﻬﺎﻨﺔ‬ ‫ﻤﻥ‬ ‫ﺸﺎﻤل‬ ‫ﻁﺭﺍﺯ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻲ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻻﺠﺘﻤﺎﻋ‬ ‫ﻟﻠﻘﻭﺍﻋﺩ‬ ‫ﺍﻻﻤﺘﺜﺎل‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬‫ﻟﻠﺘﻭﻗﻴﻑ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﺴﺎﺴ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺒﺄﻓﻌﺎل‬ ‫ﺒﺎﻟﻘﻴﺎﻡ‬ ‫ﺫﻟﻙ‬ ‫ﻋﻠﻰ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﻤﺸﺭﻭﻋﺔ‬ ‫ﺒﺎﻟﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﻴﺘﻌﻠﻕ‬ ‫ﻓﻴﻤﺎ‬ ‫ﻴﺔ‬.
(2)‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻤﻨﻔﻌﺔ‬ ‫ﺒﻬﺩﻑ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻻﺤﺘﻴﺎل‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻤﺴﺘﻌﺎﺭﺓ‬ ‫ﺍﻷﺴﻤﺎﺀ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺘﻜﺭﺭ‬ ‫ﺒﺎﻟﻜﺫﺏ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ِﺩﺍﻉ‬‫ﺨ‬‫ﺍﻟ‬
‫ﺍﻟﻤﺘﻌﺔ‬.
(3)‫ﻟﻠ‬ ‫ﺍﻟﺘﺨﻁﻴﻁ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬‫ﻤﺴﺘﻘﺒل‬.
(4)‫ﻭﺍﻟﺘﻌﺩﻴﺎﺕ‬ ‫ﺍﻟﻤﺘﻜﺭﺭﺓ‬ ‫ﺒﺎﻟﻤﺸﺎﺠﺭﺍﺕ‬ ‫ﻋﻠﻴﻬﺎ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ‫ﻭﺍﻟﻌﺩﻭﺍﻨﻴﺔ‬ ‫ﺍﻻﺴﺘﺜﺎﺭﺓ‬.
(5)‫ﻭﺍﻵﺨﺭﻴﻥ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺒﺴﻼﻤﺔ‬ ‫ﺍﻟﻤﺘﻬﻭﺭ‬ ‫ﺍﻻﺴﺘﻬﺘﺎﺭ‬.
(6)‫ﺍﻟﺸﺭﻴﻔﺔ‬ ‫ﺍﻟﻤﺎﻟﻴﺔ‬ ‫ﺍﻻﻟﺘﺯﺍﻤﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺩﺍﺌﻡ‬ ‫ﻋﻤل‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻹﺨﻔﺎﻕ‬ ‫ﻤﻥ‬ ‫ﻋﻠﻴﻬﺎ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﺩﺍﺌﻤﺔ‬ ‫ﺍﻟﻼﻤﺴﺅﻭﻟﻴﺔ‬.
(7)‫ﺍﻟﺸﻌ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻻﻓﺘﻘﺎﺭ‬‫ﹰ‬‫ﺎ‬‫ﺸﺨﺼ‬ ‫ﺴﺭﻗﺘﻪ‬ ‫ﻋﻨﺩ‬ ‫ﺃﻭ‬ ‫ﻤﻌﺎﻤﻠﺘﻪ‬ ‫ﺇﺴﺎﺀﺓ‬ ‫ﻋﻨﺩ‬ ‫ﺃﻭ‬ ،‫ﺘﺒﺭﻴﺭﻩ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺫﻯ‬ ‫ﺇﻟﺤﺎﻕ‬ ‫ﻋﻨﺩ‬ ‫ﺒﺎﻟﻼﻤﺒﺎﻻﺓ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺒﺎﻟﻨﺩﻡ‬ ‫ﻭﺭ‬
‫ﺁﺨﺭ‬.
B-‫ﺍﻟﻔﺭﺩ‬ ‫ﻋﻤﺭ‬18‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺴﻨﺔ‬.
C-‫ﻋﻤﺭ‬ ‫ﻗﺒل‬ ‫ﺒﺩﺃ‬ ‫ﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻠﻰ‬ ‫ﺩﻟﻴل‬ ‫ﺜﻤﺔ‬15‫ﺴﻨﺔ‬.
D-‫ﻨﻭ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺼﺭ‬ ‫ﻴﻘﻊ‬ ‫ﻻ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬‫ﻫﻭﺴﻴﺔ‬ ‫ﺒﺔ‬.

152. 151
■301.83‫ﺍﻟﺤﺩﻭﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
Borderline Personality Disorder
‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺤﻴﺙ‬ ،‫ﺍﻟﻭﺍﻀﺤﺔ‬ ‫ﻭﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻁﻑ‬ ‫ﻭﻓﻲ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺼﻭﺭﺓ‬ ‫ﻭﻓﻲ‬ ،‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻻﺴﺘﻘﺭﺍﺭ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻥ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻁﺭﺍﺯ‬
‫ﻜﻤ‬ ‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺘﺠﻠﻰ‬ ‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻤﻥ‬ ‫ﻤﺒﻜﺭﺓ‬‫ﺒﺨﻤﺴﺔ‬ ‫ﻋﻠﻴﻪ‬ ّ‫ل‬‫ﻴﺴﺘﺩ‬ ‫ﺎ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﻤﺘﺨﻴل‬ ‫ﺃﻭ‬ ‫ﺤﻘﻴﻘﻲ‬ ‫ﻫﺠﺭﺍﻥ‬ ‫ﻟﺘﺠﻨﺏ‬ ‫ﻤﺤﻤﻭﻤﺔ‬ ‫ﻤﺤﺎﻭﻻﺕ‬.
‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺴﻴﺫﻜﺭ‬ ‫ﻭﺍﻟﺫﻱ‬ ‫ﻟﻠﺫﺍﺕ‬ ‫ﻩ‬‫ﻭ‬‫ﺍﻟﻤﺸ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﺤﺎﺭﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻥ‬‫ﻤ‬‫ﺘﻀ‬ ‫ﻻ‬.
(2)‫ﺃﻗ‬ ‫ﺒﻴﻥ‬ ‫ﺒﺎﻻﻨﺘﻘﺎل‬ ‫ﻴﺘﺴﻡ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬ ‫ﻭﺍﻟﺤﺎﺩﺓ‬ ‫ﺍﻟﻤﺴﺘﻘﺭﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻁﺭﺍﺯ‬‫ﺍﻟﻘﺩﺭ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺘﺒﺨﻴﺱ‬ ‫ﻭﺃﻗﺼﻰ‬ ‫ﺍﻟﻜﻤﺎﻟﻲ‬ ‫ﺍﻟﻤﺜﺎل‬ ‫ﺼﻰ‬.
(3)‫ﺍﻟﻬﻭﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬:‫ﺒﺎﻟﺫﺍﺕ‬ ‫ﺍﻹﺤﺴﺎﺱ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺫﺍﺕ‬ ‫ﺼﻭﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻭﺜﺎﺒﺕ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺍﺴﺘﻘﺭﺍﺭ‬ ‫ﻋﺩﻡ‬.
(4)‫ﺒﺎﻟﺫﺍﺕ‬ ‫ﺍﻷﺫﻯ‬ ‫ﺇﻟﺤﺎﻕ‬ ‫ﺇﻤﻜﺎﻨﻴﺔ‬ ‫ﺘﺤﻤل‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﺠﺎﻻﺕ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﻤﺠﺎﻟﻴﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﺩﻓﺎﻋﻴﺔ‬)،‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﺴﻭﺀ‬ ،‫ﺍﻟﺠﻨﺱ‬ ،‫ﺍﻹﻨﻔﺎﻕ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻤﺘﻬ‬ ‫ﺍﻟﺴﻴﺎﻗﺔ‬‫ﺍﻟﻁﻌﺎﻤﻲ‬ ‫ﺍﻹﻓﺭﺍﻁ‬ ،‫ﻭﺭﺓ‬.(‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺨﺎﻤﺱ‬ ‫ﺍﻟﻤﻌﻴﺎﺭ‬ ‫ﻓﻲ‬ ‫ﺫﻜﺭﻩ‬ ‫ﺴﻴﺄﺘﻲ‬ ‫ﺍﻟﺫﻱ‬ ‫ﻟﻠﺫﺍﺕ‬ ‫ﻩ‬‫ﻭ‬‫ﺍﻟﻤﺸ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﺤﺎﺭﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻥ‬‫ﻤ‬‫ﺘﻀ‬ ‫ﻻ‬.
(5)‫ﻟﻠﺫﺍﺕ‬ ‫ﻩ‬‫ﻭ‬‫ﻤﺸ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﺘﻬﺩﻴﺩﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺇﻟﻤﺎﺤﺎﺕ‬ ‫ﺃﻭ‬ ‫ﻤﺘﻜﺭﺭ‬ ‫ﺍﻨﺘﺤﺎﺭﻱ‬ ‫ﺴﻠﻭﻙ‬.
(6)‫ﻟﻠﻤﺯﺍﺝ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺘﻨﺸﻴﻁ‬ ‫ﺇﻋﺎﺩﺓ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻻﻨﻔﻌﺎﻟﻲ‬ ‫ﺍﻻﺴﺘﻘﺭﺍﺭ‬ ‫ﻋﺩﻡ‬)‫ﻨﻭﺒﻲ‬ ‫ﻤﺯﺍﺝ‬ ‫ﻋﺴﺭ‬ ‫ﻤﺜل‬‫ﺒﻀﻊ‬ ‫ﻋﺎﺩﺓ‬ ‫ﺘﺴﺘﻤﺭ‬ ،‫ﻗﻠﻕ‬ ‫ﺃﻭ‬ ‫ﺍﺴﺘﺜﺎﺭﺓ‬ ‫ﺃﻭ‬ ‫ﺤﺎﺩ‬
‫ﺃﻴﺎﻡ‬ ‫ﺒﻀﻌﺔ‬ ‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﺘﺴﺘﻤﺭ‬ ‫ﻤﺎ‬ ‫ﻓﻘﻁ‬ ‫ﹰ‬‫ﺍ‬‫ﻭﻨﺎﺩﺭ‬ ‫ﺴﺎﻋﺎﺕ‬.(
(7)‫ﺒﺎﻟﻔﺭﺍﻍ‬ ‫ﻤﺯﻤﻨﺔ‬ ‫ﺇﺤﺴﺎﺴﺎﺕ‬.
(8)‫ﺍﻟﻐﻀﺏ‬ ‫ﻟﺠﻡ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺼﻌﻭﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻟﻐﻀﺏ‬)‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺸﺠﺎﺭﺍﺕ‬ ،‫ﺜﺎﺒﺕ‬ ‫ﻏﻀﺏ‬ ،‫ﻟﻠﻐﻀﺏ‬ ‫ﻤﺘﻜﺭﺭﺓ‬ ‫ﺘﻅﺎﻫﺭﺍﺕ‬ ،‫ﻤﺜل‬.(
(9)‫ﺃ‬ ‫ﺒﺎﻟﺸﺩﺓ‬ ‫ﻤﺭﺘﺒﻁ‬ ‫ﻋﺎﺒﺭ‬ ‫ﺯﻭﺭﺍﻨﻲ‬ ‫ﺘﻔﻜﻴﺭ‬‫ﺸﺩﻴﺩﺓ‬ ‫ﺍﻨﺸﻘﺎﻗﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭ‬.
■301.50‫ﺍﻟﻬﻴﺴﺘﺭﻴﻭﻨﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Histrionic Personality Disorder
‫ﻤﻥ‬ ‫ﻴﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺘﻅﺎﻫﺭ‬ ‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻤﻥ‬ ‫ﻤﺒﻜﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺩﺃ‬ ،‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻭﺠﺫﺏ‬ ‫ﺍﻻﻨﻔﻌﺎﻟﻴﺔ‬ ‫ﻓﺭﻁ‬ ‫ﻤﻥ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻁﺭﺍﺯ‬
‫ﺨﻤﺴﺔ‬ ‫ﺨﻼل‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬‫ﻟﻴﺔ‬:
(1)‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻴﻨﺯﻋﺞ‬.
(2)‫ﻤﺜﻴﺭ‬ ‫ﺒﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﻤﻨﺎﺴﺏ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺸﻜل‬ ‫ﹰ‬‫ﺎ‬‫ﺠﻨﺴﻴ‬ ٍ‫ﻭ‬‫ﻐ‬‫ﻤ‬ ‫ﺒﺴﻠﻭﻙ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬ ‫ﻋﻼﻗﺘﻪ‬ ‫ﻓﻲ‬ ‫ﻴﺘﺴﻡ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(3)‫ﺍﻟﻌﻭﺍﻁﻑ‬ ‫ﻋﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﻁﺤﻴ‬ ‫ﹰ‬‫ﺍ‬‫ﻭﺘﻌﺒﻴﺭ‬ ‫ﹰ‬‫ﻻ‬‫ﺘﺤﻭ‬ ‫ﺒﺴﺭﻋﺔ‬ ‫ﻴﻅﻬﺭ‬.
(4)‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻟﻠﻔﺕ‬ ‫ﺍﻟﺠﺴﺩﻱ‬ ‫ﺍﻟﻤﻅﻬﺭ‬ ‫ﺒﺎﺴﺘﻤﺭﺍﺭ‬ ‫ﻴﺴﺘﺨﺩﻡ‬.

153. 152
(5)‫ﺍﻟﺘﻌﺒﻴﺭﻴﺔ‬ ‫ﻓﻲ‬ ‫ﻤﻔﺭﻁ‬ ‫ﺍﻟﻜﻼﻡ‬ ‫ﻓﻲ‬ ‫ﺃﺴﻠﻭﺏ‬ ‫ﻟﺩﻴﻪ‬)‫ﺫﺍﺘﻲ‬(‫ﺍﻟﺘﻔﺎﺼﻴل‬ ‫ﺇﻟﻰ‬ ‫ﻭﻴﻔﺘﻘﺭ‬.
