.461Disruptive, Impulse-Control, and Conduct Disorders.....481Substance-Related and Addictive Disorders...591Neurocognitive Disorders..645PersonalityDisorders..685ParaphilicDisorders..707OtherMental Disorders.Medication-InducedMovementDisorders.709andOtherAdverseEffectsofMedicationOther Conditions That May Be a Focus of Clinical Attention..715Section lllEmergingMeasuresandModels.733AssessmentMeasures...749Cultural Formulation....761AlternativeDSM-5ModelforPersonalityDisorders..783ConditionsforFurtherStudy.Appendix.809HighlightsofChangesFromDSM-IVtoDSM-5...817GlossaryofTechnicalTerms..833Glossaryof Cultural Conceptsof Distress.AlphabeticalListingof DSM-5Diagnosesand Codes.839(ICD-9-CMandICD-10-CM)...Numerical Listing ofDSM-5Diagnoses and Codes.863(ICD-9-CM) .:NumericalListingofDSM-5DiagnosesandCodes..877(ICD-10-CM) ..897DSM-5AdvisorsandOtherContributors.917Index
Disruptive, Impulse-Control, and Conduct Disorders.461 Substance-Related and Addictive Disorders. 481 Neurocognitive Disorders. 591 Personality Disorders.645 Paraphilic Disorders.685 Other Mental Disorders.707 Medication-Induced Movement Disorders and Other Adverse Effects of Medication. 709 Other Conditions That May Be a Focus of Clinical Attention . 715 Section III Emerging Measures and Models Assessment Measures.733 Cultural Formulation.749 Alternative DSM-5 Model for Personality Disorders.761 Conditions for Further Study. 783 Appendix Highlights of Changes From DSM-IV to DSM-5. 809 Glossary of Technical Terms. 817 Glossary of Cultural Concepts of Distress.833 Alphabetical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM and ICD-10-CM). 839 Numerical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM). 863 Numerical Listing of DSM-5 Diagnoses and Codes (ICD-10-CM).877 DSM-5 Advisors and Other Contributors.897 Index. 917
DSM-5TaskForceDAVIDJ.KUPFER,M.DTaskForceChairDARRELA.REGIER.M.D.M.PHTask Force Vice-ChairWilliam E.Narrow, M.D., M.P.H.SusanK.Schultz, M.D., Text EditorResearch DirectorEmily A. Kuhl, Ph.D., APA Text EditorCharles P. O'Brien, M.D., Ph.D.Dan G.Blazer,M.D.,Ph.D.,M.P.HJack D. Burke Jr., M.D., M.P.H.Roger Peele, M.D.William T.Carpenter Jr., M.D.Katharine A. Phillips, M.D.F. Xavier Castellanos, M.D.Daniel S. Pine, M.DWilson M. Compton, M.D., M.P.E.Charles F. Reynolds III, M.D.Joel E.Dimsdale,M.DMaritza Rubio-Stipec, Sc.D.Javier I. Escobar, M.D., M.ScDavid Shaffer,M.DJan A. Fawcett, M.D.Andrew E. Skodol II, M.D.Bridget F. Grant, Ph.D., Ph.D. (2009-)SusanE.Swedo,M.DSteven E.Hyman, M.D.(2007-2012)B.Timothy Walsh, M.DDilip V.Jeste, M.D.(2007-2011)Philip Wang,M.D., Dr.P.H.