Académique Documents
Professionnel Documents
Culture Documents
AND DSM 5
BY
ANITHA J
I MPHIL CLINICAL PSYCHOLOGY
HISTORY OF ICD AND DSM
DIFFERENCES IN ICD 9 AND ICD 10
DIFFERENCES BETWEEN DSM IV TR AND DSM 5
COMPARISON OF ICD 10 AND DSM 5
RESEARCH STUDIES
REFERENCES
DSM IV TR TO DSM 5
DSM-IV
17 CHAPTERS
DSM-I (1952)
132 PAGES
134 PAGES
REACTION TERMINOLOGY DROPPED
USERS ENCOURAGED TO RECORD
MULTIPLE PSYCHIATRIC DIAGNOSES
(IN ORDER OF IMPORTANCE)
AND ASSOCIATED PHYSICAL CONDITIONS
COINCIDED WITH ICD-8
(FIRST TIME ICD INCLUDED MENTAL DISORDERS)
DSM-III (1980)
494 PP
DESCRIPTIVE AND NEUTRAL ATHEORETICAL)
REGARDING ETIOLOGY.
886 PP
INCLUSION OF A CLINICAL SIGNIFICANCE CRITERION
NEW DISORDERS INTRODUCED
(E.G., ACUTE STRESS DISORDER, PTSD
BIPOLAR II DISORDER, ASPERGERS DISORDER),
OTHERS DELETED
(E.G., CLUTTERING,
PASSIVE-AGGRESSIVE PERSONALITY DISORDER).
DSM-5 (2013)
947 PP
5 INSTEAD OF V
ANTICIPATES CHANGE
E.G. DSM 5.1 5.2
DEVELOPMENT STARTED WITH 1999 MEETING
TASK FORCE RECRUITED IN 2006
DIMENSIONAL MEASURES.
E.G. SEVERITY SCALES
OR CROSS-CUTTING ACROSS DISORDERS
CULTURE/GENDER ISSUES.
FIELD TRIALS
CHAPTERS REORGANIZED
NEW CATEGORIES:
OBSESSIVE-COMPULSIVE AND RELATED DISORDERS
TRAUMA- AND STRESSOR-RELATED DISORDERS
TRANSFORMED:
NEURODEVELOPMENTAL DISORDERS
(INFANCY, ADOLESCENCE, CHILDHOOD)
SOMATIC SYMPTOM AND RELATED DISORDERS
CHANGES
AXIS 4 GONE
MIGHT USE V & (Z IN ICD 10) CODES
AXIS 5 GONE;
MIGHT USE WHODAS FROM SECTION III
LIST MULTIPLE DIAGNOSES
IN ORDER OF ATTENTION OR CONCERN
New Disorders
SOCIAL (PRAGMATIC) COMMUNICATION DISORDER
HOARDING DISORDER
POLYSUBSTANCE-RELATED DISORDER
COMBINED
LANGUAGE DISORDER
(EXPRESSIVE LANGUAGE DISORDER
& MIXED RECEPTIVE EXPRESSIVE LANGUAGE
DISORDER)
AUTISM SPECTRUM DISORDER
(AUTISTIC DISORDER,
ASPERGERS DISORDER,
CHILDHOOD DISINTEGRATIVE DISORDER,
RETTS DISORDER
PERVASIVE DEVELOPMENTAL DISORDER-NOS)
COMBINED
SPECIFIC LEARNING DISORDER
(READING DISORDER,
MATH DISORDER,
DISORDER OF WRITTEN EXPRESSION)
DELUSIONAL DISORDER
(SHARED PSYCHOTIC DISORDER, DELUSIONAL
DISORDER)
COMBINED
PANIC DISORDER
(PANIC DISORDER WITHOUT AGORAPHOBIA PANIC DISORDER WITH
AGORAPHOBIA)
DISSOCIATIVE AMNESIA
(DISSOCIATIVE FUGUE
DISSOCIATIVE AMNESIA)
COMBINED
SOMATIC SYMPTOM DISORDER (SOMATIZATION
