CHAPTER 25 Useful resources 1020 Healthcare Improvement Scotland Organization providing advice and guidance to NHS Scotland on effective clinical practice. M www.healthcareimprovementscotland.org/ SIGN (Scottish Int ercollegiate Guidelines Network) Organization for the development of national clinical guid elines containing recommendations for effective practice. M http://www.sign.ac.uk US Nation al Guideline Clearinghouse American resource for evidence-based clinical practice guideline s. M http://www.guideline.gov Search engines Google Scholar Searches of peer-reviewed papers, theses, books, preprints, a bstracts and technical reports. M http://scholar.google.com Scirus A science-speci \201 c web search engine owned by Elsevier. M http://www.scirus.com/srsapp 25_Semple_Chap25.indd 1020 12/7/2012 5:39:58 PM This page intentionally left blank CHAPTER 25 Useful resources 1022 Online professional resources British Association for Behavioral and Cognitive Psychotherap ists Directory of accredited cognitive behavioral psychotherapists. M http://www.babcp.org. uk British Association for Counseling Directories and other information. M http://www.bac.c o.uk British Association for Psychopharmacology Journal, membership, and training events. M http://www.bap.org.uk British Confederation of Psychotherapists M http://www.bcp.org.uk Br itish Medical Association The professional association for doctors in the UK. M http://www. bma.org.uk British Psychological Society The professional body for psychologists in the UK. M http://www.bps.org.uk General Medical Council The governing authority for medicine in th e UK which maintains the medi- cal register and sets standards for good practice. M http:// www.gmc-uk.org Royal College of Psychiatrists The professional and educational body for psy chiatrists in the UK and Republic of Ireland. M http://www.rcpsych.ac.uk 25_Semple_Chap25.indd 1022 12/7/2012 5:39:58 PM 1023 Chapter 26 ICD-10/DSM-IV index F00-F09 Organic, including symptomatic mental disorders 1024 F10 \200\223F19 Mental and beh avioral disorders due to psychoactive substance abuse 1026 F20 \200\223F29 Schizophrenia, schizotypal, and delusional disorders 1028 F30 \200\223F39 Mood (affective) disorders 1030 F40 \200\223F49 Neurotic, stress-related, a nd somatoform disorders 1032 F50 \200\223F59 Behavioral syndromes associated with physiological disturbance and physical factors 1034 F60 \200\223F69 Disorders of adult personality and behavior 1036 F70 \200\223F79 Mental ret ardation 1038 F80 \200\223F89 Disorders of psychological development 1039 F90 \200\223F98 B ehavioral and emotional disorders with onset usually occurring in childhood and adolescence 1040 The ICD-10 multi-axial system 1042 ICD-10 Classi \201 cation of Mental and Behavioral Disorders (1992) The following index li sts the mental and behavioral disorders in their ICD-10 order and provides ICD-10 coding in formation, the \200\230equivalent \200\231 DSM-IV coding, and a page reference within this volume (where available). Because \200\230mental and behavioral disorders due to psychoac tive sub- stance abuse \200\231 is so dissimilar in organization to DSM-IV (i.e. separate c od- ing for substance use and substance-induced disorders), equivalent codings have not bee n included. 26_Semple_Chap26.indd 1023 12/7/2012 5:34:09 PM CHAPTER 26 ICD-10/DSM-IV index 1024 F00 \200\223F09 Organic, including symptomatic, mental disorders ICD-10 DSM-IV Disorder Page F00 290 Dementia in Alzheimer \200\231s disease 134 F00.0 290.10 Early onset F00.1 290.0 Late onset F00.2 294.1 Atypical or mixed type F00.9 294.1 Unspeci \201 ed F01 290.40 Vascular dementia 144 F01.0 290.40 Acute onset F01.1 290.40 Multi-infarct F01.2 290.40 Subcortical F01.3 290.40 Mixed cortical and subcortical F02.0 290.10 Dementia in Pick \200\231s disease 142 F02.1 290.0 Dementia in Creutzfeldt \200\223Jakob disease 146 F02.2 294.1 Dementia in Huntington \200\231s disease 170 F02.3 294.1 Dementia in Parkinson \200\231s disease 168 F02.4 294.9 Dementia in HIV disease 160 F02.8 294.1 Dementia in other speci \201 ed diseases F03 294.8 Unspeci \201 ed dementia F04 294.0 Organic amnesic syndrome, not induced by alcohol and other psychoactive substances 148 F05 293.0 Delirium 790 F05.0 293.0 Delirium not superimposed on dementia F05.1 293.0 Delirium superimposed on dementia F06 293.8 Mental disorders due to brain damage, dysfunction, and physical disease F06.0 293.82 Hallucinosis F06.1 293.89 Catatonic disorder 992 F06.2 293.81 Delusional (schizophrenia-like) disorder 132 F06.3 293.83 Mood (affective) disorders 130 F06.4 293.84 Anxiety disorder 131 F06.5 293.9 Dissociative disorder 806 F06.6 293.9 Emotionally labile (asthenic) disorder F06.7 294.9 Mild cognitive disorder 26_Semple_Chap26.indd 1024 12/7/2012 5:34:09 