Disease,Description,Essential_Features,Description_words,Embeddings
Disorders of intellectual development,"Disorders of intellectual development are a group of etiologically diverse conditions originating during the developmental period characterised by significantly below average intellectual functioning and adaptive behaviour that are approximately two or more standard deviations below the mean (approximately less than the 2.3rd percentile), based on appropriately normed, individually administered standardized tests. Where appropriately normed and standardized tests are not available, diagnosis of disorders of intellectual development requires greater reliance on clinical judgment based on appropriate assessment of comparable behavioural indicators.","The presence of significant limitations in intellectual functioning across various domains such as perceptual reasoning, working memory, processing speed, and verbal comprehension. There is often substantial variability in the extent to which any of these domains are affected in an individual. Whenever possible, performance should be measured using appropriately normed, standardized tests of intellectual functioning and found to be approximately 2 or more standard deviations below the mean (i.e., approximately less than the 2.3rd percentile). In situations where appropriately normed and standardized tests are not available, assessment of intellectual functioning requires greater reliance on clinical judgment based on appropriate evidence and assessment, which may include the use of behavioural indicators of intellectual functioning (see Table 6.1).
The presence of significant limitations in adaptive behaviour, which refers to the set of conceptual, social, and practical skills that have been learned and are performed by people in their everyday lives. Conceptual skills are those that involve the application of knowledge (e.g., reading, writing, calculating, solving problems, and making decisions) and communication; social skills include managing interpersonal interactions and relationships, social responsibility, following rules and obeying laws, as well as avoiding victimization; and practical skills are involved in areas such as self-care, health and safety, occupational skills, recreation, use of money, mobility and transportation, as well as use of home appliances and technological devices. Expectations of adaptive functioning may change in response to environmental demands that change with age. Whenever possible, performance should be measured with appropriately normed, standardized tests of adaptive behaviour and the total score found to be approximately 2 or more standard deviations below the mean (i.e., approximately less than the 2.3rd percentile). In situations where appropriately normed and standardized tests are not available, assessment of adaptive behaviour functioning requires greater reliance on clinical judgment based on appropriate assessment, which may include the use of behavioural indicators of adaptive behaviour skills (see Tables 6.2 through 6.4).
Onset occurs during the developmental period. Among adults with Disorders of Intellectual Development who come to clinical attention without a previous diagnosis, it is possible to establish developmental onset through the person’s history, i.e., retrospective diagnosis.",disorder intellectual development group etiologically diverse condition originating developmental period characterised significantly average intellectual functioning adaptive behaviour approximately two standard deviation mean approximately le percentile based appropriately normed individually administered standardized test appropriately normed standardized test available diagnosis disorder intellectual development requires greater reliance clinical judgment based appropriate assessment comparable behavioural indicator presence significant limitation intellectual functioning across various domain perceptual reasoning working memory processing speed verbal comprehension often substantial variability extent domain affected individual whenever possible performance measured using appropriately normed standardized test intellectual functioning found approximately standard deviation mean ie approximately le percentile situation appropriately normed standardized test available assessment intellectual functioning requires greater reliance clinical judgment based appropriate evidence assessment may include use behavioural indicator intellectual functioning see table presence significant limitation adaptive behaviour refers set conceptual social practical skill learned performed people everyday life conceptual skill involve application knowledge eg reading writing calculating solving problem making decision communication social skill include managing interpersonal interaction relationship social responsibility following rule obeying law well avoiding victimization practical skill involved area selfcare health safety occupational skill recreation use money mobility transportation well use home appliance technological device expectation adaptive functioning may change response environmental demand change age whenever possible performance measured appropriately normed standardized test adaptive behaviour total score found approximately standard deviation mean ie approximately le percentile situation appropriately normed standardized test available assessment adaptive behaviour functioning requires greater reliance clinical judgment based appropriate assessment may include use behavioural indicator adaptive behaviour skill see table onset occurs developmental period among adult disorder intellectual development come clinical attention without previous diagnosis possible establish developmental onset person’s history ie retrospective diagnosis,"[0.1327546238899231, -0.5305650234222412, 0.24530136585235596, 1.061208963394165, -0.4480127692222595, -0.3541342318058014, 0.5759139657020569, -0.6037884950637817, -0.2783331871032715, 0.8583718538284302, -0.21930228173732758, -0.3228670358657837, -0.10157086700201035, 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Developmental speech or language disorders,"Developmental speech or language disorders arise during the developmental period and are characterised by difficulties in understanding or producing speech and language or in using language in context for the purposes of communication that are outside the limits of normal variation expected for age and level of intellectual functioning. The observed speech and language problems are not attributable to regional, social, or cultural/ethnic language variations and are not fully explained by anatomical or neurological abnormalities. The presumptive aetiology for Developmental speech or language disorders is complex, and in many individual cases, is unknown.","Persistent difficulties in understanding or producing speech or language or in using language in context for the purposes of communication that are not better accounted for by Developmental Speech Sound Disorder, Developmental Speech Fluency Disorder, Developmental Language Disorder, or Autism Spectrum Disorder.
The speech or language difficulties are persistent over time.
The onset of the speech or language difficulties occurs during the developmental period and speech or language abilities in the affected areas are markedly below what would be expected for age.
The speech or language difficulties result in significant impairment in social communication, or in personal, family, social, educational, occupational or other important areas of functioning.
The speech or language difficulties are not better accounted for by a Disorder of Intellectual Development, a Disease of the Nervous System, a sensory impairment, or a structural abnormality.",developmental speech language disorder arise developmental period characterised difficulty understanding producing speech language using language context purpose communication outside limit normal variation expected age level intellectual functioning observed speech language problem attributable regional social culturalethnic language variation fully explained anatomical neurological abnormality presumptive aetiology developmental speech language disorder complex many individual case unknown persistent difficulty understanding producing speech language using language context purpose communication better accounted developmental speech sound disorder developmental speech fluency disorder developmental language disorder autism spectrum disorder speech language difficulty persistent time onset speech language difficulty occurs developmental period speech language ability affected area markedly would expected age speech language difficulty result significant impairment social communication personal family social educational occupational important area functioning speech language difficulty better accounted disorder intellectual development disease nervous system sensory impairment structural abnormality,"[0.5160753130912781, -0.642192006111145, -0.3764462471008301, 1.3278815746307373, -0.1568499356508255, -0.3779785633087158, 0.7244097590446472, -0.46862471103668213, 0.9322085380554199, 0.2540666460990906, -0.3070012927055359, -0.07140371203422546, 0.40748465061187744, -0.8189239501953125, 0.1463109254837036, -0.4401244819164276, -0.5067387223243713, -0.40642213821411133, -0.0754457414150238, 0.13983558118343353, 0.22632654011249542, 0.08482092618942261, 0.5029342174530029, 1.157601237297058, 0.24308308959007263, -0.5891933441162109, 0.4068550765514374, 0.6851382255554199, 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Autism spectrum disorder,"Autism spectrum disorder is characterised by persistent deficits in the ability to initiate and to sustain reciprocal social interaction and social communication, and by a range of restricted, repetitive, and inflexible patterns of behaviour, interests or activities that are clearly atypical or excessive for the individual’s age and sociocultural context. The onset of the disorder occurs during the developmental period, typically in early childhood, but symptoms may not become fully manifest until later, when social demands exceed limited capacities. Deficits are sufficiently severe to cause impairment in personal, family, social, educational, occupational or other important areas of functioning and are usually a pervasive feature of the individual’s functioning observable in all settings, although they may vary according to social, educational, or other context. Individuals along the spectrum exhibit a full range of intellectual functioning and language abilities.","Persistent deficits in initiating and sustaining social communication and reciprocal social interactions that are outside the expected range of typical functioning given the individual’s age and level of intellectual development. Specific manifestations of these deficits vary according to chronological age, verbal and intellectual ability, and disorder severity. Manifestations may include limitations in the following:
Understanding of, interest in, or inappropriate responses to the verbal or non-verbal social communications of others.
Integration of spoken language with typical complimentary non-verbal cues, such as eye contact, gestures, facial expressions and body language. These non-verbal behaviours may also be reduced in frequency or intensity.
Understanding and use of language in social contexts and ability to initiate and sustain reciprocal social conversations.
Social awareness, leading to behaviour that is not appropriately modulated according to the social context.
Ability to imagine and respond to the feelings, emotional states, and attitudes of others.
Mutual sharing of interests.
Ability to make and sustain typical peer relationships.
Persistent restricted, repetitive, and inflexible patterns of behaviour, interests, or activities that are clearly atypical or excessive for the individual’s age and sociocultural context. These may include:
Lack of adaptability to new experiences and circumstances, with associated distress, that can be evoked by trivial changes to a familiar environment or in response to unanticipated events.
Inflexible adherence to particular routines; for example, these may be geographic such as following familiar routes, or may require precise timing such as mealtimes or transport.
Excessive adherence to rules (e.g., when playing games).
Excessive and persistent ritualized patterns of behaviour (e.g., preoccupation with lining up or sorting objects in a particular way) that serve no apparent external purpose.
Repetitive and stereotyped motor movements, such as whole body movements (e.g., rocking), atypical gait (e.g., walking on tiptoes), unusual hand or finger movements and posturing. These behaviours are particularly common during early childhood.
Persistent preoccupation with one or more special interests, parts of objects, or specific types of stimuli (including media) or an unusually strong attachment to particular objects (excluding typical comforters).
Lifelong excessive and persistent hypersensitivity or hyposensitivity to sensory stimuli or unusual interest in a sensory stimulus, which may include actual or anticipated sounds, light, textures (especially clothing and food), odors and tastes, heat, cold, or pain.
The onset of the disorder occurs during the developmental period, typically in early childhood, but characteristic symptoms may not become fully manifest until later, when social demands exceed limited capacities.
The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. Some individuals with Autism Spectrum Disorder are able to function adequately in many contexts through exceptional effort, such that their deficits may not be apparent to others. A diagnosis of Autism Spectrum Disorder is still appropriate in such cases.
",autism spectrum disorder characterised persistent deficit ability initiate sustain reciprocal social interaction social communication range restricted repetitive inflexible pattern behaviour interest activity clearly atypical excessive individual’s age sociocultural context onset disorder occurs developmental period typically early childhood symptom may become fully manifest later social demand exceed limited capacity deficit sufficiently severe cause impairment personal family social educational occupational important area functioning usually pervasive feature individual’s functioning observable setting although may vary according social educational context individual along spectrum exhibit full range intellectual functioning language ability persistent deficit initiating sustaining social communication reciprocal social interaction outside expected range typical functioning given individual’s age level intellectual development specific manifestation deficit vary according chronological age verbal intellectual ability disorder severity manifestation may include limitation following understanding of interest in inappropriate response verbal nonverbal social communication others integration spoken language typical complimentary nonverbal cue eye contact gesture facial expression body language nonverbal behaviour may also reduced frequency intensity understanding use language social context ability initiate sustain reciprocal social conversation social awareness leading behaviour appropriately modulated according social context ability imagine respond feeling emotional state attitude others mutual sharing interest ability make sustain typical peer relationship persistent restricted repetitive inflexible pattern behaviour interest activity clearly atypical excessive individual’s age sociocultural context may include lack adaptability new experience circumstance associated distress evoked trivial change familiar environment response unanticipated event inflexible adherence particular routine example may geographic following familiar route may require precise timing mealtime transport excessive adherence rule eg playing game excessive persistent ritualized pattern behaviour eg preoccupation lining sorting object particular way serve apparent external purpose repetitive stereotyped motor movement whole body movement eg rocking atypical gait eg walking tiptoe unusual hand finger movement posturing behaviour particularly common early childhood persistent preoccupation one special interest part object specific type stimulus including medium unusually strong attachment particular object excluding typical comforter lifelong excessive persistent hypersensitivity hyposensitivity sensory stimulus unusual interest sensory stimulus may include actual anticipated sound light texture especially clothing food odor taste heat cold pain onset disorder occurs developmental period typically early childhood characteristic symptom may become fully manifest later social demand exceed limited capacity symptom result significant impairment personal family social educational occupational important area functioning individual autism spectrum disorder able function adequately many context exceptional effort deficit may apparent others diagnosis autism spectrum disorder still appropriate case,"[0.25560277700424194, -0.8141465187072754, -0.5032655000686646, 1.6347330808639526, -0.012024492025375366, -0.4997899532318115, 0.22789610922336578, -0.5883476734161377, 0.7033974528312683, 0.7540649175643921, -0.7022002935409546, 0.5186713337898254, -0.05866553634405136, -0.8036321401596069, 0.18986837565898895, -0.35771289467811584, -1.3936461210250854, -0.7892585396766663, -0.6871294975280762, 0.5401983857154846, 0.20047780871391296, 0.6506470441818237, 0.6894100904464722, 0.7112479209899902, 0.3910844326019287, 0.2330014407634735, -0.3292997479438782, 0.014651155099272728, 0.3773738741874695, -0.6356607675552368, 0.6140291094779968, 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Developmental learning disorder,"Developmental learning disorder is characterised by significant and persistent difficulties in learning academic skills, which may include reading, writing, or arithmetic. The individual’s performance in the affected academic skill(s) is markedly below what would be expected for chronological age and general level of intellectual functioning, and results in significant impairment in the individual’s academic or occupational functioning. Developmental learning disorder first manifests when academic skills are taught during the early school years. Developmental learning disorder is not due to a disorder of intellectual development, sensory impairment (vision or hearing), neurological or motor disorder, lack of availability of education, lack of proficiency in the language of academic instruction, or psychosocial adversity.","The presence of significant limitations in learning academic skills of reading, writing, or arithmetic, resulting in a skill level markedly below what would be expected for age. Limitations in learning are manifest despite appropriate academic instruction in the relevant areas. The limitations may be restricted to a single component of a skill (e.g., an inability to master basic numeracy, or to decode single words accurately and fluently) or affect all of reading, writing and arithmetic. Ideally, limitations are measured using appropriately normed and standardized tests.
Onset of the limitations typically occurs during the early school years, but in some individuals may not be identified until later in life, including into adulthood, when performance demands related to learning exceed limited capacities.
The limitations are not attributable to external factors, such as economic or environmental disadvantage, or lack of access to educational opportunities.
The learning difficulties are not better accounted for by a Disorder of Intellectual Development or another Neurodevelopmental Disorder or another condition such as a motor disorder or a sensory disorder of vision or hearing.
The learning difficulties result in significant impairment in the individual’s academic, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",developmental learning disorder characterised significant persistent difficulty learning academic skill may include reading writing arithmetic individual’s performance affected academic skill markedly would expected chronological age general level intellectual functioning result significant impairment individual’s academic occupational functioning developmental learning disorder first manifest academic skill taught early school year developmental learning disorder due disorder intellectual development sensory impairment vision hearing neurological motor disorder lack availability education lack proficiency language academic instruction psychosocial adversity presence significant limitation learning academic skill reading writing arithmetic resulting skill level markedly would expected age limitation learning manifest despite appropriate academic instruction relevant area limitation may restricted single component skill eg inability master basic numeracy decode single word accurately fluently affect reading writing arithmetic ideally limitation measured using appropriately normed standardized test onset limitation typically occurs early school year individual may identified later life including adulthood performance demand related learning exceed limited capacity limitation attributable external factor economic environmental disadvantage lack access educational opportunity learning difficulty better accounted disorder intellectual development another neurodevelopmental disorder another condition motor disorder sensory disorder vision hearing learning difficulty result significant impairment individual’s academic occupational important area functioning functioning maintained significant additional effort,"[0.8489938974380493, -0.2814409136772156, 0.5746665596961975, 0.8299567699432373, -0.40859872102737427, -0.01215969305485487, 1.0985691547393799, -0.7043681144714355, 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Developmental motor coordination disorder,"Developmental motor coordination disorder is characterised by a significant delay in the acquisition of gross and fine motor skills and impairment in the execution of coordinated motor skills that manifest in clumsiness, slowness, or inaccuracy of motor performance. Coordinated motor skills are markedly below that expected given the individual's chronological age and level of intellectual functioning. Onset of coordinated motor skills difficulties occurs during the developmental period and is typically apparent from early childhood. Coordinated motor skills difficulties cause significant and persistent limitations in functioning (e.g. in activities of daily living, school work, and vocational and leisure activities). Difficulties with coordinated motor skills are not solely attributable to a Disease of the Nervous System, Disease of the Musculoskeletal System or Connective Tissue, sensory impairment, and not better explained by a Disorder of Intellectual Development.","Significant delay in the acquisition of gross or fine motor skills and impairment in the execution of coordinated motor skills manifesting as clumsiness, slowness, or inaccuracy of motor performance.
Coordinated motor skills are markedly below that expected on the basis of age.
Onset of coordinated motor skill difficulties occurs during the developmental period and is typically apparent from early childhood.
Coordinated motor skills difficulties cause significant and persistent limitations in activities of daily living, school work, vocation and leisure activities, or other important areas of functioning.
Difficulties with coordinated motor skills are not are not better accounted for by a Disease of the Nervous System, Disease of the Musculoskeletal System or Connective Tissue, sensory impairment, or a Disorder of Intellectual Development.",developmental motor coordination disorder characterised significant delay acquisition gross fine motor skill impairment execution coordinated motor skill manifest clumsiness slowness inaccuracy motor performance coordinated motor skill markedly expected given individual chronological age level intellectual functioning onset coordinated motor skill difficulty occurs developmental period typically apparent early childhood coordinated motor skill difficulty cause significant persistent limitation functioning eg activity daily living school work vocational leisure activity difficulty coordinated motor skill solely attributable disease nervous system disease musculoskeletal system connective tissue sensory impairment better explained disorder intellectual development significant delay acquisition gross fine motor skill impairment execution coordinated motor skill manifesting clumsiness slowness inaccuracy motor performance coordinated motor skill markedly expected basis age onset coordinated motor skill difficulty occurs developmental period typically apparent early childhood coordinated motor skill difficulty cause significant persistent limitation activity daily living school work vocation leisure activity important area functioning difficulty coordinated motor skill better accounted disease nervous system disease musculoskeletal system connective tissue sensory impairment disorder intellectual development,"[0.17629142105579376, -0.07963546365499496, -0.4735662639141083, 1.4251048564910889, 0.1180829182267189, -0.32027146220207214, 0.8748602867126465, -0.6472397446632385, -0.44338250160217285, 0.5071513056755066, -1.2256487607955933, -0.2864833474159241, -0.18117684125900269, -1.0336179733276367, 0.26789748668670654, 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Attention deficit hyperactivity disorder,"Attention deficit hyperactivity disorder is characterised by a persistent pattern (at least 6 months) of inattention and/or hyperactivity-impulsivity that has a direct negative impact on academic, occupational, or social functioning. There is evidence of significant inattention and/or hyperactivity-impulsivity symptoms prior to age 12, typically by early to mid-childhood, though some individuals may first come to clinical attention later. The degree of inattention and hyperactivity-impulsivity is outside the limits of normal variation expected for age and level of intellectual functioning. Inattention refers to significant difficulty in sustaining attention to tasks that do not provide a high level of stimulation or frequent rewards, distractibility and problems with organisation. Hyperactivity refers to excessive motor activity and difficulties with remaining still, most evident in structured situations that require behavioural self-control. Impulsivity is a tendency to act in response to immediate stimuli, without deliberation or consideration of the risks and consequences. The relative balance and the specific manifestations of inattentive and hyperactive-impulsive characteristics varies across individuals and may change over the course of development. In order for a diagnosis to be made, manifestations of inattention and/or hyperactivity-impulsivity must be evident across multiple situations or settings (e.g., home, school, work, with friends or relatives), but are likely to vary according to the structure and demands of the setting. Symptoms are not better accounted for by another mental, behavioural, or neurodevelopmental disorder and are not due to the effect of a substance or medication.","A persistent pattern (e.g., at least 6 months) of inattention symptoms and/or a combination of hyperactivity and impulsivity symptoms that is outside the limits of normal variation expected for age and level of intellectual development. Symptoms vary according to chronological age and disorder severity.
Inattention
Several symptoms of inattention that are persistent, and sufficiently severe that they have a direct negative impact on academic, occupational, or social functioning. Symptoms are typically from the following clusters:
Difficulty sustaining attention to tasks that do not provide a high level of stimulation or reward or require sustained mental effort; lacking attention to detail; making careless mistakes in school or work assignments; not completing tasks.
Easily distracted by extraneous stimuli or thoughts not related to the task at hand; often does not seem to listen when spoken to directly; frequently appears to be daydreaming or to have mind elsewhere.
Loses things; is forgetful in daily activities; has difficulty remembering to complete upcoming daily tasks or activities; difficulty planning, managing and organizing schoolwork, tasks and other activities.
Note: Inattention may not be evident when the individual is engaged in activities that provide intense stimulation and frequent rewards.

Hyperactivity impulsivity
Several symptoms of hyperactivity/impulsivity that are persistent, and sufficiently severe that they have a direct negative impact on academic, occupational, or social functioning. These tend to be most evident in structured situations that require behavioural self-control. Symptoms are typically from the following clusters:

Excessive motor activity; leaves seat when expected to sit still; often runs about; has difficulty sitting still without fidgeting (younger children); feelings of physical restlessness, a sense of discomfort with being quiet or sitting still (adolescents and adults).
Difficulty engaging in activities quietly; talks too much.
Blurts out answers in school, comments at work; difficulty waiting turn in conversation, games, or activities; interrupts or intrudes on others conversations or games.
A tendency to act in response to immediate stimuli without deliberation or consideration of risks and consequences (e.g., engaging in behaviours with potential for physical injury; impulsive decisions; reckless driving)
Evidence of significant inattention and/or hyperactivity-impulsivity symptoms prior to age 12, though some individuals may first come to clinical attention later in adolescence or as adults, often when demands exceed the individual’s capacity to compensate for limitations.

Manifestations of inattention and/or hyperactivity-impulsivity must be evident across multiple situations or settings (e.g., home, school, work, with friends or relatives), but are likely to vary according to the structure and demands of the setting.

Symptoms are not better accounted for by another mental disorder (e.g., an Anxiety or Fear-Related Disorder, a Neurocognitive Disorder such as Delirium).

Symptoms are not due to the effects of a substance (e.g., cocaine) or medication (e.g., bronchodilators, thyroid replacement medication) on the central nervous system, including and withdrawal effects, and are not due to a Disease of the Nervous System.
",attention deficit hyperactivity disorder characterised persistent pattern at least month inattention andor hyperactivityimpulsivity direct negative impact academic occupational social functioning evidence significant inattention andor hyperactivityimpulsivity symptom prior age typically early midchildhood though individual may first come clinical attention later degree inattention hyperactivityimpulsivity outside limit normal variation expected age level intellectual functioning inattention refers significant difficulty sustaining attention task provide high level stimulation frequent reward distractibility problem organisation hyperactivity refers excessive motor activity difficulty remaining still evident structured situation require behavioural selfcontrol impulsivity tendency act response immediate stimulus without deliberation consideration risk consequence relative balance specific manifestation inattentive hyperactiveimpulsive characteristic varies across individual may change course development order diagnosis made manifestation inattention andor hyperactivityimpulsivity must evident across multiple situation setting eg home school work friend relative likely vary according structure demand setting symptom better accounted another mental behavioural neurodevelopmental disorder due effect substance medication persistent pattern eg least month inattention symptom andor combination hyperactivity impulsivity symptom outside limit normal variation expected age level intellectual development symptom vary according chronological age disorder severity inattention several symptom inattention persistent sufficiently severe direct negative impact academic occupational social functioning symptom typically following cluster difficulty sustaining attention task provide high level stimulation reward require sustained mental effort lacking attention detail making careless mistake school work assignment completing task easily distracted extraneous stimulus thought related task hand often seem listen spoken directly frequently appears daydreaming mind elsewhere loses thing forgetful daily activity difficulty remembering complete upcoming daily task activity difficulty planning managing organizing schoolwork task activity note inattention may evident individual engaged activity provide intense stimulation frequent reward hyperactivity impulsivity several symptom hyperactivityimpulsivity persistent sufficiently severe direct negative impact academic occupational social functioning tend evident structured situation require behavioural selfcontrol symptom typically following cluster excessive motor activity leaf seat expected sit still often run about difficulty sitting still without fidgeting younger child feeling physical restlessness sense discomfort quiet sitting still adolescent adult difficulty engaging activity quietly talk much blurts answer school comment work difficulty waiting turn conversation game activity interrupt intrudes others conversation game tendency act response immediate stimulus without deliberation consideration risk consequence eg engaging behaviour potential physical injury impulsive decision reckless driving evidence significant inattention andor hyperactivityimpulsivity symptom prior age though individual may first come clinical attention later adolescence adult often demand exceed individual’s capacity compensate limitation manifestation inattention andor hyperactivityimpulsivity must evident across multiple situation setting eg home school work friend relative likely vary according structure demand setting symptom better accounted another mental disorder eg anxiety fearrelated disorder neurocognitive disorder delirium symptom due effect substance eg cocaine medication eg bronchodilator thyroid replacement medication central nervous system including withdrawal effect due disease nervous system,"[0.7373812794685364, -0.2611401081085205, 0.6654120683670044, 1.1857726573944092, -0.014824852347373962, 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Stereotyped movement disorder,"Stereotyped movement disorder is characterised by the persistent (e.g., lasting several months) presence of voluntary, repetitive, stereotyped, apparently purposeless (and often rhythmic) movements that arise during the early developmental period, are not caused by the direct physiological effects of a substance or medication (including withdrawal), and markedly interfere with normal activities or result in self-inflicted bodily injury. Stereotyped movements that are non-injurious can include body rocking, head rocking, finger-flicking mannerisms, and hand flapping. Stereotyped self-injurious behaviours can include repetitive head banging, face slapping, eye poking, and biting of the hands, lips, or other body parts.","Persistent (e.g., lasting several months) presence of voluntary, repetitive, stereotyped, apparently purposeless, and often rhythmic, movements (e.g., body rocking, hand flapping, head banging, eye poking, and hand biting) that are not caused by the direct physiological effects of a substance or medication (including withdrawal).
Stereotyped movements result in significant interference with the ability to engage in normal daily activities or result in self-inflicted bodily injury severe enough to be an independent focus of clinical attention or that would result in self-injury if protective measures were not taken.
Onset occurs during the developmental period, typically at an early age.",stereotyped movement disorder characterised persistent eg lasting several month presence voluntary repetitive stereotyped apparently purposeless and often rhythmic movement arise early developmental period caused direct physiological effect substance medication including withdrawal markedly interfere normal activity result selfinflicted bodily injury stereotyped movement noninjurious include body rocking head rocking fingerflicking mannerism hand flapping stereotyped selfinjurious behaviour include repetitive head banging face slapping eye poking biting hand lip body part persistent eg lasting several month presence voluntary repetitive stereotyped apparently purposeless often rhythmic movement eg body rocking hand flapping head banging eye poking hand biting caused direct physiological effect substance medication including withdrawal stereotyped movement result significant interference ability engage normal daily activity result selfinflicted bodily injury severe enough independent focus clinical attention would result selfinjury protective measure taken onset occurs developmental period typically early age,"[0.26992887258529663, -0.647674560546875, 0.8754178881645203, 1.5662565231323242, -0.549159049987793, -0.3970867097377777, 0.16606464982032776, -0.7745649218559265, 0.026620181277394295, 1.2725856304168701, -1.5687949657440186, -0.5010071992874146, -0.9051493406295776, -0.27650320529937744, -0.1253649890422821, 0.497816801071167, -0.6123093962669373, -0.2557794451713562, 0.03628115355968475, 0.5371469259262085, 0.32658857107162476, 0.09158094227313995, 0.7572062015533447, -0.4146747291088104, 0.6445866823196411, 0.5378550887107849, -0.45829224586486816, -1.1348365545272827, 0.0906653106212616, 0.12411923706531525, -0.614528477191925, -0.20861241221427917, 0.6859367489814758, -0.16306427121162415, -0.43796855211257935, -0.10205898433923721, -0.5486957430839539, -0.49500221014022827, 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Neurodevelopmental syndrome due to prenatal alcohol exposure,"A syndrome that involves significant neurodevelopmental features that are sufficiently severe to warrant specific clinical attention but that do not fulfill the diagnostic requirements of any of the specific Neurodevelopmental disorders and is judged to be a direct pathophysiological consequence of prenatal alcohol exposure, based on evidence from the history and physical examination.",,syndrome involves significant neurodevelopmental feature sufficiently severe warrant specific clinical attention fulfill diagnostic requirement specific neurodevelopmental disorder judged direct pathophysiological consequence prenatal alcohol exposure based evidence history physical examination,"[0.34086257219314575, -0.316883385181427, -0.18359480798244476, 0.2969649136066437, 0.27253592014312744, -0.5565221905708313, -0.7846928834915161, -0.20014795660972595, 0.30387774109840393, 0.7419773936271667, 0.04916546866297722, 0.2914230525493622, 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Secondary neurodevelopmental syndrome,"A syndrome that involves significant neurodevelopmental features that do not fulfill the diagnostic requirements of any of the specific neurodevelopmental disorders that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders (e.g., autistic-like features in Retts syndrome; aggression and self-mutilation in Lesch-Nyhan syndrome, abnormalities in language development in Williams syndrome), based on evidence from the history, physical examination, or laboratory findings.

This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the neurodevelopmental problems are sufficiently severe to warrant specific clinical attention.","The presence of significant difficulties arising during the developmental period in the acquisition and execution of specific intellectual, motor coordination, or social functions that do not fulfil the diagnostic requirements of Disorders of Intellectual Development, Autism Spectrum Disorder, or Stereotyped Movement Disorder and persist substantially beyond the expected age.

The symptoms are judged to be the direct pathophysiological consequence of a medical condition with onset during the developmental period, based on evidence from history, physical examination, or laboratory findings. This judgment depends on establishing that:

The medical condition is known to be capable of producing the symptoms;
The course of developmental difficulties (e.g., onset, remission, response of the neurodevelopmental symptoms to treatment of the etiological medical condition) is consistent with causation by the medical condition; and
The symptoms are not better accounted for by a Neurodevelopmental Disorder (e.g., a Disorders of Intellectual Development, Autism Spectrum Disorder, Developmental Motor Coordination Disorder) or the effects of a medication or substance.
The symptoms are a specific focus of clinical attention.",syndrome involves significant neurodevelopmental feature fulfill diagnostic requirement specific neurodevelopmental disorder judged direct pathophysiological consequence health condition classified mental behavioural disorder eg autisticlike feature retts syndrome aggression selfmutilation leschnyhan syndrome abnormality language development williams syndrome based evidence history physical examination laboratory finding category used addition diagnosis presumed underlying disorder disease neurodevelopmental problem sufficiently severe warrant specific clinical attention presence significant difficulty arising developmental period acquisition execution specific intellectual motor coordination social function fulfil diagnostic requirement disorder intellectual development autism spectrum disorder stereotyped movement disorder persist substantially beyond expected age symptom judged direct pathophysiological consequence medical condition onset developmental period based evidence history physical examination laboratory finding judgment depends establishing that medical condition known capable producing symptom course developmental difficulty eg onset remission response neurodevelopmental symptom treatment etiological medical condition consistent causation medical condition symptom better accounted neurodevelopmental disorder eg disorder intellectual development autism spectrum disorder developmental motor coordination disorder effect medication substance symptom specific focus clinical attention,"[0.5555975437164307, -0.25858020782470703, 0.33967655897140503, 1.4425606727600098, 0.04418203979730606, -0.532926619052887, -0.2624892294406891, -0.9776897430419922, 0.36161983013153076, 0.8269157409667969, -0.9581893682479858, -0.10018257796764374, -0.173432856798172, -0.3907930850982666, 0.3513762652873993, 0.17146003246307373, -0.9704819321632385, -0.4619174301624298, -1.1123816967010498, 0.3483579456806183, 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Schizophrenia,"Schizophrenia is characterised by disturbances in multiple mental modalities, including thinking (e.g., delusions, disorganisation in the form of thought), perception (e.g., hallucinations), self-experience (e.g., the experience that one's feelings, impulses, thoughts, or behaviour are under the control of an external force), cognition (e.g., impaired attention, verbal memory, and social cognition), volition (e.g., loss of motivation), affect (e.g., blunted emotional expression), and behaviour (e.g., behaviour that appears bizarre or purposeless, unpredictable or inappropriate emotional responses that interfere with the organisation of behaviour). Psychomotor disturbances, including catatonia, may be present. Persistent delusions, persistent hallucinations, thought disorder, and experiences of influence, passivity, or control are considered core symptoms. Symptoms must have persisted for at least one month in order for a diagnosis of schizophrenia to be assigned. The symptoms are not a manifestation of another health condition (e.g., a brain tumour) and are not due to the effect of a substance or medication on the central nervous system (e.g., corticosteroids), including withdrawal (e.g., alcohol withdrawal).","At least two of the following symptoms must be present (by the individual’s report or through observation by the clinician or other informants) most of the time for a period of 1 month or more. At least one of the qualifying symptoms should be from item a) through d) below:
Persistent delusions (e.g., grandiose delusions, delusions of reference, persecutory delusions).

Persistent hallucinations (most commonly auditory, although they may be in any sensory modality).

