DSM-IV and ICD-10 classifications

These are the classifications for Phobias, Depression and Schizophrenia as declared by the world health organisation 2005 (ICD-10) and the diagnostic and statistical manual of mental disorders, text revision, fourth edition, American Psychiatric Association.

  • Created by: Georgia
  • Created on: 16-04-10 14:48

Classification for Specific Phobia

DSM-IV: Marked and persistent fear that is excessive or unreasonable.
Exposure to phobic stimulus provokes immediate anxiety response.
The person recognises the fear is excessive.
The phobic situation is avoided.
The phobia disrupts the person's normal life.
The phobia has lasted mare than 6 months in people under 18 years of age.

ICD-10: The psychological or autonomic symptoms must be primary manifestations of anxiety, and not secondary to other symptoms such as delusion.
The anxiety must be restricted to the presence of the particular phobic object or situation.
The phobic situation is avoided wherever possible.

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Classification of Depression

DSM-IV: Involves five or more of the following symptoms:
Insomnia most nights
Fidgeting or lethargy
Feelings of worthlessness or guilt
Less ability to concentrate
Recurrent thoughts of death
Symptoms are not caused by medication, or situations such as recent bereavement, and they are enough to hinder the person from important day to day activities.
ICD-10: Depressed mood
Loss of interest and enjoyment
Reduced energy
Other common symptoms are:
Marked tiredness after only slight effort Disturbed sleep
Reduced concentration and attention Reduced appetite
Reduced self-esteem and self-confidence
Ideas of guilt and unworthiness
Bleak and pessimistic views of the future
Ideas or acts of self-harm or suicide

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Classification of Schizophrenia

DSM-IV: Two or more of the following:
Disorganised speech
Disorganised behaviour
Negative Symptoms
Social Occupational Dysfunction
At least 6 months duration
No other explanation can be found, such as medication or developmental disorders
Thought echo, thought insertion of withdrawal, and broadcasting
Delusions of control
Hallucinatory Voices
Persistent Delusions
Persistent Hallucinations
Incoherence of irrelevant speech
Catatonic Behaviour
Negative symptoms such as marked apathy
A significant and consistent in the overall quality of some aspects of personal behaviour

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