PM F00-F09 1025 F07 310.1 Personality and behavioral disorders due to brain disease, damage, or dysfunction F07.0 310.1 Organic personality disorder 154 F07.1 310.1 Post-encephalitic syndrome 164 F07.2 310.1 Post-concussional syndrome 154 F09 293.9 Unspeci \201 ed organic or symptomatic mental disorder 26_Semple_Chap26.indd 1025 12/7/2012 5:34:10 PM CHAPTER 26 ICD-10/DSM-IV index 1026 F10 \200\223F19 Mental and behavioral disorders due to psychoactive substance abuse ICD-10 Drug Page F10 Alcohol 566 F11 Opioids 582 F12 Cannabinoids 588 F13 Sedatives and hypnotics 582 F14 Cocaine 584 F15 Stimulants including caffeine 585 F16 Hallucinogens 586 F17 Tobacco F18 Solvents 589 F19 Multiple or other 589 Notes: A 4th character denotes the clinical condition and a 5th modi \201 es it: F1x.0 \200\224Acute intoxication F1x.0 \200\224.00 uncomplicated F1x.0 \200\224.01 with trauma or other bodily injury F1x.0 \200\224.02 with other medical complications F1x.0 \200\224.03 w ith delirium F1x.0 \200\224.04 with perceptual distortions F1x.0 \200\224.05 with coma F1x. 0 \200\224.06 with convulsions F1x.0 \200\224.07 pathological intoxication F1x.1 \200\224Ha rmful use F1x.2 \200\224Dependence syndrome F1x.2 \200\224.20 currently abstinent F1x.2 \200\224.21 currently abstinent but in a protected environment F1x.2 \200\224.22 on a clini cally supervised maintenance or replacement regime F1x.2 \200\224.23 currently abstinent, b ut receiving treatment with aversive or blocking drugs F1x.2 \200\224.24 currently using F1 x.2 \200\224.25 continuous use F1x.2 \200\224.26 episodic use F1x.3 \200\224Withdrawal stat e F1x.3 \200\224.30 uncomplicated F1x.3 \200\224.31 convulsions F1x.4 \200\224Withdrawal st ate with delirium F1x.4 \200\224.40 with convulsions F1x.4 \200\224.41 without convulsions F1x.5 \200\224Psychotic disorder F1x.5 \200\224.50 schizophrenia-like F1x.5 \200\224.51 pre dominantly delusional F1x.5 \200\224.52 predominantly hallucinatory F1x.5 \200\224.53 predo minantly polymorphic F1x.5 \200\224.54 predominantly depressive F1x.5 \200\224.55 predomina ntly manic F1x.5 \200\224.56 mixed 26_Semple_Chap26.indd 1026 12/7/2012 5:34:10 PM F10 \200\223F19 1027 F1x.6 \200\224Amnestic disorder F1x.7 \200\224Residual and late-onset psychotic disorder F1 x.7 \200\224.70 \202 ashbacks F1x.7 \200\224.71 personality or behavioral disorder F1x.7 \200\224.72 residual affective disorder F1x.7 \200\224.73 dementia F1x.7 \200\224.74 other persisting cognitive impairment F1x.7 \200\224.75 late-onset psychotic disorder 26_Semple_Chap26.indd 1027 12/7/2012 5:34:10 PM CHAPTER 26 ICD-10/DSM-IV index 1028 F20 \200\223F29 Schizophrenia, schizotypal, and delusional disorders ICD-10 DSM-IV Disorder Page F20 295 Schizophrenia 178 F20.0 295.30 Paranoid F20.1 295.10 Hebephrenic F20.2 295.2 Catatonic F20.3 295.90 Undifferentiated F20.4 311 Post-schizophrenic depression F20.5 295.60 Residual F20.6 295.90 Simple F21 301.22 Schizotypal disorder 218 F22 297 Persistent delusional disorder 220 F22.0 297.1 Delusional disorder F22.8 297.1 Other persistent delusional disorders F23 Acute and transient psychotic disorders 226 F23.0 298.9 Acute polymorphic psychotic disorder without symptoms of schizophrenia F23.1 295.40 Acute polymorphic psychotic disorder with symptoms of schizophrenia F23.2 295.40 Acute schizophrenia-like psychotic disorder F23.3 297.1 Other acute predominantly delusional psychotic disorders F24 297.3 Induced delusional disorder 228 F25 295.7 Schizoaffective disorder 218 F25.0 295.70 Manic type F25.1 295.70 Depressive type F25.2 295.70 Mixed type F28 298.9 Other non-organic psychotic disorders 230 F29 298.9 Unspeci \201 ed non-organic psychosis Notes: Schizophrenia: a 5th character denotes course: continuous (1), episodic with progres sive de \201 cit (2), episodic but stable de \201 cit (3), episodic remittent (4), incomp lete remission (5), complete remission (6), other (8), and period of observation less than 1yr (9). Acute and transient psychotic disorders: a 5th character may be used to identify t he presence (1) or absence (0) of acute stress. 