293096494.Pdf

h IC0 Clftn f Mntl nd hvrl rdr

nt rtr fr rrh

Wrld lth Ornztn Gnv eie 1997 3

WO iay Caaoguig i uicaio aa

e IC-1 cassiicaio o mea a eaioua isoes iagosic cieia o eseac

1 Mea isoes — cassiicaio Mea isoes — iagosis

IS 9 1555 (M Cassiicaio WM 15

A igs esee uicaios o e Wo ea Ogaiaio ca e oaie om Makeig a issemiaio Wo ea Ogaiaio Aeue Aia 111 Geea 7 Swiea (e +1 791 7; a +1 791 57; emai ookoeswoi equess o emissio o eouce o asae WO uicaios—wee o sae o o ocommecia isiuio—sou e aesse o uicaios a e aoe aess (a +1 791 ; emai emissios woi

e esigaios emoye a e eseaio o e maeia i is uicaio o o imy e eessio o ay oiio wasoee o e a o e Seceaia o e Wo ea Ogaiaio coceig e ega saus o ay couy eioy ciy o aea o o is auoiies o coceig e eimiaio o is oies o ouaies

e meio o seciic comaies o o seciic mauacues oucs oes o imy a ey ae eose o ecommee y e Wo ea Ogaiaio i eeece o oes o a simia aue a ae o meioe Eos a omissios ecee e ames o oieay oucs ae isiguise y iiia caia ees

e Wo ea Ogaiaio oes o waa a e iomaio coaie i is uicaio is comee a coec a sa o e iae o ay amages icue as a esu o is use

ie i Swiea

eie i Maa 93/91 — 9/1111 — 1 /19 — Iei — 1 Cntnt

eace

Ackowegemes

oes o uses 1

IC-1 Cae ( a associae iagosic isumes

is o caegoies 5

iagosic cieia o eseac 7

Ae 1 oisioa cieia o seece isoes 173

Ae Cuue-seciic isoes 17

is o iiiua ees 19

is o ie ia cooiaig cees ie ia cees eoig o em a iesigaos 191

Ie 3

iii

I e eay 19s e Mea ea ogamme o e Wo ea Ogaia- io (WO ecame aciey egage i a ogamme aimig o imoe e iagosis a cassiicaio o mea isoes A a ime WO coee a seies o meeigs o eiew kowege aciey ioig eeseaies o iee isciies aious scoos o oug i syciay a a as o e wo i e ogamme I simuae a couce eseac o cieia o cassiicaio a o eiaiiy o iagosis a ouce a omugae oceues o oi aig o ieoae ieiews a oe useu eseac meos umeous oosas o imoe e cassiicaio o mea isoes esue om e eesie cosuaio ocess a ese wee use i a- ig e Eig eisio o e Ieaioa Cassiicaio o iseases (IC- A gossay eiig eac caegoy o mea isoe i IC- was eeoe e ogamme aciiies aso esue i e esaisme o a ewok o iiiuas a cees wo coiue o wok o issues eae o e imoeme o syciaic cassiicaio (1, 2).

e 197s saw ue gow o iees i imoig syciaic cassiicaio wowie Easio o ieaioa coacs e ueakig o seea ieaioa coaoaie suies a e aaiaiiy o ew eames a coiue o is e Seea aioa syciaic oies ecouage e eeome o seciic cieia o cassiicaio i oe o imoe iagosic eiaiiy I aicua e Ameica syciaic Associaio eeoe a omugae is i eisio o e iagosic a Saisica Maua wic icooae oeaioa cieia io is cassiicaio sysem

I 197 WO eee io a og-em coaoaie oec wi e Acoo ug Ause a Mea ea Amiisaio (AAMA i e USA aimig o aciiae ue imoemes i e cassiicaio a iagosis o mea isoes a acoo- a ug-eae oems (3). A seies o woksos oug ogee scieiss om a ume o iee syciaic aiios a cuues eiewe kowege i seciie aeas a eeoe ecommeaios o uue eseac A mao ieaioa coeece o cassiicaio a iagosis was e i Coeage emak i 19 o eiew e ecommeaios a emege om ese woksos a o ouie a eseac agea a guieies o uue wok (4). MEA A EAIOUA ISOES: IAGOSIC CIEIA

Seea mao eseac eos wee ueake o imeme e ecommeaios o e Coeage coeece Oe o em ioig cees i 17 couies a as is aim e eeome o e Comosie Ie- aioa iagosic Ieiew a isume suiae o coucig eiemioogica suies o mea isoes i geea ouaio gous i iee couies (S, 6). Aoe mao oec ocuse o eeoig a assessme isume suiae o use y ciicias (Sceues o Ciica Assessme i euosyciay (7 Si aoe suy was iiiae o eeo a isume o e assessme o esoaiy isoes i iee couies (e Ieaioa esoaiy isoe Eamiaio (8).

I aiio seea eicos ae ee o ae eig eae o oie cea eiiios o ems (9 A muuay eeicia eaiosi eoe ewee ese oecs a e wok o eiiios o mea a eaioua isoes i e e eisio o e International Statistical Classification of Diseases and Related Health Problems (IC-1 (10). Coeig iagosic cieia io iagosic agoims icooae i e assessme isumes was useu i ucoeig icosisecies amiguiies a oea a aowig ei emoa e wok o eiig e IC-1 aso ee o sae e assessme isumes e ia esu was a cea se o cieia o IC-1 a assessme isumes wic ca ouce aa ecessay o e cassiicaio o isoes accoig o e cieia icue i Cae ( o IC-1

e Coeage coeece aso ecommee a e iewois o e i- ee syciaic aiios e esee i uicaios esciig e oigis o e cassiicaio i e IC-1 is esue i seea mao uicaios icuig a oume a coais a seies o eseaios igigig e oigis o cassiicaio i coemoay syciay (11).

Clinical descriptions and diagnostic guidelines was e is o a seies o uicaios eeoe om Cae ( o IC-1 (12). a uicaio was e cumiaio o e eos o umeous eoe wo coiue o i oe may yeas e wok we oug seea mao as eac eae ae eesie cosuaio wi aes o ees aioa a ieaioa syciaic socieies a iiiua cosuas e a i use i 197 was e asis o ie ias couce i some couies wic cosiue e ages ee eseac eo o is ye esige o imoe syciaic iagosis (13, 14). e esus o e ias wee use i iaiig e ciica guieies

e e esee ee as aso ee eesiey ese (15). A is o e eseaces a ciicias ioe i 3 couies is gie a e e o e ook ogee wi a is o eoe wo ee i aig es o commee i EACE o em ue es i e seies wi icue a esio o use y geea ea cae wokes a muiaia eseaio o e cassiicaio a seies o "ascices" eaig i moe eai wi secia oems (eg e assessme a cassiicaio o mea eaaio a "cosswaks" — aowig coss-eeece ewee coesoig ems i IC-1 IC-9 a IC- (15, 16).

Use o is uicaio is escie i e oes o Uses (age 1 Ae 1 oies suggesios o iagosic cieia a may e useu i eseac o seea coiios a o o aea as suc i e IC-1 (ece as ie ems e Ackowegemes secio is o aicua sigiicace sice i eas wiess o e ey may iiiua ees a isiuios wowie wo aciey aiciae i e oucio o e cassiicaio o mea a eaioua isoes a e aious es a accomay i A e mao aiios a scoos o syciay ae eesee giig is wok a uiquey ieaioa caace e cassiicaio o mea a eaioua isoes a e guieies o iagosis wee ouce a ese i may aguages; e auous ocess o esuig equiaece o asaios as esue i imoemes i e caiy simiciy a ogica sucue o e es i Egis a i oe aguages

e es ase o e IC-1 cassiicaio o mea a eaioua isoes a e cassiicaio ise ae us a ouc o coaoaio i e ue sese o e wo ewee may iiiuas a agecies i umeous couies ey wee ouce i e oe a ey wi see as a sog suo o e wok o a wo ae cocee wi caig o e meay i a ei amiies wowie

ue imoemes a simiicaios o e cassiicaio o mea isoes sou ecome ossie as ou kowege iceases a eeiece wi e cue esio accumuaes e ask o coecig a igesig commes a esus o ess o e cassiicaio wi emai agey o e soues o e cees a coaoae wi WO i e eeome o e cassiicaio ese cees a ei cue iecos ae ise a e e o e Ackow- egemes secio i is oe a ey wi coiue o e ioe i e imoeme o e WO cassiicaios a associae maeias i e uue a o assis e Ogaiaio i is wok as geeousy as ey ae so a

umeous uicaios ae aise om ie ia cees esciig esus o ei suies i coecio wi IC-1 A u is o ese uicaios a eis o e aices ca e oaie o eques om iisio o Mea ea Wo ea Ogaiaio 111 Geea 7 Swiea

ii MEA A EAIOUA ISOES: IAGOSIC CIEIA

A cassiicaio is a way o seeig e wo a a oi i ime ee is o ou a scieiic ogess a eeiece wi e use o ese eseac cieia wi equie ei eisio a uaig I oe a suc eisios wi e e ouc o e same coia a oucie wowie scieiic coaoaio as a wic as ouce e cue e

oma Saoius ieco iisio o Mea ea Wo ea Ogaiaio

frn 1 Kame M e a e IC-9 cassiicaio o mea isoes a eiew o is eeome a coes Acta psychiatrica scandinavica, 1979 59 1-

Saoius Cassiicaio a ieaioa esecie Psychiatric annals, 197 -35

3 aesky A e a iagosis a cassiicaio o mea isoes a acoo- a ug-eae oems a eseac agea o e 19s Psy- chological medicine, 193 13 97-91

4. Mental disorders, alcohol- and drug-related problems: international per- spectives on their diagnosis and classification. Amseam Ecea Meica 195 (Ieaioa Cogess Seies o 9

5 ois e a e comosie ieaioa iagosic ieiew Archives of general psychiatry, 199 5 19-177

6. Composite International Diagnostic Interview 1.1. Wasigo C Ameica syciaic ess Ic 1993

7 Wig K e a SCA Sceues o ciica assessme i euosyciay Archives, of general psychiatry, 199 7 59-593

oage AW e a e WO/AAMA Ieaioa io Suy o esoaiy isoes ackgou a uose Journal of personality disorders, 1991 5 9-3

9 Lexicon of psychiatric and mental health terms, e Geea Wo ea Ogaiaio 199 viii EACE

10. International Statistical Classification of Diseases and Related Health Problems. Tenth Revision. Geea Wo ea Ogaiaio Vol. 1: Tabular list, 199 Vol. Instruction manual, 1993 Vol. 3: Index, 199

11 Saoius e a es Sources and traditions of classification in psychiatry. ooo ogee a ue 199

12. The ICD-10 Classification of Mental and Behavioural Disorders. Clinical descriptions and diagnostic guidelines. Geea Wo ea Ogaia- io 199

13 Saoius e a es syciaic cassiicaio i a ieaioa e- secie British journal of psychiatry, 19 15 (Su

1 Saoius e a ogess owas acieig a commo aguage i syciay esus om e ie ias o e ciica guieies accomayig e WO Cassiicaio o Mea a eaioua isoes i IC-1 Archives of general psychiatry, 1993 5 115-1

15 Saoius e cassiicaio o mea isoes i e e eisio o e Ieaioa Cassiicaio o iseases European journal of psychiatry, 1991 315-3

1 The ICD-10 Classification of Mental and Behavioural Disorders: Conver- sion tables between ICD-8, ICD-9 and ICD-10. Geea Wo ea Ogaiaio 199 (uuise WO ocume WO/M/91 aaiae o eques om iisio o Mea ea Wo ea Ogai- aio 111 Geea 7 Swiea

i Anldnt

May iiiuas a ogaiaios ae coiue o e oucio o e cassiicaio o mea a eaioua isoes i IC-1 a o e eeome o e es a accomay i e Ackowegemes secio o Clinical descriptions and diagnostic guidelines' coais a is o eseaces a ciicias i some couies wo aiciae i e ias o a ocume A simia is is oie o ages 19- o is wok Aoug i is ceay imossie o is a ose wo ae ee i e oucio o e es a i ei esig eey eo as ee mae o icue a eas a ose wose coiuios wee cea o e ceaio o e ocumes a make u e IC-1 "amiy" o cassiicaios a guieies (see ages 19-19

A aesky e Seio Meica Oice i e iisio o Mea ea o WO i Geea cooiae e is a o e ogamme a us mae a mao coiuio o e eeome o e oosas o e e o e cieia Ae e oosas o e cassiicaio a ee asseme a cicuae o comme o WO ee aes a may oe iiiuas a amee esio o e cassiicaio was ouce o ie ess ess wee couce accoig o a ooco ouce y WO sa wi e e o E Cooe a oe cosuas meioe eow a ioe a age ume o cees wose wok was cooiae y ie ia cooiaig cees e cooiaig cees ise eow a o ages 19- aso ueook e ask o oucig equiae esios o Diagnostic criteria for research i e a- guages use i ei couies

Saoius a oea esosiiy o e wok o e cassiicaio o mea a eaioua isoes i IC-1 a o e oucio o accomayig ocumes

ougou e wok o e IC-1 ocumes E Cooe ace as cie cosua o e oec a oie iauae guiace a e o e WO cooiaig eam Amog e eam memes wee a immee wo as

' The ICD-10 Classification of Mental and Behavioural Disorders. Clinical descriptions and diagnostic guidelines. Geea Wo ea Ogaiaio 199 ACKOWEGEMES

woke wi WO . om e egiig o e ocess o eeoig IC-1 oosas; Usii wo as mae aicuay auae coiuios uig e ie ias o e cieia a e aaysis o e aa ey ouce; M A ous ecica Oice Segeig o Eiemioogica a Saisica Seices wo oie geeous suo esuig comiace ewee e IC-1 eeome i geea a e oucio o is cassiicaio; Ms Wiso wo coscieiousy a eiciey ae e iumeae amiisaie asks ike o e ie ess a oe aciiies eae o e oec; a Ms ue iema Associae oesso i aooogy wo oie e iomaio uo wic Ae Cuue-seciic isoes is ase

A ume o oe cosuas icuig i aicua A eese iig Oe-Io C u egie M ue a Wig wee aso cosey ioe i is wok ucioig o oy as eas o ie ia cooiaig cees u aso oiig aice a guiace aou issues i ei aeas o eeise a eea o e syciaic aiios o e gous o couies aou wic ey ae aicuay kowegeae

Amog e agecies wose e was o ia imoace was e Acoo ug Ause a Mea ea Amiisaio (ow aioa Isiues o ea i e USA wic oie geeous suo o e aciiies eaaoy o e aig o IC-1 a wic esue eecie a oucie cosuaio ewee gous wokig o IC-1 a ose wokig o e ou eisio o e iagosic a Saisica Maua (SM-I cassiicaio o e Ameica syciaic Associaio (AA Cose iec coaoaio wi e caime a e wokig gous o e AA ask oce o SM-I caie y A aces aowe a eesie ecage o iews a ee i esuig comaiiiy ewee e es Iauae e was aso oie y e WO Aisoy Commiee o IC-1 caie y e ae E SOmge; e Wo syciaic Associaio a is secia commiee o cassiicaio e Wo eeaio o Mea ea e Wo Associaio o sycosocia eaii- aio e Wo Associaio o Socia syciay e Wo eeaio o euoogy e Ieaioa Uio o sycoogica Socieies a e WO Coaoaig Cees o eseac a aiig i Mea ea ocae i some couies wee aicuay useu i e coecio o commmes a suggesios om ei as o e wo

Goemes o WO Meme Saes icuig i aicua egium Ge- may e eeas Sai a e USA aso oie iec suo o e ocess o eeoig e cassiicaio o mea a eaioua isoes o oug ei esigae coiuios o WO a oug coiuios a iacia suo o e cees a aiciae i is wok

i MEA A EAIOUA ISOES: IAGOSIC CIEIA

ld trl rdntn ntr nd drtr

A eese Isiue o syciaic emogay syciaic osia Uiesiy o Aaus issko emak

Caeao eame o syciay Sae Uiesiy o Camias Camias ai

S Caaasaaa aioa Isiue o Mea ea a euoscieces agaoe Iia

iig syciaic Ciic o e Meica Scoo i"eck Gemay

M Gee eame o syciay Oo Uiesiy osia Waeo osia eaigo Ega

Kemai Isiue o syciay is acuy o Meicie Uiesiy o aes aes Iay

Oe-Io Oe-Io Ciic ueo e ieo Mai Sai

G Meso e Weigo Ciica Scoo Weigo osia Weigo ew eaa

Y akae eame o euosyciay agasaki Uiesiy Scoo o Meicie agasaki aa

A Okasa eame o syciay AM-Sams Uiesiy Caio Egy

C u eame o euosyciay Cee osiaie e uemoug uemoug uemoug

egie iisio o Ciica eseac aioa Isiue o Mea ea ockie M USA

S iki A Uio eseac Cee o Mea ea Isiue o syciay Acaemy o Meica Scieces Moscow ussia eeaio

u ao-Yua eame o syciay Sagai syciaic osia Sagai Cia

ii ACKOWEGEMES

rr drtr f fld trl rdntn ntr

E Cooe eame o syciay Quees Meica Cee oigam Ega

akaasi eame o syciay okyo Meica a ea Uie- siy okyo aa

Wig egioa Aise o Mea ea Wo ea Ogaiaio egioa Oice o e Ease Meieaea Aeaia Egy

Yag e-Se ua Meica Coege Cagsa ua Cia

t fr r

1 e coe o Diagnostic criteria for research (C-1 is eie om Cae ( Mea a eaioua isoes o IC-1 I oies seciic cieia o e iagoses coaie i Clinical descriptions and diagnostic guidelines (CG wic was ouce o geea ciica a eucaioa use y syciaiss a oe mea ea oessioas

Aoug comeey comaie wi o CG a Cae ( o IC-1 C-1 as a somewa iee sye a ayou I is o esige o e use aoe a eseaces sou eeoe make emsees amiia wi CG C-1 oes o coai e esciios o e ciica coces uo wic e eseac cieia ae ase o ay commes o commoy associae eaues wic aoug o esseia o iagosis may we e eea o o ciicias a eseaces ese eaues ae o e ou i CG e ioucoy caes o wic aso coai iomaio a commes a ae eea o o ciica a eseac uses o IC-1 I is esume a ayoe usig C-1 wi ae a coy o CG

3 Ceai oe ieeces ewee C-1 a CG sou e aeci- ae eoe C-1 ca e use saisacoiy

(a ike oe uise iagosic cieia o eseac e cieia o C-1 ae eieaey esicie ei use aows e seecio o gous o iiiuas wose symoms a oe caaceisics e- seme eac oe i ceay sae ways is es o maimie e omogeeiy o gous o aies u imis e geeaiaios a ca e mae eseaces wisig o suy e oea o isoes o e es way o eie ouaies ewee em may eeoe ee o sueme e cieia so as o aow e icusio o ayica cases

( I is ee aoiae o oie eaie cieia o e "useciie" (9 caegoies o e oea IC-1 (Cae ( cassiicaio a aey aoiae o e "oe" ( caegoies Ae 1 (age 173 oies suggesios o cieia o some o e ew eceios; ace-

h IC0 Clftn f Mntl nd hvrl rdr. Clnl drptn nd dnt dln. Geea Wo ea Ogaiaio 199

1 MEA A EAIOUA ISOES: IAGOSIC CIEIA

me o ese cieia i a ae imies a ei ese saus is somewa cooesia o eaie a a ue eseac is o e ecouage

(c Simiay ee is o equieme o eesie ues o muua ecu- sios a co-moiiy i a se o iagosic cieia o eseac sice iee eseac oecs ae aie equiemes o ese eeig uo ei oecies Some o e moe oious a equey use ecusio causes ae ee icue i C-1 as a emie a o e coeiece o uses; moe ca e ou i CG i equie

As a geea ue ieeece wi e eomace o socia oes as o ee use as a iagosic cieio i IC-1 is ue as ee oowe i C-1 as a as ossie u ee ae a ew uaoiae eceios e mos oious eig sime scioeia a issocia esoaiy isoe Oce e ecisio a ee mae o icue ese isoes i e cassiicaio i was cosiee es o o so wiou moiyig e coces; as a cosequece i ecame ecessay o icue ieeece wi socia oe i e iagosic cieia o ese isoes Eeiece a ue eseac sou sow wee ese ecisios wee usiie

o may o e isoes o cioo a aoescece some om o ieeece wi socia eaiou a eaiosis is icue amog e iagosic cieia Iiiay is aeas o coaee e geea IC ue meioe aoe owee cose eamiaio o e isuaces cassiie i —9 a 9—9 sows a e ee o socia cieia is occa- sioe y e moe comicae a ieacie aue o e suec mae Cie oe sow geea misey a usaio u aey ouce seciic comais a symoms equiae o ose a caaceie e isoes o aus May o e isoes i —9 a 9—9 ae oi isuaces a ca e escie oy y iicaig ow oes wii e amiy scoo o ee gou ae aece

S. o e same easos gie i 3(c aoe eiiios o emissio ease a uaio o eisoes ae ee oie i C-1 i oy a imie ume o isaces ue suggesios wi e ou i e eico o ems o Cae ( o IC-1 1

xn f phtr nd ntl hlth tr, 2 e. Geea, Wo ea Ogaiaio, 4.

OES O USES

e cieia ae aee wi ees a/o umes o iicae ei ace i a ieacy o geeaiy a imoace Geea cieia wic t e uie y a memes o a gou o isoes (suc as e geea cieia o a aieies o emeia o o e mai yes o scioeia ae aee wi a caia G us a ume Oigaoy cieia o iiiua isoes ae isiguise y caia ees aoe (A C ec umes (1 3 ec a owe case ees (a ec ae use o ieiy ue gous a su-gous o caaceisics o wic oy some ae equie o e iagosis o aoi e use o "a/o" we i is seciie a thr o wo cieia is equie i is aways assume a e esece o bth cieia aso saisies e equieme

7 We C-1 is use i eseac o aies wo aso sue om euoogica isoes eseaces may aso wis o use e euoogica aicaio o IC-1 (IC-1A a e accomayig gossay (i eaaio

e wo aees o C-1 ae cocee wi isoes o uceai o oisioa saus Ae 1 eas wi some aecie isoes a ae ee e suec o ece eseac a ceai esoaiy isoes Aoug e coces ae egae as ciicay useu i some couies e isoes emsees ae o uceai saus om a ieaioa iewoi; i is oe a ei icusio ee wi ecouage eseac coceig ei useuess

Ae oies oisioa esciios o a ume o isoes a ae oe eee o as "cuue-seciic" ee ae gous o suosig a ey mig e ee egae as cuua aias o isoes aeay ese i IC-1 Cae ( u eiae a eaie ciica iomaio is si oo scay o aow eiie cocusios o e aw aou em e cosieae acica iicuies ioe i ie suies o iiiuas wi ese isoes ae ecogie u icusio o e esciios i C-1 may simuae eseac y wokes wo ae amiia wi e aguages a cuues o ose aece Iomaio i Ae wi e suemee y a i a eico o ems use i coss-cuua syciay a is eece o ecome aaiae i 199

9 oe a "a" i caegoy ies sas o "a/o"

' Application of the International Classification of Diseases to Neurology. Geea Wo ea Ogaiaio (i eaaio

3 MEA A EAIOUA ISOES: IAGOSIC CIEIA

IC0 Chptr ( nd td dnt ntrnt

e Sceue o Ciica Assessme i euosyciay (SCA e Com- osie Ieaioa iagosic Ieiew (CII a e Ieaioa esoaiy isoe Eamiaio (IE ae ee eeoe wii e amewok o e WO/AAMA oi oec o iagosis a Cassiicaio o Mea isoes Acoo- a ug-eae oems Moe iomaio aou ese isumes ca e oaie om e iisio o Mea ea Wo ea Ogaiaio 111 Geea 7 Swiea

aiig i e use o ese isumes ca a ese e oaie i e oowig aguages Ciese ais uc Egis ec Gema Geek ii Kaaa ouguese Sais ami a ukis

4 t f tr

OO 0 Orn, nldn ptt, ntl drdr

OO nt n Alzhr d emeia i Aeimes isease wi eay ose 1 emeia i Aeimes isease wi ae ose emeia i Aeimes isease ayica o mie ye 9 emeia i Aeimes isease useciie

0 lr dnt 1 ascua emeia o acue ose 11 Mui-iac emeia 1 Sucoica ascua emeia 13 Mie coica a sucoica ascua emeia 1 Oe ascua emeia 19 ascua emeia useciie

02 nt n thr d lfd lhr emeia i icks isease 1 emeia i Ceue—ako isease emeia i uigos isease 3 emeia i akisos isease emeia i uma immuoeiciecy ius [I] isease emeia i oe seciie iseases cassiie esewee

0 Unpfd dnt A i caace may e use o seciy emeia i —3 as oows _ Wiou aiioa symoms Wi oe symoms eomiay eusioa Wi oe symoms eomiay auciaoy 3 Wi oe symoms eomiay eessie Wi oe mie symoms 5 MEA A EAIOUA ISOES: IAGOSIC CIEIA

A si caace may e use o iicae e seeiy o e emeia .xx0 Mi .xxl Moeae Seee

04 Orn n ndr, nt ndd b lhl nd thr phtv btn

0 lr, nt ndd b lhl nd thr phtv btn 5 eiium o sueimose o emeia so escie 51 eiium sueimose o emeia 5 Oe eiium 59 eiium useciie

06 Othr ntl drdr d t brn d nd dfntn nd t phl d Ogaic auciosis 1 Ogaic caaoic isoe Ogaic eusioa [scioeia-ike] isoe 3 Ogaic moo [aecie] isoe 3 Ogaic maic isoe 31 Ogaic ioa isoe 3 Ogaic eessie isoe 33 Ogaic mie aecie isoe Ogaic aiey isoe 5 Ogaic issociaie isoe Ogaic emoioay aie [aseic] isoe 7 Mi cogiie isoe 7 o associae wi a ysica isoe 71 Associae wi a ysica isoe Oe seciie mea isoes ue o ai amage a ysucio a o ysica isease 9 Useciie mea isoe ue o ai amage a ysucio a o ysica isease

0 rnlt nd bhvrl drdr d t brn d, d nd dfntn 7 Ogaic esoaiy isoe 71 oseceaiic syome 7 oscocussioa syome 6 IS O CAEGOIES

7 Oe ogaic esoaiy a eaioua isoes ue o ai isease amage a ysucio 79 Useciie mea isoe ue o ai isease amage a ysucio

0 Unpfd rn r ptt ntl drdr

7 MEA A EAIOUA ISOES: IAGOSIC CIEIA

0— Mntl nd bhvrl drdr d t phtv btn

0. Mntl nd bhvrl drdr d t f lhl

. Mntl nd bhvrl drdr d t f pd

2. Mntl nd bhvrl drdr d t f nnbnd

. Mntl nd bhvrl drdr d t f dtv r hpnt

4. Mntl nd bhvrl drdr d t f n

. Mntl nd bhvrl drdr d t f thr tlnt, nldn ffn

6. Mntl nd bhvrl drdr d t f hllnn

. Mntl nd bhvrl drdr d t f tb

8. Mntl nd bhvrl drdr d t f vltl lvnt

. Mntl nd bhvrl drdr d t ltpl dr nd f thr phtv btn

ouie- a si-caace caegoies ae use o seciy e ciica coiios as oows a iagosic cieia aicua o eac sycoacie susace ae oie wee aoiae o acue ioicaio a wiawa sae

Acue ioicaio Ucomicae 1 Wi auma o oe oiy iuy Wi oe meica comicaios 3 Wi eiium .04 With perceptual distortions .05 With coma .06 Wi cousios 7 aoogica ioicaio

8 IS O CAEGOIES

1 amu use

eeece syome Cuey asie Eay emissio 1 aia emissio u emissio 1 Cuey asie u i a oece eiome Cuey o a ciicay sueise maieace o eaceme egime [cooe eeece] 3 Cuey asie u eceiig eame wi aesie o ockig ugs Cuey usig e susace [acie eeece] Wiou ysica eaues 1 Wi ysica eaues 5 Coiuous use Eisoic use [isomaia]

3 Wiawa sae 3 Ucomicae 31 Wi cousios

Wiawa sae wi eiium Wiou cousios 1 Wi cousios

5 sycoic isoe 5 Scioeia-ike 51 eomiay eusioa 5 eomiay auciaoy 53 eomiay oymoic 5 eomiay eessie sycoic symoms 55 eomiay maic sycoic symoms 5 Mie

Amesic syome

7 esiua a ae-ose sycoic isoe 7 asacks 71 esoaiy o eaiou isoe 7 esiua aecie isoe 73 emeia

9 MEA A EAIOUA ISOES: IAGOSIC CIEIA

.74 Other persisting cognitive disorder .75 Late-onset psychotic disorder

Flx.8 Other mental and behavioural disorders

Flx.9 Unspecified mental and behavioural disorder

10 IS O CAEGOIES

20 — 2 Shzphrn, hztpl nd dlnl drdr

20 Shzphrn aaoi scioeia 1 eeeic scioeia Caaoic scioeia 3 Uieeiae scioeia os-scioeic eessio 5 esiua scioeia Sime scioeia Oe scioeia 9 Scioeia useciie

A i caace may e use o cassiy couse

Coiuous Eisoic wi ogessie eici Eisoic wi sae eici 3 Eisoic emie Icomee emissio 5 Comee emissio Oe 9 Couse uceai eio o oseaio oo so

2 Shztpl drdr

22 rtnt dlnl drdr eusioa isoe Oe esise eusioa isoes 9 esise eusioa isoe useciie

2 At nd trnnt pht drdr 3 Acue oymoic sycoic isoe wiou symoms o scioeia 31 Acue oymoic sycoic isoe wi symoms o scioeia 3 Acue scioeia-ike sycoic isoe 33 Oe acue eomiay eusioa sycoic isoe 3 Oe acue a asie sycoic isoes 39 Acue a asie sycoic isoe useciie 11 MEA A EAIOUA ISOES: IAGOSIC CIEIA

A i caace may e use o ieiy e esece o asece o associae acue sess Wiou associae acue sess Wi associae acue sess

24 Indd dlnl drdr

2 Shzfftv drdr 5 Scioaecie isoe maic ye 51 Scioaecie isoe eessie ye 5 Scioaecie isoe mie ye 5 Oe scioaecie isoes 59 Scioaecie isoe useciie

A i caace may e use o cassiy e oowig suyes Cocue aecie a scioeic symoms oy Cocue aecie a scioeic symoms us esisece o e scioeic symoms eyo e uaio o e aecie symoms

28 Othr nnrn pht drdr

2 Unpfd nnrn ph

2 IS O CAEGOIES

0 — Md [fftv] drdr

0 Mn pd 3 yomaia 31 Maia wiou sycoic symoms 3 Maia wi sycoic symoms Wi moo-cogue sycoic symoms 1 Wi moo-icogue sycoic symoms 3 Oe maic eisoes 39 Maic eisoe useciie

plr fftv drdr 31 ioa aecie isoe cue eisoe yomaic 311 ioa aecie isoe cue eisoe maic wiou sycoic symoms 31 ioa aecie isoe cue eisoe maic wi sycoic symoms Wi moo-cogue sycoic symoms 1 Wi moo-icogue sycoic symoms 313 ioa aecie isoe cue eisoe mi o moeae eessio 3 Wiou somaic syome 31 Wi somaic syome 31 ioa aecie isoe cue eisoe seee eessio wiou sycoic symoms 315 ioa aecie isoe cue eisoe seee eessio wi sycoic symoms 5 Wi moo-cogue sycoic symoms 51 Wi moo-icogue sycoic symoms 31 ioa aecie isoe cue eisoe mie 317 ioa aecie isoe cuey i emissio 31 Oe ioa aecie isoes 319 ioa aecie isoe useciie

2 prv pd 3 Mi eessie eisoe Wiou somaic syome 1 Wi somaic syome 3 1 Moeae eessie eisoe 1 Wiou somaic syome 11 Wi somaic syome 13 MEA A EAIOUA ISOES: IAGOSIC CIEIA

3 Seee eessie eisoe wiou sycoic symoms 33 Seee eessie eisoe wi sycoic symoms 3 Wi moo-cogue sycoic symoms 31 Wi moo-icogue sycoic symoms 3 Oe eessie eisoes 39 eessie eisoe useciie

rrnt dprv drdr 33 ecue eessie isoe cue eisoe mi Wiou somaic syome 1 Wi somaic syome 331 ecue eessie isoe cue eisoe moeae 1 Wiou somaic syome 11 Wi somaic syome 33 ecue eessie isoe cue eisoe seee wiou sycoic symoms 333 ecue eessie isoe cue eisoe seee wi sycoic symoms 3 Wi moo-cogue sycoic symoms 31 Wi moo-icogue sycoic symoms 33 ecue eessie isoe cuey i emissio 33 Oe ecue eessie isoes 339 ecue eessie isoe useciie

4 rtnt d [fftv] drdr 3 Cycoymia 31 ysymia 3 Oe esise moo [aecie] isoes 39 esise moo [aecie] isoe useciie

8 Othr d [fftv] drdr 3 Oe sige moo [aecie] isoes Mie aecie eisoe 31 Oe ecue moo [aecie] isoes 1 ecue ie eessie isoe 3 Oe seciie moo [aecie] isoes

Unpfd d [fftv] drdr

1 IS O CAEGOIES

40 48 rt, trrltd nd tfr drdr

40 hb nxt drdr Agoaoia Wiou aic isoe 1 Wi aic isoe 1 Socia oias Seciic (isoae oias Oe oic aiey isoes 9 oic aiey isoe useciie

4 Othr nxt drdr 1 aic isoe [eisoic aoysma aiey] Moeae 1 Seee 11 Geeaie aiey isoe 1 Mie aiey a eessie isoe 13 Oe mie aiey isoes 1 Oe seciie aiey isoes 19 Aiey isoe useciie

42 Obvplv drdr eomiay osessioa ougs o umiaios 1 eomiay comusie acs [osessioa iuas] Mie osessioa ougs a acs Oe osessie-comusie isoes 9 Osessie-comusie isoe useciie

4 tn t vr tr, nd djtnt drdr 3 Acue sess eacio Mi 1 Moeae Seee 31 os-aumaic sess isoe 3 Ausme isoes ie eessie eacio 1 ooge eessie eacio Mie aiey a eessie eacio 3 Wi eomia isuace o oe emoios Wi eomia isuace o couc 15 MEA A EAIOUA ISOES: IAGOSIC CIEIA

5 Wi mie isuace o emoios a couc Wi oe seciie eomia symoms 3 Oe eacios o seee sess 39 eacio o seee sess useciie

44 tv [nvrn] drdr issociaie amesia 1 issociaie ugue issociaie suo 3 ace a ossessio isoes issociaie moo isoes 5 issociaie cousios issociaie aaesesia a sesoy oss 7 Mie issociaie [coesio] isoes Oe issociaie [coesio] isoes Gases syome 1 Muie esoaiy isoe asie issociaie [coesio] isoes occuig i cioo a aoescece Oe seciie issociaie [coesio] isoes 9 issociaie [coesio] isoe useciie

4 Stfr drdr 5 Somaiaio isoe 51 Uieeiae somaoom isoe 5 yocoiaca isoes 53 Somaoom auoomic ysucio 3 ea a caioascua sysem 31 Ue gasoiesia ac 3 owe gasoiesia ac 33 esiaoy sysem 3 Geiouiay sysem 3 Oe oga o sysem 5 esise somaoom ai isoe 5 Oe somaoom isoes 59 Somaoom isoe useciie

48 Othr nrt drdr F48.0 Neurasthenia 1 eesoaiaio-eeaiaio syome Oe seciie euoic isoes 9 euoic isoe useciie 16 IS O CAEGOIES

0 — hvrl ndr td th phll dtrbn nd phl ftr

0 Etn drdr 5 Aoeia eosa 51 Ayica aoeia eosa 5 uimia eosa 53 Ayica uimia eosa 5 Oeeaig associae wi oe sycoogica isuaces 55 omiig associae wi oe sycoogica isuaces 5 Oe eaig isoes 59 Eaig isoe useciie

nrn lp drdr 51 oogaic isomia 511 oogaic yesomia 51 oogaic isoe o e see—wake sceue 513 Seewakig [somamuism] 51 See eos [ig eos] 515 igmaes 51 Oe oogaic see isoes 519 oogaic see isoe useciie

2 Sxl dfntn, nt d b rn drdr r d 5 ack o oss o seua esie 51 Seua aesio a ack o seua eoyme 1 Seua aesio 11 ack o seua eoyme 5 aiue o geia esose 53 Ogasmic ysucio 5 emaue eacuaio 55 oogaic agiismus 5 oogaic ysaeuia 57 Ecessie seua ie 5 Oe seua ysucio o cause y ogaic isoe o isease 59 Useciie seua ysucio o cause y ogaic isoe o isease

17 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Mntl nd bhvrl drdr td th th prpr, nt lhr lfd 53 Mi mea a eaioua isoes associae wi e ueeium o esewee cassiie 531 Seee mea a eaioua isoes associae wi e ueeium o esewee cassiie 53 Oe mea a eaioua isoes associae wi e ueeium o esewee cassiie 539 ueea mea isoe useciie

4 hll nd bhvrl ftr td th drdr r d lfd lhr

Ab f nndpndnprdn btn 55 Aieessas 551 aaies 55 Aagesics 553 Aacis 55 iamis 555 Seois o omoes 55 Seciic ea o ok emeies 55 Oe susaces a o o ouce eeece 559 Useciie

Unpfd bhvrl ndr td th phll dtrbn nd phl ftr

1 IS O CAEGOIES

60 — 6 rdr f dlt prnlt nd bhvr

60 Spf prnlt drdr aaoi esoaiy isoe 1 Scioi esoaiy isoe issocia esoaiy isoe 3 Emoioay usae esoaiy isoe 3 Imusie ye 31 oeie ye isioic esoaiy isoe 5 Aakasic esoaiy isoe Aious [aoia] esoaiy isoe 7 eee esoaiy isoe Oe seciic esoaiy isoes 9 esoaiy isoe useciie

6 Mxd nd thr prnlt drdr 1 Mie esoaiy isoe 11 ouesome esoaiy cages

62 Endrn prnlt hn, nt ttrbtbl t brn d nd d Euig esoaiy cage ae caasoic eeiece 1 Euig esoaiy cage ae syciaic iess Oe euig esoaiy cages 9 Euig esoaiy cage useciie

