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Sleep-Wake Disorders 407 Sleep-Wake Disorders The DSM-5 classification of sleep-wake disorders is intended for use by mental health and general medical clinicians (those caring for adult, geriatric, and pediatric individuals). Sleep-wake disorders encompass 10...

Sexual Dysfunctions 477 Sexual Dysfunctions Sexual dysfunctions include delayed ejaculation, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, genito-pelvic pain/penetration disorder, male hypoactive sexual desire disorder, ...

Gender Dysphoria 511 Gender Dysphoria In this chapter, there is one overarching diagnosis of gender dysphoria, with separate developmentally appropriate criteria sets for children and for adolescents and adults. The area of sex and gender is highly controversi...

Disruptive, Impulse-Control, and Conduct Disorders 521 Disruptive, Impulse-Control, and Conduct Disorders Disruptive, impulse-control, and conduct disorders include conditions involving problems in the self-control of emotions and behaviors. While other disord...

Substance-Related and Addictive Disorders 543 Substance-Related and Addictive Disorders The substance-related disorders encompass 10 separate classes of drugs: alcohol; caffeine; cannabis; hallucinogens (with separate categories for phencyclidine [or similarly...

Neurocognitive Disorders 667 Neurocognitive Disorders The neurocognitive disorders (NCDs) begin with delirium, followed by the syndromes of major NCD, mild NCD, and their etiological subtypes. The major or mild NCD subtypes are NCD due to Alzheimer’s disease; ...

Personality Disorders 733 Personality Disorders This chapter begins with a general definition of personality disorder that applies to each of the 10 specific personality disorders. A personality disorder is an enduring pattern of inner experience and behavior ...

Paraphilic Disorders 779 Paraphilic Disorders Paraphilic disorders included in this manual are voyeuristic disorder (spying on others in private activities), exhibitionistic disorder (exposing the genitals), frotteuristic disorder (touching or rubbing against ...

Other Mental Disorders and Additional Codes 803 Other Mental Disorders and Additional Codes This chapter provides diagnostic codes for psychiatric presentations that are mental disorders (i.e., symptoms cause clinically significant distress or impairment in so...

Medication-Induced Movement Disorders and Other Adverse Effects of Medication 807 Medication-Induced Movement Disorders and Other Adverse Effects of Medication Medication-induced movement disorders are included in Section II because of their frequent importanc...

Other Conditions That May Be a Focus of Clinical Attention 821 Other Conditions That May Be a Focus of Clinical Attention This chapter includes conditions and psychosocial or environmental problems that may be a focus of clinical attention or otherwise affect ...

Assessment Measures 841 Assessment Measures A growing body of scientific evidence favors dimensional concepts in the diagnosis of mental disorders. Limitations of a categorical approach to diagnosis include the failure to find zones of rarity between diagnoses...

Culture and Psychiatric Diagnosis 859 Culture and Psychiatric Diagnosis This chapter provides basic information on integrating culture and social context in clinical diagnoses, with sections on key terms, cultural formulation, and cultural concepts of distress...

Alternative DSM-5 Model for Personality Disorders 881 Alternative DSM-5 Model for Personality Disorders Provided as an alternative to the extant personality disorders classification in Section II, this hybrid dimensional-categorical model in Section III define...

Conditions for Further Study 903 Conditions for Further Study Proposed criteria sets are presented for conditions on which future research is encouraged. It is hoped that such research will allow the field to better understand these conditions and inform futur...

Chapter 1 How to Succeed in the Psychiatry Clerkship Why Spend Time on Psychiatry?.................................................................................................2 How to Behave on the Wards........................................................

Chapter 2 Examination and Diagnosis EXAMINATION AND CHAPTER 2 DIAGNOSIS History and Mental Status Examination....................................................................................10 Interviewing.......................................................

Chapter 3 Psychotic Disorders Psychosis..................................................................................................................................22 Delusions..................................................................................