26_Semple_Chap26.indd 1028 12/7/2012 5:34:10 PM This page intentionally left blank CHAPTER 26 ICD-10/DSM-IV index 1030 F30 \200\223F39 Mood (affective) disorders ICD-10 DSM-IV Disorder Page F30 Manic episode 306 F30.0 296.00 Hypomania F30.1 296.03 Mania without psychotic symptoms F30.2 296.04 Mania with psychotic symptoms F31 Bipolar affective disorder 314 F31.0 296.40 Current episode hypomanic F31.1 296.43 Current episode manic without psychotic symptoms F31.2 296.44 Current episode manic with psychotic symptoms F31.3 296.52 Current episode mild or moderate depression F31.4 296.53 Current episode severe depression without psychotic symptoms F31.5 296.54 Current episode severe depression with psychotic symptoms F31.6 296.60 Current episode mixed F31.7 296.66 Currently in remission F32 Depressive episode 236 F32.00 296.21 Mild without somatic symptoms F32.01 296.21 Mild with somatic symptoms F32.10 296.22 Moderate without somatic symptoms F32.11 296.22 Moderate with somatic symptoms F32.2 296.23 Severe without psychotic symptoms F32.3 296.24 Severe with psychotic symptoms F32.8 311 Other 240 F33 Recurrent depressive disorder 237 F33.00 296.31 Current episode mild without somatic symptoms F33.01 296.31 Current episode mild with somatic symptoms F33.10 296.32 Current episode moderate without somatic symptoms F33.11 296.32 Current episode moderate with somatic symptoms F33.2 296.33 Current episode severe without psychotic symptoms F33.3 296.34 Current episode severe with psychotic symptoms F33.4 296.36 Currently in remission 26_Semple_Chap26.indd 1030 12/7/2012 5:34:10 PM F30 \200\223F39 1031 F34 Persistent mood (affective) disorders F34.0 301.13 Cyclothymia 334 F34.1 300.4 Dysthymia 264 F38 Other mood (affective) disorders 240 F38.0 296.90 Other single mood (affective) disorders F38.1 296.90 Other recurrent mood (affective) disorders F38.8 296.90 Other speci \201 ed mood (affective) disorders F39 296.90 Unspeci \201 ed mood (affective) disorders 26_Semple_Chap26.indd 1031 12/7/2012 5:34:10 PM CHAPTER 26 ICD-10/DSM-IV index 1032 F40 \200\223F49 Neurotic, stress-related, and somatoform disorders ICD-10 DSM-IV Disorder Page F40 Phobic anxiety disorders F40.00 300.22 Agoraphobia without panic disorder 364 F40.01 300.21 Agoraphobia with panic disorder 358 F40.1 300.23 Social phobias 370 F40.2 300.29 Speci \201 c (isolated) phobias 366 F41 Other anxiety disorders F41.0 300.01 Panic disorder (episodic paroxysmal anxiety) 358 F41.1 300.02 Generalized anxiety disorder 372 F41.2 300.00 Mixed anxiety and depressive disorder F41.3 300.00 Other mixed anxiety disorders F42 Obsessive \200\223compulsive disorder 376 F42.0 300.3 Predominantly obsessional thoughts or ruminations F42.1 300.3 Predominantly compulsive acts (obsessional rituals) F42.2 300.3 Mixed obsessional thoughts and acts F43 Reaction to severe stress and adjustment disorders F43.0 308.3 Acute stress reaction 382 F43.1 309.81 Post-traumatic stress disorder 390 F43.2 309.9 Adjustment disorders 386 F44 Dissociative (conversion) disorders 806 F44.0 300.12 Dissociative amnesia F44.1 300.13 Dissociative fugue F44.2 300.15 Dissociative stupor F44.3 300.15 Trance and possession disorders F44.4 300.15 Dissociative motor disorders F44.5 300.15 Dissociative convulsions F44.6 300.15 Dissociative anesthesia and sensory loss F44.7 300.15 Mixed dissociative (conversion) disorders F44.80 300.11 Ganser syndrome 97 F44.81 300.14 Multiple personality disorder 100 F44.82 300.11 Transient dissociate (conversion) disorders occurring in childhood and adolescence 26_Semple_Chap26.indd 1032 12/7/2012 5:34:10 PM F40 \200\223F49 1033 F45 Somatoform disorders F45.0 300.81 Somatization disorder 802 F45.1 300.82 Undifferentiated somatoform disorder F45.2 300.7 Hypochondriacal disorder 808 F45.3 300.82 Somatoform autonomic dysfunction F45.4 307.80 Persistent somatoform pain disorder 804 F48 Other neurotic disorders F48.0 300.82 Neurasthenia 812 F48.1 300.6 Depersonalization-derealization syndrome 394 Notes: Somatoform autonomic dysfunction: 5th character denotes organ or system: unspeci \201 ed (0), heart and cardiovascular system (1), upper gastrointestinal tract (2), lower g astrointestinal tract (3), respiratory system (4), genitourinary system (5), other (8), mul tiple (9). 26_Semple_Chap26.indd 1033 12/7/2012 5:34:10 PM CHAPTER 26 ICD-10/DSM-IV index 1034 F50 \200\223F59 Behavioral syndromes associated with physiological disturbance and physical factors ICD-10 DSM-IV Disorder Page F50 Eating disorders F50.0 307.1 Anorexia nervosa 398 F50.1 307.1 Atypical anorexia nervosa 398 F50.2 307.51 Bulimia nervosa 406 F50.3 307.51 Atypical bulimia nervosa 406 F50.4 307.50 Overeating associated with other psychological disturbances F50.5 307.50 Vomiting associated with other psychological disturbances F51 Non-organic sleep disorders F51.0 307.42 Insomnia 424 F51.1 307.44 Hypersomnia 430 F51.2 307.45 Disorder of the sleep \200\223wake schedule 436 F51.3 307.46 Sleepwalking (somnambulism) 444 F51.4 307.46 Sleep terrors (night terrors) 442 F51.5 307.47 Nightmares 446 F52 Sexual dysfunction, not caused by organic disorder or disease F52.0 302.71 Lack or loss of sexual desire 474 F52.1 302.79 Sexual aversion and lack of sexual enjoyment 474 F52.2 302.72 Failure of genital response 476; 478 F52.3 302.73/4 Orgasmic dysfunction 476; 478 F52.4 302.75 Premature ejaculation 478 F52.5 306.51 Non-organic vaginismus 476 F52.6 302.76 Non-organic dyspareunia 477; 479 F52.7 302.9 Excessive sexual drive 475 F53 Mental and