DSM-IV Classification

DSM-IV MULTIAXIAL SYSTEM

Axis I Clinical Syndromes (State Disorders)

Axis II Personality Disorders or Mental Retardation (Trait Disorders)

Axis III General Medical Conditions

Axis IV Psychosocial and Environmental Problems

Axis V Global Assessment of Functioning

Axis I Disorders

DISORDERS USUALLY FIRST EVIDENT IN INFANCY, CHILDHOOD, OR ADOLESCENCE

Learning Disorders (Academic Skills Disorder)

Reading Disorder (Developmental Skills Disorder)

Mathematics Disorder (Developmental Arithmetic Disorder)

Disorder of Written Expression (Developmental Expressive Writing Disorder)

Learning Disorder NOS

Motor Skills Disorder

Developmental Coordination Disorder

Pervasive Developmental Disorders

Autistic Disorder

Rett’s Disorder

Childhood Disintegrative Disorder

Asperger’s Disorder

Pervasive Developmental Disorder NOS (including Atypical Autism)

Disruptive Behavior and Attention-Deficit Disorders

Attention-Deficit/Hyperactivity Disorder

Predominantly inattentive type

Predominantly hyperactive-impulsive type

Combined type

Attention-Deficit/Hyperactivity Disorder NOS

Oppositional Defiant Disorder

Conduct Disorder

Disruptive Behavior Disorder NOS

Feeding and Eating Disorders of Infancy or Early Childhood

Pica

Rumination Disorder

Feeding Disorder of infancy or Early Childhood

Tic Disorders

Tourette’s Disorder

Chronic Motor or Vocal Tic Disorder

Transient Tic Disorder

Tic Disorder NOS

Communication Disorders

Expressive Language Disorder (Developmental Expressive Language Disorder)

Mixed Receptive/Expressive Language Disorder (Developmental Receptive Language Disorder)

Phonological Disorder (Developmental Articulation Disorder)

Stuttering

Communication Disorder NOS

Elimination Disorders

Encopresis

Enuresis

Other Disorders of Infancy, Childhood, or Adolescence

Separation Anxiety Disorder

Selective Mutism (Elective Mutism)

Reactive Attachment Disorder of Infancy or Early Childhood

Stereotypic Movement Disorder (Stereotypy/Habit Disorder)

Disorder of Infancy, Childhood, or Adolescence NOS

DELIRIUM, DEMENTIA, AMNESTIC, AND OTHER COGNITIVE DISORDERS

Deliria

Delirium Due to a General Medical Condition

Substance-Induced Delirium

Delirium Due to Multiple Etiologies

Delirium NOS

Dementias

Dementia of the Alzheimer’s Type

With Early Onset: if onset at age 65 or below

Uncomplicated

With delirium

With delusions

With depressed mood

With hallucinations

With perceptual disturbance

With behavioral disturbance

With communication disturbance

With Late Onset: if onset after age 65.

