compulsive and related disorder. These diagnoses are given if it is unclear whether the obsessive-compulsive and related symptoms are primary, substance-induced, or due to another medical condition.
300.3 (F42)
This category applies to presentations in which symptoms characteristic of an obsessive- social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the obsessive-compulsive and related disorders diagnostic class. The other specified obsessive-compulsive and related disorder category is used in situations in which the clinician chooses to communicate the specific reason that the presentation does not meet the criteria for any specific obsessive-compulsive and re- lated disorder. This is done by recording “other specified obsessive-compulsive and relat- ed disorder” followed by the specific reason (e.g.. “body-tocused repetitive behavior disorder”).
Examples of presentations that can be specified using the "other specified" designation include the following: 1. Body dysmorphic—like disorder with actual flaws: This is similar to body dysmor- phic disorder except that the defects or flaws in physical appearance are clearly ob- servable by others (i.e., they are more noticeable than “slight"). In such cases, the preoccupation with these flaws is clearly excessive and causes significant impairment or distress.
2. Body dysmorphic—like disorder without repetitive behaviors: Presentations that meet body dysmorphic disorder except that the individual has not performed repetitive behaviors or mental acts in response to the appearance concerns.
3. Body-focused repetitive behavior disorder: This is characterized by recurrent body- tocused repetitive behaviors (e.g., nail biting, lip biting, cheek chewing) and repeated attempts to decrease or stop the behaviors. These symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning and are not better explained by trichotillomania (hair-pulling disorder), excoriation (skin- picking) disorder. stereotypic movement disorder, or nonsuicidal self-injury.
4. Obsessional iealousy: This is characterized by nondelusional preoccupation with a partner’s perceived infidelity. The preoccupations may lead to repetitive behaviors or mental acts in response to the infidelity concerns; they cause clinically significant dis- tress or impairment in social, occupational, or other important areas of functioning; and they are not better explained by another mental disorder such as delusional disorder, jealous type, or paranoid personality disorder.
5. Shubo-kyofu: A variant of taijin kyofusho (see ”Glossary of Cultural Concepts of Dis- tress" in the Appendix) that is similar to body dysmorphic disorder and is characterized by excessive fear of having a bodily deformity.
6. Koro: Related to dhat syndrome (see “Glossary of Cultural Concepts of Distress” in the Appendix), an episode of sudden and intense anxiety that the penis (or the vulva and nipples in females) will recede into the body, possibly leading to death.
7. Jikoshu-kyofu: A variant of taijin kyofusho (see “Glossary of Cultural Concepts of Dis- tress” in the Appendix) characterized by fear of having an offensive body odor (also termed olfactory reference syndrome).
300.3 (F42)
This category applies to presentations in which symptoms characteristic of an obsessive- social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the obsessive-compulsive and related disorders diagnostic class. The unspecified obsessive-compulsive and related disorder category is used in situations in which the clinician chooses not to specify the reason that the criteria are not met for a specific obsessive-compulsive and related disorder, and includes presen- tations in which there is insufficient information to make a more specific diagnosis (e.g., in emergency room settings).