behavioral disorders associated with the puerperium, not elsewhere classi \201 ed 468 F53.0 293.9 Mild F53.1 293.9 Severe 26_Semple_Chap26.indd 1034 12/7/2012 5:34:10 PM F50 \200\223F59 1035 F54 316 Psychological and behavioral factors associated with disorders or diseases classi \201 ed elsewhere F55 305 Abuse of non-dependence-producing substances F55.0 305.90 Harmful use of antidepressants F55.1 305.90 Harmful use of laxatives F55.2 305.90 Harmful use of analgesics F55.3 305.90 Harmful use of antacids F55.4 305.90 Harmful use of vitamins F55.5 305.90 Harmful use of steroids or hormones F55.6 305.90 Harmful use of speci \201 c herbal or folk remedies F55.8 305.90 Harmful use of other substances that do not produce dependence F59 300.9 Unspeci \201 ed behavioral syndromes associated with physiological disturbances and physic al factors 26_Semple_Chap26.indd 1035 12/7/2012 5:34:11 PM CHAPTER 26 ICD-10/DSM-IV index 1036 F60 \200\223F69 Disorders of adult personality and behavior ICD-10 DSM-IV Disorder Page F60 Speci \201 c personality disorders 494 F60.0 301.0 Paranoid F60.1 301.20 Schizoid F60.2 301.7 Dissocial F60.30 301.9 Emotionally unstable \200\224impulsive type F60.31 301.83 Emotionally unstable \200\224borderline type F60.4 301.50 Histrionic F60.5 301.4 Anankastic F60.6 301.82 Anxious (avoidant) F60.7 301.6 Dependent F61 301.9 Mixed and other personality disorders F62 Enduring personality changes, not attributable to brain damage and disease F62.0 301.9 After catastrophic experience F62.1 301.9 After psychiatric illness F63 312 Habit and impulse disorders F63.0 312.31 Pathological gambling 410 F63.1 312.33 Pathological \201 re-setting (pyromania) 409 F63.2 312.32 Pathological stealing (kleptomania) 408 F63.3 312.39 Trichotillomania 410 F64 Gender identity disorders F64.0 302.85 Transsexualism 484 F64.1 302.85 Dual-role transvestism 484 F64.2 302.6 Gender identity disorder of childhood F65 Disorders of sexual preference 480 F65.0 302.81 Fetishism F65.1 302.3 Fetishistic transvestism F65.2 302.4 Exhibitionism F65.3 302.82 Voyeurism F65.4 302.2 Pedophilia F65.5 302.83/4 Sadomasochism 26_Semple_Chap26.indd 1036 12/7/2012 5:34:11 PM F60 \200\223F69 1037 F66 Psychological and behavioral disorders associated with sexual development and orientation F66.0 302.6 Sexual maturation disorder F66.1 302.6 Egodystonic sexual orientation F66.2 302.6 Sexual relationship disorder F68 Other F68.0 300.9 Elaboration of physical symptoms for psychological reasons F68.1 300.19 Intentional production or feigning of symptoms or disabilities, either physical or psycholo gical Notes: For F66: psychological and behavioral disorders associated with sexual development a nd orientation \200\224a 5th character denotes orientation (.x0 heterosexuality, .x1 homose xuality, .x2 bisexuality, .x8 other, including prepubertal). 26_Semple_Chap26.indd 1037 12/7/2012 5:34:11 PM CHAPTER 26 ICD-10/DSM-IV index 1038 F70 \200\223F79 Mental retardation ICD-10 DSM-IV Disorder Page F70 317 Mild mental retardation 730 F71 318.0 Moderate mental retardation 730 F72 318.1 Severe mental retardation 730 F73 318.2 Profound mental retardation 730 F78 319 Other mental retardation F79 319 Unspeci \201 ed mental retardation Notes: A 4th character may be employed to specify the extent of associated behavioral impai rment: F7x.0 none or minimal. F7x.1 signi \201 cant, requiring attention or treatment. F7x .8 other impairments of behavior. F7x.9 unspeci \201 ed (without mention of impairment of behavior). 26_Semple_Chap26.indd 1038 12/7/2012 5:34:11 PM F80 \200\223F89 1039 F80 \200\223F89 Disorders of psychological development ICD-10 DSM-IV Disorder Page F80 Speci \201 c developmental disorders of speech and language 634 F80.0 315.39 Speci \201 c speech articulation disorder F80.1 315.31 Expressive language disorder F80.2 315.32 Receptive language disorder F80.3 307.9 Acquired aphasia with epilepsy (Landau \200\223Kleffner) F80.8 307.9 Other developmental disorders of speech and language F81 Speci \201 c developmental disorders of scholastic skills 634 F81.0 315.00 Speci \201 c reading disorder F81.1 315.2 Speci \201 c spelling disorder F81.2 315.1 Speci \201 c disorder of arithmetical skills F81.3 315.9 Mixed disorder of scholastic skills F81.8 315.9 Other developmental disorders of scholastic skills F81.9 315.9 Developmental disorder of scholastic skills, unspeci \201 ed F82 315.4 Speci \201 c developmental disorder of motor function F83 315.4 Mixed speci \201 c developmental disorders F84 Pervasive developmental disorders 578 F84.0 299.00 Childhood autism 630; 760 F84.1 299.80 Atypical autism 630; 760 F84.2 299.80 Rett \200\231s syndrome 758 F84.3 299.10 Other childhood disintegrative disorder 759 F84.4 299.80 Overactive disorder associated with mental retardation and