Uncomplicated

With delirium

With delusions

With depressed mood

With hallucinations

With perceptual disturbance

With behavioral disturbance

With communication disturbance

Vascular Dementia

Uncomplicated

With delirium

With delusions

With depressed mood

With hallucinations

With perceptual disturbance

With behavioral disturbance

With communication disturbance

Dementias Due to Other General Medical Conditions

Dementia Due to HIV Disease

Dementia Due to Head Trauma

Dementia Due to Parkinson’s Disease

Dementia Due to Huntington’s Disease

Dementia Due to Pick’s Disease

Dementia Due to Creutzfeldt-Jakob Disease

Dementia Due to Other General Medical Condition

Substance-Induced Persisting Dementia

Dementia Due to Multiple Etiologies

Dementia NOS

Amnestic Disorders

Amnestic Disorder Due to a General Medical Condition

Substance-Induced Persisting Amnestic Disorder

Amnestic Disorder NOS

Cognitive Disorder NOS

MENTAL DISORDERS DUE TO A GENERAL MEDICAL CONDITION NOT ELSEWHERE CLASSIFIED

Catatonic Disorder Due to a General Medical Condition

Personality Change Due to a General Medical Condition

Mental Disorder NOS Due to a General Medical Condition

SUBSTANCE RELATED DISORDERS

Alcohol Use Disorders

Alcohol Dependence

Alcohol Abuse

Alcohol Intoxication

Alcohol Withdrawal

Alcohol Delirium

Alcohol Persisting Dementia

Alcohol Persisting Amnestic Disorder

Alcohol Psychotic Disorder

With delusions

With hallucinations

Alcohol Mood Disorder

Alcohol Anxiety Disorder

Alcohol Sexual Dysfunction

Alcohol Sleep Disorder

Alcohol Use Disorder NOS

Amphetamine (or Related Substance) Use Disorders

Amphetamine (or Related Substance) Dependence

Amphetamine (or Related Substance) Abuse

Amphetamine (or Related Substance) Intoxication

Amphetamine (or Related Substance) Withdrawal

Amphetamine (or Related Substance) Delirium

Amphetamine (or Related Substance) Psychotic Disorder

With delusions

With hallucinations

Amphetamine (or Related Substance) Mood Disorder

Amphetamine (or Related Substance) Anxiety Disorder

Amphetamine (or Related Substance) Sexual Dysfunction

Amphetamine (or Related Substance) Sleep Disorder

Amphetamine (or Related Substance) Use Disorder NOS

Caffeine Use Disorders

Caffeine Intoxication

Caffeine Anxiety Disorder

Caffeine Sleep Disorder

Caffeine Use Disorder NOS

Cannabis Use Disorder

Cannabis Dependence

Cannabis Abuse

Cannabis Intoxication

Cannabis Delirium

Cannabis Psychotic Disorder

With delusions

With hallucinations

Cannabis Anxiety Disorder

Cannabis Use Disorder NOS

Cocaine Use Disorders

Cocaine Dependence

Cocaine Abuse

Cocaine Intoxication

Cocaine Withdrawal

Cocaine Delirium

Cocaine Psychotic Disorder

With delusions

With hallucinations

Cocaine Mood Disorder

Cocaine Anxiety Disorder

Cocaine Sexual Dysfunction

Cocaine Sleep Disorder

Cocaine Use Disorder NOS

Hallucinogen Use Disorder

Hallucinogen Dependence

Hallucinogen Abuse

Hallucinogen Intoxication

Hallucinogen Persisting Perception Disorder

Hallucinogen Delirium

Hallucinogen Psychotic Disorder

With delusions

With hallucinations

Hallucinogen Mood Disorders

Hallucinogen Anxiety Disorders

Hallucinogen Use Disorders NOS

Inhalant Use Disorders

Inhalant Dependence

Inhalant Abuse

Inhalant Intoxication

Inhalant Delirium

Inhalant Persisting Dementia

Inhalant Psychotic Disorder

With delusions

With hallucinations

Inhalant Mood disorder

Inhalant Anxiety Disorder

Inhalant Use Disorder NOS

Opioid Use Disorders

Opioid Dependence

Opioid Abuse

Opioid Intoxication

Opioid Withdrawal

Opioid Delirium

Opioid Psychotic Disorder

With delusions

With hallucinations

Opioid Mood Disorder

Opioid Sleep Disorder

Opioid Sexual Dysfunction

Opioid Use Disorder NOS

Phencyclidine (or Related Substance) Use Disorders

Phencyclidine (or Related Substance) Dependence

Phencyclidine (or Related Substance) Abuse

Phencyclidine (or Related Substance) Intoxication

Phencyclidine (or Related Substance) Delirium

Phencyclidine (or Related Substance) Psychotic Disorder

With delusions

With hallucinations

