The document discusses the classification of mental disorders according to two major systems - ICD-10 and DSM-IV. ICD-10 is the World Health Organization's classification system that codes psychiatric disorders from F00 to F99. DSM-IV is the diagnostic manual published by the American Psychiatric Association that uses a multi-axial system with five axes to evaluate patients. Some key differences between the two systems are that ICD-10 is intended for clinical work, research, and primary care globally while DSM-IV is in English only and includes social consequences in its diagnostic criteria.
2. INTRODUCTION
• Classification is a process by which complex
phenomena are organized into categories, classes or
ranks so as bring together those things that most
resemble each other & to separate those that differ.
• Like any growing branch of medicine, psychiatric has
been rapid changes in classification to keep up
growing research data dealing with
epidemiology, symptomatology, prognostic
factors, treatment methods & new theories for
causation of psychiatric disorder.
• At present there are two major classification in
psychiatry, namely ICD 10 (1992) & DSM IV (1994).
www.drjayeshpatidar.blogspot.com
4. ICD 10 (International Statistical
Classification of Disease & Related
Health Problems)- 1992 :-
• This is WHO’s classification for all diseases &
related health problems.
• The chapter ‘F’ classifies psychiatric disorder as
mental & behavioral disorders & codes them on
an alphanumeric system from F00 to F99.
The Main Categories in ICD 10:-
www.drjayeshpatidar.blogspot.com
5. F00 – F09 Organic, Including
Symptomatic, Mental disorders
F00 – Dementia in Alzheimer’s disease
F01 – Vascular dementia
F04 – Organic amnestic syndrome
F05 – Delirium
F06 – Other mental disorders due to brain damage &
dysfunction & to physical disease
F07 – Personality & behavioral disorders due to brain
disease, damage & dysfunction
www.drjayeshpatidar.blogspot.com
6. F10 – F19 Mental & behavioural
Disorders due to Psychoactive
Substance use
F10 – Mental & behavioral disorders due to use of
alcohol
F11 - Mental & behavioral disorders due to use of opioids
F12 – Mental & behavioral disorders due to use of
cannabinoids
F13 – Mental & behavioral disorders due to use of
sedatives & hypnotics
F14 – Mental & behavioral disorders due to use of
cocaine
F16 – Mental & behavioral disorders due to use of
hallucinogens
www.drjayeshpatidar.blogspot.com
14. F80 – F89 Disorders of psychological
development
F80 – Specific developmental disorders of speech &
language
F81 – Specific developmental disorders of scholastic
skills
F82 – Specific developmental disorders of motor
function
F83 – Mixed specific developmental disorders
F84 – Pervasive developmental disorders
www.drjayeshpatidar.blogspot.com
15. F90 – F98 Behavioral & emotional
Disorders with onset usually
occurring in childhood &
adolescence
F90 – Hyperkinetic disorders
F91 – Conduct disorders
F93 – Emotional disorders with onset specific to
childhood
F94 – Disorders of social functioning with onset
specific to childhood & adolescence
F95 – Tic Disorders
F98 – Other behavioral & emotional disorders with
onset usually occurring in childhood & adolescence
www.drjayeshpatidar.blogspot.com
18. DSM IV (Diagnostic & Statistical
Manual) – 1994 :-
• This is the classification of mental disorders
by the American Psychiatric Association
(APA). The pattern adopted by DSM IV is of
Multiaxial systems.
• A multiaxial system that evaluates patients
along several versatile contains Five axes.
Axis I & II make up the entire classification
which contains more than 300 specific
disorders.
www.drjayeshpatidar.blogspot.com
19. The Five Axes of DSM IV Are:-
Axis I : Clinical psychiatric diagnosis
Axis II : Personality disorder & mental retardation
Axis III ; General medical conditions
Axis IV : Psychosocial & environmental problems
Axis V : Global assessment of functioning in current
& past one year.
www.drjayeshpatidar.blogspot.com
21. Indian Classification:-
In India Neki (1963), Wig &
Singer (1967), Vahia (1961) & Varma (1971) have
attempted some modification of ICD8 to suit Indian
conditions.
A)Psychosis:-
1. Functional:- Schizophrenia
2. Affective:- Mania & Depression
3. Organic:- Acute or Chronic
www.drjayeshpatidar.blogspot.com
23. Differences Between ICD10 &
DSMIV:-
ICD10 DSM IV
Origin International American psychiatric
association
Presentation Different version for clinical work,
research & primary care
A single version
Language Available in all widely spoken
languages
English version only
Structure Single axis multiaxial
Content Diagnostic criteria do not include
social consequences of the disorder
Diagnostic criteria usually
include occupational or
other areas of functioning
www.drjayeshpatidar.blogspot.com