WHY? VITAL UNDERSTANDING OF BEHAVIOR! & DOCUMENTING#1

Posted: Sun Mar 01, 2009 10:15 am

Any action or inaction, including verbal and nonverbal behavior, taken by a psychotherapist (This term, often abbreviated to "therapist," encompasses all those professionals who use psychotherapy to treat mental disorders) with the purpose of advancing treatment.
Laughing

mental disorder

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Behavioral health care professionals call disorders, illnesses or diseases that have prominent emotional, behavioral, and psychological symptoms mental disorders. These include substance use disorders and disorders associated with physical changes or illnesses, many of which directly affect the brain. For most of these disorders, however, physical causes have not been demonstrated or are poorly understood, even though biological treatments (e.g. drugs) may be effective in treating them. They may be distinguished from and classified separately from the personality disorders, or the term may be used in such a way as to include personality disorders.

Terms for specific mental disorders include those officially recognized by the American Psychiatric Association as well as other more traditional terms. They are formally classified in the APA DSM IV-TR: DSM-IV-TR Diagnoses by Category

primary psychiatric disorder | secondary psychiatric disorder

BehaveNet® Clinical Capsule™:
Personality Disorder (APA DSM-IV & DSM-IV-TR Axis II)

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Everyone has a personality with character traits such as stinginess, generosity, arrogance and independence. But when these traits are rigid and self-defeating, they may interfere with functioning and even lead to psychiatric symptoms. Personality traits are formed by early adulthood, persist throughout life and affect every aspect of day to day behavior. Individuals with personality disorders often blame others for their problems.

Although professionals identify distinct personality disorders (anti-social, borderline, schizotypal, et al), some personality disordered individuals may not fit in a particular category and yet may clearly deserve this label.

Although classified as mental disorders they may be classified separately and distinguished from the Axis I Clinical Syndromes for some purposes.

General diagnostic criteria for a Personality Disorder
(cautionary statement)
A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture. This pattern is manifested in two (or more) of the following areas:

(1) cognition (i.e., ways of perceiving and interpreting self, other people, and events)
(2) affectivity (i.e., the range, intensity, lability, and appropriateness of emotional response)
(3) interpersonal functioning
(4) impulse control

B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations.

C. The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The pattern is stable and of long duration and its onset can be traced back at least to adolescence or early adulthood.

E. The enduring pattern is not better accounted for as a manifestation or consequence of another mental disorder.

F. The enduring pattern is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma).

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

Also: character disorder, characterological

DSM-IV-TR personality disorders:

Cluster A: Paranoid | Schizoid | Schizotypal
Cluster B: Antisocial | Borderline | Histrionic | Narcissistic
Cluster C: Avoidant | Dependent | Obsessive-Compulsive
Other personality disorders: depressive | passive-aggressive | self-defeating

Pervasive Developmental Disorders (PDD)

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Severe impairment pervades broad areas of social and psychological development in children with these mental disorders .

These include the following specific disorders:

Asperger's Disorder | Autistic Disorder | Childhood Disintegrative Disorder | Rett's Disorder

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994

Also: autism

Asperger's Disorder (AD)

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In children with this pervasive developmental disorder language, curiosity, and cognitive development proceed normally while there is substantial delay in social interaction and "development of restricted, repetitive patterns of behavior, interests, and activities."

Diagnostic criteria for 299.80 Asperger's Disorder
(cautionary statement)
A. Qualitative impairment in social interaction, as manifested by at least two of the following:
(1) marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction
(2) failure to develop peer relationships appropriate to developmental level
(3) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)
(4) lack of social or emotional reciprocity

B. Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:
(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
(2) apparently inflexible adherence to specific, nonfunctional routines or rituals
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)
(4) persistent preoccupation with parts of objects

C. The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.

D. There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years).

E. There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than in social interaction), and curiosity about the environment in childhood.

F. Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

psychoanalysis: Oedipus complex

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The complex arising out of the child's wish to eliminate the parent of the same gender in order to possess the parent of the opposite gender.

Also: nuclear complex

DSM-IV: Stereotypic Movement Disorder

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Children with this mental disorder, display repetitive nonfunctional movements that can result in bodily injury or interfere with normal functioning.

Diagnostic criteria for 307.3 Stereotypic Movement Disorder
(cautionary statement)
A. Repetitive, seemingly driven, and nonfunctional motor behavior (e.g., hand shaking or waving, body rocking, head banging, mouthing of objects, self-biting, picking at skin or bodily orifices, hitting own body).

B. The behavior markedly interferes with normal activities or results in self-inflicted bodily injury that requires medical treatment (or would result in an injury if preventive measures were not used).

C. If Mental Retardation is present, the stereotypic or self-injurious behavior is of sufficient severity to become a focus of treatment.

D. The behavior is not better accounted for by a compulsion (as in Obsessive-Compulsive Disorder), a tic (as in Tic Disorder), a stereotypy that is part of a Pervasive Developmental Disorder, or hair pulling (as in Trichotillomania).

