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ICD-10 schizophrenia © SPMM Course of onset of psychosis o Onset of illness prior to age 40 ICD-10 schizophrenia ICD 10 description of schizophrenia is largely based on Schneider’s  first-rank symptoms. Kurt Schneider described a number of symptoms which he be...

Contrasting DSM-IV and ICD-10 © SPMM Course florid symptoms such as delusions and hallucinations have been minimal or substantially reduced and absence of organic brain disease or disorder”. Post schizophrenic depression is classed under F20s. Some schizophren...

Various atypical psychotic disorders © SPMM Course does not negate diagnosis. It is also called symbiotic psychosis or folie a deux. It is more common in couples and often involves nonbizarre delusions. Schizoaffective disorder is placed with F20 (psychoses) n...

5. Classification of mood disorders

Depressive disorder

Bipolar affective disorder (BPAD) © SPMM Course 5. Classification of mood disorders Depressive disorder DSM-IV Major Depressive Disorder ICD 10 Depressive disorder Duration: Most of the day, nearly every day for at least two weeks. Duration of at least two wee...

Other affective disorders © SPMM Course o Rapid cycling: When at least four episodes of bipolar disorder occur within a period of one year, the condition is described  as  ‘rapid  cycling’.  Some  patients  with BPAD have more than 4 episodes per year; they ar...

6. Classification of Neurotic Disorders

Generalised anxiety disorder (GAD) © SPMM Course 6. Classification of Neurotic Disorders Though the term ‘neurotic’  is retained, neurosis is not a major organising principle for classification in ICD10. DSM abandoned the name completely in 1994. In ICD-10, ‘N...

Panic disorder © SPMM Course 6. Other: exaggerated responses to minor surprises/being startled; concentration difficulties/mind going blank due to worry or anxiety; persistent irritability; difficulty getting to sleep due to worrying (List adapted from Oxford ...

Phobic anxiety disorders © SPMM Course primary diagnosis, with panic disorder being a qualifier for subcategorisation, in addition to being a diagnostic entity on its own but to be used only when no phobic disorder is notable. Phobic anxiety disorders Accordin...

Obsessive-compulsive disorder © SPMM Course patient may drop fainting with low BP and bradycardia. There is a high prevalence of the condition among first-degree relatives of affected people (Marks 1988) About 5% of adults have a fear of the dental procedures....

Reactions to severe stress

Acute stress reaction

Adjustment disorder © SPMM Course DSM-IV describes OCD as an anxiety disorder along with GAD and PTSD. A change has been made in DSM-V (see the accompanying box) Reactions to severe stress Acute stress reaction Acute stress reaction (ICD) usually starts in an ...

Posttraumatic stress disorder

Dissociative (conversion) disorders © SPMM Course Posttraumatic stress disorder The term PTSD denotes an intense prolonged and sometimes delayed reaction to an intensely stressful event. The essential features are hyperarousal, re-experiencing of aspects of th...

Somatoform disorders © SPMM Course pain disorder are classified along with the somatoform disorder. In other words, all motor/sensory presentations are classed as conversion while memory/personality presentations are retained in dissociation category. Somnambu...