(2007-2012)Helena C. Kraemer, Ph.D.William M. Womack, M.D.Daniel T. Mamah, M.D., M.P.E.Kimberly A. Yonkers, M.D.James P. McNulty,A.B., Sc.B.Kenneth J. Zucker, Ph.DHoward B. Moss, M.D. (2007-2009)Norman Sartorius, M.D.,Ph.D.,ConsultantAPADivisionofResearchStaffonDSM-5Darrel A. Regier, M.D., M.P.H.,Jennifer J.Shupinka,AssistantDirector,Director,Division of ResearchDSM OperationsWilliam E. Narrow, M.D., M.P.H.,Seung-Hee Hong, DSM Senior ResearchAssociate DirectorAssociateAnne R. Hiller, DSM Research AssociateEmily A. Kuhl, Ph.D., Senior ScienceWriter; Staff Text EditorAlisonS.Beale,DSMResearchAssociateDiana E. Clarke, Ph.D., M.Sc.,ResearchSpencer R.Case, DSM Research AssociateStatisticianJoyce C. West, Ph.D., M.P.P.,Lisa H. Greiner, M.S.S.A., DSM-5 FieldHealthPolicyResearchDirector,PracticeResearch NetworkTrials Project ManagerEve K. Moscicki, Sc.D., M.P.H.,Farifteh F. Duffy, Ph.D.,Director,Practice Research NetworkQualityCareResearchDirector,PracticeS. Janet Kuramoto, Ph.D. M.H.S.,ResearchNetworkSenior Scientific Research Associate,Lisa M. Countis, Field OperationsPractice Research NetworkManager,Practice ResearchNetworkAmy Porfiri, M.B.AChristopher M. Reynolds,Director of Financeand AdministrationExecutiveAssistantAPAOfficeoftheMedicalDirectorJAMES H. SCULLY JR., M.D.MedicalDirectorandCEO
DSM-5 Task Force David J. Kupfer, M.D. Task Force Chair Darrel A. Regier, M.D., M.P.H. Task Force Vice-Chair William E. Narrow, M.D., Research Director Dan G. Blazer, M.D., Ph.D., M.P.H. Jack D. Burke Jr., M.D., M.P.H. William T. Carpenter Jr., M.D. F. Xavier Castellanos, M.D. Wilson M. Compton, M.D., M.P.E. Joel E. Dimsdale, M.D. Javier I. Escobar, M.D., M.Sc. Jan A. Fawcett, M.D. Bridget F. Grant, Ph.D., Ph.D. (2009-) Steven E. Hyman, M.D. (2007-2012) Dilip V. Jeste, M.D. (2007-2011) Helena C. Kraemer, Ph.D. Daniel T. Mamah, M.D., M.P.E. James P. McNulty, A.B., Sc.B. Howard B. Moss, M.D. (2007-2009) Susan K. Schultz, M.D., Text Editor Emily A. Kuhl, Ph.D., APA Text Editor Charles P. O'Brien, M.D., Ph.D. Roger Peele, M.D. Katharine A. Phillips, M.D. Daniel S. Pine, M.D. Charles F. Reynolds III, M.D. Maritza Rubio-Stipec, Sc.D. David Shaffer, M.D. Andrew E. Skodol II, M.D. Susan E. Swedo, M.D. B. Timothy Walsh, M.D. Philip Wang, M.D., Dr.P.H. (2007-2012) William M. Womack, M.D. Kimberly A. Yonkers, M.D. Kenneth J. Zucker, Ph.D. Norman Sartorius, M.D., Ph.D., Consultant APA Division of Research Staff on DSIVI-5 Darrel A. Regier, M.D., M.P.H., Director, Division of Research William E. Narrow, M.D., M.P.H., Associate Director Emily A. Kuhl, Ph.D., Senior Science Writer; Staff Text Editor Diana E. Clarke, Ph.D., M.Sc., Research Statistician Lisa H. Greiner, M.S.S.A., DSM-5 Field Trials Project Manager Eve K. Moscicki, Sc.D., M.P.H., Director, Practice