(6)‫ﺍﻟﻌﻭﺍﻁﻑ‬ ‫ﻋﻥ‬ ‫ﻓﻴﻪ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺒﺎﻟﻐ‬ ‫ﹰ‬‫ﺍ‬‫ﻭﺘﻌﺒﻴﺭ‬ ‫ﻭﻤﺴﺭﺤﻴﺔ‬ ‫ﺘﻤﺜﻴﻠﻴﺔ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻴﺒﺩﻱ‬.
(7)‫ﺍﻟﻅﺭﻭﻑ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻵﺨﺭﻴﻥ‬ ‫ﺒﺴﻬﻭﻟﺔ‬ ‫ﻴﺘﺄﺜﺭ‬ ‫ﺃﻱ‬ ،‫ﻟﻺﻴﺤﺎﺀ‬ ‫ﻗﺎﺒﻠﻴﺔ‬ ‫ﻟﺩﻴﻪ‬.
(8)‫ﺍﻟﻭﺍﻗﻊ‬ ‫ﻓﻲ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻫﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺤﻤﻴﻤﻴﺔ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻋﻼﻗﺎﺘﻪ‬ ‫ﻴﻌﺘﺒﺭ‬.
■301.81‫ﺍﻟﻨﺭﺠﺴﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Narcissistic Personality Disorder
‫ﺍﻟﻌﻅﻤﺔ‬ ‫ﻤﻥ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻁﺭﺍﺯ‬)‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺨﻴﺎل‬ ‫ﻓﻲ‬(‫ﺍﻟﻌﺎﻁﻔﻲ‬ ‫ﺍﻟﺘﻔﻬﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺇﻟﻰ‬ ‫ﻭﺍﻻﻓﺘﻘﺎﺭ‬ ‫ﺍﻟﺘﻘﺩﻴﺭ‬ ‫ﺇﻟﻰ‬ ‫ﻭﺍﻟﺤﺎﺠﺔ‬Empathy‫ﻤﺒﻜﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺩﺃ‬ ،
‫ﺒﺨ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺘﻅﺎﻫﺭ‬ ‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻤﻥ‬‫ﻤﺴﺔ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻟﺫﺍﺕ‬ ‫ﺒﺄﻫﻤﻴﺔ‬ ‫ﻋﻅﻤﺔ‬ ‫ﺸﻌﻭﺭ‬ ‫ﻟﺩﻴﻪ‬)‫ﻤﻜﺎﻓﺌﺔ‬ ‫ﺇﻨﺠﺎﺯﺍﺕ‬ ‫ﻴﺤﻘﻕ‬ ‫ﺃﻥ‬ ‫ﺩﻭﻥ‬ ‫ﻜﻤﺘﻔﻭﻕ‬ ‫ﺒﻪ‬ ‫ﻌﺘﺭﻑ‬‫ﻴ‬ ‫ﺃﻥ‬ ‫ﻭﻴﺘﻭﻗﻊ‬ ‫ﻭﺍﻟﻤﻭﺍﻫﺏ‬ ‫ﺍﻹﻨﺠﺎﺯﺍﺕ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺎﻟﻎ‬ ،‫ﻤﺜﺎل‬.
(2)‫ﺍﻟﻤﺜﺎﻟﻲ‬ ‫ﺍﻟﺤﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺄﻟﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻭﺓ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻼﻤﺤﺩﻭﺩ‬ ‫ﺍﻟﻨﺠﺎﺡ‬ ‫ﻋﻥ‬ ‫ﺨﻴﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﻤﺴﺘﻐﺭﻕ‬.
(3)‫ﺃ‬ ‫ﻴﻌﺘﻘﺩ‬‫ﻨﻪ‬»‫ﻤﺘﻤﻴﺯ‬«‫ﺨﺎﺼﺔ‬ ‫ﻤﺅﺴﺴﺎﺕ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﻋﻠﻴﺎ‬ ‫ﻁﺒﻘﺔ‬ ‫ﻤﻥ‬ ‫ﺃﻭ‬ ‫ﻤﻤﻴﺯﻴﻥ‬ ‫ﺃﻨﺎﺱ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﻓﻘﻁ‬ ‫ﺏ‬‫ﺤ‬‫ﻴﺼﺎ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬ ‫ﺃﻭ‬ ‫ﻓﻬﻤﻪ‬ ‫ﻭﻴﻤﻜﻥ‬ ‫ﻭﻓﺭﻴﺩ‬.
(4)‫ﹰ‬‫ﺎ‬‫ﻤﻔﺭﻁ‬ ‫ﹰ‬‫ﺍ‬‫ﺘﻘﺩﻴﺭ‬ ‫ﻴﺘﻁﻠﺏ‬.
(5)‫ﺒﺎﻟﺼﺩﺍﺭﺓ‬ ‫ﺸﻌﻭﺭ‬ ‫ﻟﺩﻴﻪ‬)‫ﺍﻟﺘﺨﻭﻴل‬(Entitlement‫ﻟﺘﻭﻗﻌﺎﺘ‬ ‫ﺍﻟﺘﻠﻘﺎﺌﻲ‬ ‫ﺍﻻﻤﺘﺜﺎل‬ ‫ﺃﻭ‬ ‫ﺨﺎﺼﺔ‬ ‫ﺘﻔﻀﻴﻠﻴﺔ‬ ‫ﻤﻌﺎﻤﻠﺔ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻤﻌﻘﻭﻟﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺘﻭﻗﻌﺎﺕ‬ ،‫ﺃﻱ‬ ،‫ﻪ‬.
(6)‫ﻤﺂﺭﺒﻪ‬ ‫ﻟﺘﺤﻘﻴﻕ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻴﺴﺘﻐل‬ ،‫ﺃﻱ‬ ،‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻋﻼﻗﺎﺘﻪ‬ ‫ﻓﻲ‬ ‫ﺍﺴﺘﻐﻼﻟﻲ‬.
(7)‫ﺍﻟﻌﺎﻁﻔﻲ‬ ‫ﺍﻟﺘﻔﻬﻡ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻔﺘﻘﺭ‬:‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻭﺤﺎﺠﺎﺕ‬ ‫ﺒﻤﺸﺎﻋﺭ‬ ‫ﺍﻟﺘﻤﺎﻫﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻋﺘﺭﺍﻑ‬ ‫ﻴﺭﻓﺽ‬.
(8)‫ﺍﻟﺤﺴﺩ‬ ‫ﻤﺸﺎﻋﺭ‬ ‫ﻟﻪ‬ ‫ﹼﻭﻥ‬‫ﻨ‬‫ﻴﻜ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﺃﻥ‬ ‫ﻴﻌﺘﻘﺩ‬ ‫ﺃﻭ‬ ‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﹰ‬‫ﺍ‬‫ﺤﺴﻭﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
(9)‫ﻤﻭ‬ ‫ﺃﻭ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬ ‫ﻴﺒﺩﻱ‬‫ﻭﻤﺘﻌﺎﻟﻴﺔ‬ ‫ﻤﺘﻌﺠﺭﻓﺔ‬ ‫ﺍﻗﻑ‬.
‫ﺍﻟﻤﺠﻤﻭﻋﺔ‬C‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬
Cluster C Personality Disorders
■301.82‫ﹼﺒﺔ‬‫ﻨ‬‫ﺍﻟﻤﺘﺠ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Avoidant Personality Disorder
‫ﻤﻥ‬ ‫ﻤﺒﻜﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺘﺩﺉ‬ ،‫ﺍﻟﺴﻠﺒﻲ‬ ‫ﻟﻠﺘﻘﻴﻴﻡ‬ ‫ﺍﻟﺤﺴﺎﺴﻴﺔ‬ ‫ﻭﻓﺭﻁ‬ ‫ﺍﻟﻜﻔﺎﻴﺔ‬ ‫ﺒﻌﺩﻡ‬ ‫ﻭﺇﺤﺴﺎﺴﺎﺕ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﹼ‬‫ﻑ‬‫ﺍﻟﻜ‬ ‫ﻤﻥ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻁﺭﺍﺯ‬‫ﻓﻲ‬ ‫ﻭﻴﺘﻅﺎﻫﺭ‬ ‫ﺍﻟﺒﻠﻭﻍ‬
‫ﺒﺄﺭﺒﻌﺔ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:

154. 153
(1)‫ﺍﻟﺭﻓﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺴﺘﺤﺴﺎﻥ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻻﻨﺘﻘﺎﺩ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺒﺴﺒﺏ‬ ،‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻬﻤ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﺤﺘﻜﺎﻜ‬ ‫ﺘﺘﻁﻠﺏ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻤﻬﻨﻴﺔ‬ ‫ﺍﻟﻨﺸﺎﻁﺎﺕ‬ ‫ﻴﺘﺠﻨﺏ‬.
(2)‫ﻤﺘﻴﻘﻨ‬ ‫ﻴﻜﻥ‬ ‫ﻟﻡ‬ ‫ﻤﺎ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻤﻊ‬ ‫ﺍﻻﻨﺨﺭﺍﻁ‬ ‫ﻴﺭﻓﺽ‬‫ﹰ‬‫ﺎ‬‫ﻤﺤﺒﻭﺒ‬ ‫ﺴﻴﻜﻭﻥ‬ ‫ﺃﻨﻪ‬ ‫ﹰ‬‫ﺎ‬.
(3)‫ﻭﺨﺯﻱ‬ ‫ﺴﺨﺭﻴﺔ‬ ‫ﻤﻭﻀﻊ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺃﻥ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺍﻟﺤﻤﻴﻤﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻜﺒﺤ‬ ‫ﻴﺒﺩﻱ‬.
(4)‫ﺍﻻﺠﺘﻤﺎﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺭﻓﺽ‬ ‫ﺃﻭ‬ ‫ﺍﻨﺘﻘﺎﺩ‬ ‫ﻤﻭﻀﻊ‬ ‫ﺒﻜﻭﻨﻪ‬ ‫ﻤﻨﺸﻐل‬.
(5)‫ﺍﻟﻜﻔﺎﻴﺔ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺍﻟﻨﺎﺱ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺠﺩﻴﺩﺓ‬ ‫ﺍﻟﻤﻭﺍﻗﻑ‬ ‫ﻓﻲ‬ ‫ﺘﺜﺒﻴﻁ‬ ‫ﺃﻭ‬ ‫ﻜﻑ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻴﻜﻭﻥ‬.
(6)‫ﻨﻔﺴﻪ‬ ‫ﺇﻟﻰ‬ ‫ﻴﻨﻅﺭ‬‫ﺸﺨﺼﻴﺔ‬ ‫ﺠﺎﺫﺒﻴﺔ‬ ‫ﻴﻤﺘﻠﻙ‬ ‫ﻻ‬ ‫ﺃﻭ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺃﺩﻨﻰ‬ ‫ﺃﻭ‬ ،‫ﹰ‬‫ﺎ‬‫ﺍﺠﺘﻤﺎﻋﻴ‬ ‫ﺃﺨﺭﻕ‬ ‫ﺃﻨﻪ‬ ‫ﻋﻠﻰ‬Personally Unappealing.
(7)‫ﻭﺍﻟﺨﺠل‬ ‫ﺍﻻﺭﺘﺒﺎﻙ‬ ‫ﺘﻅﻬﺭ‬ ‫ﻗﺩ‬ ‫ﻷﻨﻬﺎ‬ ‫ﺠﺩﻴﺩﺓ‬ ‫ﺃﻨﺸﻁﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻻﻨﺨﺭﺍﻁ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻤﺠﺎﺯﻓﺎﺕ‬ ‫ﻨﻔﺴﻪ‬ ‫ﺘﻌﺭﻴﺽ‬ ‫ﻋﻥ‬ ‫ﻋﺎﺩﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﹼﻊ‬‫ﻨ‬‫ﻴﺘﻤ‬.
■301.6‫ﺍﻻﻋﺘﻤﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Dependent Personality Disorder
‫ﻤﻥ‬ ‫ﻤﺒﻜﺭﺓ‬ ‫ﻓﺘﺭﺓ‬ ‫ﻓﻲ‬ ‫ﻴﺒﺘﺩﺉ‬ ،‫ﺍﻻﻨﻔﺼﺎل‬ ‫ﻤﻥ‬ ‫ﻭﺨﻭﻑ‬ ‫ﻭﻤﺘﻌﻠﻕ‬ ‫ﻤﺴﺘﻜﻴﻥ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺇﻟﻰ‬ ‫ﺘﻘﻭﺩ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﺒﺎﻟﺭﻋﺎﻴﺔ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻟﺘﻌﻬﺩ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻭﻤﺒﺎﻟﻎ‬ ‫ﺜﺎﺒﺘﺔ‬ ‫ﺤﺎﺠﺔ‬
‫ﺒﺨﻤﺴﺔ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺘﻅﺎﻫﺭ‬ ‫ﺍﻟﺒﻠﻭﻍ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺍ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﺍﻟﻤﺼﺎﺏ‬ ‫ﻟﺩﻯ‬‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻭﺍﻟﺘﻁﻤﻴﻥ‬ ‫ﺍﻟﻨﺼﺢ‬ ‫ﻤﻥ‬ ‫ﻜﺒﻴﺭ‬ ‫ﻤﻘﺩﺍﺭ‬ ‫ﺩﻭﻥ‬ ‫ﺍﻟﻴﻭﻤﻴﺔ‬ ‫ﺍﻟﻘﺭﺍﺭﺍﺕ‬ ‫ﺘﺨﺎﺫ‬.
(2)‫ﺤﻴﺎﺘﻪ‬ ‫ﻓﻲ‬ ‫ﺍﻟﺭﺌﻴﺴﺔ‬ ‫ﺍﻟﻤﺠﺎﻻﺕ‬ ‫ﻟﻤﻌﻅﻡ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺍﻟﻤﺴﺅﻭﻟﻴﺔ‬ ‫ﺘﻭﻟﻲ‬ ‫ﻓﻲ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻴﺤﺘﺎﺝ‬.
(3)‫ﺍﻻﺴﺘﺤﺴﺎﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﻋﻡ‬ ‫ﻓﻘﺩ‬ ‫ﻤﻥ‬ ‫ﺨﻭﻓﻪ‬ ‫ﺒﺴﺒﺏ‬ ‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﻤﺨﺎﻟﻔﺘﻪ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﻴﺠﺩ‬.‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﺤﻘﻴﻘﻲ‬ ‫ﺍﻟﺨﻭﻑ‬ ‫ﻥ‬‫ﻤ‬‫ﺘﻀ‬ ‫ﻻ‬‫ﻤﻥ‬
‫ﺍﻟﻌﻘﺎﺏ‬.
(4)‫ﻟﻭﺤﺩﻩ‬ ‫ﺒﺄﻋﻤﺎل‬ ‫ﺍﻟﻘﻴﺎﻡ‬ ‫ﺃﻭ‬ ‫ﺨﺎﺼﺔ‬ ‫ﺒﻤﺸﺎﺭﻴﻊ‬ ‫ﺍﻟﺒﺩﺀ‬ ‫ﻓﻲ‬ ‫ﺼﻌﻭﺒﺔ‬ ‫ﻴﺠﺩ‬)‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺒﺴﺒﺏ‬ ‫ﻭﻟﻴﺱ‬ ‫ﻗﺩﺭﺍﺘﻪ‬ ‫ﺃﻭ‬ ‫ﻤﺤﺎﻜﻤﺘﻪ‬ ‫ﻓﻲ‬ ‫ﺒﺎﻟﻨﻔﺱ‬ ‫ﺍﻟﺜﻘﺔ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺒﺴﺒﺏ‬
‫ﺍﻟﻁﺎﻗﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﺎﻋﺙ‬.(
(5)‫ﹼﺭﺓ‬‫ﻔ‬‫ﻤﻨ‬ ‫ﺒﺄﻋﻤﺎل‬ ‫ﻟﻠﻘﻴﺎﻡ‬ ‫ﺍﻟﺘﻁﻭﻉ‬ ‫ﺤﺩ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻤﻥ‬ ‫ﻭﺍﻟﺩﻋﻡ‬ ‫ﺍﻟﺭﻋﺎﻴﺔ‬ ‫ﻟﻜﺴﺏ‬ ‫ﻭﺴﻌﻪ‬ ‫ﻓﻲ‬ ‫ﻤﺎ‬ ‫ﻴﻌﻤل‬.
(6)‫ﺒﺎﻻﻨﺯﻋ‬ ‫ﻴﺸﻌﺭ‬‫ﺒﻨﻔﺴﻪ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﻥ‬ ‫ﺘﻤﻜﻨﻪ‬ ‫ﻋﺩﻡ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺨﻭﻓﻪ‬ ‫ﺒﺴﺒﺏ‬ ‫ﹰ‬‫ﺍ‬‫ﻭﺤﻴﺩ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺤﻴﻥ‬ ‫ﺍﻟﻌﺠﺯ‬ ‫ﺃﻭ‬ ‫ﺎﺝ‬.
(7)‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﻌ‬ ‫ﻴﻨﺸﺩ‬)‫ﺒﺎﺴﺘﻌﺠﺎل‬(‫ﺤﻤﻴﻤﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﺘﻨﺘﻬﻲ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﻭﺍﻟﺩﻋﻡ‬ ‫ﻟﻠﺭﻋﺎﻴﺔ‬ ‫ﻜﻤﺼﺩﺭ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻋﻼﻗﺔ‬.
(8)‫ﻨﻔﺴﻪ‬ ‫ﺭﻋﺎﻴﺔ‬ ‫ﻴﺘﻭﻟﻰ‬ ‫ﺘﺭﻜﻪ‬ ‫ﻤﻥ‬ ‫ﺒﻤﺨﺎﻭﻑ‬ ‫ﻭﺍﻗﻌﻲ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺸﻜل‬ ‫ﻴﺴﺘﻐﺭﻕ‬.
■301.4‫ﺍﻟﻘ‬ ‫ﺍﻟﻭﺴﻭﺍﺴﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻬﺭﻴﺔ‬
Obsessive-compulsive Personality Disorder

155. 154
‫ﻓﻲ‬ ‫ﻴﺒﺘﺩﺉ‬ ،‫ﺎﻟﻴﺔ‬‫ﻌ‬‫ﻭﺍﻟﻔ‬ ‫ﻭﺍﻻﻨﻔﺘﺎﺡ‬ ‫ﺍﻟﻤﺭﻭﻨﺔ‬ ‫ﺤﺴﺎﺏ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻟﻌﻼﻗﺎﺕ‬ ‫ﻭﻀﺒﻁ‬ ‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﻭﺍﻟﻀﺒﻁ‬ ‫ﻭﺍﻟﻜﻤﺎﻟﻴﺔ‬ ‫ﹼﺴﺎﻕ‬‫ﺘ‬‫ﺒﺎﻻ‬ ‫ﺍﻻﻨﺸﻐﺎل‬ ‫ﻤﻥ‬ ‫ﺜﺎﺒﺕ‬ ‫ﻁﺭﺍﺯ‬
‫ﺒﺄﺭﺒﻌﺔ‬ ‫ﻋﻠﻴﻪ‬ ‫ﻴﺴﺘﺩل‬ ‫ﻜﻤﺎ‬ ،‫ﺍﻟﺴﻴﺎﻗﺎﺕ‬ ‫ﻤﻥ‬ ‫ﻤﺘﻨﻭﻋﺔ‬ ‫ﻤﺠﻤﻭﻋﺔ‬ ‫ﻓﻲ‬ ‫ﻭﻴﺘﻅﺎﻫﺭ‬ ‫ﺍﻟﺒﻠﻭﻍ‬ ‫ﻤﻥ‬ ‫ﻤﺒﻜﺭﺓ‬ ‫ﻓﺘﺭﺓ‬)‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬(‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻤﻥ‬:
(1)‫ﺍﻟﺠﺩﺍﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻨﻅﻴﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺭﺘﻴﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﻭﺍﺌﺢ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﻭﺍﻨﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺘﻔﺎﺼﻴل‬ ‫ﻤﻨﺸﻐل‬)‫ﺍﻟﻌﻤل‬ ‫ﻤﺨﻁﻁﺎﺕ‬(‫ﺍﻟﺭﺌﻴﺴﻲ‬ ‫ﺍﻟﻤﻭﻀﻭﻉ‬ ‫ﻤﻌﻪ‬ ‫ﻴﻀﻴﻊ‬ ‫ﺤﺩ‬ ‫ﺇﻟﻰ‬
‫ﺒﻪ‬ ‫ﻴﻘﻭﻡ‬ ‫ﺍﻟﺫﻱ‬ ‫ﻟﻠﻌﻤل‬.
(2)‫ﻟﻭﺍﺠﺒﺎﺘﻪ‬ ‫ﺍﻟﺸﺨﺹ‬ ‫ﺇﺘﻤﺎﻡ‬ ‫ﻓﻲ‬ ‫ﺘﺘﺩﺨل‬ ‫ﻜﻤﺎﻟﻴﺔ‬ ‫ﻅﻬﺭ‬‫ﻴ‬)‫ﻻ‬ ‫ﻷﻨﻪ‬ ‫ﻤﺸﺭﻭﻉ‬ ‫ﺇﻨﻬﺎﺀ‬ ‫ﻋﻥ‬ ‫ﻋﺠﺯﻩ‬ ،‫ﻤﺜﺎل‬‫ﹰ‬‫ﺍ‬‫ﺠﺩ‬ ‫ﺍﻟﺩﻗﻴﻘﺔ‬ ‫ﻤﻌﺎﻴﻴﺭﻩ‬ ‫ﺘﻠﺒﻴﺔ‬ ‫ﻴﺘﻡ‬.(
(3)‫ﻭﺍﻟﺼﺩﺍﻗﺎﺕ‬ ‫ﺍﻟﻔﺭﺍﻍ‬ ‫ﺃﻭﻗﺎﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﺨﻠﻲ‬ ‫ﺤﺩ‬ ‫ﺇﻟﻰ‬ ‫ﻭﺍﻹﻨﺘﺎﺠﻴﺔ‬ ‫ﺍﻟﻌﻤل‬ ‫ﻓﻲ‬ ‫ﺍﻟﺯﺍﺌﺩ‬ ‫ﺍﻟﺘﻔﺎﻨﻲ‬)‫ﺍﻟﻭﺍﻀﺤﺔ‬ ‫ﺍﻻﻗﺘﺼﺎﺩﻴﺔ‬ ‫ﺒﺎﻟﺤﺎﺠﺔ‬ ‫ﺫﻟﻙ‬ ‫ﺭ‬‫ﺴ‬‫ﻴﻔ‬ ‫ﻭﻻ‬.(
(4)‫ﻭﻤﻭﺴﻭﺱ‬ ‫ﺯﺍﺌﺩ‬ ‫ﺤﻲ‬ ‫ﻀﻤﻴﺭ‬ ‫ﺫﻭ‬)‫ﹼﻕ‬‫ﻗ‬‫ﻤﺩ‬(‫ﻭﺍﻟﻘﻴﻡ‬ ‫ﹸل‬‫ﺜ‬‫ﻤ‬‫ﻭﺍﻟ‬ ‫ﺍﻷﺨﻼﻗﻴﺔ‬ ‫ﺍﻟﻤﺴﺎﺌل‬ ‫ﻴﺨﺹ‬ ‫ﻓﻴﻤﺎ‬ ‫ﻭﻤﺘﺼﻠﺏ‬)‫ﺫ‬ ‫ﺭ‬‫ﺴ‬‫ﻴﻔ‬ ‫ﻻ‬‫ﺃﻭ‬ ‫ﺍﻟﺜﻘﺎﻓﻴﺔ‬ ‫ﺒﺎﻟﻬﻭﻴﺔ‬ ‫ﻟﻙ‬
‫ﺍﻟﺩﻴﻨﻴﺔ‬.(
(5)‫ﻋﺎﻁﻔﻴﺔ‬ ‫ﻗﻴﻤﺔ‬ ‫ﺘﺤﻤل‬ ‫ﺘﻜﻥ‬ ‫ﻟﻡ‬ ‫ﻭﺇﻥ‬ ‫ﺤﺘﻰ‬ ‫ﺍﻟﻘﻴﻤﺔ‬ ‫ﻋﺩﻴﻤﺔ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﻴﺔ‬ ‫ﺃﺸﻴﺎﺀ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﺨﻠﻲ‬ ‫ﻋﻥ‬ ‫ﻴﻌﺠﺯ‬.
(6)‫ﺍﻷﺸﻴﺎﺀ‬ ‫ﺘﻨﻔﻴﺫ‬ ‫ﻓﻲ‬ ‫ﻟﻁﺭﻴﻘﺘﻪ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﻤﺎﻤ‬ ‫ﻴﺨﻀﻌﻭﺍ‬ ‫ﻟﻡ‬ ‫ﻤﺎ‬ ‫ﻟﻶﺨﺭﻴﻥ‬ ‫ﺍﻟﻌﻤل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻬﻤﺎﺕ‬ ‫ﺃﻤﺭ‬ ‫ﺘﻔﻭﻴﺽ‬ ‫ﻓﻲ‬ ‫ﻴﺭﻏﺏ‬ ‫ﻻ‬.
(7)‫ﻭ‬ ‫ﻨﻔﺴﻪ‬ ‫ﻨﺤﻭ‬ ‫ﺍﻹﻨﻔﺎﻕ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻼ‬‫ﺒﺨﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﻤﻁ‬ ‫ﻴﺘﺒﻨﻰ‬‫ﺍﻟﻤﺴﺘﻘﺒل‬ ‫ﻜﻭﺍﺭﺙ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﺘﻜﺩﻴﺴﻪ‬ ‫ﻴﻨﺒﻐﻲ‬ ‫ﻜﺸﻲﺀ‬ ‫ﺇﻟﻴﻪ‬ ‫ﻨﻅﺭ‬‫ﻴ‬ ‫ﻓﺎﻟﻤﺎل‬ ،‫ﺍﻵﺨﺭﻴﻥ‬ ‫ﻨﺤﻭ‬.
(8)‫ﹰ‬‫ﺍ‬‫ﻭﻋﻨﺎﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﺘﺼﻠﺒ‬ ‫ﻴﺒﺩﻱ‬.