Phencyclidine (or Related Substance) Mood Disorder

Phencyclidine (or Related Substance) Anxiety Disorder

Phencyclidine (or Related Substance) Use Disorder NOS

Sedative, Hypnotic, or Anxiolytic Substance Use Disorders

Sedative, Hypnotic, or Anxiolytic Dependence

Sedative, Hypnotic, or Anxiolytic Abuse

Sedative, Hypnotic, or Anxiolytic Intoxication

Sedative, Hypnotic, or Anxiolytic Withdrawal

Sedative, Hypnotic, or Anxiolytic Delirium

Sedative, Hypnotic, or Anxiolytic Persisting Dementia

Sedative, Hypnotic, or Anxiolytic Persisting Amnestic Disorder

Sedative, Hypnotic, or Anxiolytic Psychotic Disorder

With delusions

With hallucinations

Sedative, Hypnotic, or Anxiolytic Mood Disorder

Sedative, Hypnotic, or Anxiolytic Anxiety Disorder

Sedative, Hypnotic, or Anxiolytic Sleep Disorder

Sedative, Hypnotic, or Anxiolytic Sexual Disorder

Sedative, Hypnotic, or Anxiolytic Use Disorder NOS

Polysubstance Use Disorder

Polysubstance Dependence

Other (or Unknown) Substance Use Disorders

Other (or Unknown) Substance Dependence

Other (or Unknown) Substance Abuse

Other (or Unknown) Substance Intoxication

Other (or Unknown) Substance Withdrawal

Other (or Unknown) Substance Delirium

Other (or Unknown) Substance Persisting Dementia

Other (or Unknown) Substance Persisting Amnestic Disorder

Other (or Unknown) Substance Psychotic Disorder

With delusions

With hallucinations

Other (or Unknown) Substance Mood Disorder

Other (or Unknown) Substance Anxiety Disorder

Other (or Unknown) Substance Sexual Dysfunction

Other (or Unknown) Substance Sleep Disorder

Other (or Unknown) Substance Use Disorder NOS

SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS

Schizophrenia

Paranoid type

Disorganized type

Catatonic type

Undifferentiated type

Residual type

Schizophreniform Disorder

Schizoaffective Disorder

Delusional Disorder

Brief Psychotic Disorder

Shared Psychotic Disorder (Folie a Deux)

Psychotic Disorder Due to a General Medical Condition

With delusions

With hallucinations

Substance-Induced Psychotic Disorder

Psychotic Disorder NOS

Mood Disorders

Depressive Disorders

Major Depressive Disorder

Single episode

Recurrent

Dysthymic Disorder

Depressive Disorder NOS

Bipolar Disorders

Bipolar I Disorder

Single manic episode

Most recent episode hypomanic

Most recent episode manic

Most recent episode mixed

Most recent episode depressed

Most recent episode unspecified

Bipolar II Disorder (Recurrent major depressive episodes with hypomania)

Cyclothymic Disorder

Bipolar Disorder NOS

Mood Disorder Due to a General Medical Condition Substance-Induced Mood Disorder

Mood Disorder NOS

Anxiety Disorders

Panic Disorder

Without agoraphobia

With agoraphobia

Agoraphobia Without History of Panic Disorder

Specific Phobia (Simple Phobia)

Social Phobia (Social Anxiety Disorder)

Obsessive-Compulsive Disorder

Post-traumatic Stress Disorder

Acute Stress Disorder

Generalized Anxiety Disorder (includes Overanxious Disorder of Childhood)

Anxiety Disorder Due to a General Medical Condition

Substance-Induced Anxiety Disorder

Anxiety Disorder NOS

SOMATOFORM DISORDERS

Somatization Disorder

Conversion Disorder

Hypochodriasis

Body Dysmorphic Disorder

Pain Disorder

Associated with psychological factors

And a general medical condition

Undifferentiated Somatoform Disorder

Somatoform Disorder NOS

FACTITIOUS DISORDERS

Factitious Disorder

With predominantly psychological signs and symptoms

With predominantly physical signs and symptoms

With combined psychological and physical signs and Symptoms

Factitious Disorder NOS

DISSOCIATIVE DISORDERS

Dissociative Amnesia

Dissociative Fugue

Dissociative Identity Disorder (Multiple Personality Disorder)

Depersonalization Disorder

Dissociative Disorder NOS

SEXUAL AND GENDER INDENTITY

DISORDERS

Sexual Dysfunctions

Sexual Desire Disorders

Hypoactive Sexual desire Disorder

Sexual Aversion Disorder

Sexual Arousal Disorders

Female Sexual Arousal Disorder

Male Erectile Disorder

Orgasm Disorders

Female Orgasmic Disorder (Inhibited Female Orgasm)

Male Orgasmic Disorder (Inhibited Male Orgasm)