Disorganized thinking (formal thought disorder) (e.g., tangentiality and loose associations, irrelevant speech, neologisms). When severe, the person’s speech may be so incoherent as to be incomprehensible (‘word salad’).

Experiences of influence, passivity or control (i.e., the experience that one’s feelings, impulses, actions or thoughts are not generated by oneself, are being placed in one’s mind or withdrawn from one’s mind by others, or that one’s thoughts are being broadcast to others).

Negative symptoms such as affective flattening, alogia or paucity of speech, avolition, asociality and anhedonia.

Grossly disorganized behaviour that impedes goal-directed activity (e.g., behaviour that appears bizarre or purposeless, unpredictable or inappropriate emotional responses that interferes with the ability to organize behaviour.)

Psychomotor disturbances such as catatonic restlessness or agitation, posturing, waxy flexibility, negativism, mutism, or stupor. Note: If the full syndrome of Catatonia is present in the context of Schizophrenia, the diagnosis of Catatonia Associated with Another Mental Disorder should also be assigned.

The symptoms are not a manifestation of another medical condition (e.g., a brain tumour) and are not due to the effects of a substance or medication (e.g., corticosteroids) on the central nervous system, including withdrawal effects (e.g., from alcohol).",schizophrenia characterised disturbance multiple mental modality including thinking eg delusion disorganisation form thought perception eg hallucination selfexperience eg experience one feeling impulse thought behaviour control external force cognition eg impaired attention verbal memory social cognition volition eg loss motivation affect eg blunted emotional expression behaviour eg behaviour appears bizarre purposeless unpredictable inappropriate emotional response interfere organisation behaviour psychomotor disturbance including catatonia may present persistent delusion persistent hallucination thought disorder experience influence passivity control considered core symptom symptom must persisted least one month order diagnosis schizophrenia assigned symptom manifestation another health condition eg brain tumour due effect substance medication central nervous system eg corticosteroid including withdrawal eg alcohol withdrawal least two following symptom must present by individual’s report observation clinician informant time period month more least one qualifying symptom item a d below persistent delusion eg grandiose delusion delusion reference persecutory delusion persistent hallucination most commonly auditory although may sensory modality disorganized thinking formal thought disorder eg tangentiality loose association irrelevant speech neologism severe person’s speech may incoherent incomprehensible ‘word salad’ experience influence passivity control ie experience one’s feeling impulse action thought generated oneself placed one’s mind withdrawn one’s mind others one’s thought broadcast others negative symptom affective flattening alogia paucity speech avolition asociality anhedonia grossly disorganized behaviour impedes goaldirected activity eg behaviour appears bizarre purposeless unpredictable inappropriate emotional response interferes ability organize behaviour psychomotor disturbance catatonic restlessness agitation posturing waxy flexibility negativism mutism stupor note full syndrome catatonia present context schizophrenia diagnosis catatonia associated another mental disorder also assigned symptom manifestation another medical condition eg brain tumour due effect substance medication eg corticosteroid central nervous system including withdrawal effect eg alcohol,"[0.1218864843249321, -0.6377719640731812, 0.16003677248954773, 1.1117379665374756, -0.19937092065811157, -0.6317794322967529, 0.517798662185669, -0.6819891929626465, -0.674176037311554, 1.0699875354766846, -1.40055251121521, 0.44245725870132446, -0.29277533292770386, 0.20874691009521484, -0.4376496970653534, -0.2166110724210739, -0.5537489652633667, -0.404143750667572, -0.8639043569564819, 0.36573922634124756, 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Schizoaffective disorder,"Schizoaffective disorder is an episodic disorder in which the diagnostic requirements of schizophrenia and a manic, mixed, or moderate or severe depressive episode are met within the same episode of illness, either simultaneously or within a few days of each other. Prominent symptoms of schizophrenia (e.g. delusions, hallucinations, disorganisation in the form of thought, experiences of influence, passivity and control) are accompanied by typical symptoms of a moderate or severe depressive episode (e.g. depressed mood, loss of interest, reduced energy), a manic episode (e.g. an extreme mood state characterised by euphoria, irritability, or expansiveness; increased activity or a subjective experience of increased energy) or a mixed episode. Psychomotor disturbances, including catatonia, may be present. Symptoms must have persisted for at least one month. The symptoms are not a manifestation of another medical condition (e.g. a brain tumor) and are not due to the effect of a substance or medication on the central nervous system (e.g. corticosteroids), including withdrawal (e.g. alcohol withdrawal).","All diagnostic requirements for Schizophrenia are met concurrently with mood symptoms that meet the diagnostic requirements of a Moderate or Severe Depressive Episode, a Manic Episode, or a Mixed Episode. Note: In making a diagnosis of Schizoaffective Disorder, Depressive Episodes must include depressed mood, not just diminished interest or pleasure.
The onset of the psychotic and mood symptoms is either simultaneous or occurs within a few days of one another.
The duration of symptomatic episodes is at least 1 month for both psychotic and mood symptoms.
The symptoms or behaviours are not a manifestation of another medical condition (e.g., a brain tumour) and are not due to the effects of a substance or medication on the central nervous system (e.g., corticosteroids), including withdrawal effects (e.g., from alcohol).",schizoaffective disorder episodic disorder diagnostic requirement schizophrenia manic mixed moderate severe depressive episode met within episode illness either simultaneously within day other prominent symptom schizophrenia eg delusion hallucination disorganisation form thought experience influence passivity control accompanied typical symptom moderate severe depressive episode eg depressed mood loss interest reduced energy manic episode eg extreme mood state characterised euphoria irritability expansiveness increased activity subjective experience increased energy mixed episode psychomotor disturbance including catatonia may present symptom must persisted least one month symptom manifestation another medical condition 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Schizotypal disorder,"Schizotypal disorder is characterised by an enduring pattern (i.e. characteristic of the person’s functioning over a period of at least several years) of eccentricities in behaviour, appearance and speech, accompanied by cognitive and perceptual distortions, unusual beliefs, and discomfort with— and often reduced capacity for— interpersonal relationships. Symptoms may include constricted or inappropriate affect and anhedonia. Paranoid ideas, ideas of reference, or other psychotic symptoms, including hallucinations in any modality, may occur, but are not of sufficient intensity or duration to meet the diagnostic requirements of schizophrenia, schizoaffective disorder, or delusional disorder. The symptoms cause distress or impairment in personal, family, social, educational, occupational or other important areas of functioning.","An enduring pattern of unusual speech, perceptions, beliefs and behaviours that are not of sufficient intensity or duration to meet the diagnostic requirements of Schizophrenia, Schizoaffective Disorder, or Delusional Disorder. The pattern includes several of the following symptoms:
Constricted affect, such that the individual appears cold and aloof;
Behaviour or appearance that is odd, eccentric, unusual, or peculiar and is inconsistent with cultural or subcultural norms;
Poor rapport with others and a tendency towards social withdrawal;
Unusual beliefs or magical thinking influencing the person’s behaviour in ways that are inconsistent with subcultural norms, but not reaching the diagnostic requirements for a delusion;
Unusual perceptual distortions such as intense illusions, depersonalization, derealization, or auditory or other hallucinations;
Suspiciousness or paranoid ideas;
Vague, circumstantial, metaphorical, overelaborate, or stereotyped thinking, manifest in odd speech without gross incoherence;
Obsessive ruminations without a sense that the obsession is foreign or unwanted, often with body dysmorphic, sexual, or aggressive content.
The individual has never met the diagnostic requirements for Schizophrenia, Schizoaffective Disorder, or Delusional Disorder. That is, transient delusions, hallucinations, formal thought disorder, or experiences of influence, passivity or control may occur, but do not last for more than 1 month.
Symptoms should have been present, continuously or episodically, for at least 2 years.
The symptoms cause distress or impairment in personal, family, social, educational, occupational or other important areas of functioning.
The symptoms are not a manifestation of another medical condition (e.g., a brain tumour), are not due to the effects of a substance or medication on the central nervous system (e.g., corticosteroids), including withdrawal effects (e.g., from alcohol), and are not better accounted for by another Mental, Behavioural, or Neurodevelopmental Disorder.",schizotypal disorder characterised enduring pattern ie characteristic person’s functioning period least several year eccentricity behaviour appearance speech accompanied cognitive perceptual distortion unusual belief discomfort with— often reduced capacity for— interpersonal relationship symptom may include constricted inappropriate affect anhedonia paranoid idea idea reference psychotic symptom including hallucination modality may occur sufficient intensity duration meet diagnostic requirement schizophrenia schizoaffective disorder delusional disorder symptom cause distress impairment personal family social educational occupational important area functioning enduring pattern unusual speech perception belief behaviour sufficient intensity duration meet diagnostic requirement schizophrenia schizoaffective disorder delusional disorder pattern includes several following symptom constricted affect individual appears cold aloof behaviour appearance odd eccentric unusual peculiar inconsistent cultural subcultural norm poor rapport others tendency towards social withdrawal unusual belief magical thinking influencing person’s behaviour way inconsistent subcultural norm reaching diagnostic requirement delusion unusual perceptual distortion intense illusion depersonalization derealization auditory hallucination suspiciousness paranoid idea vague circumstantial metaphorical overelaborate stereotyped thinking manifest odd speech without gross incoherence obsessive rumination without sense obsession foreign unwanted often body dysmorphic sexual aggressive content individual never met diagnostic requirement schizophrenia schizoaffective disorder delusional disorder is transient delusion hallucination formal thought disorder experience influence passivity control may occur last month symptom present continuously episodically least year symptom cause distress impairment personal family social educational occupational important area functioning symptom manifestation another medical condition eg brain tumour due effect substance medication central nervous system eg corticosteroid including withdrawal effect eg alcohol better accounted another mental behavioural neurodevelopmental disorder,"[0.5930441617965698, -0.7590768933296204, 0.06727558374404907, 1.215705156326294, 0.039944469928741455, -0.024809733033180237, -0.15124467015266418, -0.362970232963562, -0.015796149149537086, 0.4394441545009613, -0.8393527269363403, -0.3775736689567566, -0.34668049216270447, -0.14743192493915558, -0.2706127166748047, -0.2286112904548645, -0.22871920466423035, -0.3675718903541565, -0.93657386302948, -0.013974896632134914, 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Acute and transient psychotic disorder,"Acute and transient psychotic disorder is characterised by acute onset of psychotic symptoms that emerge without a prodrome and reach their maximal severity within two weeks. Symptoms may include delusions, hallucinations, disorganisation of thought processes, perplexity or confusion, and disturbances of affect and mood. Catatonia-like psychomotor disturbances may be present. Symptoms typically change rapidly, both in nature and intensity, from day to day, or even within a single day. The duration of the episode does not exceed 3 months, and most commonly lasts from a few days to 1 month. The symptoms are not a manifestation of another medical condition (e.g. a brain tumour) and are not due to the effect of a substance or medication on the central nervous system (e.g. corticosteroids), including withdrawal (e.g. alcohol withdrawal).","Acute onset of psychotic symptoms, which can include delusions, hallucinations, disorganized thinking, or experiences of influence, passivity or control, that emerge without a prodrome, progressing from a non-psychotic state to a clearly psychotic state within 2 weeks. Psychomotor disturbances may also be present, including catatonia.
Symptoms change rapidly, both in nature and intensity. Such changes may occur from day to day, or even within a single day.
Absence of negative symptoms (i.e., affective flattening, alogia or paucity of speech, avolition, asociality, anhedonia) during the psychotic episode.
The duration of the symptoms does not exceed 3 months, and most commonly lasts from a few days to 1 month.
The symptoms or behaviours are not a manifestation of another medical condition (e.g., a brain tumour), are not due to the effects of a substance or medication on the central nervous system (e.g., corticosteroids), including withdrawal effects (e.g., from alcohol), and are not better accounted for by Schizophrenia or Other Primary Psychotic Disorder.",acute transient psychotic disorder characterised acute onset psychotic symptom emerge without prodrome reach maximal severity within two week symptom may include delusion hallucination disorganisation thought process perplexity confusion disturbance affect mood catatonialike psychomotor disturbance may present symptom typically change rapidly nature intensity day day even within single day duration episode exceed month commonly last day month symptom manifestation another medical condition eg brain tumour due effect substance medication central nervous system eg corticosteroid including withdrawal eg alcohol withdrawal acute onset psychotic symptom include delusion hallucination disorganized thinking experience influence passivity control emerge without prodrome progressing nonpsychotic state clearly psychotic state within week psychomotor disturbance may also present including catatonia symptom change rapidly nature intensity change may occur day day even within single day absence negative symptom ie affective flattening alogia paucity speech avolition asociality anhedonia psychotic episode duration symptom exceed month commonly last day month symptom behaviour manifestation another medical condition eg brain tumour due effect substance medication central nervous system eg corticosteroid including withdrawal effect eg alcohol better accounted schizophrenia primary psychotic disorder,"[0.3464711904525757, -0.23312214016914368, 0.054739635437726974, 0.49979454278945923, 0.029515407979488373, -0.21521982550621033, 0.38100528717041016, -0.3302007019519806, -0.41558533906936646, 0.9614998698234558, 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Delusional disorder,"Delusional disorder is characterised by the development of a delusion or set of related delusions, typically persisting for at least 3 months and often much longer, in the absence of a Depressive, Manic, or Mixed mood episode. The delusions are variable in content across individuals, but typically stable within individuals, although they may evolve over time. Other characteristic symptoms of Schizophrenia (i.e. clear and persistent hallucinations, negative symptoms, disorganised thinking, or experiences of influence, passivity, or control) are not present, although various forms of perceptual disturbances (e.g. hallucinations, illusions, misidentifications of persons) thematically related to the delusion are still consistent with the diagnosis. Apart from actions and attitudes directly related to the delusion or delusional system, affect, speech, and behavior are typically unaffected. The symptoms are not a manifestation of another medical condition (e.g., a brain tumour) and are not due to the effect of a substance or medication on the central nervous system (e.g. corticosteroids), including withdrawal effects (e.g. alcohol withdrawal).","Presence of a delusion or set of related delusions, typically persisting for at least 3 months and often much longer, in the absence of a Depressive, Manic or Mixed Episode.
The delusions are variable in content across individuals, while showing remarkable stability within individuals, although they may evolve over time. Common forms of delusions include persecutory, somatic (e.g., a belief that organs are rotting or malfunctioning despite normal medical examination), grandiose (e.g., a belief that one has discovered an elixir that gives eternal life), jealous (e.g., the unjustified belief that one’s spouse is unfaithful) and erotomania (i.e., the belief that another person, usually a famous or high-status stranger, is in love with the person experiencing the delusion).
Absence of clear and persistent hallucinations, severely disorganized thinking (formal thought disorder), experiences of influence, passivity, or control or negative symptoms characteristic of Schizophrenia. However, in some cases, specific hallucinations typically related to the content of the delusions may be present (e.g., tactile hallucinations in delusions of being infected by parasites or insects).
Apart from the actions and attitudes directly related to the delusional system, affect, speech, and behaviour are typically unaffected.
The symptoms are not a manifestation of another medical condition (e.g., a brain tumour), are not due to the effects of a substance or medication on the central nervous system (e.g., corticosteroids), including withdrawal effects (e.g., from alcohol), and are not better accounted for by another mental disorder (e.g., another Primary Psychotic Disorder, a Mood Disorder, an Obsessive-Compulsive or Related Disorder, an Eating Disorder).",delusional disorder characterised development delusion set related delusion typically persisting least month often much longer absence depressive manic mixed mood episode delusion variable content across individual typically stable within individual although may evolve time characteristic symptom schizophrenia ie clear persistent hallucination negative symptom disorganised thinking experience influence passivity control present although various form perceptual disturbance eg hallucination illusion misidentifications person thematically related delusion still consistent diagnosis apart action attitude directly related delusion delusional system affect speech behavior typically unaffected symptom manifestation another medical condition eg brain tumour due effect substance medication central nervous system eg corticosteroid including withdrawal effect eg alcohol withdrawal presence delusion set related delusion typically persisting least month often much longer absence depressive manic mixed episode delusion variable content across individual showing remarkable stability within individual although may evolve time common form delusion include persecutory somatic eg belief organ rotting malfunctioning despite normal medical examination grandiose eg belief one discovered elixir give eternal life jealous eg unjustified belief one’s spouse unfaithful erotomania ie belief another person usually famous highstatus stranger love person experiencing delusion absence clear persistent hallucination severely disorganized thinking formal thought disorder experience influence passivity control negative symptom characteristic schizophrenia however case specific hallucination typically related content delusion may present eg tactile hallucination delusion infected parasite insect apart action attitude directly related delusional system affect speech behaviour typically unaffected symptom manifestation another medical condition eg brain tumour due effect substance medication central nervous system eg corticosteroid including withdrawal effect eg alcohol better accounted another mental disorder eg another primary psychotic disorder mood disorder obsessivecompulsive related disorder eating disorder,"[0.5676198601722717, -0.6030100584030151, 0.09534727036952972, 1.0498837232589722, -0.11981480568647385, -0.8820379972457886, -0.42614516615867615, -0.38210803270339966, -0.322506844997406, 0.9455471038818359, -0.8675596714019775, 0.326360285282135, -0.22467145323753357, -0.7713915109634399, -0.9541653990745544, -0.9012521505355835, 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Secondary psychotic syndrome,"A syndrome characterised by the presence of prominent hallucinations or delusions judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the psychotic symptoms are sufficiently severe to warrant specific clinical attention.","The presence of prominent hallucinations and/or delusions.
The symptoms are judged to be the direct pathophysiological consequence of a medical condition, based on evidence from the history, physical examination, or laboratory findings. This judgment depends on establishing that:
The medical condition is known to be capable of producing the symptoms;
The course of the hallucinations and/or delusions (e.g., onset, remission, response of the psychotic symptoms to treatment of the etiological medical condition) is consistent with causation by the medical condition; and
The symptoms are not better accounted for by Delirium, Dementia, another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, a Mood Disorder) or the effects of a medication or substance, including withdrawal effects.
The symptoms are sufficiently severe to be a specific focus of clinical attention.",syndrome characterised presence prominent hallucination delusion judged direct pathophysiological consequence health condition classified mental behavioural disorder based evidence history physical examination laboratory finding symptom accounted delirium another mental behavioural disorder psychologically mediated response severe medical condition eg acute stress reaction response lifethreatening diagnosis category used addition diagnosis presumed underlying disorder disease psychotic symptom sufficiently severe warrant specific clinical attention presence prominent hallucination andor delusion symptom judged direct pathophysiological consequence medical condition based evidence history physical examination laboratory finding judgment depends establishing that medical condition known capable producing symptom course hallucination andor delusion eg onset remission response psychotic symptom treatment etiological medical condition consistent causation medical condition symptom better accounted delirium dementia another mental disorder eg schizophrenia primary psychotic disorder mood disorder effect medication substance including withdrawal effect symptom sufficiently severe specific focus clinical attention,"[0.4012291133403778, -0.24518293142318726, -0.22240303456783295, 0.6458637118339539, -0.019005604088306427, -0.6866542100906372, -0.779954195022583, -0.07830953598022461, -0.21576479077339172, 0.8815024495124817, -0.1825888305902481, -0.3194345235824585, 0.005620602518320084, -0.329281747341156, -0.37441742420196533, -0.09465081989765167, -0.7870311737060547, -0.6339350938796997, -1.171294927597046, 0.25688230991363525, 1.1980998516082764, 0.5335557460784912, 0.12339741736650467, 0.3261652886867523, -0.21582859754562378, -0.16341456770896912, -0.5526115894317627, -0.464286208152771, 0.06930933892726898, -0.29487210512161255, 0.3894733786582947, -0.3795276880264282, 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Catatonia,"Catatonia is a syndrome of primarily psychomotor disturbances, characterized by the co-occurrence of several symptoms of decreased, increased, or abormal psychomotor activity. The assessment of catatonia is complex and requires observation, interview and physical exam. Catatonia can occur in the context of another mental disorder, such as Schizophrenia or Other Primary Psychotic Disorders, Mood Disorders, and Neurodevelopmental Disorders, especially Autism Spectrum Disorder. Catatonia can also develop during or soon after intoxication or withdrawal from certain psychoactive substances, including phencyclidine (PCP), cannabis, hallucinogens such as mescaline or LSD, cocaine and MDMA or related drugs, or during the use of certain psychoactive and non-psychoactive medications (e.g. antipsychotic medications, benzodiazepines, steroids, disulfiram, ciprofloxacin). Finally, Catatonia can occur as a direct pathophysiological consequence of a medical condition not classified under Mental, Behavioural or Neurodevelopmental Disorders. Examples of medical conditions that may be associated with Catatonia include diabetic ketoacidosis, hypercalcemia, hepatic encephalopathy, homocystinuria, neoplasms head trauma, cerebrovascular disease, and encephalitis.","Decreased Psychomotor Activity

Staring: fixed gaze, decreased blinking, often with widely opened eyes.
Ambitendency: appearance of being ‘motorically stuck’ in indecisive or hesitant movement.
Negativism: opposing or behaving contrary to requests or instructions, which may lead to withdrawal from interaction with others (turning away) or refusal to take food or drink when offered.
Stupor: immobility; no or markedly reduced psychomotor activity; minimally responsive to external stimuli.
Mutism: no or very little verbal response; speech may be hushed or whispered to the point of being unintelligible. (Note: Do not count if speech symptoms are due to a Disease of the Nervous System, Developmental Speech or Language Disorder, or other disease or disorder affecting speech.)
Increased psychomotor activity

Any of the following: extreme hyperactivity or agitation for no reason with nonpurposeful movements and/or uncontrollable, extreme emotional reactions; impulsivity (sudden engagement in inappropriate behaviour without provocation); combativeness (striking out against others usually in an undirected manner, with or without the potential for injury). (Note: Multiple manisfestations of increased psychomotor activity should only be counted as one of the required three symptoms in order to meet the requirements for Catatonia.)
Abnormal psychomotor activity

Grimacing: odd or distorted facial expressions; often inappropriate and irrelevant to the situation.
Mannerisms: odd, purposeful movements that are not appropriate to the individual’s cultural context; exaggerated caricatures of mundane movements.
Posturing: spontaneous and active maintenance of a posture against gravity; sitting or standing for long periods without reacting.
Stereotypy: repetitive, non-goal-directed motor activity (e.g., finger-play, repeatedly touching, patting or rubbing self); the abnormality is not inherent in the action but relates to its frequency
Rigidity: resistance by way of increased muscle tone. May range in severity from mildly increased tone to severe ‘lead pipe’ rigidity. (Requires examination.)
Echophenomena: mimicking examiner’s speech (echolalia) or movements (echopraxia).
Verbigeration: continuous and directionless repetition of words, phrases, or sentences.
Waxy flexibility: slight and even resistance to positioning by examiner. (Requires examination.)
Catalepsy: passive induction of a posture (typically examiner passively moves patient’s extremity) which remains held against gravity. (Requires examination.)
The symptoms typically last for at least several hours but can persist much longer. For some severe items (e.g., stupor, catalepsy, mutism, negativism) or if vital sign (autonomic) abnormality is present, a short duration (e.g., 15 minutes) may be sufficient to be considered as a qualifying symptom.

