List of mental disorders in the DSM-IV and DSM-IV-TR

This is a list of mental disorders as defined in the DSM-IV, the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders. Published by the American Psychiatry Association (APA), it was released in May 1994,[1] superseding the DSM-III-R (1987). This list also includes updates featured in the text revision of the DSM-IV, the DSM-IV-TR, released in July 2000.[2]

Similar to the DSM-III-R, the DSM-IV-TR was created to bridge the gap between the DSM-IV and the next major release, then named DSM-V (eventually titled DSM-5).[3] The DSM-IV-TR contains expanded descriptions of disorders. Wordings were clarified and errors were corrected. The categorizations and the diagnostic criteria were largely unchanged. No new disorders or conditions were introduced, although a small number of subtypes were added and removed. ICD-9-CM codes that were changed since the release of IV were updated.[4] The DSM-IV and the DSM-IV-TR both contain a total of 297 mental disorders.[5]

For an alphabetical list, see List of mental disorders in the DSM-IV and DSM-IV-TR (alphabetical).

Disorders usually first diagnosed in infancy, childhood, or adolescence

Mental retardation

  • 317 Mild mental retardation
  • 318.0 Moderate mental retardation
  • 318.1 Severe mental retardation
  • 318.2 Profound mental retardation
  • 319 Mental retardation, severity unspecified

Learning disorders

Motor skills disorders

Communication disorders

Pervasive developmental disorders

Attention-deficit and disruptive behavior disorders

Feeding and eating disorders of infancy or early childhood

Tic disorders

Elimination disorders

  • 307.6 Enuresis (not due to a general medical condition)
  • 307.7 Encopresis, without constipation and overflow incontinence
  • 787.6 Encopresis, with constipation and overflow incontinence

Other disorders of infancy, childhood, or adolescence

Delirium, dementia, and amnestic and other cognitive disorders

Delirium

  • 293.0 Delirium due to... [indicate the general medical condition]
  • 780.09 Delirium NOS

Dementia

  • 294.xx Dementia of the Alzheimer's type, with early onset (coded 290.xx in the DSM-IV)
    • .10 Without behavioral disturbance (DSM-IV-TR only)
    • .11 With behavioral disturbance (DSM-IV-TR only)
    • .10 Uncomplicated (DSM-IV only)
    • .11 With delirium (DSM-IV only)
    • .12 With delusions (DSM-IV only)
    • .13 With depressed mood (DSM-IV only)
  • 294.xx Dementia of the Alzheimer's type, with late onset (coded 290.xx in the DSM-IV)
    • .10 Without behavioral disturbance (DSM-IV-TR only)
    • .11 With behavioral disturbance (DSM-IV-TR only)
    • .0 Uncomplicated (DSM-IV only)
    • .3 With delirium (DSM-IV only)
    • .20 With delusions (DSM-IV only)
    • .21 With depressed mood (DSM-IV only)
  • 290.xx Vascular dementia
    • .40 Uncomplicated
    • .41 With delirium
    • .42 With delusions
    • .43 With depressed mood
  • 294.1x Dementia due to HIV disease (coded 294.9 in the DSM-IV)
  • 294.1x Dementia due to head trauma (coded 294.1 in the DSM-IV)
  • 294.1x Dementia due to Parkinson's disease (coded 294.9 in the DSM-IV)
  • 294.1x Dementia due to Huntington's disease (coded 294.1 in the DSM-IV)
  • 294.1x Dementia due to Pick's disease (coded 290.10 in the DSM-IV)
  • 294.1x Dementia due to Creutzfeldt–Jakob disease (coded 290.10 in the DSM-IV)
  • 294.1x Dementia due to ... [Indicate the general medical condition not listed above] (coded 294.1 in the DSM-IV)
  • 294.8 Dementia NOS

Amnestic disorders

  • 294.0 Amnestic disorder due to... [indicate the general medical condition]
  • 294.8 Amnestic disorder NOS

Other cognitive disorders

Mental disorders due to a general medical condition not elsewhere classified

  • 293.89 Catatonic disorder due to... [indicate the general medical condition]
  • 310.1 Personality change due to... [indicate the general medical condition]
    • (Subtypes: Labile, Disinhibited, Aggressive, Apathetic, Paranoid, Other, Combined, Unspecified)
  • 293.9 Mental disorder NOS due to... [indicate the general medical condition]