DISORDER
UNDIFFERENTIATED SOMATOFORM DISORDER
PAIN DISORDER)
INSOMNIA DISORDER
(PRIMARY INSOMNIA
INSOMNIA RELATED TO ANOTHER MENTAL
DISORDER)
COMBINED
HYPERSOMNOLENCE DISORDER
(PRIMARY HYPERSOMNIA
HYPERSOMNIA RELATED TO ANOTHER MENTAL DISORDER)
STIMULANT INTOXICATION
(AMPHETAMINE INTOXICATION
COCAINE INTOXICATION)
STIMULANT WITHDRAWAL
(AMPHETAMINE WITHDRAWAL
COCAINE WITHDRAWAL)
SUBSTANCE/MEDICATION-INDUCED DISORDERS (AGGREGATED CATEGORIES:
MOOD , ANXIETY ,AND NEUROCOGNITIVE )
NOS DSM IV = 41
NORMAN G. HOFFMANN, ADJUNCT PROFESSOR OF PSYCHOLOGY AT WESTERN CAROLINA UNIVERSITYHE RESEARCHERS,(2015) USED DATA FROM
6,871 MALE AND 801 FEMALE ADMISSIONS TO A STATE PRISON SYSTEM TO COMPARE THE DSM-5 SEVERITY INDEX FOR ALCOHOL USE DISORDER
TO THE ICD-10 CLINICAL AND RESEARCH FORMULATIONS FOR HARMFUL USE AND DEPENDENCE. ALL INMATES WERE BETWEEN 18 AND 65 YEARS
OF AGE, AND SLIGHTLY MORE THAN HALF WERE WHITE, WITH THE LARGEST PROPORTION OF MINORITIES BEING AFRICAN-AMERICAN (31.5% AND
21.5% RESPECTIVELY FOR MALES AND FEMALES), FOLLOWED BY NATIVE AMERICAN (7.7% AND 13.2% RESPECTIVELY BY GENDER).
"THE ICD-10 AND DSM-5 CONVERGE FOR CASES WHO WOULD NOT RECEIVE A DIAGNOSIS AND THOSE WHO MANIFEST THE MOST SEVERE FORMS
OF ALCOHOL USE DISORDER," SAID HOFFMANN. "THERE IS MORE DISCREPANCY BETWEEN THE TWO, HOWEVER, FOR MORE MILD AND MODERATE
CASES OF ALCOHOL USE DISORDER. THIS HAS SIGNIFICANT IMPLICATIONS NOT ONLY FOR DIAGNOSIS, BUT ALSO FOR THE DEVELOPMENT AND
APPLICATION OF TREATMENT SERVICES."
PROCTOR AGREED. "ROUGHLY ONE-THIRD OF DSM-5 MILD CASES WOULD NOT RECEIVE A DIAGNOSIS PER THE ICD-10 CLINICAL VERSION, WHICH
IN TURN TRANSLATES TO REDUCED ACCESS TO TREATMENT SERVICES FOR A FAIRLY LARGE NUMBER OF INDIVIDUALS," HE SAID. "WHEN THE
RESEARCH VERSION CRITERIA ARE APPLIED, WE SEE THIS NUMBER RISE TO NEARLY ONE-HALF OF ALL MILD CASES."
"THIS COULD ULTIMATELY HAVE A SIGNIFICANT IMPACT NOT ONLY ON HOW MUCH OF THE TREATMENT IS REIMBURSED, BUT ALSO HOW MUCH
TREATMENT IS PROVIDED - ESPECIALLY IF ONLY SO MUCH TREATMENT WILL BE COVERED BY MEDICARE AND MEDICAID - AND TREATMENT
OUTCOMES," SAID HOFFMANN. "IF PATIENTS ARE MISDIAGNOSED TO A LESSER DEGREE, THEY ARE LIKELY TO RECEIVE INADEQUATE TREATMENT,
AND THIS COULD DELAY THE RECOVERY PROCESS."
