i
DIAGNOSTIC AND STATISTICAL
MANUAL OF
MENTAL DISORDERS
FIFTH EDITION
TEXT REVISION
DSM-5-TR
ii
American Psychiatric Association
DSM-5-TR
Officers 20212022
President
Vivian B. Pender, M.D.
President-Elect
Rebecca W. Brendel, M.D., J.D.
Treasurer Richard F. Summers, M.D.
Secretary Sandra DeJong, M.D., M.Sc.
Assembly
Speaker
Mary Jo Fitz-Gerald, M.D., M.B.A.
Speaker-Elect
Adam P. Nelson, M.D.
Board of Trustees
Elie G. Aoun, M.D., M.R.O.
Jenny L. Boyer, M.D., Ph.D., J.D.
Kenneth Certa, M.D.
C. Freeman, M.D., M.B.A.
Mary Hasbah Roessel, M.D.
Glenn A. Martin, M.D.
Eric M. Plakun, M.D.
Michele Reid, M.D.
Felix Torres, M.D., M.B.A.
Sanya Virani, M.D., M.P.H.
Cheryl D. Wills, M.D.
Melinda Young, M.D.
Urooj Yazdani, M.D.,
Resident-Fellow Member Trustee-Elect
DSM-5
Officers 20122013
President
Dilip V. Jeste, M.D.
President-Elect
Jeffrey A. Lieberman, M.D.
Treasurer David Fassler, M.D.
Secretary Roger Peele, M.D.
Assembly
Speaker
R. Scott Benson, M.D.
Speaker-Elect
Melinda L. Young, M.D.
Board of Trustees
Jeffrey Akaka, M.D.
Carol A. Bernstein, M.D.
Brian Crowley, M.D.
Anita S. Everett, M.D.
Jeffrey Geller, M.D., M.P.H.
Marc David Graff, M.D.
James A. Greene, M.D.
Judith F. Kashtan, M.D.
Molly K. McVoy, M.D.
James E. Nininger, M.D.
John M. Oldham, M.D.
Alan F. Schatzberg, M.D.
Alik S. Widge, M.D., Ph.D.
Erik R. Vanderlip, M.D.,
Member-in-Training Trustee-Elect
iii
DIAGNOSTIC AND STATISTICAL
MANUAL OF
MENTAL DISORDERS
FIFTH EDITION
TEXT REVISION
DSM-5-TR
iv
Copyright 2022 American Psychiatric Association
DSM, DSM-5, and DSM-5-TR are registered trademarks of the American Psychiatric Association. Use of these terms is prohibited without permission of the American Psychiatric Association.
ALL RIGHTS RESERVED. Unless authorized in writing by the APA, no part of this book may be reproduced or used in a manner inconsistent with the APAs copyright. This prohibition applies to unauthorized uses or reproductions in any form, including electronic applications.
Correspondence regarding copyright permissions should be directed to DSM Permissions, American Psychiatric Association Publishing, 800 Maine Avenue SW, Suite 900, Washington, DC 20024-2812.
Manufactured in the United States of America on acid-free paper.
ISBN 978-0-89042-575-6 (Hardcover) 1st printing February 2022
ISBN 978-0-89042-576-3 (Paperback) 1st printing February 2022
American Psychiatric Association
800 Maine Avenue SW
Suite 900
Washington, DC 20024-2812
www.psychiatry.org
The correct citation for this book is American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2022.
Library of Congress Cataloging-in-Publication Data
Names: American Psychiatric Association, issuing body.
Title: Diagnostic and statistical manual of mental disorders : DSM-5-TR / American Psychiatric Association.
Other titles: DSM-5-TR
Description: Fifth edition, text revision. | Washington, DC : American Psychiatric Association Publishing, [2022] | Includes index.