E. The behavior is not due to the direct physiological effects of a substance or a general medical condition.

F. The behavior persists for 4 weeks or longer. Specify if: With Self-Injurious Behavior: if the behavior results in bodily damage that requires specific treatment (or that would result in bodily damage if protective measures were not used)

DSM-IV: Separation Anxiety Disorder

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Children with this mental disorder, display excessive anxiety when away from home or from those to whom they are emotionally attached.

Diagnostic criteria for 309.21 Separation Anxiety Disorder
(cautionary statement)
A. Developmentally inappropriate and excessive anxiety concerning separation from home or from those to whom the individual is attached, as evidenced by three (or more) of the following:
(1) recurrent excessive distress when separation from home or major attachment figures occurs or is anticipated
(2) persistent and excessive worry about losing, or about possible harm befalling, major attachment figures
(3) persistent and excessive worry that an untoward event will lead to separation from a major attachment figure (e.g., getting lost or being kidnapped)
(4) persistent reluctance or refusal to go to school or elsewhere because of fear of separation
(5) persistently and excessively fearful or reluctant to be alone or without major attachment figures at home or without significant adults in other settings
(6) persistent reluctance or refusal to go to sleep without being near a major attachment figure or to sleep away from home
(7) repeated nightmares involving the theme of separation
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repeated complaints of physical symptoms (such as headaches, stomachaches, nausea, or vomiting) when separation from major attachment figures occurs or is anticipated

B. The duration of the disturbance is at least 4 weeks.

C. The onset is before age 18 years.

D. The disturbance causes clinically significant distress or impairment in social, academic (occupational), or other important areas of functioning.

E. The disturbance does not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder and, in adolescents and adults, is not better accounted for by Panic Disorder With Agoraphobia.

Specify if:
Early Onset: if onset occurs before age 6 years

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

DSM-IV & DSM-IV-TR:
Reactive Attachment Disorder

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Children with this mental disorder, associated with care that is "grossly pathological," fail to relate socially either by exhibiting markedly inhibited behavior or by indiscriminate social behavior.

Diagnostic criteria for 313.89 Reactive Attachment Disorder of Infancy or Early Childhood
(cautionary statement)
A. Markedly disturbed and developmentally inappropriate social relatedness in most contexts, beginning before age 5 years, as evidenced by either (1) or (2):
(1) persistent failure to initiate or respond in a developmentally appropriate fashion to most social interactions, as manifest by excessively inhibited, hypervigilant, or highly ambivalent and contradictory responses (e.g., the child may respond to caregivers with a mixture of approach, avoidance, and resistance to comforting, or may exhibit frozen watchfulness)
(2) diffuse attachments as manifest by indiscriminate sociability with marked inability to exhibit appropriate selective attachments (e.g., excessive familiarity with relative strangers or lack of selectivity in choice of attachment figures)

B. The disturbance in Criterion A is not accounted for solely by developmental delay (as in Mental Retardation) and does not meet criteria for a Pervasive Developmental Disorder.

C. Pathogenic care as evidenced by at least one of the following:
(1) persistent disregard of the child's basic emotional needs for comfort, stimulation, and affection
(2) persistent disregard of the child's basic physical needs
(3) repeated changes of primary caregiver that prevent formation of stable attachments (e.g., frequent changes in foster care)

D. There is a presumption that the care in Criterion C is responsible for the disturbed behavior in Criterion A (e.g., the disturbances in Criterion A began following the pathogenic care in Criterion C).

Specify type:

Inhibited Type: if Criterion A1 predominates in the clinical presentation
Disinhibited Type: if Criterion A2 predominates in the clinical presentation

DSM-IV & DSM-IV-TR:
Antisocial Personality Disorder

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Individuals with this Cluster B Personality Disorder in their actions regularly disregard and violate the rights of others. These behaviors may be aggressive or destructive and may involve breaking laws or rules, deceit or theft.

Diagnostic criteria for 301.7 Antisocial Personality Disorder
(cautionary statement)
A. There is a pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three (or more) of the following:

(1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest
(2) deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure
(3) impulsivity or failure to plan ahead
(4) irritability and aggressiveness, as indicated by repeated physical fights or assaults
(5) reckless disregard for safety of self or others
(6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations
(7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

B. The individual is at least age 18 years.

C. There is evidence of Conduct Disorder with onset before age 15 years.

D. The occurrence of antisocial behavior is not exclusively during the course of Schizophrenia or a Manic Episode.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Also: anti-social, "Not me!", sociopath, sociopathy, sociopathic, psychopath, psychopathy, psychopathic, dyssocial

DSM-IV & DSM-IV-TR:
Oppositional Defiant Disorder

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If a child's problem behaviors do not meet the criteria for Conduct Disorder, but involve a pattern of defiant, angry, antagonistic, hostile, irritable, or vindictive this mental disorder of childhood may be diagnosed. These children may blame others for their problems.

Diagnostic criteria for 313.81 Oppositional Defiant Disorder
(cautionary statement)
A. A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four (or more) of the following are present:
(1) often loses temper
(2) often argues with adults
(3) often actively defies or refuses to comply with adults' requests or rules
(4) often deliberately annoys people
(5) often blames others for his or her mistakes or misbehavior
(6) is often touchy or easily annoyed by others
(7) is often angry and resentful
( Cool

is often spiteful or vindictive
Note: Consider a criterion met only if the behavior occurs more frequently than is typically observed in individuals of comparable age and developmental level.