Premature Ejaculation

Sexual pain Disorders

Dyspareunia

Vaginismus

Sexual Dysfunctions Due to a General Medical Condition

Male Erectile Disorder Due to a General Medical Condition

Male Dyspareunia Due to a General Medical Condition

Female Dypsareunia Due to a General Medical Condition

Male Hypoactive Sexual Desire Disorder Due to a General Medical Condition

Female Hypoactive Sexual Desire Disorder Due to a General Medical Condition

Other Male Sexual Dysfunction Due to a General Medical Condition

Other Female Sexual Dysfunction Due to a General Medical Condition

Substance-Induced Sexual Dysfunction

Sexual Dysfunction NOS

Paraphilias

Exhibitionism

Fetishism

Frotteurism

Pedophilia

Sexual Masochism

Sexual Sadism

Voyeurism

Transvestic Fetishism

Paraphilia NOS

Sexual Disorder NOS

Gender Identity Disorders

Gender Identity Disorder

In Children

In Adolescents and Adults

Gender Identity Disorder NOS

EATING DISORDERS

Anorexia Nervosa

Bulimia Nervosa

Eating Disorder NOS

SLEEP DISORDERS

Primary Sleep Disorders

Dyssomnias

Primary Insomnia

Primary Hypersomnia

Narcolepsy

Breathing-Related Sleep Disorder

Circadian Rhythm Sleep Disorder (Sleep-Wake Schedule Disorder)

Dyssomnia NOS

Parasomnias

Nightmare Disorder (Dream Anxiety Disorder)

Sleep Terror Disorder

Sleepwalking Disorder

Parasomnia NOS

Sleep Disorders Related to Another Mental Disorder

Insomnia related to (Axis I or Axis II Disorder)

Hypersomnia related to (Axis I or Axis II Disorder)

Other Sleep Disorders

Sleep Disorder Due to a General Medical Condition

Insomnia type

Hypersomnia type

Parasomnia type

Mixed type

Substance-Induced Sleep Disorder

IMPULSE CONTROL DISORDERS NOT ELSEWHERE CLASSIFIED

Intermittent Explosive Disorder

Kleptomania

Pyromania

Pathological Gambling

Trichotillomania

Impulse Control NOS

ADJUSTMENT DISORDERS

Adjustment disorder

With anxiety

With depressed mood

With disturbance of conduct

With mixed disturbance of emotions and conduct

With mixed anxiety and depressed mood

Unspecified

Axis II Disorders

PERSONALITY DISORDERS

Paranoid Personality Disorder

Schizoid Personality Disorder

Schizotypal Personality Disorder

Antisocial Personality Disorder

Borderline Personality Disorder

Histrionic Personality Disorder

Narcissistic Personality Disorder

Avoidant Personality Disorder

Dependent Personality Disorder

Obsessive-Compulsive Personality Disorder

Personality Disorder NOS

Mental Retardation

Mild Mental Retardation

Severe Mental Retardation

Profound Mental Retardation

Mental Retardation, Severity Unspecified

OTHER CONDITIONS THAT MAY BE A FOCUS

OF CLINICAL ATTENTION

Psychological Factors Affecting Medical Condition

Mental Disorder Affecting Medical Condition

Psychological Symptoms Affecting Medical Condition

Personality Traits or Coping Style Affecting Medical Condition

Maladaptive Health Behaviors Affecting Medical Condition

Unspecified Psychological Factors Affecting Medical Condition

Medication-Induced Movement Disorders

Neuroleptic-Induced Parkinsonism

Neuroleptic Malignant Syndrome

Neuroleptic-Induced Acute Dystonia

Neuroleptic-Induced Acute Akathisia

Neuroleptic-Induced Tardive Dyskinesia

Neuroleptic-Induced Postural Tremor

Neuroleptic-Induced Movement Disorder NOS

Adverse Effects of Medication NOS

Relational Problems

Relational Problem Related to A Mental Disorder or General Medical Condition

Parent-Child Relational Problem

Partner Relational Problem

Sibling Relational Problem

Relational Problem NOS

Problems Related to Abuse or Neglect

Physical Abuse of Child

Sexual Abuse of Child

Neglect of Child

Physical Abuse of Adult

Sexual Abuse of Adult

Additional Conditions That May Be a Focus of Clinical Attention

Bereavement

Borderline Intellectual Functioning

Academic Problem

Occupational Problem

Childhood or Adolescent Antisocial Behavior

Adult Antisocial Behavior

Malingering

Phase of Life Problem

Noncompliance with Treatment of a Mental Disorder

Identity Problem

Religious or Spiritual Problem

Acculturation Problem

Age-Associated Memory Decline

ADDITIONAL CLASSIFICATIONS

Unspecified Mental Disorder

No Diagnosis or Condition on Axis I

Diagnosis or Condition Deferred on Axis I

No Diagnosis on Axis II

Diagnosis Deferred on Axis II