■301.9‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Personality Disorder Nototherwise Specified
‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺃﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬)‫ﺍﻟ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺇﻟﻰ‬ ‫ﺇﺤﺎﻟﺔ‬‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺘﺸﺨﻴﺼﻴﺔ‬(‫ﻱ‬‫ﺃ‬ ‫ﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﻻ‬ ‫ﺍﻟﺘﻲ‬
‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬.‫ﻷﻱ‬ ‫ﺍﻟﻜﺎﻤﻠﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﻠﺒﻲ‬ ‫ﻻ‬ ‫ﻭﺍﻟﺘﻲ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﻷﻜﺜﺭ‬ ‫ﻤﻅﺎﻫﺭ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺫﻟﻙ‬ ‫ﻭﻤﺜﺎل‬
‫ﺒﻤﻔﺭﺩﻩ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬»)‫ﺍﻟﻤﺨﺘﻠﻁﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬(«‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﻀﺎﺌﻘﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﺘﺴﺒﺏ‬ ‫ﻟﻜﻨﻬﺎ‬ ،‫ﺍﻷﺩﺍﺀ‬ ‫ﻤﺠﺎﻻﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻓﻲ‬
‫ﺍﻟﻭﻅﻴﻔﻲ‬)‫ﺍﻟﻤﻬﻨﻲ‬ ‫ﺃﻭ‬ ‫ﺍﻻﺠﺘﻤﺎﻋﻲ‬ ‫ﻤﺜل‬.(‫ﹰ‬‫ﻻ‬‫ﻤﺸﻤﻭ‬ ‫ﻟﻴﺱ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﻭﻋﻴ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻀﻁﺭﺍﺒ‬ ‫ﺃﻥ‬ ‫ﺍﻟﻁﺒﻴﺏ‬ ‫ﻴﻘﺩﺭ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﻤﻨﺎﺴﺏ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺘﺼﻨﻴﻑ‬ ‫ﻓﻲ‬.‫ﺍﻟﻌﺩﻭﺍﻨﻲ‬ ‫ـ‬ ‫ﺍﻟﺴﻠﺒﻲ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬)‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﻓﻲ‬
DSM-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(

156. 155
‫أﺧﺮى‬ ‫ﺣﺎﻻت‬
‫ﺳﺮﻳﺮي‬ ‫اهﺘﻤــﺎم‬ ‫ﻣﺮآﺰ‬ ‫ﺗﻜﻮن‬ ‫ﻗﺪ‬
Other Conditions that may be
a Focus of Clinical Attention
‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻴﻐﻁﻲ‬.‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻭﻫﺫﻩ‬‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺒﺎﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﺭﺘﺒﻁﺔ‬
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻁﺭﻕ‬ ‫ﺒﺈﺤﺩﻯ‬ ‫ﺏ‬‫ﻴ‬‫ﺍﻟﻜﺘ‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺎﺒﻘ‬ ‫ﺼﻔﺕ‬‫ﻭ‬:(1‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﻟﺩﻯ‬ ‫ﻭﻟﻴﺱ‬ ‫ﺍﻟﻌﻼﺝ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﺒﺅﺭﺓ‬ ‫ﻫﻲ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬)،‫ﻤﺜﺎل‬
‫ﺍﻟﺤﺎ‬ ‫ﻫﺫﻩ‬ ‫ﻭﻓﻲ‬ ،‫ﻋﻘﻠﻲ‬ ‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺘﺤﻘﻕ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﻟﺩﻯ‬ ‫ﻟﻴﺱ‬ ‫ﺤﻴﺙ‬ ‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬‫ﺍﻟﻤﺸﻜﻠﺔ‬ ‫ﹸﺭﻤﺯ‬‫ﺘ‬ ‫ﻟﺔ‬
‫ﻓﻘﻁ‬ ‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬(‫؛‬(2‫ﺒﺎﻟﻤﺸﻜﻠﺔ‬ ‫ﺼﻠﺔ‬ ‫ﻟﻪ‬ ‫ﻟﻴﺱ‬ ‫ﻭﻟﻜﻥ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﻟﺩﻯ‬)‫ﺃﺤﺩ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﻋﻼﺌﻘﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬ ،‫ﻤﺜﺎل‬
‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﺍﻻﺜﻨﻴﻥ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻓﻲ‬ ،‫ﻁﺎﺭﺉ‬ ‫ﻨﻭﻋﻲ‬ ‫ﺭﻫﺎﺏ‬ ‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬(‫؛‬(3‫ﺍﻟﻤ‬ ‫ﻟﻜﻥ‬ ،‫ﺒﺎﻟﻤﺸﻜﻠﺔ‬ ‫ﻤﺘﺼل‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﻟﺩﻯ‬‫ﻤﻥ‬ ‫ﺸﻜﻠﺔ‬
‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻫﺘﻤﺎﻤ‬ ‫ﻟﺘﺴﺘﺄﻫل‬ ‫ﺘﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬)‫ﻭﻫﻲ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺒﺅﺭﺓ‬ ‫ﻟﺘﻜﻭﻥ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺇﺸﻜﺎﻟﻴﺔ‬ ‫ﺫﺍﺕ‬ ‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﺒﻴﻥ‬ ‫ﻋﻼﺌﻘﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬ ،‫ﻤﺜﺎل‬
‫ﹰ‬‫ﺎ‬‫ﻤﻌ‬ ‫ﺍﻻﺜﻨﻴﻥ‬ ‫ﺘﺭﻤﻴﺯ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻓﻲ‬ ،‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﺃﺤﺩ‬ ‫ﻋﻨﺩ‬ ‫ﺠﺴﻴﻡ‬ ‫ﺍﻜﺘﺌﺎﺒﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﻤﺘﺭﺍﻓﻘﺔ‬.(‫ﻭﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺯ‬‫ﻤ‬‫ﹸﺭ‬‫ﺘ‬‫ﻫﺫﺍ‬ ‫ﻓﻲ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻔﺼل‬I.
‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺅﺜﺭﺓ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬
Psychological Factors
Affecting Medical Conditions
■316] ...‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﺍﻟﻨﻔﺴﻲ‬ ‫ﺍﻟﻌﺎﻤل‬[‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺅﺜﺭ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ِﺭ‬‫ﺸ‬‫ﺃ‬[
A-‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﻭﺠﻭﺩ‬)‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺯﺓ‬‫ﻤ‬‫ﻤﺭ‬III.(
B-‫ﻋﻭﺍﻤل‬‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻟﻁﺭﻕ‬ ‫ﺒﺈﺤﺩﻯ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫ﻀﺎﺭﺓ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺘﺅﺜﺭ‬ ‫ﻨﻔﺴﻴﺔ‬:
(1)‫ﺃﻭ‬ ‫ﺘﻔﺎﻗﻡ‬ ‫ﺃﻭ‬ ‫ﻭﺘﻁﻭﺭ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻠﺼﻴﻕ‬ ‫ﺍﻟﺯﻤﻨﻲ‬ ‫ﺒﺎﻟﺘﺭﺍﻓﻕ‬ ‫ﺫﻟﻙ‬ ‫ﻴﺘﺒﺩﻯ‬ ‫ﻜﻤﺎ‬ ‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺴﻴﺭ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﺘﺅﺜﺭ‬
‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺸﻔﺎﺀ‬ ‫ﺘﺄﺨﺭ‬.
(2)‫ﺍ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﺘﺅﺜﺭ‬‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﻟﺤﺎﻟﺔ‬.
(3)‫ﺍﻟﻔﺭﺩ‬ ‫ﻋﻠﻰ‬ ‫ﺇﻀﺎﻓﻴﺔ‬ ‫ﺼﺤﻴﺔ‬ ‫ﻤﺨﺎﻁﺭ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﺘﺸﻜل‬.
(4)‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺘﻔﺎﻗﻡ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻟﺸﺩﺓ‬ ‫ﺍﻟﻤﺭﺘﺒﻁﺔ‬ ‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻻﺴﺘﺠﺎﺒﺎﺕ‬ ‫ﺘﺴﺭﻉ‬.
‫ﺍﻟﻨﻔﺴﻴﺔ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ‫ﻁﺒﻴﻌﺔ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺒﻨﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﺴﻤ‬ ‫ﺍﺨﺘﺭ‬)‫ﺃﺒﺭﺯﻫﺎ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬ ،‫ﻭﺍﺤﺩ‬ ‫ﻋﺎﻤل‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﻭﺠﺩ‬ ‫ﺇﺫﺍ‬:(
‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[)‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜﺎل‬I‫ﺍﻟﺸﻔﺎﺀ‬ ‫ﻴﺅﺨﺭ‬ ‫ﺍﻟﺠﺴﻴﻡ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻲ‬ ‫ﻜﺎﻻﻀﻁﺭﺍﺏ‬
‫ﻗﻠﺒﻴﺔ‬ ‫ﻋﻀﻠﺔ‬ ‫ﺍﺤﺘﺸﺎﺀ‬ ‫ﻤﻥ‬.(

157. 156
‫ﻋﻠﻰ‬ ‫ﺘﺅﺜﺭ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺃﻋﺭﺍﺽ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[)‫ﺍﻟﺫﻱ‬ ‫ﻭﺍﻟﻘﻠﻕ‬ ‫ﺠﺭﺍﺤﻲ؛‬ ‫ﻋﻤل‬ ‫ﻤﻥ‬ ‫ﺍﻟﺸﻔﺎﺀ‬ ‫ﺘﺅﺨﺭ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻻﻜﺘﺌﺎﺒﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﺭﺒﻭ‬ ‫ﻴﻔﺎﻗﻡ‬.(
‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺅﺜﺭﺓ‬ ‫ﺍﻟﺼﻌﺎﺏ‬ ‫ﻤﻭﺍﺠﻬﺔ‬ ‫ﺃﺴﻠﻭﺏ‬ ‫ﺃﻭ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ِﻼل‬‫ﺨ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[‫ﻋﻨﺩ‬ ‫ﺍﻟﺠﺭﺍﺤﺔ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻠﺤﺎﺠﺔ‬ ‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﺍﻹﻨﻜﺎﺭ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﻭﻋﺎﺌﻲ‬ ‫ﺍﻟﻘﻠﺒﻲ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ﻓﻲ‬ ‫ﻴﺴﺎﻫﻡ‬ ‫ﺍﻟﺫﻱ‬ ‫ل‬‫ﺠ‬‫ﻭﺍﻟﻤﺘﻌ‬ ‫ﺍﻟﻌﺩﺍﺌﻲ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﺴﺭﻁﺎﻨﻲ؛‬ ‫ﻤﺭﻴﺽ‬.(
‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬ ‫ﻑ‬‫ﻴ‬‫ﺍﻟﺘﻜ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺼﺤﻴﺔ‬ ‫ﺴﻠﻭﻜﻴﺎﺕ‬] ...‫ﺃ‬‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺸﺭ‬[)‫ﻏﻴﺭ‬ ‫ﺍﻟﺠﻨﺱ‬ ‫ﺍﻟﺭﻴﺎﻀﻴﺔ؛‬ ‫ﺍﻟﺘﻤﺎﺭﻴﻥ‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺍﻷﻜل؛‬ ‫ﻓﺭﻁ‬ ،‫ﻤﺜل‬
‫ﺍﻵﻤﻥ‬.(
‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬ ‫ﺒﺎﻟﺸﺩﺓ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺍﺴﺘﺠﺎﺒﺔ‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[)‫ﺃﻭ‬ ‫ﺍﻟﺸﺭﻴﺎﻨﻲ‬ ‫ﺍﻟﺘﻭﺘﺭ‬ ‫ﺍﺭﺘﻔﺎﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻘﺭﺤﺔ‬ ‫ﺤﺎﻻﺕ‬ ‫ﺘﻔﺎﻗﻡ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﻤﺭﺘﺒ‬ ‫ﺍﻟﺘﻭﺘﺭﻱ‬ ‫ﺍﻟﺼﺩﺍﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻨﻅﻡ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬‫ﺒﺎﻟﺸﺩﺓ‬ ‫ﻁﺔ‬.(
‫ﻋﻠﻰ‬ ‫ﻤﺅﺜﺭﺓ‬ ‫ﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺃﻭ‬ ‫ﺃﺨﺭﻯ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﻋﻭﺍﻤل‬] ...‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺃﺸﺭ‬[)‫ﺃﻭ‬ ‫ﺍﻟﺜﻘﺎﻓﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻭﺍﻤل‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﺩﻴﻨﻴﺔ‬.(
‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬
Medication-Induced Movement Disorders
‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺃﺩﺭﺠﺕ‬‫ﻓﻲ‬ ‫ﺍﻟﻤﺘﻜﺭﺭﺓ‬ ‫ﺃﻫﻤﻴﺘﻬﺎ‬ ‫ﺒﺴﺒﺏ‬(1‫ﺍﻟﻌﺎﻤﺔ‬ ‫ﺍﻟﻁﺒﻴﺔ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺘﺩﺒﻴﺭ‬
‫ﻭ‬ ‫ﺍﻷﺩﻭﻴﺔ؛‬ ‫ﺒﻭﺍﺴﻁﺔ‬(2‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻊ‬ ‫ﺍﻟﺘﻔﺭﻴﻘﻲ‬ ‫ﺍﻟﺘﺸﺨﻴﺹ‬ ‫ﻓﻲ‬I)‫ﺍﻟﺫﻫﺎﻥ؛‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺯﻟﺯ‬ ‫ﻤﻘﺎﺒل‬ ‫ﺍﻟﻘﻠﻕ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ،‫ﻤﺜﺎل‬
‫ﺍﻟﺠﺎﻤﻭﺩ‬)‫ﺍﻟﻜﺘﺎﺘﻭﻨﻴﺎ‬(‫ﺍﻟﺨﺒﻴﺜﺔ‬ ‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﻤﻘﺎﺒل‬.(
‫ﺭﻏﻡ‬‫ﺒﺄﻨﻬﺎ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻫﺫﻩ‬ ‫ﻭﺼﻑ‬ ‫ﻴﺠﺭﻱ‬ ‫ﺃﻨﻪ‬»‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﻤﺤﺩﺜﺔ‬«‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺤﺩﻭﺙ‬ ‫ﻟﻠﺩﻭﺍﺀ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﺒﻴﻥ‬ ‫ﺴﺒﺒﻴﺔ‬ ‫ﻋﻼﻗﺔ‬ ‫ﺇﻗﺎﻤﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬ ‫ﺍﻟﺼﻌﺏ‬ ‫ﻓﻤﻥ‬ ،
‫ﻟﻸﺩﻭﻴﺔ‬ ‫ﺍﻟﺘﻌﺭﺽ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺃﻴﻀ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻫﺫﻩ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺒﻌﺽ‬ ‫ﻭﺃﻥ‬ ‫ﺨﺎﺼﺔ‬ ،‫ﺍﻟﺤﺭﻜﺔ‬.
‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ‫ﻴﺴﺘﺨﺩﻡ‬Neuroleptic‫ﺍﻟﻜﺘ‬ ‫ﻫﺫﺍ‬ ‫ﻓﻲ‬ ‫ﻭﺍﺴﻊ‬ ‫ﻨﻁﺎﻕ‬ ‫ﻋﻠﻰ‬‫ﻟﻠﺩﻭﺒﺎﻤﻴﻥ‬ ‫ﻤﻌﺎﻜﺴﺔ‬ ‫ﹰ‬‫ﺎ‬‫ﺨﻭﺍﺼ‬ ‫ﺘﻤﺘﻠﻙ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺇﻟﻰ‬ ‫ﻟﻺﺸﺎﺭﺓ‬ ‫ﺏ‬‫ﻴ‬.
‫ﺍﻟﻌﻬﺩ‬ ‫ﻤﺘﻘﺎﺩﻡ‬ ‫ﺃﺼﺒﺢ‬ ‫ﺍﻟﺘﻌﺒﻴﺭ‬ ‫ﻫﺫﺍ‬ ‫ﺃﻥ‬ ‫ﻭﺭﻏﻡ‬)‫ﹰ‬‫ﺍ‬‫ﻤﻬﺠﻭﺭ‬(‫ﻤﻀﺎﺩ‬ ‫ﺘﻌﺒﻴﺭ‬ ‫ﻓﺈﻥ‬ ،‫ﺸﺎﺫﺓ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻹﺤﺩﺍﺙ‬ ‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺍﺴﺘﻌﺩﺍﺩ‬ ‫ﺒﺭﺯ‬‫ﻴ‬ ‫ﻷﻨﻪ‬
‫ﻟﻠﺫﻫﺎﻥ‬Neuroleptic‫ﹰ‬‫ﺎ‬‫ﻤﻼﺌﻤ‬ ‫ﻴﺒﻘﻰ‬.‫ﺠﺩ‬ ‫ﺍﻷﻜﺜﺭ‬ ‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺃﻥ‬ ‫ﻭﻤﻊ‬‫ﻓﺈﻥ‬ ،‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻹﺤﺩﺍﺙ‬ ‫ﺇﻤﻜﺎﻨﻴﺔ‬ ‫ﺃﻗل‬ ‫ﺓ‬
‫ﺘﺤﺩﺙ‬ ‫ﻤﺎﺯﺍﻟﺕ‬ ‫ﺍﻟﻤﺘﻼﺯﻤﺎﺕ‬ ‫ﻫﺫﻩ‬.
‫ﺍﻟﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺘﻘﻠﻴﺩﻴﺔ‬ ‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺘﺴﻤﻰ‬ ‫ﻤﺎ‬ ‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺘﺘﻀﻤﻥ‬“Typical”)،‫ﺍﻟﻬﺎﻟﻭﺒﻴﺭﻴﺩﻭل‬ ،‫ﺍﻟﻜﻠﻭﺭﺒﺭﻭﻤﺎﺯﻴﻥ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻔﻠﻭﻓﻴﻨﺎﺯﻴﻥ‬(‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﻭﺍﻷﺩﻭﻴﺔ‬‫ﺍﻟﻨﻤﻭﺫﺠﻴﺔ‬ ‫ﻏﻴﺭ‬ ‫ﻭﻫﻲ‬ ‫ﺍﻷﺤﺩﺙ‬“Atypical”)،‫ﺍﻷﻭﻻﻨﺯﺍﺒﻴﻥ‬ ،‫ﺍﻟﺭﻴﺴﺒﻴﻴﺭﻴﺩﻭﻥ‬ ،‫ﺍﻟﻜﻠﻭﺯﺍﺒﻴﻥ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻜﻭﻴﺘﻴﺎﺒﻴﻥ‬(‫ﺍﻟﻤﻌﺩﻱ‬ ‫ﻭﺍﻟﺨﺯل‬ ‫ﻜﺎﻟﻐﺜﻴﺎﻥ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻤﺔ‬ ‫ﺍﻟﺩﻭﺒﺎﻤﻴﻥ‬ ‫ﻟﻤﺴﺘﻘﺒل‬ ‫ﺍﻟﺤﺎﺼﺭﺓ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺒﻌﺽ‬ ،)،‫ﺍﻟﺒﺭﻭﻜﻠﻭﺭﺒﻴﺭﺍﺯﻴﻥ‬ ،‫ﻤﺜل‬
‫ﻤﻴ‬ ،‫ﺒﻴﺭﺍﺯﻴﻥ‬ ‫ﺜﻴﻴﺘﻴل‬ ،‫ﻤﻴﺜﻭﺒﻨﺯﺍﻤﻴﺩ‬ ‫ﺘﺭﺍﻱ‬ ،‫ﺒﺭﻭﻤﻴﺜﺎﺯﻴﻥ‬‫ﺘﻭﻜﻠﻭﺒﺭﺍﻤﻴﺩ‬(‫ﺍﻜﺘﺌﺎﺏ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺃﻨﻪ‬ ‫ﻋﻠﻰ‬ ‫ﻕ‬‫ﻭ‬‫ﺴ‬‫ﻴ‬ ‫ﺍﻟﺫﻱ‬ ‫ﻭﺍﻷﻤﻭﻜﺴﺎﺒﻴﻥ‬ ،.‫ﺯ‬‫ﻤ‬‫ﺘﺭ‬ ‫ﺃﻥ‬ ‫ﻴﺠﺏ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺤﺩﺜﺔ‬‫ﻤ‬‫ﺍﻟ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺒﺎﺕ‬I.
332.1‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺒﺎﺭﻜﻨﺴﻭﻨﻴﺔ‬
Neuroleptic-Induced Parkinosonism

158. 157
‫ﺍﻟﻼﺤﺭﻜﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻀﻠﻴﺔ‬ ‫ﺍﻟﺼﻼﺒﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﺎﺭﻜﻨﺴﻭﻨﻲ‬ ‫ﺍﻟﺭﻋﺎﺵ‬ ‫ﻴﺤﺩﺙ‬)‫ﺸ‬‫ﺍﻟﺤﺭﻜﺔ‬ ّ‫ل‬(Akinesia‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺇﻋﻁﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺴﺎﺒﻴﻊ‬ ‫ﺒﻀﻌﺔ‬ ‫ﺨﻼل‬
‫ﺠﺭﻋﺘﻬﺎ‬ ‫ﺭﻓﻊ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺫﻫﺎﻥ‬)‫ﺍﻟﻬﺭﻤﻴﺔ‬ ‫ﺨﺎﺭﺝ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻋﻼﺝ‬ ‫ﻓﻲ‬ ‫ﻤﺴﺘﺨﺩﻡ‬ ‫ﺩﻭﺍﺀ‬ ‫ﺘﺨﻔﻴﺽ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬) .(‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬13‫ﺍﻟـ‬ ‫ﻓﻲ‬DMS-IV-TR‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬.(
333.92‫ﺍﻟﺨﺒﻴﺜﺔ‬ ‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﻤﺘﻼﺯﻤﺔ‬
Neuroleptic Malignant Syndrome
‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﻊ‬ ‫ﺒﺎﻟﺘﺭﺍﻓﻕ‬ ‫ﺍﻟﺘﺎﻟﻴﺔ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺘﺤﺩﺙ‬:‫ﺃﺨﺭﻯ‬ ‫ﻭﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﺍﻟﺤﺭﺍﺭﺓ‬ ‫ﺩﺭﺠﺔ‬ ‫ﺍﺭﺘﻔﺎﻉ‬ ،‫ﺸﺩﻴﺩﺓ‬ ‫ﻋﻀﻠﻴﺔ‬ ‫ﺼﻼﺒﺔ‬
‫ﺼﻠﺔ‬ ‫ﺫﺍﺕ‬)‫ﺍﺭﺘﻔﺎﻉ‬ ،‫ﺍﻟﺼﻤﺎﺕ‬ ،‫ﺍﻟﺴﺒﺎﺕ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺘﺨﻠﻴﻁ‬ ‫ﻤﻥ‬ ‫ﺘﺘﺭﺍﻭﺡ‬ ‫ﺍﻟﻭﻋﻲ‬ ‫ﻤﺴﺘﻭﻯ‬ ‫ﻓﻲ‬ ‫ﺘﺒﺩﻻﺕ‬ ،‫ﺍﻟﺴﻠﺱ‬ ،‫ﺍﻟﺒﻠﻊ‬ ‫ﻋﺴﺭ‬ ،‫ﺍﻟﻐﺯﻴﺭ‬ ‫ﺍﻟﺘﻌﺭﻕ‬ ،‫ﻤﺜل‬
‫ﻓﻭﺴﻔﻭﻜﻴﻨﺎﺯ‬ ‫ﺍﻟﻜﺭﻴﺎﺘﻴﻥ‬ ‫ﺍﺭﺘﻔﺎﻉ‬ ،‫ﺘﺄﺭﺠﺤﻪ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﺭﻴﺎﻨﻲ‬ ‫ﺍﻟﺘﻭﺘﺭ‬[CPK]) .‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DMS-IV-TR‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬.(
333.7‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻤﻘﻭﻴﺔ‬ ‫ﻋﺴﺭ‬
Neuroleptic-Induced Acute Dystonia
‫ﺍﻟﻌﻨﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺭﺃﺱ‬ ‫ﻋﻀﻼﺕ‬ ‫ﻓﻲ‬ ‫ﺘﺸﻨﺞ‬ ‫ﺃﻭ‬ ‫ﺸﺎﺫﺓ‬ ‫ﻭﻀﻌﺔ‬ ‫ﺘﺤﺩﺙ‬‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺇﻋﻁﺎﺀ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻥ‬ ‫ﺍﻷﻭﻟﻰ‬ ‫ﺍﻷﻴﺎﻡ‬ ‫ﺨﻼل‬ ‫ﺍﻟﺠﺫﻉ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻁﺭﺍﻑ‬ ‫ﺃﻭ‬
‫ﺠﺭﻋﺘﻬﺎ‬ ‫ﺭﻓﻊ‬ ‫ﺃﻭ‬)‫ﺍﻟﻬﺭﻤﻴﺔ‬ ‫ﺨﺎﺭﺝ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻟﻌﻼﺝ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻡ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺘﺨﻔﻴﺽ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬) (‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DMS-IV-TR‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬.(
333.99‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﺯﻟﺯ‬
Neuroleptic-Induced Acute Akathisia
‫ﺒﺎﻻﻫﺘﻴﺎﺝ‬ ‫ﺫﺍﺘﻴﺔ‬ ‫ﺸﻜﺎﻭﻯ‬)‫ﺍﻟﺘﻤﻠﻤل‬(Restlessness‫ﻤﻼﺤﻅﺘﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻴﺭﺍﻓﻘﻬﺎ‬)‫ﺇﻟﻰ‬ ‫ﻗﺩﻡ‬ ‫ﻤﻥ‬ ‫ﻭﺍﻟﺘﺄﺭﺠﺢ‬ ‫ﺍﻟﺘﻤﺎﻴل‬ ‫ﺃﻭ‬ ‫ﻟﻠﻘﺩﻤﻴﻥ‬ ‫ﺘﻤﻠﻤل‬ ‫ﺤﺭﻜﺎﺕ‬ ‫ﻤﺜل‬
‫ﺒﺜﺒﺎﺕ‬ ‫ﺍﻟﺠﻠﻭﺱ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻘﺩﺭﺓ‬ ‫ﻋﺩﻡ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺸﻲ‬ ‫ﺃﻭ‬ ‫ﺃﺨﺭﻯ‬(‫ﺒﺎﻷﺩﻭﻴ‬ ‫ﺍﻟﻤﻌﺎﻟﺠﺔ‬ ‫ﺒﺩﺀ‬ ‫ﻤﻥ‬ ‫ﺃﺴﺎﺒﻴﻊ‬ ‫ﺒﻀﻌﺔ‬ ‫ﺨﻼل‬ ‫ﺘﺤﺩﺙ‬‫ﺠﺭﻋﺘﻬﺎ‬ ‫ﺭﻓﻊ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﺍﻟﻤﻀﺎﺩﺓ‬ ‫ﺔ‬
)‫ﺍﻟﻬﺭﻤﻴﺔ‬ ‫ﺨﺎﺭﺝ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻌﺎﻟﺠﺔ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺴﺘﺨﺩﻡ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﺘﺨﻔﻴﺽ‬ ‫ﺒﻌﺩ‬ ‫ﺃﻭ‬) .(‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DMS-IV-TR‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬.(
333.82‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﺒﻤﻀﺎﺩﺍﺕ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻵﺠل‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﻋﺴﺭ‬
Neuroleptic-Induced Tardive Dyskinesia
‫ﺭﻗﺼﻴ‬ ‫ﺤﺭﻜﺎﺕ‬‫ﻻﺇﺭﺍﺩﻴﺔ‬ ‫ﻨﻅﻤﻴﺔ‬ ‫ﺃﻭ‬ ‫ﻜﻨﻌﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺔ‬)‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺴﺎﺒﻴﻊ‬ ‫ﺒﻀﻌﺔ‬ ‫ﺘﺴﺘﻤﺭ‬(‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﻊ‬ ‫ﺒﺎﻟﺘﺭﺍﻓﻕ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺍﻷﻁﺭﺍﻑ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﻙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻠﺴﺎﻥ‬ ‫ﻓﻲ‬
‫ﺍﻷﻗل‬ ‫ﻋﻠﻰ‬ ‫ﺃﺸﻬﺭ‬ ‫ﺒﻀﻌﺔ‬ ‫ﻟﻤﺩﺓ‬ ‫ﻟﻠﺫﻫﺎﻥ‬ ‫ﻤﻀﺎﺩ‬ ‫ﺩﻭﺍﺀ‬)‫ﺍﻟﺴﻥ‬ ‫ﻜﺒﺎﺭ‬ ‫ﻋﻨﺩ‬ ‫ﺫﻟﻙ‬ ‫ﻤﻥ‬ ‫ﺃﻗﺼﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻭﻗﺩ‬) .(‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﺍﻟـ‬ ‫ﻓﻲ‬DMS-IV-TR‫ﺃﺠل‬ ‫ﻤﻥ‬
‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬.(
333.1‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺔ‬‫ﻌ‬‫ﻀ‬ِ‫ﻭ‬‫ﺍﻟ‬ ‫ﻋﺎﺵ‬‫ﺭ‬
Medication-Induced Postural Tremor
‫ﺍﻷﺩﻭﻴﺔ‬ ‫ﺃﺤﺩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻤﻊ‬ ‫ﺒﺎﻟﺘﺭﺍﻓﻕ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻭﻫﻭ‬ ،‫ﻤﺤﺩﺩﺓ‬ ‫ﻭﻀﻌﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﻤﺤﺎﻓﻅﺔ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﺭﺍﻤﻴﺔ‬ ‫ﺍﻟﻤﺤﺎﻭﻻﺕ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﻴﺤﺩﺙ‬ ‫ﻨﺎﻋﻡ‬ ‫ﺭﻋﺎﺵ‬)‫ﻤﻀﺎﺩﺍﺕ‬ ،‫ﺍﻟﻠﻴﺜﻴﻭﻡ‬ ،‫ﻤﺜل‬
‫ﺍﻟﻔﺎﻟﺒﺭﻭﺍﺕ‬ ،‫ﺍﻻﻜﺘﺌﺎﺏ‬) .(‫ﺍﻟﻤﻠﺤﻕ‬ ‫ﺍﻨﻅﺭ‬B‫ﻓﻲ‬‫ﺍﻟـ‬DMS-IV-TR‫ﺍﻟﻤﻘﺘﺭﺤﺔ‬ ‫ﺍﻟﺒﺤﺜﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻴﻴﺭ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬.(

159. 158
333.90‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩ‬ ‫ﻏﻴﺭ‬ ‫ﺒﺎﻷﺩﻭﻴﺔ‬ ‫ﺍﻟﻤﺤﺩﺙ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬
Medication-Induced Movement Disorder Not otherwise Specified
‫ﺍﻟ‬ ‫ﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﻥ‬ ‫ﺃﻱ‬ ‫ﺘﺤﺕ‬ ‫ﺍﻟﻤﺼﻨﻔﺔ‬ ‫ﻭﻏﻴﺭ‬ ‫ﹰ‬‫ﺎ‬‫ﺩﻭﺍﺌﻴ‬ ‫ﺍﻟﻤﺤﺩﺜﺔ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﻤﺨﺼﺼﺔ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬‫ﺃﻋﻼﻩ‬ ‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﻨﻭﻋﻴﺔ‬.‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬:
(1‫ﺍﻟﺫﻫﺎﻥ؛‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺩﻭﺍﺀ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻤﺘﺭﺍﻓﻘﺔ‬ ‫ﺍﻟﻌﺴﺭﺓ‬ ‫ﺍﻟﺤﺭﻜﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﻤﻘﻭﻴﺔ‬ ‫ﻋﺴﺭ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺤﺎﺩ‬ ‫ﺍﻟﺯﻟﺯ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺒﺎﺭﻜﻨﺴﻭﻨﻴﺔ‬(2‫ﻤﺘﻼﺯﻤﺔ‬ ‫ﺘﺸﺒﻪ‬ ‫ﻟﻭﺤﺔ‬
‫ﺃﻭ‬ ‫ﺍﻟﺫﻫﺎﻥ؛‬ ‫ﻤﻀﺎﺩﺍﺕ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬ ‫ﺩﻭﺍﺀ‬ ‫ﻤﻊ‬ ‫ﻤﺘﺭﺍﻓﻘﺔ‬ ‫ﺍﻟﺨﺒﻴﺜﺔ‬ ‫ﺍﻟﺫﻫﺎﻥ‬ ‫ﻤﻀﺎﺩﺍﺕ‬(3‫ﺁﺠل‬ ‫ﻤﻘﻭﻴﺔ‬ ‫ﻋﺴﺭ‬.