The symptoms result in significant impairment in daily functioning or are severe enough to cause serious medical complications (e.g., contractures, exhaustion, dehydration, aspiration) or risk of death resulting from autonomic abnormalities or complications (e.g., rigidity leading to renal failure from rhabdomyolysis).",catatonia syndrome primarily psychomotor disturbance characterized cooccurrence several symptom decreased increased abormal psychomotor activity assessment catatonia complex requires observation interview physical exam catatonia occur context another mental disorder schizophrenia primary psychotic disorder mood disorder neurodevelopmental disorder especially autism spectrum disorder catatonia also develop soon intoxication withdrawal certain psychoactive substance including phencyclidine pcp cannabis hallucinogen mescaline lsd cocaine mdma related drug use certain psychoactive nonpsychoactive medication eg antipsychotic medication benzodiazepine steroid disulfiram ciprofloxacin finally catatonia occur direct pathophysiological consequence medical condition classified mental behavioural neurodevelopmental disorder example medical condition may associated catatonia include diabetic ketoacidosis hypercalcemia hepatic encephalopathy homocystinuria neoplasm head trauma cerebrovascular disease encephalitis decreased psychomotor activity staring fixed gaze decreased blinking often widely opened eye ambitendency appearance ‘motorically stuck’ indecisive hesitant movement negativism opposing behaving contrary request instruction may lead withdrawal interaction others turning away refusal take food drink offered stupor immobility markedly reduced psychomotor activity minimally responsive external stimulus mutism little verbal response speech may hushed whispered point unintelligible note count speech symptom due disease nervous system developmental speech language disorder disease disorder affecting speech increased psychomotor activity following extreme hyperactivity agitation reason nonpurposeful movement andor uncontrollable extreme emotional reaction impulsivity sudden engagement inappropriate behaviour without provocation combativeness striking others usually undirected manner without potential injury note multiple manisfestations increased psychomotor activity counted one required three symptom order meet requirement catatonia abnormal psychomotor activity grimacing odd distorted facial expression often inappropriate irrelevant situation mannerism odd purposeful movement appropriate individual’s cultural context exaggerated caricature mundane movement posturing spontaneous active maintenance posture gravity sitting standing long period without reacting stereotypy repetitive nongoaldirected motor activity eg fingerplay repeatedly touching patting rubbing self abnormality inherent action relates frequency rigidity resistance way increased muscle tone may range severity mildly increased tone severe ‘lead pipe’ rigidity requires examination echophenomena mimicking examiner’s speech echolalia movement echopraxia verbigeration continuous directionless repetition word phrase sentence waxy flexibility slight even resistance positioning examiner requires examination catalepsy passive induction posture typically examiner passively move patient’s extremity remains held gravity requires examination symptom typically last least several hour persist much longer severe item eg stupor catalepsy mutism negativism vital sign autonomic abnormality present short duration eg minute may sufficient considered qualifying symptom symptom result significant impairment daily functioning severe enough cause serious medical complication eg contracture exhaustion dehydration aspiration risk death resulting autonomic abnormality complication eg rigidity leading renal failure rhabdomyolysis,"[-0.15510070323944092, -0.29852426052093506, 0.31634390354156494, 1.1995623111724854, -0.14089980721473694, -0.36199086904525757, 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Bipolar or related disorders,"Bipolar and related disorders are episodic mood disorders defined by the occurrence of Manic, Mixed or Hypomanic episodes or symptoms. These episodes typically alternate over the course of these disorders with Depressive episodes or periods of depressive symptoms.","The presentation is characterized by manic or hypomanic symptoms (with or without depressive symptoms) that share primary clinical features with other Bipolar or Related Disorders (e.g., persistent elevation of mood).
The symptoms do not fulfil the diagnostic requirements for any other disorder in the Bipolar or Related Disorders grouping.
The symptoms are not better accounted for by another Mental, Behavioural or Neurodevelopmental Disorder (e.g., Schizoaffective Disorder; a Disorder Due to Addictive Behaviours; a Personality Disorder).
The symptoms and behaviours are not a manifestation of another medical condition and are not due to the effects of a substance or medication (e.g., alcohol, cocaine) on the central nervous system, including withdrawal effects.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",bipolar related disorder episodic mood disorder defined occurrence manic mixed hypomanic episode symptom episode typically alternate course disorder depressive episode period depressive symptom presentation characterized manic hypomanic symptom with without depressive symptom share primary clinical feature bipolar related disorder eg persistent elevation mood symptom fulfil diagnostic requirement disorder bipolar related disorder grouping symptom better accounted another mental behavioural neurodevelopmental disorder eg schizoaffective disorder disorder due addictive behaviour personality disorder symptom behaviour manifestation another medical condition due effect substance medication eg alcohol cocaine central nervous system including withdrawal effect symptom result significant distress significant impairment personal family social educational occupational important area functioning functioning 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Depressive disorders,"Depressive disorders are characterised by depressive mood (e.g., sad, irritable, empty) or loss of pleasure accompanied by other cognitive, behavioural, or neurovegetative symptoms that significantly affect the individual’s ability to function. A depressive disorder should not be diagnosed in individuals who have ever experienced a manic, mixed or hypomanic episode, which would indicate the presence of a bipolar disorder.","The presentation is characterized by mood symptoms that share primary clinical features with other Depressive Disorders (e.g., depressed mood, decreased engagement in pleasurable activities, decreased energy levels, disruptions in sleep or eating).
The symptoms do not fulfil the diagnostic requirements for any other disorder in the Depressive Disorders grouping.
The symptoms are not better accounted for by another Mental, Behavioural or Neurodevelopmental Disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, an Anxiety or Fear-Related Disorder, a Disorder Specifically Associated with Stress).
The symptoms and behaviours are not a manifestation of another medical condition and are not due to the effects of a substance or medication (e.g., alcohol, benzodiazepine) on the central nervous system, including withdrawal effects (e.g., from cocaine).
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",depressive disorder characterised depressive mood eg sad irritable empty loss pleasure accompanied cognitive behavioural neurovegetative symptom significantly affect individual’s ability function depressive disorder diagnosed individual ever experienced manic mixed hypomanic episode would indicate presence bipolar disorder presentation characterized mood symptom share primary clinical feature depressive disorder eg depressed mood decreased engagement pleasurable activity decreased energy level disruption sleep eating symptom fulfil diagnostic requirement disorder depressive disorder grouping symptom better accounted another mental behavioural neurodevelopmental disorder eg schizophrenia primary psychotic disorder anxiety fearrelated disorder disorder specifically associated stress symptom behaviour manifestation another medical condition due effect substance medication eg alcohol benzodiazepine central 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Secondary mood syndrome,"A syndrome characterised by the presence of prominent mood symptoms (i.e., depression, elevated mood, irritability) judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., depressive symptoms in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the mood symptoms are sufficiently severe to warrant specific clinical attention.","The presence of prominent depressive, manic, or mixed mood symptoms.
The symptoms are judged to be the direct pathophysiological consequence of a medical condition, based on evidence from the history, physical examination, or laboratory findings. This judgment depends on establishing that:
The medical condition is known to be capable of producing the symptoms;
The course of the mood symptoms (e.g., onset, remission, response of the mood symptoms to treatment of the etiological medical condition) is consistent with causation by the medical condition; and
The symptoms are not better accounted for by Delirium, Dementia, another mental disorder (e.g., Depressive Disorder, Bipolar I Disorder, Bipolar II Disorder, Cyclothymic Disorder, or Catatonia) or the effects of a medication or substance, including withdrawal effects.
The symptoms are sufficiently severe to be a specific focus of clinical attention.",syndrome characterised presence prominent mood symptom ie depression elevated mood irritability judged direct pathophysiological consequence health condition classified mental behavioural disorder based evidence history physical examination laboratory finding symptom accounted delirium another mental behavioural disorder psychologically mediated response severe medical condition eg depressive symptom response lifethreatening diagnosis category used addition diagnosis presumed underlying disorder disease mood symptom sufficiently severe warrant specific clinical attention presence prominent depressive manic mixed mood symptom symptom judged direct pathophysiological consequence medical condition based evidence history physical examination laboratory finding judgment depends establishing that medical condition known capable producing symptom course mood symptom eg onset remission response mood symptom 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Generalised anxiety disorder,"Generalised anxiety disorder is characterised by marked symptoms of anxiety that persist for at least several months, for more days than not, manifested by either general apprehension (i.e. ‘free-floating anxiety’) or excessive worry focused on multiple everyday events, most often concerning family, health, finances, and school or work, together with additional symptoms such as muscular tension or motor restlessness, sympathetic autonomic over-activity, subjective experience of nervousness, difficulty maintaining concentration, irritability, or sleep disturbance. The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. The symptoms are not a manifestation of another health condition and are not due to the effects of a substance or medication on the central nervous system.","Marked symptoms of anxiety manifested by either:
General apprehensiveness that is not restricted to any particular environmental circumstance (i.e., ‘free-floating anxiety’); or
Excessive worry (apprehensive expectation) about negative events occurring in several different aspects of everyday life (e.g., work, finances, health, family).
Anxiety and general apprehensiveness or worry are accompanied by additional characteristic symptoms, such as:
Muscle tension or motor restlessness.
Sympathetic autonomic overactivity as evidenced by frequent gastrointestinal symptoms such as nausea and/or abdominal distress, heart palpitations, sweating, trembling, shaking, and/or dry mouth.
Subjective experience of nervousness, restlessness, or being ‘on edge’.
Difficulty concentrating.
Irritability.
Sleep disturbances (difficulty falling or staying asleep, or restless, unsatisfying sleep).
The symptoms are not transient and persist for at least several months, for more days than not.
The symptoms are not better accounted for by another mental disorder (e.g., a Depressive Disorder).
The symptoms are not a manifestation of another medical condition (e.g., hyperthyroidism) and are not due to the effects of a substance or medication on the central nervous system (e.g., caffeine, cocaine), including withdrawal effects (e.g., alcohol, benzodiazepines).
The symptoms result in significant distress about experiencing persistent anxiety symptoms or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",generalised anxiety disorder characterised marked symptom anxiety persist least several month day not manifested either general apprehension ie ‘freefloating anxiety’ excessive worry focused multiple everyday event often concerning family health finance school work together additional symptom muscular tension motor restlessness sympathetic autonomic overactivity subjective experience nervousness difficulty maintaining concentration irritability sleep disturbance symptom result significant distress significant impairment personal family social educational occupational important area functioning symptom manifestation another health condition due effect substance medication central nervous system marked symptom anxiety manifested either general apprehensiveness restricted particular environmental circumstance ie ‘freefloating anxiety’ excessive worry apprehensive expectation negative event occurring several different aspect everyday life eg work finance health family anxiety general apprehensiveness worry accompanied additional characteristic symptom a muscle tension motor restlessness sympathetic autonomic overactivity evidenced frequent gastrointestinal symptom nausea andor abdominal distress heart palpitation sweating trembling shaking andor dry mouth subjective experience nervousness restlessness ‘on edge’ difficulty concentrating irritability sleep disturbance difficulty falling staying asleep restless unsatisfying sleep symptom transient persist least several month day not symptom better accounted another mental disorder eg depressive disorder symptom manifestation another medical condition eg hyperthyroidism due effect substance medication central nervous system eg caffeine cocaine including withdrawal effect eg alcohol benzodiazepine symptom result significant distress experiencing persistent anxiety symptom significant impairment personal family social educational occupational 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Panic disorder,"Panic disorder is characterised by recurrent unexpected panic attacks that are not restricted to particular stimuli or situations. Panic attacks are discrete episodes of intense fear or apprehension accompanied by the rapid and concurrent onset of several characteristic symptoms (e.g. palpitations or increased heart rate, sweating, trembling, shortness of breath, chest pain, dizziness or lightheadedness, chills, hot flushes, fear of imminent death). In addition, panic disorder is characterised by persistent concern about the recurrence or significance of panic attacks, or behaviours intended to avoid their recurrence, that results in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. The symptoms are not a manifestation of another medical condition and are not due to the effects of a substance or medication on the central nervous system.","Recurrent panic attacks, which are discrete episodes of intense fear or apprehension characterized by the rapid and concurrent onset of several characteristic symptoms. These symptoms may include, but are not limited to, the following:
Palpitations or increased heart rate
Sweating
Trembling
Sensations of shortness of breath
Feelings of choking
Chest pain
Nausea or abdominal distress
Feelings of dizziness or light-headedness
Chills or hot flushes
Tingling or lack of sensation in extremities (i.e., paraesthesias)
Depersonalization or derealization
Fear of losing control or going mad
Fear of imminent death
At least some of the panic attacks are unexpected, that is they are not restricted to particular stimuli or situations but rather seem to arise ‘out of the blue’.
Panic attacks are followed by persistent concern or worry (e.g., for several weeks) about their recurrence or their perceived negative significance (e.g., that the physiological symptoms may be those of a myocardial infarction), or behaviours intended to avoid their recurrence (e.g., only leaving the home with a trusted companion).
Panic attacks are not limited to anxiety-provoking situations in the context of another mental disorder.
The symptoms are not a manifestation of another medical condition (e.g., pheochromocytoma) and are not due to the direct effects of a substance or medication on the central nervous system (e.g., coffee, cocaine), including withdrawal effects (e.g., alcohol, benzodiazepines).
The symptoms result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",panic disorder characterised recurrent unexpected panic attack restricted particular stimulus situation panic attack discrete episode intense fear apprehension accompanied rapid concurrent onset several characteristic symptom eg palpitation increased heart rate sweating trembling shortness breath chest pain dizziness lightheadedness chill hot flush fear imminent death addition panic disorder characterised persistent concern recurrence significance panic attack behaviour intended avoid recurrence result significant impairment personal family social educational occupational important area functioning symptom manifestation another medical condition due effect substance medication central nervous system recurrent panic attack discrete episode intense fear apprehension characterized rapid concurrent onset several characteristic symptom symptom may include limited to following palpitation increased heart rate sweating trembling sensation shortness breath feeling choking chest pain nausea abdominal distress feeling dizziness lightheadedness chill hot flush tingling lack sensation extremity ie paraesthesia depersonalization derealization fear losing control going mad fear imminent death least panic attack unexpected restricted particular stimulus situation rather seem arise ‘out blue’ panic attack followed persistent concern worry eg several week recurrence perceived negative significance eg physiological symptom may myocardial infarction behaviour intended avoid recurrence eg leaving home trusted companion panic attack limited anxietyprovoking situation context another mental disorder symptom manifestation another medical condition eg pheochromocytoma due direct effect substance medication central nervous system eg coffee cocaine including withdrawal effect eg alcohol benzodiazepine symptom result significant impairment personal family social educational occupational important area 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Agoraphobia,"Agoraphobia is characterised by marked and excessive fear or anxiety that occurs in response to multiple situations where escape might be difficult or help might not be available, such as using public transportation, being in crowds, being outside the home alone (e.g., in shops, theatres, standing in line). The individual is consistently anxious about these situations due to a fear of specific negative outcomes (e.g., panic attacks, other incapacitating or embarrassing physical symptoms). The situations are actively avoided, entered only under specific circumstances such as in the presence of a trusted companion, or endured with intense fear or anxiety. The symptoms persist for least several months, and are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning.","Marked and excessive fear or anxiety that occurs in, or in anticipation of, multiple situations where escape might be difficult or help might not be available, such as using public transportation, being in crowds, being outside the home alone, in shops, theatres, or standing in line.
The individual is consistently fearful or anxious about these situations due to a fear of specific negative outcomes such as panic attacks, symptoms of panic, or other incapacitating (e.g., falling) or embarrassing physical symptoms (e.g., incontinence).
The situations are actively avoided, are entered only under specific circumstances (e.g., in the presence of a companion), or else are endured with intense fear or anxiety.
The symptoms are not transient, that is, they persist for an extended period of time (e.g., at least several months).
The symptoms are not better accounted for by another mental disorder (e.g., paranoid ideation in Delusional Disorder; social withdrawal in Depressive Disorders).
The symptoms result in significant distress about experiencing persistent anxiety symptoms or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",agoraphobia characterised marked excessive fear anxiety occurs response multiple situation escape might difficult help might available using public transportation crowd outside home alone eg shop theatre standing line individual consistently anxious situation due fear specific negative outcome eg panic attack incapacitating embarrassing physical symptom situation actively avoided entered specific circumstance presence trusted companion endured intense fear anxiety symptom persist least several month sufficiently severe result significant distress significant impairment personal family social educational occupational important area functioning marked excessive fear anxiety occurs in anticipation of multiple situation escape might difficult help might available using public transportation crowd outside home alone shop theatre standing line individual consistently fearful anxious situation due fear specific negative outcome panic attack symptom panic incapacitating eg falling embarrassing physical symptom eg incontinence situation actively avoided entered specific circumstance eg presence companion else endured intense fear anxiety symptom transient is persist extended period time eg least several month symptom better accounted another mental disorder eg paranoid ideation delusional disorder social withdrawal depressive disorder symptom result significant distress experiencing persistent anxiety symptom significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[0.7122728824615479, 0.13589242100715637, 0.5340994596481323, 1.0824354887008667, 0.14342418313026428, -0.2292689085006714, 0.6398963928222656, 0.1983911246061325, -0.16583895683288574, 0.13537240028381348, 0.34021538496017456, -0.6524562835693359, 0.02701655775308609, -0.8764814138412476, -0.12611351907253265, -0.11704054474830627, 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Specific phobia,"Specific phobia is characterised by a marked and excessive fear or anxiety that consistently occurs upon exposure or anticipation of exposure to one or more specific objects or situations (e.g., proximity to certain animals, flying, heights, closed spaces, sight of blood or injury) that is out of proportion to actual danger. The phobic objects or situations are avoided or else endured with intense fear or anxiety. Symptoms persist for at least several months and are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning.","Marked and excessive fear or anxiety that consistently occurs upon exposure or anticipation of exposure to one or more specific objects or situations (e.g., proximity to certain kinds of animals, heights, enclosed spaces, sight of blood or injury) that is out of proportion to the actual danger posed by the specific object or situation.
The phobic object or situation is actively avoided or else endured with intense fear or anxiety.
A pattern of fear, anxiety, or avoidance related to specific objects or situations is not transient, that is, it persists for an extended period of time (e.g., at least several months).
The symptoms are not better accounted for by another mental disorder (e.g., Social Anxiety Disorder, a primary psychotic disorder).
The symptoms result in significant distress about experiencing persistent anxiety symptoms or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",specific phobia characterised marked excessive fear anxiety consistently occurs upon exposure anticipation exposure one specific object situation eg proximity certain animal flying height closed space sight blood injury proportion actual danger phobic object situation avoided else endured intense fear anxiety symptom persist least several month sufficiently severe result significant distress significant impairment personal family social educational occupational important area functioning marked excessive fear anxiety consistently occurs upon exposure anticipation exposure one specific object situation eg proximity certain kind animal height enclosed space sight blood injury proportion actual danger posed specific object situation phobic object situation actively avoided else endured intense fear anxiety pattern fear anxiety avoidance related specific object situation transient is persists extended period 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Social anxiety disorder,"Social anxiety disorder is characterised by marked and excessive fear or anxiety that consistently occurs in one or more social situations such as social interactions (e.g. having a conversation), doing something while feeling observed (e.g. eating or drinking in the presence of others), or performing in front of others (e.g. giving a speech). The individual is concerned that he or she will act in a way, or show anxiety symptoms, that will be negatively evaluated by others. Relevant social situations are consistently avoided or else endured with intense fear or anxiety. The symptoms persist for at least several months and are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning.","Marked and excessive fear or anxiety that occurs consistently in one or more social situations such as social interactions (e.g., having a conversation), doing something while feeling observed (e.g., eating or drinking in the presence of others), or performing in front of others (e.g., giving a speech).
The individual is concerned that he or she will act in a way, or show anxiety symptoms, that will be negatively evaluated by others (i.e., be humiliating, embarrassing, lead to rejection, or be offensive).
Relevant social situations are consistently avoided or endured with intense fear or anxiety.
The symptoms are not transient; that is, they persist for an extended period of time (e.g., at least several months).
The symptoms are not better accounted for by another mental disorder (e.g., Agoraphobia, Body Dysmorphic Disorder, Olfactory Reference Disorder).
The symptoms result in significant distress about experiencing persistent anxiety symptoms or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",social anxiety disorder characterised marked excessive fear anxiety consistently occurs one social situation social interaction eg conversation something feeling observed eg eating drinking presence others performing front others eg giving speech individual concerned act way show anxiety symptom negatively evaluated others relevant social situation consistently avoided else endured intense fear anxiety symptom persist least several month sufficiently severe result significant distress significant impairment personal family social educational occupational important area functioning marked excessive fear anxiety occurs consistently one social situation social interaction eg conversation something feeling observed eg eating drinking presence others performing front others eg giving speech individual concerned act way show anxiety symptom negatively evaluated others ie humiliating embarrassing lead rejection offensive relevant social situation consistently avoided endured intense fear anxiety symptom transient is persist extended period time eg least several month symptom better accounted another mental disorder eg agoraphobia body dysmorphic disorder olfactory reference disorder symptom result significant distress experiencing persistent anxiety symptom significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[0.4109801650047302, -0.5855560898780823, -0.1274792104959488, 1.1643455028533936, 0.21060411632061005, 0.3774403929710388, 0.23737627267837524, 0.3150486648082733, -0.19540353119373322, 0.654320478439331, -0.009836984798312187, -0.6020517349243164, 0.4080987274646759, -1.113355278968811, -0.7433319091796875, -0.9583276510238647, -0.33457380533218384, 0.3970800042152405, 0.24381697177886963, -0.2777993977069855, 0.3957178592681885, 0.08484500646591187, 0.10159461200237274, 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Separation anxiety disorder,"Separation anxiety disorder is characterised by marked and excessive fear or anxiety about separation from specific attachment figures. In children and adolescents, separation anxiety typically focuses on caregivers, parents or other family members and the fear or anxiety is beyond what would be considered developmentally normative. In adults, the focus is typically a romantic partner or children. Manifestations of separation anxiety may include thoughts of harm or untoward events befalling the attachment figure, reluctance to go to school or work, recurrent excessive distress upon separation, reluctance or refusal to sleep away from the attachment figure, and recurrent nightmares about separation. The symptoms persist for at least several months and are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning.","Marked and excessive fear or anxiety about separation from those individuals to whom the person is attached (i.e., with whom the individual has a deep emotional bond). In children and adolescents, key attachment figures that are most commonly the focus of separation anxiety include parents, caregivers, and other family members, and the fear or anxiety is beyond what would be considered developmentally normative. In adults, separation anxiety most often involves a spouse, romantic partner, or children. Manifestations of fear or anxiety related to separation depend on the individual’s developmental level, but may include:
Persistent thoughts that harm or some other untoward event (e.g., being kidnapped) will lead to separation.
Reluctance or refusal to go to school or work.
Recurrent excessive distress (e.g., tantrums, social withdrawal) related to being separated from the attachment figure.
Reluctance or refusal to go to sleep without being near the attachment figure.
Recurrent nightmares about separation.
Physical symptoms such as nausea, vomiting, stomachache, headache, on occasions that involve separation from the attachment figure, such as leaving home to go to school or work.
The symptoms are not transient, that is, they persist for an extended period of time (e.g., at least several months).
The symptoms are not better accounted for by another mental disorder (e.g., Agoraphobia, Personality Disorder).
The symptoms result in significant distress about experiencing persistent anxiety symptoms or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",separation anxiety disorder characterised marked excessive fear anxiety separation specific attachment figure child adolescent separation anxiety typically focus caregiver parent family member fear anxiety beyond would considered developmentally normative adult focus typically romantic partner child manifestation separation anxiety may include thought harm untoward event befalling attachment figure reluctance go school work recurrent excessive distress upon separation reluctance refusal sleep away attachment figure recurrent nightmare separation symptom persist least several month sufficiently severe result significant distress significant impairment personal family social educational occupational important area functioning marked excessive fear anxiety separation individual person attached ie individual deep emotional bond child adolescent key attachment figure commonly focus separation anxiety include parent caregiver family member fear anxiety beyond would considered developmentally normative adult separation anxiety often involves spouse romantic partner child manifestation fear anxiety related separation depend individual’s developmental level may include persistent thought harm untoward event eg kidnapped lead separation reluctance refusal go school work recurrent excessive distress eg tantrum social withdrawal related separated attachment figure reluctance refusal go sleep without near attachment figure recurrent nightmare separation physical symptom nausea vomiting stomachache headache occasion involve separation attachment figure leaving home go school work symptom transient is persist extended period time eg least several month symptom better accounted another mental disorder eg agoraphobia personality disorder symptom result significant distress experiencing persistent anxiety symptom significant impairment personal family social educational occupational important area 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Selective mutism,"Selective mutism is characterised by consistent selectivity in speaking, such that a child demonstrates adequate language competence in specific social situations, typically at home, but consistently fails to speak in others, typically at school. The disturbance lasts for at least one month, is not limited to the first month of school, and is of sufficient severity to interfere with educational achievement or with social communication. Failure to speak is not due to a lack of knowledge of, or comfort with, the spoken language required in the social situation (e.g. a different language spoken at school than at home).","Consistent selectivity in speaking, such that a child demonstrates adequate language competence in specific social situations, typically at home, but consistently fails to speak in others, typically at school.
The duration of the disturbance is at least 1 month, not limited to the first month of school.
The disturbance is not due to a lack of knowledge of, or comfort with, the spoken language demanded in the social situation.
The symptoms are not better accounted for by another mental disorder (e.g., a Neurodevelopmental Disorder such as Autism Spectrum Disorder or Developmental Language Disorder).
Selectivity of speech is sufficiently severe so as to interfere with educational achievement or with social communication or is associated with significant impairment in other important areas of functioning.",selective mutism characterised consistent selectivity speaking child demonstrates adequate language competence specific social situation typically home consistently fails speak others typically school disturbance last least one month limited first month school sufficient severity interfere educational achievement social communication failure speak due lack knowledge of comfort with spoken language required social situation eg different language spoken school home consistent selectivity speaking child demonstrates adequate language competence specific social situation typically home consistently fails speak others typically school duration disturbance least month limited first month school disturbance due lack knowledge of comfort with spoken language demanded social situation symptom better accounted another mental disorder eg neurodevelopmental disorder autism spectrum disorder developmental language disorder selectivity speech sufficiently severe interfere educational achievement social communication associated significant impairment important area functioning,"[0.5379194021224976, -0.6193045973777771, -0.3322419822216034, 1.3209104537963867, -0.5672004222869873, -0.23308564722537994, 0.46741318702697754, -0.34739547967910767, 0.3133465349674225, 0.3185354173183441, -0.6080308556556702, 0.12272723019123077, 0.26706355810165405, -1.1955585479736328, -0.03214393928647041, -0.5805779099464417, -0.5583671927452087, -0.12602224946022034, -0.22307951748371124, -0.23312704265117645, 0.4271383285522461, 0.29746848344802856, 0.4023892879486084, 1.2080435752868652, 0.7696215510368347, -0.6584864854812622, 0.6006747484207153, 0.5454036593437195, 0.5474905967712402, -0.18099969625473022, 0.557780921459198, 0.17697757482528687, -1.2056841850280762, 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Hypochondriasis,"Hypochondriasis is characterised by persistent preoccupation or fear about the possibility of having one or more serious, progressive or life-threatening illnesses. The preoccupation is accompanied by either: 1) repetitive and excessive health-related behaviours, such as repeatedly checking of the body for evidence of illness, spending inordinate amounts of time searching for information about the feared illness, repeatedly seeking reassurance (e.g. arranging multiple medical consultations); or 2) maladaptive avoidance behaviour related to health (e.g. avoids medical appointments). The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Persistent preoccupation or fear about the possibility of having one or more serious, progressive or life-threatening illnesses.
The preoccupation is accompanied by either:
Repetitive and excessive health-related behaviours, such as repeatedly checking of the body for evidence of illness, spending inordinate amounts of time searching for information about the feared illness, repeatedly seeking reassurance (e.g., arranging multiple medical consultations); or
Maladaptive avoidance behaviour related to health (e.g., avoids medical appointments).
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",hypochondriasis characterised persistent preoccupation fear possibility one serious progressive lifethreatening illness preoccupation accompanied either repetitive excessive healthrelated behaviour repeatedly checking body evidence illness spending inordinate amount time searching information feared illness repeatedly seeking reassurance eg arranging multiple medical consultation maladaptive avoidance behaviour related health eg avoids medical appointment symptom result significant distress significant impairment personal family social educational occupational important area functioning persistent preoccupation fear possibility one serious progressive lifethreatening illness preoccupation accompanied either repetitive excessive healthrelated behaviour repeatedly checking body evidence illness spending inordinate amount time searching information feared illness repeatedly seeking reassurance eg arranging multiple medical consultation maladaptive avoidance behaviour related health eg avoids medical appointment symptom result significant distress significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[-0.10782311856746674, -0.26945382356643677, 0.4697815179824829, 1.8127995729446411, -0.5003347396850586, 0.5430024862289429, 0.4298224449157715, -0.16876286268234253, 1.0814344882965088, -0.04737166315317154, -0.03582020848989487, -1.0927507877349854, -1.056010365486145, 0.5686908960342407, -0.47370097041130066, -0.9022648334503174, 0.1749667227268219, -0.37596026062965393, -0.0034573974553495646, 0.49134010076522827, 0.8281412124633789, 0.27928537130355835, 0.41800785064697266, 0.4449304938316345, -0.39645567536354065, -0.1695430874824524, -0.48860931396484375, -0.8036139011383057, -0.36559921503067017, 1.1997690200805664, -0.11583082377910614, -0.06472308188676834, -0.6959085464477539, 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Secondary anxiety syndrome,"A syndrome characterised by the presence of prominent anxiety symptoms judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., anxiety symptoms or panic attacks in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the anxiety symptoms are sufficiently severe to warrant specific clinical attention.","The presence of prominent anxiety symptoms (e.g., excessive worry, intense fear that is out of proportion to actual danger, panic attacks).
The symptoms are judged to be the direct pathophysiological consequence of a medical condition, based on evidence from the history, physical examination, or laboratory findings (as opposed to being a psychological reaction to having the medical condition). This judgment depends on establishing that:
The medical condition is known to be capable of producing the symptoms;
The course of the anxiety symptoms (e.g., onset, remission, response of the anxiety symptoms to treatment of the etiological medical condition) is consistent with causation by the medical condition; and
The symptoms are not better accounted for by Delirium, Dementia, another mental disorder (e.g., Anxiety or Fear-Related Disorders, Mood Disorders, Disorders Specifically Associated with Stress, and Obsessive-Compulsive or Related Disorders) or the effects of a medication or substance, including withdrawal effects.
The symptoms are sufficiently severe to be a specific focus of clinical attention.",syndrome characterised presence prominent anxiety symptom judged direct pathophysiological consequence health condition classified mental behavioural disorder based evidence history physical examination laboratory finding symptom accounted delirium another mental behavioural disorder psychologically mediated response severe medical condition eg anxiety symptom panic attack response lifethreatening diagnosis category used addition diagnosis presumed underlying disorder disease anxiety symptom sufficiently severe warrant specific clinical attention presence prominent anxiety symptom eg excessive worry intense fear proportion actual danger panic attack symptom judged direct pathophysiological consequence medical condition based evidence history physical examination laboratory finding a opposed psychological reaction medical condition judgment depends establishing that medical condition known capable producing symptom course anxiety symptom eg onset remission response anxiety symptom treatment etiological medical condition consistent causation medical condition symptom better accounted delirium dementia another mental disorder eg anxiety fearrelated disorder mood disorder disorder specifically associated stress obsessivecompulsive related disorder effect medication substance including withdrawal effect symptom sufficiently severe specific focus clinical attention,"[0.4274745583534241, 0.238321453332901, 0.012713436037302017, 0.8456074595451355, -0.10746049880981445, 0.277284175157547, -0.1616165190935135, -0.22838294506072998, -0.24525806307792664, 1.0201783180236816, 0.15139132738113403, -0.7113672494888306, -0.5142126679420471, -0.6050817966461182, -0.5673596262931824, -0.06801287829875946, -0.5487149357795715, -0.3331560492515564, -0.628441572189331, 0.6881163120269775, 1.0797147750854492, 0.44785118103027344, -0.16446605324745178, 0.3903582692146301, -0.27342766523361206, 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Obsessive-compulsive disorder,"Obsessive-Compulsive Disorder is characterised by the presence of persistent obsessions or compulsions, or most commonly both. Obsessions are repetitive and persistent thoughts, images, or impulses/urges that are intrusive, unwanted, and are commonly associated with anxiety. The individual attempts to ignore or suppress obsessions or to neutralize them by performing compulsions. Compulsions are repetitive behaviours including repetitive mental acts that the individual feels driven to perform in response to an obsession, according to rigid rules, or to achieve a sense of ‘completeness’. In order for obsessive-compulsive disorder to be diagnosed, obsessions and compulsions must be time consuming (e.g. taking more than an hour per day) or result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Presence of persistent obsessions and/or compulsions.
Obsessions are repetitive and persistent thoughts (e.g., of contamination), images (e.g., of violent scenes), or impulses/urges (e.g., to stab someone) that are experienced as intrusive and unwanted, and are commonly associated with anxiety. The individual typically attempts to ignore or suppress obsessions or to neutralize them by performing compulsions.
Compulsions are repetitive behaviours or rituals, including repetitive mental acts, that the individual feels driven to perform in response to an obsession, according to rigid rules, or to achieve a sense of ‘completeness’. Examples of overt behaviours include repetitive washing, checking, and ordering of objects. Examples of analogous mental acts include mentally repeating specific phrases in order to prevent negative outcomes, reviewing a memory to make sure that one has caused no harm, and mentally counting objects. Compulsions are either not connected in a realistic way to the feared event (e.g., arranging items symmetrically to prevent harm to a loved one) or are clearly excessive (e.g., showering daily for hours to prevent illness).
Obsessions and compulsions are time-consuming (e.g., take more than 1 hour per day) or result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.
The symptoms or behaviours are not a manifestation of another medical condition (e.g., basal ganglia ischemic stroke) and are not due to the effects of a substance or medication on the central nervous system (e.g., amphetamine), including withdrawal effects.",obsessivecompulsive disorder characterised presence persistent obsession compulsion commonly both obsession repetitive persistent thought image impulsesurges intrusive unwanted commonly associated anxiety individual attempt ignore suppress obsession neutralize performing compulsion compulsion repetitive behaviour including repetitive mental act individual feel driven perform response obsession according rigid rule achieve sense ‘completeness’ order obsessivecompulsive disorder diagnosed obsession compulsion must time consuming eg taking hour per day result significant distress significant impairment personal family social educational occupational important area functioning presence persistent obsession andor compulsion obsession repetitive persistent thought eg contamination image eg violent scene impulsesurges eg stab someone experienced intrusive unwanted commonly associated anxiety individual typically attempt ignore suppress obsession neutralize performing compulsion compulsion repetitive behaviour ritual including repetitive mental act individual feel driven perform response obsession according rigid rule achieve sense ‘completeness’ example overt behaviour include repetitive washing checking ordering object example analogous mental act include mentally repeating specific phrase order prevent negative outcome reviewing memory make sure one caused harm mentally counting object compulsion either connected realistic way feared event eg arranging item symmetrically prevent harm loved one clearly excessive eg showering daily hour prevent illness obsession compulsion timeconsuming eg take hour per day result significant distress significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort symptom behaviour manifestation another medical condition eg basal ganglion ischemic stroke due effect substance medication central nervous system eg amphetamine including withdrawal effect,"[0.07918065786361694, -0.2618982791900635, 0.2685246467590332, 1.355703353881836, -0.24167460203170776, -0.15258929133415222, -0.24645131826400757, -0.37002378702163696, -0.4444737732410431, 0.7089408040046692, -1.1801366806030273, -0.36595088243484497, -0.8134385943412781, 0.06901519745588303, -0.3384479284286499, -0.9393981695175171, -0.07863210141658783, -0.27267685532569885, -0.9138922691345215, 0.3609960079193115, 0.7796781063079834, 0.3261449933052063, 0.6248073577880859, 0.2831905484199524, -0.30170783400535583, 0.01959019899368286, -0.08992361277341843, -0.3417733907699585, -0.7111319303512573, 0.4448275864124298, -0.2503618001937866, 0.08221987634897232, -0.3950347900390625, -0.29341357946395874, 0.3117828965187073, 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Body dysmorphic disorder,"Body Dysmorphic Disorder is characterised by persistent preoccupation with one or more perceived defects or flaws in appearance that are either unnoticeable or only slightly noticeable to others. Individuals experience excessive self-consciousness, often with ideas of reference (i.e., the conviction that people are taking notice, judging, or talking about the perceived defect or flaw). In response to their preoccupation, individuals engage in repetitive and excessive behaviours that include repeated examination of the appearance or severity of the perceived defect or flaw, excessive attempts to camouflage or alter the perceived defect, or marked avoidance of social situations or triggers that increase distress about the perceived defect or flaw. The symptoms are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Persistent preoccupation with one or more perceived defects or flaws in appearance, or ugliness in general, that is either unnoticeable or only slightly noticeable to others.
Excessive self-consciousness about the perceived defect(s) or flaw(s), often including ideas of self-reference [i.e., the conviction that people are taking notice, judging, or talking about the perceived defect(s) or flaw(s)].
The preoccupation or self-consciousness is accompanied by any of the following:
Repetitive and excessive behaviours, such as repeated examination of the appearance or severity of the perceived defect(s) or flaw(s) (e.g., by checking in reflective surfaces) or comparison of the relevant feature with that of others;
Excessive attempts to camouflage or alter the perceived defect (e.g., specific and elaborate forms of dress, undergoing ill-advised cosmetic surgical procedures);
Marked avoidance of social or other situations or stimuli that increase distress about the perceived defect(s) or flaw(s) (e.g., reflective surfaces, changing rooms, swimming pools).
The symptoms are not a manifestation of another medical condition and are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",body dysmorphic disorder characterised persistent preoccupation one perceived defect flaw appearance either unnoticeable slightly noticeable others individual experience excessive selfconsciousness often idea reference ie conviction people taking notice judging talking perceived defect flaw response preoccupation individual engage repetitive excessive behaviour include repeated examination appearance severity perceived defect flaw excessive attempt camouflage alter perceived defect marked avoidance social situation trigger increase distress perceived defect flaw symptom sufficiently severe result significant distress significant impairment personal family social educational occupational important area functioning persistent preoccupation one perceived defect flaw appearance ugliness general either unnoticeable slightly noticeable others excessive selfconsciousness perceived defect flaw often including idea selfreference ie conviction people taking notice judging talking perceived defect flaw preoccupation selfconsciousness accompanied following repetitive excessive behaviour repeated examination appearance severity perceived defect flaw eg checking reflective surface comparison relevant feature others excessive attempt camouflage alter perceived defect eg specific elaborate form dress undergoing illadvised cosmetic surgical procedure marked avoidance social situation stimulus increase distress perceived defect flaw eg reflective surface changing room swimming pool symptom manifestation another medical condition due effect substance medication central nervous system including withdrawal effect symptom result significant distress significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[0.012234740890562534, -0.2435888946056366, 0.28849613666534424, 1.2084271907806396, -0.09404195845127106, 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Olfactory reference disorder,"Olfactory Reference Disorder is characterised by persistent preoccupation with the belief that one is emitting a perceived foul or offensive body odour or breath that is either unnoticeable or only slightly noticeable to others. Individuals experience excessive self-consciousness about the perceived odour, often with ideas of reference (i.e., the conviction that people are taking notice, judging, or talking about the odour). In response to their preoccupation, individuals engage in repetitive and excessive behaviours such as repeatedly checking for body odour or checking the perceived source of the smell, or repeatedly seeking reassurance, excessive attempts to camouflage, alter, or prevent the perceived odour, or marked avoidance of social situations or triggers that increase distress about the perceived foul or offensive odour. The symptoms are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Persistent preoccupation about emitting a foul or offensive body odour or breath (i.e., halitosis) that is either unnoticeable or slightly noticeable to others such that the individual’s concerns are markedly disproportionate to the smell, if any is perceptible.
Excessive self-consciousness about the perceived odour, often including ideas of self-reference (i.e., the conviction that people are taking notice, judging, or talking about the odour).
The preoccupation or self-consciousness is accompanied by any of the following:
Repetitive and excessive behaviours, such as repeatedly checking for body odour or checking the perceived source of the smell (e.g., clothing), or repeatedly seeking reassurance;
Excessive attempts to camouflage, alter, or prevent the perceived odour (e.g., using perfume or deodorant, repetitive bathing, brushing teeth, or changing clothing, avoidance of certain foods);
Marked avoidance of social or other situations or stimuli that increase distress about the perceived foul or offensive odour (e.g., public transportation or other situations of close proximity to other people).
The symptoms are not a manifestation of another medical condition and are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",olfactory reference disorder characterised persistent preoccupation belief one emitting perceived foul offensive body odour breath either unnoticeable slightly noticeable others individual experience excessive selfconsciousness perceived odour often idea reference ie conviction people taking notice judging talking odour response preoccupation individual engage repetitive excessive behaviour repeatedly checking body odour checking perceived source smell repeatedly seeking reassurance excessive attempt camouflage alter prevent perceived odour marked avoidance social situation trigger increase distress perceived foul offensive odour symptom sufficiently severe result significant distress significant impairment personal family social educational occupational important area functioning persistent preoccupation emitting foul offensive body odour breath ie halitosis either unnoticeable slightly noticeable others individual’s concern markedly disproportionate smell perceptible excessive selfconsciousness perceived odour often including idea selfreference ie conviction people taking notice judging talking odour preoccupation selfconsciousness accompanied following repetitive excessive behaviour repeatedly checking body odour checking perceived source smell eg clothing repeatedly seeking reassurance excessive attempt camouflage alter prevent perceived odour eg using perfume deodorant repetitive bathing brushing teeth changing clothing avoidance certain food marked avoidance social situation stimulus increase distress perceived foul offensive odour eg public transportation situation close proximity people symptom manifestation another medical condition due effect substance medication central nervous system including withdrawal effect symptom result significant distress significant impairment personal family social educational occupational important area functioning functioning maintained 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Hoarding disorder,"Hoarding disorder is characterised by accumulation of possessions that results in living spaces becoming cluttered to the point that their use or safety is compromised. Accumulation occurs due to both repetitive urges or behaviours related to amassing items and difficulty discarding possessions due to a perceived need to save items and distress associated with discarding them. If living areas are uncluttered this is only due to the intervention of third parties (e.g., family members, cleaners, authorities). Amassment may be passive (e.g. accumulation of incoming flyers or mail) or active (e.g. excessive acquisition of free, purchased, or stolen items). The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Accumulation of possessions that results in living spaces becoming cluttered to the point that their use or safety is compromised. Note: If living areas are uncluttered this is only due to the intervention of third parties (e.g., family members, cleaners, authorities). Accumulation occurs due to both:
Repetitive urges or behaviours related to amassing items, which may be passive (e.g., accumulation of incoming flyers or mail) or active (e.g., excessive acquisition of free, purchased, or stolen items).