B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.

C. The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder.

D. Criteria are not met for Conduct Disorder, and, if the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

DSM-IV & DSM-IV-TR:
Borderline Personality Disorder

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Individuals with this Cluster B Personality Disorder behave impulsively and their relationships, self-image, and emotions are unstable.

Diagnostic criteria for 301.83 Borderline Personality Disorder
(cautionary statement)
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

(1) frantic efforts to avoid real or imagined abandonment.
Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.

(2) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation

(3) identity disturbance: markedly and persistently unstable self-image or sense of self

(4) impulsivity in at least two areas that are potentially self-damaging (e.g., spending, s-e-x, Substance Abuse, reckless driving, binge eating).
Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.

(5) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior

(6) affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)

(7) chronic feelings of emptiness

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inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)

(9) transient, stress-related paranoid ideation or severe dissociative symptoms

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

DSM-IV: Conduct Disorder

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This mental disorder may be diagnosed when a child seriously misbehaves with aggressive or nonaggressive behaviors against people, animals or property that may be characterized as belligerent, destructive, threatening, physically cruel, deceitful, disobedient, or dishonest. This may include stealing, intentional injury, and forced sexual activity.

Diagnostic criteria for 312.8 Conduct Disorder (new code as of 10/01/96: 312.xx)
(cautionary statement)
A. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months:

Aggression to people and animals

(1) often bullies, threatens, or intimidates others
(2) often initiates physical fights
(3) has used a weapon that can cause serious physical harm to others (e.g., abat, brick, broken bottle, knife, gun)
(4) has been physically cruel to people
(5) has been physically cruel to animals
(6) has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery)
(7) has forced someone into sexual activity

Destruction of property

( Cool

has deliberately engaged in fire setting with the intention of causing serious damage
(9) has deliberately destroyed others' property (other than by fire setting)

Deceitfulness or theft

(10) has broken into someone else's house, building, or car
(11) often lies to obtain goods or favors or to avoid obligations (i.e., "cons" others)
(12) has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery)

Serious violations of rules

(13) often stays out at night despite parental prohibitions, beginning before age 13 years
(14) has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning for a lengthy period)
(15) is often truant from school, beginning before age 13 years

B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.

C. If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.

Specify type based on age at onset:

Childhood-Onset Type: onset of at least one criterion characteristic of Conduct Disorder prior to age 10 years (new code as of 10/01/96: 312.81)

Adolescent-Onset Type: absence of any criteria characteristic of Conduct Disorder prior to age 10 years (new code as of 10/01/96: 312.82)

(new code as of 10/01/96: 312.89 Unspecified Onset)

Specify severity:

Mild: few if any conduct problems in excess of those required to make the diagnosis and conduct problems cause only minor harm to others

Moderate: number of conduct problems and effect on others intermediate between "mild" and "severe"

Severe: many conduct problems in excess of those required to make the diagnosis or conduct problems cause considerable harm to others

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

DSM-IV & DSM-IV-TR:
Physical Abuse of Child (V61.21)

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Intentional physical mistreatment of a child.

Also: battered-child syndrome, physical abuse

Books and Other Media:
Follow the hypertext link to purchase items.

Radio Flyer DVD Lorraine Bracco, John Heard 1992
Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

DSM-IV & DSM-IV-TR:
Sexual Abuse of Child (V61.21)

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Sexual contact between a child and another individual (child or adult) with greater power.

Also: sexual molestation

Books and Other Media:
Follow the hypertext link to purchase items.

The Butterfly Effect DVD Ashton Kutcher, Melora Walters 2004
The Celebration DVD Henning Moritzen 1998
Things Behind the Sun DVD Aria Alpert 2001
Monsoon Wedding DVD 2001 Naseeruddin Shah, Lillete Dubey
The Woodsman Kevin Bacon, Kyra Sedgwick, Hannah Pilkes, Michael Shannon 2004
Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

DSM-IV & DSM-IV-TR:
Physical Abuse of Adult (V61.1)

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Intentional physical mistreatment of an adult.

Also: physical abuse

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

DSM-IV: Brief Psychotic Disorder

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This mental disorder is diagnosed when psychotic symptoms such as delusions, hallucinations, or disorganized or catatonic speech or behavior are present for less than a month and resolve completely.

Diagnostic criteria for 298.8 Brief Psychotic Disorder (cautionary statement)
A. Presence of one (or more) of the following symptoms:

(1) delusions
(2) hallucinations
(3) disorganized speech (e.g., frequent derailment or incoherence)
(4) grossly disorganized or catatonic behavior Note: Do not include a symptom if it is a culturally sanctioned response pattern.

B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.