Research Network S. Janet Kuramoto, Ph.D. M.H.S., Senior Scientific Research Associate, Practice Research Network Amy Porfiri, M.B.A. Director of Finance and Administration Jennifer J. Shupinka, Assistant Director, DSM Operations Seung-Hee Hong, DSM Senior Research Associate Anne R. Hiller, DSM Research Associate Alison S. Beale, DSM Research Associate Spencer R. Case, DSM Research Associate Joyce C. West, Ph.D., M.P.P., Health Policy Research Director, Practice Research Network Farifteh F. Duffy, Ph.D., Quality Care Research Director, Practice Research Network Lisa M. Countis, Field Operations Manager, Practice Research Network Christopher M. Reynolds, Executive Assistant APA Office of the IVIedlcal Director James H. S c u lly Jr., M.D. Medical Director and CEO
EditorialandCodingConsultantsMichael B. First, M.DMaria N.Ward, M.Ed., RHIT,CCS-PDSM-5WorkGroupsADHDandDisruptiveBehaviorDisordersDAVID SHAFFER, M.D.ChairF.XAVIER CASTELLANOS, M.DCo-ChairPaul J.Frick, Ph.D.,Text CoordinatorLuis Augusto Rohde, M.D., Sc.DGlorisa Canino, Ph.D.Rosemary Tannock, Ph.D.Terrie E. Moffitt, Ph.DEric A. Taylor, M.B.Richard Todd, Ph.D., M.D. (d. 2008)Joel T. Nigg, Ph.D.Anxiety, Obsessive-Compulsive Spectrum, Posttraumatic,and Dissociative DisordersKATHARINE A. PHILLIPS, M.D.ChairMichelle G. Craske, Ph.D., TextScott L. Rauch, M.DH. Blair Simpson, M.D., Ph.D.CoordinatorDavid Spiegel, M.D.J. Gavin Andrews, M.D.Susan M. Bogels, Ph.DDan J. Stein, M.D., Ph.D.Murray B. Stein, M.DMatthewJ.Friedman,M.D.,Ph.DEricHollander,M.D.(2007-2009)Robert J. Ursano, M.DRobertoLewis-Fernandez,M.D.,M.T.SHans-UlrichWittchen,Ph.DRobert S. Pynoos, M.D., M.P.H.Childhood and Adolescent DisordersDANIEL S. PINE, M.DChairRonald E. Dahl, M.D.James F. Leckman, M.D.E. Jane Costello, Ph.D.(2007-2009)EllenLeibenluft,M.DRegina Smith James, M.D.Judith H. L. Rapoport, M.D.Rachel G. Klein, Ph.DCharles H. Zeanah, M.D.Eating DisordersB. TIMOTHY WALSH, M.D.ChairStephen A. Wonderlich, Ph.D.Richard E. Kreipe, M.D.Text CoordinatorMarshaD.Marcus,Ph.DEvelyn Attia, M.D.James E.Mitchell, M.DAnne E. Becker, M.D., Ph.D., Sc.M.Ruth H. Striegel-Moore, Ph.D.Rachel Bryant-Waugh, M.D.G.TerenceWilson,Ph.DHans W.Hoek, M.D., Ph.DBarbara E. Wolfe, Ph.D. A.P.R.N
Editorial and Coding Consultants Michael B. First, M.D. Maria N. Ward, M.Ed., RHIT, CCS-P DSM-5 Work Groups ADHD and Disruptive Behavior Disorders David Shaffer, M.D. Chair F. Xavier Castellanos, M.D. Co-Chair Paul J. Frick, Ph.D., Text Coordinator Luis Augusto Rohde, M.D., Sc.D. Glorisa Canino, Ph.D. Rosemary Tannock, Ph.D. Terrie E. Moffitt, Ph.D. Eric A. Taylor, M.B. Joel T. Nigg, Ph.D. Richard Todd, Ph.D., M.D. (d. 2008) Anxiety, Obsessive-Compulsive