‫ﺁﺨ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﹰ‬‫ﺎ‬‫ﺩﻭﺍﺌﻴ‬ ‫ﺤﺩﺙ‬‫ﻤ‬ ‫ﺭ‬
Other Medication-Induced Disorder
995.2‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﻟﻠﺩﻭﺍﺀ‬ ‫ﺍﻟﻀﺎﺭﺓ‬ ‫ﺍﻟﺘﺄﺜﻴﺭﺍﺕ‬
Adverse Effects of Medication Not otherwise Specified
‫ﻟﻠﺩﻭﺍﺀ‬ ‫ﺍﻟﺠﺎﻨﺒﻴﺔ‬ ‫ﺍﻵﺜﺎﺭ‬ ‫ﻟﺘﺭﻤﻴﺯ‬ ‫ﺍﺨﺘﻴﺎﺭﻴﺔ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻷﻁﺒﺎﺀ‬ ‫ﻴﺴﺘﺨﺩﻤﻬﺎ‬ ‫ﻟﻜﻲ‬ ‫ﻤﺘﺎﺤﺔ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬)‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻏﻴﺭ‬ ‫ﻤﻥ‬‫ﺍﻟﺤﺭﻜﻴﺔ‬(‫ﻫﺫﻩ‬ ‫ﺘﺼﺒﺢ‬ ‫ﻋﻨﺩﻤﺎ‬
‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻋﻠﻴﻬﺎ‬ ‫ﺏ‬‫ﻴﻨﺼ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﺭﺌﻴﺴﺔ‬ ‫ﺍﻟﺒﺅﺭﺓ‬ ‫ﺍﻟﻀﺎﺭﺓ‬ ‫ﺍﻟﺘﺄﺜﻴﺭﺍﺕ‬.‫ﺍﻟﻨﻅﻡ‬ ‫ﻭﺍﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﺸﺩﻴﺩ‬ ‫ﺍﻟﺸﺭﻴﺎﻨﻲ‬ ‫ﺍﻟﺘﻭﺘﺭ‬ ‫ﺍﺭﺘﻔﺎﻉ‬ ‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬
‫ﻭﺍﻟﻘﺴﻭﺡ‬ ‫ﺍﻟﻘﻠﺒﻴﺔ‬Priapism.
‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬
Relational Problems
‫ﺍﻟﺘﺄﺜﻴﺭ‬ ‫ﻤﻥ‬ ‫ﻨﻤﺎﺫﺝ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﺃﻭ‬ ،‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻡ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻴﺼﺎﺤﺒﻬﺎ‬ ‫ﻋﻼﺌﻘﻴﺔ‬ ‫ﻭﺤﺩﺓ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻤﺘﺒﺎﺩل‬
‫ﻨﻔﺴﻬﺎ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﻟﻠﻭﺤﺩﺓ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﻻ‬‫ﺍﺨﺘﻼ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻭﺤﺩﺓ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻓﺭﺩ‬ ‫ﺒﻴﻥ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﻭﺠﻭﺩ‬.‫ُﺩﺭﺠﺕ‬‫ﺃ‬ ‫ﻭﻗﺩ‬
‫ﻟﻼﻫ‬ ‫ﺒﺅﺭﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺜﻴﺭ‬ ‫ﻷﻨﻬﺎ‬ ‫ﺍﻵﺘﻴﺔ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬‫ﺍﻟﺼﺤﻴﻴﻥ‬ ‫ﺍﻻﺨﺘﺼﺎﺼﻴﻴﻥ‬ ‫ﺠﺎﻨﺏ‬ ‫ﻤﻥ‬ ‫ﺩﻭﻥ‬‫ﻫ‬‫ﻴﺸﺎ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺘﻤﺎﻡ‬.‫ﻫﺫﻩ‬
‫ﻨﺘﻴﺠﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻭﺤﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻓﺭﺩ‬ ‫ﻋﻨﺩ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺘﺩﺒﻴﺭ‬ ‫ﹼﺩ‬‫ﻘ‬‫ﺘﻌ‬ ‫ﺃﻭ‬ ‫ﺘﻔﺎﻗﻡ‬ ‫ﻗﺩ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬
‫ﺍﻟﻤﻭﺠﻭﺩ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﺤﺎﻻﺕ‬ ‫ﻋﻥ‬ ‫ﻤﺴﺘﻘﻠﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺃﻭ‬ ،‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬‫ﺤﺎﻟﺔ‬ ‫ﺃﻴﺔ‬ ‫ﻏﻴﺎﺏ‬ ‫ﻓﻲ‬ ‫ﺘﺤﺩﺙ‬ ‫ﺃﻥ‬ ‫ﻟﻬﺎ‬ ‫ﻴﻤﻜﻥ‬ ‫ﺃﻭ‬ ،‫ﺓ‬
‫ﺃﺨﺭﻯ‬.‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺇﺩﺭﺍﺠﻬﺎ‬ ‫ﻴﻨﺒﻐﻲ‬ ،‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺍﻟﺒﺅﺭﺓ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬I.‫ﺇﺫﺍ‬ ،‫ﺫﻟﻙ‬ ‫ﺒﺨﻼﻑ‬ ‫ﻭﻟﻜﻥ‬
‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﺇﺩﺭﺍﺠﻬﺎ‬ ‫ﻓﻴﻤﻜﻥ‬ ،‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﺍﻷﺴﺎﺴﻴﺔ‬ ‫ﺍﻟﺒﺅﺭﺓ‬ ‫ﺘﻜﻥ‬ ‫ﻭﻟﻡ‬ ‫ﻭﺠﺩﺕ‬IV.‫ﻋ‬ ‫ﺒﺼﻭﺭﺓ‬ ‫ﺍﻟﻤﻭﺍﻓﻘﺔ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﹸﻌﻨﻰ‬‫ﺘ‬‫ﺒﺠﻤﻴﻊ‬ ‫ﺎﻤﺔ‬
‫ﺍﻟﻤﺸﻜﻠﺔ‬ ‫ﺒﺴﺒﺏ‬ ‫ﹶﺠﻭﻥ‬‫ﻟ‬‫ﻴﻌﺎ‬ ‫ﺍﻟﺫﻴﻥ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻭﺤﺩﺓ‬ ‫ﺃﻓﺭﺍﺩ‬.
V6.9‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺒﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬ ‫ﺒﺎﻀﻁﺭﺍﺏ‬ ‫ﻤﺭﺘﺒﻁﺔ‬ ‫ﻋﻼﺌﻘﻴﺔ‬ ‫ﻤﺸﻜﻠﺔ‬
Relational Problem Related to a Mental Disorder
or General Medical Condition
‫ﺍﻻﻫ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﺴﺘﺨﺩﻡ‬‫ﺘ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﺍﻟﻤﺘﺒﺎﺩل‬ ‫ﺍﻟﺘﺄﺜﻴﺭ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬ ‫ﻋﻥ‬ ‫ﻋﺒﺎﺭﺓ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺘﻤﺎﻡ‬)‫ﺍﻟﺘﺂﺜﺭ‬(‫ﻻﻀﻁﺭﺍﺏ‬ ‫ﺍﻟﻤﺼﺎﺤﺏ‬
‫ﺍﻟﻌﺎﺌﻠﺔ‬ ‫ﺃﻓﺭﺍﺩ‬ ‫ﻤﻥ‬ ‫ﻓﺭﺩ‬ ‫ﻟﺩﻯ‬ ‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬.
V61.20‫ﻭﻁﻔل‬ ‫ﻭﺍﻟﺩ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬

160. 159
Parent-Child Relational Problem
‫ﺍﻻﻫﺘﻤ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﹸﺴﺘﺨﺩﻡ‬‫ﺘ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﻭﻁﻔل‬ ‫ﻭﺍﻟﺩ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﺂﺜﺭ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺎﻡ‬)،‫ﺍﻟﺤﻤﺎﻴﺔ‬ ‫ﻓﺭﻁ‬ ،‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺍﺨﺘﻼل‬ ‫ﻤﺜل‬
‫ﻤﻼﺌﻡ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻨﻀﺒﺎﻁ‬(‫ﺍﻟﻁﻔل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻭﺍﻟﺩ‬ ‫ﻋﻨﺩ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻤﺔ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺤﺩﻭﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺎﺌﻠﺔ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻔﺭﺩ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬ ‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻡ‬ ‫ﺍﺨﺘﻼل‬ ‫ﻤﻊ‬ ‫ﻴﺘﺭﺍﻓﻕ‬.
V61.10‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﻤﻊ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬
Partner Relational Problem
‫ﺍﻟﺴﻠﺒﻲ‬ ‫ﺒﺎﻟﺘﻭﺍﺼل‬ ‫ﻴﺘﻤﻴﺯ‬ ‫ﺍﻟﺸﺭﻜﺎﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻷﺯﻭﺍﺝ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﺂﺜﺭ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬)‫ﻤﺜل‬
‫ﺍﻻﻨﺘﻘﺎﺩﺍﺕ‬(‫ﻩ‬‫ﻭ‬‫ﺍﻟﻤﺸ‬ ‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺃﻭ‬)‫ﺍﻟﻼﻭﺍﻗﻌﻴﺔ‬ ‫ﺍﻟﺘﻁﻠﻌﺎﺕ‬ ‫ﻤﺜل‬(‫ﺍﻟﺘﻭﺍﺼل‬ ‫ﺍﻨﻌﺩﺍﻡ‬ ‫ﺃﻭ‬ ،)‫ﺍﻻﻨﺴﺤﺎﺏ‬ ‫ﻤﺜل‬(‫ﺍﺨﺘﻼل‬ ‫ﻤﻊ‬ ‫ﻭﻴﺘﺭﺍﻓﻕ‬‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻡ‬
‫ﺍﻟﺸﺭﻴﻜﻴﻥ‬ ‫ﻜﻼ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﺸﺭﻴﻙ‬ ‫ﻟﺩﻯ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺤﺩﻭﺙ‬ ‫ﺃﻭ‬ ،‫ﺍﻟﻌﺎﺌﻠﺔ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﻋﻨﺩ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬.