ASPERGERS AND AUTISM DSM-5 HAS CONSOLIDATED ASPERGERS
SYNDROME INTO THE AUTISM SPECTRUM (F84.0) ICD-10-CM CONTINUES TO
CODE ASPERGERS AND PERVASIVE DEVELOPMENTAL DISORDERS AS
SPECIFIC DIAGNOSES ASPERGERS DISORDER F84.5 OTHER PERVASIVE DEV
DISORDER F84.8 PERVASIVE DEV DISORDER, UNSPEC F84.9
INTENSITY LEVELS
DSM-5 SAYS: 305.00 -> F10.10 (ALCOHOL USE DISORDER, MILD) 303.90 ->
F10.20 (MODERATE) 303.90 -> F10.20 (SEVERE) ICD-10 SAYS: F10.10
COULD BE 305.00, 305.01, 305.02 OR 305.03 ALCOHOL ABUSE UNSPECIFIED,
CONTINUOUS, EPISODIC OR IN REMISSION
DIFFERENCES - SCHIZOPHRENIA
Whereas DSM combines the feelings of unworthiness to the feelings of excessive guilt, which is considered more severe than ICD Symptoms of Depression depressed mo
(such as feelings of sadness or emptiness)
reduced interest in activities that used to be enjoyed, sleep disturbances (either not being able to sleep well or sleeping to much)
loss of energy or a significant reduction in energy level
difficulty concentrating, holding a conversation, paying attention, or making decisions that used to be made fairly easily
suicidal thoughts or intentions. Treatments Medications
Prozac
Paxil
Wellbutrin
Zoloft Symptoms of Depression Depressed mood
Reduced Energy
Anhedonia It doesn't use the term major depression disorder
like DSM does
Popular presentations
See morepopularor thelatestprezis
BIPOLAR AND RELATED DISORDERS BIPOLAR DISORDER INCLUDES
EMPHASIS ON CHANGES IN ACTIVITY AND ENERGY; NOT JUST MOOD
ANXIOUS DISTRESS SPECIFIER FOR BIPOLAR DISORDER BIPOLAR I
DISORDER MIXED TYPE HAS BEEN ELIMINATED NOW INCLUDES MIXED
STATE SPECIFIER WHEN MANIA EPISODES INCLUDE DEPRESSIVE SYMPTOMS
AND FOR DEPRESSION THAT INCLUDES MANIA OR HYPOMANIA
OTHER SPECIFIED BIPOLAR AND RELATED DISORDERS THIS DESIGNATION
INDIVIDUALS WITH HISTORY OF MAJOR DEPRESSIVE DISORDER WHO MEET
ALL CRITERIA FOR HYPOMANIA EXCEPT DURATION (FOUR DAYS) TOO FEW
SYMPTOMS OF HYPOMANIA TO MEET CRITERIA FOR FULL BIPOLAR II
THE ICD-10 ONLY HAS ONE PAGE IT STATES: THE CLINICAL PICTURE IS
DOMINATED BY RELATIVELY STABLE, OFTEN PARANOID, DELUSIONS,
USUALLY ACCOMPANIED BY HALLUCINATIONS, PARTICULARLY OF THE
AUDITORY VARIETY IT ONLY LISTS 3 COMMON SYMPTOMS
DELUSIONS OF PERSECUTION, HALLUCINATORY VOICES, HALLUCINATIONS OF
SMELL OR TASTE
NEUROCOGNITIVE DISORDER
2 step
.0 Acute intoxication
.1 Harmful use
.2 Dependence syndrome
.3 Withdrawal state
.4 Withdrawal state with delirium
.5 Psychotic disorder
.6 Amnesic syndrome
.7 Residual and late-onset psychotic disorder
.8 Other mental and behavioural disorders
.9 Unspecified mental and behavioural
disorder
DSM-5 CLASSIFICATION
SUBSTANCE-RELATED AND ADDICTIVE DISORDERS
(481) (SAMPLE)
Alcohol use disorder
Specify if in early remission/ in sustained remission
Specify if in a controlled enviornment
Specify the severity:
ICD-9-CM ICD-10-CM Disorder, condition or problem
F33.2
F=MENTAL AND BEHAVIORAL DISORDERS
F30-39=MOOD (AFFECTIVE) DISORDERS