6 bt nd pl drdr 3 aoogica gamig 31 aoogica ie-seig [yomaia] 3 aoogica seaig [keomaia] 33 icoiomaia 3 Oe ai a imuse isoes 39 ai a imuse isoe useciie

64 Gndr dntt drdr asseuaism 1 ua-oe asesism Gee ieiy isoe o cioo Oe gee ieiy isoes 9 Gee ieiy isoe useciie

MEA A EAIOUA ISOES: IAGOSIC CIEIA

6 rdr f xl prfrn 5 eisism 51 eisisic asesism 5 Eiiioism 53 oyeuism 5 aeoiia 55 Saomasocism 5 Muie isoes o seua eeece 5 Oe isoes o seua eeece 59 isoe o seua eeece useciie

66 hll nd bhvrl drdr td th xl dvlpnt nd rnttn Seua mauaio isoe 1 Egoysoic seua oieaio Seua eaiosi isoe Oe sycoseua eeome isoes 9 sycoseua eeome isoe useciie

68 Othr drdr f dlt prnlt nd bhvr Eaoaio o ysica symoms o sycoogica easos 1 Ieioa oucio o eigig o symoms o isaiiies eie ysica o sycoogica [aciious isoe] Oe seciie isoes o au esoaiy a eaiou

6 Unpfd drdr f dlt prnlt nd bhvr

20 IS O CAEGOIES

0 Mntl rtrdtn

0 Mld ntl rtrdtn

Mdrt ntl rtrdtn

2 Svr ntl rtrdtn

rfnd ntl rtrdtn

8 Othr ntl rtrdtn

Unpfd ntl rtrdtn

A ou caace may e use o seciy e ee o associae imaime o eaiou 7 o o miima imaime o eaiou 71 Sigiica imaime o eaiou equiig aeio o eame 7 Oe imaimes o eaiou 73 Wiou meio o imaime o eaiou

1 MEA A EAIOUA ISOES: IAGOSIC CIEIA

80 8 rdr f phll dvlpnt

80 Spf dvlpntl drdr f ph nd ln Seciic seec aicuaio isoe 1 Eessie aguage isoe eceie aguage isoe 3 Acquie aasia wi eiesy [aau—Kee syome] Oe eeomea isoes o seec a aguage 9 eeomea isoe o seec a aguage useciie

8 Spf dvlpntl drdr f hlt ll 1 Seciic eaig isoe 11 Seciic seig isoe 1 Seciic isoe o aimeica skis 13 Mie isoe o scoasic skis 1 Oe eeomea isoes o scoasic skis 19 eeomea isoe o scoasic skis useciie

82 Spf dvlpntl drdr f tr fntn

8 Mxd pf dvlpntl drdr

84 rvv dvlpntl drdr Cioo auism 1 Ayica auism 1 Ayicaiy i age o ose 11 Ayicaiy i symomaoogy 1 Ayicaiy i o age o ose a symomaoogy es syome 3 Oe cioo isiegaie isoe Oeacie isoe associae wi mea eaaio a seeoye moemes 5 Aseges syome Oe easie eeomea isoes 9 easie eeomea isoe useciie

88 Othr drdr f phll dvlpnt

8 Unpfd drdr f phll dvlpnt

22 IS O CAEGOIES

0 8 hvrl nd tnl drdr th nt ll rrn n hldhd nd dln

0 prnt drdr 9 isuace o aciiy a aeio 91 yekieic couc isoe 9 Oe yekieic isoes 99 yekieic isoe useciie

Cndt drdr 91 Couc isoe coie o e amiy coe 911 Usociaie couc isoe 91 Sociaie couc isoe 913 Oosiioa eia isoe 91 Oe couc isoes 919 Couc isoe useciie

2 Mxd drdr f ndt nd tn 9 eessie couc isoe 9 Oe mie isoes o couc a emoios 99 Mie isoe o couc a emoios useciie

Etnl drdr th nt pf t hldhd 93 Seaaio aiey isoe o cioo 931 oic aiey isoe o cioo 93 Socia aiey isoe o cioo 933 Siig iay isoe 93 Oe cioo emoioa isoes Geeaie aiey isoe o cioo 939 Cioo emoioa isoe useciie

4 rdr f l fntnn th nt pf t hldhd nd dln 9 Eecie muism 91 eacie aacme isoe o cioo 9 isiiie aacme isoe o cioo 9 Oe cioo isoes o socia ucioig 99 Cioo isoe o socia ucioig useciie

2 MEA A EAIOUA ISOES: IAGOSIC CIEIA

drdr 95 asie ic isoes 951 Coic moo o oca ic isoe 95 Comie oca a muie moo ic isoe [e a ouees syome] 95 Oe ic isoes 959 ic isoe useciie

8 Othr bhvrl nd tnl drdr th nt ll rrn n hldhd nd dln 9 oogaic euesis ocua euesis oy 1 iua euesis oy ocua a iua eueses 91 oogaic ecoesis 1 aiue o acquie ysioogica owe coo 11 Aequae owe coo wi oma aeces eosie i iaoiae aces 1 Soiig a is associae wi ecessiey ui aeces suc as wi eeio wi oeow 9 eeig isoe o iacy a cioo 93 ica o iacy a cioo 9 Seeoye moeme isoes o-se-iuious 1 Se-iuious Mie 95 Sueig [sammeig] 9 Cueig 9 Oe seciie eaioua a emoioa isoes wi ose usuay occuig i cioo a aoescece 99 Useciie eaioua a emoioa isoes wi ose usuay occuig i cioo a aoescece

IS O CAEGOIES

Unpfd ntl drdr

Mntl drdr, nt thr pfd

nt rtr fr rrh

OO 0 OGAIC MEA ISOES

OO — 0 Orn, nldn ptt, ntl drdr

G1 ee is eiece o eac o e oowig

(1 A ecie i memoy wic is mos eie i e eaig o ew iomaio aoug i moe seee cases e eca o eiousy eae iomaio may aso e aece e imaime aies o o ea a o-ea maeia e ecie sou e oeciey eiie y oaiig a eiae isoy om a ioma suemee i ossie y euosycoogica ess o quaiie cogiie assessmes e seeiy o e ecie wi mi imaime as e eso o iagosis sou e assesse as oows

Mld. e egee o memoy oss is suicie o ieee wi eeyay aciiies oug o so seee as o e icomaie wi ieee iig e mai ucio aece is e eaig o ew maeia o eame e iiiua as iicuy i egiseig soig a eca- ig eemes ioe i aiy iig suc as wee eogigs ae ee u socia aagemes o iomaio ecey imae y amiy memes

Mdrt. e egee o memoy oss eeses a seious aica o ieee iig Oy igy eae o ey amiia maeia is eaie ew iomaio is eaie oy occasioay a ey iey Iiiuas ae uae o eca asic iomaio aou ei ow oca geogay wa ey ae ecey ee oig o e ames o amiia eoe

Svr. e egee o memoy oss is caaceie y e comee iaiiy o eai ew iomaio Oy agmes o eiousy eae iomaio emai e iiiua ais o ecogie ee cose eaies

( A ecie i oe cogiie aiiies caaceie y eeioaio i ugeme a ikig suc as aig a ogaiig a i e geea ocessig o iomaio Eiece o is sou ieay e oaie om a ioma a suemee i ossie y euosycoogica ess o quaiie oecie assessmes eeioaio om a eiousy ige ee o eomace sou e esaise 9 MEA A EAIOUA ISOES: IAGOSIC CIEIA

e seeiy o e ecie wi mi imaime as e eso o iagosis sou e assesse as oows

Mild. e ecie i cogiie aiiies causes imaie eomace i aiy iig u o o a egee a makes e iiiua eee o oes Comicae aiy asks o eceaioa aciiies cao e ueake

Moderate. e ecie i cogiie aiiies makes e iiiua uae o ucio wiou e assisace o aoe i aiy iig icuig soig a aig moey Wii e ome oy sime coes ca e eome Aciiies ae iceasigy esice a ooy susaie

Severe. e ecie is caaceie y a asece o iua asece o ieigie ieaio

e oea seeiy o e emeia is es eesse as e ee o ecie i memoy or oe cogiie aiiies wicee is e moe seee (eg mi ecie i memoy and moeae ecie i cogiie aiiies iicae a emeia o moeae seeiy

G Awaeess o e eiome (ie asece o couig o cosciousess (as eie i 5— cieio A is esee uig a eio o ime suiciey og o aow e uequioca emosaio o e symoms i Cieio G1 We ee ae sueimose eisoes o eiium e iagosis o emeia sou e eee

G3 ee is a ecie i emoioa coo o moiaio o a cage i socia eaiou maies as a eas oe o e oowig

(1 emoioa aiiy; ( iiaiiy; (3 aay; ( coaseig o socia eaiou

G o a coie ciica iagosis e symoms i cieio G1 sou ae ee ese o a eas mos; i e eio sice e maies ose is soe e iagosis ca e oy eaie

3 OO 0 OGAIC MEA ISOES

Cnt e iagosis is ue suoe y eiece o amage o oe ige coica ucios suc as aasia agosia aaia

ugeme aou ieee iig o e eeome o eeece (uo oes sou ake accou o e cuua eecaio a coe

emeia is seciie ee as aig a miimum uaio o mos o aoi cousio wi eesie saes wi ieica eaioua syomes suc as aumaic suua aemoage (S5 oma essue yoceaus (G91 a iuse o oca ai iuy (S a S3

A i caace may e use o iicae e esece o aiioa symoms i e caegoies O—3 (— emeia i Aeimes isease; 1— ascu- a emeia; — emeia i iseases cassiie esewee; 3— Useci- ie emeia as oows

Wiou aiioa symoms Wi oe symoms eomiay eusioa Wi oe symoms eomiay auciaoy 3 Wi oe symoms eomiay eessie Wi oe mie symoms

A si caace may e use o iicae e seeiy o e emeia

Mi ..xxl Moeae Seee

As meioe aoe o age 3 e oea seeiy o e emeia ees o e ee o memoy or ieecua imaime wicee is e moe seee

OO nt n Alzhr d A e geea cieia o emeia G1—G mus e me

ee is o eiece om e isoy ysica eamiaio o secia iesigaios o ay oe ossie cause o emeia (eg ceeoascua isease I isease akisos isease uigos isease oma essue yoceaus a sys-

emic isoe (eg yoyoiism iami 12 o oic aci eiciecy yecacaemia o acoo o ug ause MEA A EAIOUA ISOES: IAGOSIC CIEIA

Cnt e iagosis is coime y os-moem eiece o euoii- ay ages a euiic aques i ecess o ose ou i oma agig o e ai

e oowig eaues suo e iagosis u ae o ecessay eemes ioeme o coica ucios as eiece y aasia agosia o aaia; ecease o moiaio a ie eaig o aay a ack o soaeiy; iiaiiy a isiiiio o socia e- aiou; eiece om secia iesigaios a ee is ceea aoy aicuay i is ca e sow o e iceasig oe ime I seee cases ee may e akiso-ike eayamia cages ogocoia a eieic is

Spftn f ftr fr pbl btp ecause o e ossiiiy a suyes eis i is ecommee a e oowig caaceisics e asceaie as a asis o a ue cassiicaio age a ose; ae o ogessio; coiguaio o e ciica eaues aicuay e eaie omiece (o ack o emoa aiea o oa oe sigs; ay euoaoogica o euocemica aomaiies a ei ae

e iisio o Aeimes isease io suyes ca a ese e accomise i wo ways is y akig oy e age o ose a aeig e isease as eie eay o ae wi a aoimae cu-o oi a 5 yeas; o seco y assessig ow we e iiiua cooms o oe o e wo uaie syomes eay- o ae-ose ye

I sou e oe a a sa isicio ewee eay- a ae- ose yes is uikey Eay-ose ye may occu i ae ie us as ae-ose ye may occasioay ae a ose eoe e age o 5 e oowig cieia may e use o ieeiae om 1 u i sou e ememee a e saus o is suiisio is si cooesia

00.0 nt n Alzhr d th rl nt 1 e cieia o emeia i Aeimes isease ( mus e me a e age a ose mus e eow 5 yeas

I aiio a eas oe o e oowig equiemes mus e me 3 OO 0 OGAIC MEA ISOES

(a eiece o a eaiey ai ose a ogessio; ( i aiio o memoy imaime ee mus e aasia (amesic o sesoy agaia aeia acacuia o aaia (iicaig e esece o emoa aiea a/o oa oe ioeme

00. nt n Alzhr d th lt nt 1 e cieia o emeia i Aeimes isease ( mus e me a e age a ose mus e 5 yeas o moe

I aiio a eas oe o e oowig equiemes mus e me (a eiece o a ey sow gaua ose a ogessio (e ae o e ae may e kow oy eoseciey ae a couse o 3 yeas o moe; ( eomiace o memoy imaime G 1(1 oe ieecua imaime GI ( (see geea cieia o emeia

00.2 nt n Alzhr d, tpl r xd tp is em a coe sou e use o emeias a ae imoa ayica eaues o a ui cieia o o eay- a ae-ose yes o Aeimes isease Mie Aeimes a ascua emeia is aso icue ee

00. nt n Alzhr d, npfd

0 lr dnt

G e geea cieia o emeia (G1—G mus e me

G eicis i ige cogiie ucios ae ueey isiue wi some ucios aece a oes eaiey sae us memoy may e quie makey aece wie ikig easo- ig a iomaio ocessig may sow oy mi ecie

G3 ee is ciica eiece o oca ai amage maies as a eas oe o e oowig (1 uiaea sasic weakess o e ims; ( uiaeay icease eo eees; (3 a eeso aa esose; ( seuoua asy 33 MEA A EAIOUA ISOES: IAGOSIC CIEIA

G ee is eiece om e isoy eamiaio o ess o a sigiica ceeoascua isease wic may easoay e uge o e eioogicay eae o e emeia (eg a isoy o soke; eiece o ceea iacio

e oowig cieia may e use o ieeiae suyes o ascua emeia u i sou e ememee a e useuess o is suiisio may o e geeay accee

0.0 lr dnt f t nt A e geea cieia o ascua emeia (1 mus e me

e emeia eeos aiy (ie usuay wii 1 mo u wii o oge a 3 mos ae a successio o sokes o (aey ae a sige age iacio

0. Mlt nfrt dnt A e geea cieia o ascua emeia (1 mus e me

e ose o e emeia is gaua (ie wii 3- mos oowig a ume o mio iscaemic eisoes

Cnt It is esume a ee is a accumuaio o iacs i e ceea aecyma ewee e iscaemic eisoes ee may e eios o acua ciica imoeme

0.2 Sbrtl vlr dnt A e geea cieia o ascua emeia (1 mus e me

ee is a isoy o yeesio

C ee is eiece om ciica eamiaio a secia iesigaios o ascua isease ocae i e ee wie mae o e ceea emisees wi eseaio o e ceea coe

0. Mxd rtl nd brtl vlr dnt Mie coica a sucoica comoes o e ascua emeia may e susece om e ciica eaues e esus o iesigaios (icuig auosy o o 3 OO 0 OGAIC MEA ISOES

0.8 Othr vlr dnt

0. lr dnt, npfd

02 nt n thr d lfd lhr

02.0 nt n d

A e geea cieia o emeia (G1—G mus e me

Ose is sow wi seay eeioaio

C eomiace o oa oe ioeme is eiece y wo o moe o e oowig (1 emoioa uig; ( coaseig o socia eaiou; (3 isiiiio; ( aay o esessess; (5 aasia

I e eay sages memoy a aiea oe ucios ae eaiey esee

02. nt n Crtzfldt—b d A e geea cieia o emeia (G1—G mus e me

ee is ey ai ogessio o e emeia wi isiega- io o iuay a ige ceea ucios

C Oe o moe o e oowig yes o euoogica symoms a sigs emege usuay ae o simuaeousy wi e emeia (1 yamia symoms; ( eayamia symoms; (3 ceeea symoms; ( aasia; (5 isua imaime Comments A akieic a mue sae is e yica emia sage A amyooic aia may e see wee e euoogica sigs e- cee e ose o e emeia A caaceisic eecoeceaogam 35 MEA A EAIOUA ISOES: IAGOSIC CIEIA

(eioic sikes agais a sow a ow oage ackgou i ese i associaio wi e aoe ciica sigs wi icease e oaiiy o e iagosis owee e iagosis ca e coime oy y euoaoogica eamiaio (euoa oss asocyosis a sogiom cages ecause o e isk o iecio is sou e caie ou oy ue secia oecie coiios

02.2 nt n ntntn d A e geea cieia o emeia (G1—G mus e me

Sucoica ucios ae aece is a omiae e icue o emeia ougou; sucoica ioeme is maiese y sowess o ikig o moeme a esoaiy aeaio wi aay o eessio

C ee ae iouay coeiom moemes yicay o e ace as o soues o i e gai e aie may aem o cocea em y coeig em io a ouay acio

ee is a isoy o uigos isease i oe ae o a siig o a amiy isoy a suggess e isoe

E ee ae o ciica eaues a oewise accou o e aoma moemes

Cnt I aiio o iouay coeiom moemes ee may e eeome o eayamia igiiy o o sasiciy wi yamia sigs

02. nt n rnn d A e geea cieia o emeia (G1—G mus e me

A iagosis o akisos isease as ee esaise

C oe o e cogiie imaime is aiuae o ai-aki- soia meicaio

ee is o eiece om e isoy ysica eamiaio o secia iesigaios o ay oe ossie cause o emeia icuig oe oms o ai isease amage o ysucio (eg ceeoascua isease I isease uigos isease 3 OO 0 OGAIC MEA ISOES

oma essue yoceaus a sysemic isoe (eg yo-

yoiism iami 2 o oic aci eiciecy yecacaemia o acoo o ug ause

I cieia ae aso uie o emeia i Aeimes isease wi ae ose (1 caegoy 1 sou e use i comiaio wi G (akisos isease

02.4 nt n hn ndfn vr [I] d A e geea cieia o emeia (G1—G mus e me

A iagosis o I iecio as ee esaise

C ee is o eiece om e isoy ysica eamiaio o secia iesigaios o ay oe ossie cause o emeia icuig oe oms o ai isease amage o ysucio (eg Aeimes isease ceeoascua isease akisos isease uigos isease oma essue yoceaus a

sysemic isoe (eg yoyoiism iami i o oic aci eiciecy yecacaemia o acoo o ug ause

02.8 nt n thr pfd d lfd lhr emeia ca occu as a maiesaio o cosequece o a aiey o ceea a somaic coiios o seciy e eioogy e IC-1 coe o e ueyig coiio sou e ae

0 Unpfd dnt

is caegoy sou e use we e geea cieia o emeia ae me u we i is o ossie o ieiy oe o e seciic yes (—9

04 Orn n ndr, nt ndd b lhl nd thr phtv btn

A ee is memoy imaime maies i o (1 a eec o ece memoy (imaie eaig o ew maeia o a egee suicie o ieee wi aiy iig; a ( a euce aiiy o eca as eeieces 37 MEA A EAIOUA ISOES: IAGOSIC CIEIA

ee is o (1 eec i immeiae eca (as ese o eame y e igi sa; ( couig o cosciousess a isuace o aeio as eie i 5— cieio A; (3 goa ieecua ecie (emeia

C ee is oecie eiece (om ysica a euoogica eamiaio aoaoy ess a/o isoy o a isu o o a isease o e ai (eseciay ioig iaeay e ieceaic a meia emoa sucues u oe a acooic eceaoay a ca easoay e esume o e esosie o e ciica maiesaios escie i cieio A Comments Associae eaues icuig coauaios emoioa cages (aay ack o iiiaie a ack o isig ae useu aiioa oies o e iagosis u ae o iaiay ese

F05 lr, nt ndd b lhl nd thr phtv btn

A ee is couig o cosciousess ie euce caiy o awaeess o e eiome wi euce aiiy o ocus susai o si aeio

isuace o cogiio is maies y o (1 imaime o immeiae eca a ece memoy wi eaiey iac emoe memoy; ( isoieaio i ime ace o eso

C A eas oe o e oowig sycomoo isuaces is ese (1 ai ueicae sis om yoaciiy o yeaciiy; ( icease eacio ime; (3 icease o ecease ow o seec; ( eace sae eacio

ee is isuace o see o o e see—wake cyce maies y a eas oe o e oowig 3 OO 0 OGAIC MEA ISOES

(1 isomia wic i seee cases may ioe oa see oss wi o wiou ayime owsiess o eesa o e see—wake cyce; ( ocua woseig o symoms; (3 isuig eams a igmaes wic may coiue as auciaios o iusios ae awakeig

E Symoms ae ai ose a sow ucuaios oe e couse o e ay

ee is oecie eiece om isoy ysica a euoogica eamiaio o aoaoy ess o a ueyig ceea o sysemic isease (oe a sycoacie susace-eae a ca e esume o e esosie o e ciica maiesaios i cieia A—

Cnt Emoioa isuaces suc as eessio aiey o ea iiaiiy euoia aay o woeig eeiy isuaces o eceio (iusios o auciaios oe isua a asie eusios ae yica u ae o seciic iicaios o e iagosis

A ou caace may e use o iicae wee o o e eiium is sueimose o emeia

0.0 lr, nt prpd n dnt

0. lr, prpd n dnt

0.8 Othr dlr

0. lr, npfd

06 Othr ntl drdr d t brn d nd dfntn nd t phl d

G1 ee is oecie eiece (om ysica a euoogica eamiaio a aoaoy ess a/o isoy o ceea isease amage o ysucio o o sysemic ysica isoe kow o cause ceea ysucio icuig omoa is- MEA A EAIOUA ISOES: IAGOSIC CIEIA

uaces (oe a acoo- o oe sycoacie susace- eae a o-sycoacie ug eecs

G ee is a esume eaiosi ewee e eeome (o make eaceaio o e ueyig isease amage o ysucio a e mea isoe e symoms o wic may ae immeiae ose o may e eaye

G3 ee is ecoey om o sigiica imoeme i e mea isoe oowig emoa o imoeme o e ueyig esume cause

G ee is isuicie eiece o a aeaie causaio o e mea isoe eg a sog amiy isoy o a ciicay simia o eae isoe

I cieia G G a G ae me a oisioa iagosis is usiie; i i aiio ee is eiece o G3 e iagosis ca e egae as ceai

06.0 Orn hlln A e geea cieia o mus e me

e ciica icue is omiae y esise o ecue auciaios (usuay isua o auioy

C auciaios occu i cea cosciousess Comments eusioa eaoaio o e auciaios as we as u o aia isig may o may o e ese ese eaues ae o esseia o e iagosis

06. Orn ttn drdr A e geea cieia o mus e me

Oe o e oowig mus e ese (1 suo ie oou imiuio o asece o ouay moemes a seec a o oma esosieess o ig oise a ouc u wi oma musce oe saic osue a eaig maiaie (a oe imie cooiae eye moemes; OO 0 OGAIC MEA ISOES

( egaiism (osiie esisace o assie moeme o ims o oy o igi osuig

C ee is caaoic ecieme (goss yemoiiy o a caoic quaiy wi o wiou a eecy o assauieess

ee is ai a ueicae aeaio o suo a ecieme

Cnt Coiece i e iagosis wi e icease i aiioa caaoic eomea ae ese eg seeoyies way eiiiy a imusie acs Cae sou e ake o ecue eiium; owee i is o kow a ese wee a ogaic caaoic sae aways occus i cea cosciousess o wee i eeses a ayica maiesaio o a eiium i wic cieia A a ae oy magiay me wie cieio C is omie

06.2 Orn dlnl [hzphrn l] drdr A e geea cieia o mus e me

e ciica icue is omiae y eusios (o esecuio oiy cage isease ea eaousy wic may eii a ayig egee o sysemaiaio

C Cosciousess is cea a memoy is iac

Cnt ue eaues a comee e ciica icue u a ae o iaiay ese icue auciaios (i ay moaiy; scioeic-ye oug isoe; isoae caaoic eomea suc as seeoyies egaiism o imusie acs

e ciica icue may mee e symomaic cieia o scioeia (—3 esise eusioa isoe (— o acue a asie sycoic isoes (3— owee i e sae aso mees e geea cieia o a esumie ogaic eioogy ai ow i e ioucio o i sou e cassiie ee I sou e oe a magia o oseciic iigs suc as eage ceea eices o "so" euoogic a sigs do not qualify as evidence o cieio G1 o 1 MEA A EAIOUA ISOES: IAGOSIC CIEIA

06. Orn d [fftv] drdr A e geea cieia o mus e me

e coiio mus mee e cieia o oe o e aecie isoes ai ow i 3—3

e iagosis o e aecie isoe may e seciie y usig a i caace 06.0 Orn n drdr 06. Orn bplr drdr 06.2 Orn dprv drdr 06. Orn xd fftv drdr

06.4 Orn nxt drdr A e geea cieia o mus e me

e coiio mus mee e cieia o eie 1 o 11

06. Orn dtv drdr A e geea cieia o mus e me

e coiio mus mee e cieia o oe o e caegoies —

06.6 Orn tnll lbl [thn] drdr A e geea cieia o mus e me

e ciica icue is omiae y emoioa aiiy (ucooe usae a ucuaig eessio o emoios

C ee is a aiey o ueasa ysica sesaios suc as iiess o ais a aces

Comments aiguaiiy a isessess (aseia ae oe ese u ae o esseia o e iagosis

06. Mld ntv drdr Note: e saus o is cosuc is eig eamie Seciic eseac cieia mus e iewe as eaie Oe o e icia easos o is OO 0 OGAIC MEA ISOES icusio is o oai ue eiece aowig is ieeiaio om isoes suc as emeia (OO—3 ogaic amesic syome ( eiium (5— a seea isoes i 7—

A e geea cieia o mus e me

ee is a isoe i cogiie ucio o mos o e ime oe a eio o a eas weeks as eoe y e iiiua o a eiae ioma e isoe is eemiie y iicuies i ay o e oowig aeas (1 memoy (aicuay eca o ew eaig; ( aeio o coceaio; (3 ikig (eg sowig i oem-soig o asacio; ( aguage (eg comeesio wo-iig; (5 isua-saia ucioig

C ee is a aomaiy o ecie i eomace i quaiie cogiie assessmes (eg euosycoogica ess o mea saus eamiaio

oe o e iicuies ise i cieio (1—(5 is suc a a iagosis ca e mae o emeia (OO—3 ogaic amesic syome ( eiium (5— oseceaiic syome (71 oscocussioa syome (7 o oe esisig cogiie imaime ue o sycoacie susace use ( 7

Cnt I cieio G1 o is uie y e esece o cea eous sysem ysucio i is usuay esume a is is e cause o e mi cogiie isoe I cieio G1 is uie y e esece o a sysemic ysica isoe i is oe uusiie o assume a ee is a iec causaie eaiosi eeeess i may e useu i suc isaces o eco e esece o e sysemic ysica isoe as "associae" wiou imyig a ecessay causaio A aiioa i caace may e use o is 06.0 t td th t phl drdr 06. Atd th t phl drdr

e sysemic ysica isoe sou e ecoe seaaey y is aoiae IC-1 coe

4 MEA A EAIOUA ISOES: IAGOSIC CIEIA

06.8 Othr pfd ntl drdr d t brn d nd dfntn nd t phl d Eames o is caegoy ae asie o mi aoma moo saes occuig uig eame wi seois o aieessas wic o o mee e cieia o ogaic moo isoe (3

06. Unpfd ntl drdr d t brn d nd d fntn nd t phl d

0 rnlt nd bhvrl drdr d t brn d, d nd dfntn

G 1 ee mus e oecie eiece (om ysica a euoogica eamiaio a aoaoy ess a/o isoy o ceea isease amage o ysucio

G ee is o couig o cosciousess o sigiica memoy eici

G3 ee is isuicie eiece o a aeaie causaio o e esoaiy o eaiou isoe a wou usiy is aceme i —9

0.0 Orn prnlt drdr A e geea cieia o 7 mus e me

A eas ee o e oowig eaues mus e ese oe a eio o mos o moe (1 cosisey euce aiiy o eseee wi goa-iece aciiies eseciay ose ioig eaiey og eios o ime a osoe gaiicaio; ( oe o moe o e oowig emoioa cages (a emoioa aiiy (ucooe usae a ucuaig eessio o emoios; ( euoia a saow iaoiae ocuaiy uwa- ae y e cicumsaces; (c iiaiiy a/o ouuss o age a aggessio; ( aay; (3 isiiie eessio o ees o imuses wiou cosieaio o cosequeces o o socia coeios (e ii- OO 0 OGAIC MEA ISOES

iua may egage i issocia acs suc as seaig iaoiae seua aaces o oacious eaig o eii e- eme isega o esoa ygiee; ( cogiie isuaces yicay i e om o (a ecessie susiciousess a aaoi ieas; ( ecessie eoccuaio wi a sige eme suc as eigio o igi caegoiaio o oe eoes eaiou i ems o "ig" a "wog"; (5 make aeaio o e ae a ow o aguage oucio wi eaues suc as cicumsaiaiy oe-icusie- ess iscosiy a yegaia; ( aee seua eaiou (yoseuaiy o cage i seua eeece

Specification of features for possible subtypes Option 1. A make eomiace o e symoms i cieia (1 a (( is oug o eie a seuoeae o aaeic ye; a eomiace o (1 ((c a (3 is cosiee a seuo- sycoaic ye; a a comiaio o ( (5 a ( is egae as caaceisic o e imic eiesy esoaiy syome oe o ese eiies as ye ee suiciey aiae o waa a seaae esciio

Option I esie e oowig yes may e seciie aie ye isiiie ye aggessie ye aaeic ye aaoi ye mie ye a oe

0. tnphlt ndr A e geea cieia o 7 mus e me

A eas oe o e oowig esiua euoogica ysucios mus e ese (1 aaysis; ( eaess; (3 aasia; ( cosucioa aaia; (5 acacuia

C e syome is eesie a is uaio aey ecees mos 5 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Cnt Cieio C cosiues e mai ieece ewee is isoe a ogaic esoaiy isoe (7

esiua symoms a eaioua cage oowig eie ia o aceia eceaiis ae oseciic a o o oie a suicie asis o a ciica iagosis ey may icue geea maaise aay o iiaiiy; some oweig o cogiie ucioig (eaig iicuies; isuaces i e see—wake ae; o aee seua eaiou

0.2 tnnl ndr t. e osoogica saus o is syome is uceai a cieio G1 o e ioucio o is uic is o aways asce- aiae owee o ose ueakig eseac io is coiio e oowig cieia ae ecommee

A e geea cieia o 7 mus e me

ee mus e a isoy o ea auma wi oss o cosciousess eceig e ose o symoms y a eio o u o weeks (Oecie EEG ai imagig o ocuoysagmogaic eiece o ai amage may e ackig

C A eas ee o e oowig eaues mus e ese (1 comais o ueasa sesaios a ais suc as eaace iiess (usuay ackig e eaues o ue eigo geea maaise a ecessie aigue o oise ioeace; ( emoioa cages suc as iiaiiy emoioa aiiy (o easiy ooke o eaceae y emoioa ecieme o sess o some egee o eessio a/o aiey; (3 suecie comais o iicuy i coceaio a i eomig mea asks a o memoy oems (wiou cea oecie eiece eg sycoogica ess o make imaime; ( isomia; (5 euce oeace o alcohol; ( eoccuaio wi e aoe symoms a ea o ema- e ai amage o e ee o yocoiaca oe- aue ieas a aoio o a sick oe 46 OO 0 OGAIC MEA ISOES

0.8 Othr rn prnlt nd bhvrl drdr d t brn d, d nd dfntn ai isease amage o ysucio may ouce a aiey o cogiie emoioa esoaiy a eaioua isoes some o wic may o e cassiiae ue 7—7 owee sice e osoogica saus o e eaie syomes i is aea is uceai ey sou e coe as "oe" A i caace may e ae i ecessay o ieiy esumie iiiua eiies

0. Unpfd rn prnlt nd bhvrl drdr d t brn d, d nd dfntn

0 Unpfd rn r ptt ntl drdr

7 MEA A EAIOUA ISOES: IAGOSIC CIEIA

0— Mntl nd bhvrl drdr d t phtv btn

0. Mntl nd bhvrl drdr d t f lhl

. Mntl nd bhvrl drdr d t f pd

2. Mntl nd bhvrl drdr d t f nnbnd

. Mntl nd bhvrl drdr d t f dtv r hpnt

4. Mntl nd bhvrl drdr d t f n

. Mntl nd bhvrl drdr d t f thr tlnt, nldn ffn

6. Mntl nd bhvrl drdr d t f hllnn

. Mntl nd bhvrl drdr d t f tb

8. Mntl nd bhvrl drdr d t f vltl lvnt

. Mntl nd bhvrl drdr d t ltpl dr nd f thr phtv btn

lx.0 At ntxtn G 1 ee mus e cea eiece o ece use o a sycoacie susace (o susaces a suiciey ig ose ees o e cosise wi ioicaio 0 ISOES UE O SYCOACIE SUSACE USE

G ee mus e symoms o sigs o ioicaio comaie wi e kow acios o e aicua susace (o susaces as seciie eow a o suicie seeiy o ouce isuaces i e ee o cosciousess cogiio eceio aec o eaiou a ae o ciica imoace

G3 e symoms o sigs ese cao e accoue o y a meica isoe ueae o susace use a o ee accoue o y aoe mea o eaioua isoe

Acue ioicaio equey occus i esos wo ae moe esise acoo- o ug-eae oems i aiio Wee ee ae suc oems eg amu use ( eeece syome ( o sycoic isoe (5 ey sou aso e ecoe

e oowig ie-caace coes may e use o iicae wee e acue ioicaio was associae wi ay comicaios

x.00 Unpltd Symoms o ayig seeiy usuay ose-eee x.0 Wth tr r thr bdl njr x.02 Wth thr dl pltn Eames ae aemaemesis iaaio o omi x.0 Wth dlr x.04 Wth prptl dtrtn x.0 Wth x.06 Wth nvln x.0 thll ntxtn Appl oy o acoo

0.0 At ntxtn d t f lhl A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou as eiece y a eas oe o e oowig (1 isiiiio; ( agumeaieess; (3 aggessio;

4 MEA A EAIOUA ISOES: IAGOSIC CIEIA

( aiiy o moo; (5 imaie aeio; ( imaie ugeme; (7 ieeece wi esoa ucioig

C A eas oe o e oowig sigs mus e ese (1 useay gai; ( iicuy i saig; (3 sue seec; ( ysagmus; (5 ecease ee o cosciousess (eg soo coma; ( use ace; (7 coucia iecio

Comment We seee acue acoo ioicaio may e accomaie y yoesio yoemia a eessio o e gag ee

I esie e oo acoo ee may e seciie y usig

IC 0 coes Y9—Y9 Coe Y91— may e use o seciy e ciica seeiy o ioicaio i e oo acoo ee is o aaiae

0.0 thll lhl ntxtn t. e saus o is coiio is eig eamie ese eseac cieia mus e egae as eaie

A e geea cieia o acue ioicaio ( mus e me wi e eceio a aoogica ioicaio occus ae ikig amous o acoo isuicie o cause ioicaio i mos eoe

ee is eay aggessie o ysicay ioe eaiou a is o yica o e eso we soe

C e ioicaio occus ey soo (usuay a ew miues ae cosumio o acoo

. hr o eiece o ogaic ceea isoe o oe mea isoes

5 0 ISOES UE O SYCOACIE SUSACE USE

Cnt is is a ucommo coiio e oo acoo ees ou i is isoe ae owe a ose a wou cause acue ioicaio i mos eoe ie eow mg/1 m

.0 At ntxtn d t f pd A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou as eiece y a eas oe o e oowig (1 aay a seaio; ( isiiiio; (3 sycomoo eaaio; ( imaie aeio; (5 imaie ugeme; ( ieeece wi esoa ucioig

C A eas oe o e oowig sigs mus e ese (1 owsiess; ( sue seec; (3 uiay cosicio (ece i aoia om seee oe- ose we uiay iaaio occus; ( ecease ee o cosciousess (eg soo coma

Cnt We seee acue oioi ioicaio may e accomaie y esiaoy eessio (a yoia yoesio a yoemia

2.0 At ntxtn d t f nnbnd A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou o eceua aomaiies icuig a eas oe o e oowig (1 euoia a isiiiio; ( aiey o agiaio; (3 susiciousess o aaoi ieaio; ( emoa sowig (a sese a ime is assig ey sowy a/o e eso is eeiecig a ai ow o ieas; (5 imaie ugeme; 51 MEA A EAIOUA ISOES: IAGOSIC CIEIA

( imaie aeio; (7 imaie eacio ime; ( auioy isua o acie iusios; (9 auciaios wi esee oieaio; (1 eesoaiaio; (11 eeaiaio; (1 ieeece wi esoa ucioig

C A eas oe o e oowig sigs mus e ese (1 icease aeie; ( y mou; (3 coucia iecio; ( acycaia

.0 At ntxtn d t f dtv r hpnt A e geea cieia o acue ioicaio ( mus e me

ee is ysucioa eaiou as eiece y a eas oe o e oowig (1 euoia a isiiiio; ( aay a seaio; (3 ausieess o aggessio; ( aiiy o moo; (5 imaie aeio; ( aeogae amesia; (7 imaie sycomoo eomace; ( ieeece wi esoa ucioig

C A eas oe o e oowig sigs mus e ese (1 useay gai; ( iicuy i saig; (3 sue seec; ( ysagmus; (5 ecease ee o cosciousess (eg soo coma; ( eyemaous ski esios o ises

Cnt We seee acue ioicaio om seaie o yoic ugs may e accomaie y yoesio yoemia a eessio o e gag ee

2 0 ISOES UE O SYCOACIE SUSACE USE

4.0 At ntxtn d t f n A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou o eceua aomaiies as eiece y a eas oe o e oowig (1 euoia a sesaio o icease eegy; ( yeigiace; (3 gaiose eies o acios; ( ausieess o aggessio; (5 agumeaieess; ( aiiy o moo (7 eeiie seeoye eaious; ( auioy isua o acie iusios; (9 auciaios usuay wi iac oieaio; (1 aaoi ieaio; (11 ieeece wi esoa ucioig

C A eas wo o e oowig sigs mus e ese (1 acycaia (someimes aycaia; ( caiac aymias; (3 yeesio (someimes yoesio; ( sweaig a cis; (5 ausea o omiig; ( eiece o weig oss; (7 uiay iaaio; ( sycomoo agiaio (someimes eaaio; (9 muscua weakess; (1 ces ai; (11 cousios