C. The disturbance is not better accounted for by a Mood Disorder With Psychotic Features, Schizoaffective Disorder, or Schizophrenia and is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
Specify if:
With Marked Stressor(s) (brief reactive psychosis): if symptoms occur shortly after and apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person's culture
Without Marked Stressor(s): if psychotic symptoms do not occur shortly after, or are not apparently in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the person's culture
With Postpartum Onset: if onset within 4 weeks postpartum

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

abusive personality

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This label implies that individuals who behave toward others in a physically or otherwise abusive manner may exhibit a pattern of personality traits.

Also: personality disorder

DSM-IV: Impulse-Control Disorders

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Individuals with these mental disorders suffer from recurrent failure to resist impulsive behaviors that may be harmful to themselves or others.

These include: Intermittent Explosive Disorder | Kleptomania | Pathological Gambling | Pyromania | Trichotillomania

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994

psychopathology: self mutilation

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Intentional self injury may involve for example cutting, scratching, tattooing, or thermal or chemical burning.

DSM-IV: Pyromania

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Individuals with this impulse-control disorder recurrently fail to resist impulses to deliberately start fires. They experience fascination with fire, its consequences and related activities. Setting the fires may provide relief or gratification related to tension experienced prior to the act.

Diagnostic criteria for 312.33 Pyromania
(cautionary statement)
A. Deliberate and purposeful fire setting on more than one occasion.

B. Tension or affective arousal before the act.

C. Fascination with, interest in, curiosity about, or attraction to fire and its situational contexts (e.g., paraphernalia, uses, consequences).

D. Pleasure, gratification, or relief when setting fires, or when witnessing or participating in their aftermath.

E. The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one's living circumstances, in response to a delusion or a hallucination, or as a result of impaired judgment (e.g., in Dementia, Mental Retardation, Substance Intoxication).

F. The fire setting is not better accounted for by Conduct Disorder, a Manic Episode, or Antisocial Personality Disorder.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Also: pyromaniac

DSM-IV: Kleptomania

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Individuals with this Impulse-Control Disorder recurrently fail to resist impulsive stealing of objects with no other motivation than the relief or pleasure resulting from the act of stealing itself.

Diagnostic criteria for 312.32 Kleptomania
(cautionary statement)
A. Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value.

B. Increasing sense of tension immediately before committing the theft.

C. Pleasure, gratification, or relief at the time of committing the theft.

D. The stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination.

E. The stealing is not better accounted for by Conduct Disorder, a Manic Episode, or Antisocial Personality Disorder.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Also: cleptomania, cleptomaniac, kleptomaniac

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social skills

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Social or people skills include all the skills used in relating to others individually or in groups.

DSM-IV & DSM-IV-TR:
Pathological Gambling

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Individuals with this Impulse-Control Disorder recurrently fail to resist gambling to such an extent that it leads to disruption of major life pursuits.

Diagnostic criteria for 312.31 Pathological Gambling
(cautionary statement)
A. Persistent and recurrent maladaptive gambling behavior as indicated by five (or more) of the following:

(1) is preoccupied with gambling (e.g., preoccupied with reliving past gambling experiences, handicapping or planning the next venture, or thinking of ways to get money with which to g-a-m-b-l-e)
(2) needs to g-a-m-b-l-e with increasing amounts of money in order to achieve the desired excitement
(3) has repeated unsuccessful efforts to control, cut back, or stop gambling
(4) is restless or irritable when attempting to cut down or stop gambling
(5) gambles as a way of escaping from problems or of relieving a dysphoric mood (e.g., feelings of helplessness, guilt, anxiety, depression)
(6) after losing money gambling, often returns another day to get even ("chasing" one's losses)
(7) lies to family members, therapist, or others to conceal the extent of involvement with gambling
( Cool

has committed illegal acts such as forgery, fraud, theft, or embezzlement to finance gambling
(9) has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling
(10) relies on others to provide money to relieve a desperate financial situation caused by gambling

B. The gambling behavior is not better accounted for by a Manic Episode.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Also: compulsive gambling

Gamblers Anonymous

***DSM-IV & DSM-IV-TR:
Intermittent Explosive Disorder (IED)

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Individuals with this Impulse-Control Disorder recurrently fail to resist impulsive aggressive destruction of property or assault of other persons far in excess of what might be considered appropriate with respect to any precipitating event.

Diagnostic criteria for 312.34 Intermittent Explosive Disorder
(cautionary statement)
A. Several discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property.

B. The degree of aggressiveness expressed during the episodes is grossly out of proportion to any precipitating psychosocial stressors.

C. The aggressive episodes are not better accounted for by another mental disorder (e.g., Antisocial Personality Disorder, Borderline Personality Disorder, a Psychotic Disorder, a Manic Episode, Conduct Disorder, or Attention-Deficit/Hyperactivity Disorder) and are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma, Alzheimer's disease).

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

DSM-IV: Transvestic Fetishism

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Heterosexual males with this paraphilia dress in female clothes (cross-dress) to produce or enhance sexual arousal, usually without a real partner, but with the fantasy that they are the female partner as well.

Diagnostic criteria for 302.3 Transvestic Fetishism
(cautionary statement)
A. Over a period of at least 6 months, in a heterosexual male, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing.