Spectrum, Posttraumatic, and Dissociative Disorders Katharine A. Phillips, M.D. Chair Michelle G. Craske, Ph.D., Text Scott L. Rauch, M.D. Coordinator H. Blair Simpson, M.D., Ph.D. J. Gavin Andrews, M.D. David Spiegel, M.D. Susan M. Bögels, Ph.D. Dan J. Stein, M.D., Ph.D. Matthew J. Friedman, M.D., Ph.D. Murray B. Stein, M.D. Eric Hollander, M.D. (2007-2009) Robert J. Ursano, M.D. Roberto Lewis-Fernandez, M.D., M.T.S. Hans-Ulrich Wittchen, Ph.D. Robert S. Pynoos, M.D., M.P.H. Childhood and Adolescent Disorders Daniel S. Pine, M.D. Chair Ronald E. Dahl, M.D. James F. Leckman, M.D. E. Jane Costello, Ph.D. (2007-2009) Ellen Leibenluft, M.D. Regina Smith James, M.D. Judith H. L. Rapoport, M.D. Rachel G. Klein, Ph.D. Charles H. Zeanah, M.D. Eating Disorders B. Timothy Walsh, M.D. Chair Stephen A. Wonderlich, Ph.D., Richard E. Kreipe, M.D. Text Coordinator Marsha D. Marcus, Ph.D. Evelyn Attia, M.D. James E. Mitchell, M.D. Anne E. Becker, M.D., Ph.D., Sc.M. Ruth H. Striegel-Moore, Ph.D. Rachel Bryant-Waugh, M.D. G. Terence Wilson, Ph.D. Hans W. Hoek, M.D., Ph.D. Barbara E. Wolfe, Ph.D. A.P.R.N
Mood DisordersJANA.FAWCETT,M.D.ChairEllen Frank, Ph.D.,Text CoordinatorKenneth S. Kendler, M.D., Ph.D.JulesAngst,M.D.(2007-2008)(2007-2010)William H. Coryell, M.D.Mario Maj, M.D., Ph.D.Husseini K.Manji, M.D.(2007-2008)Lori L. Davis, M.DRaymond J.DePaulo, M.DMichael R.Phillips,M.DSir David Goldberg, M.D.Trisha Suppes, M.D., Ph.D.James S. Jackson, Ph.D.Carlos A. Zarate,M.DNeurocognitive DisordersDILIP V.JESTE, M.D. (2007-2011)Chair EmeritusDANG.BLAZER,M.D.,PH.D.,M.P.H.ChairRONALD C.PETERSEN, M.D., PH.D.Co-ChairMary Ganguli, M.D.,M.P.H.Igor Grant, M.D.Eric J. Lenze, M.DText CoordinatorDeborah Blacker, M.D.,Sc.D.Jane S. Paulsen, Ph.D.WarachalFaison,M.D.(2007-2008)PerminderS.Sachdev,M.D.,Ph.DNeurodevelopmental DisordersSUSAN E. SWEDO, M.DChairGillian Baird, M.A., M.B., B.Chir.,Catherine E. Lord, Ph.DText CoordinatorJosephPiven,M.DEdwin H. Cook Jr., M.D.Sally J. Rogers, Ph.D.Francesca G. Happe, Ph.DSarah J. Spence, M.D., Ph.D.James C. Harris, M.D.Fred Volkmar,M.D. (2007-2009)WalterE.Kaufmann,M.D.AmyM.Wetherby,Ph.DBryan H. King, M.D.Harry H. Wright, M.D.PersonalityandPersonalityDisorderslANDREW E. SKODOL, M.D.ChairJOHN M.OLDHAM, M.DCo-ChairRobert F.Krueger, Ph.D., TextLee Anna Clark, Ph.DCoordinatorW.John Livesley,M.D.,Ph.D.(2007-2012)Renato D. Alarcon, M.D., M.P.H.Leslie C. Morey, Ph.D.Carl C. Bell, M.DLarry J. Siever, M.D.Donna S. Bender, Ph.DRoel Verheul, Ph.D. (2008-2012)IThemembers of the Personality and PersonalityDisorders Work Group are responsiblefor thealternative DSM-5 model for personality disorders that is included in Section IIl.The Section IIpersonality disorders criteria and text (with updating of the text) are retained fromDSM-IV-TR