Comment Ieeece wi esoa ucioig is mos eaiy aae om e socia ieacios o cocaie uses wic age om eeme gegaiousess o socia wiawa

.0 At ntxtn d t f thr tlnt, nldn ffn A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou o eceua aomaiies as eiece y a eas oe o e oowig

MEA A EAIOUA ISOES: IAGOSIC CIEIA

(1 euoia a sesaio o icease eegy; ( yeigiace; (3 gaiose eies o acios; ( ausieess o aggessio; (5 agumeaieess; ( aiiy o moo; (7 eeiie seeoye eaious; ( auioy isua o acie iusios; (9 auciaios usuay wi iac oieaio; (1 aaoi ieaio; (11 ieeece wi esoa ucioig

Comment Ieeece wi esoa ucioig is mos eaiy aae om e socia ieacios o e susace uses wic age om eeme gegaiousess o socia wiawa

6.0 At ntxtn d t f hllnn A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou o eceua aomaiies as eiece y a eas oe o e oowig (1 aiey a eauess; ( auioy isua o acie iusios o auciaios occuig i a sae o u wakeuess a aeess; (3 eesoaiaio; ( eeaiaio; (5 aaoi ieaio; 5 0 ISOES UE O SYCOACIE SUSACE USE

( ieas o eeece; (7 aiiy o moo; ( yeaciiy; (9 imusie acs; (1 imaie aeio; (11 ieeece wi esoa ucioig

C A eas wo o e oowig sigs mus e ese (1 acycaia; ( aiaios; (3 sweaig a cis; ( emo; (5 uig o isio; ( uiay iaaio; (7 icooiaio

.0 At ntxtn d t f tb [t ntn ntxtn] A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou o eceua aomaiies as eiece y a eas oe o e oowig (1 isomia; ( iae eams; (3 aiiy o moo; ( eeaiaio; (5 ieeece wi esoa ucioig

C A eas oe o e oowig sigs mus e ese (1 ausea o omiig; ( sweaig; (3 acycaia; ( caiac aymias

8.0 At ntxtn d t f vltl lvnt A e geea cieia o acue ioicaio ( mus e me

ee mus e ysucioa eaiou eiece y a eas oe o e oowig (1 aay a eagy; ( agumeaieess;

MEA A EAIOUA ISOES: IAGOSIC CIEIA

(3 ausieess o aggessio; ( aiiy o moo; (5 imaie ugeme; ( imaie aeio a memoy; (7 sycomoo eaaio; ( ieeece wi esoa ucioig

C A eas oe o e oowig sigs mus e ese (1 useay gai; ( iicuy i saig; (3 sue seec; ( ysagmus; (5 ecease ee o cosciousess (eg soo coma; ( musce weakess; (7 ue isio o ioia Cnt Acue ioicaio om iaaio o susaces oe a soes sou aso e coe ee

We seee acue ioicaio om oaie soes may e accomaie y yoesio yoemia a eessio o e gag ee

.0 At ntxtn d t ltpl dr nd f thr phtv btn is caegoy sou e use we ee is eiece o ioicaio cause y ece use o oe sycoacie susaces (eg e- cyciie o o muie sycoacie susaces wee i is uceai wic susace as eomiae

x. rfl A ee mus e cea eiece a e susace use was esosie o (o susaiay coiue o ysica o sycoogica am icuig imaie ugeme o ysucioa eaiou wic may ea o isaiiy o ae aese cosequeces o ieesoa eaiosis

e aue o e am sou e ceay ieiiae (a seciie

5 0 ISOES UE O SYCOACIE SUSACE USE

C e ae o use as esise o a eas 1 mo o as occue eeaey wii a 1-mo eio

e isoe oes o mee e cieia o ay oe mea o eaioua isoe eae o e same ug i e same ime eio (ece o acue ioicaio

lx.2 pndn ndr A ee o moe o e oowig maiesaios sou ae occue ogee o a eas 1 mo o i esisig o eios o ess a 1 mo sou ae occue ogee eeaey wii a 1-mo eio (1 a sog esie o sese o comusio o ake e susace; ( imaie caaciy o coo susace-akig eaiou i ems o is ose emiaio o ees o use as eiece y e susace eig oe ake i age amous o oe a oge eio a iee; o y a esise esie o usuccessu eos o euce o coo susace use; (3 a ysioogica wiawa sae (see 3 a we susace use is euce o cease as eiece y e caaceisic wiawa syome o e susace o y use o e same (o cosey eae susace wi e ieio o eieig o aoiig wiawa symoms; ( eiece o oeace o e eecs o e susace suc a ee is a ee o sigiicay icease amous o e susace o aciee ioicaio o e esie eec o a makey imiise eec wi coiue use o e same amou o e susace; (5 eoccuaio wi susace use as maiese y imo- a aeaie easues o ieess eig gie u o euce ecause o susace use; o a gea ea o ime eig se i aciiies ecessay o oai ake o ecoe om e eecs o e susace; ( esise susace use esie cea eiece o amu cosequeces (see 1 as eiece y coiue use we e iiiua is acuay awae o may e eece o e awae o e aue a ee o am

iagosis o e eeece syome may e ue seciie y e oowig ie- a si-caace coes 57 MEA A EAIOUA ISOES: IAGOSIC CIEIA

x.20 Crrntl btnnt Eay emissio 1 aia emissio u emissio x.2 Crrntl btnnt bt n prttd nvrnnt (eg i osia i a eaeuic commuiy i iso ec x.22 Crrntl n lnll prvd ntnn r rplnt r [ntrlld dpndn] (eg wi meaoe; icoie gum o icoie ac x.2 Crrntl btnnt, bt rvn trtnt th vrv r bln dr (eg aeoe o isuiam x.24 Crrntl n th btn [tv dpndn] Wiou ysica eaues 1 Wi ysica eaues e couse o e eeece may e ue seciie i esie as oows x.2 Cntn x.26 Epd [dpn]

x. Wthdrl tt

G].. ee mus e cea eiece o ece cessaio o eucio o susace use ae eeae a usuay ooge a/o ig- ose use o a susace G Symoms a sigs ae comaie wi e kow eaues o a wiawa sae om e aicua susace o susaces (see eow G3 Symoms a sigs ae o accoue o y a meica isoe ueae o susace use a o ee accoue o y aoe mea o eaioua isoe

e iagosis o wiawa sae may e ue seciie y usig e oowig ie-caace coes 1 x.0 Unpltd x. Wth nvln

0. Alhl thdrl tt A e geea cieia o wiawa sae (3 mus e me 5 0 ISOES UE O SYCOACIE SUSACE USE

Ay ee o e oowig sigs mus e ese (1 emo o e ogue eyeis o ousece as; ( sweaig; (3 ausea ecig o omiig; ( acycaia o yeesio; (5 sycomoo agiaio; ( eaace; (7 isomia; ( maaise o weakess; (9 asie isua acie o auioy auciaios o iusios; (1 ga ma cousios

Cnt I eiium is ese e iagosis sou e acoo wiawa sae wi eiium (eiium emes (1

. Opd thdrl tt A e geea cieia o wiawa sae (3 mus e me (oe a a oioi wiawa sae may aso e iuce y amiisaio o a oioi aagois ae a ie eio o oioi use

Ay ee o e oowig sigs mus e ese (1 caig o a oioi ug; ( iooea o seeig; (3 acimaio; ( musce aces o cams; (5 aomia cams; ( ausea o omiig; (7 iaoea; ( uiay iaaio; (9 ioeecio o ecue cis; (1 acycaia o yeesio; (11 yawig; (1 esess see

2. Cnnbnd thdrl tt Note. is is a i-eie syome o wic eiiie iagosic cieia cao e esaise a e ese ime I occus oowig

59 MEA A EAIOUA ISOES: IAGOSIC CIEIA

cessaio o ooge ig-ose use o caais I as ee eoe aiousy as asig om seea ous o u o 7 ays

Symoms a sigs icue aiey iiaiiy emo o e ousece as sweaig a musce aces

. Sdtv r hpnt thdrl tt A e geea cieia o wiawa sae (3 mus e me

Ay ee o e oowig sigs mus e ese (1 emo o e ogue eyeis o ousece as; ( ausea o omiig; (3 acycaia; ( osua yoesio; (5 sycomoo agiaio; ( eaace; (7 isomia; ( maaise o weakess; (9 asie isua acie o auioy auciaios o iusios; (1 aaoi ieaio; (11 ga ma cousios

Cnt I eiium is ese e iagosis sou e seaie o yoic wiawa sae wi eiium (13

4. Cn thdrl tt A e geea cieia o wiawa sae (3 mus e me

ee is ysoic moo (o isace saess o aeoia

C Ay wo o e oowig sigs mus e ese (1 eagy a aigue; ( sycomoo eaaio o agiaio; (3 caig o cocaie; ( icease aeie; (5 isomia o yesomia; ( iae o ueasa eams

60 0 ISOES UE O SYCOACIE SUSACE USE

. Wthdrl tt fr thr tlnt, nldn ffn A e geea cieia o wiawa sae (3 mus e me

ee is ysoic moo (o isace saess o aeoia

C Ay wo o e oowig sigs mus e ese (1 eagy a aigue; ( sycomoo eaaio o agiaio; (3 caig o simua ugs; ( icease aeie; (5 isomia o yesomia; ( iae o ueasa eams

6. llnn thdrl tt t: ee is o ecogie aucioge wiawa sae

. b thdrl tt A e geea cieia o wiawa sae (3 mus e me

Ay wo o e oowig sigs mus e ese (1 caig o oacco (o oe icoie-coaiig oucs; ( maaise o weakess; (3 aiey; ( ysoic moo; (5 iiaiiy o esessess; ( isomia; (7 icease aeie; ( icease coug; (9 mou uceaio; (1 iicuy i coceaig

8. ltl lvnt thdrl tt t: ee is iaequae iomaio o wiawa saes om oaie soes o eseac cieia o e omuae

. Mltpl dr thdrl tt

x.4 Wthdrl tt th dlr A e geea cieia o wiawa sae (3 mus e me

e cieia o eiium (5— mus e me

1 MEA A EAIOUA ISOES: IAGOSIC CIEIA

e iagosis o wiawa sae wi eiium may e ue seciie y usig e oowig ie-caace coes x.40 Wtht nvln x.4 Wth nvln

lx. ht drdr A Ose o sycoic symoms mus occu uig o wii weeks o susace use

e sycoic symoms mus esis o moe a ous

C uaio o e isoe mus o ecee mos

e iagosis o sycoic isoe may e ue seciie y usig e oowig ie-caace coes x.0 Shzphrnl x. rdnntl dlnl x.2 rdnntl hllntr x. rdnntl plrph x.4 rdnntl dprv pt x. rdnntl n pt x.6 Mxd

o eseac uoses i is ecommee a cage o e isoe om a o-sycoic o a ceay sycoic sae e ue seciie as eie au (ose wii ous o acue (ose i moe a ous u ess a weeks

lx.6 An ndr A Memoy imaime is maies i o (1 a eec o ece memoy (imaie eaig o ew maeia o a egee suicie o ieee wi aiy iig; a ( a euce aiiy o eca as eeieces

A o e oowig ae ase (o eaiey ase (1 eec i immeiae eca (as ese o eame y e igi sa; ( couig o cosciousess a isuace o aeio as eie i 5— cieio A; (3 goa ieecua ecie (emeia

62 0 ISOES UE O SYCOACIE SUSACE USE

C ee is o oecie eiece om ysica a euoogica eamiaio aoaoy ess o isoy o a isoe o isease o e ai (eseciay ioig iaeay e ieceaic a meia emoa sucues oe a a eae o susace use a ca easoay e esume o e esosie o e ciica maiesaios escie ue cieio A

lx. dl nd lt nt pht drdr A Coiios a isoes meeig e cieia o e iiiua syomes ise eow sou e ceay eae o susace use Wee ose o e coiio o isoe occus suseque o use o sycoacie susaces sog eiece sou e oie o emosae a ik Cnt I iew o e cosieae aiaio i is caegoy e caaceisics o suc esiua saes o coiios sou e ceay ocumee i ems o ei ye seeiy a uaio o eseac uoses u esciie eais sou e seciie

A i caace may e use i equie as oows 17 asacks 171 esoaiy o eaiou isoe e geea cieia o 7— esoaiy a eaioua isoe ue o ai isease amage a ysucio mus e me 17 esiua aecie isoe e cieia o 3 ogaic moo [aecie] isoe mus e me 173 emeia e geea cieia o emeia (OO—3 mus e me 17 Oe esisig cogiie imaime e cieia o 7 mi cogiie isoe mus e me ece o e ecusio o sycoacie susace use i cieio .

lx. t nt pht drdr e geea cieia o 5 sycoic isoe mus e me ece wi ega o e ose o e isoe wic is moe a weeks u o moe a weeks ae susace use lx.8 Othr ntl nd bhvrl drdr lx. Unpfd ntl nd bhvrl drdr

6 MEA A EAIOUA ISOES: IAGOSIC CIEIA

20— 2 Shzphrn, hztpl nd dlnl drdr

20 Shzphrn

is oea caegoy icues e commo aieies o scioeia ogee wi some ess commo aieies a cosey eae isoes

20.0—20. Gnrl rtr fr prnd, hbphrn, ttn, nd ndffrnttd hzphrn G 1 Eie at least one o e syomes symoms a sigs ise ue (1 eow or a eas wo o e symoms a sigs ise ue ( sou e ese o mos o e ime uig a eisoe o sycoic iess asig o a eas 1 mo (o a some ime uig mos o e ays

(1 A eas oe o e oowig mus e ese (a oug eco oug iseio o wiawa o oug oacasig; ( eusios o coo iuece o assiiy ceay e- ee o oy o im moemes o seciic ougs acios o sesaios; eusioa eceio; (c auciaoy oices giig a uig commeay o e aies eaiou o iscussig e aie amog emsees o oe yes o auciaoy oices comig om some a o e oy; ( esise eusios o oe kis a ae cuuay iaoiae a comeey imossie (eg eig ae o coo e weae o eig i commuicaio wi aies om aoe wo

( Or a eas wo o e oowig (a esise auciaios i ay moaiy we occuig eey ay o a eas 1 mo we accomaie y eusios (wic may e eeig o a-ome wiou cea aecie coe o we accomaie y esis- e oe-aue ieas;

64 20 2 SCIOEIA, SCIOYA A EUSIOA ISOES

( eoogisms eaks o ieoaios i e ai o oug esuig i icoeece o ieea seec; (c caaoic eaiou suc as ecieme osuig o way eiiiy egaiism muism a suo; ( "egaie" symoms suc as make aay auciy o seec a uig o icoguiy o emoioa e- soses (i mus e cea a ese ae o ue o eessio o o euoeic meicaio

G Most commonly used exclusion clauses

(1 I e aie aso mees cieia o maic eisoe (3— o eessie eisoe (3— e cieia ise ue G1(1 a G1( aoe mus ae ee me before e isuace o moo eeoe

( e isoe is o aiuae o ogaic ai isease (i e sese o OO—9 o o acoo- o ug-eae ioicaio ( eeece ( o wiawa (3 a

Comments I eauaig e esece o ese aoma suecie eeieces a eaiou secia cae sou e ake o aoi ase-osiie assessmes eseciay wee cuuay o sucuuay iuece moes o eessio a eaiou o a suoma ee o ieigece ae ioe

Pattern of course I iew o e cosieae aiaio o e couse o scioeic isoes i may e esiae (eseciay o eseac o seciy e pattern of course y usig a i caace Couse sou o usuay e coe uess ee as ee a eio o oseaio o a eas 1 yea (o emissio see oe 5 i oes o uses

20.x0 Cntn o emissio o sycoic symoms ougou e eio o oseaio 20.xl Epd th prrv dft ogessie eeome o "egaie" symoms i e ieas ewee sycoic eisoes

6 MEA A EAIOUA ISOES: IAGOSIC CIEIA

20.x2 Epd th tbl dft esise u o-ogessie "egaie" symoms i e ieas ewee sycoic eisoes 20.x Epd rttnt Comee o iuay comee emissios ewee sycoic eisoes 20.x4 Inplt rn 20.x Cplt rn 20.x8 Othr 20.x Cr nrtn, prd f brvtn t hrt

20.0 rnd hzphrn A e geea cieia o scioeia (—3 mus e me

eusios o auciaios mus e omie (suc as eusios o esecuio eeece eae i secia missio oiy cage o eaousy; eaeig o commaig oices auciaios o sme o ase seua o oe oiy sesaios

C aeig o icoguiy o aec caaoic symoms o icoee seec mus o omiae e ciica icue aoug ey may e ese o a mi egee

20. bphrn hzphrn A e geea cieia o scioeia (—3 mus e me

Eie o e oowig mus e ese (1 eiie a susaie aeig o saowess o aec; ( eiie a susaie icoguiy O iaoiaeess o aec

C Eie o e oowig mus e ese (1 eaiou a is aimess a isoie ae a goa- iece; ( eiie oug isoe maiesig as seec a is isoie amig o icoee

auciaios o eusios mus o omiae e ciica icue aoug ey may e ese o a mi egee 20 2 SCIOEIA, SCIOYA A EUSIOA ISOES

20.2 Cttn hzphrn A e geea cieia o scioeia (—3 mus ee- uay e me aoug is may o e ossie iiiay i e aie is ucommuicaie

o a eio o a eas weeks oe o moe o e oowig caaoic eaious mus e omie (1 suo (make ecease i eaciiy o e eiome a eucio o soaeous moemes a aciiy o muism; ( ecieme (aaey uoseess moo aciiy o iuece y eea simui; (3 osuig (ouay assumio a maieace o iaoiae o iae osues; ( egaiism (a aaey moieess esisace o a isucios o aems o e moe o moeme i e oosie iecio; (5 igiiy (maieace o a igi osue agais eos o e moe; ( way eiiiy (maieace o ims a oy i eeay imose osiios; (7 comma auomaism (auomaic comiace wi isucios

20. Undffrnttd hzphrn A e geea cieia o scioeia (—3 mus e me

Eie o e oowig mus ay (1 isuicie symoms o mee e cieia o ay o e suyes 1 o 5; ( so may symoms a e cieia o moe a oe o e suyes ise i (1 aoe ae me

20.4 thzphrn dprn A e geea cieia o scioeia (—3 mus ae ee me wii e as 1 mos u ae o me a e ese ime

Oe o e coiios i cieio G1( a c o o —3 mus si e ese 7 MEA A EAIOUA ISOES: IAGOSIC CIEIA

C e eessie symoms mus e suiciey ooge seee a eesie o mee cieia o a eas a mi eessie eisoe (3

20. dl hzphrn A e geea cieia o scioeia (—3 mus ae ee me a some ime i e as u ae o me a e ese ime

A eas ou o e oowig "egaie" symoms ae ee ese ougou e eious 1 mos (1 sycomoo sowig o ueaciiy; ( eiie uig o aec; (3 assiiy a ack o iiiaie; ( oey o eie e quaiy o e coe o seec; (5 oo o-ea commuicaio y acia eessio eye coac oice mouaio o osue; ( oo socia eomace o se-cae

20.6 Spl hzphrn A ee is sow u ogessie eeome oe a eio o a eas 1 yea o a ee o e oowig (1 a sigiica a cosise cage i e oea quaiy o some asecs o esoa eaiou maies as oss o ie a ieess aimessess ieess a se-asoe aiue a socia wiawa; ( gaua aeaace a eeeig o "egaie" symoms suc as make aay auciy o seec ue-aciiy uig o aec assiiy a ack o iiiaie a oo o-ea commuicaio (y acia eessio eye coac oice mouaio a osue; (3 make ecie i socia scoasic o occuaioa eomace

A o ime ae ee ay o e symoms eee o i cieio G1 o —3 o ae ee auciaios o we ome eusios o ay ki ie e iiiua mus ee ae me e cieia o ay oe ye o scioeia o o ay oe sycoic isoe 20 2 SCIOEIA, SCIOYA A EUSIOA ISOES

C ee is o eiece o emeia o ay oe ogaic mea isoe ise i OO—9

20.8 Othr hzphrn

20. Shzphrn, npfd

2 Shztpl drdr

A e suec mus ae maiese a eas ou o e oowig oe a eio o a eas yeas eie coiuousy o eeaey (1 iaoiae o cosice aec wi e iiiua a- eaig co a aoo; ( eaiou o aeaace a is o ecceic o ecuia; (3 oo ao wi oes a a eecy o socia wiawa; ( o eies o magica ikig iuecig eaiou a icosise wi sucuua oms; (5 susiciousess o aaoi ieas; ( umiaios wiou ie esisace oe wi ysmo- ooia seua o aggessie coes; (7 uusua eceua eeieces icuig somaosesoy (oiy o oe iusios eesoaiaio o eeaiaio; ( ague cicumsaia meaoica oeeaoae o oe seeoye ikig maiese y o seec o i oe ways wiou goss icoeece; (9 occasioa asie quasi-sycoic eisoes wi iese iusios auioy o oe auciaios a eusio-ike ieas usuay occuig wiou eea oocaio

e suec mus ee ae me e cieia o ay isoe i — (scioeia

6 MEA A EAIOUA ISOES: IAGOSIC CIEIA

22 rtnt dlnl drdr

22.0 lnl drdr A A eusio o a se o eae eusios oe a ose ise as yicay scioeic i cieio G1(1 o o —3 (ie oe a comeey imossie o cuuay iaoiae mus e ese e commoes eames ae esecuoy gaiose yocoiaca eaous (eoyic o eoic eusios

e eusio(s i cieio A mus e ese o a eas 3 mos

C e geea cieia o scioeia (—3 ae o uie

ee mus e o esise auciaios i ay moaiy (u ee may e asioy o occasioa auioy auciaios a ae o i e i eso o giig a uig commeay

E eessie symoms (o ee a eessie eisoe (3— may e ese iemiey oie a e eusios esis a imes we ee is o isuace o moo

F. Most commonly used exclusion clause. ee mus e o eiece o imay o secoay ogaic mea isoe as ise ue —9 o o a sycoic isoe ue o sycoacie susace use (5

Specification for possible subtypes e oowig yes may e seciie i esie esecuoy; iigious; se-eeeia; gaiose; yocoiaca (somaic; eaous; eoomaic

22.8 Othr prtnt dlnl drdr is is a esiua caegoy o esise eusioa isoes a o o mee e cieia o eusioa isoe ( isoes i wic eusios ae accomaie y esise auciaoy oices o y scioeic symoms a ae isuicie o mee cieia o scioeia (— sou e coe ee eusioa isoes a ae ase o ess a 3 mos sou owee e coe a eas emoaiy ue 3—

22. rtnt dlnl drdr, npfd

7 20 2 SCIOEIA, SCIOYA A EUSIOA ISOES

At nd trnnt pht drdr

GI ee is acue ose o eusios auciaios icomee- sie o icoee seec o ay comiaio o ese e ime iea ewee e is aeaace o ay sycoic symoms a e eseaio o e uy eeoe isoe sou o ecee weeks

G I asie saes o eeiy misieiicaio o imaime o aeio a coceaio ae ese ey o o ui e cieia o ogaicay cause couig o cosciousess as seciie o 5— cieio A

G3 e isoe oes o mee e symomaic cieia o maic eisoe (3— eessie eisoe (3— o ecue eessie isoe (33—

G ee is isuicie eiece o ece sycoacie susace use o ui e cieia o ioicaio ( amu use ( eeece ( o wiawa saes (3 a e coiue moeae a agey ucage use o acoo o ugs i amous o wi e equecy o wic e iiiua is accusome oes o ecessaiy ue ou e use o 3; is mus e ecie y ciica ugeme a e equiemes o e eseac oec i quesio

G5. Most commonly used exclusion clause. ee mus e o ogaic mea isoe (OO—9 o seious meaoic isuaces aecig e cea eous sysem (is oes o icue ci- i

A i caace sou e use o seciy wee e acue ose o e isoe is associae wi acue sess (occuig weeks o ess eoe eiece o is sycoic symoms 2.x0 Wtht td t tr 2.xl Wth td t tr

o eseac uoses i is ecommee a cage o e isoe om a o-sycoic o a ceay sycoic sae is ue seciie as eie au (ose wii ous o acue (ose i moe a ous u ess a weeks 71 MEA A EAIOUA ISOES: IAGOSIC CIEIA

2.0 At plrph pht drdr tht pt f hzphrn A e geea cieia o acue a asie sycoic isoes (3 mus e me

Symoms cage aiy i o ye a iesiy om ay o ay o wii e same ay

C Ay ye o eie auciaios o eusios occus o a eas seea ous a ay ime om e ose o e isoe

Symoms om a eas wo o e oowig caegoies occu a e same ime (1 emoioa umoi caaceie y iese eeigs o ai- ess o ecsasy o oewemig aiey o make iiaiiy; ( eeiy o misieiicaio o eoe o aces; (3 icease o ecease moiiy o a make egee

E I ay o e symoms ise o scioeia (—3 cieio G(1 a ( ae ese ey ae ese oy o a mioiy o e ime om e ose ie cieio o 31 is o uie

e oa uaio o e isoe oes o ecee 3 mos

2. At plrph pht drdr th pt f hzphrn A Cieia A C a o acue oymoic sycoic isoe (3 mus e me

Some o e symoms o scioeia (—3 mus ae ee ese o e maoiy o e ime sice e ose o e isoe aoug e u cieia ee o e me ie a eas oe o e symoms i cieia G1(1a o G1(c

C e symoms o scioeia i cieio aoe o o esis o moe a 1 mo

2.2 At hzphrnl pht drdr A e geea cieia o acue a asie sycoic isoes (3 mus e me 7 20 2 SCIOEIA, SCIOYA A EUSIOA ISOES

e cieia o scioeia (—3 ae me wi e eceio o e cieio o uaio

C e isoe oes o mee cieia C a o acue oymoic sycoic isoe (3

e oa uaio o e isoe oes o ecee 1 mo

2. Othr t prdnntl dlnl pht drdr A e geea cieia o acue a asie sycoic isoes (3 mus e me

eaiey sae eusios a/o auciaios ae ese u o o ui e symomaic cieia o scioeia (— 3

C e isoe oes o mee e cieia o acue oymoic sycoic isoe (3

e oa uaio o e isoe oes o ecee 3 mos

2.8 Othr t nd trnnt pht drdr Ay oe acue sycoic isoes a ae o cassiiae ue ay oe caegoy i 3 (suc as acue sycoic saes i wic eiie eusios o auciaios occu u esis o oy sma ooios o e ime sou e coe ee Saes o uieeiae ecieme sou aso e coe ee i moe eaie iomaio aou e aies mea sae is o aaiae oie a ee is o eiece o a ogaic cause

2. At nd trnnt pht drdr, npfd

24 Indd dlnl drdr

A e iiiua(s mus eeo a eusio o eusioa sysem oigiay e y someoe ese wi a isoe cassiie i —3

e eoe cocee mus ae a uusuay cose eaiosi wi oe aoe a e eaiey isoae om oe eoe 73 MEA A EAIOUA ISOES: IAGOSIC CIEIA

C e iiiua(s mus o ae e e eie i quesio eoe coac wi e oe eso a mus o ae suee om ay oe isoe cassiie i —3 i e as

2 Shzfftv drdr

t. is iagosis ees uo a aoimae "aace" ewee e ume seeiy a uaio o e scioeic a aecie symoms

G e isoe mees e cieia o oe o e aecie isoes (3— 31— 3— o moeae o seee egee as seciie o eac caegoy

G Symoms om a eas oe o e gous ise eow mus e ceay ese o mos o e ime uig a eio o a eas weeks (ese gous ae amos e same as o scioeia (—3 (1 oug eco oug iseio o wiawa oug oacasig (cieio G1(1a o —3; ( eusios o coo iuece o assiiy ceay eee o oy o im moemes o seciic ougs acios o sesaios (cieio G1(1 o —3; (3 auciaoy oices giig a uig commeay o e aies eaiou o iscussig e aie amog emsees o oe yes o auciaoy oices comig om some a o e oy (cieio G1(1c o —3; ( esise eusios o oe kis a ae cuuay iaoiae a comeey imossie u o meey gaiose o esecuoy (cieio G1(1 o —3 eg as isie oe wos; ca coo e cous y eaig i a ou; ca commuicae wi as o aimas wiou seakig; (5 gossy ieea o icoee seec o eque use o eoogisms (a make om o cieio G1( o —3; ( iemie u eque aeaace o some oms o caaoic eaiou suc as osuig way eiiiy a egaiism (cieio G1(c o —3 7 20 2 SCIOEIA, SCIOYA A EUSIOA ISOES

G3 Cieia G1 a G aoe mus e me wii e same eisoe o e isoe a cocuey o a eas a o e eisoe Symoms om o G1 a G mus e omie i e ciica icue

G4. Mt nl d xln l. e isoe is o aiuae o ogaic mea isoe (i e sese o O—9 o o sycoacie susace-eae ioicaio eeece o wiawa (1—19

2.0 Shzfftv drdr, n tp A e geea cieia o scioaecie isoe (5 mus e me

Cieia o a maic isoe (31 o 311 mus e me

2. Shzfftv drdr, dprv tp A e geea cieia o scioaecie isoe (5 mus e me

e cieia o a eessie isoe o a eas moeae seeiy (313 31 31 o 3 mus e me

2.2 Shzfftv drdr, xd tp A e geea cieia o scioaecie isoe (5 mus e me

e cieia o mie ioa aecie isoe (31 mus e me

2.8 Othr hzfftv drdr

2. Shzfftv drdr, npfd

Cnt I esie ue suyes o scioaecie isoe may e seciie accoig o e ogiuia eeome o e isoe as oows 5 Cocue aecie a scioeic symoms oy Symoms as eie i cieio G o 5 5 Cnrrnt fftv nd hzphrn pt, pl prtn f hzphrn pt bnd th drtn f fftv pt

MEA A EAIOUA ISOES: IAGOSIC CIEIA

28 Othr nnrn pht drdr

sycoic isoes a o o mee e cieia o scioeia (—3 o o sycoic yes o moo [aecie] isoes (3—39 a sycoic isoes a o o mee e symomaic cieia o esise eusioa isoe (— sou e coe ee (esise auciaoy isoe is a eame Comiaios o symoms o coee y e eious caegoies —5 suc as eusios oe a ose ise as yicay scioeic ue cieio G1(1 o o —3 (ie oe a comeey imossie o cuuay iaoiae us caaoia sou aso e icue ee

2 Unpfd nnrn ph

7 0 MOO [AECIE] ISOES

0 — Md [fftv] drdr

0 Mn pd

0.0 pn A e moo is eeae o iiae o a egee a is eiiey aoma o e iiiua cocee a susaie o a eas cosecuie ays

A eas ee o e oowig sigs mus e ese eaig o some ieeece wi esoa ucioig i aiy iig (1 icease aciiy o ysica esessess; ( icease akaieess; (3 isaciiiy o iicuy i coceaio; ( ecease ee o see; (5 icease seua eegy; ( mi oe-seig o oe yes o eckess o ieso- sie eaiou; (7 icease sociaiiy o oe-amiiaiy

C e eisoe oes o mee e cieia o maia (31 a 3 ioa aecie isoe (31— eessie eisoe (3— cycoymia (3 o aoeia eosa (5

D. Most commonly used exclusion clause. e eisoe is o aiuae o sycoacie susace use (1—19 o o ay ogaic mea isoe (i e sese o OO—9

0. Mn tht pht pt A Moo mus e eomiay eeae easie o iiae a eiiey aoma o e iiiua cocee e moo cage mus e omie a susaie o a eas 1 week (uess i is seee eoug o equie osia amissio

A eas ee o e oowig sigs mus e ese (ou i e moo is meey iiae eaig o seee ieeece wi esoa ucioig i aiy iig 77 MEA A EAIOUA ISOES: IAGOSIC CIEIA

(1 icease aciiy o ysica esessess; ( icease akaieess ("essue o seec"; (3 ig o ieas o e suecie eeiece o ougs acig; ( oss o oma socia iiiios esuig i eaiou a is iaoiae o e cicumsaces; (5 ecease ee o see; ( iae se-eseem o gaiosiy; (7 isaciiiy o cosa cages i aciiy o as; ( eaiou a is ooay o eckess a wose isks e iiiua oes o ecogie eg seig sees oois eeises eckess iig;

(9 make seua eegy o seua iisceios

C ee ae o auciaios o eusios aoug eceua isoes may occu (eg suecie yeacusis aeciaio o coous as eseciay ii

D. Most commonly used exclusion clause. e eisoe is o aiuae o sycoacie susace use (1—19 o o ay ogaic mea isoe (i e sese o —9

0.2 Mn th pht pt A e eisoe mees e cieia o maia wiou sycoic symoms (31 wi e eceio o cieio C

e eisoe oes o simuaeousy mee e cieia o scioeia (—3 o scioaecie isoe maic ye (5

C eusios o auciaios ae ese oe a ose ise as yicay scioeic i cieio G1(1 c a o —3 (ie eusios oe a ose a ae comeey imossie o cuuay iaoiae a auciaios a ae o i e i eso o giig a uig commeay e commoes eames ae ose wi gaiose se-eeeia eoic o esecuoy coe

D. Most commonly used exclusion clause. e eisoe is o aiuae o sycoacie susace use (1—19 o o ay ogaic mea isoe (i e sese o —9 78 0 MOO [AECIE] ISOES

A i caace may e use o seciy wee e auciaios o eusios ae cogue o icogue wi e moo

0.20 Wth d nrnt pht pt (suc as gaiose eusios o oices eig e iiiua a e o se as sueuma owes

0.2 Wth d nnrnt pht pt (suc as oices seakig o e iiiua aou aeciey eua oics o eusios o eeece o esecuio

0.8 Othr n pd

0. Mn pd, npfd

plr fftv drdr

t. Eisoes ae emacae y a swic o a eisoe o oosie o mie oaiy o y a emissio

.0 plr fftv drdr, rrnt pd hpn A e cue eisoe mees e cieia o yomaia (3

ee as ee a eas oe oe aecie eisoe i e as meeig e cieia o yomaic o maic eisoe (3— eessie eisoe (3— o mie aecie eisoe (3

. plr fftv drdr, rrnt pd n tht pht pt A e cue eisoe mees e cieia o maia wiou sycoic symoms (31

ee as ee a eas oe oe aecie eisioe i e as meeig e cieia o yomaic o maic eisoe (3— eessie eisoe (3— o mie aecie eisoe (3

.2 plr fftv drdr, rrnt pd n th p ht pt A e cue eisoe mees e cieia o maia wi sycoic symoms (3 79 MEA A EAIOUA ISOES: IAGOSIC CIEIA

ee as ee a eas oe oe aecie eisoe i e as meeig e cieia o yomaic o maic eisoe (3— eessie eisoe (3— o mie aecie eisoe (3

A i caace may e use o seciy wee e sycoic symoms ae cogue o icogue wi e moo .20 Wth dnrnt pht pt .2 Wth dnnrnt pht pt

. plr fftv drdr, rrnt pd drt r ld dprn A e cue eisoe mees e cieia o a eessie eisoe o eie mi (3 o moeae (31 seeiy

ee as ee a eas oe oe aecie eisoe i e as meeig e cieia o yomaic o maic eisoe (3— o mie aecie eisoe (3

A i caace may e use o seciy e esece o e "somaic syome" as eie i 3— i e cue eisoe o eessio .0 Wtht t ndr . Wth t ndr

.4 plr fftv drdr, rrnt pd vr dprn tht pht pt A e cue eisoe mees e cieia o a seee eessie eisoe wiou sycoic symoms (3

ee as ee a eas oe we aueicae yomaic o maic eisoe (3— o mie aecie eisoe (3 i e as

. plr fftv drdr, rrnt pd vr dprn th pht pt A e cue eisoe mees e cieia o a seee eessie eisoe wi sycoic symoms (33

ee as ee a eas oe we aueicae yomaic o maic eisoe (3— o mie aecie eisoe (3 i e as

80 0 MOO [AECIE] ISOES

A i caace may e use o seciy wee e sycoic symoms ae cogue o icogue wi e moo .0 Wth dnrnt pht pt . Wth dnnrnt pht pt

.6 plr fftv drdr, rrnt pd xd A e cue eisoe is caaceie y eie a miue o a ai aeaio (ie wii a ew ous o yomaic maic a eessie symoms

. th n a eessie symoms mus e omie mos o e ime uig a eio o a eas weeks

C ee as ee a eas oe we aueicae yomaic o maic eisoe (3— eessie eisoe (3— o mie aecie eisoe (3 i e as

. plr fftv drdr, rrntl n rn A e cue sae oes o mee e cieia o eessie o maic eisoe o ay seeiy o o ay oe moo isoe i 3—39 (ossiy ecause o eame o euce e isk o uue eisoes

ee as ee a eas oe ll aueicae yomaic o maic eisoe (3— i e as a i aiio a eas oe oe aecie eisoe (yomaic o maic (3— eessie (3— o mie (3

.8 Othr bplr fftv drdr

. plr fftv drdr, npfd

2 prv pd

G e eessie eisoe sou as o a eas weeks

G ee ae ee o yomaic o maic symoms suicie o mee e cieia o yomaic o maic eisoe (3— a ay ime i e iiiuas ie

8 MEA A EAIOUA ISOES: IAGOSIC CIEIA

G3 Most commonly used exclusion clause. e eisoe is o aiuae o sycoacie susace use (1—19 o o ay ogaic mea isoe (i e sese o OO—9

St ndr Some eessie symoms ae wiey egae as aig secia ciica sigiicace a ae ee cae "somaic" (ems suc as ioogica ia meacoic o eogeomoic ae use o is syome i oe cassiicaios

A i caace (as iicae i 313; 3 a 31; 33 a 331 may e use o seciy e esece o asece o e somaic syome o quaiy o e somaic syome four o e oowig symoms sou e ese (1 make oss o iees o easue i aciiies a ae omay easuae; ( ack o emoioa eacios o ees o aciiies a omay ouce a emoioa esose; (3 wakig i e moig ous o moe eoe e usua ime; ( eessio wose i e moig; (5 oecie eiece o make sycomoo eaaio o agiaio (emake o o eoe y oe eoe; ( make oss o aeie; (7 weig oss (5% o moe o oy weig i e as mo; ( make oss o iio

I The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines, e esece o a- sece o e somaic syome is o seciie o seee eessie eisoe sice i is esume o e ese i mos cases o eseac uoses owee i may e aisae o aow o e coig o e asece o e somaic syome i seee eessie eisoe

2.0 Mld dprv pd A e geea cieia o eessie eisoe (3 mus e me

A eas wo o e oowig ee symoms mus e ese (1 eesse moo o a egee a is eiiey aoma o e iiiua ese o mos o e ay a amos eey ay

0 MOO [AECIE] ISOES

agey uiuece y cicumsaces a susaie o a . eas weeks; ( oss o iees o easue i aciiies a ae omay easuae; (3 ecease eegy o icease aiguaiiy

C A aiioa symom o symoms om e oowig is sou e ese o gie a oa o a eas four: (1 oss o coiece o se-eseem; ( ueasoae eeigs o se-eoac o ecessie a iaoiae gui; (3 ecue ougs o ea o suicie o ay suicia eaiou; ( comais o eiece o imiise aiiy o ik o coceae suc as iecisieess o aciaio; (5 cage i sycomoo aciiy wi agiaio o eaaio (eie suecie o oecie; ( see isuace o ay ye; (7) cage i aeie (ecease o icease wi coesoig weig cage

A i caace may e use o seciy e esece o asece o e "somaic syome" (eie o age 2.00 Wtht t ndr 2.0 Wth t ndr

2. Mdrt dprv pd A e geea cieia o eessie eisoe (3 mus e me

A eas wo o e ee symoms ise o 3 cieio mus e ese

C Aiioa symoms om 3 cieio C mus e ese o gie a oa o a eas six.