Difficulty discarding possessions due to a perceived need to save items and distress associated with discarding them.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",hoarding disorder characterised accumulation possession result living space becoming cluttered point use safety compromised accumulation occurs due repetitive urge behaviour related amassing item difficulty discarding possession due perceived need save item distress associated discarding them living area uncluttered due intervention third party eg family member cleaner authority amassment may passive eg accumulation incoming flyer mail active eg excessive acquisition free purchased stolen item symptom result significant distress significant impairment personal family social educational occupational important area functioning accumulation possession result living space becoming cluttered point use safety compromised note living area uncluttered due intervention third party eg family member cleaner authority accumulation occurs due both repetitive urge behaviour related amassing item may passive eg accumulation incoming flyer mail active eg excessive acquisition free purchased stolen item difficulty discarding possession due perceived need save item distress associated discarding them symptom result significant distress significant impairment personal family social educational occupational important area functioning,"[-0.20408540964126587, -0.5553882122039795, 0.8904203176498413, 1.4475691318511963, -0.7864218950271606, -0.0946521908044815, 0.556667149066925, -0.5307368636131287, 0.8324485421180725, 0.9633452296257019, -0.21798142790794373, -0.06446845829486847, -0.4478996992111206, 0.07567368447780609, -0.6906827092170715, -0.506155788898468, 0.07508500665426254, -0.4903721511363983, -0.4316716194152832, -0.2183839976787567, 0.6375957727432251, 0.05273478478193283, -0.37200576066970825, 0.2355603575706482, 0.5146325826644897, -0.9193743467330933, -0.4225180447101593, 0.12267230451107025, 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Body-focused repetitive behaviour disorders,"Body focused repetitive behaviour disorders are characterised by recurrent and habitual actions directed at the integument (e.g. hair-pulling, skin-picking, lip-biting), typically accompanied by unsuccessful attempts to decrease or stop the behaviour involved, and which lead to dermatological sequelae (e.g., hair loss, skin lesions, lip abrasions). The behaviour may occur in brief episodes scattered throughout the day or in less frequent but more sustained periods. The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Recurrent habitual actions directed at the integument other than hair pulling or skin picking (e.g., lip biting or nail biting),
Unsuccessful attempts to stop or decrease the behaviour.
Significant lesions or other impact on appearance resulting from the behaviour.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",body focused repetitive behaviour disorder characterised recurrent habitual action directed integument eg hairpulling skinpicking lipbiting typically accompanied unsuccessful attempt decrease stop behaviour involved lead dermatological sequela eg hair loss skin lesion lip abrasion behaviour may occur brief episode scattered throughout day le frequent sustained period symptom result significant distress significant impairment personal family social educational occupational important area functioning recurrent habitual action directed integument hair pulling skin picking eg lip biting nail biting unsuccessful attempt stop decrease behaviour significant lesion impact appearance resulting behaviour symptom result significant distress significant impairment personal family social educational occupational important area 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Secondary obsessive-compulsive or related syndrome,"A syndrome characterised by the presence of prominent obsessions, compulsions, hoarding, skin picking, hair pulling, other body-focused repetitive behaviours, or other symptoms characteristic of obsessive-compulsive and related disorder that is judged to be the direct pathophysiological consequence of a disorder or disease not classified under Mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by Delirium or by another Mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., repetitive ruminations in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the obsessive-compulsive or related symptoms are sufficiently severe to warrant specific clinical attention.","The presence of prominent symptoms that are characteristic of Obsessive-Compulsive or Related Disorders, such as obsessions, compulsions, skin picking, hair pulling, or other body-focused repetitive behaviours.
The symptoms are judged to be the direct pathophysiological consequence of a medical condition, based on evidence from history, physical examination, or laboratory findings. This judgment depends on establishing that:
The medical condition is known to be capable of producing the symptoms;
The course of the symptoms (e.g., onset, remission, response to treatment of the etiological medical condition) is consistent with causation by the medical condition; and
The symptoms are not better accounted for by another mental disorder (e.g., an Obsessive-Compulsive or Related Disorder) or the effects of a medication or substance, including withdrawal effects.
The symptoms do not meet the diagnostic requirements for Secondary Tics, classified in the grouping of Movement Disorders in the chapter on Diseases of the Nervous System.
The symptoms are sufficiently severe to be a specific focus of clinical attention.",syndrome characterised presence prominent obsession compulsion hoarding skin picking hair pulling bodyfocused repetitive behaviour symptom characteristic obsessivecompulsive related disorder judged direct pathophysiological consequence disorder disease classified mental behavioural disorder based evidence history physical examination laboratory finding symptom accounted delirium another mental behavioural disorder psychologically mediated response severe medical condition eg repetitive rumination response lifethreatening diagnosis category used addition diagnosis presumed underlying disorder disease obsessivecompulsive related symptom sufficiently severe warrant specific clinical attention presence prominent symptom characteristic obsessivecompulsive related disorder obsession compulsion skin picking hair pulling bodyfocused repetitive behaviour symptom judged direct pathophysiological consequence medical condition based evidence history physical examination laboratory finding judgment depends establishing that medical condition known capable producing symptom course symptom eg onset remission response treatment etiological medical condition consistent causation medical condition symptom better accounted another mental disorder eg obsessivecompulsive related disorder effect medication substance including withdrawal effect symptom meet diagnostic requirement secondary tic classified grouping movement disorder chapter disease nervous system symptom sufficiently severe specific focus clinical attention,"[0.6945098638534546, -0.4937630593776703, 0.18039566278457642, 0.4995476305484772, 0.39467403292655945, -0.3187701106071472, -0.30545058846473694, -1.0048335790634155, 1.0427415370941162, 0.9607470035552979, 0.21251562237739563, -0.6283289194107056, -0.2982602119445801, 0.38893574476242065, -0.5621265172958374, -0.28647541999816895, 0.5165390968322754, -0.9053487777709961, 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Tourette syndrome,"Tourette syndrome is a chronic tic disorder characterised by the presence of both chronic motor tics and vocal (phonic) tics, with onset during the developmental period. Motor and vocal tics are defined as sudden, rapid, non-rhythmic, and recurrent movements or vocalizations, respectively. In order to be diagnosed as Tourette syndrome, both motor and vocal tics must have been present for at least one year, although they may not manifest concurrently or consistently throughout the symptomatic course.","The presence of both motor tic(s) and phonic tic(s) that may or may not manifest concurrently or continuously during the symptomatic course.
Motor and phonic tics are defined as sudden, rapid, non-rhythmic, and recurrent movements or vocalizations, respectively.
Motor and phonic tics have been present for at least 1 year with onset during the developmental period.
The symptoms are not a manifestation of another medical condition (e.g., Huntington Disease) and are not due to the effects of a substance or medication on the central nervous system (e.g., amphetamine), including withdrawal effects (e.g., from benzodiazepines).",tourette syndrome chronic tic disorder characterised presence chronic motor tic vocal phonic tic onset developmental period motor vocal tic defined sudden rapid nonrhythmic recurrent movement vocalization respectively order diagnosed tourette syndrome motor vocal tic must present least one year although may manifest concurrently consistently throughout symptomatic course presence motor tic phonic tic may may manifest concurrently continuously symptomatic course motor phonic tic defined sudden rapid nonrhythmic recurrent movement vocalization respectively motor phonic tic present least year onset developmental period symptom manifestation another medical condition eg huntington disease due effect substance medication central 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Post traumatic stress disorder,"Post traumatic stress disorder (PTSD) may develop following exposure to an extremely threatening or horrific event or series of events. It is characterised by all of the following: 1) re-experiencing the traumatic event or events in the present in the form of vivid intrusive memories, flashbacks, or nightmares. Re-experiencing may occur via one or multiple sensory modalities and is typically accompanied by strong or overwhelming emotions, particularly fear or horror, and strong physical sensations; 2) avoidance of thoughts and memories of the event or events, or avoidance of activities, situations, or people reminiscent of the event(s); and 3) persistent perceptions of heightened current threat, for example as indicated by hypervigilance or an enhanced startle reaction to stimuli such as unexpected noises. The symptoms persist for at least several weeks and cause significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Exposure to an event or situation (either short- or long-lasting) of an extremely threatening or horrific nature. Such events include, but are not limited to, directly experiencing natural or human-made disasters, combat, serious accidents, torture, sexual violence, terrorism, assault or acute life-threatening illness (e.g., a heart attack); witnessing the threatened or actual injury or death of others in a sudden, unexpected, or violent manner; and learning about the sudden, unexpected or violent death of a loved one.
Following the traumatic event or situation, the development of a characteristic syndrome lasting for at least several weeks, consisting of all three core elements:
Re-experiencing the traumatic event in the present, in which the event(s) is not just remembered but is experienced as occurring again in the here and now. This typically occurs in the form of vivid intrusive memories or images; flashbacks, which can vary from mild (there is a transient sense of the event occurring again in the present) to severe (there is a complete loss of awareness of present surroundings), or repetitive dreams or nightmares that are thematically related to the traumatic event(s). Re-experiencing is typically accompanied by strong or overwhelming emotions, such as fear or horror, and strong physical sensations. Re-experiencing in the present can also involve feelings of being overwhelmed or immersed in the same intense emotions that were experienced during the traumatic event, without a prominent cognitive aspect, and may occur in response to reminders of the event. Reflecting on or ruminating about the event(s) and remembering the feelings that one experienced at that time are not sufficient to meet the re-experiencing requirement.
Deliberate avoidance of reminders likely to produce re-experiencing of the traumatic event(s). This may take the form either of active internal avoidance of thoughts and memories related to the event(s), or external avoidance of people, conversations, activities, or situations reminiscent of the event(s). In extreme cases the person may change their environment (e.g., move to a different city or change jobs) to avoid reminders.
Persistent perceptions of heightened current threat, for example as indicated by hypervigilance or an enhanced startle reaction to stimuli such as unexpected noises. Hypervigilant persons constantly guard themselves against danger and feel themselves or others close to them to be under immediate threat either in specific situations or more generally. They may adopt new behaviours designed to ensure safety (e.g., not sitting with ones’ back to the door, repeated checking in vehicles’ rear-view mirrors).
The disturbance results in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",post traumatic stress disorder ptsd may develop following exposure extremely threatening horrific event series event characterised following reexperiencing traumatic event event present form vivid intrusive memory flashback nightmare reexperiencing may occur via one multiple sensory modality typically accompanied strong overwhelming emotion particularly fear horror strong physical sensation avoidance thought memory event event avoidance activity situation people reminiscent event persistent perception heightened current threat example indicated hypervigilance enhanced startle reaction stimulus unexpected noise symptom persist least several week cause significant impairment personal family social educational occupational important area functioning exposure event situation either short longlasting extremely threatening horrific nature event include limited to directly experiencing natural humanmade disaster combat serious accident torture sexual violence terrorism assault acute lifethreatening illness eg heart attack witnessing threatened actual injury death others sudden unexpected violent manner learning sudden unexpected violent death loved one following traumatic event situation development characteristic syndrome lasting least several week consisting three core element reexperiencing traumatic event present event remembered experienced occurring now typically occurs form vivid intrusive memory image flashback vary mild there transient sense event occurring present severe there complete loss awareness present surroundings repetitive dream nightmare thematically related traumatic event reexperiencing typically accompanied strong overwhelming emotion fear horror strong physical sensation reexperiencing present also involve feeling overwhelmed immersed intense emotion experienced traumatic event without prominent cognitive aspect may occur response reminder event reflecting ruminating event remembering feeling one experienced time sufficient meet reexperiencing requirement deliberate avoidance reminder likely produce reexperiencing traumatic event may take form either active internal avoidance thought memory related event external avoidance people conversation activity situation reminiscent event extreme case person may change environment eg move different city change job avoid reminder persistent perception heightened current threat example indicated hypervigilance enhanced startle reaction stimulus unexpected noise hypervigilant person constantly guard danger feel others close immediate threat either specific situation generally may adopt new behaviour designed ensure safety eg sitting ones’ back door repeated checking vehicles’ rearview mirror disturbance result significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[0.1387864202260971, 1.0723638534545898, 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Complex post traumatic stress disorder,"Complex post traumatic stress disorder (Complex PTSD) is a disorder that may develop following exposure to an event or series of events of an extremely threatening or horrific nature, most commonly prolonged or repetitive events from which escape is difficult or impossible (e.g. torture, slavery, genocide campaigns, prolonged domestic violence, repeated childhood sexual or physical abuse). All diagnostic requirements for PTSD are met. In addition, Complex PTSD is characterised by severe and persistent 1) problems in affect regulation; 2) beliefs about oneself as diminished, defeated or worthless, accompanied by feelings of shame, guilt or failure related to the traumatic event; and 3) difficulties in sustaining relationships and in feeling close to others. These symptoms cause significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Exposure to an event or series of events of an extremely threatening or horrific nature, most commonly prolonged or repetitive events from which escape is difficult or impossible. Such events include, but are not limited to, torture, concentration camps, slavery, genocide campaigns and other forms of organized violence, prolonged domestic violence, and repeated childhood sexual or physical abuse.
Following the traumatic event, the development of all three core elements of Post-Traumatic Stress Disorder, lasting for at least several weeks:
Re-experiencing the traumatic event after the traumatic event has occurred, in which the event(s) is not just remembered but is experienced as occurring again in the here and now. This typically occurs in the form of vivid intrusive memories or images; flashbacks, which can vary from mild (there is a transient sense of the event occurring again in the present) to severe (there is a complete loss of awareness of present surroundings), or repetitive dreams or nightmares that are thematically related to the traumatic event(s). Re-experiencing is typically accompanied by strong or overwhelming emotions, such as fear or horror, and strong physical sensations. Re-experiencing in the present can also involve feelings of being overwhelmed or immersed in the same intense emotions that were experienced during the traumatic event, without a prominent cognitive aspect, and may occur in response to reminders of the event. Reflecting on or ruminating about the event(s) and remembering the feelings that one experienced at that time are not sufficient to meet the re-experiencing requirement.
Deliberate avoidance of reminders likely to produce re-experiencing of the traumatic event(s). This may take the form either of active internal avoidance of thoughts and memories related to the event(s), or external avoidance of people, conversations, activities, or situations reminiscent of the event(s). In extreme cases the person may change their environment (e.g., move house or change jobs) to avoid reminders.
Persistent perceptions of heightened current threat, for example as indicated by hypervigilance or an enhanced startle reaction to stimuli such as unexpected noises. Hypervigilant persons constantly guard themselves against danger and feel themselves or others close to them to be under immediate threat either in specific situations or more generally. They may adopt new behaviours designed to ensure safety (not sitting with ones’ back to the door, repeated checking in vehicles’ rear-view mirror). In Complex Post-Traumatic Stress Disorder, unlike in Post-Traumatic Stress Disorder, the startle reaction may in some cases be diminished rather than enhanced.
Severe and pervasive problems in affect regulation. Examples include heightened emotional reactivity to minor stressors, violent outbursts, reckless or self-destructive behaviour, dissociative symptoms when under stress, and emotional numbing, particularly the inability to experience pleasure or positive emotions.
Persistent beliefs about oneself as diminished, defeated or worthless, accompanied by deep and pervasive feelings of shame, guilt or failure related to the stressor. For example, the individual may feel guilty about not having escaped from or succumbing to the adverse circumstance, or not having been able to prevent the suffering of others.
Persistent difficulties in sustaining relationships and in feeling close to others. The person may consistently avoid, deride or have little interest in relationships and social engagement more generally. Alternatively, there may be occasional intense relationships, but the person has difficulty sustaining them.
The disturbance results in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",complex post traumatic stress disorder complex ptsd disorder may develop following exposure event series event extremely threatening horrific nature commonly prolonged repetitive event escape difficult impossible eg torture slavery genocide campaign prolonged domestic violence repeated childhood sexual physical abuse diagnostic requirement ptsd met addition complex ptsd characterised severe persistent problem affect regulation belief oneself diminished defeated worthless accompanied feeling shame guilt failure related traumatic event difficulty sustaining relationship feeling close others symptom cause significant impairment personal family social educational occupational important area functioning exposure event series event extremely threatening horrific nature commonly prolonged repetitive event escape difficult impossible event include limited to torture concentration camp slavery genocide campaign form organized violence prolonged domestic violence repeated childhood sexual physical abuse following traumatic event development three core element posttraumatic stress disorder lasting least several week reexperiencing traumatic event traumatic event occurred event remembered experienced occurring now typically occurs form vivid intrusive memory image flashback vary mild there transient sense event occurring present severe there complete loss awareness present surroundings repetitive dream nightmare thematically related traumatic event reexperiencing typically accompanied strong overwhelming emotion fear horror strong physical sensation reexperiencing present also involve feeling overwhelmed immersed intense emotion experienced traumatic event without prominent cognitive aspect may occur response reminder event reflecting ruminating event remembering feeling one experienced time sufficient meet reexperiencing requirement deliberate avoidance reminder likely produce reexperiencing traumatic event may take form either active internal avoidance thought memory related event external avoidance people conversation activity situation reminiscent event extreme case person may change environment eg move house change job avoid reminder persistent perception heightened current threat example indicated hypervigilance enhanced startle reaction stimulus unexpected noise hypervigilant person constantly guard danger feel others close immediate threat either specific situation generally may adopt new behaviour designed ensure safety not sitting ones’ back door repeated checking vehicles’ rearview mirror complex posttraumatic stress disorder unlike posttraumatic stress disorder startle reaction may case diminished rather enhanced severe pervasive problem affect regulation example include heightened emotional reactivity minor stressor violent outburst reckless selfdestructive behaviour dissociative symptom stress emotional numbing particularly inability experience pleasure positive emotion persistent belief oneself diminished defeated worthless accompanied deep pervasive feeling shame guilt failure related stressor example individual may feel guilty escaped succumbing adverse circumstance able prevent suffering others persistent difficulty sustaining relationship feeling close others person may consistently avoid deride little interest relationship social engagement generally alternatively may occasional intense relationship person difficulty sustaining them disturbance result significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[0.6297966837882996, -0.03550456464290619, 0.1341707408428192, 1.4472894668579102, -0.4911350905895233, -0.4600633382797241, -0.8491722345352173, -0.39110568165779114, 0.3033851385116577, 0.5067945718765259, -0.37848353385925293, -0.08421389758586884, -0.6771759986877441, -0.08500752598047256, 0.16315189003944397, 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Prolonged grief disorder,"Prolonged grief disorder is a disturbance in which, following the death of a partner, parent, child, or other person close to the bereaved, there is persistent and pervasive grief response characterised by longing for the deceased or persistent preoccupation with the deceased accompanied by intense emotional pain (e.g. sadness, guilt, anger, denial, blame, difficulty accepting the death, feeling one has lost a part of one’s self, an inability to experience positive mood, emotional numbness, difficulty in engaging with social or other activities). The grief response has persisted for an atypically long period of time following the loss (more than 6 months at a minimum) and clearly exceeds expected social, cultural or religious norms for the individual’s culture and context. Grief reactions that have persisted for longer periods that are within a normative period of grieving given the person’s cultural and religious context are viewed as normal bereavement responses and are not assigned a diagnosis. The disturbance causes significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","History of bereavement following the death of a partner, parent, child, or other person close to the bereaved.
A persistent and pervasive grief response characterized by longing for the deceased or persistent preoccupation with the deceased accompanied by intense emotional pain. This may be manifested by experiences such as sadness, guilt, anger, denial, blame, difficulty accepting the death, feeling one has lost a part of one’s self, an inability to experience positive mood, emotional numbness, and difficulty in engaging with social or other activities.
The pervasive grief response has persisted for an atypically long period of time following the loss, markedly exceeding expected social, cultural or religious norms for the individual’s culture and context. Grief responses lasting for less than 6 months, and for longer periods in some cultural contexts, should not be regarded as meeting this requirement.
The disturbance results in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",prolonged grief disorder disturbance which following death partner parent child person close bereaved persistent pervasive grief response characterised longing deceased persistent preoccupation deceased accompanied intense emotional pain eg sadness guilt anger denial blame difficulty accepting death feeling one lost part one’s self inability experience positive mood emotional numbness difficulty engaging social activity grief response persisted atypically long period time following loss more month minimum clearly exceeds expected social cultural religious norm individual’s culture context grief reaction persisted longer period within normative period grieving given person’s cultural religious context viewed normal bereavement response assigned diagnosis disturbance cause significant impairment personal family social educational occupational important area functioning history bereavement following death partner parent child person close bereaved persistent pervasive grief response characterized longing deceased persistent preoccupation deceased accompanied intense emotional pain may manifested experience sadness guilt anger denial blame difficulty accepting death feeling one lost part one’s self inability experience positive mood emotional numbness difficulty engaging social activity pervasive grief response persisted atypically long period time following loss markedly exceeding expected social cultural religious norm individual’s culture context grief response lasting le month longer period cultural context regarded meeting requirement disturbance result significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[0.18332579731941223, -0.18857426941394806, -0.16179832816123962, 0.9478088617324829, 0.09389978647232056, -0.17779922485351562, 0.03504949435591698, -0.7874665260314941, 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Adjustment disorder,"Adjustment disorder is a maladaptive reaction to an identifiable psychosocial stressor or multiple stressors (e.g. divorce, illness or disability, socio-economic problems, conflicts at home or work) that usually emerges within a month of the stressor. The disorder is characterised by preoccupation with the stressor or its consequences, including excessive worry, recurrent and distressing thoughts about the stressor, or constant rumination about its implications, as well as by failure to adapt to the stressor that causes significant impairment in personal, family, social, educational, occupational or other important areas of functioning. The symptoms are not better explained by another mental disorder (e.g., Mood Disorder, another Disorder Specifically Associated with Stress) and typically resolve within 6 months, unless the stressor persists for a longer duration.","A maladaptive reaction to an identifiable psychosocial stressor or multiple stressors (e.g., single stressful event, ongoing psychosocial difficulty or a combination of stressful life situations) that usually emerges within a month of the stressor. Examples include divorce or loss of a relationship, loss of a job, diagnosis of an illness, recent onset of a disability, and conflicts at home or work.
The reaction to the stressor is characterized by preoccupation with the stressor or its consequences, including excessive worry, recurrent and distressing thoughts about the stressor, or constant rumination about its implications.
The symptoms are not better accounted for by another mental disorder (e.g., a Mood Disorder, another Disorder Specifically Associated with Stress).
Once the stressor and its consequences have ended, the symptoms resolve within 6 months.
Failure to adapt to the stressor results in significant impairment in personal, family, social, educational, occupational or other importantareas of functioning. If functioning is maintained, it is only through significant additional effort.",adjustment disorder maladaptive reaction identifiable psychosocial stressor multiple stressor eg divorce illness disability socioeconomic problem conflict home work usually emerges within month stressor disorder characterised preoccupation stressor consequence including excessive worry recurrent distressing thought stressor constant rumination implication well failure adapt stressor cause significant impairment personal family social educational occupational important area functioning symptom better explained another mental disorder eg mood disorder another disorder specifically associated stress typically resolve within month unless stressor persists longer duration maladaptive reaction identifiable psychosocial stressor multiple stressor eg single stressful event ongoing psychosocial difficulty combination stressful life situation usually emerges within month stressor example include divorce loss relationship loss job diagnosis illness recent onset disability conflict home work reaction stressor characterized preoccupation stressor consequence including excessive worry recurrent distressing thought stressor constant rumination implication symptom better accounted another mental disorder eg mood disorder another disorder specifically associated stress stressor consequence ended symptom resolve within month failure adapt stressor result significant impairment personal family social educational occupational importantareas functioning functioning maintained significant additional effort,"[0.38571688532829285, 0.03151216357946396, -0.22498077154159546, 0.0016504153609275818, -0.8059433102607727, -0.0013006236404180527, 0.0637543797492981, 0.4386160671710968, 0.8365468978881836, 0.22458568215370178, 0.07373147457838058, -0.44382572174072266, -0.5072768926620483, -0.4220834970474243, -0.3739854097366333, -0.20387689769268036, -0.16229113936424255, -0.1892591118812561, 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Reactive attachment disorder,"Reactive attachment disorder is characterised by grossly abnormal attachment behaviours in early childhood, occurring in the context of a history of grossly inadequate child care (e.g., severe neglect, maltreatment, institutional deprivation). Even when an adequate primary caregiver is newly available, the child does not turn to the primary caregiver for comfort, support and nurture, rarely displays security-seeking behaviours towards any adult, and does not respond when comfort is offered. Reactive attachment disorder can only be diagnosed in children, and features of the disorder develop within the first 5 years of life. However, the disorder cannot be diagnosed before the age of 1 year (or a developmental age of less than 9 months), when the capacity for selective attachments may not be fully developed, or in the context of Autism spectrum disorder.","A history of grossly insufficient care that may include:
Persistent disregard for the child’s basic emotional needs for comfort, stimulation, and affection.
Persistent disregard for the child’s basic physical needs.
Repeated changes of primary caregivers (e.g., frequent changes in foster care providers).
Rearing in unusual settings (e.g., institutions) that prevent formation of stable selective attachments.
Maltreatment.
Markedly abnormal attachment behaviours towards adult caregivers in a child, characterized by a persistent and pervasive pattern of inhibited, emotionally withdrawn behaviour including both of the following:
Minimal seeking of comfort when distressed.
Rare or minimal response to comfort when it is offered.
The grossly insufficient care is presumed to be responsible for the persistent and pervasive pattern of inhibited, emotionally withdrawn behaviour.
The symptoms are evident before the age of 5.
The child has reached a developmental level by which the capacity to form selective attachments with caregivers normally develops, which typically occurs at a chronological age of 1 year or a developmental age of at least 9 months.
The abnormal attachment behaviours are not better accounted for by Autism Spectrum Disorder.
The abnormal attachment behaviours are not confined to a specific dyadic relationship.",reactive attachment disorder characterised grossly abnormal attachment behaviour early childhood occurring context history grossly inadequate child care eg severe neglect maltreatment institutional deprivation even adequate primary caregiver newly available child turn primary caregiver comfort support nurture rarely display securityseeking behaviour towards adult respond comfort offered reactive attachment disorder diagnosed child feature disorder develop within first year life however disorder cannot diagnosed age year or developmental age le month capacity selective attachment may fully developed context autism spectrum disorder history grossly insufficient care may include persistent disregard child’s basic emotional need comfort stimulation affection persistent disregard child’s basic physical need repeated change primary caregiver eg frequent change foster care provider rearing unusual setting eg institution prevent formation stable selective attachment maltreatment markedly abnormal attachment behaviour towards adult caregiver child characterized persistent pervasive pattern inhibited emotionally withdrawn behaviour including following minimal seeking comfort distressed rare minimal response comfort offered grossly insufficient care presumed responsible persistent pervasive pattern inhibited emotionally withdrawn behaviour symptom evident age child reached developmental level capacity form selective attachment caregiver normally develops typically occurs chronological age year developmental age least month abnormal attachment behaviour better accounted autism spectrum disorder abnormal attachment behaviour confined specific dyadic relationship,"[0.5065721273422241, -0.6847105622291565, 0.1707693338394165, 1.0474650859832764, -0.32132476568222046, -0.6547612547874451, 0.8256258964538574, -0.05010543018579483, 0.8624821305274963, 0.08517666161060333, -0.38173240423202515, 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Disinhibited social engagement disorder,"Disinhibited social engagement disorder is characterised by grossly abnormal social behaviour, occurring in the context of a history of grossly inadequate child care (e.g., severe neglect, institutional deprivation). The child approaches adults indiscriminately, lacks reticence to approach, will go away with unfamiliar adults, and exhibits overly familiar behaviour towards strangers. Disinhibited social engagement disorder can only be diagnosed in children, and features of the disorder develop within the first 5 years of life. However, the disorder cannot be diagnosed before the age of 1 year (or a developmental age of less than 9 months), when the capacity for selective attachments may not be fully developed, or in the context of Autism spectrum disorder.","A history of grossly insufficient care of a child that may include:
Persistent disregard for the child’s basic emotional needs for comfort, stimulation, and affection.
Persistent disregard for the child’s basic physical needs.
Repeated changes of primary caregivers (e.g., frequent changes in foster care providers).
Rearing in unusual settings (e.g., institutions) that prevent formation of stable selective attachments.
Maltreatment.
A persistent and pervasive pattern of markedly abnormal social behaviours in a child, in which the child displays reduced or absent reticence in approaching and interacting with unfamiliar adults, including one or more of the following:
Overly familiar behaviour with unfamiliar adults, including verbal or physical violation of socially appropriate physical and verbal boundaries (e.g., seeking comfort from unfamiliar adults, asking age-inappropriate questions to unfamiliar adults).
Diminished or absent checking back with an adult caregiver after venturing away even in unfamiliar settings.
A willingness to go off with an unfamiliar adult with minimal or no hesitation.
The symptoms are evident before the age of 5.
The child has reached a developmental level by which the capacity to form selective attachments with caregivers normally develops, which typically occurs at a chronological age of 1 year or a developmental age of at least 9 months.
The disinhibited social engagement behaviour is not better accounted for by another mental disorder (e.g., Attention Deficit Hyperactivity Disorder).",disinhibited social engagement disorder characterised grossly abnormal social behaviour occurring context history grossly inadequate child care eg severe neglect institutional deprivation child approach adult indiscriminately lack reticence approach go away unfamiliar adult exhibit overly familiar behaviour towards stranger disinhibited social engagement disorder diagnosed child feature disorder develop within first year life however disorder cannot diagnosed age year or developmental age le month capacity selective attachment may fully developed context autism spectrum disorder history grossly insufficient care child may include persistent disregard child’s basic emotional need comfort stimulation affection persistent disregard child’s basic physical need repeated change primary caregiver eg frequent change foster care provider rearing unusual setting eg institution prevent formation stable selective attachment maltreatment persistent pervasive pattern markedly abnormal social behaviour child child display reduced absent reticence approaching interacting unfamiliar adult including one following overly familiar behaviour unfamiliar adult including verbal physical violation socially appropriate physical verbal boundary eg seeking comfort unfamiliar adult asking ageinappropriate question unfamiliar adult diminished absent checking back adult caregiver venturing away even unfamiliar setting willingness go unfamiliar adult minimal hesitation symptom evident age child reached developmental level capacity form selective attachment caregiver normally develops typically occurs chronological age year developmental age least month disinhibited social engagement behaviour better accounted another mental disorder eg attention deficit hyperactivity disorder,"[0.5444223880767822, -0.7765228748321533, 0.3516668677330017, 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Dissociative neurological symptom disorder,"Dissociative neurological symptom disorder is characterised by the presentation of motor, sensory, or cognitive symptoms that imply an involuntary discontinuity in the normal integration of motor, sensory, or cognitive functions and are not consistent with a recognised disease of the nervous system, other mental or behavioural disorder, or other medical condition. The symptoms do not occur exclusively during another dissociative disorder and are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects, or a Sleep-Wake disorder.","Involuntary disruption or discontinuity in the normal integration of motor, sensory, or cognitive functions, lasting at least several hours.
Clinical findings are not consistent with a recognized Disease of the Nervous System (e.g., a stroke) or another medical condition (e.g., a head injury).
The symptoms do not occur exclusively during episodes of Trance Disorder, Possession Trance Disorder, Dissociative Identity Disorder, or Partial Dissociative Identity Disorder.
The symptoms are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects, do not occur exclusively during hypnagogic or hypnopompic states, and are not due to a Sleep-Wake disorder (e.g., Sleep-Related Rhythmic Movement Disorder, Recurrent isolated sleep paralysis).
The symptoms are not better accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, Post-Traumatic Stress Disorder).
The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",dissociative neurological symptom disorder characterised presentation motor sensory cognitive symptom imply involuntary discontinuity normal integration motor sensory cognitive function consistent recognised disease nervous system mental behavioural disorder medical condition symptom occur exclusively another dissociative disorder due effect substance medication central nervous system including withdrawal effect sleepwake disorder involuntary disruption discontinuity normal integration motor sensory cognitive function lasting least several hour clinical finding consistent recognized disease nervous system eg stroke another medical condition eg head injury symptom occur exclusively episode trance disorder possession trance disorder dissociative identity disorder partial dissociative identity disorder symptom due effect substance medication central nervous system including withdrawal effect occur exclusively hypnagogic hypnopompic state due sleepwake disorder eg sleeprelated rhythmic movement disorder recurrent isolated sleep paralysis symptom better accounted another mental disorder eg schizophrenia primary psychotic disorder posttraumatic stress disorder symptom result significant impairment personal family social educational occupational important area functioning,"[0.07467497885227203, 0.2700502276420593, -0.11903742700815201, 0.8630539178848267, 0.46573957800865173, -0.9439123868942261, 0.14198815822601318, -0.3865709602832794, -0.5252817869186401, 0.5178892612457275, -0.5910717248916626, -0.022655542939901352, -0.9942679405212402, -1.0556787252426147, -0.23818056285381317, 0.2505646049976349, -0.0742531269788742, -0.24115809798240662, -0.8207364082336426, 0.8624277114868164, 0.32304251194000244, 0.14503735303878784, 0.2493959367275238, 0.12859591841697693, 0.038718342781066895, 0.7024292349815369, 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Dissociative amnesia,"Dissociative amnesia is characterised by an inability to recall important autobiographical memories, typically of recent traumatic or stressful events, that is inconsistent with ordinary forgetting. The amnesia does not occur exclusively during another dissociative disorder and is not better explained by another mental, behavioural or neurodevelopmental disorder. The amnesia is not due to the direct effects of a substance or medication on the central nervous system, including withdrawal effects, and is not due to a disease of the nervous system or to head trauma. The amnesia results in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Inability to recall important autobiographical memories, typically of recent traumatic or stressful events, that is inconsistent with ordinary forgetting.
The memory loss does not occur exclusively during episodes of Trance Disorder, Possession Trance Disorder, Dissociative Identity Disorder, or Partial Dissociative Identity Disorder and is not better accounted for by another mental disorder (e.g., Post-Traumatic Stress Disorder, Complex Post-Traumatic Stress Disorder, a Neurocognitive Disorder such as Dementia).
The symptoms are not due to the effects of a substance or medication on the central nervous system (e.g., alcohol), including withdrawal effects, and are not due to a Disease of the Nervous System (e.g., temporal lobe epilepsy), another medical condition (e.g., a brain tumour) or to head trauma.
The memory loss results in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",dissociative amnesia characterised inability recall important autobiographical memory typically recent traumatic stressful event inconsistent ordinary forgetting amnesia occur exclusively another dissociative disorder better explained another mental behavioural neurodevelopmental disorder amnesia due direct effect substance medication central nervous system including withdrawal effect due disease nervous system head trauma amnesia result significant impairment personal family social educational occupational important area functioning inability recall important autobiographical memory typically recent traumatic stressful event inconsistent ordinary forgetting memory loss occur exclusively episode trance disorder possession trance disorder dissociative identity disorder partial dissociative identity disorder better accounted another mental disorder eg posttraumatic stress disorder complex posttraumatic stress disorder neurocognitive disorder dementia symptom due effect substance medication central nervous system eg alcohol including withdrawal effect due disease nervous system eg temporal lobe epilepsy another medical condition eg brain tumour head trauma memory loss result significant impairment personal family social educational occupational important area functioning,"[-0.31302785873413086, -0.48704764246940613, 0.15703873336315155, 0.7826668620109558, -0.23099838197231293, -1.0097746849060059, 0.49136456847190857, -0.3858243227005005, -0.03239171579480171, 0.25955599546432495, -0.7710843086242676, -0.05785023793578148, -0.30796104669570923, -0.4767323136329651, -0.40892326831817627, -0.8167695999145508, -0.10926765948534012, 0.26389414072036743, -1.0688167810440063, 0.5661132335662842, 0.9645720720291138, 0.21786543726921082, 0.20718388259410858, 0.9149824380874634, 0.5895421504974365, -0.13297244906425476, 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Trance disorder,"Trance disorder is characterised by trance states in which there is a marked alteration in the individual’s state of consciousness or a loss of the individual’s customary sense of personal identity in which the individual experiences a narrowing of awareness of immediate surroundings or unusually narrow and selective focusing on environmental stimuli and restriction of movements, postures, and speech to repetition of a small repertoire that is experienced as being outside of one’s control. The trance state is not characterised by the experience of being replaced by an alternate identity. Trance episodes are recurrent or, if the diagnosis is based on a single episode, the episode has lasted for at least several days. The trance state is involuntary and unwanted and is not accepted as a part of a collective cultural or religious practice. The symptoms do not occur exclusively during another dissociative disorder and are not better explained by another mental, behavioural or neurodevelopmental disorder. The symptoms are not due to the direct effects of a substance or medication on the central nervous system, including withdrawal effects, exhaustion, or to hypnagogic or hypnopompic states, and are not due to a disease of the nervous system, head trauma, or a sleep-wake disorder. The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Occurrence of a trance state in which there is a marked alteration in the individual’s state of consciousness or a loss of the individual’s normal sense of personal identity, characterized by both of the following:
Narrowing of awareness of immediate surroundings or unusually narrow and selective focusing on specific environmental stimuli; and
Restriction of movements, postures, and speech to repetition of a small repertoire that is experienced as being outside of one’s control.
The trance state is not characterized by the experience of being replaced by an alternate identity.
Trance episodes are recurrent or, if the diagnosis is based on a single episode, the episode has lasted for at least several days.
The trance state is involuntary and unwanted and is not accepted as a part of a collective cultural or religious practice.
The symptoms are not due to the effects of a substance or medication on the central nervous system (including withdrawal effects), exhaustion, or to hypnagogic or hypnopompic states, and are not due to a Disease of the Nervous System (e.g., complex partial seizures), head trauma, or a Sleep-Wake Disorder.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",trance disorder characterised trance state marked alteration individual’s state consciousness loss individual’s customary sense personal identity individual experience narrowing awareness immediate surroundings unusually narrow selective focusing environmental stimulus restriction movement posture speech repetition small repertoire experienced outside one’s control trance state characterised experience replaced alternate identity trance episode recurrent or diagnosis based single episode episode lasted least several day trance state involuntary unwanted accepted part collective cultural religious practice symptom occur exclusively another dissociative disorder better explained another mental behavioural neurodevelopmental disorder symptom due direct effect substance medication central nervous system including withdrawal effect exhaustion hypnagogic hypnopompic state due disease nervous system head trauma sleepwake disorder symptom result significant distress significant impairment personal family social educational occupational important area functioning occurrence trance state marked alteration individual’s state consciousness loss individual’s normal sense personal identity characterized following narrowing awareness immediate surroundings unusually narrow selective focusing specific environmental stimulus restriction movement posture speech repetition small repertoire experienced outside one’s control trance state characterized experience replaced alternate identity trance episode recurrent or diagnosis based single episode episode lasted least several day trance state involuntary unwanted accepted part collective cultural religious practice symptom due effect substance medication central nervous system including withdrawal effect exhaustion hypnagogic hypnopompic state due disease nervous system eg complex partial seizure head trauma sleepwake disorder symptom result significant 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Possession trance disorder,"Possession trance disorder is characterised by trance states in which there is a marked alteration in the individual’s state of consciousness and the individual’s customary sense of personal identity is replaced by an external ‘possessing’ identity and in which the individual’s behaviours or movements are experienced as being controlled by the possessing agent. Possession trance episodes are recurrent or, if the diagnosis is based on a single episode, the episode has lasted for at least several days. The possession trance state is involuntary and unwanted and is not accepted as a part of a collective cultural or religious practice. The symptoms do not occur exclusively during another dissociative disorder and are not better explained by another mental, behavioural or neurodevelopmental disorder. The symptoms are not due to the direct effects of a substance or medication on the central nervous system, including withdrawal effects, exhaustion, or to hypnagogic or hypnopompic states, and are not due to a disease of the nervous system or a sleep-wake disorder. The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Occurrence of a trance state in which there is a marked alteration in the individual’s state of consciousness and the individual’s normal sense of personal identity is replaced by an external ‘possessing’ identity. The trance state is characterized by behaviours or movements that are experienced as being controlled by the possessing agent.
Trance episodes are attributed to the influence of an external ‘possessing’ spirit, power, deity or other spiritual entity.
Trance episodes are recurrent or, if the diagnosis is based on a single episode, the episode has lasted for at least several days.
The possession trance state is involuntary and unwanted and is not accepted as a part of a collective cultural or religious practice.
The symptoms are not due to the effects of a substance or medication on the central nervous system (including withdrawal effects), exhaustion, or to hypnagogic or hypnopompic states, and are not due to a Disease of the Nervous System (e.g., complex partial seizures) or a Sleep-Wake Disorder.
The symptoms result in significant distress or impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",possession trance disorder characterised trance state marked alteration individual’s state consciousness individual’s customary sense personal identity replaced external ‘possessing’ identity individual’s behaviour movement experienced controlled possessing agent possession trance episode recurrent or diagnosis based single episode episode lasted least several day possession trance state involuntary unwanted accepted part collective cultural religious practice symptom occur exclusively another dissociative disorder better explained another mental behavioural neurodevelopmental disorder symptom due direct effect substance medication central nervous system including withdrawal effect exhaustion hypnagogic hypnopompic state due disease nervous system sleepwake disorder symptom result significant distress significant impairment personal family social educational occupational important area functioning occurrence trance state marked alteration individual’s state consciousness individual’s normal sense personal identity replaced external ‘possessing’ identity trance state characterized behaviour movement experienced controlled possessing agent trance episode attributed influence external ‘possessing’ spirit power deity spiritual entity trance episode recurrent or diagnosis based single episode episode lasted least several day possession trance state involuntary unwanted accepted part collective cultural religious practice symptom due effect substance medication central nervous system including withdrawal effect exhaustion hypnagogic hypnopompic state due disease nervous system eg complex partial seizure sleepwake disorder symptom result significant distress impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[-0.24135622382164001, -0.4456942081451416, -0.1257416009902954, 1.3899132013320923, 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Dissociative identity disorder,"Dissociative identity disorder is characterised by disruption of identity in which there are two or more distinct personality states (dissociative identities) associated with marked discontinuities in the sense of self and agency. Each personality state includes its own pattern of experiencing, perceiving, conceiving, and relating to self, the body, and the environment. At least two distinct personality states recurrently take executive control of the individual’s consciousness and functioning in interacting with others or with the environment, such as in the performance of specific aspects of daily life such as parenting, or work, or in response to specific situations (e.g., those that are perceived as threatening). Changes in personality state are accompanied by related alterations in sensation, perception, affect, cognition, memory, motor control, and behaviour. There are typically episodes of amnesia, which may be severe. The symptoms are not better explained by another mental, behavioural or neurodevelopmental disorder and are not due to the direct effects of a substance or medication on the central nervous system, including withdrawal effects, and are not due to a disease of the nervous system or a sleep-wake disorder. The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Disruption of identity characterized by the presence of two or more distinct personality states (dissociative identities), involving marked discontinuities in the sense of self and agency. Each personality state includes its own pattern of experiencing, perceiving, conceiving, and relating to self, the body, and the environment.
At least two distinct personality states recurrently take executive control of the individual’s consciousness and functioning in interacting with others or with the environment, such as in the performance of specific aspects of daily life (e.g., parenting, work), or in response to specific situations (e.g., those that are perceived as threatening).
Changes in personality state are accompanied by related alterations in sensation, perception, affect, cognition, memory, motor control, and behaviour. There are typically episodes of amnesia inconsistent with ordinary forgetting, which may be severe.
