DIAGNOSTIC AND STATISTICALMANUALOFMENTALDISORDERSFIFTH EDITIONDSM-5
DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS FIFTH EDITION DSM-5TM
American Psychiatric AssociationOfficers2012-2013PRESIDENT DILIP V.JESTE, M.DPRESIDENT-ELECT JEFFREY A.LIEBERMAN, M.DTREASURERDAVIDFASSLER,M.D.SECRETARY ROGER PEELE,M.DAssemblySPEAKERR.SCOTT BENSON,M.D.SPEAKER-ELECTMELINDAL.YOUNG,M.DBoard of TrusteesJEFFREY AKAKA,M.D.CAROLA.BERNSTEIN,M.DBRIAN CROWLEY, M.D.ANITA S. EVERETT, M.D.JEFFREY GELLER, M.D., M.P.HMARC DAVIDGRAFF,M.D.JAMES-A.GREENE,M.D.JUDITH F. KASHTAN, M.DMOLLY K. MCVOY, M.D.JAMES E.NININGER,M.D.JOHN M. OLDHAM, M.D.ALAN F.SCHATZBERG, M.DALIK S. WIDGE, M.D., PH.D.ERIK R. VANDERLIP, M.D.,MEMBER-IN-TRAININGTRUSTEE-ELECT
American Psychiatric Association Officers 2012-2013 President Dilip V. Jeste, M.D. President-Elect Jeffrey A. Lieberman, M.D. Treasurer David Fassler, M.D. Secretary Rcxser Peele, M.D. Assembly Speaker R. Scott Benson, M.D. Speaker-Elect Melinda L. Young, M.D. Board of Trustees Jeffrey Akaka, M.D. Carol A. Bernstein, M.D. BrL·^^ Crowley, M.D. Anita S. Everett, M.D. Jeffrey Geller, M.D., M.P.H. M ^ c David Graff, M.D. ' J ^ e&A. Gi^ eneVM.D. Judith F. Kashtan, M.D. Molly K. McVoy, M.D. James E. Nininger, M.D. John M. Oldham, M.D. Alan F. Schatzberg, M.D. Alik s . Widge, M.D., Ph .D. Erik R. Vanderlip, M.D., Member-in-Training Trustee-Elect
DIAGNOSTIC AND STATISTICALMANUALOFMENTALDISORDERSFIFTH EDITIONDSM-5New School Library1844AnercanDsvchiatricPublishingWashington,DCLondon,England
DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS7 FIFTH EDITION DSM-5TM New School Library /«44 Amcriccin Osvchiatric ADivi«ono(AmCT»MlVhijtiKAMod<tk>n W ashington, DC London, England
Copyright2013AmericanPsychiatricAssociationDSM and DSM-5 are trademarks of the American Psychiatric Association.Use of these termsisprohibited withoutpermission oftheAmerican Psychiatric Association.ALLRIGHTS RESERVED.Unless authorized inwritingbythe APA,nopart of this book maybereproduced orused in amanner inconsistentwith theAPA's copyright.This prohibitionappliestounauthorized uses orreproductions in anyform,includingelectronic applications.Correspondence regarding copyright permissions should be directed to DSM Permissions,American Psychiatric Publishing,i000Wilson Boulevard,Suite1825,Arlington,VA22209-3901.Manufactured in theUnited StatesofAmerica onacid-freepaper.ISBN 978-0-89042-554-1 (Hardcover)ISBN978-0-89042-555-8 (Paperback)AmericanPsychiatricAssociation1000 Wilson BoulevardArlington,VA22209-3901www.psych.orgThe correct citation for this book is American Psychiatric Association: Diagnostic and Statisti-cal Manual of Mental Disorders,FifthEdition.Arlington,VA,American Psychiatric Associa-tion,2013.Library of Congress Cataloging-in-PublicationDataDiagnostic and statistical manual ofmental disorders:DSM-5.-5thed.p.;cm.DSM-5DSM-VIncludes indexISBN 978-0-89042-554-1 (hardcover :alk.paper)—ISBN 978-0-89042-555-8 (pbk.:alk.paper)I.American Psychiatric Association: II.AmericanPsychiatric Association.DSM-5Task ForceIII. Title: DSM-5.IV.Title: DSM-V.[DNLM:1.Diagnostic and statistical manual of mental disorders.5th ed.2.Mental Disorders-classification.3.Mental Disorders—diagnosis. WM 15]RC455.2.C4616.89'075—dc232013011061British Library Cataloguing in PublicationDataRCACIPrecord isavailablefromtheBritishLibrary455TextDesign—TammyJ.CordovaManufacturing--Edwards Brothers Malloy.Q.C4PEA7013