A i caace may e use o seciy e esece o asece o e "somaic syome" (as eie o age 2.0 Wtht t ndr 2. Wth t ndr

8 MEA A EAIOUA ISOES: IAGOSIC CIEIA

2.2 Svr dprv pd tht pht pt Note: I imoa symoms suc as agiaio o eaaio ae make e aie may e uwiig o uae o escie may symoms i eai A oea gaig o seee eisoe may si e usiie i suc a case

A e geea cieia o eessie eisoe (3 mus e me

A ee o e symoms i cieio 3 mus e ese

C Aiioa symoms om 3 cieio C mus e ese o gie a oa o a eas eight.

ee mus e o auciaios eusios o eessie suo

2., Svr dprv pd th pht pt A e geea cieia o eessie eisoe (3 mus e me

e cieia o seee eessie eisoe wiou sycoic symoms (3 mus e me wi e eceio o cieio

C e cieia o scioeia (—3 o scioaecie isoe eessie ye (51 ae o me

Eie o e oowig mus e ese (1 eusios o auciaios oe a ose ise as yicay scioeic i cieio G1(1 c a o — 3 (ie eusios oe a ose a ae comeey imossie o cuuay iaoiae a auciaios a ae o i e i eso o giig a uig commeay; e commoes eames ae ose wi eessie guiy yocoiaca iiisic se-eeeia o esecuoy coe; ( eessie suo

A i caace may e use o seciy wee e sycoic symoms ae cogue o icogue wi moo

2.0 Wth d nrnt pht pt (ie eusios o gui woessess oiy isease o imeig isase eisie o coemaoy auioy auciaios

2. Wth d nnrnt pht pt (ie esecuoy o se-eeeia eusios a auciaios wiou a aecie coe 0 MOO [AECIE] ISOES

2.8 Othr dprv pd Eisoes sou e icue ee wic o o i e esciios gie o eessie eisoes i 3—33 bt o wic e oea iagosic imessio iicaes a ey ae eessie i aue Eames icue ucuaig miues o eessie symoms (aicuay ose o e somaic syome wi o-iagosic symoms suc as esio woy a isess a miues o somaic eessie symoms wi esise ai o aigue o ue o ogaic causes (as someimes see i geea osia seices

2. prv pd, npfd

rrnt dprv drdr

G1 ee as ee a eas oe eious eisoe mi (3 moeae (31 o seee (3 o 33 asig a miimum o weeks a seaae om e cue eisoe y a eas mos ee om ay sigiica moo symoms

G A o ime i e as as ee ee a eisoe meeig e cieia o yomaic o maic eisoe (3—

G3 Most commonly used exclusion clause. e eisoe is o aiuae o sycoacie susace use (1—19 o o ay ogaic mea isoe (i e sese o OO—9

I is ecommee a e eomia ye o eious eisoes is seciie (mi moeae seee uceai

.0 rrnt dprv drdr, rrnt pd ld A e geea cieia o ecue eessie isoe (33 ae me

e cue eisoe mees e cieia o mi eessie eisoe (3

A i caace may e use o seciy e esece o asece o e "somaic syome" as eie o age i e cue eisoe .00 Wtht t ndr .0 Wth t ndr

8 MEA A EAIOUA ISOES: IAGOSIC CIEIA

. rrnt dprv drdr, rrnt pd drt A e geea cieia o ecue eessie isoe (33 ae me

e cue eisoe mees e cieia o moeae eessie eisoe (31

A i caace may e use o seciy e esece o asece o e "somaic syome" as eie o age i e cue eisoe .0 Wtht t ndr . Wth t ndr

.2 rrnt dprv drdr, rrnt pd vr th t pht pt A e geea cieia o ecue eessie isoe (33 ae me

. h cue eisoe mees e cieia o seee eessie eisoe wiou sycoic symoms (3

. rrnt dprv drdr, rrnt pd vr th pht pt A e geea cieia o ecue eessie isoe (33 ae me

e cue eisoe mees e cieia o seee eessie eisoe wi sycoic symoms (33

A i caace may e use o seciy wee e sycoic symoms ae cogue o icogue wi e moo .0 Wth dnrnt pht pt . Wth dnnrnt pht pt

.4 rrnt dprv drdr, rrntl n rn A e geea cieia o ecue eessie isoe (33 ae ee me i e as

e cue sae oes o mee e cieia o a eessie eisoe (3— o ay seeiy o o ay oe isoe i 3—39 0 MOO [AECIE] ISOES

Cnt is caegoy ca si e use i e aie eceies eame o euce e isk o ue eisoes

.8 Othr rrrnt dprv drdr

. rrnt dprv drdr, npfd

4 rtnt d [fftv] drdr

4.0 Clth A ee mus ae ee a eio o a eas yeas o isaiiy o moo ioig seea eios o o eessio a yomaia wi o wiou ieeig eios o oma moo

oe o e maiesaios o eessio o yomaia uig suc a -yea eio sou e suiciey seee o og-asig o mee cieia o maic eisoe o eessie eisoe (moeae o seee; owee maic o eessie eisoe(s may ae occue eoe o may eeo ae suc a eio o esise moo isaiiy

C uig a eas some o e eios o eessio a eas ee o e oowig sou e ese (1 euce eegy o aciiy; ( isomia; (3 oss o se-coiece o eeigs o iaequacy; ( iicuy i coceaig; (5 socia wiawa; ( oss o iees i o eoyme o se a oe easuae aciiies; (7 euce akaieess; ( essimism aou e uue o ooig oe e as

uig a eas some o e eios o moo eeaio a eas ee o e oowig sou e ese

8 MEA A EAIOUA ISOES: IAGOSIC CIEIA

(1 icease eegy o aciiy; ( ecease ee o see; (3 iae se-eseem; ( saee o uusuay ceaie ikig; (5 icease gegaiousess; ( icease akaieess o wiiess; (7 icease iees a ioeme i seua a oe easuae aciiies; ( oe-oimism o eaggeaio o as acieemes

t. I esie ime o ose may e seciie as eay (i ae eeage o e weies o ae (usuay ewee age 3 a 5 yeas oowig a aecie eisoe

4. th A ee mus e a eio o a eas yeas o cosa o cosay ecuig eesse moo Ieeig eios o oma moo aey as o oge a a ew weeks a ee ae o eisoes o yomaia

oe o ey ew o e iiiua eisoes o eessio wii suc a -yea eio sou e suiciey seee o og-asig o mee e cieia o ecue mi eessie isoe (33

C uig a eas some o e eios o eessio a eas ee o e oowig sou e ese (1 euce eegy o aciiy; ( isomia; (3 oss o se-coiece o eeigs o iaequacy; ( iicuy i coceaig; (5 eque eauess; ( oss o iees i o eoyme o se a oe easuae aciiies; (7 eeig o oeessess o esai; ( a eceie iaiiy o coe wi e ouie esosiiiies o eeyay ie; (9 essimism aou e uue o ooig oe e as;

88 0 MOO [AECIE] ISOES

(1 socia wiawa; (11 euce akaieess

Note. I esie ime o ose may e seciie as eay (i ae eeage o e weies o ae (usuay ewee age 3 a 5 yeas oowig a aecie eisoe

4.8 Othr prtnt d [fftv] drdr is is a esiua caegoy o esise aecie isoes a ae o suiciey seee o og-asig o ui e cieia o cycoymia (3 o ysymia (31 u a ae eeeess ciicay sigiica Some yes o eessio eiousy cae "euoic" ae icue ee oie a ey o o mee e cieia o eie cycoymia (3 o ysymia (31 o o eessie eisoe o mi (3 o moeae (31 seeiy

4. rtnt d [fftv] drdr, npfd

8 Othr d [fftv] drdr

ee ae so may ossie isoes a cou e ise ue 3 a o aem as ee mae o seciy cieia ece o mie aecie eisoe (3 a ecue ie eessie isoe (31 Iesigaos equiig cieia moe eac a ose aaiae i Clinical descriptions and diagnostic guidelines sou cosuc em accoig o e equiemes o ei suies

8.0 Othr nl d [fftv] drdr

8.00 Mxd fftv pd A e eisoe is caaceie y eie a miue o a ai aeaio (ie wii a ew ous o yomaic maic a eessie symoms

o maic a eessie symoms mus e omie mos o e ime uig a eio o a eas weeks

C ee is o isoy o eious yomaic eessie o mie eisoes 9 MEA A EAIOUA ISOES: IAGOSIC CIEIA

8. Othr rrrnt d [fftv] drdr

8.0 rrnt brf dprv drdr A e isoe mees e symomaic cieia o mi (3 moeae (31 o seee (3 eessie eisoe

e eessie eisoes ae occue aou oce a mo oe e as yea

C e iiiua eisoes as ess a weeks (yicay -3 ays

e eisoes o o occu soey i eaio o e me- sua cyce

8.8 Othr pfd d [fftv] drdr is is a esiua caegoy o aecie isoes a o o mee e cieia o ay oe caegoies 3—31 aoe

Unpfd d [fftv] drdr

9 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

40 — 48 rt, trrltd nd tfr drdr

40 hb nxt drdr

40.0 Arphb A ee is make a cosisey maies ea i o aoiace o a eas wo o e oowig siuaios (1 cows; ( uic aces; (3 aeig aoe; ( aeig away om ome

A eas wo symoms o aiey i e eae siuaio mus ae ee ese ogee o a eas oe occasio sice e ose o e isoe a oe o e symoms mus ae ee om iems (1 o ( ise eow

Atn rl pt (1 aiaios o ouig ea o acceeae ea ae; ( sweaig; (3 emig o sakig; ( y mou (o ue o meicaio o eyaio;

Spt nvlvn ht nd bdn (5 iicuy i eaig; ( eeig o cokig; (7 ces ai o iscomo; ( ausea o aomia isess (eg cuig i somac;

Spt nvlvn ntl tt (9 eeig iy useay ai o ig-eae; (1 eeigs a oecs ae uea (eeaiaio o a e se is isa o "o eay ee" (eesoaiaio; (11 ea o osig coo "goig cay" o assig ou; (1 ea o yig; 91 MEA A EAIOUA ISOES: IAGOSIC CIEIA

General symptoms (13 o uses o co cis; (1 umess o igig sesaios

C Sigiica emoioa isess is cause y e aoiace o y e aiey symoms a e iiiua ecogies a ese ae ecessie o ueasoae

Symoms ae esice o o eomiae i e eae siuaios o coemaio o e eae siuaios

E Most commonly used exclusion clause. ea o aoiace o siuaios (cieio A is o e esu o eusios auciaios o oe isoes suc as ogaic mea isoes (—9 scioeia a eae isoes (—9 moo [aecie] isoes (3—39 o osessie—comusie iso- e (— a is o secoay o cuua eies

e esece o asece o aic isoe (1 i a maoiy o agoaoic siuaios may e seciie y usig a i caace 40.00 Wtht pn drdr 40.0 Wth pn drdr

Options for rating severity Seeiy i may e ae y iicaig e egee o aoiace akig io accou e seciic cuua seig Seeiy i 1 may e ae y couig e ume o aic aacks

40. Sl phb A Eie o e oowig mus e ese (1 make ea o eig e ocus o aeio o ea o eaig i a way a wi e emaassig o umiiaig; ( make aoiace o eig e ocus o aeio o o siuaios i wic ee is ea o eaig i a emaassig o umiiaig way

ese eas ae maiese i socia siuaios suc as eaig o seakig i uic ecoueig kow iiiuas i uic o eeig o euig sma gou siuaios (eg aies meeigs cassooms

2 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

A eas wo symoms o aiey i e eae siuaio as eie i cieio mus ae ee maies a some ime sice e ose o e isoe ogee wi a eas oe o e oowig symoms (1 usig o sakig; ( ea o omiig; (3 ugecy o ea o micuiio o eecaio

C Sigiica emoioa isess is cause y e symoms o y e aoiace a e iiiua ecogies a ese ae ecessie o ueasoae

Symoms ae esice o o eomiae i e eae siuaios o coemaio o e eae siuaios

E. Most commonly used exclusion clause. e symoms ise i cieia A a ae o e esu o eusios auciaios o oe isoes suc as ogaic mea isoes (OO—9 scioeia a eae isoes (—9 moo [aecie] isoes (3—39 o osessie—comusie isoe (— a ae o secoay o cuua eies

40.2 Spf (ltd phb A Eie o e oowig mus e ese (1 make ea o a seciic oec o siuaio o icue i agoaoia ( o socia oia (1; ( make aoiace o a seciic oec o siuaio o i- cue i agoaoia ( o socia oia (1

Amog e mos commo oecs a siuaios ae aimas is isecs eigs ue yig sma ecose saces e sig o oo o iuy iecios eiss a osias

Symoms o aiey i e eae siuaio as eie i cieio mus ae ee maies a some ime sice e ose o e isoe

C Sigiica emoioa isess is cause y e symoms o y e aoiace a e iiiua ecogies a ese ae ecessie o ueasoae 93 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Symoms ae esice o e eae siuaio o coemaio o e eae siuaio

I esie e seciic oias may e suiie as oows — aima ye (eg isecs ogs — aue-oces ye (eg soms wae — oo iecio a iuy ye — siuaioa ye (eg eeaos ues — oe ye

40.8 Othr phb nxt drdr

40. hb nxt drdr, npfd

4 Othr nxt drdr

4.0 n drdr [pd prxl nxt] A e iiiua eeieces ecue aic aacks a ae o cosisey associae wi a seciic siuaio o oec a a oe occu soaeousy (ie e eisoes ae ueicae e aic aacks ae o associae wi make eeio o wi eosue o ageous o ie-eaeig siuaios

A aic aack is caaceie y a o e oowig (1 i is a iscee eisoe o iese ea o iscomo; ( i sas auy; (3 i eaces a maimum wii a ew miues a ass a eas some miues; ( a eas ou o e symoms ise eow mus e ese oe o wic mus e om iems (a o (

Autonomic arousal symptoms (a aiaios o ouig ea o acceeae ea ae; ( sweaig; (c emig o sakig; ( y mou (o ue o meicaio o eyaio; 9 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

Spt nvlvn ht nd bdn (e iicuy i eaig; ( eeig o cokig; (g ceS ai o iscomo; ( ausea o aomia isess (eg cuig i somac;

Spt nvlvn ntl tt (i eeig iy useay ai o ig-eae; ( eeigs a oecs ae uea (eeaiaio o a e se is isa o "o eay ee" (eesoaiaio; (k ea o osig coo "goig cay" o assig ou; (1 ea o yig;

Gnrl pt (m o uses o co cis; ( umess o igig sesaios

C Mt nl d xln l. aic aacks ae o ue o a ysica isoe ogaic mea isoe (OO—9 -o oe mea isoes suc as scioeia a eae isoes (-9 moo [aecie] isoes (3-39 o somaoom isoes (5—

e age o iiiua aiaio i o coe a seeiy is so gea a wo gaes moeae a seee may e seciie i esie wi a i caace 4.00 n drdr, drt A eas ou aic aacks i a -week eio 4.0 n drdr, vr A eas ou aic aacks e week oe a -week eio

4. Gnrlzd nxt drdr t. I cie a aoesces e age o comais y wic e geea aiey is maies is oe moe imie a i aus a e seciic symoms o auoomic aousa ae oe ess omie o ese iiiuas a aeaie se o cieia is oie o use i 93 (geeaie aiey isoe o cioo i eee

A ee mus ae ee a eio o a eas mos wi omi- e esio woy a eeigs o aeesio aou eeyay ees a oems

MEA A EAIOUA ISOES: IAGOSIC CIEIA

A eas ou o e symoms ise eow mus e ese a eas oe o wic mus e om iems (1 o (

Autonomic arousal symptoms (1 aiaios o ouig ea o acceeae ea ae; ( sweaig; (3 emig o sakig; ( y mou (o ue o meicaio o eyaio;

Symptoms involving chest and abdomen (5 iicuy i eaig; ( eeig o cokig; (7 ces ai o iscomo; ( ausea o aomia isess (eg cuig i somac;

Symptoms involving mental state (9 eeig iy useay ai o ig-eae; (1 eeigs a oecs ae uea (eeaiaio o a e se is isa o "o eay ee" (eesoaiaio; (11 ea o osig coo "goig cay" o assig ou; (1 ea o yig;

General symptoms (13 o uses o co cis; (1 umess o igig sesaios;

Symptoms of tension (15 musce esio o aces a ais; (1 esessess a iaiiy o ea; (17 eeig keye u o ege o meay ese; (1 a sesaio o a um i e oa o iicuy i swaowig;

Other non specific symptoms (19 eaggeae esose o mio suises o eig sae;

9 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

( iicuy i coceaig o mi "goig ak" ecause o woyig o aiey; (1 esise iiaiiy; ( iicuy i geig o see ecause o woyig

C e isoe oes o mee e cieia o aic isoe (1 oic aiey isoes (— osessie—comusie isoe (— o yocoiaca isoe (5

D. Most commonly used exclusion clause. e aiey isoe is o ue o a ysica isoe suc as yeyoiism a ogaic mea isoe (O—9 o a sycoacie susace- eae isoe (1—19 suc as ecess cosumio o ameamie-ike susaces o wiawa om eoiaeies

4.2 Mxd nxt nd dprv drdr ee ae so may ossie comiaios o comaaiey mi symoms o ese isoes a seciic cieia ae o gie oe a ose aeay i Clinical descriptions and diagnostic guidelines. I is suggese a eseaces wisig o suy aies wi ese isoes sou aie a ei ow cieia wii e guieies eeig uo e seig a uose o ei suies

4. Othr xd nxt drdr

4.8 Othr pfd nxt drdr

4. Anxt drdr, npfd

42 Obvplv drdr

A Eie osessios o comusios (o o ae ese o mos ays o a eio o a eas weeks

Osessios (ougs ieas o images a comusios (acs sae e oowig eaues a o wic mus e ese (1 ey ae ackowege as oigiaig i e mi o e aie a ae o imose y ousie esos o iueces ( ey ae eeiie a ueasa a a eas oe osessio o comusio a is ackowege as ecessie o ueasoae mus e ese 97 MEA A EAIOUA ISOES: IAGOSIC CIEIA

(3 e aie ies o esis em (u esisace o ey og- saig osessios o comusios may e miima A eas oe osessio o comusio a is usuccessuy esise mus e ese ( Eeiecig e osessie oug o cayig ou e comusie ac is o i ise easuae (is sou e isiguise om e emoay eie o esio o aiey

C e osessios o comusios cause isess o ieee wi e aies socia o iiiua ucioig usuay y wasig ime

D. Most commonly used exclusion clause. e osessios o comusios ae o e esu o oe mea isoes suc as scioeia a eae isoes (—9 o moo [aecie] isoes (3—39

e iagosis may e ue seciie y e oowig ou-caace coes

42.0 rdnntl bnl thht nd rntn

42. rdnntl plv t [bnl rtl]

42.2 Mxd bnl thht nd t

42.8 Othr bvplv drdr

42. Obvplv drdr, npfd

4 tn t vr tr, nd djtnt drdr

4.0 At tr rtn A e aie mus ae ee eose o a eceioa mea o ysica sesso

Eosue o e sesso is oowe y a immeiae ose o symoms (wii 1 ou

C wo gous o symoms ae gie; e acue sess eacio is gae as 9 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

4.00 Mld Oy cieio (1 eow is uie 4.0 Mdrt Cieio (1 is me a ee ae ay wo symoms om cieio ( 4.02 Svr Either cieio (1 is me a ee ae ay ou symoms om cieio (; or ee is issociaie suo (see (1 Cieia , C a o geeaie aiey isoe (11 ae me ( (a Wiawa om eece socia ieacio ( aowig o aeio (c Aae isoieaio ( Age o ea aggessio (e esai o oeessess ( Iaoiae o uoseess oeaciiy (g Ucooae a ecessie gie (uge y oca cuua saas

I e sesso is asie o ca e eiee e symoms mus egi o imiis ae o moe a ous I eosue o e sesso coiues e symoms mus egi o imiis ae o moe a ous

E. Most commonly used exclusion clause. e eacio mus occu i e asece o ay oe cocue mea o eaioua isoe i IC-1 (ece 11 (geeaie aiey isoe a — (esoaiy isoes a o wii 3 mos o e e o a eisoe o ay oe mea o eaioua isoe

4. ttrt tr drdr A e aie mus ae ee eose o a sessu ee o siuaio (eie so- o og-asig o eceioay eaeig o caasoic aue wic wou e ikey o cause easie isess i amos ayoe

ee mus e esise ememeig o "eiig" o e sesso i iusie "asacks" ii memoies o ecuig

99 MEA A EAIOUA ISOES: IAGOSIC CIEIA

eams o i eeiecig isess we eose o cicumsaces esemig o associae wi e sesso

C e aie mus eii a acua o eee aoiace o cicumsaces esemig o associae wi e sesso wic was o ese eoe eosue o e sesso

Eie o e oowig mus e ese (1 iaiiy o eca eie aiay o comeey some imo- a asecs o e eio o eosue o e sesso; ( esise symoms o icease sycoogica sesiiiy a aousa (o ese eoe eosue o e sesso sow y ay wo o e oowig (a iicuy i aig o sayig asee; ( iiaiiy o ouuss o age; (c iicuy i coceaig; ( yeigiace; (e eaggeae sae esose

E Cieia C a mus a e me wii mos o e sessu ee o o e e o a eio o sess (o some uoses ose eaye moe a mos may e icue u is sou e ceay seciie

4.2 Adjtnt drdr A Ose o symoms mus occu wii 1 mo o eosue o a ieiiae sycosocia sesso o o a uusua o caasoic ye

e iiiua maiess symoms o eaiou isuace o e yes ou i ay o e aecie isoes (3—39 (ece o eusios a auciaios ay isoes i — (euoic sess-eae a somaoom isoes a couc isoes (91— u e cieia o a iiiua isoe ae o uie Symoms may e aiae i o om a seeiy

e eomia eaue o e symoms may e ue seciie y e use o a i caace 100 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

4.20 rf dprv rtn A trnnt mi eessie sae o a uaio o eceeig 1 nth. 4.2 rlnd dprv rtn A mi eessie sae occuig i esose o a ooge eosue o a sessu siuaio u o a uaio o e- ceeig yeas 4.22 Mxd nxt nd dprv rtn o aiey a eessie symoms ae omie u a ees o geae a ose seciie o mie aiey a eessie isoe (1 o oe mie aiey isoes (13 4.2 Wth prdnnt dtrbn f thr tn e symoms ae usuay o seea yes o emoio suc as aiey eessio woy esios a age Sym- oms o aiey a eessio may mee e cieia o mie aiey a eessie isoe (1 o o oe mie aiey isoes (13 u ey ae o so e- omia a oe moe seciic eessie o aiey isoes ca e iagose is caegoy sou aso e use o eacios i cie i wom egessie eaiou suc as e-weig o um-suckig is aso ese 4.24 Wth prdnnt dtrbn f ndt e mai isuace is oe ioig couc eg a aoesce gie eacio esuig i aggessie o issocia eaiou 4.2 Wth xd dtrbn f tn nd ndt th emoioa symoms a isuaces o couc ae omie eaues 4.28 Wth thr pfd prdnnt pt

C Ece i ooge eessie eacio (31 e symoms o o esis o moe a mos ae e cessaio o e sess o is cosequeces owee is sou o ee a oisioa iagosis eig mae i is cieio is o ye uie

4.8 Othr rtn t vr tr

4. tn t vr tr, npfd

11 MEA A EAIOUA ISOES: IAGOSIC CIEIA

44 tv [nvrn] drdr

G ee mus e o eiece o a ysica isoe a ca eai e caaceisic symoms o is isoe (aoug ysica isoes may e ese a gie ise o oe symoms

G ee ae coicig associaios i ime ewee e ose o symoms o e isoe a sessu ees oems o ees

44.0 tv n A e geea cieia o issociaie isoe ( mus e me

ee mus e amesia eie aia o comee o ece ees o oems a wee o si ae aumaic o sessu

C e amesia is oo eesie a esise o e eaie y oiay ogeuess (aoug is e a ee may ay om oe assessme o e e o y ieioa simuaio

44. tv f A e geea cieia o issociaie isoe ( mus e me

e iiiua ueakes a ueece ye ogaie ouey away om ome o om e oiay aces o wok a socia aciiies uig wic se-cae is agey maiaie

C ee is amesia eie aia o comee o e ouey wic aso mees cieio C o issociaie amesia (

44.2 tv tpr A e geea cieia o issociaie isoe ( mus e me

ee is oou imiuio o asece o ouay moemes a seec a o oma esosieess o ig oise a ouc

C oma musce oe saic osue a eaig (a oe imie cooiae eye moemes ae maiaie

44. rn nd pn drdr A e geea cieia o issociaie isoe ( mus e me

02 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

Eie o e oowig mus e ese (1 Trance. ee is emoay aeaio o e sae o cosciousess sow y ay wo o (a oss o e usua sese o esoa ieiy; ( aowig o awaeess o immeiae suouigs o uusuay aow a seecie ocusig o eiome- a simui; (c imiaio o moemes osues a seec o eeiio o a sma eeoie ( Possession disorder. e iiiua is coice a e o se as ee ake oe y a sii owe eiy o oe eso

C o (1 a ( o cieio mus e uwae a ouesome occuig ousie o eig a oogaio o simia saes i eigious o oe cuuay accee siuaios

Most commonly used exclusion clause. e isoe oes o occu a e same ime as scioeia o eae isoes (—9 o moo [aecie] isoes (3—39 wi auciaios o eusios

44.4 tv tr drdr A e geea cieia o issociaie isoe ( mus e me

Eie o e oowig mus e ese (1 comee o aia oss o e aiiy o eom moemes a ae omay ue ouay coo (icuig seec; ( aious o aiae egees o icooiaio o aaia o iaiiy o sa uaie

44. tv nvln A e geea cieia o issociaie isoe ( mus e me

e iiiua eiis sue a ueece sasmoic moemes cosey esemig ay o e aieies o eieic seiue u o oowe y oss o cosciousess

C e symoms i cieio ae o accomaie y ogue- iig seious uisig o aceaio ue o aig o uiay icoiece

13 MEA A EAIOUA ISOES: IAGOSIC CIEIA

44.6 tv nth nd nr l A e geea cieia o issociaie isoe ( mus e me

Eie o e oowig mus e ese (1 aia o comee oss o ay o a o e oma cuaeous sesaios oe a o a o e oy (seciy ouc i- ick iaio ea co; ( aia o comee oss o isio eaig o sme (seciy

44. Mxd dtv [nvrn] drdr

44.8 Othr dtv [nvrn] drdr is esiua coe may e use o iicae oe issociaie a coesio saes a mee cieia G1 a G o u o o mee e cieia o —7 ise aoe Gases syome (aoimae aswes 1 Muie esoaiy isoe A wo o moe isic esoaiies eis wii e iiiua oy oe eig eie a a ime Eac esoaiy as is ow memoies eeeces a eaiou aes a a some ime (a ecuey akes u coo o e iiiuas eaiou C ee is iaiiy o eca imoa esoa iomaio wic is oo eesie o e eaie y oiay ogeuess e symoms ae o ue o ogaic mea isoes (OO—9 (eg i eieic isoes o o sycoacie susace-eae isoes (1—19 (eg ioicaio o wiawa 44.82 rnnt dtv [nvrn] drdr r rn n hldhd nd dln 44.88 Othr pfd dtv [nvrn] drdr

Seciic eseac cieia ae o gie o a isoes meioe aoe sice ese oe issociaie saes ae ae a o we e- scie eseac wokes suyig ese coiios i eai sou seciy ei ow cieia accoig o e uoses o ei suies

44. tv [nvrn] drdr, npfd ,

04 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

4 Stfr drdr

4.0 Stztn drdr A ee mus e a isoy o a eas yeas comais o muie a aiae ysica symoms a cao e eaie y ay eecae ysica isoes (Ay ysica isoes a ae kow o e ese o o eai e seeiy ee aiey a esisece o e ysica comais o e associae socia isaiiy I some symoms ceay ue o auoomic aousa ae ese ey ae o a mao eaue o e isoe i a ey ae o aicuay esise o isessig

eoccuaio wi e symoms causes esise isess a eas e aie o seek eeae (ee o moe cosuaios o ses o iesigaios wi eie imay cae o seciais oc- os I e asece o meica seices wii eie e iacia o ysica eac o e aie ee mus e esise se- meicaio o muie cosuaios wi oca eaes

C ee is esise eusa o acce meica eassuace a ee is o aequae ysica cause o e ysica symoms (So- em acceace o suc eassuace ie o a ew weeks uig o immeiaey ae iesigaios oes o ecue is iagosis

ee mus e a oa o si o moe symoms om e oowig is wi symoms occuig i a eas wo seaae gous

Gastrointestinal symptoms (1 aomia ai; ( ausea; (3 eeig oae o u o gas; ( a ase i mou o ecessiey coae ogue; (5 comais o omiig o egugiaio o oo; ( comais o eque a oose owe moios o iscage o uis om aus;

Cardiovascular symptoms (7 eaessess wiou eeio; ( ces ais; 105 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Genitourinary symptoms (9 ysuia o comais o equecy o micuiio; (1 ueasa sesaios i o aou e geias; (11 comais o uusua o coious agia iscage;

Skin and pain symptoms (1 ociess o iscooaio o e ski; (13 ai i e ims eemiies o ois; (1 ueasa umess o igig sesaios

E Most commonly used exclusion clause. Symoms o o occu oy uig ay o e scioeic o eae isoes (—9 ay o e moo [aecie] isoes (3—39 o aic isoe (1

4. Undffrnttd tfr drdr A Cieia A C a E o somaiaio isoe (5 ae me ece a e uaio o e isoe is a eas mos

Oe o o o cieia a o somaiaio isoe (5 ae icomeey uie

4.2 phndrl drdr A Eie o e oowig mus e ese (1 a esise eie o a eas mos uaio o e esece o a maimum o wo seious ysica iseases (o wic a eas oe mus e seciicay ame y e aie; ( a esise eoccuaio wi a esume eomiy o isigueme (oy ysmoic isoe

eoccuaio wi e eie a e symoms causes esise isess o ieeece wi esoa ucioig i aiy iig a eas e aie o seek meica eame o iesigaios (o equiae e om oca eaes

C ee is esise eusa o acce meica eassuace a ee is o ysica cause o e symoms o ysica aomaiy (So- em acceace o suc eassuace ie o a ew weeks uig o immeiaey ae iesigaios oes o ecue is iagosis 1 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

Most commonly used exclusion clause. e symoms o o occu oy uig ay o e scioeic a eae isoes (—9 aicuay o ay o e moo [aecie] isoes (3—39

4. Stfr tn dfntn A ee mus e symoms o auoomic aousa a ae aiue y e aie o a ysica isoe o oe o moe o e oowig sysems o ogas (1 ea a caioascua sysem; ( ue gasoiesia ac (oesoagus a somac; (3 owe gasoiesia ac; ( esiaoy sysem; (5 geiouiay sysem

wo o moe o e oowig auoomic symoms mus e ese (1 aiaios; ( sweaig (o o co; (3 y mou; ( usig o usig; (5 eigasic iscomo "ueies" o cuig i e somac

C Oe o moe o e oowig symoms mus e ese (1 ces ais o iscomo i a aou e ecoium; ( ysoea o yeeiaio; (3 ecessie ieess o mi eeio; ( aeoagy iccoug o uig sesaios i ces o eigasium; (5 eoe eque owe moemes; ( icease equecy o micuiio o ysuia; (7 eeig o eig oae isee o eay

ee is o eiece o a isuace o sucue o ucio i e ogas o sysems aou wic e aie is cocee 17 MEA A EAIOUA ISOES: IAGOSIC CIEIA

E. Most commonly used exclusion clause. ese symoms o o occu oy i e esece o oic isoes (—3 o aic isoe (1

A i caace is o e use o cassiy e iiiua isoes i is gou iicaig e oga o sysem egae y e aie as e oigi o e symoms 4.0 rt nd rdvlr t Includes: caiac euosis euocicuaoy aseia a Cosas syome 4. Uppr trnttnl trt Includes: sycogeic aeoagy iccoug gasic euosis 4.2 r trnttnl trt Includes: sycogeic iiae owe syome sycogeic iaoea gas syome 4. prtr t Includes: yeeiaio 4.4 Gntrnr t Includes: sycogeic icease o equecy o micuiio a ysuia 4.8 Othr rn r t

4.4 rtnt tfr pn drdr A ee is esise seee a isessig ai (o a eas mos a coiuousy o mos ays i ay a o e oy wic cao e eaie aequaey y eiece o a ysioogica ocess o a ysica isoe a wic is cosisey e mai ocus o e aies aeio

B. Most commonly used exclusion clause. is isoe oes o occu i e esece o scioeia o eae isoes (—9 o oy uig ay o e moo [aecie] isoes (3—39 somaiaio isoe (5 uieeiae somaoom isoe (51 o yocoiaca isoe (5

4.8 Othr tfr drdr I ese isoes e eseig comais ae o meiae oug e auoomic eous sysem a ae imie o seciic sysems o as o e oy suc as e ski is is i coas o e muie

08 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

a oe cagig comais o e oigi o symoms a isess ou i somaiaio isoe (5 a uieeiae somaoom isoe (51 issue amage is o ioe

Ay oe isoes o sesaio o ue o ysica isoes wic ae cosey associae i ime wi sessu ees o oems o wic esu i sigiicay icease aeio o e aie eie esoa o meica sou aso e cassiie ee

4. Stfr drdr, npfd

48 Othr nrt drdr

48.0 rthn A Eie o e oowig mus e ese (1 esise a isessig comais o eeigs o eaus- io ae mio mea eo (suc as eomig o aem- ig o eom eeyay asks a o o equie uusua mea eo; ( esise a isessig comais o eeigs o aigue a oiy weakess ae mio ysica eo

A eas oe o e oowig symoms mus e ese (1 eeigs o muscua aces a ais; ( iiess; (3 esio eaaces; ( see isuace; (5 iaiiy o ea; ( iiaiiy

C e aie is uae o ecoe om e symoms i cieio A (1 o ( y meas o es eaaio o eeaime

e uaio o e isoe is a eas 3 mos

E Most commonly used exclusion clause. e isoe oes o occu i e esece o ogaic emoioay aie isoe ( oseceaiic syome (71 oscocussioa

19 MEA A EAIOUA ISOES: IAGOSIC CIEIA

syome (7 moo [aecie] isoes (3—39 aic isoe (1 o geeaie aiey isoe (11

48. prnlztn — drlztn ndr A Eie o e oowig mus e ese (1) Depersonalization. e aie comais o a eeig o eig isa o "o eay ee" o eame iiiuas may comai a ei emoios eeigs o eeiece o e ie se ae eace sage o ei ow o ueas- ay os o a ei emoios o moemes seem as i ey eog o someoe ese o a ey ee as i acig i a ay (2) Derealization. e aie comais o a eeig o uea- iy o eame ee may e comais a e suouigs o seciic oecs ook sage isoe a coouess ieess eay uieesig o ike a sage uo wic eeyoe is acig

. ee is eeio o isig i a e aie eaies a e cage is o imose om ousie y oe esos o oces

Cnt is iagosis sou o e use as a mai o sige iagosis we e syome aises i e esece o oe mea isoes suc as ogaic cousioa o eusioa saes (5— — ioicaio y acoo o ugs ( scioeia a eae isoes (—9 moo [aecie] isoes (3—39 aiey isoes (— 1— o oe coiios (suc as make aigue yogycaemia o immeiaey eceig o oowig eieic seiues owee ese syomes oe occu uig e couse o may oe syciaic isoes a ae aoiaey ecoe as a secoay o aiioa iagosis o a iee mai iagosis ei occuece as isoae syomes is muc ess commo

48.8 Othr pfd nrt drdr is caegoy icues mie isoes o eaiou eies a emoios wic ae o uceai eioogy a osoogica saus a wic occu wi aicua equecy i ceai cuues (see aso Ae ; eames icue a syome (uue coce aou e eiiaig eecs o e assage o seme koo (aiey a ea a e eis wi eac io e aome a cause ea a aa (imiaie a auomaic esose eaiou e sog associaio 11 40 48 EUOIC, SESSEAE A SOMAOOM ISOES

o ese syomes wi ocay accee cuua eies a aes o eaiou iicaes a ey ae oay es egae as o eusioa

48. rt drdr, npfd

MEA A EAIOUA ISOES: IAGOSIC CIEIA

0 — hvrl ndr td th phll dtrbn nd phl ftr

0 Etn drdr

0.0 Anrx nrv A ee is weig oss o i cie a ack o weig gai eaig o a oy weig a eas 15% eow e oma o eece weig o age a eig

e weig oss is se-iuce y aoiace o "aeig oos"

C ee is se-eceio o eig oo a wi a iusie ea o aess wic eas o a se-imose ow weig eso

A wiesea eocie isoe ioig e yoaamic- iuiay—goaa ais is maies i wome as ameooea a i me as a oss o seua iees a oecy (A aae eceio is e esisece o agia ees i aoeic wome wo ae o eaceme omoa eay mos commoy ake as a coaceie i

