Classification of mental disorder
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The document discusses the classification of mental disorders according to two major systems - ICD-10 and DSM-IV. ICD-10 is the World Health Organization's classification system that codes psychiatric disorders from F00 to F99. DSM-IV is the diagnostic manual published by the American Psychiatric Association that uses a multi-axial system with five axes to evaluate patients. Some key differences between the two systems are that ICD-10 is intended for clinical work, research, and primary care globally while DSM-IV is in English only and includes social consequences in its diagnostic criteria.
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Classification of mental disorder
- 1. CLASSIFICATION OF MENTAL DISORDER MR. JAYESH PATIDAR www.drjayeshpatidar.blogspot.com
- 2. INTRODUCTION • Classification is a process by which complex phenomena are organized into categories, classes or ranks so as bring together those things that most resemble each other & to separate those that differ. • Like any growing branch of medicine, psychiatric has been rapid changes in classification to keep up growing research data dealing with epidemiology, symptomatology, prognostic factors, treatment methods & new theories for causation of psychiatric disorder. • At present there are two major classification in psychiatry, namely ICD 10 (1992) & DSM IV (1994). www.drjayeshpatidar.blogspot.com
- 3. ICD 10 (International Statistical Classification of Disease & Related Health Problems www.drjayeshpatidar.blogspot.com
- 4. ICD 10 (International Statistical Classification of Disease & Related Health Problems)- 1992 :- • This is WHO’s classification for all diseases & related health problems. • The chapter ‘F’ classifies psychiatric disorder as mental & behavioral disorders & codes them on an alphanumeric system from F00 to F99. The Main Categories in ICD 10:- www.drjayeshpatidar.blogspot.com
- 5. F00 – F09 Organic, Including Symptomatic, Mental disorders F00 – Dementia in Alzheimer’s disease F01 – Vascular dementia F04 – Organic amnestic syndrome F05 – Delirium F06 – Other mental disorders due to brain damage & dysfunction & to physical disease F07 – Personality & behavioral disorders due to brain disease, damage & dysfunction www.drjayeshpatidar.blogspot.com
- 6. F10 – F19 Mental & behavioural Disorders due to Psychoactive Substance use F10 – Mental & behavioral disorders due to use of alcohol F11 - Mental & behavioral disorders due to use of opioids F12 – Mental & behavioral disorders due to use of cannabinoids F13 – Mental & behavioral disorders due to use of sedatives & hypnotics F14 – Mental & behavioral disorders due to use of cocaine F16 – Mental & behavioral disorders due to use of hallucinogens www.drjayeshpatidar.blogspot.com
- 7. F20 – F29 Schizophrenia, Schizotypal & Delusional Disorders F20 – Schizophrenia F20.0 – Paranoid Schizophrenia F20.1 – Hebephrenic Schizophrenia F20.2 – Catatonic Schizophrenia F20.3 – Undifferentiated Schizophrenia F20.4 – Post-schizophrenia depression F20.5 – Residual Schizophrenia F20.6 – Simple Schizophrenia F21 – Schizotypal disorder F22 – Persistent delusional disorders F23 – Acute & Transient psychotic disorders F24 – Induced Delusional disorders F25 – Schizoaffective disorderswww.drjayeshpatidar.blogspot.com
- 8. F30 – F39 Mood (affective) Disorders F30 – Manic episode F31 – Bipolar affective disorder F32 – Depressive episode F33 – Recurrent depressive disorder F34 – Persistent mood disorder www.drjayeshpatidar.blogspot.com
- 9. F40 – F49 Neurotic, Stress-rapid & somato-form disorders F40 – Phobic anxiety disorders F41 – Other anxiety disorders F42 – Obsessive – Compulsive disorder F43 – Reaction severe stress & adjustment disorders F44 – Disociative (Conversion) disorders F45 – Somatoform disorders www.drjayeshpatidar.blogspot.com
- 11. F50 – F59 Behavioral syndromes associated with physiological disturbances & physical factors F50 – Eating Disorders F51 – Non-organic sleep disorders F52 – Sexual dysfunction www.drjayeshpatidar.blogspot.com
- 12. F60 – F69 Disorders of adult personality & behavior F60 – Specific personality disorders F60.0 – Paranoid personality disorders F60.1 – Schizoid personality disorders F60.2 – Dissocial personality disorders F60.3 – Emotionally unstable personality disorder F60.4 – Histrionic personality disorders F60.5 – Anankastic personality disorders F60.6 – Anxious personality disorders F60.7 – Dependent personality disorders F61 – Mixed & other personality disorders F62 – Enduring personality changes, not attributableto brain damage & disease F63 – Habit & impulse disorders F64 – Gender identity disorders F65 – Disorders of sexual preference www.drjayeshpatidar.blogspot.com
- 13. F70 – F79 Mental Retardation F70 – Mild Mental Retardation F71 – Moderate Mental Retardation F72 – Severe Mental Retardation F73 – Profound Mental Retardation www.drjayeshpatidar.blogspot.com
- 14. F80 – F89 Disorders of psychological development F80 – Specific developmental disorders of speech & language F81 – Specific developmental disorders of scholastic skills F82 – Specific developmental disorders of motor function F83 – Mixed specific developmental disorders F84 – Pervasive developmental disorders www.drjayeshpatidar.blogspot.com
- 15. F90 – F98 Behavioral & emotional Disorders with onset usually occurring in childhood & adolescence F90 – Hyperkinetic disorders F91 – Conduct disorders F93 – Emotional disorders with onset specific to childhood F94 – Disorders of social functioning with onset specific to childhood & adolescence F95 – Tic Disorders F98 – Other behavioral & emotional disorders with onset usually occurring in childhood & adolescence www.drjayeshpatidar.blogspot.com
- 16. F99 – Unspecified mental Disorders www.drjayeshpatidar.blogspot.com
- 18. DSM IV (Diagnostic & Statistical Manual) – 1994 :- • This is the classification of mental disorders by the American Psychiatric Association (APA). The pattern adopted by DSM IV is of Multiaxial systems. • A multiaxial system that evaluates patients along several versatile contains Five axes. Axis I & II make up the entire classification which contains more than 300 specific disorders. www.drjayeshpatidar.blogspot.com
- 19. The Five Axes of DSM IV Are:- Axis I : Clinical psychiatric diagnosis Axis II : Personality disorder & mental retardation Axis III ; General medical conditions Axis IV : Psychosocial & environmental problems Axis V : Global assessment of functioning in current & past one year. www.drjayeshpatidar.blogspot.com
- 21. Indian Classification:- In India Neki (1963), Wig & Singer (1967), Vahia (1961) & Varma (1971) have attempted some modification of ICD8 to suit Indian conditions. A)Psychosis:- 1. Functional:- Schizophrenia 2. Affective:- Mania & Depression 3. Organic:- Acute or Chronic www.drjayeshpatidar.blogspot.com
- 22. COUNT…B) Neurosis:- Anxiety neurosis Depressive neurosis Hysterical neurosis Obsessive- compulsive neurosis Phobic neurosis C) Special disorders: Childhood disorders Personality disorders Substances abuses Psycho physiological disorders Mental retardation www.drjayeshpatidar.blogspot.com
- 23. Differences Between ICD10 & DSMIV:- ICD10 DSM IV Origin International American psychiatric association Presentation Different version for clinical work, research & primary care A single version Language Available in all widely spoken languages English version only Structure Single axis multiaxial Content Diagnostic criteria do not include social consequences of the disorder Diagnostic criteria usually include occupational or other areas of functioning www.drjayeshpatidar.blogspot.com