1. CLASSIFICATIONOFMENTAL DISORDERS

2. INTRODUCTION  Classification is a process by which complexphenomena are organized into categories, classes orranks so as bring together those things that mostresemble each other & to separate those that differ. Like any growing branch of medicine, psychiatric hasbeen rapid changes in classification to keep upgrowing research data dealing withepidemiology, symptomatology, prognosticfactors, treatment methods & new theories forcausation of psychiatric disorder. At present there are two major classification inpsychiatry, namely ICD 10 (1992) & DSM IV (1994)

3. ICD 10(InternationalStatisticalClas sification ofDisease & RelatedHealth Problems ICD 10(InternationalStatisticalClassification ofDisease & RelatedHealth

4.  ICD 10 (International StatisticalClassification of Disease & RelatedHealth Problems)- 1992 :- This is WHO’s classification for all diseases &related health problems. The chapter ‘F’ classifies psychiatric disorder asmental & behavioral disorders & codes them onan alphanumeric system from F00 to F99.The Main Categories in ICD 10

5.  F00 – F09 Organic, IncludingSymptomatic, Mental disordersF00 – Dementia in Alzheimer’s diseaseF01 – Vascular dementiaF04 – Organic amnestic syndromeF05 – DeliriumF06 – Other mental disorders due to brain damage &dysfunction & to physical diseaseF07 – Personality & behavioral disorders due to braindisease, damage & dysfunction

6.  F10 – F19 Mental & behaviouralDisorders due to PsychoactiveSubstance useF10 – Mental & behavioral disorders due to use ofalcoholF11 - Mental & behavioral disorders due to use of opioidsF12 – Mental & behavioral disorders due to use ofcannabinoidsF13 – Mental & behavioral disorders due to use ofsedatives & hypnoticsF14 – Mental & behavioral disorders due to use ofcocaineF16 – Mental & behavioral disorders due to use ofhallucinogens

7.  F20 – F29Schizophrenia, Schizotypal &Delusional DisordersF20 – SchizophreniaF20.0 – Paranoid SchizophreniaF20.1 – Hebephrenic SchizophreniaF20.2 – Catatonic SchizophreniaF20.3 – Undifferentiated SchizophreniaF20.4 – Post-schizophrenia depressionF20.5 – Residual SchizophreniaF20.6 – Simple SchizophreniaF21 – Schizotypal disorderF22 – Persistent delusional disordersF23 – Acute & Transient psychotic disordersF24 – Induced Delusional disordersF25 – Schizoaffective disorders

8.  F30 – F39 Mood (affective) DisordersF30 – Manic episodeF31 – Bipolar affective disorderF32 – Depressive episodeF33 – Recurrent depressive disorderF34 – Persistent mood disorder

9.  F40 – F49 Neurotic, Stress-rapid &somato- form disordersF40 – Phobic anxiety disordersF41 – Other anxiety disordersF42 – Obsessive – Compulsive disorderF43 – Reaction severe stress & adjustment disordersF44 – Disociative (Conversion) disordersF45 – Somatoform disorders

10.  F50 – F59 Behavioral syndromesassociated with physiologicaldisturbances & physical factorsF50 – Eating DisordersF51 – Non- organic sleep disordersF52 – Sexual dysfunction

11.  F60 – F69 Disorders of adultpersonality & behaviorF60 – Specific personality disordersF60.0 – Paranoid personality disordersF60.1 – Schizoid personality disordersF60.2 – Dissocial personality disordersF60.3 – Emotionally unstable personality disorderF60.4 – Histrionic personality disordersF60.5 – Anankastic personality disordersF60.6 – Anxious personality disordersF60.7 – Dependent personality disordersF61 – Mixed & other personality disordersF62 – Enduring personality changes, not attributableto braindamage & diseaseF63 – Habit & impulse disordersF64 – Gender identity disordersF65 – Disorders of sexual preference

12.  F70 – F79 Mental RetardationF70 – Mild Mental RetardationF71 – Moderate Mental RetardationF72 – Severe Mental RetardationF73 – Profound Mental Retardation

13.  F80 – F89 Disorders of psychologicaldevelopmentF80 – Specific developmental disorders of speech &languageF81 – Specific developmental disorders of scholasticskillsF82 – Specific developmental disorders of motorfunctionF83 – Mixed specific developmental disordersF84 – Pervasive developmental disorders

14.  F90 – F98 Behavioral & emotionalDisorders with onset usuallyoccurring in childhood &adolescenceF90 – Hyperkinetic disordersF91 – Conduct disordersF93 – Emotional disorders with onset specific tochildhoodF94 – Disorders of social functioning with onsetspecific to childhood & adolescenceF95 – Tic DisordersF98 – Other behavioral & emotional disorders withonset usually occurring in childhood & adolescence

15.  F99 – Unspecified mental Disorders

16. DSM IV(Diagnostic &StatisticalManual)  DSM IV (Diagnostic & StatisticalManual) – 1994 :- This is the classification of mental disordersby the American Psychiatric Association(APA). The pattern adopted by DSM IV is ofMultiaxial systems. A multiaxial system that evaluates patientsalong several versatile contains Five axes.Axis I & II make up the entire classificationwhich contains more than 300 specificdisorders

17.  The Five Axes of DSM IV Are:-Axis I : Clinical psychiatric diagnosisAxis II : Personality disorder & mental retardationAxis III ; General medical conditionsAxis IV : Psychosocial & environmental problemsAxis V : Global assessment of functioning in current& past one year

18. INDIANCLASSIFICATION  Indian Classification:-In India Neki (1963), Wig &Singer (1967), Vahia (1961) & Varma (1971) haveattempted some modification of ICD8 to suit Indianconditions.A)Psychosis:-1. Functional:- Schizophrenia2. Affective:- Mania & Depression3. Organic:- Acute or Chronic

19.  COUNT…B) Neurosis:-Anxiety neurosisDepressive neurosisHysterical neurosisObsessive-compulsive neurosisPhobic neurosisC) Special disorders:Childhood disordersPersonality disordersSubstances abusesPsycho physiologicaldisordersMental retardation

20.  Differences Between ICD10 &DSMIV:-ICD10 DSM IVOrigin International American psychiatricassociationPresentation Different version for clinical work,research & primary careA single versionLanguage Available in all widely spokenlanguagesEnglish version onlyStructure Single axis multiaxialContent Diagnostic criteria do not includesocial consequences of the disorderDiagnostic criteria usuallyinclude occupational orother areas of functioning

21.  Thank you