The symptoms are not better accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder).
The symptoms are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects (e.g., blackouts or chaotic behaviour during substance intoxication), and are not due to a Disease of the Nervous System (e.g., complex partial seizures) or to a Sleep-Wake disorder (e.g., symptoms occur during hypnagogic or hypnopompic states).
The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",dissociative identity disorder characterised disruption identity two distinct personality state dissociative identity associated marked discontinuity sense self agency personality state includes pattern experiencing perceiving conceiving relating self body environment least two distinct personality state recurrently take executive control individual’s consciousness functioning interacting others environment performance specific aspect daily life parenting work response specific situation eg perceived threatening change personality state accompanied related alteration sensation perception affect cognition memory motor control behaviour typically episode amnesia may severe symptom better explained another mental behavioural neurodevelopmental disorder due direct effect substance medication central nervous system including withdrawal effect due disease nervous system sleepwake disorder symptom result significant impairment personal family social educational occupational important area functioning disruption identity characterized presence two distinct personality state dissociative identity involving marked discontinuity sense self agency personality state includes pattern experiencing perceiving conceiving relating self body environment least two distinct personality state recurrently take executive control individual’s consciousness functioning interacting others environment performance specific aspect daily life eg parenting work response specific situation eg perceived threatening change personality state accompanied related alteration sensation perception affect cognition memory motor control behaviour typically episode amnesia inconsistent ordinary forgetting may severe symptom better accounted another mental disorder eg schizophrenia primary psychotic disorder symptom due effect substance medication central nervous system including withdrawal effect eg blackout chaotic 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Partial dissociative identity disorder,"Partial dissociative identity disorder is characterised by disruption of identity in which there are two or more distinct personality states (dissociative identities) associated with marked discontinuities in the sense of self and agency. Each personality state includes its own pattern of experiencing, perceiving, conceiving, and relating to self, the body, and the environment. One personality state is dominant and normally functions in daily life, but is intruded upon by one or more non-dominant personality states (dissociative intrusions). These intrusions may be cognitive, affective, perceptual, motor, or behavioural. They are experienced as interfering with the functioning of the dominant personality state and are typically aversive. The non-dominant personality states do not recurrently take executive control of the individual’s consciousness and functioning, but there may be occasional, limited and transient episodes in which a distinct personality state assumes executive control to engage in circumscribed behaviours, such as in response to extreme emotional states or during episodes of self-harm or the reenactment of traumatic memories. The symptoms are not better explained by another mental, behavioural or neurodevelopmental disorder and are not due to the direct effects of a substance or medication on the central nervous system, including withdrawal effects, and are not due to a disease of the nervous system or a sleep-wake disorder. The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Disruption of identity characterized by the experience of two or more distinct personality states (dissociative identities), involving discontinuities in the sense of self and agency. Each personality state includes its own pattern of experiencing, perceiving, conceiving, and relating to self, the body, and the environment.
One personality state is dominant and functions in daily life (e.g., parenting, work), but is intruded upon by one or more non-dominant personality states (dissociative intrusions). These intrusions may be cognitive (intruding thoughts), affective (intruding affects such as fear, anger, or shame), perceptual (e.g., intruding voices fleeting visual perceptions, sensations such as being touched), motor (e.g., involuntary movements of an arm), or behavioural (e.g., an action that lacks a sense of agency or ownership). These experiences are experienced as interfering with the functioning of the dominant personality state and are typically aversive.
The non-dominant personality states do not recurrently take executive control of the individual’s consciousness and functioning to the extent that they perform in specific aspects of daily life (e.g., parenting, work). However, there may be occasional, limited and transient episodes in which a distinct personality state assumes executive control to engage in circumscribed behaviours (e.g., in response to extreme emotional states or during episodes of self-harm or the reenactment of traumatic memories).
The symptoms are not better accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder).
The symptoms are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects (e.g., blackouts or chaotic behaviour during substance intoxication), and are not due to a Disease of the Nervous System (e.g., complex partial seizures) or to a Sleep-Wake disorder (e.g., symptoms occur during hypnagogic or hypnopompic states).
The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",partial dissociative identity disorder characterised disruption identity two distinct personality state dissociative identity associated marked discontinuity sense self agency personality state includes pattern experiencing perceiving conceiving relating self body environment one personality state dominant normally function daily life intruded upon one nondominant personality state dissociative intrusion intrusion may cognitive affective perceptual motor behavioural experienced interfering functioning dominant personality state typically aversive nondominant personality state recurrently take executive control individual’s consciousness functioning may occasional limited transient episode distinct personality state assumes executive control engage circumscribed behaviour response extreme emotional state episode selfharm reenactment traumatic memory symptom better explained another mental behavioural neurodevelopmental disorder due direct effect substance medication central nervous system including withdrawal effect due disease nervous system sleepwake disorder symptom result significant impairment personal family social educational occupational important area functioning disruption identity characterized experience two distinct personality state dissociative identity involving discontinuity sense self agency personality state includes pattern experiencing perceiving conceiving relating self body environment one personality state dominant function daily life eg parenting work intruded upon one nondominant personality state dissociative intrusion intrusion may cognitive intruding thought affective intruding affect fear anger shame perceptual eg intruding voice fleeting visual perception sensation touched motor eg involuntary movement arm behavioural eg action lack sense agency ownership experience experienced interfering functioning dominant personality state typically aversive nondominant personality state recurrently take executive control individual’s consciousness functioning extent perform specific aspect daily life eg parenting work however may occasional limited transient episode distinct personality state assumes executive control engage circumscribed behaviour eg response extreme emotional state episode selfharm reenactment traumatic memory symptom better accounted another mental disorder eg schizophrenia primary psychotic disorder symptom due effect substance medication central nervous system including withdrawal effect eg blackout chaotic behaviour substance intoxication due disease nervous system eg complex partial seizure sleepwake disorder eg symptom occur hypnagogic hypnopompic state symptom result significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[-0.3769659996032715, -0.10705351829528809, 0.4736435115337372, 1.1247789859771729, 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Depersonalization-derealization disorder,"Depersonalization-derealization disorder is characterised by persistent or recurrent experiences of depersonalization, derealization, or both. Depersonalization is characterised by experiencing the self as strange or unreal, or feeling detached from, or as though one were an outside observer of, one’s thoughts, feelings, sensations, body, or actions. Derealization is characterised by experiencing other persons, objects, or the world as strange or unreal (e.g., dreamlike, distant, foggy, lifeless, colourless, or visually distorted) or feeling detached from one’s surroundings. During experiences of depersonalization or derealization, reality testing remains intact. The experiences of depersonalization or derealization do not occur exclusively during another dissociative disorder and are not better explained by another mental, behavioural or neurodevelopmental disorder. The experiences of depersonalization or derealization are not due to the direct effects of a substance or medication on the central nervous system, including withdrawal effects, and are not due to a disease of the nervous system or to head trauma. The symptoms result in significant distress or impairment in personal, family, social, educational, occupational or other important areas of functioning.","Persistent or recurrent experiences of either or both depersonalization or derealization:
Depersonalization is characterized by experiencing the self as strange or unreal, or feeling detached from, or as though one were an outside observer of, one’s thoughts, feelings, sensations, body, or actions. Depersonalization may take the form of emotional and/or physical numbing, a sense of watching oneself from a distance or ‘being in a play’, or perceptual alterations (e.g., a distorted sense of time).
Derealization is characterized by experiencing other persons, objects, or the world as strange or unreal (e.g., dreamlike, distant, foggy, lifeless, colourless, or visually distorted) or feeling detached from one’s surroundings.
During experiences of depersonalization or derealization, reality testing remains intact. The experiences are not associated with delusions or beliefs that the individual is being controlled by external persons or forces.
The symptoms are not better accounted for by another mental disorder (e.g., Post-Traumatic Stress Disorder, an Anxiety or Fear-Related Disorder, another Dissociative Disorder, Personality Disorder).
The symptoms are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects, and are not due to a Disease of the Nervous System (e.g., temporal lobe epilepsy), head trauma, or another medical condition.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",depersonalizationderealization disorder characterised persistent recurrent experience depersonalization derealization both depersonalization characterised experiencing self strange unreal feeling detached from though one outside observer of one’s thought feeling sensation body action derealization characterised experiencing person object world strange unreal eg dreamlike distant foggy lifeless colourless visually distorted feeling detached one’s surroundings experience depersonalization derealization reality testing remains intact experience depersonalization derealization occur exclusively another dissociative disorder better explained another mental behavioural neurodevelopmental disorder experience depersonalization derealization due direct effect substance medication central nervous system including withdrawal effect due disease nervous system head trauma symptom result significant distress impairment personal family social educational occupational important area functioning persistent recurrent experience either depersonalization derealization depersonalization characterized experiencing self strange unreal feeling detached from though one outside observer of one’s thought feeling sensation body action depersonalization may take form emotional andor physical numbing sense watching oneself distance ‘being play’ perceptual alteration eg distorted sense time derealization characterized experiencing person object world strange unreal eg dreamlike distant foggy lifeless colourless visually distorted feeling detached one’s surroundings experience depersonalization derealization reality testing remains intact experience associated delusion belief individual controlled external person force symptom better accounted another mental disorder eg posttraumatic stress disorder anxiety fearrelated disorder another dissociative disorder personality disorder symptom due effect substance medication central nervous system including withdrawal effect due disease nervous system eg temporal lobe epilepsy head trauma another medical condition symptom result significant distress significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[-0.06792039424180984, -1.1155043840408325, -0.05954459682106972, 1.1442384719848633, -0.09478279948234558, -0.772437572479248, 0.005083587020635605, -0.3283902704715729, -0.05342943221330643, 0.506717324256897, -0.7277279496192932, -0.023634634912014008, -0.19025364518165588, -0.525397002696991, -1.0173585414886475, -0.7064535021781921, -0.4661971926689148, 0.190924733877182, -0.18009555339813232, -0.12010756134986877, 1.4054981470108032, 0.6278760433197021, 0.07854580879211426, 0.5584784746170044, 0.0718434602022171, -0.1860215663909912, -0.1353437900543213, -0.9194438457489014, -0.3078933358192444, 0.5262472629547119, -0.3292345106601715, 0.26256245374679565, 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Secondary dissociative syndrome,"A syndrome characterised by the presence of prominent dissociative symptoms (e.g., depersonalization, derealization) that is judged to be the direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., as part of an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the dissociative symptoms are sufficiently severe to warrant specific clinical attention.","The presence of prominent dissociative symptoms (e.g., depersonalization, derealization, dissociative amnesia, a marked alteration in the individual’s normal sense of personal identity).
The symptoms are judged to be the direct pathophysiological consequence of a medical condition, based on evidence from the history, physical examination, or laboratory findings. This judgment depends on establishing that:
The medical condition is known to be capable of producing the observed symptoms;
The course of dissociative symptoms (e.g., onset, remission, response of the dissociative symptoms to treatment of the etiological medical condition) is consistent with causation by the medical condition; and
The symptoms are not better accounted for by Delirium, Dementia, another mental disorder (e.g., Dissociative Disorders, Disorders Specifically Associated with Stress, Schizophrenia or Other Primary Psychotic Disorders) or the effects of a medication or substance, including withdrawal effects.
The symptoms are sufficiently severe to be a specific focus of clinical attention.",syndrome characterised presence prominent dissociative symptom eg depersonalization derealization judged direct pathophysiological consequence health condition classified mental behavioural disorder based evidence history physical examination laboratory finding symptom accounted delirium another mental behavioural disorder psychologically mediated response severe medical condition eg part acute stress reaction response lifethreatening diagnosis category used addition diagnosis presumed underlying disorder disease dissociative symptom sufficiently severe warrant specific clinical attention presence prominent dissociative symptom eg depersonalization derealization dissociative amnesia marked alteration individual’s normal sense personal identity symptom judged direct pathophysiological consequence medical condition based evidence history physical examination laboratory finding judgment depends establishing that medical condition known capable producing observed symptom course dissociative symptom eg onset remission response dissociative symptom treatment etiological medical condition consistent causation medical condition symptom better accounted delirium dementia another mental disorder eg dissociative disorder disorder specifically associated stress schizophrenia primary psychotic disorder effect medication substance including withdrawal effect symptom sufficiently severe specific focus clinical attention,"[-0.1330767273902893, -0.6820003986358643, -0.01717478595674038, 0.8483164310455322, 0.27801334857940674, -0.7843495607376099, -0.3854217529296875, -0.6718658208847046, 0.4516907334327698, 0.6750227212905884, -0.3373534679412842, -0.32586538791656494, -0.08422143757343292, 0.0021519605070352554, -0.6842468976974487, -0.5699031352996826, -0.2079256922006607, -0.3286632299423218, -1.0942260026931763, 0.2120630443096161, 1.0826075077056885, 0.6565587520599365, 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Anorexia Nervosa,"Anorexia Nervosa is characterised by significantly low body weight for the individual’s height, age and developmental stage that is not due to another health condition or to the unavailability of food. A commonly used threshold is body mass index (BMI) less than 18.5 kg/m2 in adults and BMI-for-age under 5th percentile in children and adolescents. Rapid weight loss (e.g. more than 20% of total body weight within 6 months) may replace the low body weight guideline as long as other diagnostic requirements are met. Children and adolescents may exhibit failure to gain weight as expected based on the individual developmental trajectory rather than weight loss. Low body weight is accompanied by a persistent pattern of behaviours to prevent restoration of normal weight, which may include behaviours aimed at reducing energy intake (restricted eating), purging behaviours (e.g. self-induced vomiting, misuse of laxatives), and behaviours aimed at increasing energy expenditure (e.g. excessive exercise), typically associated with a fear of weight gain. Low body weight or shape is central to the person's self-evaluation or is inaccurately perceived to be normal or even excessive.","Significantly low body weight for the individual’s height, age, developmental stage, or weight history. A commonly used threshold is body mass index (BMI) less than 18.5 kg/m2 in adults and BMI-for-age under 5th percentile in children and adolescents. Rapid weight loss (e.g., more than 20% of total body weight within 6 months) may replace the low body weight essential feature as long as other diagnostic requirements are met. Children and adolescents may exhibit failure to gain weight as expected based on the individual developmental trajectory rather than weight loss.
Low body weight is not better accounted for by another medical condition or the unavailability of food.
A persistent pattern of restrictive eating or other behaviours aimed at establishing or maintaining abnormally low body weight, typically associated with extreme fear of weight gain. Behaviours may be aimed at reducing energy intake, by fasting, choosing low calorie food, excessively slow eating of small amounts of food, and hiding or spitting out food, as well as purging behaviours, such as self-induced vomiting and use of laxatives, diuretics, enemas, or omission of insulin doses in individuals with diabetes. Behaviours may also be aimed at increasing energy expenditure through excessive exercise, motor hyperactivity, deliberate exposure to cold, and use of medication that increases energy expenditure (e.g., stimulants, weight loss medication, herbal products for reducing weight, thyroid hormones).
Excessive preoccupation with body weight or shape. Low body weight is overvalued and central to the person's self-evaluation, or the person’s body weight or shape is inaccurately perceived to be normal or even excessive. Preoccupation with weight or shape, when not explicitly reported, may be manifested by behaviours such as repeatedly checking body weight using scales; repeatedly checking one’s body shape using tape measures or reflection in mirrors; constantly monitoring the calorie content of food or searching for information on how to lose weight; or by extreme avoidant behaviours, such as refusal to have mirrors at home, avoidance of tight-fitting clothes, or refusal to know one’s weight or purchase clothing with specified sizing.",anorexia nervosa characterised significantly low body weight individual’s height age developmental stage due another health condition unavailability food commonly used threshold body mass index bmi le adult bmiforage percentile child adolescent rapid weight loss eg total body weight within month may replace low body weight guideline long diagnostic requirement met child adolescent may exhibit failure gain weight expected based individual developmental trajectory rather weight loss low body weight accompanied persistent pattern behaviour prevent restoration normal weight may include behaviour aimed reducing energy intake restricted eating purging behaviour eg selfinduced vomiting misuse laxative behaviour aimed increasing energy expenditure eg excessive exercise typically associated fear weight gain low body weight shape central person selfevaluation inaccurately perceived normal even excessive significantly low body weight individual’s height age developmental stage weight history commonly used threshold body mass index bmi le adult bmiforage percentile child adolescent rapid weight loss eg total body weight within month may replace low body weight essential feature long diagnostic requirement met child adolescent may exhibit failure gain weight expected based individual developmental trajectory rather weight loss low body weight better accounted another medical condition unavailability food persistent pattern restrictive eating behaviour aimed establishing maintaining abnormally low body weight typically associated extreme fear weight gain behaviour may aimed reducing energy intake fasting choosing low calorie food excessively slow eating small amount food hiding spitting food well purging behaviour selfinduced vomiting use laxative diuretic enema omission insulin dos individual diabetes behaviour may also aimed increasing energy expenditure excessive exercise motor hyperactivity deliberate exposure cold use medication increase energy expenditure eg stimulant weight loss medication herbal product reducing weight thyroid hormone excessive preoccupation body weight shape low body weight overvalued central person selfevaluation person’s body weight shape inaccurately perceived normal even excessive preoccupation weight shape explicitly reported may manifested behaviour repeatedly checking body weight using scale repeatedly checking one’s body shape using tape measure reflection mirror constantly monitoring calorie content food 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Bulimia Nervosa,"Bulimia Nervosa is characterised by frequent, recurrent episodes of binge eating (e.g. once a week or more over a period of at least one month). A binge eating episode is a distinct period of time during which the individual experiences a subjective loss of control over eating, eating notably more or differently than usual, and feels unable to stop eating or limit the type or amount of food eaten. Binge eating is accompanied by repeated inappropriate compensatory behaviours aimed at preventing weight gain (e.g. self-induced vomiting, misuse of laxatives or enemas, strenuous exercise). The individual is preoccupied with body shape or weight, which strongly influences self-evaluation. There is marked distress about the pattern of binge eating and inappropriate compensatory behaviour or significant impairment in personal, family, social, educational, occupational or other important areas of functioning. The individual does not meet the diagnostic requirements of Anorexia Nervosa.","Frequent, recurrent episodes of binge eating (e.g., once a week or more over a period of at least 1 month). Binge eating is defined as a discrete period of time (e.g., 2 hours) during which the individual experiences a loss of control over their eating behaviour and eats notably more or differently than usual. Loss of control over eating may be described by the individual as feeling like they cannot stop or limit the amount or type of food eaten; having difficulty stopping eating once they have started; or giving up even trying to control their eating because they know they will end up overeating.
Repeated inappropriate compensatory behaviours to prevent weight gain (e.g., once a week or more over a period of at least 1 month). The most common compensatory behaviour is self-induced vomiting, which typically occurs within an hour of binge eating. Other inappropriate compensatory behaviours include fasting or using diuretics to induce weight loss, using laxatives or enemas to reduce the absorption of food, omission of insulin doses in individuals with diabetes, and strenuous exercise to greatly increase energy expenditure.
Excessive preoccupation with body weight or shape. Preoccupation with weight or shape, when not explicitly reported, may be manifested by behaviours such as repeatedly checking body weight using scales; repeatedly checking one’s body shape using tape measures or reflection in mirrors; constantly monitoring the calorie content of food or searching for information on how to lose weight; or by extreme avoidant behaviours, such as refusal to have mirrors at home, avoidance of tight-fitting clothes, or refusal to know one’s weight or purchase clothing with specified sizing.
There is marked distress about the pattern of binge eating and inappropriate compensatory behaviour or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.
The symptoms do not meet the diagnostic requirements for Anorexia Nervosa.",bulimia nervosa characterised frequent recurrent episode binge eating eg week period least one month binge eating episode distinct period time individual experience subjective loss control eating eating notably differently usual feel unable stop eating limit type amount food eaten binge eating accompanied repeated inappropriate compensatory behaviour aimed preventing weight gain eg selfinduced vomiting misuse laxative enema strenuous exercise individual preoccupied body shape weight strongly influence selfevaluation marked distress pattern binge eating inappropriate compensatory behaviour significant impairment personal family social educational occupational important area functioning individual meet diagnostic requirement anorexia nervosa frequent recurrent episode binge eating eg week period least month binge eating defined discrete period time eg hour individual experience loss control eating behaviour eats notably differently usual loss control eating may described individual feeling like cannot stop limit amount type food eaten difficulty stopping eating started giving even trying control eating know end overeating repeated inappropriate compensatory behaviour prevent weight gain eg week period least month common compensatory behaviour selfinduced vomiting typically occurs within hour binge eating inappropriate compensatory behaviour include fasting using diuretic induce weight loss using laxative enema reduce absorption food omission insulin dos individual diabetes strenuous exercise greatly increase energy expenditure excessive preoccupation body weight shape preoccupation weight shape explicitly reported may manifested behaviour repeatedly checking body weight using scale repeatedly checking one’s body shape using tape measure reflection mirror constantly monitoring calorie content food searching information lose weight extreme avoidant behaviour refusal mirror home avoidance tightfitting clothes refusal know one’s weight purchase clothing specified sizing marked distress pattern binge eating inappropriate compensatory behaviour significant impairment personal family social educational occupational important area functioning symptom meet diagnostic requirement anorexia nervosa,"[0.19985553622245789, -0.6993981599807739, 0.11680124700069427, 1.567014455795288, -0.133070170879364, -0.013799663633108139, 0.06877647340297699, 0.28355374932289124, 0.600695013999939, 0.2293170690536499, -0.7551331520080566, -0.3453643321990967, -0.2369491159915924, -0.21483327448368073, -0.22879019379615784, -0.2546290457248688, 0.1674957573413849, -0.438956081867218, 0.08037569373846054, 0.27266615629196167, 0.26199978590011597, -0.4477360248565674, 0.14188003540039062, 0.2670828402042389, -0.29316288232803345, 0.2990780174732208, -0.2106226235628128, -0.7259272933006287, 0.15612977743148804, 0.2595595717430115, 0.22351837158203125, -0.09151643514633179, -0.013037417083978653, 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Binge eating disorder,"Binge eating disorder is characterised by frequent, recurrent episodes of binge eating (e.g. once a week or more over a period of several months). A binge eating episode is a distinct period of time during which the individual experiences a subjective loss of control over eating, eating notably more or differently than usual, and feels unable to stop eating or limit the type or amount of food eaten. Binge eating is experienced as very distressing, and is often accompanied by negative emotions such as guilt or disgust. However, unlike in Bulimia Nervosa, binge eating episodes are not regularly followed by inappropriate compensatory behaviours aimed at preventing weight gain (e.g. self-induced vomiting, misuse of laxatives or enemas, strenuous exercise). There is marked distress about the pattern of binge eating or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Frequent, recurrent episodes of binge eating (e.g., once a week or more over a period of 3 months). Binge eating is defined as a discrete period of time (e.g., 2 hours) during which the individual experiences a loss of control over their eating behaviour and eats notably more or differently than usual. Loss of control over eating may be described by the individual as feeling like they cannot stop or limit the amount or type of food eaten; having difficulty stopping eating once they have started; or giving up even trying to control their eating because they know they will end up overeating.
The binge eating episodes are not regularly accompanied by inappropriate compensatory behaviours aimed at preventing weight gain.
The symptoms and behaviours are not better accounted for by another medical condition (e.g., Prader-Willi Syndrome) or mental disorder (e.g., a Depressive Disorder) and are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects.
There is marked distress about the pattern of binge eating or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",binge eating disorder characterised frequent recurrent episode binge eating eg week period several month binge eating episode distinct period time individual experience subjective loss control eating eating notably differently usual feel unable stop eating limit type amount food eaten binge eating experienced distressing often accompanied negative emotion guilt disgust however unlike bulimia nervosa binge eating episode regularly followed inappropriate compensatory behaviour aimed preventing weight gain eg selfinduced vomiting misuse laxative enema strenuous exercise marked distress pattern binge eating significant impairment personal family social educational occupational important area functioning frequent recurrent episode binge eating eg week period month binge eating defined discrete period time eg hour individual experience loss control eating behaviour eats notably differently usual loss control eating may described individual feeling like cannot stop limit amount type food eaten difficulty stopping eating started giving even trying control eating know end overeating binge eating episode regularly accompanied inappropriate compensatory behaviour aimed preventing weight gain symptom behaviour better accounted another medical condition eg praderwilli syndrome mental disorder eg depressive disorder due effect substance medication central nervous system including withdrawal effect marked distress pattern binge eating significant impairment personal family social educational occupational important area functioning,"[0.07430620491504669, -0.9096068739891052, -0.05084783211350441, 1.4343366622924805, 0.05055275931954384, 0.14129483699798584, -0.06456772983074188, 0.4152906835079193, 0.46885648369789124, 0.6710089445114136, -0.7105629444122314, -0.550368070602417, -0.13322073221206665, 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Avoidant-restrictive food intake disorder,"Avoidant-restrictive food intake disorder (ARFID) is characterised by avoidance or restriction of food intake that results in: 1) the intake of an insufficient quantity or variety of food to meet adequate energy or nutritional requirements that has resulted in significant weight loss, clinically significant nutritional deficiencies, dependence on oral nutritional supplements or tube feeding, or has otherwise negatively affected the physical health of the individual; or 2) significant impairment in personal, family, social, educational, occupational or other important areas of functioning (e.g.,due to avoidance or distress related to participating in social experiences involving eating). The pattern of eating behaviour is not motivated by preoccupation with body weight or shape. Restricted food intake and its effects on weight, other aspects of health, or functioning is not due to unavailability of food, not a manifestation of another medical condition (e.g. food allergies, hyperthyroidism) or mental disorder, and are not due to the effect of a substance or medication on the central nervous system including withdrawal effects.","Avoidance or restriction of food intake that results in either or both of the following:
The intake of an insufficient quantity or variety of food to meet adequate energy or nutritional requirements that has resulted in significant weight loss, clinically significant nutritional deficiencies, dependence on oral nutritional supplements or tube feeding, or has otherwise negatively affected the physical health of the individual.
Significant impairment in personal, family, social, educational, occupational or other important areas of functioning (e.g., due to avoidance or distress related to participating in social experiences involving eating).
The pattern of eating behaviour is not motivated by preoccupation with body weight or shape.
Restricted food intake and consequent weight loss (or failure to gain weight), or other impact on physical health or related functional impairment, are not due to unavailability of food; are not a manifestation of another medical condition (e.g., food allergies, hyperthyroidism) or mental disorder; and are not due to the effects of a substance or medication, including withdrawal effects.",avoidantrestrictive food intake disorder arfid characterised avoidance restriction food intake result in intake insufficient quantity variety food meet adequate energy nutritional requirement resulted significant weight loss clinically significant nutritional deficiency dependence oral nutritional supplement tube feeding otherwise negatively affected physical health individual significant impairment personal family social educational occupational important area functioning egdue avoidance distress related participating social experience involving eating pattern eating behaviour motivated preoccupation body weight shape restricted food intake effect weight aspect health functioning due unavailability food manifestation another medical condition eg food allergy hyperthyroidism mental disorder due effect substance medication central nervous system including withdrawal effect avoidance restriction food intake result either following intake insufficient quantity variety food meet adequate energy nutritional requirement resulted significant weight loss clinically significant nutritional deficiency dependence oral nutritional supplement tube feeding otherwise negatively affected physical health individual significant impairment personal family social educational occupational important area functioning eg due avoidance distress related participating social experience involving eating pattern eating behaviour motivated preoccupation body weight shape restricted food intake consequent weight loss or failure gain weight impact physical health related functional impairment due unavailability 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Pica,"Pica is characterised by the regular consumption of non-nutritive substances, such as non-food objects and materials (e.g., clay, soil, chalk, plaster, plastic, metal and paper) or raw food ingredients (e.g., large quantities of salt or corn flour) that is persistent or severe enough to require clinical attention in an individual who has reached a developmental age at which they would be expected to distinguish between edible and non-edible substances (approximately 2 years). That is, the behaviour causes damage to health, impairment in functioning, or significant risk due to the frequency, amount or nature of the substances or objects ingested.","Regular consumption of non-nutritive substances, such as non-food objects and materials (e.g., clay, soil, chalk, plaster, plastic, metal and paper), or raw food ingredients (e.g., large quantities of salt or corn flour).
The ingestion of non-nutritive substances is persistent or severe enough to require clinical attention. That is, the behaviour causes damage or significant risk to health or impairment in functioning due to the frequency, amount or nature of the substances or objects ingested.
Based on age and level of intellectual functioning, the individual would be expected to distinguish between edible and non-edible substances. In typical development, this occurs at approximately 2 years of age.
The symptoms or behaviours are not a manifestation of another medical condition (e.g., nutritional deficiency).",pica characterised regular consumption nonnutritive substance nonfood object material eg clay soil chalk plaster plastic metal paper raw food ingredient eg large quantity salt corn flour persistent severe enough require clinical attention individual reached developmental age would expected distinguish edible nonedible substance approximately year is behaviour cause damage health impairment functioning significant risk due frequency amount nature substance object ingested regular consumption nonnutritive substance nonfood object material eg clay soil chalk plaster plastic metal paper raw food ingredient eg large quantity salt corn flour ingestion nonnutritive substance persistent severe enough require clinical attention is behaviour cause damage significant risk health impairment functioning due frequency amount nature substance object ingested based age level intellectual 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Rumination-regurgitation disorder,"Rumination-regurgitation disorder is characterised by the intentional and repeated bringing up of previously swallowed food back to the mouth (i.e., regurgitation), which may be re-chewed and re-swallowed (i.e. rumination), or may be deliberately spat out (but not as in vomiting). The regurgitation behaviour is frequent (at least several times per week) and sustained over a period of at least several weeks. The regurgitation behaviour is not fully accounted for by another medical condition that directly causes regurgitation (e.g., oesophageal strictures or neuromuscular disorders affecting oesophageal functioning) or causes nausea or vomiting (e.g. pyloric stenosis). Rumination-regurgitation disorder should only be diagnosed in individuals who have reached a developmental age of at least 2 years.","The intentional and repeated bringing up of previously swallowed food back to the mouth (i.e., regurgitation), which may be re-chewed and re-swallowed (i.e., rumination), or may be deliberately spat out (but not as in vomiting).
The regurgitation behaviour is frequent (at least several times per week) and sustained over a period of at least several weeks.
The diagnosis should only be assigned to individuals who have reached a developmental age of at least 2 years.
The regurgitation behaviour is not a manifestation of another medical condition that directly causes regurgitation (e.g., esophageal strictures or neuromuscular disorders affecting esophageal functioning) or causes nausea or vomiting (e.g., pyloric stenosis).",ruminationregurgitation disorder characterised intentional repeated bringing previously swallowed food back mouth ie regurgitation may rechewed reswallowed ie rumination may deliberately spat but vomiting regurgitation behaviour frequent at least several time per week sustained period least several week regurgitation behaviour fully accounted another medical condition directly cause regurgitation eg oesophageal stricture neuromuscular disorder affecting oesophageal functioning cause nausea vomiting eg pyloric stenosis ruminationregurgitation disorder diagnosed individual reached developmental age least year intentional repeated bringing previously swallowed food back mouth ie regurgitation may rechewed reswallowed ie rumination 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Enuresis,"Enuresis is the repeated voiding of urine into clothes or bed, which may occur during the day or at night, in an individual who has reached a developmental age when urinary continence is ordinarily expected (5 years). The urinary incontinence may have been present from birth (i.e., an atypical extension of normal infantile incontinence), or may have arisen following a period of acquired bladder control. In most cases, the behaviour is involuntary but in some cases it appears intentional. Enuresis should not be diagnosed if unintentional voiding of urine is due to a health condition that interferes with continence (e.g., diseases of the nervous system or musculoskeletal disorders) or by congenital or acquired abnormalities of the urinary tract.","Repeated and persistent voiding of urine into bed or clothes (e.g., several times per week over several months), which may occur during the day or at night.
The individual has reached a developmental age when urinary continence is ordinarily expected (approximately equivalent to a chronological age of 5 years).
The symptoms are not better accounted for by the physiological effects of a substance or medication or by another medical condition (e.g., a Disease of the Nervous System, a Disease of the Musculoskeletal System or Connective Tissue, or congenital or acquired abnormalities of the urinary tract).",enuresis repeated voiding urine clothes bed may occur day night individual reached developmental age urinary continence ordinarily expected year urinary incontinence may present birth ie atypical extension normal infantile incontinence may arisen following period acquired bladder control case behaviour involuntary case appears intentional enuresis diagnosed unintentional voiding urine due health condition interferes continence eg disease nervous system musculoskeletal disorder congenital acquired abnormality urinary tract repeated persistent voiding urine bed clothes eg several time per week several month may occur day night individual reached developmental age urinary continence ordinarily expected approximately equivalent chronological age year symptom better accounted physiological effect substance medication another medical condition eg disease nervous system disease musculoskeletal system connective tissue congenital acquired abnormality urinary tract,"[-0.10463303327560425, 0.03263749182224274, 0.6181396245956421, 0.38424089550971985, -0.761579155921936, 0.03529862314462662, 0.3410126566886902, -0.09402278065681458, 1.0352625846862793, 0.6343381404876709, -0.5747275948524475, -0.43408089876174927, -1.3601405620574951, 0.3441691994667053, -0.1790902316570282, 0.004645620472729206, 0.22601108253002167, -0.13866837322711945, -0.828679084777832, 0.4994240701198578, 0.27709996700286865, 1.1019346714019775, 0.0036903219297528267, -0.012755638919770718, -0.030928919091820717, 0.785036027431488, -0.44588661193847656, -0.9277533888816833, 0.4093865752220154, 0.5774333477020264, -0.8384177684783936, -0.6316839456558228, 0.8590180277824402, -0.22817754745483398, 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Encopresis,"Encopresis is the repeated passage of faeces in inappropriate places. Encopresis should be diagnosed if inappropriate passage of faeces occurs repeatedly (e.g., at least once per month over a period of several months) in an individual who has reached the developmental age when faecal continence is ordinarily expected (4 years). The faecal incontinence may have been present from birth (i.e., an atypical extension of normal infantile incontinence), or may have arisen following a period of acquired bowel control. Encopresis should not be diagnosed if faecal soiling is fully attributable to another health condition (e.g., aganglionic megacolon, spina bifida, dementia), congenital or acquired abnormalities of the bowel, gastrointestinal infection, or excessive use of laxatives.","Repeated and persistent passage of faeces in inappropriate places (e.g., at least once per month over a period of several months).
The individual who has reached the developmental age when faecal continence is ordinarily expected (approximately equivalent to a chronological age of 4 years).
Faecal soiling is not better accounted for by the physiological effects of a substance (e.g., excessive use of laxatives) or another medical condition (e.g., aganglionic megacolon, spina bifida, anal stenosis, chronic diarrhoea, congenital or acquired abnormalities of the bowel, or gastrointestinal infection).",encopresis repeated passage faeces inappropriate place encopresis diagnosed inappropriate passage faeces occurs repeatedly eg least per month period several month individual reached developmental age faecal continence ordinarily expected year faecal incontinence may present birth ie atypical extension normal infantile incontinence may arisen following period acquired bowel control encopresis diagnosed faecal soiling fully attributable another health condition eg aganglionic megacolon spina bifida dementia congenital acquired abnormality bowel gastrointestinal infection excessive use laxative repeated persistent passage faeces inappropriate place eg least per month period several month individual reached developmental age faecal continence ordinarily expected approximately equivalent chronological age year faecal soiling better accounted physiological effect substance eg excessive use laxative another medical condition eg aganglionic megacolon spina bifida anal stenosis chronic diarrhoea congenital acquired abnormality bowel gastrointestinal infection,"[-0.0779404565691948, -0.08609583973884583, 0.7294585704803467, 0.4770399332046509, -0.3394893407821655, -0.3800579905509949, -0.07941678911447525, -0.22961004078388214, 0.6823861598968506, 0.8250236511230469, -1.513809084892273, 0.02067975327372551, -1.3077409267425537, 0.7665070295333862, -0.7701226472854614, -0.08625556528568268, 0.1613295078277588, -0.8614283800125122, -0.9807819724082947, 0.37893253564834595, 0.5253441333770752, 0.5945677757263184, -0.3953382968902588, -0.09837515652179718, 0.4933575689792633, 0.7915905714035034, -0.7483742237091064, -1.0568666458129883, 1.1026952266693115, 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Bodily distress disorder,"Bodily distress disorder is characterised by the presence of bodily symptoms that are distressing to the individual and excessive attention directed toward the symptoms, which may be manifest by repeated contact with health care providers. If another health condition is causing or contributing to the symptoms, the degree of attention is clearly excessive in relation to its nature and progression. Excessive attention is not alleviated by appropriate clinical examination and investigations and appropriate reassurance. Bodily symptoms are persistent, being present on most days for at least several months. Typically, bodily distress disorder involves multiple bodily symptoms that may vary over time. Occasionally there is a single symptom—usually pain or fatigue—that is associated with the other features of the disorder. The symptoms and associated distress and preoccupation have at least some impact on the individual’s functioning (e.g. strain in relationships, less effective academic or occupational functioning, abandonment of specific leisure activities).","The presence of bodily symptoms that are distressing to the individual. Typically, this involves multiple bodily symptoms that may vary over time. Occasionally the focus is limited to a single symptom, usually pain or fatigue.
Excessive attention is directed toward the symptoms, which may manifest in:
Persistent preoccupation with the severity of the symptoms or their negative consequences. In individuals who have an established medical condition that may be causing or contributing to the symptoms, the degree of attention related to the symptoms is clearly excessive in relation to the nature and severity of the medical condition.
Repeated contacts with health care providers related to the bodily symptoms that are substantially in excess of what would be considered medically necessary.
Excessive attention to the bodily symptoms persists despite appropriate clinical examination and investigations or appropriate reassurance by health care providers.
Bodily symptoms are persistent; that is, some symptoms are present (though not necessarily the same symptoms) on most days during a period of at least several months (e.g., 3 months or more).
The bodily symptoms and related distress and preoccupation result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.
The symptoms or the associated distress and preoccupation are not better accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, a Mood Disorder, or an Anxiety or Fear-Related Disorder).",bodily distress disorder characterised presence bodily symptom distressing individual excessive attention directed toward symptom may manifest repeated contact health care provider another health condition causing contributing symptom degree attention clearly excessive relation nature progression excessive attention alleviated appropriate clinical examination investigation appropriate reassurance bodily symptom persistent present day least several month typically bodily distress disorder involves multiple bodily symptom may vary time occasionally single symptom—usually pain fatigue—that associated feature disorder symptom associated distress preoccupation least impact individual’s functioning eg strain relationship le effective academic occupational functioning abandonment specific leisure activity presence bodily symptom distressing individual typically involves multiple bodily symptom may vary time occasionally focus limited single symptom usually pain fatigue excessive attention directed toward symptom may manifest in persistent preoccupation severity symptom negative consequence individual established medical condition may causing contributing symptom degree attention related symptom clearly excessive relation nature severity medical condition repeated contact health care provider related bodily symptom substantially excess would considered medically necessary excessive attention bodily symptom persists despite appropriate clinical examination investigation appropriate reassurance health care provider bodily symptom persistent is symptom present though necessarily symptom day period least several month eg month more bodily symptom related distress preoccupation result significant impairment personal family social educational 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Body integrity dysphoria,"Body integrity dysphoria is characterised by an intense and persistent desire to become physically disabled in a significant way (e.g. major limb amputee, paraplegic, blind), with onset by early adolescence accompanied by persistent discomfort, or intense feelings of inappropriateness concerning current non-disabled body configuration. The desire to become physically disabled results in harmful consequences, as manifested by either the preoccupation with the desire (including time spent pretending to be disabled) significantly interfering with productivity, with leisure activities, or with social functioning (e.g. person is unwilling to have a close relationships because it would make it difficult to pretend) or by attempts to actually become disabled have resulted in the person putting his or her health or life in significant jeopardy. The disturbance is not better accounted for by another mental, behavioural or neurodevelopmental disorder, by a Disease of the Nervous System or by another medical condition, or by Malingering.","An intense and persistent desire to become physically disabled in a significant way (e.g., a major limb amputation, paraplegia, blindness) accompanied by persistent discomfort or intense negative feelings about one’s current body configuration or functioning.
The desire to be disabled results in harmful consequences, manifested by either or both of the following:
Attempts to actually become disabled through self-injury have resulted in the person putting their health or life in significant jeopardy.
Preoccupation with the desire to be disabled results in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning (e.g., avoidance of close relationships, interference with work productivity).
Onset of the persistent desire to be disabled occurs by early adolescence.
The disturbance is not better accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, in which, for example, a delusional conviction that the limb belongs to another person may be present, Factitious Disorder) or by Malingering.
The symptoms or behaviours are not better accounted for by Gender Incongruence, by a Disease of the Nervous System, or by another medical condition.",body integrity dysphoria characterised intense persistent desire become physically disabled significant way eg major limb amputee paraplegic blind onset early adolescence accompanied persistent discomfort intense feeling inappropriateness concerning current nondisabled body configuration desire become physically disabled result harmful consequence manifested either preoccupation desire including time spent pretending disabled significantly interfering productivity leisure activity social functioning eg person unwilling close relationship would make difficult pretend attempt actually become disabled resulted person putting health life significant jeopardy disturbance better accounted another mental behavioural neurodevelopmental disorder disease nervous system another medical condition malingering intense persistent desire become physically disabled significant way eg major limb amputation paraplegia blindness accompanied persistent discomfort intense negative feeling one’s current body configuration functioning desire disabled result harmful consequence manifested either following attempt actually become disabled selfinjury resulted person putting health life significant jeopardy preoccupation desire disabled result significant impairment personal family social educational occupational important area functioning eg avoidance close relationship interference work productivity onset persistent desire disabled occurs early adolescence disturbance better accounted another mental disorder eg schizophrenia primary psychotic disorder which example delusional conviction limb belongs another person may present factitious disorder malingering symptom behaviour better accounted gender incongruence disease nervous system another medical condition,"[0.4688485860824585, -0.4921051263809204, 0.2266772836446762, 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Disorders due to substance use,"Disorders due to substance use include disorders that result from a single occasion or repeated use of substances that have psychoactive properties, including certain medications. Disorders related to fourteen classes or groups of psychoactive substances are included. Typically, initial use of these substances produces pleasant or appealing psychoactive effects that are rewarding and reinforcing with repeated use. With continued use, many of the included substances have the capacity to produce dependence. They also have the potential to cause numerous forms of harm, both to mental and physical health. Disorders due to harmful non-medical use of non-psychoactive substances are also included in this grouping.","Disorders Due to Substance Use include disorders that result from a single occasion or repeated use of substances that have psychoactive properties, including certain medications. Disorders related to fourteen classes or groups of psychoactive substances that have important clinical and public health consequences are included, and categories are also available for other specified substances.