E e isoe oes o mee cieia A a o uimia eosa (5

Cnt e oowig eaues suo e iagosis u ae o esseia eemes se-iuce omiig se-iuce ugig ecessie e- ecise a use o aeie suessas a/o iueics

I ose is euea e sequece o uea ees is eaye o ee aese (gow ceases; i gis e eass o o eeo a ee is a imay ameooea; i oys e geias emai ueie Wi ecoey uey is oe comee omay u e meace is ae

0. Atpl nrx nrv eseaces suyig ayica oms o aoeia eosa ae ecommee o make ei ow ecisios aou e ume a ye o cieia o e uie 11 0 EAIOUA SYOMES

0.2 l nrv A ee ae ecue eisoes o oeeaig (a eas wice a week oe a eio o 3 mos i wic age amous o oo ae cosume i so eios o ime

ee is esise eoccuaio wi eaig a a sog esie o a sese o comusio o ea (caig

C e aie aems o coueac e "aeig" eecs o oo y oe o moe o e oowig (1 se-iuce omiig; ( se-iuce ugig; (3 aeaig eios o saaio; ( use o ugs suc as aeie suessas yoi eaa- ios o iueics; we uimia occus i iaeic aies ey may coose o egec ei isui eame

ee is se-eceio o eig oo a wi a iusie ea o aess (usuay eaig o ueweig

0. Atpl bl nrv eseaces suyig ayica oms o uimia eosa suc as ose ioig oma o ecessie oy weig ae ecommee o make ei ow ecisios aou e ume a ye o cieia o e uie

0.4 Ovrtn td th thr phll dtrbn eseaces wisig o use is caegoy ae ecommee o esig ei ow cieia

0. tn td th thr phll dtrbn eseaces wisig o use is caegoy ae ecommee o esig ei ow cieia

0.8 Othr tn drdr

0. Etn drdr, npfd

113 MEA A EAIOUA ISOES: IAGOSIC CIEIA

nrn lp drdr Note: A moe comeesie cassiicaio o see isoes is aaiae (International classification of sleep disorders') u i sou e oe a is is ogaie ieey om IC-1

o some eseac uoses wee aicuay omogeeous gous o see isoes ae equie ou o moe ees occuig wii a 1-yea eio may e cosiee as a cieio o use o caegoies 513 51 a 515

.0 nrn nn A e iiiua comais o iicuy aig asee iicuy maiaiig see o o-eesig see

e see isuace occus a eas ee imes a week o a eas 1 mo

C e see isuace esus i make esoa isess o ieeece wi esoa ucioig i aiy iig

ee is o kow causaie ogaic aco suc as a euoogica o oe meica coiio sycoacie susace use iso- e o a meicaio

.. nrn hprn A e iiiua comais o ecessie ayime seeiess o see aacks o o ooge asiio o e uy aouse sae uo awakeig (see ukeess wic is o accoue o y a iaequae amou o see

is see isuace occus eay eey ay o a eas 1 mo o ecuey o soe eios o ime a causes eie make isess o ieeece wi esoa ucioig i aiy iig

C ee ae o auiiay symoms o acoesy (caaey see aaysis yagogic auciaios a o ciica eiece o see aoea (ocua ea cessaio yica iemie soig sous ec

iagosic Cassiicaio Seeig Commiee International classification of sleep disorders: Diagnostic and coding manual. ocese M Ameica See isoes Associaio 199 11 0 EAIOUA SYOMES

ee is o kow causaie ogaic aco suc as a euoogica o oe meica coiio sycoacie susace use iso- e o a meicaio

.2 nrn drdr f th lp — hdl A e iiiuas see—wake ae is ou o sycoy wi e esie see—wake sceue as imose y sociea emas a sae y mos eoe i e iiiuas eiome As a esu o isuace o e see—wake sceue e iiiua eeieces isomia uig e mao see eio o yesomia uig e wakig eio eay eey ay o a eas 1 mo o ecuey o soe eios o ime C e usaisacoy quaiy quaiy a imig o see causes eie make esoa isess o ieeece wi esoa ucioig i aiy iig ee is o kow causaie ogaic aco suc as a euoogica o oe meica coiio sycoacie susace use iso- e o a meicaio

. Slpln [nbl] A e eomia symom is eeae (wo o moe eisoes o isig om e usuay uig e is i o ocua see a wakig aou o ewee seea miues a a a ou uig a eisoe e iiiua as a ak saig ace is eaiey uesosie o e eos o oes o iuece e ee o o commuicae wi im o e a ca e awakee oy wi cosieae iicuy C Uo awakeig (eie om a eisoe o e e moig e iiiua as amesia o e eisoe Wii seea miues o awakeig om e eisoe ee is o imaime o mea aciiy o eaiou aoug ee may iiiay e a so eio o some cousio a isoieaio E ee is o eiece o a ogaic mea isoe suc as emeia o a ysica isoe suc as eiesy

.4 Slp trrr [nht trrr] A eeae (wo o moe eisoes i wic e iiiua ges u om see wi a aicky sceam a iese aiey oy 115 MEA A EAIOUA ISOES: IAGOSIC CIEIA

moiiy a auoomic yeaciiy (suc as acycaia ea ouig ai eaig a sweaig

e eisoes occu maiy uig e is i o see

C e uaio o e eisoe is ess a 1 miues

I oes y o como e iiiua uig e eisoe ee is a ack o esose oowe y isoieaio a eseeaie moemes

E e iiiua as imie eca o e ee

ee is o kow causaie ogaic aco suc as a euoogica o oe meica coiio sycoacie susace use iso- e o a meicaio

. htr A e iiiua wakes om ocua see o as wi eaie a ii eca o iesey igeig eams usuay ioig eas o suia secuiy o se-eseem e awakeig may occu uig ay a o e see eio u yicay uig e seco a

Uo awakeig om e igeig eams e iiiua aiy ecomes oiee a ae

C e eam eeiece ise a e isuace o see esuig om e awakeigs associae wi e eisoes cause make isess o e iiiua

ee is o kow causaie ogaic aco suc as a euoogica o oe meica coiio sycoacie susace use iso- e o a meicaio

.8 Othr nnrn lp drdr

. nrn lp drdr, npfd

2 Sxl dfntn, nt d b rn drdr r d

G 1 e suec is uae o aiciae i a seua eaiosi as e o se wou wis

6 0 EAIOUA SYOMES

G e ysucio occus equey u may e ase o some occasios

G3 e ysucio as ee ese o a eas mos

G e ysucio is o eiey aiuae o ay o e oe mea a eaioua isoes i IC-1 ysica isoes (suc as eocie isoe o ug eame

Cnt Measueme o eac om o ysucio ca e ase o aig scaes a assess seeiy as we as equecy o e oem Moe a oe ye o ysucio ca coeis

2.0 r l f xl dr A e geea cieia o seua ysucio (5 mus e me

ee is a ack o oss o seua esie maies y imiuio o seekig ou seua cues o ikig aou se wi associae eeigs o esie o aeie o o seua aasies

C ee is a ack o iees i iiiaig seua aciiy eie wi a ae o as soiay masuaio esuig i a equecy o aciiy ceay owe a eece akig io accou age a coe o i a equecy ey ceay euce om eious muc ige ees

2. Sxl vrn nd l f xl njnt 2.0 Sxl vrn A e geea cieia o seua ysucio (5 mus e me e osec o seua ieacio wi a ae ouces suicie aesio ea o aiey a seua aciiy is aoie o i i occus is associae wi sog egaie eeigs a a iaiiy o eeiece ay easue C e aesio is o e esu o eomace aiey (eacio o eious aiue o seua esose

2. f xl njnt A e geea cieia o seua ysucio (5 mus e me

MEA A EAIOUA ISOES: IAGOSIC CIEIA

Geia esose (ogasm a/o eacuaio occus uig seua simuaio u is o accomaie y easuae sesaios o eeigs o easa ecieme C ee is o maies a esise ea o aiey uig seua aciiy (see 51 seua aesio

2.2 lr f ntl rpn A e geea cieia o seua ysucio (5 mus e me

I aiio o me

Eecio suicie o iecouse ais o occu we iecouse is aeme e ysucio akes oe o e oowig oms (1 u eecio occus uig e eay sages o oemakig u isaeas o ecies we iecouse is aeme (eoe eacuaio i i occus; ( eecio oes occu u oy a imes we iecouse is o eig cosiee; (3 aia eecio isuicie o iecouse occus u o u eecio; ( o eie umescece occus a a

I aiio o wome

ee is aiue o geia esose eeiece as aiue o agia uicaio ogee wi iaequae umescece o e aia e ysucio akes oe o e oowig oms (1 geea uicaio ais i a eea cicumsaces; ( uicaio may occu iiiay u ais o esis o og eoug o aow comoae eie ey; (3 siuaioa uicaio occus oy i some siuaios (eg wi oe ae u o aoe o uig masuaio o we agia iecouse is o eig coemae

2. Or dfntn A e geea cieia o seua ysucio (5 mus e me

ee is ogasmic ysucio (eie asece o make eay o ogasm wic akes oe o e oowig oms (1 ogasm as ee ee eeiece i ay siuaio; 11 0 EAIOUA SYOMES

( ogasmic ysucio as eeoe ae a eio o eaiey oma esose (a geea ogasmic ysucio occus i a siuaios a wi ay ae; ( siuaioa o women: ogasm oes occu i ceai siuaios (eg we masuaig o wi ceai aes; o men, oe o e oowig ca e aie i ogasm occus oy uig see ee uig e wakig sae; ii ogasm ee occus i e esece o e ae; iii ogasm occus i e esece o e ae u o uig iecouse

2.4 rtr jltn A e geea cieia o seua ysucio (5 mus e me

ee is a iaiiy o eay eacuaio suiciey o eoy oemakig maies as eie o e oowig (1 occuece o eacuaio eoe o ey soo ae e egiig o iecouse (i a ime imi is equie eoe o wii 15 secos o e egiig o iecouse; ( eacuaio occus i e asece o suicie eecio o make iecouse ossie

C e oem is o e esu o ooge asiece om seua aciiy

2. nrn vn A e geea cieia o seua ysucio (5 mus e me

ee is sasm o e eiagia musces suicie o ee eie ey o make i ucomoae e ysucio akes oe o e oowig oms (1 oma esose as ee ee eeiece; ( agiismus as eeoe ae a eio o eaiey oma esose (a we agia ey is o aeme a oma seua esose may occu;

119 MEA A EAIOUA ISOES: IAGOSIC CIEIA

( ay aem a seua coac eas o geeaie ea a eos o aoi agia ey (eg sasm o e auco musces o e igs

2.6 nrn dprn A e geea cieia o seua ysucio (5 mus e me

I aiio o wome

ai is eeiece a e ey o e agia eie ougou seua iecouse o oy we ee usig o e eis occus

C e isoe is o aiuae o agiismus o aiue o uicaio; ysaeuia o ogaic oigi sou e cassiie accoig o e ueyig isoe

I aiio o me

ai o iscomo is eeiece uig seua esose (e imig o e ai a e eac ocaiaio sou e caeuy ecoe

C e iscomo is o e esu o oca ysica acos I ysica acos ae ou e ysucio sou e cassiie esewee

2. Exv xl drv o eseac cieia ae aeme o is caegoy eseaces suyig is caegoy ae ecommee o esig ei ow cieia

2.8 Othr xl dfntn, nt d b rn drdr r d

2. Unpfd xl dfntn, nt d b rn d rdr r d

Mntl nd bhvrl drdr td th th prpr, nt lhr lfd

is caegoy sou e use i eseac wok oy i eceioa cicumsaces Mea isoes associae wi e ueeium sou e coe accoig o e eseig syciaic isoe 1 0 EAIOUA SYOMES

wie a seco coe om IC-1 (993 wi iicae e associaio wi e ueeium

.0 Mld ntl nd bhvrl drdr td th th prpr, nt lhr lfd

. Svr ntl nd bhvrl drdr td th th prpr, nt lhr lfd

.8 Othr ntl nd bhvrl drdr td th th prpr, nt lhr lfd

. rprl ntl drdr, npfd

4 hll nd bhvrl ftr td th drdr r d lfd lhr

is caegoy sou e use o eco e esece o sycoogica o eaioua acos oug o ae iuece e maiesaio o aece e couse o ysica isoes a ca e cassiie usig oe caes o IC-1 Ay esuig mea isuaces ae usuay mi a oe ooge (suc as woy emoioa coic aeesio a o o o emsees usiy e use o ay o e caegoies escie i e es o is ook A aiioa coe sou e use o ieiy e ysica isoe (I e ae isaces i wic a oe syciaic isoe is oug o ae cause a ysica isoe a seco aiioa coe sou e use o eco e syciaic isoe

Ab f nndpndnprdn btn

A wie aiey o meicames a ok emeies may e ioe u e aicuay imoa gous ae sycooic ugs a o o ouce eeece suc as aieessas; aaies; a aagesics a may e ucase wiou meica esciio suc as asii a aaceamo Aoug e meicaio may ae ee meicay escie o ecommee i e is isace ooge uecessay a oe ecessie osage eeos wic is aciiae y e aaiaiiy o e susaces wiou meica esciio

esise a uusiie use o ese susaces is usuay associae wi uecessay eese oe ioes uecessay coacs wi 11 MEA A EAIOUA ISOES: IAGOSIC CIEIA

meica oessioas o suoig sa a is someimes make y e amu ysica eecs o e susaces Aems o iscouage o oi e use o e susace ae oe me wi esisace; o aaies a aagesics is may e i sie o waigs aou (o ee e eeome o ysica am suc as ea ysucio o eecoye isuaces Aoug i is usuay cea a e aie as a sog moiaio o ake e susace o eeece o wiawa symoms eeo as i e case o e sycoacie susaces seciie i 1—19

A ou caace may e use o ieiy e ye o susace ioe

.0 Antdprnt (suc as icycic a eacycic aieessas a mooamie oiase iiios

. xtv

.2 Anl (suc as asii aaceamo eacei o seciie as sycoacie i —19

. Antd

.4 tn

. Strbd r hrn

.6 Spf hrbl r fl rd

.8 Othr btn tht d nt prd dpndn (suc as iueics

. Unpfd

Unpfd bhvrl ndr td th phll dtrbn nd phl ftr

1 60 6 ISOES O AU ESOAIY A EAIOU

60 6 rdr f dlt prnlt nd bhvr

60 Spf prnlt drdr

G 1 ee is eiece a e iiiuas caaceisic a euig aes o ie eeiece a eaiou as a woe eiae makey om e cuuay eece a accee age (o "om" Suc eiaio mus e maies i moe a oe o e oowig aeas (1 cogiio (ie ways o eceiig a ieeig igs eoe a ees; omig aiues a images o se a oes; ( aeciiy (age iesiy a aoiaeess o emoioa aousa a esose; (3 coo oe imuses a gaiicaio o ees; ( mae o eaig o oes a o aig ieesoa siuaios

G e eiaio mus maies ise easiey as eaiou a is ieie maaaie o oewise ysucioa acoss a oa age o esoa a socia siuaios (ie o eig imie o oe seciic "iggeig" simuus o siuaio

G3 ee is esoa isess o aese imac o e socia eiome o o ceay aiuae o e eaiou eee o i cieio G

G ee mus e eiece a e eiaio is sae a o og uaio aig is ose i ae cioo o aoescece

G5 e eiaio cao e eaie as a maiesaio o cosequece o oe au mea isoes aoug eisoic o coic coiios om secios —59 o 7—79 o is cassiicaio may coeis wi o e sueimose uo e eiaio

G Ogaic ai isease iuy o ysucio mus e ecue as e ossie cause o e eiaio (I a ogaic causaio is emosae caegoy 7— sou e use 13 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Cnt e assessme o cieia G 1—G aoe sou e ase o as may souces o iomaio as ossie Aoug i is someimes ossie o oai suicie eiece om a sige ieiew wi e iiiua as a geea ue i is ecommee o ae moe a oe ieiew wi e eso a o coec isoy aa om iomas o as ecos

I is suggese a su-cieia sou e eeoe o eie eaiou aes seciic o iee cuua seigs coceig socia oms ues a oigaios wee eee (suc as eames o iesosiiiy a isega o socia oms i issocia esoaiy isoe

e iagosis o esoaiy isoe o eseac uoses equies e ieiicaio o a suye (Moe a oe suye ca e coe i ee is comeig eiece a e iiiua mees muie ses o cieia

60.0 rnd prnlt drdr A e geea cieia o esoaiy isoe ( mus e me

A eas ou o e oowig mus e ese (1 ecessie sesiiiy o seacks a eus; ( eecy o ea guges esisey eg eusa o ogie isus iuies o sigs; (3 susiciousess a a easie eecy o iso eeiece y miscosuig e eua o iey acios o oes as osie o coemuous; ( a comaie a eacious sese o esoa igs ou o keeig wi e acua siuaio; (5 ecue susicios wiou usiicaio egaig seua ieiy o souse o seua ae; ( esise se-eeeia aiue associae aicuay wi ecessie se-imoace; (7 eoccuaio wi ususaiae "cosiaoia" eaa- ios o ees eie immeiae o e aie o i e wo a age

1 60 6 ISOES O AU ESOAIY A EAIOU

60. Shzd prnlt drdr A e geea cieia o esoaiy isoe ( mus e me

A eas ou o e oowig mus e ese (1 ew i ay aciiies oie easue; ( isay o emoioa coess eacme o aee aeciiy; (3 imie caaciy o eess eie wam ee eeigs o age owas oes; ( a aeaace o iieece o eie aise o ciicism; (5 ie iees i aig seua eeieces wi aoe e- so (akig io accou age; ( cosise coice o soiay aciiies; (7 ecessie eoccuaio wi aasy a iosecio; ( o esie o o ossessio o ay cose ies o coiig eaiosis (o oy oe; (9 make isesiiiy o eaiig socia oms a coeios; isega o suc oms a coeios is uie- ioa

60.2 l prnlt drdr A e geea cieia o esoaiy isoe ( mus e me

A eas ee o e oowig mus e ese (1 caous ucoce o e eeigs o oes; ( goss a esise aiue o iesosiiiy a isega o socia oms ues a oigaios; (3 icaaciy o maiai euig eaiosis oug wi o iicuy i esaisig em; ( ey ow oeace o usaio a a ow eso o iscage o aggessio icuig ioece; (5 icaaciy o eeiece gui o o oi om aese eeiece aicuay uisme; ( make oeess o ame oes o o oe ausie aioaiaios o e eaiou a as oug e iiiua io coic wi sociey 15 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Cnt esise iiaiiy a e esece o couc isoe uig cioo a aoescece comee e ciica icue u ae o equie o e iagosis

I is suggese a su-cieia sou e eeoe o eie eaiou aes seciic o iee cuua seigs coceig socia oms ues a oigaios wee eee (suc as eames o iesosiiiy a isega o socia oms

60. Etnll ntbl prnlt drdr 60.0 Iplv tp A e geea cieia o esoaiy isoe ( mus e me

A eas ee o e oowig mus e ese oe o wic mus e ( (1 make eecy o ac ueecey a wiou cosieaio o e cosequeces; ( make eecy o quaesome eaiou a o coics wi oes eseciay we imusie acs ae wae o ciicie; (3 iaiiy o ouuss o age o ioece wi iaiiy o coo e esuig eaioua eosios; ( iicuy i maiaiig ay couse o acio a oes o immeiae ewa; (5 usae a caicious moo

60. rdrln tp A e geea cieia o esoaiy isoe ( mus e me

A eas ee o e symoms meioe i cieio o 3 mus e ese wi a eas wo o e oowig i aiio (1 isuaces i a uceaiy aou se-image aims a iea eeeces (icuig seua; ( iaiiy o ecome ioe i iese a usae eaiosis oe eaig o emoioa cises; (3 ecessie eos o aoi aaome;

26 60 6 ISOES O AU ESOAIY A EAIOU

( ecue eas o acs o se-am; (5 coic eeigs o emiess

60.4 trn prnlt drdr A e geea cieia o esoaiy isoe ( must e me

A eas ou o e oowig mus e ese (1 se-amaiaio eaicaiy o eaggeae eessio o emoios; ( suggesiiiy (e iiiua is easiy iuece y oes o y cicumsaces; (3 saow a aie aeciiy; ( coiua seekig o ecieme a aciiies i wic e iiiua is e cee o aeio; (5 iaoiae seucieess i aeaace o eaiou; ( oe-coce wi ysica aacieess

Cnt Egoceiciy se-iugece coiuous ogig o aeciaio ack o cosieaio o oes eeigs a ae easiy u a esise maiuaie eaiou comee e ciica icue u ae o equie o e iagosis

60. Annt prnlt drdr t. is isoe is oe eee o as osessie—comusie esoaiy isoe

A e geea cieia o esoaiy isoe ( mus e me

A eas ou o e oowig mus e ese (1 eeigs o ecessie ou and cauio; ( eoccuaio wi eais ues iss oe ogaiaio o sceue; (3 eecioism a ieees wi ask comeio; ( ecessie coscieiousess a scuuousess; (5 uue eoccuaio wi ouciiy o e ecusio o easue a ieesoa eaiosis; ( ecessie eay a aeece o socia coeios; (7 igiiy a suoess; 17 MEA A EAIOUA ISOES: IAGOSIC CIEIA

( ueasoae isisece y e iiiua a oes sumi o eacy is o e way o oig igs o ueasoae eucace o aow oes o o igs

60.6 Anx [vdnt] prnlt drdr A e geea cieia o esoaiy isoe ( mus e me

A eas ou o e oowig mus e ese (1 esise a easie eeigs o esio a aeesio; ( eie a oe is sociay ie esoay uaeaig o ieio o oes; (3 ecessie eoccuaio wi eig ciicie o eece i socia siuaios; ( uwiigess o ecome ioe wi eoe uess ceai o eig ike; (5 esicios i iesye ecause o ee o ysica secuiy; ( aoiace o socia o occuaioa aciiies a ioe sigiica ieesoa coac ecause o ea o ciicism isaoa o eecio

60. pndnt prnlt drdr A e geea cieia o esoaiy isoe ( mus e me

A eas ou o e oowig mus e ese (1 ecouagig o aowig oes o make mos o oes imo- a ie ecisios; ( suoiaio o oes ow ees o ose o oes o wom oe is eee a uue comiace wi ei wises; (3 uwiigess o make ee easoae emas o e eoe oe ees o; ( eeig ucomoae o eess we aoe ecause o eaggeae eas o iaiiy o cae o oese; (5 eoccuaio wi eas o eig e o cae o oese; ( imie caaciy o make eeyay ecisios wiou a ecessie amou o aice a eassuace om oes

60.8 Othr pf prnlt drdr If oe o e eceig uics is iig u a coiio meeig e geea cieia o esoaiy isoe ise ue is eeeess ese is coe sou e use (see aso Ae 1 A ea 128 60 6 ISOES O AU ESOAIY A EAIOU

caace may e ae o ieiyig seciic esoaiy isoes o cuey i IC-1 I usig coe i is ecommee aways o eco a igee esciio o e seciic isoe

60. rnlt drdr, npfd

6 Mxd nd thr prnlt drdr

o aem as ee mae o oie saa ses o cieia o ese mie isoes sice ose oig eseac i is ie wi ee o sae ei ow cieia eeig uo e uose o ei suies

6.0 Mxd prnlt drdr eaues o seea o e isoes i — ae ese u o o e ee a e cieia o ay o e seciie esoaiy isoes i a caegoy ae me

6. rbl prnlt hn o cassiiae i — o — a egae as secoay o a mai iagosis o a coeisig aecie o aiey isoe

62 Endrn prnlt hn, nt ttrbtbl t brn d nd d

62.0 Endrn prnlt hn ftr ttrph xprn A ee mus e eiece (om e esoa isoy o om key iomas o a eiie a esise cage i e iiiuas ae o eceiig eaig o a ikig aou e eiome a e se oowig eosue o caasoic sess (eg coceaio cam eeiece; oue; isase; ooge e- osue o ie-eaeig siuaios

e esoaiy cage sou e sigiica a eese i- eie a maaaie eaues as iicae y e esece o a eas wo o e oowig (1 a emae osie o isusu aiue owas e wo i a eso wo eiousy sowe o suc ais;

is ou-caace coe is o icue i Cae ( o IC-1

2 MEA A EAIOUA ISOES: IAGOSIC CIEIA

( socia wiawa (aoiace o coacs wi eoe oe a a ew cose eaies wi wom e iiiua ies wic is o ue o aoe cue mea isoe (suc as a moo isoe; (3 a cosa eeig o emiess o oeessess o imie o a iscee eisoe o moo isoe wic was o ese eoe e caasoic sess eeiece; is may e associae wi icease eeecy o oes iaiiy o e- ess egaie o aggessie eeigs a ooge eessie moo wiou ay eiece o eessie isoe e- oe eosue o e caasoic sess; ( a euig eeig o eig "o ege" o o eig eaee wiou ay eea cause as eiece y a icease igiace a iiaiiy i a eso wo eiousy sowe o suc ais o ye-aeess; is coic sae o ie esio a eeig eaee may e associae wi a eecy o ecessie ikig o use o ugs; (5 a emae eeig o eig cage o o eig iee om oes (esageme; is eeig may e associae wi a eeiece o emoioa umess

C e cage sou cause sigiica ieeece wi esoa ucioig i aiy iig esoa isess o aese imac o e socia eiome

e esoaiy cage sou ae eeoe ae e caasoic eeiece a ee sou e o isoy o a e- eisig au esoaiy isoe o ai acceuaio o o esoaiy o eeomea isoes uig cioo o aoescece a cou eai e cue esoaiy ais

E e esoaiy cage mus ae ee ese o a eas yeas I is o eae o eisoes o ay oe mea isoe (ece os-aumaic sess isoe a cao e eaie y ai amage o isease

e esoaiy cage meeig e aoe cieia is oe e- cee y a os-aumaic sess isoe (31 e symoms o e wo coiios ca oea a e esoaiy cage may e a coic oucome o a os-aumaic sess isoe owee a euig esoaiy cage sou o e assume i

13 60 6 ISOES O AU ESOAIY A EAIOU

suc cases uess i aiio o a eas yeas o os-aumaic sess isoe ee as ee a ue eio o o ess a yeas uig wic e aoe cieia ae ee me

62. Endrn prnlt hn ftr phtr lln A ee mus e eiece o a eiie a euig cage i e iiiuas ae o eceiig eaig o a ikig aou e eiome a e se oowig e eeiece o sueig om oe o seea eisoes o syciaic iess om wic e o se as ecoee ciicay wiou esiua symoms

e esoaiy cage sou e sigiica a eese i- eie a maaaie eaues as iicae y e esece o a eas wo o e oowig (1 eeece o oes (e iiiua assiey assumes o emas a oes ake esosiiiy o is o e ow ie a is uwiig o ecie o imoa issues eae o is o e acios o uue; ( socia wiawa o isoaio wic is secoay o a coicio (o eusioa o eeig o eig "cage" o sigma- ie as a esu o e iess; is coicio o eeig may e segee y sociea aiues u cao e comeey eaie y e oecie socia cicumsaces; eeig u- eae o oes moa ooium (acissisic iuy may aso e a aco u suc eeig sou e egosyoic i i is o e cosiee a euig esoaiy ai; (3 assiiy euce ieess a imiise ioeme i eiousy eeaie eisue aciiies (wic may eioce e socia isoaio; ( a cage i se-eceio eaig o a eque o cosa caim o eig i; is may e associae wi yocoiaca eaiou a a icease uiiaio o syciaic o oe meica seices; (5 a emaig aiue owas oe eoe i wic e iiiua eecs secia aous o cosies imse o ese eseig o secia aeio o eame; ( ysoic o aie moo o ue o a cue mea isoe o aecee mea isoe wi esiua aecie symoms 131 MEA A EAIOUA ISOES: IAGOSIC CIEIA

C e esoaiy cage oowig e syciaic iess mus e uesaae i ems o e iiiuas suecie emoioa eeiece o e siuaio is o e eious ausme u- eaiiies a ie-siuaio icuig e aiues o eacios o sigiica oes oowig e iess

e esoaiy cage sou cause sigiica ieeece wi esoa ucioig i aiy iig esoa isess o aese imac o e socia eiome

E ee sou e o isoy o a e-eisig au esoaiy isoe o ai acceuaio o o esoaiy o eeomea isoes uig cioo o aoescece a cou eai e cue esoaiy ais

e esoaiy cage as ee ese o a eas yeas a is o a maiesaio o aoe mea isoe o secoay o ai amage o isease

62.8 Othr ndrn prnlt hn

62. Endrn prnlt hn, npfd

6 bt nd pl drdr

6.0 thll bln A wo o moe eisoes o gamig occu oe a eio o a eas 1 yea

ese eisoes o o ae a oiae oucome o e iiiua u ae coiue esie esoa isess a ieeece wi esoa ucioig i aiy iig

C e iiiua escies a iese uge o game wic is iicu o coo a eos a e o se is uae o so gamig y a eo o wi

e iiiua is eoccuie wi ougs o mea images o e ac o gamig o e cicumsaces suouig e ac 13 60 6 ISOES O AU ESOAIY A EAIOU

6. thll frttn [prn] A ee ae wo o moe acs o ie-seig wiou aae moie

e iiiua escies a iese uge o se ie o oecs wi a eeig o esio eoe e ac a eie aewas

C e iiiua is eoccuie wi ougs o mea images o ie-seig o o e cicumsaces suouig e ac (eg aoma iees i ie-egies o i caig ou e ie seice

6.2 thll tln [lptn] A ee ae wo o moe es i wic e iiiua seas wiou ay aae moie o esoa gai o gai o aoe eso

e iiiua escies a iese uge o sea wi a eeig o esio eoe e ac a eie aewas

6. rhtlln A oiceae ai-oss is cause y e iiiuas esise a ecue aiue o esis imuses o u ou ais

e iiiua escies a iese uge o u ou ais wi mouig esio eoe e ac a a sese o eie aewas

C ee is o e-eisig iammaio o e ski a e ai- uig is o i esose o a eusio o auciaio

6.8 Othr hbt nd pl drdr is caegoy sou e use o oe kis o esisey eeae maaaie eaiou a ae o secoay o a ecogie syciaic syome a i wic i aeas a ee is eeae aiue o esis imuses o cay ou e eaiou ee is a ooma eio o esio wi a eeig o eease a e ime o e ac

6. bt nd pl drdr, npfd

64 Gndr dntt drdr

64.0 rnxl A e iiiua esies o ie a e accee as a meme o e oosie se usuay accomaie y e wis o make is o e 133 MEA A EAIOUA ISOES: IAGOSIC CIEIA

oy as cogue as ossie wi e eee se oug sugey a omoa eame

e asseua ieiy as ee ese esisey o a eas yeas

C e isoe is o a symom o aoe mea isoe suc as scioeia o is i associae wi comosome aomaiy

64. l rl trnvt A e iiiua weas coes o e oosie se i oe o eeiece emoaiy memesi o e oosie se

ee is o seua moiaio o e coss-essig

C e iiiua as o esie o a emae cage o e oosie se

64.2 Gndr dntt drdr f hldhd o gis

A e iiiua sows esise a iese isess aou eig a gi a as a sae esie o e a oy (o meey a esie o ay eceie cuua aaages o eig a oy o isiss a se is a oy

Eie o e oowig mus e ese (1 esise make aesio o omaie emiie coig a isisece o weaig seeoyica mascuie coig eg oys uewea a oe accessoies; ( esise euiaio o emae aaomica sucues as eiece y a eas oe o e oowig (a a asseio a se as o wi gow a eis; ( eecio o uiaig i a siig osiio; (c asseio a se oes o wa o gow eass o mesuae

C e gi as o ye eace uey

e isoe mus ae ee ese o a eas mos 13 60 6 ISOES O AU ESOAIY A EAIOU

o oys

A e iiiua sows esise a iese isess aou eig a oy a as a iese esie o e a gi o moe aey isiss a e is a gi

Eie o e oowig mus e ese (1 eoccuaio wi seeoyica emae aciiies as sow y a eeece o eie coss-essig o simuaig emae aie o y a iese esie o aiciae i e games a asimes o gis a eecio o seeoyica mae oys games a aciiies; ( esise euiaio o mae aaomica sucues as iicae y a eas oe o e oowig eeae asseios (a a e wi gow u o ecome a woma (o meey i oe; ( a is eis o eses ae isgusig o wi isaea; (c a i wou e ee o o ae a eis o eses

C e oy as o ye eace uey

e isoe mus ae ee ese o a eas mos

64.8 Othr ndr dntt drdr

64. Gndr dntt drdr, npfd

6 rdr f xl prfrn

G e iiiua eeieces ecue iese seua uges a aasies ioig uusua oecs o aciiies

G e iiiua eie acs o e uges o is makey isesse y em

G3 e eeece as ee ese o a eas mos

6.0 th A e geea cieia o isoes o seua eeece (5 mus e me 135 MEA A EAIOUA ISOES: IAGOSIC CIEIA

e eis (some o-iig oec is e mos imoa souce o seua simuaio o is esseia o saisacoy seua esose

6. tht trnvt A e geea cieia o isoes o seua eeece (5 mus e me

e iiiua weas aices o coig o e oosie se i oe o ceae e aeaace a eeig o eig a meme o e oosie se

C e coss-essig is cosey associae wi seua aousa Oce ogasm occus a seua aousa ecies ee is a sog esie o emoe e coig

6.2 Exhbtn A e geea cieia o isoes o seua eeece (5 mus e me

ee is eie a ecue o a esise eecy o eose e geiaia o ususecig sages (usuay o e oosie se wic is amos iaiay associae wi seua aousa a masuaio

C ee is o ieio o iiaio o ae seua iecouse wi e "wiess(es"

6. r A e geea cieia o isoes o seua eeece (5 mus e me

ee is eie a ecue o a esise eecy o ook a eoe egagig i seua o iimae eaiou suc as uess- ig wic is associae wi seua ecieme a masuaio

C ee is o ieio o eea oes esece

ee is o ieio o seua ioeme wi e eso(s osee

13 60 6 ISOES O AU ESOAIY A EAIOU

6.4 dphl A e geea cieia o isoes o seua eeece (5 mus e me

ee is a esise o eomia eeece o seua aciiy wi a euesce ci o cie

C e iiiua is a eas 1 yeas o a a eas 5 yeas oe a e ci o cie i cieio

6. Sdh A e geea cieia o isoes o seua eeece (5 mus e me

ee is eeece o seua aciiy as eciie (masocism o oie (saism o o wic ioes a eas oe o e oowig (1 ai; ( umiiaio; (3 oage

C e saomasocisic aciiy is e mos imoa souce o simuaio o is ecessay o seua gaiicaio

6.6 Mltpl drdr f xl prfrn e ikeioo o moe a oe aoma seua eeece occuig i oe iiiua is geae a wou e eece y cace o eseac uoses e iee yes o eeece a ei eaie imoace o e iiiua sou e ise e mos commo comiaio is eisism asesism a saomasocism

6.8 Othr drdr f xl prfrn A aiey o oe aes o seua eeece a aciiy may occu eac eig eaiey ucommo ese icue suc aciiies as makig oscee eeoe cas uig u agais eoe o seua simuaio i cowe uic aces (oeuism seua aciiy wi aimas use o saguaio o aoia o iesiyig seua ecieme a a eeece o aes wi some aicua aaomica aomaiy suc as a amuae im

Eoic acices ae oo iese a may oo ae o iiosycaic o usiy a seaae em o eac Swaowig uie smeaig aeces o 137 MEA A EAIOUA ISOES: IAGOSIC CIEIA

iecig oeski o ies may e a o e eaioua eeoie i saomasocism Masuaoy iuas o aious kis ae commo u e moe eeme acices suc as e iseio o oecs io e ecum o eie uea o aia se-saguaio we ey ake e ace o oiay seua coacs amou o aomaiies eco- iia sou aso e coe ee

6. rdr f xl prfrn, npfd

66 hll nd bhvrl drdr td th xl dvlpnt nd rnttn

is secio is iee o coe ose yes o oem a eie om aiaios o seua eeome o oieaio we e seua eeece pr is o ecessaiy oemaic o aoma

66.0 Sxl trtn drdr e aie sues om uceaiy aou is o e gee ieiy o seua oieaio wic causes aiey o eessio

66. Edtn xl rnttn e gee ieiy o seua eeece is o i ou u e iiiua wises i wee iee

66.2 Sxl rltnhp drdr e aomaiy o gee ieiy o seua eeece is esosie o iicuies i omig o maiaiig a eaiosi wi a seua ae

66.8 Othr phxl dvlpnt drdr

66. hxl dvlpnt drdr, npfd

68 Othr drdr f dlt prnlt nd bhvr

68.0 Elbrtn f phl pt fr phll rn A ysica symoms oigiay ue o a coime ysica iso- e isease o isaiiy ecome eaggeae o ooge i ecess o wa ca e eaie y e ysica isoe ise

13 60 6 ISOES O AU ESOAIY A EAIOU

ee is eiece o a sycoogica causaio o e ecess symoms (suc as eie ea o isaiiy o ea ossie iacia comesaio isaoime a e saa o cae eeiece

68. Intntnl prdtn r fnn f pt r dblt, thr phl r phll [ftt drdr] A e iiiua eiis a esise ae o ieioa oucio o eigig o symoms a/o se-iicio o wous i oe o ouce symoms

o eiece ca e ou o a eea moiaio suc as iacia comesaio escae om age o moe meica cae (I suc eiece ca e ou caegoy 75 maige- ig sou e use

C Most commonly used exclusion clause. ee is o coime ysica o mea isoe a cou eai e symoms

68.8 Othr pfd drdr f dlt prnlt nd bhvr is caegoy sou e use o coig ay seciie isoe o au esoaiy a eaiou a cao e cassiie ue ay oe o e eceig eaigs

6 Unpfd drdr f dlt prnlt nd bhvr

is coe sou e use oy as a as eso i e esece o a isoe o au esoaiy a eaiou ca e assume u iomaio o aow is iagosis a aocaio o a seciic caegoy is ackig

139 MEA A EAIOUA ISOES: IAGOSIC CIEIA

0— Mntl rtrdtn

eaie ciica iagosic cieia a ca e use ieaioay o eseac cao e seciie o mea eaaio i e same way as ey ca o mos o e oe isoes i Cae ( o IC-1 is is ecause maiesaios o e wo mai comoes o mea eaaio amey ow cogiie aiiy a imiise socia comeece ae oouy aece y socia a cuua iueces Oy geea guiace ca e gie ee aou e mos aoiae meos o assessme o use

vl f ntv blt eeig uo e cuua oms a eecaios o e iiiuas eig suie eseac wokes mus make ei ow ugemes as o ow es o esimae ieigece quoie (IQ o mea age accoig o e as gie eow

Category Mental retardation IQ range Mental age (years) 7 Mi 5-9 9 o ue 1 71 Moeae 35-9 o ue 9 7 Seee -3 3 o ue 73 oou eow ess a 3

vl f l ptn Wii mos Euoea a o Ameica cuues e iea Socia Mau- iy Scae is ecommee o use i i is uge o e aoiae Moiie esios o equiae scaes sou e eeoe o use i oe cuues

A ou caace may e use o seciy e ee o associae imaime o eaiou

x.0 , r nl, prnt f bhvr

x. Snfnt prnt f bhvr rrn ttntn r trtnt

x.8 Othr prnt f bhvr

x. Wtht ntn f prnt f bhvr

' Doll EA. Vineland Social Maturity Scale, condensed manual of directions. Circle Pines MN, American Guidance Service Inc., 1965.