B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Specify if:

With Gender Dysphoria: if the person has persistent discomfort with gender role or identity

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Also: cross dress, crossdress, transvestite

DSM-IV & DSM-IV-TR:
Trichotillomania

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Individuals with this Impulse-Control Disorder recurrently fail to resist impulses to pull out their own hair. Pulling hair may provide relief or gratification related to tension experienced prior to the act.

Diagnostic criteria for 312.39 Trichotillomania
(cautionary statement)
A. Recurrent pulling out of one's hair resulting in noticeable hair loss.

B. An increasing sense of tension immediately before pulling out the hair or when attempting to resist the behavior.

C. Pleasure, gratification, or relief when pulling out the hair.

D. The disturbance is not better accounted for by another mental disorder and is not due to a general medical condition (e.g., a dermatological condition).

E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

Substance Withdrawal Delirium

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When Delirium occurs within hours or days after Withdrawal from certain drugs diagnosis of this Substance-Related Disorder may be appropriate.

Diagnostic criteria for Substance Withdrawal Delirium
(cautionary statement)
A. Disturbance of consciousness (i.e., reduced clarity of awareness of the environment) with reduced ability to focus, sustain, or shift attention.

B. A change in cognition (such as memory deficit, disorientation, language disturbance) or the development of a perceptual disturbance that is not better accounted for by a preexisting, established, or evolving dementia.

C. The disturbance develops over a short period of time (usually hours to days) and tends to fluctuate during the course of the day.

D. There is evidence from the history, physical examination, or laboratory findings that the symptoms in Criteria A and B developed during, or shortly after, a withdrawal syndrome.

Note: This diagnosis should be made instead of a diagnosis of Substance Withdrawal only when the cognitive symptoms are in excess of those usually associated with the withdrawal syndrome and when the symptoms are sufficiently severe to warrant independent clinical attention.

Code [Specific Substance] Withdrawal Delirium:

(291.0 Alcohol; 292.81 Sedative, Hypnotic, or Anxiolytic; 292.81 Other [or Unknown] Substance)

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Associated with these drugs: alcohol, sedatives, hypnotics

Also: substance induced delirium, DT's, delirium tremens

BehaveNet® Clinical Capsule™:
DSM-IV: Hallucinogen Persisting Perception Disorder (HPPD)

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In this Substance Use Disorder perceptual disturbances, most often visual hallucinations, may be reexperienced in the absence of hallucinogenic drugs long after the original experience.

Diagnostic criteria for 292.89 Hallucinogen Persisting Perception Disorder (Flashbacks)
(cautionary statement)
A. The reexperiencing, following cessation of use of a hallucinogen, of one or more of the perceptual symptoms that were experienced while intoxicated with the hallucinogen (e.g., geometric hallucinations, false perceptions of movement in the peripheral visual fields, flashes of color, intensified colors, trails of images of moving objects, positive afterimages, halos around objects, macropsia, and micropsia).

B. The symptoms in Criterion A cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. The symptoms are not due to a general medical condition (e.g., anatomical lesions and infections of the brain, visual epilepsies) and are not better accounted for by another mental disorder (e.g., Delirium, Dementia, Schizophrenia) or hypnopompic hallucinations.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

Clinical Capsules™
Terminology of Behavioral Health Care

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Other Terminology Resources

Credit: Hierarchies, lists, many to one, one to many, synonyms, antonyms, eponyms, generics, trade names, ad infinitum. Nothing has enabled free and comprehensive organization of the varied relationships of the terms of behavioral health care until Tim Berners-Lee put hypertext on the computer Internet. Thank you first of all Tim. Thanks also to Linda for making this possible and for the publishers and authors whose contributions are explicitly credited on each page. All definitions and other text not explicitly credited were written by psychiatrist H. Berryman Edwards, MD.

Wink

Posted: Sun Mar 01, 2009 10:32 am

HOW,WHO,WHAT,WHERE,WHEN & why??

forensic: insanity defense

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The response of a criminal defendant requesting to be excused for misconduct on the basis of mental condition. The American Law Institute test and M'Naghten tests are the two most widely utilized insanity defense standards.*

Also: not guilty by reason of insanity (NGRI)

wild beast
Durham rule
irresistible impulse | volitional arm
cognitive arm
federal rule of 1984

forensic: defendant

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In criminal law the party accused of a crime; in civil law the party accused of having damaged the plaintiff.

forensic: American Law Institute test

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Section 4.01 of the ALI's Model Penal Code provided this test for the insanity defense:

"A person is not responsible for his criminal conduct if at the time of such conduct as a result of mental disease or defect he lacks substantial capacity to appreciate the criminality of his conduct [cognitive arm] or to conform his conduct to the requirements of law [volitional arm]."

forensic: M'Naughten rule

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This rule applied to the insanity defense grew out of an 1843 English murder case: "...at the time of the committing of the act, the party accused was labouring under such a defect of reason, from disease of the mind, as not to know the nature and quality of the act he was doing; or, if he did know it that he did not know he was doing what was wrong."