stereotyped movements F84.5 299.80 Asperger \200\231s syndrome 758 F84.8 299.80 Other pervasive developmental disorders F88 299.80 Other disorders of psychological development F89 299.80 Unspeci \201 ed disorder of psychological development 26_Semple_Chap26.indd 1039 12/7/2012 5:34:11 PM CHAPTER 26 ICD-10/DSM-IV index 1040 F90 \200\223F98 Behavioral and emotional disorders with onset usually occurring in childhoo d and adolescence ICD-10 DSM-IV Disorder Page F90 Hyperkinetic disorders 626 F90.0 314.9 Disturbance of activity and attention F90.1 312.81 Hyperkinetic conduct disorder F90.8 314.9 Other hyperkinetic disorders F91 312.8 Conduct disorders 624 F91.0 312.89 Con \201 ned to the family context F91.1 312.89 Under socialized conduct disorder F91.2 312.89 Socialized conduct disorder F91.3 313.81 Oppositional de \201 ant disorder 625 F91.8 312.89 Other conduct disorders F92 Mixed disorders of conduct and emotions F92.0 312.89 Depressive conduct disorder F92.8 312.89 Other mixed disorders of conduct and emotions F93 Emotional disorders with onset speci \201 c to childhood F93.0 309.21 Separation anxiety disorder of childhood 640 F93.1 300.29 Phobic anxiety disorder of childhood 644 F93.2 300.23 Social anxiety disorder of childhood 644 F93.3 V61.8 Sibling rivalry disorder F93.8 313.9 Other childhood emotional disorders F94 Disorders of social functioning with onset speci \201 c to childhood and adolescence F94.0 313.23 Elective mutism 645 F94.1 313.89 Reactive attachment disorder of childhood 621 F94.2 313.89 Disinhibited attachment disorder of childhood 620 F94.8 313.9 Other childhood disorders of social functioning F95 Tic disorders 632 F95.0 307.21 Transient tic disorder F95.1 307.22 Chronic motor or vocal tic disorder F95.2 307.23 Combined vocal and multiple motor tic disorder (de la Tourette) F95.8 307.20 Other tic disorders 26_Semple_Chap26.indd 1040 12/7/2012 5:34:11 PM F90 \200\223F98 1041 F98 Other F98.0 307.6 Non-organic enuresis 636 F98.1 307.7 Non-organic encopresis 637 F98.2 307.59 Feeding disorder of infancy and childhood 638 F98.3 307.52 Pica of infancy and childhood 638 F98.4 307.3 Stereotyped movement disorders F98.5 307.0 Stuttering (stammering) 634 F98.6 307.9 Cluttering 634 F98.8 313.9 Other speci \201 ed behavioral and emotional disorders with onset usually occurring in inf ancy or childhood 26_Semple_Chap26.indd 1041 12/7/2012 5:34:12 PM CHAPTER 26 ICD-10/DSM-IV index 1042 The ICD-10 multi-axial system In multi-axial diagnosis, a patient \200\231s problems are vi ewed within a broader context, which includes: clinical diagnosis, assessment of disability , and psy- chosocial factors. In ICD-10, multi-axial diagnoses are made along three axes, a s follows: Axis I: clinical diagnoses This includes all disorders, both psychiatric and physical, incl uding learning disability and personality disorders. Axis II: disabilities Conceptualized in line with WHO de \201 nitions of impairments, disa bilities, and handicaps, this covers a number of speci \201 c areas of functioning that ar e rated on a scale of 0 \200\2235 ( \200\230no disability \200\231 to \200\230gross disabi lity \200\231): \200 \200 Personal care: Occupation: making, etc. Family and household: Functioning in a broader soci al context: community, including contact with friends, leisure, and other social activities . personal hygiene, dressing, feeding, etc. expected functioning in paid activities, studying, home- \200 participation in family life. participation in the wider Axis III: contextual factors The factors considered to contribute to the occurrence, presen tation, course, outcome, or treatment of the present Axis I disorder(s). They include probl ems related to: \200 \200 \200 \200 \200 \200 \200 \200 \200 \200 \200 Negative events in childhood. Education and literacy. Primary support group, including fami ly circumstances. Social environment. Housing or economic circumstances. (Un)employment. Ph ysical environment. Certain psychosocial circumstances. Legal circumstances. Family history of disease or disabilities. Lifestyle or life-management dif \201 culties. 