1 0 MEA EAAIO

Cnt A seciay esige mui-aia sysem is equie o o usice o e aiey o esoa ciica a socia saemes eee o e comeesie assessme o e causes a cosequeces o mea eaaio Oe suc sysem is ow i eaaio o is secio o Cae ( o IC-1

11 MEA A EAIOUA ISOES: IAGOSIC CIEIA

80 8 rdr f phll dvlpnt

80 Spf dvlpntl drdr f ph nd ln

80.0 Spf ph rtltn drdr Note. is isoe is aso eee o as seciic seec ooogica isoe

A Aicuaio (ooogica skis as assesse o saaie ess ae eow e saa eiaios imi o e cis age

Aicuaio (ooogica skis ae a eas 1 saa eiaio eow o-ea IQ as assesse o saaie ess

C aguage eessio a comeesio as assesse o saaie ess ae wii e saa eiaios imi o e cis age

ee ae o euoogica sesoy o ysica imaimes a iecy aec seec sou oucio o is ee a easie eeomea isoe (—

E Most commonly used exclusion clause. o-ea IQ is eow 7 o a saaie es

80. Exprv ln drdr A Eessie aguage skis as assesse o saaie ess ae eow e saa eiaios imi o e cis age

Eessie aguage skis ae a eas 1 saa eiaio eow o-ea IQ as assesse o saaie ess

C eceie aguage skis as assesse o saaie ess ae wii e saa eiaios imi o e cis age

Use a uesaig o o-ea commuicaio a imagi- aie aguage ucios ae wii e oma age 1 80 8 ISOES O SYCOOGICA EEOME

E ee ae o euoogica sesoy o ysica imaimes a iecy aec use o soke aguage o is ee a easie eeomea isoe (—

F. Most commonly used exclusion clause. o-ea IQ is eow 7 o a saaie es

80.2 ptv ln drdr Note. is isoe is aso eee o as mie eceie/eessie isoe

A aguage comeesio as assesse o saaie ess is eow e saa eiaios imi o e cis age

eceie aguage skis ae a eas 1 saa eiaio eow o-ea IQ as assesse o saaie ess

C ee ae o euoogica sesoy o ysica imaimes a iecy aec eceie aguage o is ee a easie eeomea isoe (—

D. Most commonly used exclusion clause. o-ea IQ is eow 7 o a saaie es

80. Ard ph th plp [nd—Klffnr ndr] A Seee oss o eessie a eceie aguage skis occus oe a eio o ime o eceeig mos

aguage eeome was oma eoe e oss

C aoysma EEG aomaiies aecig oe o o emoa oes ecome aae wii a ime sa eeig om yeas eoe o yeas ae e iiia oss o aguage

eaig is wii e oma age

E A ee o o-ea ieigece wii e oma age is eaie

ee is o iagosae euoogica coiio oe a a imici i e aoma EEG a esece o eieic seiues (we ey occu 13 MEA A EAIOUA ISOES: IAGOSIC CIEIA

G e isoe oes o mee e cieia o a easie eeomea isoe (—

80.8 Othr dvlpntl drdr f ph nd ln

80. vlpntl drdr f ph nd ln, npfd is caegoy sou e aoie as a as ossie a sou e use oy o useciie isoes i wic ee is sigiica imaime i e eeome o seec o aguage a cao e accoue o y mea eaaio o y euoogica sesoy o ysica imaimes a iecy aec seec o aguage

8 Spf dvlpntl drdr f hlt ll

8.0 Spf rdn drdr A Eie o e oowig mus e ese (1 a scoe o eaig accuacy a/o comeesio a is a eas saa eos o eicio eow e ee eece o e asis o e cis cooogica age a geea ieigece wi o eaig skis a IQ assesse o a iiiuay amiisee es saaie o e cis cuue a eucaioa sysem; ( a isoy o seious eaig iicuies o es scoes a me cieio A(1 a a eaie age us a scoe o a seig es a is a eas saa eos o eicio eow e ee eece o e asis o e cis cooogica age a IQ

e isuace escie i cieio A sigiicay ieees wi acaemic acieeme o wi aciiies o aiy iig a equie eaig skis

C e isoe is o e iec esu o a eec i isua o eaig acuiy o o a euoogica isoe

Scoo eeieces ae wii e aeage eecae age (ie ee ae ee o eeme iaequacies i eucaioa eeieces

E Most commonly used exclusion clause. IQ is eow 7 o a iiiuay amiisee saaie es 1 80 8 ISOES O SYCOOGICA EEOME

Possible additional inclusion criterion o some eseac uoses iesigaos may wis o seciy a isoy o some ee o imaime uig e escoo yeas i seec aguage sou caegoiaio moo cooiaio isua ocessig aeio o coo o mouaio o aciiy

Comments e aoe cieia wou o icue geea eaig ackwaess o a ye a wou a wii e ciica guieies e eseac iagosic cieia o geea eaig ackwaess wou e e same as o seciic eaig isoe ece a cieio A(1 wou seciy eaig skis saa eos o eicio eow e ee eece o e asis o cooogica age (ie o akig IQ io accou a cieio A( wou oow e same icie o seig e aiiy o e ieeiaio ewee ese wo aieies o eaig oem is o uequiocay esaise u i seems a e seciic ye as a moe seciic associaio wi aguage eaaio (weeas geea eaig ackwaess is associae wi a wie age o eeomea isaiiies a is moe eae i oys a i gis

ee ae ue eseac ieeiaios a ae ase o aayses o e yes o seig eo

8. Spf plln drdr A e scoe o a saaie seig es is a eas saa eos o eicio eow e ee eece o e asis o e cis cooogica age a geea ieigece

Scoes o eaig accuacy a comeesio a o aimeic ae wii e oma age ( ± saa eiaios om e mea

C ee is o isoy o sigiica eaig iicuies

Scoo eeiece is wii e aeage eecae age (ie ee ae ee o eeme iaequacies i eucaioa eeieces

E Seig iicuies ae ee ese om e eay sages o eaig o se

15 MEA A EAIOUA ISOES: IAGOSIC CIEIA

e isuace escie i cieio A sigiicay ieees wi acaemic acieeme o wi aciiies o aiy iig a equie seig skis

G. Most commonly used exclusion clause. IQ is eow 7 o a iiiuay amiisee saaie es

8.2 Spf drdr f rthtl ll A e scoe o a saaie aimeic es is a eas saa eos o eicio eow e ee eece o e asis o e cis cooogica age a geea ieigece

Scoes o eaig accuacy a comeesio a o seig ae wii e oma age ( ± saa eiaios om e mea

C ee is o isoy o sigiica eaig o seig iicuies

Scoo eeiece is wii e aeage eecae age (ie ee ae ee o eeme iaequacies i eucaioa eeieces

E Aimeica iicuies ae ee ese om e eay sages o eaig aimeic

e isuace escie i cieio A sigiicay ieees wi acaemic acieeme o wi aciiies o aiy iig a equie aimeica skis

G Most commonly used exclusion clause. IQ is eow 7 o a iiiuay amiisee saaie es

8. Mxd drdr f hlt ll is is a i-eie iaequaey coceuaie (u ecessay esiua caegoy o isoes i wic o aimeica a eaig o seig skis ae sigiicay imaie u i wic e isoe is o soey eicae i ems o geea mea eaaio o iaequae scooig I sou e use o isoes meeig e cieia o 1 a eie 1 o 11

8.8 Othr dvlpntl drdr f hlt ll

1 80 8 ISOES O SYCOOGICA EEOME

8. vlpntl drdr f hlt ll, npfd is caegoy sou e aoie as a as ossie a sou e use oy o useciie isoes i wic ee is a sigiica isaiiy o eaig a cao e soey accoue o y mea eaaio isua acuiy oems o iaequae scooig

82 Spf dvlpntl drdr f tr fntn

A e scoe o a saaie es o ie o goss moo cooiaio is a eas saa eiaios eow e ee eece o e cis cooogica age

e isuace escie i cieio A sigiicay ieees wi acaemic acieeme o wi aciiies o aiy iig

C ee is o iagosae euoogica isoe

D. Most commonly used exclusion clause. IQ is eow 7 o a iiiuay amiisee saaie es

8 Mxd pf dvlpntl drdr

is is a i-eie iaequaey coceuaie (u ecessay esiua caegoy o isoes i wic ee is some amiue o seciic eeomea isoes o seec a aguage o scoasic skis o o moo ucio u i wic oe eomiaes suiciey o cosiue e ime iagosis I is commo o eac o ese seciic eeomea isoes o e associae wi some egee o geea imaime o cogiie ucios a is mie caegoy sou e use oy we ee is a mao oea us e caegoy sou e use we ee ae ysucios meeig e cieia o wo o moe o — 1— a

84 rvv dvlpntl drdr

84.0 Chldhd t A Aoma o imaie eeome is eie eoe e age o 3 yeas i a eas oe o e oowig aeas (1 eceie o eessie aguage as use i socia commuicaio;

17 MEA A EAIOUA ISOES: IAGOSIC CIEIA

( e eeome o seecie socia aacmes o o ecioca socia ieacio; (3 ucioa o symoic ay

A oa o a eas si symoms om (1 ( a (3 mus e ese wi a eas wo om (1 a a eas oe om eac o ( a (3 (1 Quaiaie aomaiies i ecioca socia ieacio ae maies i a eas wo o e oowig aeas (a aiue aequaey o use eye-o-eye gae acia eessio oy osue a gesue o eguae socia ieacio; ( aiue o eeo (i a mae aoiae o mea age a esie ame oouiies ee eaiosis a ioe a muua saig o ieess aciiies a emoios; (c ack o socio-emoioa eciociy as sow y a imaie o eia esose o oe eoes emoios; o ack o mouaio o eaiou accoig o socia coe; o a weak iegaio o socia emoioa a commuicaie eaious; ( ack o soaeous seekig o sae eoyme ieess o acieemes wi oe eoe (eg a ack o sowig igig o oiig ou o oe eoe oecs o iees o e iiiua ( Quaiaie aomaiies i commuicaio ae maies i a eas oe o e oowig aeas (a a eay i o oa ack o eeome o soke aguage a is nt accomaie y a aem o com- esae oug e use o gesue o mime as a aeaie moe o commuicaio (oe ecee y a ack o commuicaie aig; ( eaie aiue o iiiae o susai coesaioa ie- cage (a waee ee o aguage skis is ese i wic ee is ecioca esosieess o e com- muicaios o e oe eso; (c seeoye a eeiie use o aguage o iiosycaic use o wos o ases; ( ack o aie soaeous make-eiee o (we youg socia imiaie ay 1 80 8 ISOES O SYCOOGICA EEOME

(3 esice eeiie a seeoye aes o eaiou ieess a aciiies ae maies i a eas oe o e oowig aeas (a a ecomassig eoccuaio wi oe o moe seeoye a esice aes o iees a ae aoma i coe o ocus; o oe o moe ieess a ae aoma i ei iesiy a cicumscie aue oug o i ei coe o ocus; ( aaey comusie aeece o seciic o-ucioa ouies o iuas; (c seeoye a eeiie moo maeisms a i- oe eie a o ige aig o wisig o com- e woe oy moemes; ( eoccuaios wi a-oecs o o-ucioa eemes o ay maeias (suc as ei oou e ee o ei suace o e oise o iaio a ey geeae

C e ciica icue is o aiuae o e oe aieies o easie eeomea isoe seciic eeomea isoe o eceie aguage ( wi secoay socio- emoioa oems; eacie aacme isoe (91 o isiiie aacme isoe (9; mea eaaio (7—7 wi some associae emoioa o eaioua isoe; scioeia (— o uusuay eay ose; a es syome (

84. Atpl t A Aoma o imaie eeome is eie a o ae e age o 3 yeas (cieia as o auism ece o age o maiesaio

ee ae quaiaie aomaiies i ecioca socia ieacio o i commuicaio o esice eeiie a seeoye aes o eaiou ieess a aciiies (Cieia as o auism ece a i is uecessay o mee e cieia o ume o aeas o aomaiy

C e isoe oes o mee e iagosic cieia o auism (

Auism may e ayica i eie age o ose (1 o symomaoogy (11; e wo yes ae ieeiae wi a i 19 MEA A EAIOUA ISOES: IAGOSIC CIEIA

character for research purposes. Syndromes that are atypical in both respects should be coded F84.12.

F84.10 Atypicality in age of onset A. The disorder does not meet criterion A for autism (F84.0); that is, abnormal or impaired development is evident only at or after the age of 3 years.

B. The disorder meets criteria B and C for autism (F84.0).

F84.11 Atypicality in symptomatology A. The disorder meets criterion A for autism (F84.0); that is abnormal or impaired development is evident before the age of 3 years.

B. There are qualitative abnormalities in reciprocal social interactions or in communication, or restricted, repetitive, and stereotyped patterns of behaviour, interests, and activities. (Criteria as for autism except that it is unnecessary to meet the criteria for number of areas of abnormality.)

C. The disorder meets criterion C for autism (F84.0).

D. The disorder does not fully meet criterion B for autism (F84.0).

F84.12 Atypicality in both age of onset and symptomatology A. The disorder does not meet criterion A for autism (F84.0); that is, abnormal or impaired development is evident only at or after the age of 3 years.

B. There are qualitative abnormalities in reciprocal social interactions or in communication, or restricted, repetitive, and stereotyped patterns of behaviour, interests, and activities. (Criteria as for autism except that it is unnecessary to meet the criteria for number of areas of abnormality.)

C. The disorder meets criterion C for autism (F84.0).

D. The disorder does not fully meet criterion B for autism (F84.0).

150 80 8 ISOES O SYCOOGICA EEOME

84.2 tt ndr A ee is a aaey oma eaa a eiaa eio and aaey oma sycomoo eeome oug e is 5 mos and oma ea cicumeece a i

ee is eceeaio o ea gow ewee 5 mos a yeas and oss o acquie uoseu a skis ewee 5 a 3 mos o age a is associae wi cocue commuicaio ysucio a imaie socia ieacios and e aeaace o ooy cooiae/usae gai a/o uk moemes

C ee is seee imaime o eessie a eceie aguage ogee wi seee sycomoo eaaio

ee ae seeoye miie a moemes (suc as a- wigig o "a-wasig" wi a ose a o ae e ime we uoseu a moemes ae os

84. Othr hldhd dntrtv drdr A eeome is aaey oma u o e age o a eas yeas e esece o oma age-aoiae skis i commuicaio socia eaiosis ay a aaie eaiou a age yeas o ae is equie o iagosis

ee is a eiie oss o eiousy acquie skis a aou e ime o ose o e isoe e iagosis equies a ciicay sigiica oss o skis (o us a aiue o use em i ceai siuaios i a eas wo o e oowig aeas (1 eessie o eceie aguage; ( ay; (3 socia skis o aaie eaiou; ( owe o ae coo; (5 moo skis

C Quaiaiey aoma socia ucioig is maies i a eas wo o e oowig aeas (1 quaiaie aomaiies i ecioca socia ieacio (o e ye eie o auism; ( quaiaie aomaiies i commuicaio (o e ye e- ie o auism; 151 MEA A EAIOUA ISOES: IAGOSIC CIEIA

(3 esice eeiie a seeoye aes o eaiou ieess a aciiies icuig moo seeoyies a maeisms; ( a geea oss o iees i oecs a i e eiome

D. e isoe is o aiuae o e oe aieies o easie eeomea isoe; acquie aasia wi eiesy (; eecie muism (9; es syome (; o scioeia (—

84.4 Ovrtv drdr td th ntl rtrdtn nd trtpd vnt A Seee moo yeaciiy is maies y a eas wo o e oowig oems i aciiy a aeio (1 coiuous moo esessess maies i uig umig a oe moemes o e woe oy; ( make iicuy i emaiig seae e ci wi oiaiy emai seae o a ew secos a mos ece we egage i a seeoyic aciiy (see cieio B); (3 gossy ecessie aciiy i siuaios wee eaie siess is eece; ( ey ai cages o aciiy so a aciiies geeay as o ess a a miue (occasioa oge eios se i igy aoue aciiies o o ecue is a ey og eios se i seeoyic aciiies ca aso e comaie wi e esece o is oem a oe imes

eeiie a seeoye aes o eaiou a aciiy ae maies y a eas oe o e oowig (1 ie a equey eeae moo maeisms ese may ioe eie come moemes o e woe oy o aia moemes suc as a-aig; ( ecessie a o-ucioa eeiio o aciiies a ae cosa i om is may e ay wi a sige oec (eg uig wae o a iua o aciiies (eie aoe o ioig oe eoe; (3 eeiie se-iuy

C IQ is ess a 5 15 80 8 ISOES O SYCOOGICA EEOME

ee is o socia imaime o e auisic ye ie e ci mus sow a eas ee o e oowig (1 eeomeay aoiae use o eye gae eessio a osue o eguae socia ieacio; ( eeomeay aoiae ee eaiosis a icue saig o ieess aciiies ec; (3 aoaces o oe eoe a eas someimes o como a aecio; ( aiiy o sae oe eoes eoyme a imes; oe oms o socia imaime eg a isiiie aoac o sages ae comaie wi e iagosis

E e isoe oes o mee iagosic cieia o auism ( a 1 cioo isiegaie isoe (3 o yekieic isoes (9—

84. Aprr ndr A ee is o ciicay sigiica geea eay i soke o eceie aguage o cogiie eeome iagosis equies a sige wos sou ae eeoe y yeas o age o eaie a a commuicaie ases e use y 3 yeas o age o eaie Se-e skis aaie eaiou a cuiosiy aou e eiome uig e is 3 yeas sou e a a ee cosise wi oma ieecua eeome owee moo miesoes may e somewa eaye a moo cumsiess is usua (aoug o a ecessay iagosic eaue Isoae secia skis oe eae o aoma eoccuaios ae commo u ae o equie o iagosis

ee ae quaiaie aomaiies i ecioca socia ieacio (cieia as o auism

C e iiiua eiis a uusuay iese cicumscie iees o esice eeiie a seeoye aes o eaiou ieess a aciiies (cieia as o auism; owee i wou e ess usua o ese o icue eie moo maeisms o eoccuaios wi a-oecs o o-ucioa eemes o ay maeias

e isoe is o aiuae o e oe aieies o easie eeomea isoe sime scioeia ( scio-

MEA A EAIOUA ISOES: IAGOSIC CIEIA

ya isoe (1; osessie—comusie isoe (—; aakasic esoaiy isoe (5; eacie a isiiie aacme isoes o cioo (91 a 9 esec- iey

84.8 Othr prvv dvlpntl drdr

84. rvv dvlpntl drdr, npfd is is a esiua iagosic caegoy a sou e use o isoes wic i e geea esciio o easie eeomea isoes u i wic coaicoy iigs o a ack o aequae iomaio mea a e cieia o ay o e oe coes cao e me

88 Othr drdr f phll dvlpnt

8 Unpfd drdr f phll dvlpnt

154 0 8 ISOES O CIOO A AOESCECE

0 8 hvrl nd tnl drdr th nt ll rrn n hldhd nd dln

0 prnt drdr

t: e eseac iagosis o yekieic isoe equies e eiie esece o aoma ees o iaeio yeaciiy a esessess a ae easie acoss siuaios a esise oe ime a a ae o cause y oe isoes suc as auism o aecie isoes

G Inttntn. A eas si o e oowig symoms o iaeio ae esise o a eas mos o a egee a is maaaie a icosise wi e eeomea ee o e ci (1 oe ais o e cose aeio o eais o makes caeess eos i scoowok wok o oe aciiies; ( oe ais o susai aeio i asks o ay aciiies; (3 oe aeas o o ise o wa is eig sai o im o e; ( oe ais o oow oug o isucios o o iis scoowok coes o uies i e wokace (o ecause o oosiioa eaiou o aiue o uesa isucios; (5 is oe imaie i ogaiig asks a aciiies; ( oe aois o sogy isikes asks suc as omewok a equie susaie mea eo; (7 oe oses igs ecessay o ceai asks o aciiies suc as scoo assigmes ecis ooks oys o oos; ( is oe easiy isace y eea simui; (9 is oe ogeu i e couse o aiy aciiies

G prtvt. A eas ee o e oowig symoms o yeaciiy ae esise o a eas mos o a egee a is maaaie a icosise wi e eeomea ee o e ci (1 oe iges wi as o ee o squims o sea; 155 MEA A EAIOUA ISOES: IAGOSIC CIEIA

( eaes sea i cassoom o i oe siuaios i wic emaiig seae is eece; (3 oe us aou o cims ecessiey i siuaios i wic i is iaoiae (i aoesces o aus oy eeigs o esessess may e ese; ( is oe uuy oisy i ayig o as iicuy i egagig quiey i eisue aciiies; (5 eiis a esise ae o ecessie moo aciiy a is o susaiay moiie y socia coe o emas

G3 Impulsivity. A eas oe o e oowig symoms o imu- siiy as esise o a eas mos o a egee a is maaaie a icosise wi e eeomea ee o e ci (1 oe us ou aswes eoe quesios ae ee comee; ( oe ais o wai i ies o awai us i games o gou siuaios; (3 oe ieus o iues o oes (eg us io oes coesaios o games; ( oe aks ecessiey wiou aoiae esose o socia cosais

G Ose o e isoe is o ae a e age o 7 yeas

G5. Pervasiveness. e cieia sou e me o moe a a sige siuaio eg e comiaio o iaeio a yeaciiy sou e ese o a ome a a scoo o a o scoo a aoe seig wee cie ae osee suc as a ciic (Eiece o coss-siuaioaiy wi oiaiy equie iomaio om moe a oe souce; aea eos aou cassoom eaiou o isace ae uikey o e suicie

G e symoms i G—G3 cause ciicay sigiica isess o imaime i socia acaemic o occuaioa ucioig

G7 e isoe oes o mee e cieia o easie eeome- a isoes (— maic eisoe (3— eessie eisoe (3— o aiey isoes (1—

6 0 8 ISOES O CIOO A AOESCECE

Cnt May auoiies aso ecogie coiios a ae su-eso o yekieic isoe Cie wo mee cieia i oe ways u o o sow aomaiies o yeaciiy/imusieess may e ecogie as sowig attention deficit; coesey cie wo a so o cieia o aeio oems u mee cieia i oe esecs may e ecogie as sowig activity disorder. I e same way cie wo mee cieia o oy oe siuaio (eg oy e ome o oy e cassoom may e egae as sowig a home-specific o classroom-specific disorder. ese coiios ae o ye icue i e mai cassiicaio ecause o isuicie emiica eicie aiaio a ecause may cie wi su-eso isoes sow oe syomes (suc as oosiioa eia isoe 913 a sou e cassiie i e aoiae caegoy

0.0 trbn f tvt nd ttntn e geea cieia o yekieic isoe (9 mus e me u o ose o couc isoes (91—

0. prnt ndt drdr e geea cieia o o yekieic isoe (9 a couc isoes (91— mus e me

0.8 Othr hprnt drdr

0. prnt drdr, npfd is esiua caegoy is o ecommee a sou e use oy we ee is a ack o ieeiaio ewee 9 a 91 u e oea cieia o 9— ae uie

Cndt drdr

G ee is a eeiie a esise ae o eaiou i wic eie e asic igs o oes o mao age-aoiae sociea oms o ues ae ioae asig a eas mos uig wic some o e oowig symoms ae ese (see iiiua sucaegoies o ues o umes o symoms

t: e symoms i 11 13 15 1 1 a 3 ee oy ae occue oce o e cieio o e uie 157 MEA A EAIOUA ISOES: IAGOSIC CIEIA

e iiiua (1 as uusuay eque o seee eme aums o is o e eeomea ee; ( oe agues wi aus; (3 oe aciey euses aus equess o eies ues; ( oe aaey eieaey oes igs a aoy oe eoe; (5 oe ames oes o is o e ow misakes o miseaiou; ( is oe "oucy" o easiy aoye y oes; (7 is oe agy o eseu; ( is oe sieu o iicie; (9 oe ies o eaks omises o oai goos o aous o o aoi oigaios; (1 equey iiiaes ysica igs (is oes o icue igs wi siigs; (11 as use a weao a ca cause seious ysica am o oes (eg a ick oke oe kie gu; (1 oe says ou ae ak esie aea oiiio (egiig eoe 13 yeas o age; (13 eiis ysica cuey o oe eoe (eg ies u cus o ums a icim; (1 eiis ysica cuey o aimas; (15 eieaey esoys e oey o oes (oe a y ie- seig; (1 eieaey ses ies wi a isk o ieio o causig seious amage; (17 seas oecs o o-iia aue wiou cooig e icim eie wii e ome o ousie (eg soiig ugay ogey; (1 is equey ua om scoo egiig eoe 13 yeas o age; (19 as u away om aea o aea suogae ome a eas wice o as u away oce o moe a a sige ig (is oes o icue eaig o aoi ysica o seua ause; ( commis a cime ioig cooaio wi e icim (icuig use-sacig eoio muggig;

8 0 8 ISOES O CIOO A AOESCECE

(1 oces aoe eso io seua aciiy; ( equey uies oes (eg eieae iicio o ai o u icuig esise iimiaio omeig o moesaio; (3 eaks io someoe eses ouse uiig o ca

G e isoe oes o mee e cieia o issocia esoaiy isoe ( scioeia (— maic eisoe (3— eessie eisoe (3— easie eeomea isoes (— o yekieic isoe (9— (I cieia o emoioa isoe (93— ae me e iagosis sou e mie isoe o couc a emoios 9—

I is ecommee a e age o ose e seciie childhood onset type: ose o a eas oe couc oem eoe e age o 1 yeas; adolescent onset type: o couc oems eoe e age o 1 yeas

Specification for possible subdivisions Auoiies ie o e es way o suiiig e couc isoes aoug mos agee a e isoes ae eeogeeous o eemiig ogosis e seeiy (iee y ume o symoms is a ee guie a e ecise ye o symomaoogy e es- aiae isicio is a ewee socialized a unsocialized isoes eie y e esece o asece o asig ee iesis owee i seems a isoes coie o e amiy coe may aso cosiue a imoa aiey a a caegoy is oie o is uose I is cea a ue eseac is eee o es e aiiy o a oose suiisios o couc isoe

I aiio o ese caegoiaios i is ecommee a cases e escie i ems o ei scoes o ee imesios o isuace (1 yeaciiy (iaeie esess eaiou; ( emoioa isuace (aiey eessio osessioaiy yo- coiasis; a (3 seeiy o couc isoe (a mild: ew i ay couc oems ae i ecess o ose equie o make e iagosis and couc oems cause oy mio am o oes; 159 MEA A EAIOUA ISOES: IAGOSIC CIEIA

(b drt: e ume o couc oems a e eecs o oes ae iemeiae ewee "mi" a "seee"; ( vr: ee ae may couc oems i ecess o ose equie o make e iagosis r e couc oems cause cosieae am o oes eg seee ysica iuy aaism o e

.0 Cndt drdr nfnd t th fl ntxt A e geea cieia o couc isoe (91 mus e me

ee o moe o e symoms ise o 91 cieio G1 mus e ese wi a eas ee om iems (9—(3

C A eas oe o e symoms om iems (9—(3 mus ae ee ese o a eas mos

Couc isuace mus e imie o e amiy coe

. Unlzd ndt drdr A e geea cieia o couc isoe (91 mus e me

ee o moe o e symoms ise o 91 cieio G1 mus e ese wi a eas ee om iems (9—(3

C A eas oe o e symoms om iems (9—(3 mus ae ee ese o a eas mos

ee mus e eiiey oo eaiosis wi e iiiuas ee gou as sow y isoaio eecio o uouaiy a y a ack o asig cose ecioca iesis

.2 Slzd ndt drdr A e geea cieia o couc isoe (91 mus e me

ee o moe o e symoms ise o 91 cieio GI mus e ese wi a eas ee om iems (9—(3

C A eas oe o e symoms om iems (9—(3 mus ae ee ese o a eas mos

Couc isuace mus icue seigs ousie e ome o amiy coe

E ee eaiosis ae wii oma imis

60 0 8 ISOES O CIOO A AOESCECE

. Opptnl dfnt drdr A e geea cieia o couc isoe (91 mus e me

ou o moe o e symoms ise o 91 cieio G1 mus e ese u wi o moe a wo symoms om iems (9—(3

C e symoms i cieio mus e maaaie a icosis- e wi e eeomea ee

A eas ou o e symoms mus ae ee ese o a eas mos

.8 Othr ndt drdr

. Cndt drdr, npfd is esiua caegoy is o ecommee a sou e use oy o isoes a mee e geea cieia o 91 u a ae o ee seciie as o suye o a o o ui e cieia o ay o e seciie suyes

2 Mxd drdr f ndt nd tn

2.0 prv ndt drdr A e geea cieia o couc isoes (91— mus e me

Cieia o oe o e moo [aecie] isoes (3-39 mus e me

2.8 Othr xd drdr f ndt nd tn A e geea cieia o couc isoes (91— mus e me

Cieia o oe o e euoic sess-eae a somaoom isoes (- o cioo emoioa isoes (93— mus e me

2. Mxd drdr f ndt nd tn, npfd

6 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Etnl drdr th nt pf t hldhd

t. oic aiey isoe o cioo (931 socia aiey isoe o cioo (93 a geea aiey isoe o cioo (93 ae oious simiaiies o some o e isoes i — u cue eiece a oiio sugges a ee ae suicie ieeces i e ways a aiey isoes ese i cie o aiioa caegoies o e oie ue suies sou sow wee esciios a eiiios ca e eeoe a ca e use saisacoiy o o aus a cie o wee e ese isicio sou e esee

.0 Sprtn nxt drdr f hldhd A A eas ee o e oowig mus e ese (1 ueaisic a esise woy aou ossie am eaig mao aacme igues o aou e oss o suc igues (eg ea a ey wi eae a o eu o a e ci wi o see em agai o esise coces aou e ea o aacme igues; ( ueaisic a esise woy a some uowa ee wi seaae e ci om a mao aacme igue (eg e ci geig os eig kiae amie o osia o kie; (3 esise eucace o eusa o go o scoo ecause o ea oe seaaio om a mao aacme igue o i oe o say a ome (ae a o oe easos suc as ea oe ees a scoo; ( iicuy i seaaig a ig as maiese y ay o e oowig (a esise eucace o eusa o go o see wiou eig ea a aacme igue; ( geig u equey uig e ig o ceck o o o see ea a aacme igue; (c esise eucace o eusa o see away om ome; (5 esise iaoiae ea o eig aoe o oewise wiou e mao aacme igue a ome uig e ay; ( eeae igmaes ioig emes o seaaio; 1 0 8 ISOES O CIOO A AOESCECE

(7 eeae occuece o ysica symoms (suc as ausea somacace eaace o omiig o occasios a i- oe seaaio om a mao aacme igue suc as eaig ome o go o scoo o o oe occasios ioig seaaio (oiays cams ec ( ecessie ecue isess i aiciaio o uig o immeiaey oowig seaaio om a mao aacme igue (as sow y aiey cyig aums; esise eucace o go away om ome; ecessie ee o ak wi aes o esie o eu ome; misey aay o socia wiawa

e cieia o geeaie aiey isoe o cioo (93 ae o me

C Ose is eoe e age o yeas

e isoe oes o occu as a o a oae isuace o emoios couc o esoaiy o o a easie eeome- a isoe sycoic isoe o sycoacie susace use isoe

E uaio o e isoe is a eas weeks

. hb nxt drdr f hldhd A e iiiua maiess a esise o ecue ea (oia a is eeomeay ase-aoiae (o was so a e ime o ose u a is aoma i egee a is associae wi sigiica socia imaime

e cieia o geeaie aiey isoe o cioo (93 ae o me

C e isoe oes o occu as a o a oae isuace o emoios couc o esoaiy o o a easie eeome- a isoe sycoic isoe o sycoacie susace use isoe

uaio o e isoe is a eas weeks

.2 Sl nxt drdr f hldhd A esise aiey i socia siuaios i wic e ci is e- ose o uamiia eoe icuig ees is maiese y sociay aoia eaiou 13 MEA A EAIOUA ISOES: IAGOSIC CIEIA

e ci eiis se-cosciousess emaassme o oe- coce aou e aoiaeess o is o e eaiou we ieacig wi uamiia igues

C ee is sigiica ieeece wi socia (icuig ee eaiosis wic ae cosequey esice; we ew o oce socia siuaios ae eeiece ey cause make isess a iscomo as maiese y cyig ack o soaeous seec o wiawa om e socia siuaio

e ci as saisyig socia eaiosis wi amiia igues (amiy memes o ees a e o se kows we

E Ose o e isoe geeay coicies wi a eeomea ase wee ese aiey eacios ae cosiee aoiae e aoma egee esisece oe ime a associae imaime mus e maies eoe e age o yeas

e cieia o geeaie aiey isoe o cioo (93 ae o me G e isoe oes o occu as a o oae isuaces o emoios couc o esoaiy o o a easie eeomea isoe sycoic isoe o sycoacie susace use isoe

. uaio o e isoe is a eas weeks

. Sbln rvlr drdr A e ci as aomay iese egaie eeigs owas a immeiaey youge siig

Emoioa isuace is sow y egessio aums ysoia see iicuies oosiioa eaiou o aeio-seekig eaiou wi oe o o aes (wo o moe o ese mus e ese

C Ose is wii mos o e i o a immeiaey youge siig

uaio o e isoe is a eas weeks

.8 Othr hldhd tnl drdr .80 Gnrlzd nxt drdr f hldhd t: I cie a aoesces e age o comais y wic e geea aiey is maies is oe moe imie a i aus 1 0 8 ISOES O CIOO A AOESCECE

(see 11 a e seciic symoms o auoomic aousa ae oe ess omie o ese iiiuas e oowig aeaie se o cieia ca e use i eee

A Eesie aiey a woy (aeesie eecaio occu o a eas a o e oa ume o ays oe a eio o a eas mos e aiey a woy eeig o a eas seea ees o aciiies (suc as wok o scoo eomace

e iiiua is i iicu o coo e woy

C e aiey a woy ae associae wi a eas ee o e oowig symoms (wi a eas wo symoms ese o a eas a o e oa ume o ays (1 esessess eeig "keye u" o "o ege" (as sow o eame y eeigs o mea esio comie wi a iaiiy o ea; ( eeig ie "wo ou" o easiy aigue ecause o woy o aiey; (3 iicuy i coceaig o mi "goig ak"; ( iiaiiy; (5 musce esio; ( see isuace (iicuy i aig o sayig asee o esess usaisyig see ecause o woy o aiey

e muie aieies a woies occu acoss a eas wo siuaios aciiies coes o cicumsaces Geeaie aiey oes o ese as iscee aoysma eisoes (as i aic isoe o ae e mai woies coie o a sige mao eme (as i seaaio aiey isoe o oic isoe o cioo (We moe ocuse aiey is ieiie i e oae coe o a geeaie aiey geeaie aiey isoe akes eceece oe oe aiey isoes

E Ose occus i cioo o aoescece (eoe e age o 1 yeas

e aiey woy o ysica symoms cause ciicay sigiica isess o imaime i socia occuaioa o oe imoa aeas o ucioig

15 MEA A EAIOUA ISOES: IAGOSIC CIEIA

G e isoe is o ue o e iec eecs o a susace (eg sycoacie susaces meicaio o a geea meica coiio (eg yeyoiism a oes o occu ecusiey uig a moo isoe sycoic isoe o easie eeomea isoe

. Chldhd tnl drdr, npfd

4 rdr f l fntnn th nt pf t hldhd r dln

4.0 Eltv t Note. is isoe is aso eee o as seecie muism

A aguage eessio a comeesio as assesse o iiiuay amiisee saaie ess is wii e saa eiaios imi o e cis age

ee is emosae eiece o a cosise aiue o seak i seciic socia siuaios i wic e ci wou e eece o seak (eg i scoo esie seakig i oe siuaios

C uaio o e eecie muism ecees weeks

ee is o easie eeomea isoe (—

E e isoe is o accoue o y a ack o kowege o e soke aguage equie i e socia siuaio i wic ee is a aiue o seak

4. tv tthnt drdr f hldhd A Ose is eoe e age o 5 yeas

e ci eiis sogy coaicoy o amiae socia esoses a ee acoss socia siuaios (u a may sow aiaiiy om eaiosi o eaiosi

C Emoioa isuace is sow y ack o emoioa esosieess wiawa eacios aggessie esoses o e cis ow o oes isess a/o eau yeigiace 1 0 8 ISOES O CIOO A AOESCECE

Some caaciy o socia eciociy a esosieess is ei- e i ieacios wi oma aus

E e cieia o easie eeomea isoes (— ae o me

4.2 nhbtd tthnt drdr f hldhd A iuse aacmes ae a esise eaue uig e is 5 yeas o ie (u o o ecessaiy esis io mie cioo iagosis equies a eaie aiue o sow seecie socia aacmes maies y (1 a oma eecy o seek como om oes we isesse; a ( a aoma (eaie ack o seeciiy i e eoe om wom como is soug

Socia ieacios wi uamiia eoe ae ooy mouae

C A eas oe o e oowig mus e ese (1 geeay cigig eaiou i iacy; ( aeio-seekig a iiscimiaey iey eaiou i eay o mie cioo

e geea ack o siuaio-seciiciy i e aoe eaues mus e cea iagosis equies a e symoms i cieia A a aoe ae maies acoss e age o socia coacs eeiece y e ci