Alcohol use disorders

Alcohol-induced disorders

Amphetamine use disorders

Amphetamine-induced disorders

  • 292.89 Amphetamine intoxication
  • 292.0 Amphetamine withdrawal
  • 292.81 Amphetamine intoxication delirium
  • 292.xx Amphetamine-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.84 Amphetamine-induced mood disorder
  • 292.89 Amphetamine-induced anxiety disorder
  • 292.89 Amphetamine-induced sexual dysfunction
  • 292.89 Amphetamine-induced sleep disorder
  • 292.9 Amphetamine-related disorder NOS

Caffeine-induced disorders

Cannabis use disorders

  • 304.30 Cannabis dependence
  • 305.20 Cannabis abuse

Cannabis-induced disorders

  • 292.89 Cannabis intoxication
  • 292.81 Cannabis intoxication delirium
  • 292.xx Cannabis-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.89 Cannabis-induced anxiety disorder
  • 292.9 Cannabis-related disorder NOS

Cocaine use disorders

Cocaine-induced disorders

  • 292.89 Cocaine intoxication
  • 292.0 Cocaine withdrawal
  • 292.81 Cocaine intoxication delirium
  • 292.xx Cocaine-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.84 Cocaine-induced mood disorder
  • 292.89 Cocaine-induced anxiety disorder
  • 292.89 Cocaine-induced sexual dysfunction
  • 292.89 Cocaine-induced sleep disorder
  • 292.9 Cocaine-related disorder NOS

Hallucinogen use disorders

  • 304.50 Hallucinogen dependence
  • 305.30 Hallucinogen abuse

Hallucinogen-induced disorders

  • 292.89 Hallucinogen intoxication
  • 292.89 Hallucinogen persisting perception disorder (Flashbacks)
  • 292.81 Hallucinogen intoxication delirium
  • 292.xx Hallucinogen-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.84 Hallucinogen-induced mood disorder
  • 292.89 Hallucinogen-induced anxiety disorder
  • 292.9 Hallucinogen-related disorder NOS

Inhalant use disorders

  • 304.60 Inhalant dependence
  • 305.90 Inhalant abuse

Inhalant-induced disorders

  • 292.89 Inhalant intoxication
  • 292.81 Inhalant intoxication delirium
  • 292.82 Inhalant-induced persisting dementia
  • 292.xx Inhalant-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.84 Inhalant-induced mood disorder
  • 292.89 Inhalant-induced anxiety disorder
  • 292.9 Inhalant-related disorder NOS

Nicotine use disorder

Nicotine-induced disorder

Opioid use disorders

  • 304.00 Opioid dependence
  • 305.50 Opioid abuse

Opioid-induced disorders

  • 292.89 Opioid intoxication
  • 292.0 Opioid withdrawal
  • 292.81 Opioid intoxication delirium
  • 292.xx Opioid-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.84 Opioid-induced mood disorder
  • 292.89 Opioid-induced sexual dysfunction
  • 292.89 Opioid-induced sleep disorder
  • 292.9 Opioid-related disorder NOS

Phencyclidine use disorders

  • 304.60 Phencyclidine dependence (coded 304.90 in the DSM-IV)
  • 305.90 Phencyclidine abuse

Phencyclidine-induced disorders

  • 292.89 Phencyclidine intoxication
  • 292.81 Phencyclidine intoxication delirium
  • 292.xx Phencyclidine-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.84 Phencyclidine-induced mood disorder
  • 292.89 Phencyclidine-induced anxiety disorder
  • 292.9 Phencyclidine-related disorder NOS

Sedative, hypnotic, or anxiolytic use disorders

  • 304.10 Sedative, hypnotic, or anxiolytic dependence
  • 305.40 Sedative, hypnotic, or anxiolytic abuse