26_Semple_Chap26.indd 1042 12/7/2012 5:34:12 PM 1043 Index A Abbreviated Mental Test 70 abnormal beliefs 59, 86 asking about 60 \200\2231 see also hal lucinations acute intoxication 566 alcohol as drug 548 \200\2239 assessment 552 \200\2233 at-risk drink ing 566 cognitive anterograde 87 post-traumatic 154 amnestic disorders 148 \200\2239 amok/amuck 916 amoxapine 259, 959 \200\22379 amfetamines 5 85 amurakh 916 amyloid deposits 514 anabolic steroids 589 anergia 86 Angelman ( \200\230hap py puppet \200\231) impairment 568 \200\2239 cultural context 911 drinking advice 554 \200\2235 harmful drinkin g 566 in elderly people 524 legal issues 606 \200\2237 maintenance interventions abnormal cognitive function 66 \200\2237 Abnormal Involuntary Movement Scale 81 abnormal mood 50 abnormal perceptions 56 \200\2237, syndrome 746 \200\230anger syndrome \200\231 918 anhedonia 86 anorexia nervosa 398 \200 \2239, 86 pharmacological asking about 58 absolute risk 114 methods 564 \200\2235 psychological reduction of 115 acamprosate 564 \200\2235 acquisition 844, 845 actigraphy 421 acting out 8 30 acute confusional state see 86 methods 562 \200\2233 medical assessment 402 \200\2233 children and complications 574 \200\2235 and offending 691 pathological adolescents 650 cultural context 911 management 404 \200\2235 physical intoxication 566 delirium psychiatric acute dystonia 954 acute stress disorder 384 \200\2235 acute stress reaction 382 \200\2233 Addenbrooke \200\231s Cognitive consequences 400 \200\2231 comorbidity 570 psychotic disorder with anterograde amnesia 87 anticonvulsants 327, 508 learning disability 742 delusions 568 screening for 550 \200\2231 treatment planning 556 \200\2237 Examination \200\224 Revised 70 \200\2231 antidepressant alcohol dementia 569 alcohol dependence 566 alcohol effects on sleep 457 alcoholic hallucin osis 568 Alcoholics discontinuation syndrome 964 \200\2235 antidepressants 234 \200\2235, 256 \200\2237, 266, 3 28 \200\2239, 508, 521 adjustment disorders 386 \200\2237 adjustment sleep disorder 424 Adler, Alfred 826 adolesce nce 616 \200\22317, 770 effects on sleep 458 and hyponatraemia 966 \200\2237 learning disability 742 and the placeb o effect 14 \200\22315 Anonymous 563 \200\223607 see also child and alcohol-induced adolescent psychiatry amnesia 566 \200\2237 Alcohol Use Disorders Identi \201 cation Test (AUDIT) 82 alcohol wit hdrawal Adults with Incapacity (Scotland) Act (2000) 878 \200\2239 advanced sleep phase syndrome 43 6 side-effects sexual dysfunction 938 \200\2239 management of 560 \200\2231 syndromes 558 \200\2239 affect 86 affect illusions 56 affective disorders weight gain 930 alexithymia 86 alogia 86 altitude insomnia 425 altruism 831 Alzheimer \200\231s disease 134 see also different types anti-psychiatrists 25 anti-psychiatry 24 \200\2235 central beliefs 24 \200\2235 and offending 691 prevalence 353 sleep disturbance 454 antipsychotics 326, 327, 508 aggression 678 \200\2239 agitated depression 86 agometaline 268 \200\2239, 281 agoraphobia 86, 364 \200\2235 depot injections 216 dose equivalents 201 \201 rst generation 200 \200\2231, 207 high-dos e 209 \200\22330 learning disability 742 second generation 202 \200\2235, treatment 138 \200\2239 NICE guidance 139 see also dementia amantadine 959 \200\22379 ambitendency 86 amenorrhoea 400 \200\2231 amisu lpiride 203 amitriptyline 271 amnesia 86, 806 \200\2237 children and adolescents 642 cultural context 910 Aicardi syndrome 753 akathisia 86, 946 \200\2238 alcoh ol abuse 546 \200\2237 204 \200\22330, 207 sedative effects 458 side-effects 206 \200\2237 diabetes 934 \200\2235 alcohol-induced 566 \200\2237 27_Semple_Index.indd 1043 12/7/2012 5:37:00 PM INDEX 1044 antipsychotics (Cont \200\231d) learning disability 764 treatment 628 \200\2239 \202 ooding/implosive theory 848 hyperprolactinaemia audit 127 auditory hallucinations 57 936 \200\2237 systematic Parkinsonism 944 \200\2235 sexual dysfunction 939 on sleep 458 weight gain 930 desensitization 848 third-person 105 belle indifference 88 benzodiazepines 327 aura 87 autism 760 \200\2231 alcohol withdrawal 561 effects on sleep 459 misuse 582 paradoxical reactions assessment 82, 761 atypical 759 clinical features 760 \200\2231 treatment 761 Autism Diagno stic anxiety alcohol abuse 570 assessment 82 reduction, and the placebo to 929 effect 15 \200\22331 substitute prescribing 600 anxiety disorders 87, 352 \200\2233 beserk/berserk/ Observation Schedule (ADOS) 82 autism spectrum beserkergang 916 beta-blockers in learning disability 742 \200\2233 children and adolescents 639 cultural context 910 \200\2231 \201 tness to drive 904 historical disorders 630 \200\2231 autistic thinking 87 autochthonous delusion 87 autoimmune disorders 166 automatic obedience 87 automatism 87, 156, 720 bilis 916 Binswanger disease 144 Bion, Wilfred R. 826 \200\2237 bipolar illness 301 \200 \22349 etiology 320 \200\2231 children and perspective 354 \200\2235 learning disability 764 prevalence 353 sleep disturbance 454 \200 \2235 see also individual conditions insane 720 sane 720 adolescents 656 \200\2237 autoscopic syndrome 87, classi \201 cation 314 \200\22315 230 DSM-IV 315 ICD-10 315 \200\22349 cyclothymia 334 \200\2235 famous sufferers 303 \200\22349 historical Anxiety Screen for Child Anxiety-Related Emotional Disorders (SCARED) 82 anxiety spectrum, assessment instruments 81 autotopagnosia 87 aversion therapy 848 avoidance 88 perspective 304 \200\2235 hypomania/hypomanic B baby blues 