Typically, initial use of these substances produces pleasant or appealing psychoactive effects that are rewarding and reinforcing with repeated use. With continued use, many of the included substances have the capacity to produce dependence. They also have the potential to cause numerous forms of harm, both to mental and physical health. Disorders due to harmful non-medical use of non-psychoactive substances (e.g., laxatives, growth hormone, erythropoietin, and non-steroidal anti-inflammatory drugs) are also included in this grouping",disorder due substance use include disorder result single occasion repeated use substance psychoactive property including certain medication disorder related fourteen class group psychoactive substance included typically initial use substance produce pleasant appealing psychoactive effect rewarding reinforcing repeated use continued use many included substance capacity produce dependence also potential cause numerous form harm mental physical health disorder due harmful nonmedical use nonpsychoactive substance also included grouping disorder due substance use include disorder result single occasion repeated use substance psychoactive property including certain medication disorder related fourteen class group psychoactive substance important clinical public health consequence included 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Disorders due to addictive behaviours,"Disorders due to addictive behaviours are recognizable and clinically significant syndromes associated with distress or interference with personal functions that develop as a result of repetitive rewarding behaviours other than the use of dependence-producing substances. Disorders due to addictive behaviours include gambling disorder and gaming disorder, which may involve both online and offline behaviour.","The presentation is characterized by symptoms that share primary clinical features with other Disorders Due to Addictive Behaviours, including a persistent pattern of repetitive behaviour in which the individual exhibits impaired control over the behaviour (e.g., onset, frequency, intensity, duration, termination, context); increasing priority given to the behaviour to the extent that it takes precedence over other life interests and daily activities; and continuation or escalation of the behaviour despite negative consequences (e.g., family conflict, poor scholastic performance, negative impact on health). Note: Impaired control over substance use or sexual behaviour is not included in this category.
The pattern of repetitive behaviour may be continuous or episodic and recurrent but is manifested over an extended period of time (e.g., 12 months).
The symptoms are not better accounted for by another Mental, Behavioural, or Neurodevelopmental Disorder (e.g., Autism Spectrum Disorder, an Obsessive-Compulsive or Related Disorder, a Feeding or Eating Disorder, an Impulse Control Disorder), are not a manifestation of another medical condition, and are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",disorder due addictive behaviour recognizable clinically significant syndrome associated distress interference personal function develop result repetitive rewarding behaviour use dependenceproducing substance disorder due addictive behaviour include gambling disorder gaming disorder may involve online offline behaviour presentation characterized symptom share primary clinical feature disorder due addictive behaviour including persistent pattern repetitive behaviour individual exhibit impaired control behaviour eg onset frequency intensity duration termination context increasing priority given behaviour extent take precedence life interest daily activity continuation escalation behaviour despite negative consequence eg family conflict poor scholastic performance negative impact health note impaired control substance use sexual behaviour included category pattern repetitive behaviour may continuous episodic recurrent manifested extended period time eg month symptom better accounted another mental behavioural neurodevelopmental disorder eg autism spectrum disorder obsessivecompulsive related disorder feeding eating disorder impulse control disorder manifestation another medical condition due effect substance medication central nervous system including withdrawal effect symptom result significant distress significant impairment personal family social educational occupational important area functioning,"[0.3961511254310608, -0.44100794196128845, 0.17343762516975403, 2.0885727405548096, -0.4592702090740204, -0.7581366896629333, -0.5323121547698975, -0.49266597628593445, 0.30866074562072754, 0.5359658002853394, -0.713086724281311, 0.10504748672246933, -0.21827685832977295, 0.4022129774093628, 0.3087865114212036, -0.46626555919647217, -0.46374398469924927, -0.38415515422821045, -0.6967818737030029, 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Pyromania,"Pyromania is characterised by a recurrent failure to control strong impulses to set fires, resulting in multiple acts of, or attempts at, setting fire to property or other objects, in the absence of an apparent motive (e.g., monetary gain, revenge, sabotage, political statement, attracting attention or recognition). There is an increasing sense of tension or affective arousal prior to instances of fire setting, persistent fascination or preoccupation with fire and related stimuli (e.g., watching fires, building fires, fascination with firefighting equipment), and a sense of pleasure, excitement, relief or gratification during, and immediately after the act of setting the fire, witnessing its effects, or participating in its aftermath. The behaviour is not better explained by intellectual impairment, another mental and behavioural disorder, or substance intoxication.","A recurrent failure to control strong impulses to set fires, resulting in multiple acts of, or attempts at, setting fire to property or other objects.
Lack of an apparent motive for the acts of, or attempts at, fire setting (e.g., monetary gain, revenge, sabotage, political statement, attracting recognition).
Persistent fascination or preoccupation with fire and related stimuli (e.g., watching fires, building fires, fascination with firefighting equipment).
The individual experiences increased tension or affective arousal prior to instances of, or attempts at, fire setting.
The individual experiences pleasure, excitement, relief or gratification during, and immediately following the act of setting the fire, witnessing its effects, or participating in its aftermath.
Acts of, or attempts at, fire setting are not better accounted for by a Disorder of Intellectual Development, another mental disorder (e.g., a Manic Episode), or Substance Intoxication.",pyromania characterised recurrent failure control strong impulse set fire resulting multiple act of attempt at setting fire property object absence apparent motive eg monetary gain revenge sabotage political statement attracting attention recognition increasing sense tension affective arousal prior instance fire setting persistent fascination preoccupation fire related stimulus eg watching fire building fire fascination firefighting equipment sense pleasure excitement relief gratification during immediately act setting fire witnessing effect participating aftermath behaviour better explained intellectual impairment another mental behavioural disorder substance intoxication recurrent failure control strong impulse set fire resulting multiple act of attempt at setting fire property object lack apparent motive act of attempt at fire setting eg monetary gain revenge sabotage political statement attracting recognition persistent fascination preoccupation fire related stimulus eg watching fire building fire fascination firefighting equipment individual experience increased tension affective arousal prior instance of attempt at fire setting individual experience pleasure excitement relief gratification during immediately following act setting fire witnessing effect participating aftermath act of attempt at fire setting better accounted disorder intellectual development another mental disorder eg manic episode substance intoxication,"[0.24173589050769806, -0.7103708982467651, -0.22291900217533112, 0.9675501585006714, 0.7073060274124146, 0.04618767648935318, 1.1876094341278076, -0.7767657041549683, -0.35219717025756836, -0.18456661701202393, -0.0995558649301529, -0.08498908579349518, 0.23915915191173553, 0.07164093852043152, 0.4992964267730713, -0.6512563228607178, 0.05075446516275406, 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Kleptomania,"Kleptomania is characterised by a recurrent failure to control strong impulses to steal objects in the absence of an apparent motive (e.g., objects are not acquired for personal use or monetary gain). There is an increasing sense of tension or affective arousal before instances of theft and a sense of pleasure, excitement, relief, or gratification during and immediately after the act of stealing. The behaviour is not better explained by intellectual impairment, another mental and behavioural disorder, or substance intoxication.","A recurrent failure to control strong impulses to steal objects.
Lack of an apparent motive for stealing objects (e.g., objects are not acquired for personal use or monetary gain).
The individual experiences increased tension or affective arousal prior to instances of theft or attempted theft.
The individual experiences pleasure, excitement, relief, or gratification during and immediately following the act of stealing.
Acts of theft or attempted theft are not better accounted for by a Disorder of Intellectual Development, another mental disorder (e.g., a Manic Episode), or Substance Intoxication.",kleptomania characterised recurrent failure control strong impulse steal object absence apparent motive eg object acquired personal use monetary gain increasing sense tension affective arousal instance theft sense pleasure excitement relief gratification immediately act stealing behaviour better explained intellectual impairment another mental behavioural disorder substance intoxication recurrent failure control strong impulse steal object lack apparent motive stealing object eg object acquired personal use monetary gain individual experience increased tension affective arousal prior instance theft attempted theft individual experience pleasure excitement relief gratification immediately following act stealing act theft attempted theft better accounted disorder intellectual development another mental 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Compulsive sexual behaviour disorder,"Compulsive sexual behaviour disorder is characterised by a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. Symptoms may include repetitive sexual activities becoming a central focus of the person’s life to the point of neglecting health and personal care or other interests, activities and responsibilities; numerous unsuccessful efforts to significantly reduce repetitive sexual behaviour; and continued repetitive sexual behaviour despite adverse consequences or deriving little or no satisfaction from it. The pattern of failure to control intense, sexual impulses or urges and resulting repetitive sexual behaviour is manifested over an extended period of time (e.g., 6 months or more), and causes marked distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. Distress that is entirely related to moral judgments and disapproval about sexual impulses, urges, or behaviours is not sufficient to meet this requirement.","A persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour, manifested in one or more of the following:
Engaging in repetitive sexual behaviour has become a central focus of the individual’s life to the point of neglecting health and personal care or other interests, activities and responsibilities.
The individual has made numerous unsuccessful efforts to control or significantly reduce repetitive sexual behaviour.
The individual continues to engage in repetitive sexual behaviour despite adverse consequences (e.g., marital conflict due to sexual behaviour, financial or legal consequences, negative impact on health).
The person continues to engage in repetitive sexual behaviour even when the individual derives little or no satisfaction from it.
The pattern of failure to control intense, repetitive sexual impulses or urges and resulting repetitive sexual behaviour is manifested over an extended period of time (e.g., 6 months or more).
The pattern of failure to control intense, repetitive sexual impulses or urges and resulting repetitive sexual behaviour is not better accounted for by another mental disorder (e.g., Manic Episode) or other medical condition and is not due to the effects of a substance or medication.
The pattern of repetitive sexual behaviour results in marked distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. Distress that is entirely related to moral judgments and disapproval about sexual impulses, urges, or behaviours is not sufficient to meet this requirement.",compulsive sexual behaviour disorder characterised persistent pattern failure control intense repetitive sexual impulse urge resulting repetitive sexual behaviour symptom may include repetitive sexual activity becoming central focus person’s life point neglecting health personal care interest activity responsibility numerous unsuccessful effort significantly reduce repetitive sexual behaviour continued repetitive sexual behaviour despite adverse consequence deriving little satisfaction it pattern failure control intense sexual impulse urge resulting repetitive sexual behaviour manifested extended period time eg month more cause marked distress significant impairment personal family social educational occupational important area functioning distress entirely related moral judgment disapproval sexual impulse urge behaviour sufficient meet requirement persistent pattern failure control intense repetitive sexual impulse urge resulting repetitive sexual behaviour manifested one following engaging repetitive sexual behaviour become central focus individual’s life point neglecting health personal care interest activity responsibility individual made numerous unsuccessful effort control significantly reduce repetitive sexual behaviour individual continues engage repetitive sexual behaviour despite adverse consequence eg marital conflict due sexual behaviour financial legal consequence negative impact health person continues engage repetitive sexual behaviour even individual derives little satisfaction it pattern failure control intense repetitive sexual impulse urge resulting repetitive sexual behaviour manifested extended period time eg month more pattern failure control intense repetitive sexual impulse urge resulting repetitive sexual behaviour better accounted another mental disorder eg manic episode medical condition due effect substance medication pattern repetitive sexual behaviour result marked distress significant impairment personal family social educational occupational important area functioning distress entirely related moral judgment disapproval sexual impulse urge behaviour sufficient meet requirement,"[0.7117129564285278, -1.0715001821517944, -0.045734282582998276, 1.2268422842025757, -0.22618383169174194, -0.2598034739494324, 0.12477591633796692, -0.6520556211471558, 0.6397454738616943, -0.22678261995315552, -0.5785918831825256, -0.15328657627105713, -0.3670264482498169, 0.1725417971611023, -0.1960039585828781, -0.6782270669937134, 0.15625524520874023, -0.18696612119674683, -0.3894858658313751, 0.12064104527235031, 0.16904574632644653, 0.020750785246491432, 1.1790605783462524, 0.48989641666412354, 0.557559609413147, 0.07584742456674576, -0.2295428067445755, 0.009134706109762192, -0.39427170157432556, 0.02339816838502884, -0.13510745763778687, 0.0651819035410881, 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Intermittent explosive disorder,"Intermittent explosive disorder is characterised by repeated brief episodes of verbal or physical aggression or destruction of property that represent a failure to control aggressive impulses, with the intensity of the outburst or degree of aggressiveness being grossly out of proportion to the provocation or precipitating psychosocial stressors. The symptoms are not better explained by another mental, behavioural, or neurodevelopmental disorder and are not part of a pattern of chronic anger and irritability (e.g., in oppositional defiant disorder). The behaviour pattern is of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","A pattern of recurrent, brief, explosive episodes involving verbal aggression (e.g., verbally attacking another person, temper outbursts, yelling) or physical aggression in an individual who is at least 6 years of age, when inhibition of angry outbursts is expected to have been attained, or equivalent developmental level. Episodes of physical aggression may result in significant damage or destruction of property or physical assault involving personal injury; however, such outcomes are not required for the diagnosis.
The intensity of the outbursts or the degree of the aggressiveness is grossly out of proportion to the provocation or precipitating event or situation.
The explosive outbursts must occur regularly over an extended period of time (e.g., at least 3 months), so as to represent a persistent pattern of aggressive behaviour. A lower frequency threshold (e.g., several times over the course of a year) may be used for high-intensity outbursts with serious negative consequences such as physically assaulting another person, whereas a higher frequency threshold (e.g., two or more times per week) should be used for episodes characterized by verbal aggression or non-assaultive and non-destructive physical aggression.
The aggressive behaviours are clearly impulsive or reactive in nature, and represent a failure to control aggressive impulse. That is, the aggressive acts are not planned or instrumental in achieving a desired outcome.
The frequency and intensity of explosive episodes is outside the limits of normal variation expected for age and developmental level.
The explosive outbursts are not better accounted for by another Mental, Behavioural or Neurodevelopmental Disorder (e.g., Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder with chronic irritability-anger, Conduct-Dissocial Disorder, Delirium).
The explosive outbursts are not due to the effects of a substance or medication on the central nervous system (e.g., amphetamines), including substance intoxication and withdrawal, or due to a Disease of the Nervous System.
The behaviour pattern results in significant distress for the individual with the disorder or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning.",intermittent explosive disorder characterised repeated brief episode verbal physical aggression destruction property represent failure control aggressive impulse intensity outburst degree aggressiveness grossly proportion provocation precipitating psychosocial stressor symptom better explained another mental behavioural neurodevelopmental disorder part pattern chronic anger irritability eg oppositional defiant disorder behaviour pattern sufficient severity result significant impairment personal family social educational occupational important area functioning pattern recurrent brief explosive episode involving verbal aggression eg verbally attacking another person temper outburst yelling physical aggression individual least year age inhibition angry outburst expected attained equivalent developmental level episode physical aggression may result significant damage destruction property physical assault involving personal injury however outcome required diagnosis intensity outburst degree aggressiveness grossly proportion provocation precipitating event situation explosive outburst must occur regularly extended period time eg least month represent persistent pattern aggressive behaviour lower frequency threshold eg several time course year may used highintensity outburst serious negative consequence physically assaulting another person whereas higher frequency threshold eg two time per week used episode characterized verbal aggression nonassaultive nondestructive physical aggression aggressive behaviour clearly impulsive reactive nature represent failure control aggressive impulse is aggressive act planned instrumental achieving desired outcome frequency intensity explosive episode outside limit normal variation expected age developmental level explosive outburst better accounted another mental behavioural neurodevelopmental disorder eg autism spectrum disorder attention deficit hyperactivity disorder oppositional defiant disorder chronic irritabilityanger conductdissocial disorder delirium explosive outburst due effect substance medication central nervous system eg amphetamine including substance intoxication withdrawal due disease nervous system behaviour pattern result significant distress individual disorder significant impairment personal family social educational occupational important area functioning,"[-0.18588556349277496, 0.1568673551082611, -0.004619903862476349, 1.5200958251953125, -0.4065002202987671, -0.7185148000717163, 0.5473228693008423, -0.6341367363929749, 0.4570213258266449, 0.0713527649641037, -0.33033323287963867, -0.3356655240058899, -0.3484145998954773, -0.03215709328651428, -0.2419779747724533, -0.5561946630477905, -0.2969193458557129, -0.6368874311447144, -0.28114306926727295, 0.09873676300048828, 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Gambling disorder,"Gambling disorder is characterised by a pattern of persistent or recurrent gambling behaviour, which may be online (i.e., over the internet) or offline, manifested by:

1. impaired control over gambling (e.g., onset, frequency, intensity, duration, termination, context);

2. increasing priority given to gambling to the extent that gambling takes precedence over other life interests and daily activities; and

3. continuation or escalation of gambling despite the occurrence of negative consequences.

The pattern of gambling behaviour may be continuous or episodic and recurrent. The pattern of gambling behaviour results in significant distress or in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. The gambling behaviour and other features are normally evident over a period of at least 12 months in order for a diagnosis to be assigned, although the required duration may be shortened if all diagnostic requirements are met and symptoms are severe.","A persistent pattern of gambling behaviour, which may be predominantly online (i.e., over the internet or similar electronic networks) or offline, manifested by all of the following:
Impaired control over gambling behaviour (e.g., onset, frequency, intensity, duration, termination, context);
Increasing priority given to gambling behaviour to the extent that gambling takes precedence over other life interests and daily activities; and
Continuation or escalation of gambling behaviour despite negative consequences (e.g., marital conflict due to gambling behaviour, repeated and substantial financial losses, negative impact on health).
The pattern of gambling behaviour may be continuous or episodic and recurrent but is manifested over an extended period of time (e.g., 12 months).
The gambling behaviour is not better accounted for by another mental disorder (e.g., Manic Episode) and is not due to the effects of a substance or medication.
The pattern of gambling behaviour results in significant distress or impairment in personal, family, social, educational, occupational, or other important areas of functioning.",gambling disorder characterised pattern persistent recurrent gambling behaviour may online ie internet offline manifested by impaired control gambling eg onset frequency intensity duration termination context increasing priority given gambling extent gambling take precedence life interest daily activity continuation escalation gambling despite occurrence negative consequence pattern gambling behaviour may continuous episodic recurrent pattern gambling behaviour result significant distress significant impairment personal family social educational occupational important area functioning gambling behaviour feature normally evident period least month order diagnosis assigned although required duration may shortened diagnostic requirement met symptom severe persistent pattern gambling behaviour may predominantly online ie internet similar electronic network offline manifested following impaired control gambling behaviour eg onset frequency intensity duration termination context increasing priority given gambling behaviour extent gambling take precedence life interest daily activity continuation escalation gambling behaviour despite negative consequence eg marital conflict due gambling behaviour repeated substantial financial loss negative impact health pattern gambling behaviour may continuous episodic recurrent manifested extended period time eg month gambling behaviour better accounted another mental disorder eg manic episode due effect substance medication pattern gambling behaviour result significant distress impairment personal family social educational occupational important area functioning,"[0.7393280863761902, -0.12463399767875671, -0.17213168740272522, 1.43585205078125, -0.7537103891372681, -0.5811548233032227, -0.32307690382003784, 0.2545008659362793, 0.13718414306640625, 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Gaming disorder,"Gaming disorder is characterised by a pattern of persistent or recurrent gaming behaviour (‘digital gaming’ or ‘video-gaming’), which may be online (i.e., over the internet) or offline, manifested by:

1. impaired control over gaming (e.g., onset, frequency, intensity, duration, termination, context);

2. increasing priority given to gaming to the extent that gaming takes precedence over other life interests and daily activities; and

3. continuation or escalation of gaming despite the occurrence of negative consequences.