4.8 Othr hldhd drdr f l fntnn

4. Chldhd drdr f l fntnn, npfd

drdr Note: A ic is a iouay sue ai ecue o-ymic seeoye moo moeme o ocaiaio

.0 rnnt t drdr A Sige o muie moo o oca ic(s o o occu may imes a ay o mos ays oe a eio o a eas weeks 17 MEA A EAIOUA ISOES: IAGOSIC CIEIA

uaio o e isoe is 1 mos o ess

C ee is o isoy o ouee syome a e isoe is o e esu o ysica coiios o sie-eecs o meicaio

Ose is eoe e age o 1 yeas

. Chrn tr r vl t drdr A Moo o oca ics u o o occu may imes e ay o mos ays oe a eio o a eas 1 mos

o eio o emissio uig a yea ass oge a mos

C ee is o isoy o ouee syome a e isoe is o e esu o ysica coiios o sie-eecs o meicaio

Ose is eoe e age o 1 yeas

.2 Cbnd vl nd ltpl tr t drdr [d l rtt ndr] A Muie moo ics a oe o moe oca ics ae ee ese a some ime uig e isoe u o ecessaiy cocuey

e equecy o ics mus e may imes a ay eay eey ay o moe a 1 yea wi o eio o emissio uig a yea asig oge a mos

C Ose is eoe e age o 1 yeas

.8 Othr t drdr

. drdr, npfd A o-ecommee esiua caegoy o a isoe a uis e geea cieia o a ic isoe u i wic e seciic sucaegoy is o seciie o i wic e eaues o o ui e cieia o 95 951 o 95

1 0 8 ISOES O CIOO A AOESCECE

8 Othr tnl nd bhvrl drdr th nt ll rrn n hldhd nd dln

8.0 nrn nr A e cis cooogica a mea age is a eas 5 yeas

Iouay o ieioa oiig o uie io e o coes occus a eas wice a mo i cie age ue 7 yeas a a eas oce a mo i cie age 7 yeas o moe

C e euesis is o a cosequece o eieic aacks o o euoogica icoiece a o a iec cosequece o suc- ua aomaiies o e uiay ac o ay oe o-syciaic meica coiio

ee is o eiece o ay oe syciaic isoe a mees e cieia o oe IC-1 caegoies

E uaio o e isoe is a eas 3 mos

A i caace may e use i esie o ue seciicaio 8.00 trnl nr nl 8.0 rnl nr nl 8.02 trnl nd drnl nr

8. nrn npr A e ci eeaey asses aeces i aces a ae iaoiae o e uose (eg coig oo eie iouaiy o ieioay (e isoe may ioe oeow icoiece secoay o ucioa aeca eeio

e cis cooogica a mea age is a eas yeas

C ee is a eas oe ecoeic ee e mo

uaio o e isoe is a eas mos

E ee is o ogaic coiio a cosiues a suicie cause o e ecoeic ees

19 MEA A EAIOUA ISOES: IAGOSIC CIEIA

A i caace may e use i esie o ue seciicaio 8.0 lr t r phll bl ntrl 8. Adt bl ntrl th nrl f dp td n npprprt pl 8.2 Sln td th xvl fld f (suc as wi eeio wi oeow

8.2 dn drdr f nfn nd hldhd A ee is esise aiue o ea aequaey o esise umia- io o egugiaio o oo

e ci ais o gai weig oses weig o eiis some oe sigiica ea oem oe a eio o a eas 1 mo (I iew o e equecy o asie eaig iicuies eseaces may ee a miimum uaio o 3 mos o some uoses

C Ose o e isoe is eoe e age o yeas

. h ci eiis o oe mea o eaioua isoe i e IC-1 cassiicaio (oe a mea eaaio 7—79

E ee is o eiece o ogaic isease suicie o accou o e aiue o ea

8. f nfn nd hldhd A ee is esise o ecue eaig o o-uiie susaces a eas wice a week

uaio o e isoe is a eas 1 mo (o some uoses eseaces may ee a miimum eio o 3 mos

C e ci eiis o oe mea o eaioua isoe i e IC-1 cassiicaio (oe a mea eaaio 7—79

e cis cooogica a mea age is a eas yeas

E e eaig eaiou is o a o a cuuay sacioe acice

8.4 Strtpd vnt drdr A e ci eiis seeoye moemes o a ee a eie causes ysica iuy o makey ieees wi oma aciiies 17 0 8 ISOES O CIOO A AOESCECE

uaio o e isoe is a eas 1 mo

C e ci eiis o oe mea o eaioua isoe i e IC-1 cassiicaio (oe a mea eaaio 7—79

A i caace may e use i esie o ue seciicaio 8.40 n lfnjr 8.4 Slfnjr 8.42 Mxd

8. Stttrn [trn] A Sueig (ie seec caaceie y eque eeiio o oogaio o sous o syaes o wos o y eque esiaios o auses is esise o ecue a suiciey seee o cause make isuio o e uecy o seec

uaio o e isoe is a eas 3 mos

8.6 Clttrn A Cueig (ie ai seec wi eakow i uecy u o eeiios o esiaios is esise o ecue a suiciey seee o euce sigiicay e ieigiiiy o seec

uaio o e isoe is a eas 3 mos

8.8 Othr pfd bhvrl nd tnl drdr th nt ll rrn n hldhd nd dln

8. Unpfd bhvrl nd tnl drdr th nt ll rrn n hldhd nd dln

MEA A EAIOUA ISOES: IAGOSIC CIEIA

Unpfd ntl drdr

Mntl drdr, nt thr pfd

is is a o-ecommee esiua caegoy o e emoye we o oe coe om OO—9 ca e use

17 AE rvnl rtr fr ltd drdr

is ae coais cieia o a ume o isoes wose ciica o scieiic saus is si es egae as uceai e isoes ae ee suggese o icusio y ieese eseac gous u i was cosiee a ue eseac is iicae eoe ey cou e egae as aig suicie ieaioa acceace o mei icusio i Cae ( o IC-1 I is oe a ei esece i is ae wi oisioa cieia wi simuae eseac o caiy ei aue a saus

Snl fftv drdr

(cou e aie o moo [aecie] isoe caegoies 3— 31— 3— a 33—

A ee o moe eisoes o moo [aecie] isoe mus occu wi ose wii e same 9-ay eio o e yea o 3 o moe cosecuie yeas

emissios aso occu wii a aicua 9-ay eio o e yea

C Seasoa eisoes susaiay ouume ay o-seasoa eisoes a may occu

plr II drdr

(cou e aie o ioa aecie isoe caegoies 31 313—315 317

A ee mus e oe o moe eisoes o eessio (3—

ee mus e oe o moe eisoes o yomaia (3

C ee ae o eisoes o maia (31—3

pd ln bplr drdr

(cou e aie o ioa aecie isoe caegoies 31—317

173 MEA A EAIOUA ISOES: IAGOSIC CIEIA

A e cieia o ioa aecie isoe 31—317 mus e uie

A eas ou eisoes o ioa aecie isoe mus occu wii a 1-mo eio

Note: Eisoes ae emacae y a swic o a eisoe o oosie o mie oaiy o y a emissio

rt prnlt drdr

A e geea cieia o esoaiy isoe (— mus e uie

e iiiua mus eii a eas ie o e oowig (1 a gaiose sese o se-imoace (eg e iiiua eaggeaes acieemes a aes eecs o e ecogie as sueio wiou commesuae acieemes; ( eoccuaio wi aasies o uimie success owe iiace eauy o iea oe; (3 eie a e o se is "secia" a uique a ca e uesoo oy y o sou associae oy wi oe secia o ig-saus eoe (o isiuios; ( ee o ecessie amiaio; (5 a sese o eieme; ueasoae eecaios o eseciay aouae eame o auomaic comiace wi is o e eecaios; ( eoiaio o ieesoa eaiosis akig aaage o oes o aciee is o e ow es; (7 ack o emay; uwiigess o ecogie o ieiy wi e eeigs a ees o oes; ( eque ey o oes o eie a oes ae eious o im o e; (9 aoga augy eaiou o aiues

v—rv (ntvt prnlt drdr

A e geea cieia o esoaiy isoe (— mus e me

e iiiua mus eii a eas ie o e oowig 17 AE

(1 ocasiaio a eay i comeig esseia ouie asks eseciay ose a oes seek o ae comee; ( uusiie oesaio a oes make ueasoae emas; (3 sukiess iiaiiy o agumeaieess we e iiiua is aske o o someig e o se oes o wa o o; ( ueasoae ciicism o o sco o eoe i osiios o auoiy; (5 eieaey sow o oo wok o asks a e iiiua eay oes o wa o o; ( osucio o e eos o oes y e iiiua aiig o o is o e sae o e wok; (7 aoiace o oigaios y caimig o ae ogoe

175 AE 2 Cltrpf drdr

Cuue-seciic isoes ae iese caaceisics u sae wo icia eaues (1 ey ae o easiy accommoae y e caegoies i esaise a ieaioay use syciaic cassiicaios; ( ey wee is escie i a susequey cosey o ecusiey associae wi a aicua ouaio o cuua aea

ese syomes ae aso ee eee o as cuue-ou o cuue-eacie a as eic o eoic sycoses Some ae ae a some may e comaaiey commo; may ae acue a asie wic makes ei sysemaic suy aicuay iicu

e saus o ese isoes is cooesia may eseaces ague a ey ie oy i egee om isoes aeay icue i eisig syciaic cassiicaios suc as aiey isoes a eacios o sess a a ey ae eeoe es egae as oca aiaios o isoes a ae og ee ecogie ei ecusie occuece i seciic ouaio o cuua aeas as aso ee quesioe

ee is a cea ee o eseac that wi e o esais eiae ciica esciios o ese isoes a caiy ei isiuio equecy a couse I e oe o simuaig a aciiaig suc eseac WO as ueake e eeome o a gossay coaiig eica eiiios o ems use i coss-cuua a aooogica syciaic eseac I is eece a is gossay wi ecome aaiae i 199 I e meaime 1 equey escie "cuue-seciic" isoes ae ee icue i is ae y way o eame ogee wi ei ciica caaceisics — eace om aooogica a meica ieaue — a suggesios coceig ei aceme i IC caegoies

o aem as ee mae o is eaie iagosic cieia o ese isoes i is oe a is wi ecome ossie we moe eiae ciica aooogica eiemioogica a ioogica iomaio is aaiae

y ue iema Associae oesso eame o Aooogy Mem- is Sae Uiesiy Memis USA

176 AE 2

Assigme o e isoes o caegoies i IC-1 Cae ( mus e egae as eaie I ceai isaces we aaiae esciios sugges a ee is cosieae aiaio i e ciica saes coee y e em moe a oe coe as ee gie

frn ea W e Culture-bound syndromes, ethnopsychiatry, and alternate therapies. oouu Uiesiy o awaii 197

Simos C uges CC es The culture-bound syndromes. oec eie 195

Ya ow-Meg Mea iseases ecuia o ceai cuues a suey o comaaie syciay Journal of mental science, 1951 97 313-37

A (Ioesia; Maaysia

A iiscimiae seemigy uooke eisoe o omicia o igy esucie eaiou oowe y amesia o aigue May eisoes cumiae i suicie Mos ees occu wiou waig aoug some ae eciiae y a eio o iese aiey o osiiy Some suies sugges a cases may eie om e aiioa aues ace o eeme aggessio a suicia aacks i waae

Std IC 0 d Oe seciie isoes o au esoaiy a eaiou

tntll rltd ndr ahade idzi be (e isa o ew Guiea benzi mazurazura (soue Aica (amog Soa a aiiae gous berserkergang (Scaiaia cafard (oyesia colerina (e Aes o oiia Coomia Ecuao a eu hwa-byung (Koea eisua iich' aa (iigeous eoes o sou-wese USA

frn i Ke-Mig wa-yug a Koea cuue-ou syome? American journal of psychiatry, 193 1(1 15-17 177 MEA A EAIOUA ISOES: IAGOSIC CIEIA

ewma Wi ma eaio i a ew Guiea igas commuiy American anthropologist, 19 66: 1-19

Simos C uges CC es The culture-bound syndromes. oec eie 195 197-

Soes Running amok: an historical inquiry. Aes O Oio Uiesiy Cee o Ieaioa Suies 19 (Soueas Asia Seies o

Ya ow-Meg e cuue-ou eacie syomes I Caui W sug- yi i es Mental health research in Asia and the Pacific. oouu Eas-Wes Cee ess 199 33-53

ht, dht, jrn, hn , hn (Iia; Cia

Aiey a somaic comais suc as aigue a musce ai eae o a ea o seme oss i me o wome (aso oug o secee seme ecusos ae sai o icue ecess coius uiay isoes imaaces i oy umous a ie e mai symom is a wiis iscage i uie ieee as seme oss aiioa emeies ocus o ea oics o esoe seme o umoa aace

Std IC0 d Oe seciie euoic isoes 53 Somaoom auoomic ysucio o e geiouiay sysem (may e use i auoomic aiey symoms ae ese

tntll rltd ndr koro (Cia rabt (Egy

frn aia MS Maik SC a syome — a useu iagosic eiy i Iia cuue British journal of psychiatry, 1991 159: 91-95

Maoa M Wig a syome a cuue-ou se euosis o e Oie Archives of sexual behavior, 1975 4: 519-528.

Sig S Is a cuue ou? British journal of psychiatry, 199 160: -1 17 AE 2

We ug-Kwag Wag Cig-u Se-kuei syome a cuue-seciic seua euosis i aiwa I Keima A i sug-yi es Normal and abnormal behavior in Chinese culture. oec eie 191 357-39

Kr, jnjn br, n, n (sou-eas Asia sou Cia Iia

Acue aic o aiey eacio ioig ea o geia eacio I seee cases me ecome coice a e eis wi suey wiaw io e aome; wome sese a ei eass aia o ua wi eac icims eec e cosequeces o e aa Suies cie acos suc as iess eosue o co o ecess coius as ecusos u ieesoa coic a sociocu- ua emas eoey ee geae iuece o e coiio Ose is ai iese a ueece esoses ay u icue gasig o e geias y e icim o a amiy meme aicaio o sis o eices o ee eacio ea emeies massage o eaio

Std IC0 d Oe seciie euoic isoes 53 Somaoom auoomic ysucio o e geiouiay sysem (may e use i auoomic aiey symoms ae ese

tntll rltd ndr dhat (Iia rabt (Egy

frn Aiyaee ai AM Suamaiam M Soaic koo a maia ysamoy Psychopathology, 1991 (1 9-5

esei Gaw AC Koo oose cassiicaio o SM-I American journal of psychiatry, 199 17(1 17-17

ai e a Eiemic koo i Wes ega Iia International journal of social psychiatry, 193 9 5-

Simos C uges CC es The culture-hound syndromes. oec eie 195

uie Couia G Ee ai-koo u aieesseu icycique [e ai-koo eec o a icycic aieessa] Canadian journal of psychiatry, 199 35 331-333 179 MEA A EAIOUA ISOES: IAGOSIC CIEIA

th (Ioesia; Maaysia igy eaggeae esoses o a ig o auma oowe y iouay ecoaia ecoaia o ace-ike saes Suies aiousy iee cases as a euoysioogica esose a ye-suggesie sae o a mecaism o eessig ow se-image O-ookes usuay i suc imiaie eisoes amusig wie icims ee umiiae

Std IC 0 d Oe seciie euoic isoes Oe seciie issociaie [coesio] isoes

tntll rltd ndr amurakh (Sieia bah-tsi (aia imu (Aiu (iigeous eoe o aa jumping frenchman (Caaa Lapp panic (as mali-mali (iiies pibloktoq (Iuis iig wii e Acic Cice susto (Meico Cea a Sou Ameica yaun (Myama (omey uma

frn ee A aa as coig a case suy oeig a ew aao o soe e o oe International journal of social psychiatry, 199 3(3 19-199

ee A A successuy eae uc case o aa Journal of nervous and mental disease, 1991 179(1 3-37

Muy M oes o a eoy o aa I ea W e Culture-bound syndromes, ethnopsychiatry, and alternate therapies. oouu Uiesiy o awaii 197 3-1

Simos C uges CC es The culture-bound syndromes. oec eie 195 1-113

rfz, nrv, nvr, nrv (Egy; oe Euoe; Geece; Meico Cea a Sou Ameica

Commo oe coic eisoes o eeme soow o aiey iucig a come o somaic comais suc as ea a musce ai imiise

1 AE 2

eaciiy ausea aeie oss isomia aigue a agiaio e syome is moe commo i wome a i me eseac iks e coiio o sess age emoioa isess a ow se-eseem Cases ae aiioay eae wi ea eas "ee is" es isoaio a amiy suo

Std IC0 d 311 Moeae eessie eisoe wi somaic syome (is is e mos ikey coe euaseia 51 Uieeiae somaoom isoe

tntll rltd ndr anfechtung (ueies (a eigious gou brain fag (igeia colerina, pension, bilis (Meico Cea a Sou Ameica hsieh-ping, xie-bing (Cia hwa-byung (Koea eisua narahati-e a sab, maraz-e a sab (Isamic euic o Ia gissaatuq (Iuis iig wii e Acic Cice

frn isoica a coss-cuua esecies o ees Social science and medicine, 19 (1 1197-159

ais ow SM es Gender, health and illness: the case of nerves. ew Yok emisee 199

Goo Goo MI Moai e ieeaio o Iaia eessie iess a ysoic aec I Keima A Goo es Culture and depression. ekeey Uiesiy o Caioia 195 39--

ow SM Cuuay ieee symoms o cuue-ou syomes a coss- cuua eiew o ees Social science and medicine, 195 2(2: 17-19

ln, frphb (Cia (oice o aiwa; sou-eas Asia

Aiey sae caaceie y osessie ea o co a wis eiee o ouce aigue imoece o ea icims comusiey ess i eay o ecessie coig eas ae eioce y cuua iews o e coiio as a egiimae umoa isoe

11 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Std IC0 d Seciic oias

tntll rltd ndr agua frio, afire frio, frio (Meico Cea a Sou Ameica

frn Kie A Transcultural psychiatry. ew Yok ee ess 197

i Ke-Mig Keima A i sug-Yi Oeiew o mea isoes i Ciese cuues eiew o eiemioogica a ciica suies I Keima A i sug-Yi es Normal and abnormal behavior in Chinese culture. oec eie 191 37-7

blt, Art htr (Iuis iig wii e Acic Cice

ooma aigue eessio o cousio oowe y a "seiue" o isu- ie eaiou icuig siig o eaig o coes eie uig oig i sow gossoaia o ecoaia ecoaia oey esucio a cooagia Mos eisoes as oy miues a ae oowe y oss o cosciousess amesia a comee emissio Iuy is ae a wie some suies ae eae cause o yocacaemic eay mos eseaces ik icies o ieesoa aieies a cuua sessos

Std IC0 d 7 Mie issociaie [coesio] isoes Oe seciie issociaie [coesio] isoes

tntll rltd ndr amok (Ioesia; Maaysia banga, misala (Cogo; Maawi (omey yasaa ebenzi (soue Aica amog Soa a aiiae gous grisi siknis (Miskio (iigeous eoe o ouas imu (Aiu (iigeous eoe o aa latah (Ioesia; Maaysia mali-mali (iiies nangiarpok, kayak angst, quajimaillituq (Iuis ufufuyane (soue Aica eseciay amog au uu a aiiae gous 1 AE 2

frn ake S Eskimo sycoaoogy i e coe o Eskimo esoaiy a cuue American anthropologist, 19 64: 7-9

Simos C uges CC es The culture-bound syndromes. oec eie 195 7-3

Waace A Mea iess ioogy a cuue I su K e Psychological anthropology. Camige MA Scekma 197 33-

St, pnt (Meico Cea a Sou Ameica

igy iese coic comais aiue o "sou oss" iuce y a seee oe sueaua ig I some cases aumaic ees ae o esoay eeiece; iiiuas may e sicke we oes (usuay eaies sue a ig Symoms oe icue agiaio aoeia isomia ee iaoea mea cousio a aay eessio a ioesio Suies aiousy aiue cases o yogycaemia oseciic ogaic isease geeaie aiey a sess esuig om socia coic a ow se-eseem

Std IC0 d 51 Uieeiae somaoom isoe Oe seciie euoic isoes

tntll rltd ndr lanti (iiies latah (Ioesia; Maaysia malgri (aoigies o Ausaia mogo laya (e isa o ew Guiea narahati (Isamic euic o Ia saladera (egios aou Amao ie

frn Goo Goo M owa a meaig-ceee aaysis o oua iess caegoies ig iess a ea isess i Ia I Masea A Wie GM es Cultural conceptions of mental health and therapy. oec eie 19 15-15

ougo A oesma e gie-oss coecio i suso Ethnology, 19 7 15-15 13 MEA A EAIOUA ISOES: IAGOSIC CIEIA

i e suy o isease i eaio o cuue — e suso come amog e Mie o Oaaca Dialectical anthropology, 199 2: 35-3

ue A Oe CW Coao-Ao Susto, a folk illness. ekeey Uiesiy o Caioia ess 19

Simos C uges CC es The culture-bound syndromes. oec eie 195 39-7

jn fh, hnht, nthrpphb (aa

Aiey o oia moe commo amog me a youg aus Cases ae make y a ea o socia coac (eseciay ies eeme se-cosciousess (coce aou ysica aeaace oy oou usig a a ea o coacig isease Somaic symoms icue ea oy a somac aces aigue a isomia icims ouay egae as igy ieige a ceaie may isay eeciois eecies Suies sugges cuua aues ecouage "oe-sociaiaio" o some cie oucig eeigs o ieio- iy a aiey i socia siuaios

Std IC0 d 1 Socia oias Oe oic aiey isoes (may e use i ee ae may oe eas

tntll rltd ndr anfechtung (ueies (a eigious gou itiju (igeia

frn ock M East Asian medicine in urban Japan. ekeey Uiesiy o Caioia ess 19 -

aaka-Masumi aii kyouso Culture, medicine and psychiatry, 1979 : 31-5

ice eceg-aoce Cuue ou syomes a ieaioa cassiicaio o isease Culture, medicine and psychiatry, 197 11 3-

eyos Morita therapy. ekeey Uiesiy o Caioia ess 197 84 AE 2

Uffn, (soue Aica (amog au uu a aiiae gous; Keya

A aiey sae ouay aiue o magica oios amiisee y eece oes o sii ossessio eaues icue souig soig eeae eoogisms aaysis cousios a a ace-ike suo o oss o cosciousess Mos icims ae youg umaie wome Some eeiece igmaes wi seua emes o ae eisoes o emoay iess Aacks wic ca coiue o ays o weeks may e ooke y e sig o me o oeiges

Std IC 0 d 3 ace a ossessio isoes 7 Mie issociaie [coesio] isoes

tntll rltd ndr alw o (igeia phii pob (aia zar (Egy; Eioia; Sua

frn ais G ossessio yseia i a Keya ie American anthropologist, 1957 59: 1-1

ouo JB. sycogeic isoe a socia coic amog e uu I Oe MK e Culture and mental health. ew Yok Macmia 1959 351-39

Urn (Iuis iig wii e Acic Cice

Sue aaysis associae wi oeie see saes accomaie y aiey agiaio o auciaios ooma iicaos may icue a eecae ye asie sou o sme Wie e coiio is usuay coic a ca om aic mos aacks as oy miues a ae oowe y comee emissio Cases ae aiy commo a aiioay aege o esu om sou oss sou waeig o sii ossessio Suies escie e eeiece as a issociaie yseica eacio a ossie aia o e acoesy—caaey syome

Std IC 0 d Oe seciie issociaie [coesio] isoes G7 acoesy a caaey Icues see aaysis

185 MEA A EAIOUA ISOES: IAGOSIC CIEIA

tntll rltd ndr aluro (igeia old hag (ewoua phii pob (aia

frn uo The terror that comes in the night. iaeia Uiesiy o esyaia 19

ake S Eskimo sycoaoogy i e coe o Eskimo esoaiy a cuue American anthropologist, 19 7-9

Simos C uges CC es The culture bound syndromes. oec eie 195 115-1

Wnd (aious seigs (iigeous eoe o o-ease egios o o Ameica

ae isoic accous o caiaisic osessio aiioay cases wee ascie o ossessio wi icims (usuay mae uig io caia moses Symoms icue eessio omicia o suicia ougs a a eusioa comusie wis o ea uma es Mos icims wee sociay osacie o u o ea Eay eseac escie eisoes as yseica sycosis eciiae y coic oo soages a cuua mys aou saaio a wiigo moses Some cooesia ew suies quesio e syomes egiimacy caimig cases wee acuay a ouc o osie accusa- ios iee o usiy e icims osacism o eecuio

Std IC 0 d e aaiae iomaio is oo ueiae o sugges a ikey coe I a coe is eee use Oe seciie isoes o au esoaiy a eaiou

tntll rltd ndr amok (Maaysia hsieh ping (Cia (oice o aiwa zar (Egy; Eioia; Sua

frn iso C oe Agokia caiaism a wiigo sycosis I Wiiams e Psychological anthropology, e ague Mouo 1975 37- 1 AE 2

Hay T. The windigo psychosis. American anthropologist, 1971, 73: 1-19.

Parker S. The wiitiko psychosis in the context of Ojibwa personality and culture. American anthropologist, 1960, 62: 603-623.

Simons RC, Hughes CC, eds. The culture-bound syndromes. Dordrecht, Reidel, 1985: 409-465.

187

t f ndvdl xprt

e oowig is coais e ames o ees wo wee ioe i e aig o is e o wose commes wee mos useu i eiig e eseac cieia

G Aews aigus A Giig Akaa ukey Ausaia Goeg Macese Ags uic Swiea Ega ao amigo C USA M Gosso oo Ega aco Eiug Scoa Gaam oo Ega eso os Agees CA Gii Ewas oo USA Ega iaco Caacas eeuea Gusaso u Swee uke eme USA S Gue S ouis MO USA Cawe os Agees CA ae Maeim Gemay USA ageg Goeug SM Caaasaaa Swee agaoe Iia ee S ouis MO USA Cisese Caea AS eeso Caea Ausaia Ausaia A Cae oo Ega MA isce Gaeso W Como S ouis MO USA USA oma Camige MA E Cooe oigam USA Ega Y oa okyo aa A Coe oo Ega M Isaac agaoe Iia Coe S ouis MO USA A aca Geea Swiea W Eice Maeim Gemay egee Iaa igeia Escoa amigo C A om Caea Ausaia USA EG Kaam eiu eao W eueei Muic Gemay E Kee Eiug Gacia Sao omigo Scoa omiica euic A Keima Camige MA MG Gee Oo Ega USA Gie Goige eeas G-E Kiie ea Gemay Gae Mai Gemay Kue isug A USA

19 MEA A EAIOUA ISOES: IAGOSIC CIEIA

WA isma oo Se Yu-cu eiig Cia Ega M See oo Ega iowski ooo Caaa Su iag eiig Cia oka uaa Soeia Smees Amseam AW oage Wie ais eeas Y USA A Smueic Moscow U Ma Oso oway ussia eeaio M Ma aes Iay C Soaos Aes Geece I Maks oo Ega Sie ew Yok Y Maeas Aes Geece USA Meic isug A USA E Somge Aaus emak Mises ais ace (deceased) A aao Moscow Soka iea Ausia ussia eeaio E ayo oo Ega S eki a es Saaam M oy uei ew Uie euic o aaia eaa Oyago Suma aioi C oes e Miao Sao Keya auo ai Oey Geea Swiea G ucke Seae WA USA ES ayke Camige Ega esii Geea Swiea C eis Umea Swee aque-aqueo ois S ouis MO USA Saae Sai M uio-Siec Sa ua K Was ocese M ueo ico USA G usse oo Ega o Wao o eca Oo M ue oo Ega Ega I Sacks oo Ega Wes Camige Ega Saues Syey Ausaia Wig oo Ega C Scaee uic Swiea Wig oo Ega Siea Geea Swiea -U Wice Muic MA Scucki Sa iego CA Gemay USA u You-i eiig Cia

19 t f fld trl rdntn ntr, fld trl ntr rprtn t th, nd nvttr

e ames o e ie ia cooiaig cees ae aage i aaeica oe o ei ocaios (agaoe Caio ec

e ie ia cees eoig o a aicua cooiaig cee ae aage i aaeica oe o e couy a e e ciy o ei ocaio

e ames o e iecos o ie ia cees ae make wi a aseisk

191 MEA A EAIOUA ISOES: IAGOSIC CIEIA

ld trl ntr rprtn t nlr, Ind

Crdntn ntr aioa Isiue o Mea ea a euoscieces agaoe C Caaseka S Caaasaaa S Caei S Giimai M MK Isaac S ai S Kaa K Kuma Mea S Muy aguam S ao C Samsua S Sesai Sia G Siam M egese

prtn ntr A-Iia Isiue o Meica Scieces ew ei Iia K Caiami S ue Kau a Moa S Saea

umu osia Wes ega Iia Se

Cisia Meica Coege eoe Iia o M Kuma

Kig Geoges Meica Coege uckow Iia AK Agawa M Kaiya 19 IS O IE IA CEES A IESIGAOS

S Kuma Siaey Sig K iei

Meica Coege Uaiu Iia Gua M Mau

ld trl ntr rprtn t Cr, Ept

Crdntn ntr Isiue o syciay Ai Sams Uiesiy Caio S Ea M E iki M Gaem A Kai Maawai A Okasa M eaa A Sei E awa A Soi

prtn ntr

hrn syciaic osia Maama MK A aa C Kame MA Kaim M Kasaa A ai Sae A Sooka

Ept Eas ow osia Aeaia oua M Mickae S icoas 193 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Maamoua syciaic osia Aeaia EK Ame K E awa M Wagi

bnn S Geoges osia eiu EG Kaam Yaoui

Mr Cee syciaique Uiesiaie I os Casaaca Kai Moussaoui M ouaii

n Cee Oia-Uiesiaie Moasi aem Skiii

Untd Arb Ert UAE Uiesiy A Ai K aaek A Saa

asi osia uai AS E i E Go

ld trl ntr rprtn t b, Grn

Crdntn ntr Kiik ii syciaie e Meiiisce ocscue iieck Gemay G Aeewic Ao A ekisc -G ikma iig 19 IS O IE IA CEES A IESIGAOS

M iesse eyege U o - Kai S Keiscmi U Kieo eee Mices Mie-omse euaue S owak U Sciiege E Scue-Makwo A Sciima W Seie U Siee Seege C eu Weeig

prtn ntr

Ausia Uiesiaskiik u euosyciaie es Kies- u ugeaes iea esc

Gemay syciaisce Kiik es eiisc-Wesisce ecisce ocscue Aace Aace Ee S ee C Meges A ia Sass imme immema

Aeiug i Geoosyciaie e syciaisce Kiik u oikiik e eie Uiesia ei Guma Kiige 195 MEA A EAIOUA ISOES: IAGOSIC CIEIA

syciaisce Kiik a oikiik e eie Uiesia ei ei A Aggias M aue oge ok-Weiscee C ockaus Cases oce S Ege S Ege oa W Gaee Gea Geisema Gueeg eweg emce ose M emke M ie oos A Macke C eig M Oo A iecke oscos U oe eisceis A os Sae Scmi Soek Secke - Siegi M SOe G Se K ies M Ue Weicke C Wigue Wiisce

19 IS O IE IA CEES A IESIGAOS

Kiik u sycosomaik u sycoeaie e Wesaisce Kiik ii syciaie i omu omu as M ecke Eisse asse K Mai a K oewig W Sceie M ea W Wac

Agemeie syciaie e aes- u ocscukiik Esse M Gasa C Osige

Kiik a sycoeaie u sycosomaik e eiisce aes- u ocscukiik Esse G eu a Wyk

Aeiug ii Kie- u ugesyciaie am eum syciaie e oa-Wogag-Goee-Uiesia aku-am-Mai S ee E Ege K Koese Meyeug ouska u S Sciie-Miie K Scmec G Scmie

Geeakiik - ackiik u sycoeaie u sycosomaik Gee Kiee

Kiik ii sycosomaik u sycoeaie e usus-ieig-Uiesia Giesse osig Woiea 197 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Aeiug U sycosomaik u sycoeaie e Uiesia Goige GOige C eue A Ecko Koema E eiig U oge Scaueug G ScUsse M Wace A Weige-ieeics

syciaisce Kiik e Uiesia Goige Goige Gee E ie A ie

Aeiug u sycosomaik e Meiiisce ocscue aoe aoe Ae U Gas A Kesig -W Kiiseeck W ema ieke I eime G Scmi

sycosomaisce Kiik e uecs-Uiesi eieeg G eu A O

Kiik u syciaie u euoogie "as ege" ea (i cooeaio wi e syciaic eames i iugause a MOause Ae Aue aso aue eam ieic O eow isce 19 IS O IE IA CEES A IESIGAOS

ake isce öic age eis oma os Koia Kause G-E Kiie agma agei emke esse oesei Missewi Oo ee eie ose Scmi Scue Scweege Seeisc Siege awaa sciesc Wamke Wisce

Kiik ii Kie- a ugesyciaie e Meiiisce Uiesia ieck Cygaek-awig A amai-Ocyski oekams U Kke M icke M euauss G oose-uge W uee A Sceie M Scue-Makwo

199 MEA A EAIOUA ISOES: IAGOSIC CIEIA

E Socacewsky ek

Kiik ii sycosomaik e Meiiisce Uiesia ueck ueck eescmi eieeis G ascek I ascek -G Koa K age S Maks-Miusc Mesig M oak os ema Sceeig Scicig M Sueck I oo o Wieeseim E Wike eee

Kiik ii sycosomaisce Meii a sycoaayse am eaisiu a Seeisce Gesuei Maeim M as Kae - Koeieck A Kiee K iee M Maksei A Mus Sceak M Sciee A Scie Wee

Kiik i Kie- a ugesyciaie e Uiesia Maug Maug ee-ama K Quasce E Scu IS O IE IA CEES A IESIGAOS

oikiik e Ma-ack-Isius u syciaie Muic Gue egeege W Momou M Oecse ao Scie -E Seie Ua Wee

syciaisces Aeiug Kakeaus aa aa ei Miice Muic M Aus au-Kisce E ieeige C umme aue G Sceie E Siasy

syciaisce Kiik u oikiik e uwig-Maimiias-Uiesia Muic o

Aeiug u Kieeuosyciaie e Uiesiaseekiik osock osock Camma

syciaisce Kiik e Uiesia osock ees K Es K ieme C ema Mau C e oee Scake

sycoeaeuisce Kiik Kakeaus u Aayisce sycoeaie u sycosomaik Suga K-U Aam ie W Ees G Eice 1 MEA A EAIOUA ISOES: IAGOSIC CIEIA

eige I oe-Kicege Seie G Scmi -M oigae

Kiik eus - eum u sycosomaik u eaesmeii Uee- eus W uge A ige-oa W Egea A ema W Ko W Mie Oseie S ima Scwickea Seie-aes Sau C isse S oscei Wie ee

Swiea syciaisce Kiik e Uiesia ase ase ima

oikiik ii Kie u ugeice uic C Seiause

ld trl ntr rprtn t xbr

Crdntn ntr Seice e euo-syciaie Cee osiaie e uemoug uemoug C Gaie C u IS O IE IA CEES A IESIGAOS

prtn ntr egium Oia Easme usses uai I amao aas Sae

ace Ciique syciaique eome osc Ameiees Gaci C Gigac M Gomes A Gua Oci ameie - oea C osgie

Cee osiaie e Cayee Cayee E Aoica G Sima

Cee osiaie Seciaise e iaie yo aie Geogie M Guiau-aaie M Maie-Caie G Mecei ea

Cee osiaie Seciaise a eiee e Mesi-S-eis Koess

Cee osiaie Seciaise e Coso o-e-ace Maiique A oius oueesse Guia G Gue G Usue 3 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Ciique e syciaie ice esmai accii G acou

Ciiques es Maaies Meaes ais Gaiac Guei M Seo

Oia ecke ais Aio Gage

Oia oe ee ais AM aoua M oua M ugas Geoge C Gea M egeeu M e euey

Oia e a Saeiee ais U aua A aaigues Moaes

Cee osiaie Seciaise u ouay oue esse ao S ous eee

Oia e eeue Sai-Eiee C igoe G oissa A Guio ag Maiou M Maco ee US O IE IA CEES A IESIGAOS

M ico MG ico C asce au

Cee Meico-sycoogique Sai-Gemai-e-aye U aua A- a Ameoge S iecouo

Cee osiaie Uiesiaie Sasoug S eei Sige MA immema

Isae Oia syciaique Gea e Ai M ao M Gaek M awa S yao

Swiea Ciique e syciaie Geea E isaa uguee I aaa

Ciique syciaique ausae aeig esso C yois eeo C Scye

ld trl ntr rprtn t Mdrd, Spn

Crdntn ntr Ciica Oe-Io Mai M Ceso ee 5 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Oe-Io I oa Sai ui M ega

prtn ntr Chl Ciica siquiica Uiesiaia Uiesia e Cie Saiago Caao . ia agas oas Ms A Moeego isco C cimio C ee Ms E aea M S ei

Sai Seicio i siquiaia osia e ae e e aceoa E Mi A Moaes E oo Sagao A Sa Seaoga aeo

syciaic Ui osia e a Saa Ceu y Sa au aceoa C ee e os Coos C ie M Soo

Seicio e siquiaa Ciua Saiaia a a Mai MC ay eo Caas MC Cueo eae C e ios IS O IE IA CEES A IESIGAOS

aco Gacia ee G Gme Miica Goae-icoas M Gae Maie Gacia Oego oigue ega Sao omigo M Soo

Seicio e Sau Mea Comuia e Mai Mai A Casaio omeo Coces ao C Goae Guiee aao M oe Gioes C oo Usaoa A oig Moie A eea ias ia aea

Seicio e Sau Mea iciao e Asuias Oieo Aaicio Ci G Gacia Ms S Gacia aO A Goae Goae Aia S Ocio eo C eeo E eiuea A ic

Seicio e siquiaia Ui esia e Oieo Oieo oes Gacia Goaes G oia

7 MEA A EAIOUA ISOES: IAGOSIC CIEIA

ld trl ntr rprtn t M, n drtn

Crdntn ntr Isiue o syciay Acaemy o Meica Scieces Moscow K Kosyukoa S iki aoa

ld trl ntr rprtn t , pn

Crdntn ntr agasaki Uiesiy agasaki Kuoa Y akae Y Okaaki K akaa

prtn ntr ukui Meica Scoo ukui ayasi K Isaki Y Kosio S Maokoo Masuaa K Misaki I Muaa M Oomoi