470 bangungut 916 barbiturate misuse 583 basic learning theory 844 \200\2237 b ebainan 916 Beck Depression Inventory 81 bedside screening instruments 70 anxiety symptoms 54, 781 episode 310 learning disability 764 management 322 acute manic asking about 55 aphonia 87, 806 appearance 44, 48 aripiprazole 203, 259, 326, episodes 326 \200\2237 331, 959 \200\22379 depressive episodes 328 \200\2239 arson 688 asenapine 326 ashanti 916 asomatognosia 73 Asperger \200\231s syndrome 758 asphyx iation, mania/manic episode 306 \200\2237 outpatient follow-up 322 prophylaxis 330 \200\2231 psychotherapeutic Beecher, Henry K. 14 \200\22315 behavior 44, 48 behavioral interventions 332 \200\2233 relapse prevention 322 \200\2233 self-diagnosed 318 disorders 766 \200\2237 management 768 \200\2239 severe behavioral disturbance 988 pharmaco logical attempted 987 assessment instruments 80 anxiety spectrum 81 for children 82 mood disorders 81 older adults 82 schizophrenia 81 subs tance use 82 astereoagnosia 72 asyndesis 87 ataque de nervios 916 ataxia 87 athetosis 87 at omoxetine 628 attachment 620 \200\2231 attention de \201 cit hyperactivity disorder 626 \200\2237 bipolar spectrum disorder 312 blacking out 917 blunting of affect 88 body dysmorphic disord er 810 approach 990 \200\2231 behavioral insomnia of childhood 424 behavioral phenotypes 767 behavior modi \201 cation body mass index 399 \200\223411 Bolitho judgment 875 borderline personality 848 behavior therapy 820 \200\2231, 848 disorder 455 bovine spongiform aversion therapy and covert sensitization 848 encephalopathy 146 Bowlby, John 827 Brachmann \200\223de Lange syndrome 757 behavior modi \201 cation 848 dialectical 856 \200\2237 assessment 82 brain 10 \200\2231 27_Semple_Index.indd 1044 12/7/2012 5:37:01 PM INDEX 1045 normal ageing 514 and psychotherapy Children \200\231s Depression anxiety disorders 639 generalized anxiety disorder 641 obsessive-compulsive disorder 648 \200\2239 Inventory 82 12 \200\22313 chlordiazepoxide, diazepam equivalent dose 600 brain damage, alcohol- related 568 \200\2239 chlorpromazine 200, brain fag/fog 959 \200\22379 chorea 88 chronic fatigue panic disorder/ syndrome 916 \200\22317 agoraphobia 642 post-traumatic stress disorder 646 brain failure 67 Breggin, Peter 25 Brief Psychiatric Rating syndrome 812 \200\22313 chronotherapy 438 circadian rhythm sleep disorders 436 \200\2237 management 438 \200\2239 c ircumstantial thinking 89 citalopram 268 \200\2239, 277 clang association 89 clarity of tho ught, impaired 66 separation anxiety 640 social phobia, simple Scale 81 Broca \200\231s dysphasia 88 bruxism, sleep-related 451 bulimia nervosa 88, 406 \200\2237 phobias, and selective mutism 644 \200\2235 assessment 612 practical issues 614 \200\22315 children and assessment adolescents 651 bupropion 268 \200\2239, 281 Busaglia, Leo F. 25 instruments 82 attachment 620 \200\2231 attention de \201 cit hyperactivity disorder 626 a utism spectrum classical conditioning 844 \200\2235 classi \201 cation 8 \200\2239 of disease 5 internati onal 9 C CAGE 82 cannabis 588 \200\22390 disorders 630 \200\2231 clinical interview 34 \200\2235 behavioral effects on sleep 457 discussing problems 622 \200\2233 assessment 622 \200\2233 differential diagnosis 622 management 623 b ipolar disorder 656 \200\2237 child abuse 662 conduct disorders 624 \200\2235 depression 65 2 \200\2233 development 616 \200\22317 eating disorders 650 \200\2231 encopresis 637 enures is 636 family therapy 666 language, learning, and motor coordination disorders 634 \200\223 5 looked-after-child 664 parent management training 667 prescribing 665 psychosis 658 \200 \2239 resilience 618 sleep disorders 638 substance misuse 660 suicide and self- harm 654 \200\2235 cannibalism 147 capacity 794 \200\2235 Capgras syndrome 88, 230 carbamazepine 327, 331, management 40 \200\2231 documentation 36 \200\2237 explanation 36 \200\2237 follow-up 39 gi ving advice 39 non-English speaking patients 36 \200\2237 personal safety 35 \200\22382 que stioning techniques 38 seating 36 \200\2237 structure 38 346 \200\2237, 959 \200\22379 effects on sleep 458 plasma levels 928 preparations 347 side-effects sexual dysfunction 940 weight gain 932 \200\2233 treatment guidelines 347 clinical investigation 78 \200\2239 clinical resources car crime 688 cardiovascular disease, prescribing in 972 \200\2233 online 1018 \200\22320 clinical trials 31 clomipramine 271, 959 \200\22379 clouding of case \200\223control studies 116 \200\22317 case summary 46 catalepsy 88 cataplexy 88 catastrophic reaction 88 c atatonia 88, 172, 992 \200\2233 consciousness 89 clozapine 210 \200\2231, 259, 959 \200\22379 dosing guidelines 213 interactions 211 monitoring services 212 NICE guidelines 210 plasma l evels 928 side-effects 214 \200\22315 starting and