Steven Buser - DSM-5 Insanely Simplified: Unlocking the Spectrums Within DSM-5 and ICD-10

WARNING! The description of DSM-5 disorders that follows are in a highly simplified and summarized form. They are meant to give a quick overview and a reminder of the disorder. They do not, however, include all of the full diagnostic criterion found in the complete DSM-5 text. The DSM-5 should be purchased as a separate side-by-side text. Please do not use our book to formally reach a diagnosis, but rather as a quick reference and memory tool. All codes begin with DSM-5 and following the backslash include ICD-10 codes. Most of which begin with the letter F

Major Depressive Disorder

5 SIG E CAPSS symptoms for at least 2 weeks [Sadness, Interest loss, Guilt or worthlessness, Energy loss, Concentration loss, Appetite change, Psychomotor agitation or retardation, Sleep change, Suicidal thoughts]

296.2x / F32.x Major Depressive Disorder, single episode
296.3x / F33.x Major Depressive Disorder, recurrent

300.4 / F34.1 Persistent Depressive Disorder (Dysthymia)

Sad most days for 2 years

2 or more of: sleep change, hopelessness, appetite change, low self-esteem, concentration loss

Never 2 months symptom free in first 2 years

Significant distress or impairment

296.99 / F34.8 Disruptive Mood Dysregulation Disorder

Severe recurrent temper outbursts (verbal or physical)

Out of proportion to context

3 or more per week; persists more than a year; began as child (6-18)

Persistent irritability

(not better explained by mania, depression, autism, substance abuse, etc)

625.4 / N94.3 Premenstrual Dysphoric Disorder

Symptoms present one week prior to menses

At least 1 of the 4 following: mood swings, irritability/anger, sadness, anxiety/tension

At least 5 total: mood swings, irritability/anger, sadness, anxiety/tension, loss of interest, poor concentration, fatigue, appetite change, sleep change, overwhelmed, physical symptoms (breast tenderness, bloating, pain, weight gain)

Significant distress or impairment

296.7 / F31.9 Bipolar I Disorder

Euphoric or irritable mood and increased energy or activity for 1 week

3 out of 7: grandiose, decreased sleep, talkative, racing thoughts, distractibility, increased goal-directed activity, impulsive)

Social or work impairment

296.89 / F31.81 Bipolar II Disorder

At least 1 Hypomanic episode and at least 1 Major Depressive episode

No full Manic episodes

Hypomanic Episode:

Same as Bipolar I Manic episode except: at least 4 days duration (instead of 7)

And NO marked impairment in social or occupational functioning

301.13 / F34.0 Cyclothymic Disorder

Numerous hypomania and depression symptoms for most of the time for 2 years

Never reaches full diagnosis for either hypomanic, manic or depressive episodes

Not without symptoms for 2 months in 1st 2 years.

Clinically significant distress or impairment

May Add Specifiers:

with Anxious Distress

with Mixed Features (mania and depression)

with Rapid Cycling (for Bipolar I and II: > 4 episodes per year)

with Melancholic Features (loss of pleasure, lack of reactivity, despair, worse in a.m., early morning awakening)

with Atypical Features (weight gain, increased sleep, leaden paralysis, interpersonal rejection sensitivity, mood reactivity)

with Psychotic Features, with Catatonia, with Peripartum Onset, with Seasonal Pattern

295.90 / F20.9 Schizophrenia

Must have 1 positive symptom (hallucinations, delusions or disorganized speech) for 1 month

2 of the following: hallucinations, delusions, disorganized speech, disorganized behavior, or negative symptoms (low emotion, low motivation)

Prior or residual poor functioning for at least 6 months

Social or work impairment

295.40 / F20.81 Schizophreniform Disorder

Schizophrenic symptoms between 1-6 months duration

295.70 / F25.0 Schizoaffective Disorder, Bipolar type

Schizophrenic symptoms and Bipolar I symptoms present most of the time.

At least 2 weeks of delusions or hallucinations without Bipolar symptoms

Must have Bipolar symptoms for the majority of time.

295.70 / F25.1 Schizoaffective Disorder, Depressive type

Schizophrenic symptoms and Depression symptoms present most of the time.

At least 2 weeks of delusions or hallucinations without Depression symptoms

Must have Depression symptoms for the majority of time.

297.1 / F22 Delusional Disorder

Moderate delusions at least 1 month, not Schizophrenic level

Otherwise good functioning; no bizarre behavior

Erotomanic type

Grandiose type

Jealous type

Persecutory type

Somatic type

Mixed type

Unspecified type

298.8 / F23 Brief Psychotic Disorder

Schizophrenic symptoms for less than 1 month

Full return to premorbid level.

with marked stressors

without marked stressors

with postpartum onset

with Catatonia

300.01 / F41.0 Panic Disorder

Recurrent, abrupt, unexpected intense fear or discomfort

Persistent worry of additional attacks for 1 month

4 out of 13 symptoms: (palpitations, sweating, trembling, shortness of breath, choking, chest pain, nausea, dizziness, derealization, fear of going crazy, fear of dying, numbness/tingling, hot/cold flashes)

Panic Attack can also be a specifier for other diagnoses (i.e. PTSD with Panic Attacks)

300.22 / F40.00 Agoraphobia

Intense fear of 2 or more of: public transportation, open spaces (markets, bridges), enclosed spaced (theaters, shops), crowds, being away from home.