Mood Disorders Ja n a . F a w ce tt, M.D. Chair Ellen Frank, Ph.D., Text Coordinator Jules Angst, M.D. (2007-2008) William H. Coryell, M.D. Lori L. Davis, M.D. Raymond J. DePaulo, M.D. Sir David Goldberg, M.D. James S. Jackson, Ph.D. Kenneth S. Kendler, M.D., Ph.D. (2007-2010) Mario Maj, M.D., Ph.D. Husseini K. Manji, M.D. (2007-2008) Michael R. Phillips, M.D. Trisha Suppes, M.D., Ph.D. Carlos A. Zarate, M.D. Neurocognitive Disorders Dilip V. Jeste, M.D. (2007-2011) Chair Emeritus Dan G. Blazer, M.D., Ph .D., M.P.H. Chair R o n a ld C. P etersen, M.D., Ph.D. Co-Chair Mary Ganguli, M.D., M.P.H., Text Coordinator Deborah Blacker, M.D., Sc.D. Warachal Faison, M.D. (2007-2008) Igor Grant, M.D. Eric J. Lenze, M.D. Jane S. Paulsen, Ph.D. Perminder S. Sachdev, M.D., Ph.D. Neurodevelopmental Disorders Susan E. Swedo, M.D. Chair Gillian Baird, M.A., M.B., B.Chir., Text Coordinator Edwin H. Cook Jr., M.D. Francesca G. Happé, Ph.D. James C. Harris, M.D. Walter E. Kaufmann, M.D. Bryan H. King, M.D. Catherine E. Lord, Ph.D. Joseph Piven, M.D. Sally J. Rogers, Ph.D. Sarah J. Spence, M.D., Ph.D. Fred Volkmar, M.D. (2007-2009) Amy M. Wetherby, Ph.D. Harry H. Wright, M.D. Personality and Personality Disorders^ Andrew E. Skodol, M.D. Chair John M. Oldham, M.D. Co-Chair Robert F. Krueger, Ph.D., Text Coordinator Renato D. Alarcon, M.D., M.P.H. Carl C. Bell, M.D. Donna S. Bender, Ph.D. Lee Anna Clark, Ph.D. W. John Livesley, M.D., Ph.D. (2007-2012) Leslie C. Morey, Ph.D. Larry J. Siever, M.D. Roel Verheul, Ph.D. (2008-2012) ^ The members of the Personality and Personality Disorders Work Group are responsible for the alternative DSM-5 model for personality disorders that is included in Section III. The Section II personality disorders criteria and text (with updating of the text) are retained from DSM-IV-TR
Psychotic DisordersWILLIAM T. CARPENTER JR., M.D.ChairDeanna M. Barch, Ph.D., TextDolores Malaspina, M.D., M.S.P.H.CoordinatorMichael J.Owen, M.D., Ph.D.Juan R. Bustillo, M.D.Susan K. Schultz, M.D.Wolfgang Gaebel, M.DRajiv Tandon, M.D.Raquel E. Gur, M.D., Ph.D.Ming T.Tsuang,M.D., Ph.DStephan H. Heckers, M.D.Jim van Os, M.DSexual and Gender IdentityDisordersKENNETH J. ZUCKER, PH.DChairLoriBrotto,Ph.D.,TextCoordinatorMartin P. Kafka, M.D.Richard B. Krueger, M.D.IrvingM.Binik,Ph.D.Ray M. Blanchard, Ph.D.Niklas Langstrom, M.D., Ph.D.Peggy T.Cohen-Kettenis, Ph.D.Heino F.L. Meyer-Bahlburg, Dr. rer. nat.Jack Drescher, M.D.Friedemann Pfafflin,M.D.Cynthia A. Graham, Ph.D.Robert Taylor Segraves, M.D., Ph.DSleep-Wake DisordersCHARLES F. REYNOLDS III, M.D.ChairKathy P. Parker, Ph.D., R.N.Ruth M. O'Hara, Ph.D., Text CoordinatorCharles M.Morin,Ph.DSusanRedline,M.D.,M.P.HAllan I. Pack, Ph.D.Dieter Riemann, Ph.D.SomaticSymptomDisordersJOEL E.DIMSDALE, M.D.ChairJames L. Levenson, M.D., TextMichael R. Irwin, M.DCoordinatorFrancis J. Keefe, Ph.D. (2007-2011)Arthur J. Barsky III, M.D.Sing Lee, M.D.Michael Sharpe, M.D.Francis Creed, M.D.NancyFrasure-Smith,Ph.D.