causes 992 clinical presentation 992 differential diagnosis 993 management 993 subtypes 993 Tourette \200\231s syndrome 632 childbirth-related central sleep apnoea 428 cerebrovascular accident 152 stopping 212 \200\22313 cocaine 584 cognition 45 cognitive analytic disorders 470 \200\2231 baby blues 470 postnatal depression 470 postpartum challenging behavior 766 \200\2237 therapy 509, 858 \200\2239 cognitive behavioral psychosis 470 \200\2231 Childhood Autism Rating Scale (CARS) 82 childhood disintegrative child abuse 662 Child and Adolescent Mental Health Services 610, 611 child and adolescent p sychiatry 609 \200\22367 therapy 12 \200\22313, 509, 850 anxiety 853 cognitions 851 cognitive error 851 depression 853 disorder 758 child protection 998 27_Semple_Index.indd 1045 12/7/2012 5:37:01 PM INDEX 1046 cognitive estimate testing 72 cri du chat syndrome 746 crime 674 \200\2235 of infestation 91 of love 91 nihilistic 101 of reference 91 of thought interference 91 cognitive functional assessment 68 statistics 675 crimes of dishonesty 688 criminal court cognitive impairment 541 cognitive therapy 820 \200\2231 cohort studies 118 colera 916 coll ateral information 71 command hallucination 89 common law 874 \200\2235 communication 40, 9 84 Community Treatment dementia 91, 132 \200\2233 reports 710 \200\2231 alcoholic 569 Alzheimer \200\231s disease see Alzheimer \200\231s disease Down \200\231s sy ndrome 745 \201 tness to drive 905 fronto-temporal 142 \200\2233 HIV-associated 163 Lewy body 140 \200\2231 sleep disturbance 456 \200\2237 vascular 144 \200\2235 criminal justice process 712 \200\22315 criminal justice system 672 \200\2233 criminal courts 672 \200\2233 prosecution 672 criminal responsibility 720 crisis situation 984 \200\2235 cultural formulation of psychiat ric disorders 912 Order 885 compensation 831 completion illusions 56 compulsion 54, 89 compulsory denial 830 denigration 830 dependence 91 \200\2232 dependence syndrome 542 depersonalizatio n (derealization) syndrome 92, 394 \200\2235 culture-bound detention 16 \200\22317 compulsory treatment syndromes 914 curanderismo 917 cyclothymia 90, 334 \200\2235 order 887 concrete thinking 89 conditioning D damage to property 688 dealing with patients 985 De Cl rambault classical 844 \200\2235 operant 845 and the placebo effect 15 \200\22331 conduct disorders 624 \200\2235 confabulation 89 con \201 dentiality 898 \200\2239 breaking 900 \200\2231 co nfusion 66, 89, 783 assessment of 68 depressed mood 92 asking about 51 depression assessment 82 biological features 88 cultural context 910 depressive illness 231 \200\22399 syndrome 90, 221 deep brain stimulation 299 defense mechanisms 829 mature 831 neurotic 830 \200\2231 primitive 830 etiology 244 agitated depression 86 alcohol abuse 570 atypical episodes 262 caseness and d j vu 90 delahara 917 delayed sleep phase syndrome 436 confusional arousals 442 consciousness, level of 66 assessment 68 subtypes 238 \200\2239 consent to treatment 794 \200\223 children and deliberate self-harm see 5, 870 \200\2231 adolescents 652 \200\2233 constructional dyspraxia 73 control event rate 115 conversion 89, 798 self-harm clinical delirium 90, 790 \200\2233 presentations 240 \200\2231 post-traumatic 154 course and cultural context 911 conversion (dissociative) disorders 806 \200\2237 delirium tremens 90, 558 \200\2239 delusional disorder etiology 223 assessment 224 \200\223 5 clinical features 220 \200\2231 differential diagnoses 70 induced 228 management 224 and offending 690 prognosis 250 \200\2231 differential diagnosis 248 dysthymia/dysthymic disorder 264 \200 \2235 epidemiology 242 \200\2233 famous sufferers 232 \200\2233 \201 tness to drive 904 h istorical Cooper, David 25 coprolalia 89 Cornelia de Lange syndrome 757 Cotard syndrome 89 \200\22390 counseling perspective 234 \200\2235 hospital admission 254 \200\2235 initial assessment 252 investiga tions 249 learning disability 764 maintenance therapy 257, methods 862 \200\2233 types of 862 \200\2233 delusional elaboration 91 delusional jealousy 91, 221 delusional memory 91 delusional misid enti \201 cation syndromes 91, 230 countertransference 829, 837 court liaison 699 court reports and giving delusional mood 91 delusional perception 91 delusions 59, 90 \200\2231 259 evidence 706 mortality 250 in physical illness 788 \200\2239 seasonal affective disorder 263 symptoms 23 6 \200\2237 terminology 237 Couvade syndrome 90 covert sensitization 848 craving 90 Creutzfeldt \200\223Jakob disease 1 46 alcohol-induced 568 autochthonous 87 of control 92 of guilt 91 27_Semple_Index.indd 1046 12/7/2012 5:37:01 PM INDEX 1047 treatment 252 \200\2233 no psychotic doxepin 271 dreams 829, 837 drive theory 828 drug misuse 576 dysphasia 94 expressive 95 receptive 103 features 256 \200\2237 psychotic