F33=RECURRENT DEPRESSIVE DISORDER
F33.2=RECURRENT DEPRESSIVE DISORDER, CURRENT EPISODE
SEVERE, WITHOUT PSYCHOTIC SYMPTOMS
ICD-9-CM: 296.3 MAJOR DEPRESSIVE DISORDER, RECURRENT
EPISODE
DSM-5 CODES: 296.33 MAJOR DEPRESSIVE DISORDER,
RECURRENT, SEVERE WITHOUT PSYCHOTIC FEATURES
(Goodheart, 2013)
ICD-10, ICD-9, DSM Coding
Structure
Sample 2: Anxiety
F40.01
F=MENTAL AND BEHAVIORAL DISORDERS
F40-F48=ANXIETY, DISSOCIATIVE, STRESS-RELATED,
SOMATOFORM
F40=PHOBIC ANXIETY DISORDERS
F40.0=AGORAPHOBIA
F40.01=AGORAPHOBIA WITH PANIC DISORDER
ICD-9-CM/DSM-IV CODE: 300.21 AGORAPHOBIA WITH
PANIC DISORDER
DSM-5: NO CATEGORY COMBINES AGORAPHOBIA AND
PANIC
(Goodheart, 2013)
ICD-11 CHANGES OVERVIEW
2017 WORLD HEALTH ASSEMBLY (WHA) ADOPTION
(Goodheart, 2013)
ICD-11: INVOLVEMENT OF PSYCHOLOGY
(Goodheart, 2013)
REFERENCES
WHO ICD-10 DESCRIPTION:
HTTP://WWW.WHO.INT/CLASSIFICATIONS/ICD/EN/
WHO BLUEBOOK:
HTTP://WWW.WHO.INT/CLASSIFICATIONS/ICD/EN/BLUEBOOK.PDF
ICD-10 BROWSER:
HTTP://APPS.WHO.INT/CLASSIFICATIONS/ICD10/BROWSE/2015/EN
ICD-10 INTERACTIVE SELF LEARNING TOOL:
HTTP://APPS.WHO.INT/CLASSIFICATIONS/APPS/ICD/ICD10TRAINING/
ICD-10 ONLINE SUPPORT:
HTTPS://SITES.GOOGLE.COM/SITE/ICD10ONLINETRAINING/
TRANSITION TO THE ICD-10-CM, APA PRACTICE CENTRAL:
HTTP://WWW.APAPRACTICECENTRAL.ORG/UPDATE/2012/02-09/TRANSITION.ASPX
ICD-10 CODE TRANSITION, MAGELLAN HEALTHCARE:
HTTP://WWW.MAGELLANPROVIDER.COM/GETTING-PAID/PREPARING-CLAIMS/ICD10-CODE-TR
ANSITION.ASPX
NATIONAL COUNCIL FOR BEHAVIORAL HEALTH:
HTTP://WWW.THENATIONALCOUNCIL.ORG/TOPICS/CODING-BEHAVIORAL-HEALTH-SERVICES/
HTTP://WWW.THENATIONALCOUNCIL.ORG/WP-CONTENT/UPLOADS/2013/01/ICD10_ONEPAGE
R.PDF
CENTERS FOR MEDICARE AND MEDICAID SERVICES:
HTTP://WWW.CMS.GOV/MEDICARE/CODING/ICD10/INDEX.HTML
HTTP://WWW.CMS.GOV/MEDICARE/CODING/ICD10/INDEX.HTML?REDIRECT=/ICD10/
HTTP://WWW.CMS.GOV/MEDICARE/CODING/ICD10/PROVIDERRESOURCES.HTML
CMS Road to 10
http://www.roadto10.org/
http://www.roadto10.org/webcasts/
AAPC ICD-10 Training:
https://www.aapc.com/icd-10/training.aspx
ICD-10-CM/PCS Basics for Clinical Documentation Improvement, American Health
Information Management Association Library,
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_050416.pdf
ICD-10 and DSM-5 Frequently Asked Questions, Minnesota Department of Human
Services:
http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Rev
isionSelectionMethod=LatestReleased&dDocName=dhs16_182682
Understanding ICD-10-CM and DSM-5, American Psychiatric Association:
https://www.appi.org/File%20Library/Products/APP_DSM5_Resources_Understanding_ICD
.pdf
Understanding ICD-10 Kareo:
http://www.kareo.com/documents/ICD10_eBook_Mental_Health.pdf
Understanding the ICD-10 The Clinicians Toolbox:
www.theclinicianstoolbox.com.
G40 Epilepsy
G41 Status epilepticus
G43 Migraine
G44 Other headache syndromes
G45 Transient cerebral ischaemic attacks and related syndromes
G46 Vascular syndromes of brain in cerebrovascular diseases
G47 Sleep disorders