(2007-2011)Lawson R. Wulsin, M.DSubstance-Related DisordersCHARLES P.O'BRIEN, M.D., PH.D.ChairTHOMASJ.CROWLEY,M.DCo-ChairThomas R.Kosten,M.D.(2007-2008)Wilson M.Compton, M.D., M.P.E.,Text CoordinatorWalter Ling, M.D.Marc Auriacombe, M.DSperoM.Manson,Ph.D.(2007-2008)Guilherme L. G. Borges, M.D., Dr.Sc.A. Thomas McLellan, Ph.D. (2007-2008)Kathleen K. Bucholz, Ph.D.Nancy M. Petry, Ph.D.Alan J. Budney, Ph.D.Marc A. Schuckit, M.DBridget F. Grant, Ph.D., Ph.D.Wim van den Brink, M.D., Ph.D.Deborah S. Hasin, Ph.D(2007-2008)
Psychotic Disorders William T. Carpenter Jr., M.D. Chair Deanna M. Barch, Ph.D., Text Dolores Malaspina, M.D., M.S.P.H. Coordinator Michael J. Owen, M.D., Ph.D. Juan R. Bustillo, M.D. Susan K. Schultz, M.D. Wolfgang Gaebel, M.D. Rajiv Tandon, M.D. Raquel E. Gur, M.D., Ph.D. Ming T. Tsuang, M.D., Ph.D. Stephan H. Heckers, M.D. Jim van Os, M.D. Sexual and Gender Identity Disorders Kenneth J. Zucker, Ph .D. Chair Lori Brotto, Ph.D., Text Coordinator Martin P. Kafka, M.D. Irving M. Binik, Ph.D. Richard B. Krueger, M.D. Ray M. Blanchard, Ph.D. Niklas Langström, M.D., Ph.D. Peggy T. Cohen-Kettenis, Ph.D. Heino F.L. Meyer-Bahlburg, Dr. rer. nat. Jack Drescher, M.D. Friedemann Pfäfflin, M.D. Cynthia A. Graham, Ph.D. Robert Taylor Segraves, M.D., Ph.D. Sleep-Wake Disorders C harles F. Reynolds III, M.D. Chair Ruth M. O'Hara, Ph.D., Text Coordinator Kathy P. Parker, Ph.D., R.N. Charles M. Morin, Ph.D. Susan Redline, M.D., M.P.H. Allan I. Pack, Ph.D. Dieter Riemann, Ph.D. Somatic Symptom Disorders Joel E. Dimsdale, M.D. Chair James L. Levenson, M.D., Text Michael R. Irwin, M.D. Coordinator Francis J. Keefe, Ph.D. (2007-2011) Arthur J. Barsky III, M.D. Sing Lee, M.D. Francis Creed, M.D. Michael Sharpe, M.D. Nancy Frasure-Smith, Ph.D. (2007-2011) Lawson R. Wulsin, M.D. Substance-Related Disorders Charles P. O 'Brien, M.D., Ph .D. Chair Thomas J. Crowley, M.D. Co-Chair Wilson M. Compton, M.D., M.P.E., Thomas R. Kosten, M.D. (2007-2008) Text Coordinator Walter Ling, M.D. Marc Auriacombe, M.D. Spero M. Manson, Ph.D. (2007-2008) Guilherme L. G. Borges, M.D., Dr .Sc. A. Thomas McLellan, Ph.D. (2007-2008) Kathleen K. Bucholz, Ph.D. Nancy M. Petry, Ph.D. Alan J. Budney, Ph.D. Marc A. Schuckit, M.D. Bridget F. Grant, Ph.D., Ph.D. Wim van den Brink, M.D., Ph.D. Deborah S. Hasin, Ph.D. (2007-2008)