Also: McNaughtan, McNaughten, M'Naghten test

forensic: physical abuse

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Non-accidental physical behavior inflicted by a person in a trusted or responsible relationship with the victim which may be unwanted and which may lead to emotional or physical injury. This commonly involves striking or restraint of the victim. This may also include allowing or creating situations where this occurs.

psychopathology: homicidal

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Relating to killing of another person or person, as in "homicidal ideas." Prone to kill or judged to be at risk of killing another person or persons.

pathological liar

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This popular term implies (compulsive or frequent) lying arising out of sickness (pathology) but may be used more often in a derogatory rather than caring manner.

psychopathology: compulsion

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A compulsion is a forced behavior repeated in spite of its inappropriateness, or unreasonableness and associated discomfort in response to an obsession. The repeated behavior can be disabling.

Also: obsessive-compulsive disorder, obsession

cognition

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Thinking, memory and other functions of the mind.

Also: cognitive function

memory

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The cognitive function of capture, registration, assimilation, retention, and retrieval of mental, emotional, and physiological information.

Also: anamnesis, amnesia

Psychopathology psychotherapy intervention
Any action or inaction, including verbal and nonverbal behavior,with the purpose of advancing treatment. taken by a psychotherapist

This term, often abbreviated to "therapist," encompasses all those professionals who use psychotherapy to treat mental disorders.

Any action or inaction, including verbal and nonverbal behavior, taken by a psychotherapist with the purpose of advancing treatment.psychoanalysis: rationalization

Through this defense mechanism one may attempt to resolve an emotional conflict by appeal to reason, thus obscuring a true motivation.

psychopathology:
The specific manifestations (morbid or sick behaviors, thoughts, emotions) of mental disorders or their scientific study.

Also: abnormal psychology

alogia
Poverty of thinking evidenced either by poverty of speech or by poverty of content of speech.

Disturbance of thought content or form. Delusional thinking is an example of the former. The latter is referred to as a formal thought disorder and is exemplified by derailment.

psychopathology: involuntary emotional expression disorder (IEED)
Uncontrolled crying or laughter characterize this form of labile affect associated with a variety of neurological disorders

Also: emotionalism, emotional dyscontrol, emotional incontinence, inappropriate hilarity, pathological emotionalism, pseudobulbar affec
mental disorder
Behavioral health care professionals This term encompasses health care for both mental (psychiatric) and substance use disorders.

Also: psychiatry, substance abuse, mental health, mental illness

call disorders, illnesses or diseases that have prominent emotional, behavioral, and psychological symptoms mental disorders. These include substance use disorders and disorders associated with physical changes or illnesses, many of which directly affect the brain. For most of these disorders, however, physical causes have not been demonstrated or are poorly understood, even though biological treatments (e.g. drugs) may be effective in treating them. They may be distinguished from and classified separately from the personality disorders, or the term may be used in such a way as to include personality disorders.

Terms for specific mental disorders include those officially recognized by the American Psychiatric Association as well as other more traditional terms. They are formally classified in the APA DSM IV-TR: DSM-IV-TR Diagnoses by Category

APA Diagnostic Classification
DSM-IV-TR

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Adjustment Disorders | Anxiety Disorders | Delirium, Dementia, and Amnestic and Other Cognitive Disorders | Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence | Dissociative Disorders | Eating Disorders | Factitious Disorders | Impulse-Control Disorders | Mental Disorders Due to a General Medical Condition | Mood Disorders | Other Conditions That May Be a Focus of Clinical Attention | Personality Disorders | Schizophrenia and Other Psychotic Disorders | Sexual and Gender Identity Disorders | Sleep Disorders | Somatoform Disorders | Substance-Related Disorders

Numeric codes appear on linked pages and in parentheses following diagnoses which are not linked.
Complete Numerical Listing of Codes and Diagnoses:
DSM-IV-TR
DSM-IV-TR Diagnoses with changed criteria

The listing below is intended only to provide organized access to disorder pages. It is not intended to be complete, or to take the place of the manual published by the American Psychiatric Press.

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Axis I: Clinical Disorders; Other Conditions That May Be a Focus of Clinical Attention
Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence
Mental Retardation (Coded on Axis II)
Learning Disorders: Mathematics Disorder | Reading Disorder | Disorder of Written Expression | Learning Disorder NOS (315.9)
Motor Skills Disorders: Developmental Coordination Disorder
Communication Disorders: Expressive Language Disorder | Phonological Disorder | Mixed Receptive-Expressive Language Disorder | Stuttering | Communication Disorder NOS (307.9)
Pervasive Developmental Disorders: Asperger's Disorder | Autistic Disorder | Childhood Disintegrative Disorder | Rett's Disorder | Pervasive Developmental Disorder (Including Atypical Autism) NOS (299.80)
Attention-Deficit and Disruptive Behavior Disorders: Attention-Deficit/Hyperactivity Disorder | Conduct Disorder | Oppositional Defiant Disorder | Disruptive Behavior Disorder NOS (312.9)
Feeding and Eating Disorders of Infancy or Early Childhood: Feeding Disorder of Infancy or Early Childhood | Pica | Rumination Disorder
Tic Disorders: Chronic Motor or Vocal Tic Disorder | Tourette's Disorder | Tic Disorder NOS (307.20)
Elimination Disorders: Encopresis | Enuresis
Other Disorders of Infancy, Childhood, or Adolescence: Selective Mutism | Separation Anxiety Disorder | Reactive Attachment Disorder of Infancy or Early Childhood | Stereotypic Movement Disorder | Disorder of Infancy, Childhood, or Adolescence NOS (313.9)
Delirium, Dementia, and Amnestic and Other Cognitive Disorders
Delirium | Delirium Due to a General Medical Condition | Substance Intoxication Delirium | Substance Withdrawal Delirium | Delirium Due to Multiple Etiologies | Delirium NOS (780.09)
Dementia: Alzheimer's | Creutzfeldt-Jakob Disease | Head Trauma | Huntington's Disease | HIV Disease | Parkinson's Disease | Pick's Disease | Substance-Induced Persisting | Vascular | Dementia Due to Other General Medical Conditions | Dementia Due to Multiple Etiologies | Dementia NOS (294. Cool