Copyright © 2013 American Psychiatric Association DSM and DSM-5 are trademarks of the American Psychiatric Association. Use of these terms is prohibited without permission of the American Psychiatric Association. ALL RIGHTS RESERVED. Unless authorized in writing by the APA, no part of this book may be reproduced or used in a manner inconsistent with the APA's copyright. This prohibition apphes to unauthorized uses or reproductions in any form, including electronic applications. Correspondence regarding copyright permissions should be directed to DSM Permissions, American Psychiatric Publishing, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209 3901. Manufactured in the United States of America on acid-free paper. ISBN 978-0-89042-554-1 (Hardcover) ISBN 978-0-89042-555-8 (Paperback) American Psychiatric Association 1000 Wilson Boulevard Arlington, VA 22209-3901 www.psych.org The correct citation for this book is American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013. Library of Congress Cataloging-in-Publication Data Diagnostic and statistical manual of mental disorders : DSM-5. — 5th ed. p. ; cm. DSM-5 DSM-V Includes index. ISBN 978-0-89042-554-1 (hardcover : alk. paper) — ISBN 978-0-89042-555-8 (pbk. : alk. paper) I. American Psychiatric Association. II. American Psychiatric Association. DSM-5 Task Force, m. Title: DSM-5. IV. Title: DSM-V. [DNLM: 1. Diagnostic and statistical manual of mental disorders. 5th ed. 2. Mental Disorders— classification. 3. Mental Disorders—diagnosis. WM 15] RC455.2.C4 616.89Ό75—dc23 2013011061 British Library Cataloguing in Publication Data ^ n A CIP record is available from the British Library. ^ Text Design—Tammy J. Cordova Manufacturing—Edwards Brothers Malloy ^ cH
ContentsxiliDSM-5Classification..xliPreface.Section IDSM-5Basics.5Introduction..19Use of the ManualCautionaryStatementforForensicUseofDSM-5..25Section IIDiagnostic Criteria and Codes.31NeurodevelopmentalDisordersSchizophreniaSpectrumandOtherPsychotic Disorders....87..123BipolarandRelatedDisorders...155DepressiveDisorders...189AnxietyDisorders.Obsessive-CompulsiveandRelatedDisorders..235.265Trauma-andStressor-RelatedDisorders.Dissociative Disorders.291.309SomaticSymptomandRelatedDisordersFeeding and Eating Disorders ....329.355EliminationDisorders.Sleep-WakeDisorders.:..361Sexual Dysfunctions..423GenderDysphoria...451
Contents DSM-5 Classification.xiii Preface. xli Section I DSM-5 Basics Introduction. 5 Use of the Manual.19 Cautionary Statement for Forensic Use of DSM-5. 25 Section II Diagnostic Criteria and Codes Neurodevelopmental Disorders. 31 Schizophrenia Spectrum and Other Psychotic Disorders.87 Bipolar and Related Disorders. 123 Depressive Disorders.155 Anxiety Disorders.189 Obsessive-Compulsive and Related Disorders. 235 Trauma- and Stressor-Related Disorders.265 Dissociative Disorders.291 Somatic Symptom and Related Disorders.309 Feeding and Eating Disorders. 329 Elimination Disorders.355 Sleep-Wake Disorders.361 Sexual Dysfunctions.423 Gender Dysphoria.451