Kyusu Uiesiy ukuoka K iaa iomiya Saio aaka

ukusima Meica Coege ukusima M Kaeko K akaagi IS O IE IA CEES A IESIGAOS

Hirosaki University, Hirosaki *Dr Y. Fukushima Dr K. Hashimoto Dr S. Kaneko Dr K. Otani Dr F. Saito Dr H. Tasaki Dr H. Yabe Dr I. Yoshimura

Hiroshima University Hospital, Hiroshima Dr Y. Ishida *Dr M. Osada

Teikyo University, Ichihara Hospital, Ichihara Dr M. Hasegawa Dr R. Hayashi Dr K. Hoshino Dr M. Ikeda Dr Y. Kim Ms M. Matsumori Dr T. Nemoto *Dr T. Takahashi Dr T. Takeuchi

Kanazawa University Hospital, Kanazawa Dr H. Arai Dr T. Asano Dr T. Fukushima Dr H. Hasegawa Dr I. Jibiki Dr H. Kido Dr Y. Kiyota Dr K. Kosaka Dr Y. Koyama Dr T. Maeda Dr K. Miyazu Dr K. Nakagawa Dr H. Sakamoto Dr T. Sumiyoshi Dr K. Terai Dr K. Urata

209 MEA A EAIOUA ISOES: IAGOSIC CIEIA

K Uasaki K Ueo Yamaguci M Yuasa

okyo ikeikai Uiesiy Kasiwa osia Kasiwa Ms M Ka Kasaaa S Kisia isimua K ukaiya M Oa Sioaki

Uiesiy o Occuaioa a Eiomea ea Kiakyusu Omoi Siasuci Yosimua

Kuume Uiesiy Scoo o Meicie Kuume Y Ia Kooii Mukasa akamua Y akaawa Sakamoo K akamuki S suimau

Kyoo Uiesiy Kyoo S amagaki Y Ioue Maui K akayama A Okae Yamasia

Miyaaki Meica Coege Miyaaki Aakawa K aa Ikea

1 IS O IE IA CEES A IESIGAOS

Kochi Medical School, Nangoku Dr H. Hashizume *Dr S. Inoue Dr H. Sato

Hyogo College of Medicine, Nishinomiya Dr K. Hori Dr E. Hashiyama Dr S. Hayashi Dr S. Ikegami Dr B. Iwamoto Dr N. Kawasaki Dr S. Komai Dr H. Makihara Dr M. Matsui Dr K. Mild Dr M. Miyamoto *Dr K. Miyoshi Dr Y. Morita Dr Y. Nakai Dr M. Sato Dr Y. Shinoda Dr S. Takauchi Dr T. Takeda Dr K. Tankiguchi Dr S. Yamauchi Dr A. Yoshikawa

Medical College of Oita, Oita Dr J. Ando *Dr I. Fujii Dr N. Hasama Dr J. Ihara Dr H. Naganuma Dr T. Yanagisawa

Okayama University Medical School, Okayama Dr K. Akiyama *Dr Y. Fujiwara

University of the Ryuku Hospital, Okinawa Dr N. Kunimoto

211 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Dr H. Nakamata Dr H. Nakamoto *Dr C. Ogura Dr T. Uema Dr K. Yamamoto

Shiga University of Medical Sciences, Ootsu Ms R. Atsukawa Dr K. Daimon Dr K. Hanada Mr H. Iida Dr K. Ikemoto Dr N. Kato Dr T. Kato Dr H. Kanai Dr T. Noguchi Dr K. Satoh Dr T. Shioiri Dr M. Shibasaki Dr T. Someya *Dr S. Takahashi

Kinki University, Osaka *Dr M. Hanada Dr T. Kusube Dr A. Okada Dr D. Takahashi Dr H. Tazoe Dr K. Yamaguchi Dr T. Yokouchi

Osaka University Medical School, Osaka Dr H. Sato Dr A. Sekiyama *Dr A. Yamamoto

Kitasato University, Sagamihara Dr T. Arai Dr J. Ishigooka Dr T. Kasahara Dr Y. Oguchi *Dr Y. Ohtani

212 IS O IE IA CEES A IESIGAOS

Hokkaido University, Sapporo Dr K. Denda Dr T. Kasahara *Dr I. Yamashita

Keio University, Tokyo *Dr M. Asai Dr S. Kanba Dr H. Kashima Dr M. Mizuno Dr A. Nishizono-Maher Dr Y. Ono Dr G. Yagi

Showa University, Tokyo Dr F. Arakawa Dr T Hashimoto Dr U. Inamoto *Dr K. Kamijima Dr M. Kawai Dr N. Sakanishi Dr I. Tadama

Tokyo Medical College Hospital, Tokyo Dr S. Hikiba Dr R. Ikeda Dr M. Kato Dr S. Koretsune Dr T. Maruta Dr S. Nagura Dr N. Sakaue *Dr M. Shimiz

Tokyo Medical and Dental University, Tokyo Dr T. Kojima Dr M. Matsuura Dr Y. Okubo *Dr M. Toru

Yamagata University Hospital, Yamagata *Dr T. Nadaoka Dr T. Tanaka

213 MEA A EAIOUA ISOES: IAGOSIC CIEIA

ld trl ntr rprtn t Oxfrd, Enlnd

Crdntn ntr Department of Psychiatry, Oxford University Hospital, Oxford *Dr M. Gelder

prtn ntr

Czech Republic Charles University, Hradec Kralove *Dr M. Zaplatalek

Postgraduate Medical and Pharmaceutical Institute, Prague Dr J. Beran Dr K. Chromy Dr K. Dusek Dr D. Friedlova Dr M. Hessler Dr A. Janik Dr N. Kubickova Dr P. Pavlovsky Dr P. Popov *Dr P. Smolik

Prague Psychiatric Centre, Prague Dr P. Baudis Dr E. Bendova Dr M. Benes Dr I. Klar *Dr D. Seifertova

England Children's Hospital, Birmingham *Dr R. Harrington Dr P. Vostanis

Queen Elizabeth Psychiatric Hospital, Birmingham Dr M. Baxter Dr D. Clarke

214 IS O IE IA CEES A IESIGAOS

Coe S Cumea ago ase A oy M oy K ie Ia awi osia Camige S ae G Oie

Geea Iimay a ees ees I eg C ucas Sims A Woa

eame o syciay Uiesiy o eicese eicese S uga

Mossey i osia ieoo Coea Saues KCM Wiso

Guys osia oo

Caig K Suey

Isiue o syciay oo A Ma M ea ueo

Mausey osia oo GO oogue GM usse ueo U Scmi ie easue 15 MEA A EAIOUA ISOES: IAGOSIC CIEIA

MRC Social and Community Psychiatric Unit, Institute of Psychiatry, Univer- sity of London, London *Dr P. Bebbington

St Bartholomew's Hospital, London *Dr P.D. White

St Charles Hospital, London Dr P. Duke Ms F. Henderson Dr S. Merson

z. P. Tyrer

St Mary's Hospital, London Dr D. Baldwin Dr D. Montgomery *Dr S.A. Montgomery

Worcester Royal Infirmary, Worcester *Dr G. Milner Dr R. Sheen Dr J. Tarry Dr G. Wairiscott

Ireland St Loman's Hospital, Dublin Dr B. Murphy *Dr A. O'Grady Walsh Dr D. Walsh

Turkey Hacettepe University, Ankara Dr M. Giirsoy *Dr A. Giigiiq Dr I. Kaplan Dr R. Ozbayrak Dr G. Ozgen Dr M. Rezaki Dr A. Sagduyu Dr B. Ulug Dr A. Ulu§ahin

216 US O IE IA CEES A IESIGAOS

ld trl ntr rprtn t Arh, nr Crdntn ntr syciaic Uiesiy osia i Aaus eame issko A eese ic S Saau

prtn ntr emak syciaic Uiesiy osia i Aaus eame issko C Guma

ioe osia Coeage M Kasu K Maaeg E Simose

eeikseg osia eeikseg Coeage ogese K ase K Oasso ae iig

aes Ceasygeus aes Maiese A iese Isae "aie" Mea ea Cee eusaem Aoo ow Ciiai us M ima Y Gia E e M ise K ui Scoe iema 17 MEA A EAIOUA ISOES: IAGOSIC CIEIA

e Gea syciaic osia ea-iqua e-Ai Maom Mui G eoi See

lnd eame o syciay I Isiue o syciay a euoogy Soieskiego Wasaw A Coowska I Saikoska WciOka

eame o syciay I Isiue o syciay a euoogy oo Geea osia Wasaw A iaysewski A ioowski M auska

n syciaic eame acuy o Meicie Uiesiy o imisoaa imisoaa M eeea eeea M Ieciu M aaescu icoaa omosa

ld trl ntr rprtn t vll, M, USA

Crdntn ntr iisio o Ciica eseac aioa Isiue o Mea ea ockie G egie

prtn ntr Cnd Aea osia Emoo M Cummis o-ey Sae A a y 1 US O IE IA CEES A IESIGAOS

oo syciaic osia oo A isege Mamaia E esa Sama

Uiesiy osia o Wese Oaio oo Meskey Moaa Macaa

ougas osia eseac Cee Moea SK Ame E ema Maia A Skoewsky

pbl f Kr Kyug-ook aioa Uiesiy osia aegu Kim yu-oo ee uk-ae

Asa Meica Cee Seou a O-Su Kim Cag Yoo ee Cu ak I o

Gyeogsag aioa Uiesiy Ciu a Kyu ee Woo Sug I

aym Uiesiy osia Seou Aim og yu Am Seok Ceo

Kagog Sace ea osia Seou ak Yu Moo Suk ae o Yeo yeog Ki 19 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Kagam S Mays osia Seou Cae Youg ae Coi o Moo ee Cu aik I o

Seou aioa Mea osia Seou aek Ki-Ceog Kwack Youg Sook

Seou aioa Uiesiy osia (o au aies Seou eog o-U Kim o-Kwa Kim Yog-Sik Kwo u-Soo i ou-Youg Su og Woo

Seou aioa Uiesiy osia (o aeiaic aies Seou Co Soo-Cu Coi i Sook og Kag EM

Ie Uiesiy osia Seou ee eog o ee Ki-Ceo

Soocuyag Uiesiy osia Seou a Su o ug a Yog Kim Seug yu

Yosei Uiesiy Seou u ie og Kim Youg Si ee um Yog ee ee Sag ee o Youg ee oo-u ee Ma-og O youg oo Si Eui i IS O IE IA CEES A IESIGAOS

United States of America Mcea osia emo S aie K iis Samso

ayo Coege o Meicie ouso Cay eeoy Gokceay M isckowi I Kaaca

Wese syciaic Isiue a Ciic isug S aa Eico M ay ay C oges E Saa

Wasigo Uiesiy Scoo o Meicie S ouis S Eay A aca

ld trl ntr rprtn t Shnh, Chn

Crdntn ntr Sagai Mea ea Cee Sagai Si Se-u ia Mei-a u ao-yua ag Yog-ua u i-qig

prtn ntr ua Meica Uiesiy Cagsa

Dr Li Ling jiang *Dr Yag e-se 1 MEA A EAIOUA ISOES: IAGOSIC CIEIA

West China Medical University, Chengdu Dr Guo Lan-ting Dr Li Tao Dr Lin Pei-yi *Dr Liu Xie-he Dr Sun Xue-li Dr Yang Yan-chun Dr Ye Lu

Nanjing Institute of Child Mental Health, Nanjing Dr Luo Shuo-jun *Dr Tao Guo-tai Dr Wang Ming-jie Dr Zhang Ju-feng

ld trl ntr rprtn t Wllntn, lnd

Crdntn ntr Wellington Hospital, Wellington Dr J. Crawshaw Dr P.M. Ellis *Dr G.W. Mellsop Dr N. Mendis Dr G. Purdie Dr C.S. Thomas

prtn ntr University of Otago, Dunedin Dr N. Raja *Dr G.S. Ungvari

222 Indx

Notes: o ose eies make see is o caegoies o aiioa ou i o si caace

e ees EC sa o "o esewee cassiie"; ey ae ae ae ems cassiie o esiua caegoies as a waig a seciie oms o e coiios ae cassiie ieey

Icusio ems o a caegoies may e ou i Clinical descriptions and diagnostic guidelines.

age umes ae sow i iaics

Abuse (of) (see also Use, harmful) —aagesics 55 122 —aacis 553 122 —aieessas 55 122 —— eacycic 55 122 —— icycic 55 122 asii 55 122 iueics 55 122 omoes 555 122 aaies 551 122 —moamie oiase iiios 55 122 —o-eeece-oucig susaces 55- 121 —— seciie EC 55 122 —aaceamo 55 122 eacei 55 122 —seciic ok emeies 55 122 —seciic ea emeies 55 122 seois 555 122 iamis 55 122

Adjustment disorder (see Disorder, adjustment)

Aerophagy, psychogenic F45.31 108

22 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Agoraphobia —wi aic isoe 1 9 —wiou aic isoe 92

Alcohol (see also Psychoactive substance-induced) —ioicaio —— acue 1 49 —— aoogica 17 50 —wiawa 13 58

Alzheimer's disease, dementia in F00.— # 31 —ayica ye 33 —eay ose 3 —ae ose 1 33 —mie ye 33

Amnesia, dissociative F44.0 102

Amnesic syndrome (see Syndrome, amnesic)

Anaesthesia and sensory loss, dissociative F44.6 104

Anankastic personality disorder F60.5 127

Anorexia nervosa F50.0 112 —ayica 51 112

Anxiety, episodic paroxysmal F41.0 4

Anxiety disorder (see Disorder, anxiety)

Anxious personality disorder F60.6 128

Aphasia, acquired, with epilepsy F80.3 143

Asperger's syndrome F84.5 153

Asthenia, neurocirculatory F45.30 108

Attachment disorder of childhood (see Disorder, attachment)

Attention deficit 157 IE

Autism —ayica 1 149 —— i age o ose 1 150 —— i age o ose a symomaoogy 1 150 —— i symomaoogy 11 150 —cioo 147

Aversion, sexual F52.10 117

Avoidant personality disorder F60.6 128

Bipolar affective disorder (see Disorder, bipolar affective)

Borderline personality disorder F60.31 126

Bulimia nervosa F50.2 113 —ayica 53 113

Cannabinoid (see also Psychoactive substance-induced) —ioicaio acue 1 51 —wiawa sae 13 59

Cataplexy G47.4 (see ICD-10, p. 409)

Caffeine (see Stimulants)

Cluttering F98.6 171

Cocaine (see also Psychoactive substance-induced) —ioicaio acue 1 53 —wiawa sae 13 60

Compulsive acts F42.1 98

Conduct disorder (see Disorder, conduct)

Conversion disorder (see Disorder, dissociative)

Convulsions, dissociative F44.5 103

Creutzfeldt—Jakob disease, dementia in F02.1 # 35

225 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Cyclothymia F34.0 87

Da Costa's syndrome F45.30 108

Delirium (of) (in) F05.— 38 —acue ioicaio 3 4 —o sueimose o emeia 5 39 —seciie EC 5 —sueimose o emeia 51 39 —wiawa sae 6

Delusional disorder (see Disorder, delusional)

Dementia (in) (due to) F03 # 37 —Aeimes isease —

— — ayica ye

— — eay ose 2

— — ae ose 1 33 —— mie ye —Ceue—ako isease 1 —isease seciie EC 37 —uma immuoeiciey ius [I] isease —uigos coea (isease 6 —mui-iac 11 4 —akisos isease 3 6 —icks isease —sycoacie susaces 73 6 —ascua (o 1—

— — acue ose 1 4

— — mie coica a sucoica 13 4

— — seciie EC 1

— — sucoica 1 4

Dependence (see Syndrome, dependence)

Dependent personality disorder F60.7 128

Depersonalization—derealization syndrome F48.1 HO

Depression, post-schizophrenic F20.4 # 67

226 IE

Depressive —isoe (see isoe eessie —eisoe (see Eisoe eessie

Derealization syndrome F48.1 0

Desire, sexual, lack or loss F52.0

Developmental disorder ( Disorder, developmental)

Dhat syndrome F48.8 0, 8

Diarrhoea, psychogenic F45.32 08

Disease, dementia in —Aeimes — 31 —Ceue—ako 1 35 —uigos 3 —akisos 3 36 —icks 35

Disorder (of) —ausme 3 100 —— aiey a eessie eacio (mie 3 101 —— ie eessie eacio 3 101 —— ooge eessie eacio 31 101 —— wi mie isuace o emoios a couc 35 101 —— wi oe seciie eomia symoms 3 101 —— wi eomia isuace o couc 3 101 —— wi eomia isuace o oe emoios 33 101 —aecie (see also isoe moo —— esiua ue o sycoacie susaces 7 63

— — seasoa 173 —aiey —— a eessie mie 1 97 —— geeaie 11 95

— — — o cioo 93 164

— — mie 13 97

— — oic — 91

— — — o cioo 931 163

— — — seciie EC 94 - 7 MEA A EAIOUA ISOES: IAGOSIC CIEIA

rdr (f (continued) - aiey (continued) - - seaaio o cioo 93 162 - - socia o cioo 93 163 - - seciie EC 1- 94 - aimeica skis seciic 1 146 - aicuaio (seec seciic 142 - aacme o cioo - - isiiie 9 167 - - eacie 91 166 - eaioua (see isoe mea a eaioua - ioa II 173 - ioa (aecie 31- 79 - - cue eisoe - yomaic 31 79 - maic - - wi sycoic symoms 31 79 ------moo-cogue 31 80 ------moo-icogue 311 80 wiou sycoic symoms 311 79 - mi o moeae eessio - - wi somaic syome 3131 80 - - wiou somaic syome 313 80 - mie 31 81 - seee eessio - - wi sycoic symoms 315 80 ------moo-cogue 315 81 ------moo-icogue 3151 81 - - wiou sycoic symoms 31 80 i emissio (cuey 317 81 ogaic 31 42 ai cycig 173 sige maic eisoe 3- 77 seciie EC 31 81 - oy ysmoic 5 106 - cioo isiegaie seciie EC 3 151 - cogiie mi 7 42 - couc 91- 157 - - coie o e amiy coe 91 160 - - eessie 9 161 - - yekieic 91 157

- - oosiioa , eia 913 161 228 IE

- - sociaie 91 60

usociaie 911 60

wi eessie isoe (3-39 9 6

wi emoioa isoe (93- 9 6

wi euoic isoe (- 9 6 - coesio - 02

mie 7 04

seciie EC 04 - cuue-seciic 6 - eusioa 0

iuce 73 - - esise - 0

seciie EC 0 - eessie - - ogaic 3 42

ecue 33- 8

ie 31 0

cue eisoe - - - - mi 33 8 ------wi somaic syome 331 8 ------wiou somaic syome 33 8

moeae 331 86 ------wiou somaic syome 331 86 ------wi somaic syome 3311 86

seee ------wi sycoic symoms 333 86 ------moo-cogue 333 86 ------moo-icogue 3331 86 ------wiou sycoic symoms 33 86

i emissio 33 86

seciie EC 33 7 - - sige eisoe 3- 8 - eeomea (seciic -9 aimeica skis 1 46 aguage - 42 - seciie EC 44 mie seciic 3 4 moo ucio 4 easie - 4 sycoogica 9 4

scoasic skis 1 44 - mie 13 46 9 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Disorder (of) (continued) - eeomea (seciic (continued) - - seciie EC 154 - - seec - 142 - - - seciie EC 144 - issociaie - 102 - - mie 7 104 - - moo 103 - - seciie EC 104 - asie i cioo a aoescece 104 eaig 5- 112 - seciie EC 5 113 emoioa o cioo 93- 162 - seciie EC 93 164 eeig o iacy a cioo 9 170 - gee ieiy - 133 - o cioo 134 - - seciie EC 135 - ai a imuse 3- 132 - seciie EC 3 133 - yekieic 9- 155 - couc 91 157 - aguage eeomea - 142 - eessie 1 142 - eceie 143 maic ogaic 3 42 mauaio seua 138 mea a eaioua (ue o 99 172 - acoo-iuce 1- 63 - ai amage a ysucio - 39 - - seciie EC 44 - caeie-iuce 15- 48 - caaioi-iuce 1- 48 - cocaie-iuce 1- 48 - - aucioge-iuce 1- 48 - yoic-iuce 13- 48 - i ueeium 53- 120 - - mi 53 121 - - seciie EC 53 121 - - seee 531 121 - muie ug-iuce 19- 48

3 IE

- - oioi-iuce 11- 48

ogaic 9 4 - - ysica isease - 39 - - - seciie EC 44

sycoacie susace-iuce 19- 48

seaie-iuce 13- 48

seciie EC 6

simua-iuce 15- 48

symomaic 9 4

oacco-iuce 17- 48

oaie soe-iuce 1- 48 - mi cogiie 7 42

associae wi a ysica isoe 71 4

o associae wi a ysica isoe 7 4 - moo [aecie] 3-39 77 - - ogaic 3 42

esise 3- 8

seciie EC 3 8

ecue seciie EC 31 0

sige eisoe seciie EC 3 8

seciie EC 3- 8 - moo ucio seciic 4 - euoic seciie EC - 0 - osessie-comusie - - - seciie EC 8 - oosiioa eia 913 6 - ogaic 9 4 - - aiey 42

aseic 42

ioa 31 42

caaoic 1 40 eusioa [scioeia-ike] 06.2 4 eessie 3 42 issociaie 5 42 emoioay aie [aseic] 06.6 42 maic 3 42 mea 9 4 mie aecie 33 42 moo [aecie] 3 42 esoaiy 7 44 scioeia-ike 4

2 MEA A EAIOUA ISOES: IAGOSIC CIEIA

isoe (o (continued) - oeacie wi mea eaaio a seeoye moemes 152 - ai esise somaoom 5 108 - aic 1 94 - - moeae 1 95 - - seee 11 95 - - wi agoaoia 1 9 - esoaiy - 123 - - aakasic 5 127 - - a eaiou (au 9 139 - - - ogaic ue o ai isease amage a ysucio 7- 44 - - - seciie EC - 138 - aious 128 - - aoia 128 - oeie 31 126 - - eee 7 128 - issocia 125 - - emoioay usae - - - oeie ye 31 126 - - - imusie ye 3 126 - - isioic 127 - - mie ye 1 129 - - muie 1 104 - - acissisic 174 - - egaiisic 174 - - osessie-comusie 5 127 - - ogaic 7 44 - - aaoi 124 - - assie-aggessie 174 - - scioi 1 125 - - scioya 1 69 - easie eeomea - 147 - - seciie EC 154 - oic aiey - 91 - - o cioo 931 163 - - seciie EC 94 - ooogica eeomea 142 - ossessio 3 102 - os-aumaic sess 31 99 - sycoseua eeome - 138 - - seciie EC 138

22 IE

- sycoic - - acue - - - oymoic - - - - wi symoms o scioeia 31 2

wiou symoms o scioeia 3 7 - - - eomiay eusioa 33 73 - - - scioeia-ike 3 7 - - acue a asie 3-

seciie EC 3

acoo-iuce 15 62

caaioi-iuce 15 62

cocaie-iuce 15 62

aucioge-iuce 15 62

yoic-iuce 135 62

ae-ose sycoacie susace-iuce 75 6

muie ug-iuce 195 62

seciie 5 62

oioi-iuce 115 62

oymoic acue (see isoe sycoic acue - - sycoacie susace-iuce 5 62

esiua o ae-ose 7 6 - acoo-iuce 17 6 - caeie-iuce 157 6 - caaioi-iuce 17 6 - cocaie-iuce 17 6

aucioge-iuce 17 6 - yoic-iuce 137 6 - muie ug-iuce 197 6 - oioi-iuce 117 6

sycoacie susace-iuce 7 6

seaie-iuce 137 6

simua-iuce EC 157 6

oacco-iuce 177 6

oaie soe-iuce 17 6

seaie-iuce 135 62

simua-iuce EC 155 62

oacco-iuce 175 62

oaie soe-iuce 15 - eaig seciic 1 44 - ecue [aecie] moo (see isoe moo - eaiosi seua 8

2 MEA A EAIOUA ISOES: IAGOSIC CIEIA

rdr (f (ntnd - scioaecie 5- 74 - - eessie ye 51 75 - - maic ye 5 75 - - mie ye 5 75 - - seciie EC 5 75 - scoasic skis eeomea (seciic 1- 144 - - mie 13 146 - - seciie EC 1 146 - seasoa aecie 173 - seua - - esie ack o oss 5 117 - - mauaio 138 - - eeece 5- 135 - - - seciie EC 5 137 - - eaiosi 138 - siig iay 933 164 - see - - oogaic 51- 114 - - - seciie EC 51 116 - socia ucioig o cioo a aoescece 9- 166 - seciie EC 9 167 somaiaio 5 105 somaoom 5- 105 - ai esise 5 108 - seciie EC 5 108 - uieeiae 51 106 seciic (eeomea (o aimeica skis 13 146 aguage - 142 mie 3 147 moo ucio 147 esoaiy - 123 eaig 1 144 scoasic skis 1- 144 - mie 13 146 seec - 142 - aicuaio 142 - ooogica 142 seig 11 145 - seec aicuaio seciic 142 - seig seciic 11 145 24 IE

—sess os-aumaic 31 99 ic 95— 6

— — coic —— — moo 951 68

— — — oca 951 68

— — comie oca a muie moo 95 68 —— seciie EC 95 68

— — asie 95 6 —ace a ossessio 3 02

Dissocial personality disorder F60.2 2

Dissociative disorder (see Disorder, dissociative)

Disturbance (predominant) of —aciiy a aeio 9 —couc i ausme isoe 3 0 —emoios a couc mie i ausme isoe 35 0 —emoios seciie EC i ausme isoe 33 0

Dual-role transvestism F64.1 4

Dysfunction —ogasmic 53 8 —seua o cause y ogaic isoe o isease 5- 6 —— seciie EC 5 20 —somaoom auoomic (o 53 0

— — geiouiay sysem 53 08

— — ea a caioascua sysem 53 08

— — owe gasoiesia ac 53 08

— — esiaoy sysem 533 08 —seciie oga EC 53 08 —ue gasoiesia ac 531 08

Dysmorphophobia F45.2 06

Dyspareunia, nonorganic F52.6 20

Dysthymia F34.1 88

Dysuria, psychogenic F45.34 08

35 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Ejaculation, premature F52.4 119

Elaboration of physical symptoms for psychological reasons F68.0 138

Elective mutism F94.0 166

Emotionally unstable personality disorder (see Disorder, personality)

Encopresis, nonorganic F98.1 # 169

Enuresis, nonorganic F98.0 169 - iua 91 6 - ocua 9 6 - ocua a iua 9 6

Episode - eessie 3- 8

mi 3 82

wi somaic syome 31 8

wiou somaic syome 3 8

moeae 31 8

wi somaic syome 311 8

wiou somaic syome 31 8

seee - - - wi sycoic symoms 33 84

moo-cogue 33 84

moo-icogue 331 84

wiou sycoic symoms 3 84

seciie EC 3 8 yomaic 3 77 - maic 3- 77 - - seciie EC 3 79 - - wi sycoic symoms 3 8

moo-cogue 3

moo-icogue 31 79 - - wiou sycoic symoms 31 77 - mie aecie 3 8 - moo [aecie] sige seciie EC 3 8

Exhibitionism F65.2 136

Factitious disorder F68.1 139 236 IE

Factors, psychological and behavioural, associated with disorders or diseases classified elsewhere F54 121

Failure of genital response F52.2 118

Feeding disorder of infancy and childhood F98.2 170

Feigning or intentional production of symptoms or disabilities (physical) (psychological) F68.1 139

Fetishism F65.0 135

Fetishistic transvestism F65.1 136

Fire-setting, pathological F63.1 133

Flashback —os-aumaic 99 —sycoacie susace-iuce 7 63

Fugue, dissociative F44.1 102

Gambling, pathological F63.0 132

Ganser's syndrome F44.80 104

Gender identity disorder (see Disorder, gender identity)

Genital response, failure of F52.2 118

Gilles de la Tourette's syndrome F95.2 168

Hallucinogen intoxication, acute F16.0 # (see also Psychoactive substance- induced) 54

Hallucinosis, organic F06.0 40

Harmful use (see Use, harmful)

Hebephrenia F20.1 # 66

Hiccough, psychogenic F45.31 108 37 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Histrionic personality disorder F60.4 127

HIV disease, dementia in F02.4 # 37

Huntington's chorea or disease, dementia in F02.2 # 36

Hyperkinetic disorder ( Disorder, hyperkinetic)

Hypersomnia, nonorganic F51.1 114

Hyperventilation, psychogenic F45.33 108

Hypnotic ( l Psychoactive substance-induced) —ioicaio acue 13 2 —wiawa sae 133 60

Hypochondriasis F45.2 106

Hypomania F30.0 77

Induced delusional disorder F24 73

Insomnia, nonorganic F51.0 114

Intoxication, acute (due to) —acoo 1 4 —caaiois 1 —cocaie 1 aucioges 1 4 yoics 13 2 —muie ugs 19 6 —oiois 11 —sycoacie susaces 48 —seaies 13 2 —simuas EC 15 —oacco 17 —oaie soes 1

Irritable bowel syndrome, psychogenic F45.32 108

Kleptomania F63.2 133 3 IE

Koro F48.8 110, 179

Lack (or loss) of sexual —desire F52.0 117 —enjoyment F52.11 7

Landau—Kleffner syndrome F80.3 143

Language disorder, developmental F80.— 142

Latah F48.8 110, 180

Loss of sexual desire F52.0 117

Malingering Z76.5 (see ICD-10, p. 1162)

Mania F30.9 (see also Episode, manic) —wi sycoic symoms 3 78 —— moo-cogue 3 79 —— moo icogue 31 79 —wiou sycoic symoms 31 77

Mental retardation (see Retardation, mental)

Micturition, increased frequency, psychogenic F45.34 108

Mutism —eecie 9 166 —seecie 9 166

Narcissistic personality disorder 174

Narcolepsy G47.4 (see ICD-10, p. 409)

Negativistic personality disorder 4

Neurasthenia F48.0 109

Neurosis —caiac 53 108 —gasic 531 108

239 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Nicotine intoxication, acute F17.0 (see also Tobacco) 55

Nightmare F51.5 116

Night terrors F51.4 115

Obsessional —iuas 1 98 —umiaios 98 —ougs 98 —ougs a acs mie 98

Obsessive—compulsive disorder (see Disorder, obsessive—compulsive) —seciie EC 98 —esoaiy isoe 5 127

Opioid (see also Psychoactive substance-induced) —ioicaio acue 11 51 —wiawa sae 113 59

Orgasmic dysfunction F52.3 118

Orientation, sexual, egodystonic F66.1 138

Overeating associated with psychological disturbances, specified NEC F50.4 113

Paedophilia F65.4 137

Pain disorder, somatoform, persistent F45.4 108

Panic disorder F41.0 94

Paranoid —esoaiy isoe 124 —scioeia 66

Parkinson's disease, dementia in F02.3 # 36

Passive—aggressive personality disorder 174 IE

Pathological —ie-seig 31 —gamig 3 2 —seaig 3

Persistent somatoform pain disorder F45.4 08

Personality —cage (o ue o ai amage o isease (euig (ae — 2 — — eeaeme 2 — — caasoic eeiece 2 — — syciaic iess 1 — — seciie EC 2 — — ouesome 11 2 —isoe ( isoe esoaiy

Phobia —socia 1 9 —seciic (isoae 93

Phobic anxiety disorder F40. — —o cioo 931 6 —seciie EC 4

Physical symptoms, elaboration of, for psychological reasons F68.0 8

Pica of infancy and childhood F98.3 0

Pick's disease, dementia in F02.0 #

Possession disorder F44.3 02

Postconcussional syndrome F07.2 46

Postencephalitic syndrome F07.1 4

Post-schizophrenic depression F20.4 # 6

Post-traumatic stress disorder F43.1

Psychoactive substance-induced —acue ioicaio O 48 241 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Psychoactive substance-induced (ntnd —amnesic syndrome Flx.6 62 —cognitive impairment, persisting, specified NEC Flx.74 6 —dementia Flx.73 6 —dependence syndrome Flx.2 # —flashbacks Flx.70 63 —harmful use Flx.1 6 —intoxication, acute Flx.O # 48 —late-onset psychotic disorder Flx.75 6 —mental and behavioural disorder Flx.9 6 —— specified NEC Flx.8 63 —personality disorder Flx.71 6 —psychotic disorder Flx.5 # 62 —residual disorder Flx.7 # 6 —— affective Flx.72 63 —— behaviour Flx.71 6 —— personality Flx.71 6 —withdrawal state Flx.3 # 8 —— with delirium Flx.4 # 6

Psychosis, nonorganic F29 76

Puerperium, mental and behavioural disorders associated with (see Dis- order, mental and behavioural)

Pyromania F63.1 133

Reaction acute stress F43.0 8 —mild F43.00 99 —moderate F43.01 99 —severe F43.02 99 —depressive —and anxiety, mixed F43.22 101 —brief F43.20 101 —prolonged F43.21 101 severe stress F43.— 8 —specified NEC F43.8 101

Reading disorder, specific F81.0 144

242 IE

Retardation, mental —mi 7 40 —moeae 71 40 —oou 73 40 —seee 7 40

Rett's syndrome F84.2

Sadomasochism F65.5

Schizoaffective disorder (see Disorder, schizoaffective)

Schizoid personality disorder F60.1 2

Schizotypal disorder F21 6

Schizophrenia F20.— # 64 —caaoic 67 —eeeic 1 66 —aaoi 66 —esiua 5 68 —sime 68 —seciie EC 6 —uieeiae 3 7

Schizophrenia like —acue sycoic isoe ( isoe sycoic —isoe ogaic 4

Seasonal affective disorder

Sedative (see also Psychoactive substance-induced) —ioicaio acue 13 2 —wiawa sae 133 60

Selective mutism F94.0 66

Separation anxiety disorder of childhood F93.0 162

Sexual —aesio 51 —esie ack o oss 5

3 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Sexual (continued) —ie ecessie 57 120 —ysucio o cause y ogaic isoe o isease 5— 116 —eoyme ack o 511 117 —mauaio isoe 138 —oieaio egoysoic 1 138 —eeece isoe 5— 135 —— muie 5 137 —— seciie EC 5 137 —eaiosi isoe 138

Sibling rivalry disorder F93.3 164

Sleep —isoe o-sycogeic 519 116 —— seciie EC 51 116 —eos 51 115

Sleep—wake schedule disorder, nonorganic F51.2 115

Sleepwalking F51.3 115

Social —aiey isoe o cioo 93 163 —oia 1 9

Somatization disorder F45.0 105

Somatoform —auoomic ysucio (see ysucio somaoom auoomic —isoe (see isoe somaoom

Somnambulism F51.3 115

Specific disorder (of) (see Disorder, specific)

Spelling disorder, specific F81.1 145

Speech articulation disorder, seciic F80.0 142

Stammering F98.5 171 IE

Stt, thdrl - acoo 13 58 - - wi eiium 1 61 - caeie 15 3 61 - caaiois 13 59 - cocaie 13 60 - - wi eiium 1 61 - aucioges 13 61 - - wi eiium 1 61 - yoics 133 60 - - wi eiium 13 61 - muie ugs 193 61 - - wi eiium 19 61 - oiois 113 59 - - wi eiium 11 61 - sycoacie susaces 3 58

wi eiium 61 seaies 133 60

wi eiium 13 61 - simuas EC 153 61

wi eiium 15 61 - oacco 173 61 - oaie soes 13 61

wi eiium 1 61

Stln, pthll 6.2 133

Strtpd vnt drdr 8.4 170 - mie 9 171 - o-se-iuious 8.40 171 - se-iuious 91 171

Stlnt (see also htv btn ndd - ioicaio acue 15 53 - wiawa sae 153 61

Str - eacio 3- 98

acue 3 98 - - - mi 3 99

moeae 31 99 - - - seee 3 99 24 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Sess (continued) —eacio (continued) —— seciie EC 3 101 —isoe os-aumaic 31 99

Stupor, dissociative F44.2 102

Stuttering F98.5 171

Subnormality (see Retardation, mental)

Symptoms —ysica —— eaoaio o 138 —— eigig o 1 139 —— ieioa oucio o 1 139 —sycoogica —— eigig o 1 139 —— ieioa oucio o 1 139

Syndrome —acoo wiawa 13 58 —amesic —— caaioi-iuce 1 62 —— aucioge-iuce 1 62 —— yoic-iuce 1 61 —— muie ug-iuce 19 61 —— oioi-iuce 11 61 —— ogaic (oacooic 37 —— sycoacie susace-iuce EC 19 61 —— seaie-iuce 13 61 —— simua-iuce EC 15 61 —— oaie soe-iuce 1 61 —Aseges 5 153 —a Cosas 53 108 —eeece —— acoo 1 57 —— caeie 15 57 —— caaiois 1 57 —— cocaie 1 57 —— aucioges 1 57 —— yoics 13 57

246 IE

— muie ugs 19 —— oiois 11 —— sycoacie susaces EC 19 —— seaies 13 —— simuas EC 15 —— oacco 17 —— oaie soes 1 —eesoaiaio—eeaiaio 1 0 a 0 gas 53 08 Gases 04 —iiae owe sycogeic 53 08 —aau—Kee 3 4 —oscocussioa 7 46 oseceaiic 71 4 es —somaic 82 ouees 95 68 —wiawa ( Sae wiawa

Tic (see Disorder, tic)

Tobacco (see also Psychoactive substance-induced) —ioicaio acue 17 —wiawa sae 173 6

Tourette's syndrome F95.2 168

Trance (and possession) disorder F44.3 102

Transsexualism F64.0 133

Transvestism —ua-oe 1 4 —eisisic 51 6

Trichotillomania F63.3 133

Use, harmful (nondependent) —acoo 11 6 —caeie 151 6 —caaiois 11 6

247 MEA A EAIOUA ISOES: IAGOSIC CIEIA

Use, harmful (nondependent) (ntnd —cocaie 11 6 aucioges 11 6 yoics 131 6 muie ugs 191 6 —oiois 111 6 —sycoacie susaces 1 6 —seaies 131 6 —simuas EC 151 6 —oacco 171 6 —oaie soes 11 6

Vaginismus, nonorganic F52.5 119

Vascular dementia (see Dementia, vascular)

Vomiting associated with psychological disturbances, specified NEC F50.5 113

Voyeurism F65.3 136

Withdrawal state (see State, withdrawal)