Amnestic Disorders: Amnestic Disorder Due to a General Medical Condition | Substance-Induced Persisting Amnestic Disorder | Amnestic Disorder NOS (294. Cool

| Mixed Disturbance of Emotions and Conduct (309.4) | Unspecified (309.9)

Axis II: Personality Disorders | NOS
Cluster A: Paranoid | Schizoid | Schizotypal
Cluster B: Antisocial | Borderline | Histrionic | Narcissistic
Cluster C: Avoidant | Dependent | Obsessive-Compulsive
Personality Disorder NOS (301.9)

Other Conditions That May Be a Focus of Clinical Attention
Psychological Factors Affecting Medical Condition
Medication-Induced Movement Disorders: Neuroleptic Induced Parkinsonism | Neuroleptic Malignant Syndrome | Neuroleptic Induced Acute Dystonia | Neuroleptic Induced Acute Akathisia | Neuroleptic Induced Tardive Dyskinesia | Medication Induced Postural Tremor | Medication-Induced Movement Disorder NOS (333.90)
Other Medication-Induced Disorder: Adverse Effects of Medication NOS (995.2)
Relational Problems: Related to a Mental Disorder or General Medical Condition (V61.9) | Parent-Child (V61.20) | Partner (V61.1) | Sibling (V61. Cool

| NOS
Problems Related to Abuse or Neglect: Physical Abuse of Child (V61.21) | Sexual Abuse of Child (V61.21) | Neglect of Child (V61.21) | Physical Abuse of Adult (V61.1) | Sexual Abuse of Adult (V61.1)
Additional Conditions that May Be a Focus of Clinical Attention: Noncompliance with treatment (V15.81) | Malingering | Adult Antisocial Behavior (V71.01) | Child or Adolescent Antisocial Behavior (V71.02) | Borderline Intellectual Functioning (V62.89) | Age-Related Cognitive Decline (780.9) | Bereavement | Academic Problem (V62.3) | Occupational Problem (V62.2) | Identity Problem (313.82) | Religious or Spiritual Problem (V62.89) | Acculturation Problem (V62.4) | Phase of Life Problem (V62.89)
Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

mental disorder

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Behavioral health care professionals call disorders, illnesses or diseases that have prominent emotional, behavioral, and psychological symptoms mental disorders. These include substance use disorders and disorders associated with physical changes or illnesses, many of which directly affect the brain. For most of these disorders, however, physical causes have not been demonstrated or are poorly understood, even though biological treatments (e.g. drugs) may be effective in treating them. They may be distinguished from and classified separately from the personality disorders, or the term may be used in such a way as to include personality disorders.

Terms for specific mental disorders include those officially recognized by the American Psychiatric Association as well as other more traditional terms. They are formally classified in the APA DSM IV-TR: DSM-IV-TR Diagnoses by Category

primary psychiatric disorder | secondary psychiatric disorder

BehaveNet® Clinical Capsule™:
Personality Disorder (APA DSM-IV & DSM-IV-TR Axis II)

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Everyone has a personality with character traits such as stinginess, generosity, arrogance and independence. But when these traits are rigid and self-defeating, they may interfere with functioning and even lead to psychiatric symptoms. Personality traits are formed by early adulthood, persist throughout life and affect every aspect of day to day behavior. Individuals with personality disorders often blame others for their problems.

Although professionals identify distinct personality disorders (anti-social, borderline, schizotypal, et al), some personality disordered individuals may not fit in a particular category and yet may clearly deserve this label.

Although classified as mental disorders they may be classified separately and distinguished from the Axis I Clinical Syndromes for some purposes.

General diagnostic criteria for a Personality Disorder
(cautionary statement)
A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture. This pattern is manifested in two (or more) of the following areas:

(1) cognition (i.e., ways of perceiving and interpreting self, other people, and events)
(2) affectivity (i.e., the range, intensity, lability, and appropriateness of emotional response)
(3) interpersonal functioning
(4) impulse control

B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations.

C. The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The pattern is stable and of long duration and its onset can be traced back at least to adolescence or early adulthood.