Identifiers: LCCN 2021051781 (print) | LCCN 2021051782 (ebook) | ISBN 9780890425756 (hardcover ; alk. paper) | ISBN 9780890425763 (paperback ; alk. paper) | ISBN 9780890425770 (ebook)
Subjects: MESH: Diagnostic and statistical manual of mental disorders. 5th ed | Mental Disordersclassification | Mental Disordersdiagnosis
Classification: LCC RC455.2.C4 (print) | LCC RC455.2.C4 (ebook) | NLM WM 15 | DDC 616.89/075dc23/eng/20211209
LC record available at https://lccn.loc.gov/2021051781
LC ebook record available at https://lccn.loc.gov/2021051782.
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
Text DesignTammy J. Cordova
ManufacturingSheridan Books, Inc.
v
Contents
- vi
vii
DSM-5-TR Chairs
Michael B. First, M.D.
Revision Subcommittee Co-Chair and DSM-5-TR Editor
Philip Wang, M.D., Dr.P.H.
Revision Subcommittee Co-Chair
Wilson M. Compton, M.D., M.P.E.
Revision Subcommittee Vice Chair
Daniel S. Pine, M.D.
Revision Subcommittee Vice Chair
Susan K. Schultz, M.D.
Text Consultant
Philip R. Muskin, M.D., M.A.
Conflict of Interest Review Editor
Ann M. Eng
DSM Managing Editor
APA Division of Research Staff on DSM-5-TR
Nitin Gogtay, M.D.
Chief, Division of Research, and Deputy Medical Director
Philip Wang, M.D., Dr.P.H.
former Deputy Medical Director and Director of Research
Diana E. Clarke, Ph.D., Managing Director of Research and Senior Research Statistician/Epidemiologist
Lamyaa H. Yousif, M.D., Ph.D., M.Sc., Senior DSM Operations Manager and Research Associate
Sejal Patel, M.P.H., Senior Research Associate
Laura Thompson, M.S., Research Associate and Program Manager
Stephanie Smith, Ph.D., former Senior DSM Operations Manager and Science Writer
APA Office of the Medical Director
Saul Levin, M.D., M.P.A.
CEO and Medical Director
Colleen M. Coyle, J.D.
General Counsel
DSM Steering Committee
Paul S. Appelbaum, M.D.
Chairperson
Ellen Leibenluft, M.D.
Vice Chairperson
Kenneth S. Kendler, M.D.
Vice Chairperson
Members
Renato D. Alarcn, M.D., M.P.H
Pamela Y. Collins, M.D., M.P.H.
Michelle G. Craske, Ph.D.
Michael B. First, M.D.
Dolores Malaspina, M.D., M.S., M.S.P.H.
Glenn Martin, M.D.
Susan K. Schultz, M.D.
Andrew E. Skodol, M.D.
Kimberly A. Yonkers, M.D.
viii
Liaisons
Wilson M. Compton, M.D., M.P.E., National Institute on Drug Abuse
George F. Koob, Ph.D. (20192020), National Institute on Alcohol Abuse and Alcoholism
Lorenzo Leggio, M.D., Ph.D. (2020 ), National Institute on Alcohol Abuse and Alcoholism
Sarah Morris, Ph.D., National Institute of Mental Health
Cross-Cutting Review Groups
Cross-Cutting Culture Review Group
Roberto Lewis-Fernndez, M.D.
Chair
Renato D. Alarcn, M.D., M.P.H.
Anne E. Becker, M.D., Ph.D.
Kamaldeep Bhui, C.B.E., M.D.
Guilherme Borges, Ph.D.
Suparna Choudhury, Ph.D.
Jack Drescher, M.D.
Ana Gmez-Carrillo, M.D.
Brian J. Hall, Ph.D.
Felicia Heidenreich-Dutray, M.D.
Eva Heim, Ph.D.
Stefan G. Hofmann, Ph.D.
G. Eric Jarvis, M.D.
Christian Kieling, M.D., Ph.D.
Laurence J. Kirmayer, M.D.
Brandon Kohrt, M.D., Ph.D.
Rishav Koirala, M.D., Ph.D. candidate
Andrian Liem, Ph.D.
Francis G. Lu, M.D.
Kwame McKenzie, M.D.
Fahimeh Mianji, Ph.D.
Byamah Brian Mutamba, M.B.Ch.B., M.Med. (Psych), M.P.H., Ph.D.
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