V61.8‫ﺍﻷﺸﻘﺎﺀ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬
Sibling Relational Problem
‫ﺍﻷﺸﻘﺎﺀ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﺂﺜﺭ‬ ‫ﻤﻥ‬ ‫ﻨﻤﻁ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﺍﻷﺩﺍﺀ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﻤﻬﻡ‬ ‫ﺒﺎﺨﺘﻼل‬ ‫ﻴﺘﺭﺍﻓﻕ‬ ‫ﻭﺍﻟﺫﻱ‬
‫ﺍﻷﺸﻘﺎﺀ‬ ‫ﻤﻥ‬ ‫ﺃﻜﺜﺭ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻟﺩﻯ‬ ‫ﺃﻋﺭﺍﺽ‬ ‫ﺤﺩﻭﺙ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺎﺌﻠﺔ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻔﺭﺩ‬ ‫ﺍﻟﻭﻅﻴﻔﻲ‬.
V62.81‫ﺁﺨﺭ‬ ‫ﻤﻜﺎﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺤﺩﺩﺓ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬
Relational Problem Not Otherwise Specified
‫ﺍﻻ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺘﺴﺘﺨﺩﻡ‬ ‫ﺃﻥ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﺍﻟﻤﺩﺭﺠﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻨﻭﻋﻴﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻀﻤﻥ‬ ‫ﹼﻔﺔ‬‫ﻨ‬‫ﻤﺼ‬ ‫ﻏﻴﺭ‬ ‫ﻋﻼﺌﻘﻴﺔ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻫﺘﻤﺎﻡ‬
‫ﺃﻋﻼﻩ‬)‫ﺍﻟﻌﻤل‬ ‫ﺯﻤﻼﺀ‬ ‫ﻤﻊ‬ ‫ﺼﻌﻭﺒﺎﺕ‬ ،‫ﻤﺜﺎل‬.(
‫ﺍﻹﻫﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺒﺴﻭﺀ‬ ‫ﺍﻟﻤﺘﺼﻠﺔ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬
Problems Related to Abuse or Neglect
‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺭﻜﺯ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﺴﺘﺨﺩﺍﻤﻬﺎ‬ ‫ﻴﺘﻭﺠﺏ‬ ‫ﻓﺌﺎﺕ‬ ‫ﺍﻟﻔﺼل‬ ‫ﻫﺫﺍ‬ ‫ﻴﺘﻀﻤﻥ‬‫ﺴﻭﺍﺀ‬ ‫ﺁﺨﺭ‬ ‫ﺸﺨﺹ‬ ‫ﻗﺒل‬ ‫ﻤﻥ‬ ‫ﺸﺩﻴﺩ‬ ‫ﻤﻌﺎﻤﻠﺔ‬ ‫ﻟﺴﻭﺀ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﺽ‬‫ﺭ‬‫ﺘﻌ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬
‫ﺍﻟﻁﻔل‬ ‫ﺇﻫﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺴﻭﺀ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺴﻭﺀ‬.‫ﺒﻴﻥ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﻟﻼﻫﺘﻤﺎﻡ‬ ‫ﹰ‬‫ﺍ‬‫ﻤﺭﻜﺯ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻤﺎ‬ ‫ﹰ‬‫ﺍ‬‫ﻜﺜﻴﺭ‬ ‫ﻷﻨﻬﺎ‬ ‫ﺍﻟﻤﺸﻜﻼﺕ‬ ‫ﻫﺫﻩ‬ ‫ﺃﺩﺭﺠﺕ‬
‫ﺼﺤﻴﻴﻥ‬ ‫ﺍﺨﺘﺼﺎﺼﻴﻴﻥ‬ ‫ِﺒل‬‫ﻗ‬ ‫ﻤﻥ‬ ‫ﺩﻴﻥ‬‫ﻫ‬‫ﺍﻟﻤﺸﺎ‬ ‫ﺍﻷﺸﺨﺎﺹ‬.‫ﺘﺭﻤﻴﺯ‬ ‫ﻕ‬‫ﺒ‬‫ﻴﻁ‬V‫ﺇﺫﺍ‬ ‫ﺍﻟﻤﻨﺎﺴﺏ‬‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺴﻭﺀ‬ ‫ﻤﻘﺘﺭﻑ‬ ‫ﻋﻠﻰ‬ ‫ﹰ‬‫ﺍ‬‫ﹼﺯ‬‫ﻜ‬‫ﻤﺭ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻜﺎﻥ‬
‫ﺫﻟﻙ‬ ‫ﻓﻴﻬﺎ‬ ‫ﻴﺤﺩﺙ‬ ‫ﺍﻟﺘﻲ‬ ‫ﺍﻟﻌﻼﺌﻘﻴﺔ‬ ‫ﺍﻟﻭﺤﺩﺓ‬ ‫ﻋﻠﻰ‬ ‫ﺃﻭ‬ ‫ﺍﻹﻫﻤﺎل‬.‫ﺯ‬‫ﻤ‬‫ﺭ‬ ،‫ﺍﻹﻫﻤﺎل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺴﻭﺀ‬ ‫ﻀﺤﻴﺔ‬ ‫ﻫﻭ‬ ‫ﹶﺞ‬‫ﻟ‬‫ﻴﻌﺎ‬ ‫ﺃﻭ‬ ‫ﻡ‬‫ﻴ‬‫ﻴﻘ‬ ‫ﺍﻟﺫﻱ‬ ‫ﺍﻟﻔﺭﺩ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬995.52
‫ﺃﻭ‬995.53‫ﺃﻭ‬995.54‫ﺃﻭ‬ ‫ﻟﻠﻁﻔل‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬995.81‫ﺃﻭ‬995.83‫ﻟﻠﺭﺍﺸﺩ‬)‫ﹰ‬‫ﺍ‬‫ﺍﻋﺘﻤﺎﺩ‬‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺴﻭﺀ‬ ‫ﻨﻤﻁ‬ ‫ﻋﻠﻰ‬.(
V61.21‫ﻟﻠﻁﻔل‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬Physical Abuse of Child
‫ﻟﻁﻔل‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﺴﻭﺀ‬ ‫ﻫﻲ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﺒﺅﺭﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺩ‬‫ﺩ‬‫ﺤ‬995.54‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.

161. 160
V61.21‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬‫ﻟﻠﻁﻔل‬Sexual Abuse of Child
‫ﻟﻁﻔل‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬ ‫ﻫﻲ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﺒﺅﺭﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺩ‬‫ﺩ‬‫ﺤ‬995.53‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
V61.21‫ﺍﻟﻁﻔل‬ ‫ﺇﻫﻤﺎل‬Neglect of Child
‫ﺒﺅﺭﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬‫ﺍﻟﻁﻔل‬ ‫ﺇﻫﻤﺎل‬ ‫ﻫﻲ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬.
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺩ‬‫ﺩ‬‫ﺤ‬995.52‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﻟﻠﺭﺍﺸﺩ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬Physical Abuse of Adult
‫ﻟﺭﺍﺸﺩ‬ ‫ﺍﻟﺠﺴﺩﻴﺔ‬ ‫ﺍﻹﺴﺎﺀﺓ‬ ‫ﻫﻲ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﺒﺅﺭﺓ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬)‫ﻤﻌﺎﻤ‬ ‫ﺴﻭﺀ‬ ،‫ﺸﺭﻴﻙ‬ ‫ﻀﺭﺏ‬ ،‫ﻤﺜل‬‫ﻥ‬‫ﻤﺴ‬ ‫ﻭﺍﻟﺩ‬ ‫ﻠﺔ‬.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺯ‬‫ﻤ‬‫ﺭ‬
V61.12‫ﺸﺭﻴﻙ‬ ‫ﺒﻪ‬ ‫ﻴﻘﻭﻡ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﻭﺴﻭﺀ‬ ‫ِﻑ‬‫ﺭ‬‫ﺍﻟﻤﻘﺘ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
V62.83‫ﺍﻟﺸﺭﻴﻙ‬ ‫ﻏﻴﺭ‬ ‫ﺸﺨﺹ‬ ‫ﺒﻪ‬ ‫ﻴﻘﻭﻡ‬ ‫ﺍﻟﻤﻌﺎﻤﻠﺔ‬ ‫ﻭﺴﻭﺀ‬ ‫ِﻑ‬‫ﺭ‬‫ﺍﻟﻤﻘﺘ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
995.83‫ﺍﻟﻀﺤﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻜﺎﻥ‬ ‫ﺇﺫﺍ‬.
‫ﺤﺎﻻﺕ‬‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻗﺩ‬ ‫ﺇﻀﺎﻓﻴﺔ‬
Additional Conditions That May be
a Focus of Clinical Attention
V15.81‫ﻟﻠﻌﻼﺝ‬ ‫ﺍﻟﻤﻁﺎﻭﻋﺔ‬ ‫ﻋﺩﻡ‬Noncompliance with Treatment
‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻼﺝ‬ ‫ﻤﻥ‬ ‫ﻫﺎﻤﺔ‬ ‫ﻟﻨﺎﺤﻴﺔ‬ ‫ﺍﻟﻤﻁﺎﻭﻋﺔ‬ ‫ﻋﺩﻡ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬‫ﻋﺎﻤﺔ‬ ‫ﻁﺒﻴﺔ‬ ‫ﺤﺎﻟﺔ‬ ‫ﺃﻭ‬ ‫ﻋﻘﻠﻲ‬.
‫ﺍﻟﻌﻼﺝ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﺍﻻﻨﺯﻋﺎﺝ‬ ‫ﺍﻟﻤﻁﺎﻭﻋﺔ‬ ‫ﻋﺩﻡ‬ ‫ﺃﺴﺒﺎﺏ‬ ‫ﺘﺘﻀﻤﻥ‬ ‫ﻗﺩ‬)‫ﻟﻠﺩﻭﺍﺀ‬ ‫ﺍﻟﺠﺎﻨﺒﻴﺔ‬ ‫ﺍﻟﺘﺄﺜﻴﺭﺍﺕ‬ ،‫ﻤﺜل‬(‫ﺃﺤﻜﺎﻡ‬ ‫ﻋﻠﻰ‬ ‫ﻤﺒﻨﻴﺔ‬ ‫ﻗﺭﺍﺭﺍﺕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﺩﻭﺍﺀ‬ ‫ﻏﻼﺀ‬ ‫ﺃﻭ‬
‫ﺃ‬ ‫ﺍﻟﺘﻜﻴﻑ‬ ‫ﺴﻴﺌﺔ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺴﺠﺎﻴﺎ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﻘﺘﺭﺡ‬ ‫ﺍﻟﻌﻼﺝ‬ ‫ﻭﺃﻀﺭﺍﺭ‬ ‫ﻤﺯﺍﻴﺎ‬ ‫ﺤﻭل‬ ‫ﺜﻘﺎﻓﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺩﻴﻨﻴﺔ‬ ‫ﻤﻌﺘﻘﺩﺍﺕ‬ ‫ﺒﺴﺒﺏ‬ ‫ﺃﻭ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﻗﻴﻤﺔ‬‫ﻤﺠﺎﺒﻬﺔ‬ ‫ﺃﺴﺎﻟﻴﺏ‬ ‫ﻭ‬
‫ﺍﻟﻤﺸﺎﻜل‬)‫ﺍﻟﻤﺭﺽ‬ ‫ﺇﻨﻜﺎﺭ‬ ،‫ﻤﺜل‬(‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬ ‫ﺃﻭ‬ ،)‫ﺍﻟﻤﺘﺠﻨﺒﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﺜل‬.(‫ﻓﻘﻁ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻨﺒﻐﻲ‬
‫ﹰ‬‫ﻼ‬‫ﻤﺴﺘﻘ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﺭﻴﺭﻴ‬ ‫ﹰ‬‫ﺎ‬‫ﺍﻨﺘﺒﺎﻫ‬ ‫ﺘﺴﺘﺄﻫل‬ ‫ﻟﻜﻲ‬ ‫ﻴﻜﻔﻲ‬ ‫ﺒﻤﺎ‬ ‫ﺍﻟﺸﺩﺓ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻤﺸﻜﻠﺔ‬ ‫ﺘﻜﻭﻥ‬ ‫ﻋﻨﺩﻤﺎ‬.
V65.2‫ﺍﻟﺘﻤﺎﺭﺽ‬Malingering
‫ﻟﻠﺘﻤﺎﺭﺽ‬ ‫ﺍﻟﺠﻭﻫﺭﻱ‬ ‫ﺍﻟﻤﻅﻬﺭ‬‫ﺒﺒﻭﺍﻋﺙ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺩﻓﻭﻋ‬ ،‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﺒﻬﺫﻩ‬ ‫ﺍﻟﻔﻅﺔ‬ ‫ﺍﻟﻤﺒﺎﻟﻐﺔ‬ ‫ﺃﻭ‬ ‫ﺯﺍﺌﻔﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺃﻭ‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﻷﻋﺭﺍﺽ‬ ‫ﺍﻟﻤﻘﺼﻭﺩ‬ ‫ﺍﻹﺤﺩﺍﺙ‬ ‫ﻫﻭ‬
‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺼﻭل‬ ‫ﺃﻭ‬ ‫ﺠﻨﺎﺌﻴﺔ‬ ‫ﻤﺤﺎﻜﻤﺔ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺘﻤﻠﺹ‬ ‫ﺃﻭ‬ ‫ﻤﺎﻟﻲ‬ ‫ﺘﻌﻭﻴﺽ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺤﺼﻭل‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﻤل‬ ‫ﺘﺠﻨﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻌﺴﻜﺭﻱ‬ ‫ﺍﻟﻭﺍﺠﺏ‬ ‫ﺘﺠﻨﺏ‬ ‫ﻤﺜل‬ ‫ﺨﺎﺭﺠﻴﺔ‬
‫ﺃﺩﻭﻴﺔ‬.‫ﺘﻜ‬ ‫ﹰ‬‫ﺎ‬‫ﺴﻠﻭﻜ‬ ،‫ﺩﺓ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻅﺭﻭﻑ‬ ‫ﺘﺤﺕ‬ ،‫ﺍﻟﺘﻤﺎﺭﺽ‬ ‫ﻴﻤﺜل‬ ‫ﻭﻗﺩ‬‫ﺍﻟﺤﺭﺏ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﻌﺩﻭ‬ ‫ﻟﺩﻯ‬ ‫ﺍﻷﺴﺭ‬ ‫ﺤﺎل‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﺭﺽ‬ ‫ﺘﺼﻨﻊ‬ ،‫ﻤﺜل‬ ‫ـ‬ ‫ﹰ‬‫ﺎ‬‫ﻴﻔﻴ‬.