The pattern of gaming behaviour may be continuous or episodic and recurrent. The pattern of gaming behaviour results in marked distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. The gaming behaviour and other features are normally evident over a period of at least 12 months in order for a diagnosis to be assigned, although the required duration may be shortened if all diagnostic requirements are met and symptoms are severe.","A persistent pattern of gaming behaviour (‘digital gaming’ or ‘video-gaming’), which may be predominantly online (i.e., over the internet or similar electronic networks) or offline, manifested by all of the following:
Impaired control over gaming behaviour (e.g., onset, frequency, intensity, duration, termination, context);
Increasing priority given to gaming behaviour to the extent that gaming takes precedence over other life interests and daily activities; and
Continuation or escalation of gaming behaviour despite negative consequences (e.g., family conflict due to gaming behaviour, poor scholastic performance, negative impact on health).
The pattern of gaming behaviour may be continuous or episodic and recurrent but is manifested over an extended period of time (e.g., 12 months).
The gaming behaviour is not better accounted for by another mental disorder (e.g., Manic Episode) and is not due to the effects of a substance or medication.
The pattern of gaming behaviour results in significant distress or impairment in personal, family, social, educational, occupational, or other important areas of functioning.",gaming disorder characterised pattern persistent recurrent gaming behaviour ‘digital gaming’ ‘videogaming’ may online ie internet offline manifested by impaired control gaming eg onset frequency intensity duration termination context increasing priority given gaming extent gaming take precedence life interest daily activity continuation escalation gaming despite occurrence negative consequence pattern gaming behaviour may continuous episodic recurrent pattern gaming behaviour result marked distress significant impairment personal family social educational occupational important area functioning gaming behaviour feature normally evident period least month order diagnosis assigned although required duration may shortened diagnostic requirement met symptom severe persistent pattern gaming behaviour ‘digital gaming’ ‘videogaming’ may predominantly online ie internet similar electronic network offline manifested following impaired control gaming behaviour eg onset frequency intensity duration termination context increasing priority given gaming behaviour extent gaming take precedence life interest daily activity continuation escalation gaming behaviour despite negative consequence eg family conflict due gaming behaviour poor scholastic performance negative impact health pattern gaming behaviour may continuous episodic recurrent manifested extended period time eg month gaming behaviour better accounted another mental disorder eg manic episode due effect substance medication pattern gaming behaviour result significant distress impairment personal family social educational occupational important area functioning,"[0.12357953190803528, -0.2627531588077545, -0.23460525274276733, 1.6613740921020508, -0.4996332824230194, -0.8464155793190002, -0.5640034675598145, -0.4746714234352112, 0.5771312713623047, 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Secondary impulse control syndrome,"A syndrome characterised by the presence of prominent symptoms that are characteristic of Impulse Control Disorders or Disorders Due to Addictive Behaviours (e.g., stealing, fire-setting, aggressive outbursts, compulsive sexual behaviour, excessive gambling) that are judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., as part of an adjustment disorder in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the impulse control symptoms are sufficiently severe to warrant specific clinical attention.","The presence of prominent symptoms that are characteristic of Impulse Control Disorders or Disorders Due to Addictive Behaviours (e.g., stealing, fire-setting, aggressive outbursts, compulsive sexual behaviour, excessive gambling).
The symptoms are judged to be the direct pathophysiological consequence of a medical condition, based on evidence from history, physical examination, or laboratory findings. This judgment depends on establishing that:
The medical condition is known to be capable of producing the symptoms;
The course of the symptoms (e.g., onset, remission, response to treatment of the etiological medical condition) is consistent with causation by the medical condition; and
The symptoms are not better accounted for by Delirium, Dementia, another mental disorder (e.g., an Impulse Control Disorder or a Disorder Due to Addictive Behaviours), or the effects of a medication or substance, including withdrawal effects.
The symptoms are sufficiently severe to be a specific focus of clinical attention.",syndrome characterised presence prominent symptom characteristic impulse control disorder disorder due addictive behaviour eg stealing firesetting aggressive outburst compulsive sexual behaviour excessive gambling judged direct pathophysiological consequence health condition classified mental behavioural disorder based evidence history physical examination laboratory finding symptom accounted delirium another mental behavioural disorder psychologically mediated response severe medical condition eg part adjustment disorder response lifethreatening diagnosis category used addition diagnosis presumed underlying disorder disease impulse control symptom sufficiently severe warrant specific clinical attention presence prominent symptom characteristic impulse control disorder disorder due addictive behaviour eg stealing firesetting aggressive outburst compulsive sexual behaviour excessive gambling symptom judged direct pathophysiological consequence medical condition based evidence history physical examination laboratory finding judgment depends establishing that medical condition known capable producing symptom course symptom eg onset remission response treatment etiological medical condition consistent causation medical condition symptom better accounted delirium dementia another mental disorder eg impulse control disorder disorder due addictive behaviour effect medication substance including withdrawal effect symptom sufficiently severe specific focus clinical attention,"[0.44700488448143005, -0.7153769731521606, 0.2926025986671448, 1.1658265590667725, 0.04078436642885208, -0.6424599885940552, -0.2716066241264343, -0.42552775144577026, -0.07372112572193146, 1.0655949115753174, -0.2887691259384155, 0.22309114038944244, 0.2880989909172058, 0.13451935350894928, 0.2111583650112152, 0.3741919994354248, -0.6539229154586792, -0.1782330870628357, -0.584236741065979, -0.38889819383621216, 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Body-focused repetitive behaviour disorders,"Body focused repetitive behaviour disorders are characterised by recurrent and habitual actions directed at the integument (e.g. hair-pulling, skin-picking, lip-biting), typically accompanied by unsuccessful attempts to decrease or stop the behaviour involved, and which lead to dermatological sequelae (e.g., hair loss, skin lesions, lip abrasions). The behaviour may occur in brief episodes scattered throughout the day or in less frequent but more sustained periods. The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","Recurrent habitual actions directed at the integument other than hair pulling or skin picking (e.g., lip biting or nail biting),
Unsuccessful attempts to stop or decrease the behaviour.
Significant lesions or other impact on appearance resulting from the behaviour.
The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",body focused repetitive behaviour disorder characterised recurrent habitual action directed integument eg hairpulling skinpicking lipbiting typically accompanied unsuccessful attempt decrease stop behaviour involved lead dermatological sequela eg hair loss skin lesion lip abrasion behaviour may occur brief episode scattered throughout day le frequent sustained period symptom result significant distress significant impairment personal family social educational occupational important area functioning recurrent habitual action directed integument hair pulling skin picking eg lip biting nail biting unsuccessful attempt stop decrease behaviour significant lesion impact appearance resulting behaviour symptom result significant distress significant impairment personal family social educational occupational important area 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Oppositional defiant disorder,"Oppositional defiant disorder is a persistent pattern (e.g., 6 months or more) of markedly defiant, disobedient, provocative or spiteful behaviour that occurs more frequently than is typically observed in individuals of comparable age and developmental level and that is not restricted to interaction with siblings. Oppositional defiant disorder may be manifest in prevailing, persistent angry or irritable mood, often accompanied by severe temper outbursts or in headstrong, argumentative and defiant behaviour. The behaviour pattern is of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning","A pattern of markedly noncompliant, defiant, and disobedient behaviour that is atypical for individuals of comparable age, developmental level, gender, and sociocultural context. The pattern of behaviour may include:
Persistent difficulty getting along with others (e.g., arguing with authority figures, actively defying or refusing to comply with requests, directives, or rules, deliberately annoying others, blaming peers or co-workers for mistakes or misbehaviour).
Provocative, spiteful, or vindictive behaviour (e.g., antagonizing others; using social media to attack or mock others).
Extreme irritability or anger (e.g., being touchy or easily annoyed, losing temper, angry outbursts, being angry and resentful).
The behaviour pattern has persisted for an extended period of time (e.g., 6 months or more).
The oppositional behaviours are not better accounted for by relational problems between the individual and a particular authority figure toward whom the individual is behaving in a defiant manner. Examples may include parents, teachers, or supervisors who act antagonistically or place unreasonable demands on the individual.
The behaviour pattern results in significant impairment in personal, family, social, educational or other important areas of functioning.",oppositional defiant disorder persistent pattern eg month more markedly defiant disobedient provocative spiteful behaviour occurs frequently typically observed individual comparable age developmental level restricted interaction sibling oppositional defiant disorder may manifest prevailing persistent angry irritable mood often accompanied severe temper outburst headstrong argumentative defiant behaviour behaviour pattern sufficient severity result significant impairment personal family social educational occupational important area functioning pattern markedly noncompliant defiant disobedient behaviour atypical individual comparable age developmental level gender sociocultural context pattern behaviour may include persistent difficulty getting along others eg arguing authority figure actively defying refusing comply request directive rule deliberately annoying others blaming peer coworkers mistake misbehaviour provocative spiteful vindictive behaviour eg antagonizing others using social medium attack mock others extreme irritability anger eg touchy easily annoyed losing temper angry outburst angry resentful behaviour pattern persisted extended period time eg month more oppositional behaviour better accounted relational problem individual particular authority figure toward individual behaving defiant manner example may include parent teacher supervisor act antagonistically place unreasonable demand individual behaviour pattern result significant impairment personal family social educational important area functioning,"[0.6213555932044983, -0.5846474170684814, 0.0561988428235054, 1.386242389678955, -0.308738648891449, 0.37266719341278076, 0.8538698554039001, -0.6425634026527405, 0.48616451025009155, 0.4750286340713501, -0.06439684331417084, -0.523247241973877, -0.31579264998435974, -0.4789589047431946, 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Conduct-dissocial disorder,"Conduct-dissocial disorder is characterised by a repetitive and persistent pattern of behaviour in which the basic rights of others or major age-appropriate societal norms, rules, or laws are violated such as aggression towards people or animals; destruction of property; deceitfulness or theft; and serious violations of rules. The behaviour pattern is of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. To be diagnosed, the behaviour pattern must be enduring over a significant period of time (e.g., 12 months or more). Isolated dissocial or criminal acts are thus not in themselves grounds for the diagnosis.","A repetitive and persistent pattern of behaviour in which the basic rights of others or major age-appropriate social or cultural norms, rules, or laws are violated. Typically, there are multiple behaviours involved, including one or more of the following:
Aggression towards people or animals, such as bullying, threatening or intimidating others, instigating physical fights, using weapons that can cause serious physical harm to others (such as a brick, broken bottle, knife or gun), physical cruelty to people, physical cruelty to animals, aggressive forms of stealing (e.g., mugging, purse snatching, extortion), or forcing someone into sexual activity.
Destruction of property, such as deliberate fire setting with the intention of causing serious damage or deliberate destruction of others’ property (e.g., purposely breaking other children’s toys, breaking windows, scratching cars, slashing tires).
Deceitfulness or theft, such as stealing items of value (e.g., shoplifting, forgery), lying to obtain goods or favours or to avoid obligations (e.g., ‘conning’ others), or breaking into someone’s house, building or car.
Serious violations of rules, such as children or adolescents repeatedly staying out all night despite parental prohibitions, repeatedly running away from home, or often skipping school or work without permission.
The pattern of behaviour must be persistent and recurrent, including multiple incidents of the types of behaviours described above over an extended period of time (e.g., at least 1 year). The mere commission of one or more delinquent acts is not sufficient for the diagnosis.
The behaviour pattern results in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.",conductdissocial disorder characterised repetitive persistent pattern behaviour basic right others major ageappropriate societal norm rule law violated aggression towards people animal destruction property deceitfulness theft serious violation rule behaviour pattern sufficient severity result significant impairment personal family social educational occupational important area functioning diagnosed behaviour pattern must enduring significant period time eg month more isolated dissocial criminal act thus ground diagnosis repetitive persistent pattern behaviour basic right others major ageappropriate social cultural norm rule law violated typically multiple behaviour involved including one following aggression towards people animal bullying threatening intimidating others instigating physical fight using weapon cause serious physical harm others such brick broken bottle knife gun physical cruelty people physical cruelty animal aggressive form stealing eg mugging purse snatching extortion forcing someone sexual activity destruction property deliberate fire setting intention causing serious damage deliberate destruction others’ property eg purposely breaking children’s toy breaking window scratching car slashing tire deceitfulness theft stealing item value eg shoplifting forgery lying obtain good favour avoid obligation eg ‘conning’ others breaking someone’s house building car serious violation rule child adolescent repeatedly staying night despite parental prohibition repeatedly running away home often skipping school work without permission pattern behaviour must persistent recurrent including multiple incident type behaviour described extended period time eg least year mere commission one delinquent act sufficient diagnosis behaviour pattern result significant impairment personal family social educational 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Personality disorder,"Personality disorder is characterised by problems in functioning of aspects of the self (e.g., identity, self-worth, accuracy of self-view, self-direction), and/or interpersonal dysfunction (e.g., ability to develop and maintain close and mutually satisfying relationships, ability to understand others’ perspectives and to manage conflict in relationships) that have persisted over an extended period of time (e.g., 2 years or more). The disturbance is manifest in patterns of cognition, emotional experience, emotional expression, and behaviour that are maladaptive (e.g., inflexible or poorly regulated) and is manifest across a range of personal and social situations (i.e., is not limited to specific relationships or social roles). The patterns of behaviour characterizing the disturbance are not developmentally appropriate and cannot be explained primarily by social or cultural factors, including socio-political conflict. The disturbance is associated with substantial distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.","An enduring disturbance characterized by problems in functioning of aspects of the self (e.g., identity, self-worth, accuracy of self-view, self-direction), and/or interpersonal dysfunction (e.g., ability to develop and maintain close and mutually satisfying relationships, ability to understand others’ perspectives and to manage conflict in relationships).
The disturbance has persisted over an extended period of time (e.g., lasting 2 years or more).
The disturbance is manifest in patterns of cognition, emotional experience, emotional expression, and behaviour that are maladaptive (e.g., inflexible or poorly regulated).
The disturbance is manifest across a range of personal and social situations (i.e., is not limited to specific relationships or social roles), though it may be consistently evoked by particular types of circumstances and not others.
The symptoms are not due to the direct effects of a medication or substance, including withdrawal effects, and are not better accounted for by another mental disorder, a Disease of the Nervous System, or another medical condition.
The disturbance is associated with substantial distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.
Personality Disorder should not be diagnosed if the patterns of behaviour characterizing the personality disturbance are developmentally appropriate (e.g., problems related to establishing an independent self-identity during adolescence) or can be explained primarily by social or cultural factors, including socio-political conflict.",personality disorder characterised problem functioning aspect self eg identity selfworth accuracy selfview selfdirection andor interpersonal dysfunction eg ability develop maintain close mutually satisfying relationship ability understand others’ perspective manage conflict relationship persisted extended period time eg year more disturbance manifest pattern cognition emotional experience emotional expression behaviour maladaptive eg inflexible poorly regulated manifest across range personal social situation ie limited specific relationship social role pattern behaviour characterizing disturbance developmentally appropriate cannot explained primarily social cultural factor including sociopolitical conflict disturbance associated substantial distress significant impairment personal family social educational occupational important area functioning enduring disturbance characterized problem functioning aspect self eg identity selfworth accuracy selfview selfdirection andor interpersonal dysfunction eg ability develop maintain close mutually satisfying relationship ability understand others’ perspective manage conflict relationship disturbance persisted extended period time eg lasting year more disturbance manifest pattern cognition emotional experience emotional expression behaviour maladaptive eg inflexible poorly regulated disturbance manifest across range personal social situation ie limited specific relationship social role though may consistently evoked particular type circumstance others symptom due direct effect medication substance including withdrawal effect better accounted another mental disorder disease nervous system another medical condition disturbance associated substantial distress significant impairment personal family social educational occupational important area functioning personality disorder diagnosed pattern behaviour characterizing personality disturbance developmentally appropriate eg problem related establishing independent selfidentity adolescence explained primarily social cultural factor including sociopolitical conflict,"[-0.023357484489679337, -0.5714194774627686, 0.24757157266139984, 1.6149539947509766, 0.06495248526334763, -0.4214495122432709, 0.5951535701751709, -0.5583798289299011, 0.6730722188949585, 0.4880499541759491, -0.08918836712837219, -0.1426398903131485, -0.24916565418243408, -0.2898707389831543, -0.07648122310638428, -0.9308743476867676, -0.09567062556743622, -0.15628379583358765, -0.5776625871658325, 0.13385792076587677, 0.511146605014801, 0.11501660943031311, 0.7885894775390625, 1.1036827564239502, 0.00485308188945055, 0.647153377532959, -0.20762009918689728, 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Secondary personality change,"A syndrome characterised by a persistent personality disturbance that represents a change from the individual’s previous characteristic personality pattern that is judged to be a direct pathophysiological consequence of a health condition not classified under Mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., social withdrawal, avoidance, or dependence in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the personality symptoms are sufficiently severe to warrant specific clinical attention.","The presence of personality disturbance (e.g., marked apathy, indifference, suspiciousness, paranoid ideation, disinhibition) that represents a change from the individual’s previous characteristic personality pattern.
The personality change is judged to be the direct pathophysiological consequence of a medical condition, based on evidence from the history, physical examination, or laboratory findings. This judgment depends on establishing that:
The medical condition is known to be capable of producing the observed symptoms;
The course of the personality change (e.g., onset, remission, response of the personality disturbance to treatment of the etiological medical condition is consistent with causation by the medical condition; and
The symptoms are not better accounted for by Delirium, Dementia, another mental disorder (e.g., Personality Disorder, Impulse Control Disorders, Secondary Impulse Control or Addictive Behaviour Syndrome) or the effects of a medication or substance, including withdrawal effects.
The symptoms are sufficiently severe to be a specific focus of clinical attention.",syndrome characterised persistent personality disturbance represents change individual’s previous characteristic personality pattern judged direct pathophysiological consequence health condition classified mental behavioural disorder based evidence history physical examination laboratory finding symptom accounted delirium another mental behavioural disorder psychologically mediated response severe medical condition eg social withdrawal avoidance dependence response lifethreatening diagnosis category used addition diagnosis presumed underlying disorder disease personality symptom sufficiently severe warrant specific clinical attention presence personality disturbance eg marked apathy indifference suspiciousness paranoid ideation disinhibition represents change individual’s previous characteristic personality pattern personality change judged direct pathophysiological consequence medical condition based evidence history physical examination laboratory finding judgment depends establishing that medical condition known capable producing observed symptom course personality change eg onset remission response personality disturbance treatment etiological medical condition consistent causation medical condition symptom better accounted delirium dementia another mental disorder eg personality disorder impulse control disorder secondary impulse control addictive behaviour syndrome effect medication substance including withdrawal effect symptom sufficiently severe specific focus clinical attention,"[0.1123504638671875, -0.596078097820282, 0.07972893863916397, 1.0223851203918457, 0.27128085494041443, -0.6469849348068237, -0.2088097333908081, -0.4988243877887726, 0.24240455031394958, 0.8443312048912048, -0.6336915493011475, -0.4890519380569458, -0.2385706901550293, -0.17113573849201202, -1.0472893714904785, -0.6467685699462891, -0.2858441472053528, -0.4409705400466919, -1.0608775615692139, 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Exhibitionistic disorder,"Exhibitionistic disorder is characterised by a sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—that involves exposing one’s genitals to an unsuspecting individual in public places, usually without inviting or intending closer contact. In addition, in order for Exhibitionistic Disorder to be diagnosed, the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Exhibitionistic Disorder specifically excludes consensual exhibitionistic behaviours that occur with the consent of the person or persons involved as well as socially sanctioned forms of exhibitionism.","A sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—that involves exposing one’s genitals to an unsuspecting person in public places, usually without inviting or intending closer contact.
The individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Exhibitionistic Disorder should not be diagnosed among children and should be diagnosed only with utmost caution among adolescents. Sexual experimentation is typical during adolescence and exhibitionistic acts may occur impulsively or opportunistically rather than representing a recurrent pattern of sexual arousal.
The diagnosis of Exhibitionistic Disorder is generally not adequately supported when the evidence indicating a sustained, focused and intense pattern of sexual arousal consists solely of a single or very limited number of instances of exhibitionistic behaviour, as there may be other explanations for specific occurrences (e.g., intoxication, opportunity). In the absence of the individual’s report of their sexual thoughts, fantasies, or urges indicating a sustained, focused and intense pattern of exhibitionistic sexual arousal, examples of other forms of evidence that may support the presence of an exhibitionistic arousal pattern include a preference for specific types of pornography; preference over other forms of sexual behaviour; or planning and repeatedly seeking out opportunities to engage in exhibitionistic behaviour.",exhibitionistic disorder characterised sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—that involves exposing one’s genitals unsuspecting individual public place usually without inviting intending closer contact addition order exhibitionistic disorder diagnosed individual must acted thought fantasy urge markedly distressed them exhibitionistic disorder specifically excludes consensual exhibitionistic behaviour occur consent person person involved well socially sanctioned form exhibitionism sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—that involves exposing one’s genitals unsuspecting person public place usually without inviting intending closer contact individual must acted thought fantasy urge markedly distressed them exhibitionistic disorder diagnosed among child diagnosed utmost caution among adolescent sexual experimentation typical adolescence exhibitionistic act may occur impulsively opportunistically rather representing recurrent pattern sexual arousal diagnosis exhibitionistic disorder generally adequately supported evidence indicating sustained focused intense pattern sexual arousal consists solely single limited number instance exhibitionistic behaviour may explanation specific occurrence eg intoxication opportunity absence individual’s report sexual thought fantasy urge indicating sustained focused intense pattern exhibitionistic sexual arousal example 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Voyeuristic disorder,"Voyeuristic disorder is characterised by a sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—that involves observing an unsuspecting individual who is naked, in the process of disrobing, or engaging in sexual activity. In addition, in order for Voyeuristic Disorder to be diagnosed, the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Voyeuristic Disorder specifically excludes consensual voyeuristic behaviours that occur with the consent of the person or persons being observed.","A sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—that involves stimuli such as observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity.
The individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Voyeuristic Disorder should not be diagnosed among children and is not typically diagnosed among adolescents. Sexual curiosity is typical during adolescence and observation of others may occur impulsively or opportunistically rather than representing a recurrent pattern of sexual arousal.
The act of observing in Voyeuristic Disorder is for the purpose of achieving sexual excitement and does not necessarily involve an attempt to initiate sexual activity with the person being observed. Orgasm by masturbation may occur during the voyeuristic activity or later in response to memories of what the individual has seen. More recently, so-called ‘video voyeurs’ have been described who use video equipment to record individuals in public or private places where there is an expectation of privacy.
The diagnosis of Voyeuristic Disorder is generally not adequately supported when the evidence indicating a sustained, focused and intense pattern of sexual arousal consists solely of a single or very limited number of instances of voyeuristic behaviour, as there may be other explanations for specific occurrences (e.g., intoxication, opportunity). In the absence of a report of the individual’s sexual thoughts, fantasies, or urges, examples of other forms of evidence supporting the presence of a voyeuristic arousal pattern include a preference for specific types of pornography; preference over other forms of sexual behaviour; or planning and repeatedly seeking out opportunities to engage in voyeuristic behaviour.",voyeuristic disorder characterised sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—that involves observing unsuspecting individual naked process disrobing engaging sexual activity addition order voyeuristic disorder diagnosed individual must acted thought fantasy urge markedly distressed them voyeuristic disorder specifically excludes consensual voyeuristic behaviour occur consent person person observed sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—that involves stimulus observing unsuspecting person naked process disrobing engaging sexual activity individual must acted thought fantasy urge markedly distressed them voyeuristic disorder diagnosed among child typically diagnosed among adolescent sexual curiosity typical adolescence observation others may occur impulsively opportunistically rather representing recurrent pattern sexual arousal act observing voyeuristic disorder purpose achieving sexual excitement necessarily involve attempt initiate sexual activity person observed orgasm masturbation may occur voyeuristic activity later response memory individual seen recently socalled ‘video voyeurs’ described use video equipment record individual public private place expectation privacy diagnosis voyeuristic disorder generally adequately supported evidence indicating sustained focused intense pattern sexual arousal consists solely single limited number instance voyeuristic behaviour may explanation specific occurrence eg intoxication opportunity absence report 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Pedophilic disorder,"Pedophilic disorder is characterised by a sustained, focused, and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—involving pre-pubertal children. In addition, in order for Pedophilic Disorder to be diagnosed, the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. This diagnosis does not apply to sexual behaviours among pre- or post-pubertal children with peers who are close in age.","A sustained, focused, and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—involving pre-pubertal children.
The individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them.
The diagnosis does not apply to sexual arousal and accompanying behaviour between pre- or post-pubertal children who are close in age. Pedophilic Disorder should not be diagnosed among children and should be diagnosed only with utmost caution among adolescents. Sexual experimentation is typical during adolescence and sexual acts may occur impulsively or opportunistically rather than representing a recurrent pattern of sexual arousal.
The diagnosis of Pedophilic Disorder is generally not adequately supported when the evidence indicating a sustained, focused and intense pattern of sexual arousal consists solely of a single or very limited number of instances of pedophilic behaviour, as there may be other explanations for specific occurrences (e.g., intoxication, opportunity). In the absence of a report of the individual’s sexual thoughts, fantasies, or urges, examples of other forms of evidence supporting the presence of a pedophilic arousal pattern include a preference for specific types of pornography; preference over other forms of sexual behaviour; planning and repeatedly seeking out opportunities to engage in exhibitionistic behaviour; or the results of viewing time measures and/or penile plethysmography.
Some individuals with Pedophilic Disorder are attracted only to males, others only to females, and others to both.
Some individuals act on their pedophilic urges only with family members, while others have victims outside their immediate family or both",pedophilic disorder characterised sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—involving prepubertal child addition order pedophilic disorder diagnosed individual must acted thought fantasy urge markedly distressed them diagnosis apply sexual behaviour among pre postpubertal child peer close age sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—involving prepubertal child individual must acted thought fantasy urge markedly distressed them diagnosis apply sexual arousal accompanying behaviour pre postpubertal child close age pedophilic disorder diagnosed among child diagnosed utmost caution among adolescent sexual experimentation typical adolescence sexual act may occur impulsively opportunistically rather representing 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Coercive sexual sadism disorder,"Coercive sexual sadism disorder is characterised by a sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges or behaviours—that involves the infliction of physical or psychological suffering on a non-consenting person. In addition, in order for Coercive Sexual Sadism Disorder to be diagnosed, the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Coercive Sexual Sadism Disorder specifically excludes consensual sexual sadism and masochism.","A sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges or behaviours—that involves the infliction of physical or psychological suffering on a non-consenting person.
The individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Coercive Sexual Sadism Disorder should not be diagnosed among children and should be diagnosed only with utmost caution among adolescents. Sexual acts may occur impulsively or opportunistically during adolescence rather than representing a recurrent pattern of sexual arousal.
The diagnosis of Coercive Sexual Sadism Disorder is generally not adequately supported when the evidence indicating a sustained, focused and intense pattern of sexual arousal consists solely of a single or very limited number of instances of coercive sadistic sexual behaviour, as there may be other explanations for specific occurrences (e.g., intoxication, opportunity). In the absence of a report of the individual’s sexual thoughts, fantasies, or urges, examples of other forms of evidence supporting the presence of a coercive sadistic arousal pattern include a preference for specific types of pornography; preference over other forms of sexual behaviour; planning and repeatedly seeking out opportunities to engage in coercive sadistic sexual behaviour; or the results of viewing time measures and/or penile plethysmography.",coercive sexual sadism disorder characterised sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—that involves infliction physical psychological suffering nonconsenting person addition order coercive sexual sadism disorder diagnosed individual must acted thought fantasy urge markedly distressed them coercive sexual sadism disorder specifically excludes consensual sexual sadism masochism sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—that involves infliction physical psychological suffering nonconsenting person individual must acted thought fantasy urge markedly distressed them coercive sexual sadism disorder diagnosed among child diagnosed utmost caution among adolescent sexual act may occur impulsively opportunistically adolescence rather representing recurrent pattern sexual arousal diagnosis coercive sexual sadism disorder generally adequately supported evidence indicating sustained focused intense pattern sexual arousal consists solely single limited number instance coercive sadistic sexual behaviour may explanation specific occurrence eg intoxication opportunity absence report individual’s sexual thought fantasy urge example form evidence supporting presence coercive sadistic arousal pattern include preference specific type pornography preference form sexual behaviour planning repeatedly seeking opportunity engage coercive sadistic sexual behaviour result viewing time measure andor 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Frotteuristic disorder,"Frotteuristic disorder is characterised by a sustained, focused and intense pattern of sexual arousal— as manifested by persistent sexual thoughts, fantasies, urges, or behaviours— that involves touching or rubbing against a non-consenting person in crowded public places. In addition, in order for Frotteuristic Disorder to be diagnosed, the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Frotteuristic Disorder specifically excludes consensual touching or rubbing that occur with the consent of the person or persons involved.","A sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges, or behaviours—that involves touching or rubbing against a non-consenting person.
The individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Frotteuristic Disorder should not be diagnosed among children and should be diagnosed only with utmost caution among adolescents. Sexual experimentation is typical during adolescence and sexual acts may occur impulsively or opportunistically rather than representing a recurrent pattern of sexual arousal.
The diagnosis of Frotteuristic Disorder is generally not adequately supported when the evidence indicating a sustained, focused and intense pattern of sexual arousal consists solely of a single or very limited number of instances of frotteuristic behaviour, as there may be other explanations for specific occurrences (e.g., intoxication, opportunity). In the absence of a report of the individual’s sexual thoughts, fantasies, or urges, examples of other forms of evidence supporting the presence of an frotteuristic arousal pattern include a preference for specific types of pornography; preference over other forms of sexual behaviour; or planning and repeatedly seeking out opportunities to engage in frotteuristic behaviour.",frotteuristic disorder characterised sustained focused intense pattern sexual arousal— manifested persistent sexual thought fantasy urge behaviours— involves touching rubbing nonconsenting person crowded public place addition order frotteuristic disorder diagnosed individual must acted thought fantasy urge markedly distressed them frotteuristic disorder specifically excludes consensual touching rubbing occur consent person person involved sustained focused intense pattern sexual arousal—as manifested persistent sexual thought fantasy urge behaviours—that involves touching rubbing nonconsenting person individual must acted thought fantasy urge markedly distressed them frotteuristic disorder diagnosed among child diagnosed utmost caution among adolescent sexual experimentation typical adolescence sexual act may occur impulsively opportunistically rather representing recurrent pattern sexual arousal diagnosis frotteuristic disorder generally adequately supported evidence indicating sustained focused intense pattern sexual arousal consists solely single limited number instance frotteuristic behaviour may explanation specific occurrence eg intoxication opportunity absence report individual’s sexual thought fantasy urge example form evidence supporting presence frotteuristic arousal pattern include preference specific type pornography preference form sexual behaviour planning repeatedly seeking opportunity engage frotteuristic behaviour,"[0.2783188819885254, -0.06771111488342285, 1.08687424659729, 2.241248607635498, 0.1337495744228363, 0.011624821461737156, 0.49552127718925476, -0.9651409387588501, 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Factitious disorder imposed on self,"Factitious disorder imposed on self is characterised by feigning, falsifying, or inducing medical, psychological, or behavioural signs and symptoms or injury associated with identified deception. If a pre-existing disorder or disease is present, the individual intentionally aggravates existing symptoms or falsifies or induces additional symptoms. The individual seeks treatment or otherwise presents himself or herself as ill, injured, or impaired based on the feigned, falsified, or self-induced signs, symptoms, or injuries. The deceptive behaviour is not solely motivated by obvious external rewards or incentives (e.g., obtaining disability payments or evading criminal prosecution). This is in contrast to Malingering, in which obvious external rewards or incentives motivate the behaviour","Feigning, falsifying, or intentionally inducing medical, psychological, or behavioural signs and symptoms or injury associated with identified deception. If a pre-existing disorder or disease is present, the individual intentionally aggravates existing symptoms or falsifies or induces additional symptoms.
The individual seeks treatment or otherwise presents themselves as ill, injured, or impaired based on the feigned, falsified, or self-induced signs, symptoms, or injuries.
The deceptive behaviour is not solely motivated by obvious external rewards or incentives (e.g., obtaining disability payments or evading criminal prosecution).
The behaviour is not better accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder).",factitious disorder imposed self characterised feigning falsifying inducing medical psychological behavioural sign symptom injury associated identified deception preexisting disorder disease present individual intentionally aggravates existing symptom falsifies induces additional symptom individual seek treatment otherwise present ill injured impaired based feigned falsified selfinduced sign symptom injury deceptive behaviour solely motivated obvious external reward incentive eg obtaining disability payment evading criminal prosecution contrast malingering obvious external reward incentive motivate behaviour feigning falsifying intentionally inducing medical psychological behavioural sign symptom injury associated identified deception preexisting disorder disease present individual intentionally aggravates existing symptom falsifies induces additional symptom individual seek treatment otherwise present ill injured impaired based feigned falsified selfinduced sign symptom injury deceptive behaviour solely motivated obvious external reward incentive eg obtaining disability payment evading criminal prosecution behaviour better accounted another mental disorder eg schizophrenia primary psychotic disorder,"[0.2886996865272522, -0.09951701760292053, 0.3728961646556854, 0.7239547371864319, -0.2065167874097824, -0.6284821033477783, 1.0061452388763428, -0.5574352741241455, 0.5161124467849731, 0.14676159620285034, 0.570290744304657, -0.22649049758911133, 0.6426732540130615, 0.7858735918998718, 0.2108517587184906, -0.1604841649532318, 0.1966591477394104, -1.018104076385498, -0.5270723700523376, -0.18844828009605408, 0.49969011545181274, 0.1265603005886078, 0.14931753277778625, 0.5118824243545532, 0.15436053276062012, -0.1932106912136078, 0.04894658550620079, -0.16666269302368164, -0.18324846029281616, -0.3495944142341614, 0.19466763734817505, 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Factitious disorder imposed on another,"Factitious disorder imposed on another is characterised by feigning, falsifying, or inducing, medical, psychological, or behavioural signs and symptoms or injury in another person, most commonly a child dependent, associated with identified deception. If a pre-existing disorder or disease is present in the other person, the individual intentionally aggravates existing symptoms or falsifies or induces additional symptoms. The individual seeks treatment for the other person or otherwise presents him or her as ill, injured, or impaired based on the feigned, falsified, or induced signs, symptoms, or injuries. The deceptive behaviour is not solely motivated by obvious external rewards or incentives (e.g., obtaining disability payments or avoiding criminal prosecution for child or elder abuse).","Feigning, falsifying, or intentionally inducing medical, psychological, or behavioural signs and symptoms or injury in another person, most commonly a child dependent, associated with identified deception. If a pre-existing disorder or disease is present in the other person, the individual intentionally exaggerates of aggravates existing symptoms or falsifies or induces additional symptoms.
The individual seeks treatment for the other person or otherwise presents him or her as ill, injured, or impaired based on the feigned, falsified, or induced signs, symptoms, or injuries.
The deceptive behaviour is not solely motivated by obvious external rewards or incentives (e.g., obtaining disability payments or avoiding criminal prosecution for child or elder abuse).
The behaviour is not better accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder).",factitious disorder imposed another characterised feigning falsifying inducing medical psychological behavioural sign symptom injury another person commonly child dependent associated identified deception preexisting disorder disease present person individual intentionally aggravates existing symptom falsifies induces additional symptom individual seek treatment person otherwise present ill injured impaired based feigned falsified induced sign symptom injury deceptive behaviour solely motivated obvious external reward incentive eg obtaining disability payment avoiding criminal prosecution child elder abuse feigning falsifying intentionally inducing medical psychological behavioural sign symptom injury another person commonly child dependent associated identified deception preexisting disorder disease present person individual intentionally exaggerates 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Delirium,"Delirium is characterized by a disturbance of attention, orientation, and awareness that develops within a short period of time, typically presenting as significant confusion or global neurocognitive impairment, with transient symptoms that may fluctuate depending on the underlying causal condition or etiology. Delirium often includes disturbance of behaviour and emotion, and may include impairment in multiple cognitive domains. A disturbance of the sleep-wake cycle, including reduced arousal of acute onset or total sleep loss with reversal of the sleep-wake cycle, may also be present. Delirium may be caused by the direct physiological effects of a medical condition not classified under mental, behavioural or neurodevelopmental disorders, by the direct physiological effects of a substance or medication, including withdrawal, or by multiple or unknown etiological factors.","A disturbance of attention, orientation, and awareness developing within a short period of time (e.g., within hours or days), typically presenting as significant confusion or global neurocognitive impairment with transient symptoms that may fluctuate depending on the underlying causal condition or etiology.
The disturbance represents a change from the individual’s baseline functioning.
Delirium may be caused by the direct physiological effects of a medical condition not classified under Mental, Behavioural or Neurodevelopmental Disorders, by the direct physiological effects of a substance or medication, including withdrawal, or by multiple or unknown etiological factors.
The symptoms are not better accounted for by a pre-existing or evolving Neurocognitive Disorder (i.e., Amnestic Disorder, Mild Neurocognitive Disorder, or Dementia) or by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, a Mood Disorder, Post-Traumatic Stress Disorder, a Dissociative Disorder).
The symptoms are not better accounted for by a typical syndrome of Substance Intoxication or Substance Withdrawal for a substance or medication that is known to be present, although Delirium can occur as a complication of intoxication or withdrawal states (see Delirium Due to Psychoactive Substances Including Medications, below).",delirium characterized disturbance attention orientation awareness develops within short period time typically presenting significant confusion global neurocognitive impairment transient symptom may fluctuate depending underlying causal condition etiology delirium often includes disturbance behaviour emotion may include impairment multiple cognitive domain disturbance sleepwake cycle including reduced arousal acute onset total sleep loss reversal sleepwake cycle may also present delirium may caused direct physiological effect medical condition classified mental behavioural neurodevelopmental disorder direct physiological effect substance medication including withdrawal multiple unknown etiological factor disturbance attention orientation awareness developing within short period time eg within hour day typically presenting significant confusion global neurocognitive impairment transient symptom may fluctuate depending underlying causal condition etiology disturbance represents change individual’s baseline functioning delirium may caused direct physiological effect medical condition classified mental behavioural neurodevelopmental disorder direct physiological effect substance medication including withdrawal multiple unknown etiological factor symptom better accounted preexisting evolving neurocognitive disorder ie amnestic disorder mild neurocognitive disorder dementia another mental disorder eg schizophrenia primary psychotic disorder mood disorder posttraumatic stress disorder dissociative disorder symptom better accounted typical syndrome substance intoxication substance withdrawal substance medication known present although delirium 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Mild neurocognitive disorder,"Mild neurocognitive disorder is characterized by mild impairment in one or more cognitive domains relative to that expected given the individual’s age and general premorbid level of cognitive functioning, which represents a decline from the individual’s previous level of functioning. Diagnosis is based on report from the patient, informant, or clinical observation, and is accompanied by objective evidence of impairment by quantified clinical assessment or standardized cognitive testing. Cognitive impairment is not severe enough to significantly interfere with an individual’s ability to perform activities related to personal, family, social, educational, and/or occupational functioning or other important functional areas. Cognitive impairment is not attributable to normal aging and may be static, progressive, or may resolve or improve depending on underlying cause or treatment. Cognitive impairment may be attributable to an underlying acquired disease of the nervous system, a trauma, an infection or other disease process affecting the brain, use of specific substances or medications, nutritional deficiency or exposure to toxins, or the etiology may be undetermined. The impairment is not due to current substance intoxication or withdrawal.","Presence of mild impairment in one more or cognitive domains (e.g., attention, executive function, language, memory, perceptual-motor abilities, social cognition) relative to expectations for age and general premorbid level of neurocognitive functioning.
Impairment represents a decline from the individual’s previous level of functioning.
Neurocognitive impairment is not severe enough to significantly interfere with an individual’s ability to perform activities related to personal, family, social, educational, and/or occupational functioning or other important functional areas.
Evidence of mild neurocognitive impairment is based on:
Information obtained from the individual, informant, or clinical observation; and
Objective evidence of impairment as demonstrated by standardized neuropsychological/cognitive testing or, in its absence, another quantified clinical assessment.
Neurocognitive impairment is not attributable to normal aging.
Neurocognitive impairment may be attributable to an underlying acquired Disease of the Nervous System, a trauma, an infection or other disease process affecting the brain, use of specific substances or medications, nutritional deficiency or exposure to toxins, or the etiology may be undetermined.
The symptoms are not better explained by another Neurocognitive Disorder, Substance Intoxication or Substance Withdrawal, or another mental disorder (e.g., Attention Deficit Hyperactivity Disorder or other Neurodevelopmental Disorder, Schizophrenia or Other Primary Psychotic Disorder, a Mood Disorder, Post-Traumatic Stress Disorder, a Dissociative Disorder).",mild neurocognitive disorder characterized mild impairment one cognitive domain relative expected given individual’s age general premorbid level cognitive functioning represents decline individual’s previous level functioning diagnosis based report patient informant clinical observation accompanied objective evidence impairment quantified clinical assessment standardized cognitive testing cognitive impairment severe enough significantly interfere individual’s ability perform activity related personal family social educational andor occupational functioning important functional area cognitive impairment attributable normal aging may static progressive may resolve improve depending underlying cause treatment cognitive impairment may attributable underlying acquired disease nervous system trauma infection disease process affecting brain use specific substance medication nutritional deficiency exposure toxin etiology may undetermined impairment due current substance intoxication withdrawal presence mild impairment one cognitive domain eg attention executive function language memory perceptualmotor ability social cognition relative expectation age general premorbid level neurocognitive functioning impairment represents decline individual’s previous level functioning neurocognitive impairment severe enough significantly interfere individual’s ability perform activity related personal family social educational andor occupational functioning important functional area evidence mild neurocognitive impairment based on information obtained individual informant clinical observation objective evidence impairment demonstrated standardized neuropsychologicalcognitive testing or absence another quantified clinical assessment neurocognitive impairment attributable normal aging neurocognitive impairment may attributable underlying acquired disease nervous system trauma infection disease process affecting brain use specific substance medication nutritional deficiency exposure toxin etiology may undetermined symptom better explained another neurocognitive disorder substance intoxication substance withdrawal another mental disorder eg attention deficit hyperactivity disorder neurodevelopmental disorder schizophrenia primary psychotic disorder mood disorder posttraumatic stress disorder dissociative disorder,"[-0.19510337710380554, -0.472531795501709, -0.3279705047607422, 1.2927910089492798, -0.0957663431763649, -0.3363802433013916, 0.08349864184856415, -0.2417837530374527, -0.25467896461486816, 0.5165996551513672, -0.9661993384361267, -0.5331258773803711, -1.0870599746704102, -0.6127114295959473, 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Amnestic disorder,"Amnestic disorder is characterized by prominent memory impairment relative to expectations for age and general premorbid level of cognitive functioning, which represents a decline from the individual’s previous level of functioning, in the absence of other significant cognitive impairment. It is manifested by a deficit in acquiring, learning, and/or retaining new information, and may include the inability to recall previously learned information, without disturbance of consciousness, altered mental status, or delirium. Recent memory is typically more disturbed than remote memory, and the ability to immediately recall a limited amount of information is usually relatively preserved. The memory impairment is severe enough to result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. It is is presumed to be attributable to an underlying acquired disease of the nervous system, a trauma, an infection or other disease process affecting the brain, to use of specific substances or medications, nutritional deficiency or exposure to toxins, or the etiology may be undetermined. The impairment is not due to current substance intoxication or withdrawal.","Prominent memory impairment relative to expectations for age and general level of premorbid neurocognitive functioning, in the absence of other significant neurocognitive impairment.
The memory impairment represents a marked decline from previous levels of functioning.
The memory impairment is characterized by reduced ability to acquire, learn, and/or retain new information.
Evidence of memory impairment is based on:
Information obtained from the individual, an informant, or clinical observation; and
Substantial impairment in memory performance as demonstrated by standardized neuropsychological/cognitive testing or, in its absence, another quantified clinical assessment.
The symptoms are not better accounted for by disturbance of consciousness, altered mental status, Transient Global Amnesia (i.e., memory impairment lasting no more than 48 hours with most cases resolving within 6 hours), Delirium, Dementia, Substance Intoxication, Substance Withdrawal or another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, a Mood Disorder, Post-Traumatic Stress Disorder, a Dissociative Disorder).
The symptoms result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort (e.g., compensatory strategies).",amnestic disorder characterized prominent memory impairment relative expectation age general premorbid level cognitive functioning represents decline individual’s previous level functioning absence significant cognitive impairment manifested deficit acquiring learning andor retaining new information may include inability recall previously learned information without disturbance consciousness altered mental status delirium recent memory typically disturbed remote memory ability immediately recall limited amount information usually relatively preserved memory impairment severe enough result significant impairment personal family social educational occupational important area functioning presumed attributable underlying acquired disease nervous system trauma infection disease process affecting brain use specific substance medication nutritional deficiency exposure toxin etiology may undetermined impairment due current substance intoxication withdrawal prominent memory impairment relative expectation age general level premorbid neurocognitive functioning absence significant neurocognitive impairment memory impairment represents marked decline previous level functioning memory impairment characterized reduced ability acquire learn andor retain new information evidence memory impairment based on information obtained individual informant clinical observation substantial impairment memory performance demonstrated standardized neuropsychologicalcognitive testing or absence another quantified clinical assessment symptom better accounted disturbance consciousness altered mental status transient global amnesia ie memory impairment lasting hour case resolving within hour delirium dementia substance intoxication substance withdrawal another mental disorder eg schizophrenia primary psychotic disorder mood disorder posttraumatic stress disorder dissociative disorder symptom result significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort eg compensatory strategy,"[-0.4974318742752075, -0.690860390663147, -0.25021544098854065, 1.301753044128418, 0.0828746110200882, -0.45590680837631226, 0.06595943868160248, -0.24609357118606567, 0.24440811574459076, 0.6758731603622437, -1.1948964595794678, -0.2658228278160095, -0.649276852607727, -0.35926103591918945, -0.4407528340816498, -0.5818300843238831, -0.208128422498703, -0.2906382977962494, -0.5167862772941589, 0.3408805727958679, 0.9699240922927856, 0.1437237709760666, 0.06242600455880165, 0.343544602394104, 0.4880104064941406, -0.3311304450035095, -0.1421889215707779, -0.7065025568008423, 0.19626222550868988, -0.06999330967664719, 0.3965175151824951, -0.5859896540641785, -0.6380709409713745, -0.4271031618118286, 0.6324690580368042, 0.12767454981803894, 0.1119004637002945, -0.2604348957538605, 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Dementia,"Dementia is characterized by the presence of marked impairment in two or more cognitive domains relative to that expected given the individual’s age and general premorbid level of cognitive functioning, which represents a decline from the individual’s previous level of functioning. Memory impairment is present in most forms of dementia, but cognitive impairment is not restricted to memory (i.e., there is impairment in other areas such as executive functions, attention, language, social cognition and judgment, psychomotor speed, visuoperceptual or visuospatial abilities). Neurobehavioural changes may also be present and, in some forms of dementia, may be the presenting symptom. Cognitive impairment is not attributable to normal aging and is severe enough to significantly interfere with independence in an individual’s performance of activities of daily living. The cognitive impairment is presumed to be attributable to an underlying acquired disease of the nervous system, a trauma, an infection or other disease process affecting the brain, or to use of specific substances or medications, nutritional deficiency or exposure to toxins, or the etiology may be undetermined. The impairment is not due to current substance intoxication or withdrawal.","Marked impairment in two or more cognitive domains relative to that expected given the individual’s age and general premorbid level of neurocognitive functioning, which represents a decline from the individual’s previous level of functioning.
Memory impairment is present in most forms of Dementia, but neurocognitive impairment is not restricted to memory and may be present in other cognitive domains such as executive functioning, attention, language, social cognition and judgment, psychomotor speed, and visuoperceptual or visuospatial functioning.
Evidence of neurocognitive impairment is based on:
Information obtained from the individual, informant, or clinical observation; and
Substantial impairment in memory performance as demonstrated by standardized neuropsychological/cognitive testing or, in its absence, another quantified clinical assessment.
Behavioural changes (e.g., changes in personality, disinhibition, agitation, irritability) may also be present and, in some forms of Dementia, may be the presenting symptom.
The symptoms are not better accounted for by disturbance of consciousness or altered mental status (e.g., due to seizure, traumatic brain injury, stroke, or the effects of medication), Delirium, Substance Intoxication, Substance Withdrawal or another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder, a Mood Disorder, Post-Traumatic Stress Disorder, a Dissociative Disorder).
The symptoms result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning.",dementia characterized presence marked impairment two cognitive domain relative expected given individual’s age general premorbid level cognitive functioning represents decline individual’s previous level functioning memory impairment present form dementia cognitive impairment restricted memory ie impairment area executive function attention language social cognition judgment psychomotor speed visuoperceptual visuospatial ability neurobehavioural change may also present and form dementia may presenting symptom cognitive impairment attributable normal aging severe enough significantly interfere independence individual’s performance activity daily living cognitive impairment presumed attributable underlying acquired disease nervous system trauma infection disease process affecting brain use specific substance medication nutritional deficiency exposure toxin etiology may undetermined impairment due current substance intoxication withdrawal marked impairment two cognitive domain relative expected given individual’s age general premorbid level neurocognitive functioning represents decline individual’s previous level functioning memory impairment present form dementia neurocognitive impairment restricted memory may present cognitive domain executive functioning attention language social cognition judgment psychomotor speed visuoperceptual visuospatial functioning evidence neurocognitive impairment based on information obtained individual informant clinical observation substantial impairment memory performance demonstrated standardized neuropsychologicalcognitive testing or absence another quantified clinical assessment behavioural change eg change personality disinhibition agitation irritability may also present and form dementia may presenting symptom symptom better accounted disturbance consciousness altered mental status eg due seizure traumatic brain injury stroke effect medication delirium substance intoxication substance withdrawal another mental disorder eg schizophrenia primary psychotic disorder mood disorder posttraumatic stress disorder dissociative disorder symptom result significant impairment personal family social educational occupational important area functioning,"[-0.33507469296455383, -0.4487706422805786, -0.07833659648895264, 1.4087333679199219, 0.019882358610630035, -0.3651960492134094, 0.4531770646572113, -0.5480229258537292, -0.3557882308959961, 0.5654689073562622, -0.929266095161438, -0.031944602727890015, -0.38614213466644287, -1.0051440000534058, -0.32841551303863525, -0.47609180212020874, -0.45829999446868896, -0.6399785280227661, -1.3535706996917725, 0.9733676314353943, 0.9206313490867615, -0.7017444372177124, 0.1496436893939972, 0.6779252290725708, 0.29059794545173645, -0.31157034635543823, -0.49248629808425903, -0.7074114680290222, 0.5761092305183411, -0.3744739890098572, 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"Mental or behavioural disorders associated with pregnancy, childbirth or the puerperium, without psychotic symptoms","A syndrome associated with pregnancy or the puerperium (commencing within about 6 weeks after delivery) that involves significant mental and behavioural features, most commonly depressive symptoms. The syndrome does not include delusions, hallucinations, or other psychotic symptoms. If the symptoms meet the diagnostic requirements for a specific mental disorder, that diagnosis should also be assigned. This designation should not be used to describe mild and transient depressive symptoms that do not meet the diagnostic requirements for a depressive episode, which may occur soon after delivery (so-called postpartum blues).","Onset of a syndrome involving significant mental and behavioural features occurring during pregnancy or the puerperium (i.e., up to about 6 weeks following delivery).
The syndrome does not include delusions, hallucinations, or other psychotic symptoms.
The symptoms are not a manifestation of another medical condition (e.g., a brain tumour) and are not due to the effects of a substance or medication on the central nervous system (e.g., benzodiazepines), including withdrawal effects (e.g., from stimulants).
The disturbance results in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",syndrome associated pregnancy puerperium commencing within week delivery involves significant mental behavioural feature commonly depressive symptom syndrome include delusion hallucination psychotic symptom symptom meet diagnostic requirement specific mental disorder diagnosis also assigned designation used describe mild transient depressive symptom meet diagnostic requirement depressive episode may occur soon delivery socalled postpartum blue onset syndrome involving significant mental behavioural feature occurring pregnancy puerperium ie week following delivery syndrome include delusion hallucination psychotic symptom symptom manifestation another medical condition eg brain tumour due effect substance medication central nervous system eg benzodiazepine including withdrawal effect eg stimulant disturbance result significant impairment personal family social educational occupational important area functioning functioning maintained significant additional effort,"[0.5187802314758301, -0.28252190351486206, -0.34173083305358887, 0.42844557762145996, -0.21862247586250305, -0.061818622052669525, 0.7035552859306335, -0.25690940022468567, 0.22473077476024628, 1.2357685565948486, -0.16896994411945343, -0.95311039686203, -0.8696040511131287, 0.5379658937454224, 0.01777922734618187, -0.8288619518280029, -0.38083040714263916, -0.5698837041854858, 0.18022902309894562, 0.14053477346897125, 0.3072463870048523, 0.3540865480899811, 0.0594138465821743, 0.07004252821207047, 0.13505366444587708, 0.4071173071861267, -0.24727508425712585, -0.633691668510437, 0.3042454719543457, 0.13525784015655518, -0.545994758605957, -0.5563498735427856, 0.5842345952987671, 0.7310994863510132, -1.0012887716293335, 0.4032292068004608, -0.04013052582740784, -0.2446068525314331, -0.31844884157180786, 0.3971797227859497, -0.4868139624595642, 0.7343132495880127, 0.7089135050773621, -0.655842661857605, 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"Mental or behavioural disorders associated with pregnancy, childbirth or the puerperium, with psychotic symptoms","A syndrome associated with pregnancy or the puerperium (commencing within about 6 weeks after delivery) that involves significant mental and behavioural features, including delusions, hallucinations, or other psychotic symptoms. Mood symptoms (depressive and/or manic) are also typically present. If the symptoms meet the diagnostic requirements for a specific mental disorder, that diagnosis should also be assigned.","Onset of a syndrome involving significant mental and behavioural features occurring during pregnancy or the puerperium (i.e., up to about 6 weeks following delivery).
The syndrome includes psychotic symptoms (i.e., delusions, hallucinations, or other psychotic symptoms). Depressive and/or manic mood symptoms are also typically present.
The symptoms are not a manifestation of another medical condition (e.g., a brain tumour) and are not due to the effects of a substance or medication on the central nervous system (e.g., benzodiazepines), including withdrawal effects (e.g., from stimulants).
The disturbance results in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.",syndrome associated pregnancy puerperium commencing within week delivery involves significant mental behavioural feature including delusion hallucination psychotic symptom mood symptom depressive andor manic also typically present symptom meet diagnostic requirement specific mental disorder diagnosis also assigned onset syndrome involving significant mental behavioural feature occurring pregnancy puerperium ie week following delivery syndrome includes psychotic symptom ie delusion hallucination psychotic symptom depressive andor manic mood symptom also typically present symptom manifestation another medical condition eg brain tumour due effect substance medication central nervous system eg benzodiazepine including withdrawal effect eg stimulant disturbance result significant impairment personal family social educational occupational important area functioning functioning maintained significant additional 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Insomnia disorders,"Insomnia disorders are characterised by the complaint of persistent difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate opportunity and circumstances for sleep, and results in some form of daytime impairment. Daytime symptoms typically include fatigue, depressed mood or irritability, general malaise, and cognitive impairment. Individuals who report sleep related symptoms in the absence of daytime impairment are not regarded as having an insomnia disorder.",,insomnia disorder characterised complaint persistent difficulty sleep initiation duration consolidation quality occurs despite adequate opportunity circumstance sleep result form daytime impairment daytime symptom typically include fatigue depressed mood irritability general malaise cognitive impairment individual report sleep related symptom absence daytime impairment regarded insomnia disorder,"[0.36293908953666687, -0.10960309207439423, -0.061928316950798035, 0.9920287728309631, 0.2784290015697479, 0.12909649312496185, 0.521111011505127, -0.6150839328765869, -0.8257783055305481, 0.7964808344841003, -0.8900499939918518, -0.1827048361301422, -0.704465389251709, -0.8055884838104248, -0.8170329332351685, -0.3314668834209442, -0.14337649941444397, 0.2941015064716339, -0.8900343775749207, 0.125656858086586, 1.237796425819397, -0.37863707542419434, 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Parasomnia disorders,"Parasomnias are problematic behavioural or physiological events that occur while falling asleep, during sleep, or upon arousal from sleep. Parasomnias may occur during non-rapid eye movement sleep (NREM), rapid eye movement sleep (REM), or during transitions to and from sleep. They encompass abnormal sleep related complex movements, behaviours, emotions, perceptions, dreams, and autonomic nervous system activity.",,parasomnias problematic behavioural physiological event occur falling asleep sleep upon arousal sleep parasomnias may occur nonrapid eye movement sleep nrem rapid eye movement sleep rem transition sleep encompass abnormal sleep related complex movement behaviour emotion perception dream autonomic nervous system activity,"[0.310219943523407, 0.29972606897354126, 0.15159831941127777, 0.8197214007377625, 0.15091869235038757, -0.38763564825057983, 0.0834655910730362, -0.6353127360343933, -0.7705217003822327, 0.79986971616745, -0.8093478083610535, 0.046609897166490555, -0.2293376624584198, -0.7971911430358887, -0.33267322182655334, -0.18096937239170074, 0.02757684327661991, 0.43066856265068054, -0.6488515138626099, 0.680874228477478, 0.6934472322463989, -0.5619214177131653, -0.3935939371585846, 0.42905667424201965, -1.022486925125122, 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Gender incongruence of adolescence or adulthood,"Gender Incongruence of Adolescence and Adulthood is characterised by a marked and persistent incongruence between an individual´s experienced gender and the assigned sex, which often leads to a desire to ‘transition’, in order to live and be accepted as a person of the experienced gender, through hormonal treatment, surgery or other health care services to make the individual´s body align, as much as desired and to the extent possible, with the experienced gender. The diagnosis cannot be assigned prior the onset of puberty. Gender variant behaviour and preferences alone are not a basis for assigning the diagnosis.",,gender incongruence adolescence adulthood characterised marked persistent incongruence individual´s experienced gender assigned sex often lead desire ‘transition’ order live accepted person experienced gender hormonal treatment surgery health care service make individual´s body align much desired extent possible experienced gender diagnosis cannot assigned prior onset puberty gender variant behaviour preference alone basis assigning diagnosis,"[0.5840849876403809, -0.6692067384719849, 0.17485494911670685, 0.6956695318222046, -0.1446860134601593, 0.1481630951166153, 0.3929899334907532, -0.007918351329863071, 0.6215885281562805, -0.04069594666361809, 0.614336371421814, -0.041799403727054596, -0.6087743639945984, 1.2013654708862305, -0.21641568839550018, -0.7303076386451721, 0.07501836121082306, -0.3561892807483673, -0.7704563140869141, 0.40003910660743713, 0.1035514548420906, 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Gender incongruence of childhood,"Gender incongruence of childhood is characterised by a marked incongruence between an individual’s experienced/expressed gender and the assigned sex in pre-pubertal children. It includes a strong desire to be a different gender than the assigned sex; a strong dislike on the child’s part of his or her sexual anatomy or anticipated secondary sex characteristics and/or a strong desire for the primary and/or anticipated secondary sex characteristics that match the experienced gender; and make-believe or fantasy play, toys, games, or activities and playmates that are typical of the experienced gender rather than the assigned sex. The incongruence must have persisted for about 2 years. Gender variant behaviour and preferences alone are not a basis for assigning the diagnosis.",,gender incongruence childhood characterised marked incongruence individual’s experiencedexpressed gender assigned sex prepubertal child includes strong desire different gender assigned sex strong dislike child’s part sexual anatomy anticipated secondary sex characteristic andor strong desire primary andor anticipated secondary sex characteristic match experienced gender makebelieve fantasy play toy game activity playmate typical experienced gender rather assigned sex incongruence must persisted year gender variant behaviour preference alone basis assigning diagnosis,"[0.6025974750518799, -0.5016087889671326, 0.3295552730560303, 1.5002241134643555, -0.18166962265968323, -0.5598535537719727, 0.3215597867965698, -0.3570544719696045, 0.383823424577713, 0.12334618717432022, 0.4078897535800934, -0.12192107737064362, -0.4024581015110016, 0.113108329474926, -0.5150578618049622, -1.2074270248413086, 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