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Psychiatry for Physicians – Classification, Part – 5

This is the last part of the article representing the classes of disorders in the DSM. From sleep disorders they are as follows –

m) Sleep Disorder – Sleep disorders are classified as follows –

1) Dyssomnia – I) Primary insomnia

II) Primary hypersomnia

III) Narcolepsy

IV) Breathing-Related Sleep Disorder

V) Circadian Sleep Rhythm Disorder

2) Parasomnias – I) Nightmare Disorder

II) Night Terror Disorder

III) Sleepwalking Disorder

3) Sleep Disorders Linked to Other Mental Disorders –

I) Insomnia related to an axis I or axis II disorder

II) Hypersomnia related to an axis I or axis II disorder

n) Impulse control disorders not elsewhere classified – Disorders included here are –

1) Intermittent explosive disorder

2) Kleptomania

3) Pyromania

4) Pathological gambling

5) Trichotillomania

o) Adjustment Disorder – It has five subtypes –

1) Adjustment disorder with anxiety

2) Adjustment disorder with depressed mood

3) Adjustment disorder with conduct disorder

4) Adjustment disorder with mixed emotional and behavioral disturbance

5) Adjustment Disorder with Mixed Anxiety and Depressed Mood

Adjustment Disorder can also be – 1) Acute (for 6 months or less)

1) Chronic (more than 6 months)

p) Personality Disorders – These are divided into three groups.

1) Group A –
I) Paranoid

II) Schizoid

III) Schizotypal

2) Group B – I) Antisocial

II) Limit

III) Histrionics

IV) Narcissist

3) Group C – I) Avoidant

II) Dependent

III) Obsessive compulsive

NOS personality disorder is also included in this category.

q) Other conditions that may require clinical attention – This category includes –

1) Drug-Induced Movement Disorder

2) Relationship problem

3) Issues related to abuse or neglect

4) Mourning

5) Professional problem

6) Simulation

7) Phase – of – life problem

Some other disorders have been listed in the DSM-IV for inclusion in the revised manual. Three optional axes have also been listed with these.

With this part, the classification of psychiatric disorders ends. The disorders mentioned in this section have their respective subclasses which are more important to psychiatrists than to physicians.

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