162. 161
‫ﻴﻠﻲ‬ ‫ﻤﻤﺎ‬ ‫ﺘﻅﺎﻫﺭﺍﺕ‬ ‫ﻋﺩﺓ‬ ‫ﺃﻭ‬ ‫ﻭﺍﺤﺩ‬ ‫ﻟﻭﺤﻅ‬ ‫ﻤﺎ‬ ‫ﺇﺫﺍ‬ ‫ﺒﺎﻟﺘﻤﺎﺭﺽ‬ ‫ﺒﺸﺩﺓ‬ ‫ﺍﻻﺸﺘﺒﺎﻩ‬ ‫ﻴﻨﺒﻐﻲ‬:
1-‫ﻁﺒﻲ‬ ‫ﻗﺎﻨﻭﻨﻲ‬ ‫ﺴﻴﺎﻕ‬ ‫ﻭﺠﻭﺩ‬)‫ﺍﻟﻔﺤﺹ‬ ‫ﺃﺠل‬ ‫ﻤﻥ‬ ‫ﻁﺒﻴﺏ‬ ‫ﺇﻟﻰ‬ ‫ﺍﻟﻌﺎﻡ‬ ‫ﺍﻟﻨﺎﺌﺏ‬ ‫ﻤﻥ‬ ‫ل‬‫ﻭ‬‫ﻤﺤ‬ ‫ﺍﻟﺸﺨﺹ‬.(
2-‫ﺍﻟﻌﺠ‬ ‫ﺃﻭ‬ ‫ﻟﻠﺸﺨﺹ‬ ‫ﺍﻟﻤﺯﻋﻭﻤﺔ‬ ‫ﺍﻟﻤﻌﺎﻨﺎﺓ‬ ‫ﺒﻴﻥ‬ ‫ﻭﺍﻀﺢ‬ ‫ﺘﺒﺎﻴﻥ‬‫ﺍﻟﻤﻭﻀﻭﻋﻴﺔ‬ ‫ﺍﻟﻤﻭﺠﻭﺩﺍﺕ‬ ‫ﻭﺒﻴﻥ‬ ‫ﺯ‬.
3-‫ﺍﻟﻤﻭﺼﻭﻑ‬ ‫ﺍﻟﻌﻼﺠﻲ‬ ‫ﻟﻠﻨﻅﺎﻡ‬ ‫ﺍﻻﻤﺘﺜﺎل‬ ‫ﻭﺍﻨﻌﺩﺍﻡ‬ ‫ﺍﻟﺘﺸﺨﻴﺼﻲ‬ ‫ﺍﻟﺘﻘﻴﻴﻡ‬ ‫ﺃﺜﻨﺎﺀ‬ ‫ﺍﻟﺘﻌﺎﻭﻥ‬ ‫ﺍﻨﻌﺩﺍﻡ‬.
4-‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﻤﻌﺎﺩﻴﺔ‬ ‫ﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻭﺠﻭﺩ‬.
‫ﺍﻟﺨ‬ ‫ﺍﻟﺒﻭﺍﻋﺙ‬ ‫ﺘﻐﻴﺏ‬ ‫ﺤﻴﻥ‬ ‫ﻓﻲ‬ ،‫ﺨﺎﺭﺠﻲ‬ ‫ﺒﺎﻋﺙ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺘﻤﺎﺭﺽ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻌﺭﺽ‬ ‫ﻹﺤﺩﺍﺙ‬ ‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﺃﻥ‬ ‫ﻓﻲ‬ ‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺘﻤﺎﺭﺽ‬ ‫ﻴﺨﺘﻠﻑ‬‫ﺎﺭﺠﻴﺔ‬
‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻓﻲ‬.‫ﺍﻟﻤﻔﺘﻌل‬ ‫ﺍﻻﻀﻁﺭﺍﺏ‬ ‫ﻴﻘﺘﺭﺡ‬ ‫ﺍﻟﻤﺭﻀﻲ‬ ‫ﺍﻟﺩﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﻤﺤﺎﻓﻅﺔ‬ ‫ﺩﺍﺨﻠﻴﺔ‬ ‫ﻨﻔﺴﻴﺔ‬ ‫ﺤﺎﺠﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺩﻟﻴل‬ ‫ﺃﻥ‬ ‫ﻜﻤﺎ‬.‫ﺍﻟﺘﻤﺎﺭﺽ‬ ‫ﻴﻔﺭﻕ‬
‫ﻟﻬﺎ‬ ‫ﺍﻟﻤﺭﺍﻓﻘﺔ‬ ‫ﺍﻟﻭﺍﻀﺤﺔ‬ ‫ﺍﻟﺨﺎﺭﺠﻴﺔ‬ ‫ﻭﺒﺎﻟﺒﻭﺍﻋﺙ‬ ‫ﻟﻸﻋﺭﺍﺽ‬ ‫ﺍﻟﻤﻘﺼﻭﺩ‬ ‫ﺒﺎﻹﺤﺩﺍﺙ‬ ‫ﺍﻷﺨﺭﻯ‬ ‫ﺍﻟﺸﻜل‬ ‫ﺠﺴﺩﻴﺔ‬ ‫ﻭﺍﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﺘﺤﻭﻴل‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬.‫ﻓﻲ‬
‫ﺍﻟﺘﻤﺎﺭﺽ‬)‫ﻭﻋﻠ‬‫ﺍﻟﺘﺤﻭﻴل‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﻥ‬ ‫ﺍﻟﻨﻘﻴﺽ‬ ‫ﻰ‬(‫ﺒﺎﻟﺘﻨﻭﻴﻡ‬ ‫ﺃﻭ‬ ‫ﺒﺎﻹﻴﺤﺎﺀ‬ ‫ﺍﻷﻋﺭﺍﺽ‬ ‫ﻤﻥ‬ ‫ﺍﻟﺘﺨﻠﺹ‬ ‫ﻴﻤﻜﻥ‬ ‫ﻻ‬ ‫ﹰ‬‫ﺎ‬‫ﻏﺎﻟﺒ‬.
V71.01‫ﺍﻟﺭﺍﺸﺩﻴﻥ‬ ‫ﻋﻨﺩ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬
Adult Antisocial Behavior
‫ﺍﻟﺭﺍﺸﺩﻴﻥ‬ ‫ﻋﻨﺩ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻨﺘﺒﺎﻩ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺤﻴﻨﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬‫ﻋﻘﻠﻲ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬)،‫ﻤﺜل‬
‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻴﺔ‬ ‫ﺍﻟﺸﺨﺼﻴﺔ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬.(‫ﺍﻟﻠﺼﻭﺹ‬ ‫ﺒﻌﺽ‬ ‫ﺴﻠﻭﻙ‬ ‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬
‫ﺍﻟﻤﺸﺭﻭﻋﺔ‬ ‫ﻏﻴﺭ‬ ‫ﺍﻟﻤﻭﺍﺩ‬ ‫ﺎﺭ‬‫ﺠ‬‫ﺘ‬ ‫ﺃﻭ‬ ‫ﻴﻥ‬‫ﺯ‬‫ﺍﻟﻤﺒﺘ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻤﺤﺘﺭﻓﻴﻥ‬.
V71.02‫ﺍﻟﻤﺭﺍﻫﻕ‬ ‫ﺃﻭ‬ ‫ﺍﻟﻁﻔل‬ ‫ﻋﻨﺩ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬
Child or Adolescent Antisocial Behavior
‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻋﻥ‬ ‫ﺍﻟﻨﺎﺠﻡ‬ ‫ﻏﻴﺭ‬ ‫ﻤﺭﺍﻫﻕ‬ ‫ﺃﻭ‬ ‫ﻁﻔل‬ ‫ﻋﻨﺩ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺤﻴﻨﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬
‫ﻋﻘﻠﻲ‬)‫ﺍﻟﺩﺍﻓﻊ‬ ‫ﻋﻠﻰ‬ ‫ﺍﻟﺴﻴﻁﺭﺓ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﺃﻭ‬ ‫ﻤﺴﻠﻙ‬ ‫ﺍﻀﻁﺭﺍﺏ‬ ‫ﻤﺜل‬.(‫ﺍﻟﻤﻌ‬ ‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻴﺔ‬ ‫ﺍﻷﻓﻌﺎل‬ ‫ﺍﻷﻤﺜﻠﺔ‬ ‫ﺘﺘﻀﻤﻥ‬‫ﺍﻟﻤﺭﺍﻫﻘﻴﻥ‬ ‫ﺃﻭ‬ ‫ﺍﻷﻁﻔﺎل‬ ‫ﻋﻨﺩ‬ ‫ﺯﻭﻟﺔ‬
)‫ﻟﻠﻤﺠﺘﻤﻊ‬ ‫ﺍﻟﻤﻌﺎﺩﻱ‬ ‫ﺍﻟﺴﻠﻭﻙ‬ ‫ﻤﻥ‬ ‫ﹰ‬‫ﺎ‬‫ﻨﻤﻁ‬ ‫ﻭﻟﻴﺴﺕ‬.(
V62.89‫ﺍﻟﺤﺩﻭﺩﻴﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬
Borderline Intellectual Functioning
،‫ﺃﻱ‬ ،‫ﺍﻟﺤﺩﻭﺩﻴﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻤﻊ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﺘﺭﺍﻓﻘ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺤﻴﻨﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬IQ‫ﺍﻟﻤﺠ‬ ‫ﻓﻲ‬‫ﺎل‬71-84.‫ﺍﻟﺘﺸﺨﻴﺹ‬
‫ﺍﻟﻌﻘﻠﻲ‬ ‫ﻭﺍﻟﺘﺨﻠﻑ‬ ‫ﺍﻟﺤﺩﻭﺩﻴﺔ‬ ‫ﺍﻟﻌﻘﻠﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﺒﻴﻥ‬ ‫ﺍﻟﺘﻔﺭﻴﻘﻲ‬)IQ70‫ﺃﺩﻨﻰ‬ ‫ﺃﻭ‬(‫ﺩﺓ‬‫ﺩ‬‫ﻤﺤ‬ ‫ﻋﻘﻠﻴﺔ‬ ‫ﻻﻀﻁﺭﺍﺒﺎﺕ‬ ‫ﺍﻟﻤﺸﺘﺭﻙ‬ ‫ﺍﻟﺘﻭﺍﺠﺩ‬ ‫ﻋﻨﺩ‬ ‫ﻭﺨﺎﺼﺔ‬ ‫ﺼﻌﺏ‬
)‫ﺍﻟﻔﺼﺎﻡ‬ ‫ﻤﺜل‬.(
‫ﺘﺭﻤﻴﺯﻴﺔ‬ ‫ﻤﻼﺤﻅﺔ‬:‫ﺍﻟﻤﺤﻭﺭ‬ ‫ﻋﻠﻰ‬ ‫ﻫﺫﺍ‬ ‫ﺯ‬‫ﻤ‬‫ﻴﺭ‬II.
780.9‫ﺒﺎﻟﻌﻤﺭ‬ ‫ﺍﻟﻤﺭﺘﺒﻁ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻲ‬ ‫ﺍﻻﻨﺤﺩﺍﺭ‬

163. 162
Age-Related Cognitive Decline
‫ﺒﺎﻟﻌﻤﺭ‬ ‫ﺍﻟﺘﻘﺩﻡ‬ ‫ﻟﻌﻤﻠﻴﺔ‬ ‫ﻨﺘﻴﺠﺔ‬ ‫ﺍﻻﺴﺘﻌﺭﺍﻓﻴﺔ‬ ‫ﺍﻟﻭﻅﻴﻔﺔ‬ ‫ﻓﻲ‬ ‫ﹰ‬‫ﺎ‬‫ﻤﻭﻀﻭﻋﻴ‬ ‫ﻤﺤﺩﺩ‬ ‫ﺍﻨﺤﺩﺍﺭ‬ ‫ﻫﻭ‬ ‫ﺍﻟﺴﺭﻴﺭﻱ‬ ‫ﺍﻻﻫﺘﻤﺎﻡ‬ ‫ﻤﺤﻭﺭ‬ ‫ﻴﻜﻭﻥ‬ ‫ﺤﻴﻨﻤﺎ‬ ‫ﺍﻟﻔﺌﺔ‬ ‫ﻫﺫﻩ‬ ‫ﺍﺴﺘﺨﺩﺍﻡ‬ ‫ﻴﻤﻜﻥ‬
‫ﺍﻟﺸﺨﺹ‬ ‫ﻟﻌﻤﺭ‬ ‫ﺒﺎﻟﻨﺴﺒﺔ‬ ‫ﺍﻟﻁﺒﻴﻌﻴﺔ‬ ‫ﺍﻟﺤﺩﻭﺩ‬ ‫ﻀﻤﻥ‬ ‫ﺘﻜﻭﻥ‬ ‫ﺍﻟﺘﻲ‬.‫ﺒﺄﺴﻤﺎ‬ ‫ﺘﺫﻜﺭ‬ ‫ﻤﺸﻜﻼﺕ‬ ‫ﻋﻥ‬ ‫ﺍﻟﺤﺎﻟﺔ‬ ‫ﻫﺫﻩ‬ ‫ﻟﺩﻴﻬﻡ‬ ‫ﻤﻤﻥ‬