ICD-10 and DSM-4

03/01/2014 by admin | Psychiatry

ICD-10: designed by the WHO, ICD-10 is composed of 22 chapters, each focusing on a different part of medicine (CV/resp/psychiatric/GU/MSK)…

Psych is chapter 5 and broken into 11 main strands, these are as follows =

Chapter 5: ‘Mental and behavioural disorders’:

F00-F09 Organic, including symptomatic, mental disorders
F10-F19 Mental and behavioural disorders due to psychoactive substance use
F20-F29 Schizophrenia, schizotypal and delusional disorders
F30-F39 Mood [affective] disorders
F40-F48 Neurotic, stress-related and somatoform disorders
F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors
F60-F69 Disorders of adult personality and behaviour
F70-F79 Mental retardation
F80-F89 Disorders of psychological development
F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
F99 Unspecified mental disorder



Multi-axial system

The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:

  • Axis I: Clinical disorders, including major mental disorders, and learning disorders
  • Axis II: Personality disorders and intellectual disabilities (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)
  • Axis III: Acute medical conditions and physical disorders
  • Axis IV: Psychosocial and environmental factors contributing to the disorder
  • Axis V: Global Assessment of Functioning or Children’s Global Assessment Scale for children and teens under the age of 18

Common Axis I disorders include depressionanxiety disordersbipolar disorderADHDautism spectrum disordersanorexia nervosabulimia nervosa, and schizophrenia.

Common Axis II disorders include personality disorders: paranoid personality disorderschizoid personality disorderschizotypal personality disorderborderline personality disorderantisocial personality disordernarcissistic personality disorderhistrionic personality disorderavoidant personality disorderdependent personality disorderobsessive-compulsive personality disorder, and intellectual disabilities.

Common Axis III disorders include brain injuries and other medical/physical disorders which may aggravate existing diseases or present symptoms similar to other disorders.

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