Sedative-, hypnotic-, or anxiolytic-induced disorders

  • 292.89 Sedative, hypnotic, or anxiolytic intoxication
  • 292.0 Sedative, hypnotic, or anxiolytic withdrawal
  • 292.81 Sedative, hypnotic, or anxiolytic intoxication delirium
  • 292.81 Sedative, hypnotic, or anxiolytic withdrawal delirium
  • 292.82 Sedative-, hypnotic-, or anxiolytic-induced persisting dementia
  • 292.83 Sedative-, hypnotic-, or anxiolytic-induced persisting amnestic disorder
  • 292.xx Sedative-, hypnotic-, or anxiolytic-induced psychotic disorder
    • .11 With delusions
    • .12 With hallucinations
  • 292.84 Sedative-, hypnotic-, or anxiolytic-induced mood disorder
  • 292.89 Sedative-, hypnotic-, or anxiolytic-induced anxiety disorder
  • 292.89 Sedative-, hypnotic-, or anxiolytic-induced sexual dysfunction
  • 292.89 Sedative-, hypnotic-, or anxiolytic-induced sleep disorder
  • 292.9 Sedative-, hypnotic-, or anxiolytic-related disorder NOS

Other (or unknown) substance use disorders

Other (or unknown) substance-induced disorders

Schizophrenia and other psychotic disorders

Mood disorders

  • 293.83 Mood disorder due to ... [indicate the general medical condition]
  • 296.90 Mood disorder NOS

Depressive disorders

  • 296.xx Major depressive disorder
    • .2x Major depressive disorder, single episode
      • .26 In full remission
      • .25 In partial remission
      • .21 Mild
      • .22 Moderate
      • .23 Severe without psychotic features
      • .24 Severe with psychotic features
      • .20 Unspecified
    • .3x Major depressive disorder, recurrent
      • .36 In full remission
      • .35 In partial remission
      • .31 Mild
      • .32 Moderate
      • .33 Severe without psychotic features
      • .34 Severe with psychotic features
      • .30 Unspecified
  • 300.4 Dysthymic disorder
  • 311 Depressive disorder NOS

Bipolar disorders

  • 296.xx Bipolar I disorder
    • .5x Bipolar I disorder, most recent episode depressed
      • .56 In full remission
      • .55 In partial remission
      • .51 Mild
      • .52 Moderate
      • .53 Severe without psychotic features
      • .54 Severe with psychotic features
      • .50 Unspecified
    • .40 Bipolar I disorder, most recent episode hypomanic
    • .4x Bipolar I disorder, most recent episode manic
      • .46 In full remission
      • .45 In partial remission
      • .41 Mild
      • .42 Moderate
      • .43 Severe without psychotic features
      • .44 Severe with psychotic features
      • .40 Unspecified
    • .6x Bipolar I disorder, most recent episode mixed
      • .66 In full remission
      • .65 In partial remission
      • .61 Mild
      • .62 Moderate
      • .63 Severe without psychotic features
      • .64 Severe with psychotic features
      • .60 Unspecified
    • .7 Bipolar I disorder, most recent episode unspecified
    • .0x Bipolar I disorder, single manic episode
      • .06 In full remission
      • .05 In partial remission
      • .01 Mild
      • .02 Moderate
      • .03 Severe without psychotic features
      • .04 Severe with psychotic features
      • .00 Unspecified
    • 296.89 Bipolar II disorder
  • 301.13 Cyclothymic disorder
  • 296.80 Bipolar disorder NOS

Anxiety disorders

Somatoform disorders

Factitious disorders

  • 300.xx Factitious disorder
    • .19 With combined psychological and physical signs and symptoms
    • .19 With predominantly physical signs and symptoms
    • .16 With predominantly psychological signs and symptoms
  • 300.19 Factitious disorder NOS

Dissociative disorders

Sexual and gender identity disorders

Sexual dysfunctions

Sexual desire disorders

Sexual arousal disorders

Orgasmic disorders

Sexual pain disorders

  • 302.76 Dyspareunia (not due to a general medical condition)
  • 306.51 Vaginismus (not due to a general medical condition)

Sexual dysfunction due to a general medical condition

  • 625.8 Female hypoactive sexual desire disorder due to ... [indicate the general medical condition]
  • 608.89 Male hypoactive sexual desire disorder due to ... [indicate the general medical condition]
  • 607.84 Male erectile disorder due to ... [indicate the general medical condition]
  • 625.0 Female dyspareunia due to ... [indicate the general medical condition]
  • 608.89 Male dyspareunia due to ... [indicate the general medical condition]
  • 625.8 Other female sexual dysfunction due to ... [indicate the general medical condition]
  • 608.89 Other male sexual dysfunction due to ... [indicate the general medical condition]
  • 302.70 Sexual dysfunction NOS

Paraphilias

See also: List of paraphilias

Gender identity disorders

  • 302.xx Gender identity disorder
    • .6 in children
    • .85 in adolescents or adults
  • 302.6 Gender identity disorder NOS
  • 302.9 Sexual disorder NOS

Eating disorders

Sleep disorders

Primary sleep disorders

Dyssomnias

Parasomnias

  • 307.42 Insomnia Related to ... [indicate the Axis I or Axis II disorder]
  • 307.44 Hypersomnia Related to ... [indicate the Axis I or Axis II disorder]

Other sleep disorders

Impulse-control disorders not elsewhere classified

Adjustment disorders

  • 309.xx Adjustment disorders
    • .9 Unspecified
    • .24 With anxiety
    • .0 With depressed mood
    • .3 With disturbance of conduct
    • .28 With mixed anxiety and depressed mood
    • .4 With mixed disturbance of emotions and conduct

Personality disorders (Axis II)

Cluster A (odd or eccentric):

Cluster B (dramatic, emotional, or erratic):

Cluster C (anxious or fearful):

NOS:

Other conditions that may be a focus of clinical attention

Psychological factors affecting medical condition

  • 316 ... [Specified psychological factor] affecting ... [indicate the general medical condition]

Medication-induced movement disorders

Other medication-induced disorder

Relational problems

  • V61.9 Relational problem related to a mental disorder or general medical condition
  • V61.20 Parent-child relational problem
  • V61.10 Partner relational problem (coded V61.1 in the DSM-IV)
  • V61.8 Sibling relational problem
  • V62.81 Relational problem NOS
  • V61.21 Physical abuse of Child
  • V61.21 Sexual abuse of child
  • V61.21 Neglect of child
  • ___.__ Physical abuse of adult (coded V61.1 in the DSM-IV)
    • V61.12 if by partner (included only in the DSM-IV-TR)
    • V62.83 if by person other than partner (included only in the DSM-IV-TR)
  • ___.__ Sexual abuse of adult (coded V61.1 in the DSM-IV)
    • V61.12 if by partner (included only in the DSM-IV-TR)
    • V62.83 if by person other than partner (included only in the DSM-IV-TR)

Additional conditions that may be a focus of clinical attention

Additional codes

  • 300.9 Unspecified mental disorder (nonpsychotic)
  • V71.09 No diagnosis or condition on Axis I
  • 799.9 Diagnosis or condition deferred on Axis I
  • V71.09 No diagnosis on Axis II
  • 799.9 Diagnosis deferred on Axis II

See also

References

  1. ^ Wilson, H. S.; Skodol, Andrew (December 1994). "Special report: DSM-IV: Overview and examination of major changes". Archives of Psychiatric Nursing. 8 (6): 340–347. doi:10.1016/0883-9417(94)90002-7. PMID 7847901.
  2. ^ First, Michael B.; Pincus, Harold Alan (March 2002). "The DSM-IV Text Revision: Rationale and Potential Impact on Clinical Practice". Psychiatric Services. 53 (3): 288–292. doi:10.1176/appi.ps.53.3.288. PMID 11875221.
  3. ^ Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. American Psychiatric Association. July 2000. p. xxix.
  4. ^ DSM-IV-TR (2000), p. 829–843
  5. ^ Surís, Alina; Holliday, Ryan; North, Carol S. (March 2016). "The Evolution of the Classification of Psychiatric Disorders". Behavioral Sciences. 6 (1): 5. doi:10.3390/bs6010005. PMC 4810039. PMID 26797641. This rapid growth in numbers of diagnoses slowed, however, yielding 292 diagnoses in DSM-III-R, 297 in DSM-IV and DSM-IV-TR, and 298 in DSM-5

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