E. The enduring pattern is not better accounted for as a manifestation or consequence of another mental disorder.

F. The enduring pattern is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma).

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

Also: character disorder, characterological

DSM-IV-TR personality disorders:

Cluster A: Paranoid | Schizoid | Schizotypal
Cluster B: Antisocial | Borderline | Histrionic | Narcissistic
Cluster C: Avoidant | Dependent | Obsessive-Compulsive
Other personality disorders: depressive | passive-aggressive | self-defeating
Wink

Posted: Sun Mar 01, 2009 10:38 am

http://www.behavenet.com/capsules/disorders/mntldsrdr.htm

Posted: Sun Mar 01, 2009 11:07 am

mental disorder
http://www.behavenet.com/capsules/--------------------------------------------------------------------------------
[urlhttp://www.behavenet.com/capsules/disorders/dsm4TRclassification./url]

Behavioral health care professionals call disorders, illnesses or diseases that have prominent emotional, behavioral, and psychological symptoms mental disorders. These include substance use disorders and disorders associated with physical changes or illnesses, many of which directly affect the brain. For most of these disorders, however, physical causes have not been demonstrated or are poorly understood, even though biological treatments (e.g. drugs) may be effective in treating them. They may be distinguished from and classified separately from the personality disorders, or the term may be used in such a way as to include personality disorders.
[url] http://www.behavenet.com/capsules/index.htm[/url]Terms for specific mental disorders include those officially recognized by the American Psychiatric Association as well as other more traditional terms. They are formally classified in the APA DSM IV-TR: DSM-IV-TR Diagnoses by Category
APA Diagnostic Classification
DSM-IV-TR

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Adjustment Disorders | Anxiety Disorders | Delirium, Dementia, and Amnestic and Other Cognitive Disorders | Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence | Dissociative Disorders | Eating Disorders | Factitious Disorders | Impulse-Control Disorders | Mental Disorders Due to a General Medical Condition | Mood Disorders | Other Conditions That May Be a Focus of Clinical Attention | Personality Disorders | Schizophrenia and Other Psychotic Disorders | Sexual and Gender Identity Disorders | Sleep Disorders | Somatoform Disorders | Substance-Related Disorders

Numeric codes appear on linked pages and in parentheses following diagnoses which are not linked.
omplete Numerical Listing of Codes and Diagnoses:C Wink

DSM-IV-TR
DSM-IV-TR Diagnoses with changed criteria

The listing below is intended only to provide organized access to disorder pages. It is not intended to be complete, or to take the place of the manual published by the American Psychiatric Press.

--------------------------------------------------------------------------------

Axis I: Clinical Disorders; Other Conditions That May Be a Focus of Clinical Attention
Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence
Mental Retardation (Coded on Axis II)
Learning Disorders: Mathematics Disorder | Reading Disorder | Disorder of Written Expression | Learning Disorder NOS (315.9)
Motor Skills Disorders: Developmental Coordination Disorder
Communication Disorders: Expressive Language Disorder | Phonological Disorder | Mixed Receptive-Expressive Language Disorder | Stuttering | Communication Disorder NOS (307.9)
Pervasive Developmental Disorders: Asperger's Disorder | Autistic Disorder | Childhood Disintegrative Disorder | Rett's Disorder | Pervasive Developmental Disorder (Including Atypical Autism) NOS (299.80)
Attention-Deficit and Disruptive Behavior Disorders: Attention-Deficit/Hyperactivity Disorder | Conduct Disorder | Oppositional Defiant Disorder | Disruptive Behavior Disorder NOS (312.9)
Feeding and Eating Disorders of Infancy or Early Childhood: Feeding Disorder of Infancy or Early Childhood | Pica | Rumination Disorder
Tic Disorders: Chronic Motor or Vocal Tic Disorder | Tourette's Disorder | Tic Disorder NOS (307.20)
Elimination Disorders: Encopresis | Enuresis
Other Disorders of Infancy, Childhood, or Adolescence: Selective Mutism | Separation Anxiety Disorder | Reactive Attachment Disorder of Infancy or Early Childhood | Stereotypic Movement Disorder | Disorder of Infancy, Childhood, or Adolescence NOS (313.9)
Delirium, Dementia, and Amnestic and Other Cognitive Disorders
Delirium | Delirium Due to a General Medical Condition | Substance Intoxication Delirium | Substance Withdrawal Delirium | Delirium Due to Multiple Etiologies | Delirium NOS (780.09)
Dementia: Alzheimer's | Creutzfeldt-Jakob Disease | Head Trauma | Huntington's Disease | HIV Disease | Parkinson's Disease | Pick's Disease | Substance-Induced Persisting | Vascular | Dementia Due to Other General Medical Conditions | Dementia Due to Multiple Etiologies | Dementia NOS (294. Cool

Amnestic Disorders: Amnestic Disorder Due to a General Medical Condition | Substance-Induced Persisting Amnestic Disorder | Amnestic Disorder NOS (294. Cool

| Mixed Disturbance of Emotions and Conduct (309.4) | Unspecified (309.9)

Axis II: Personality Disorders | NOS
Cluster A: Paranoid | Schizoid | Schizotypal
Cluster B: Antisocial | Borderline | Histrionic | Narcissistic
Cluster C: Avoidant | Dependent | Obsessive-Compulsive
Personality Disorder NOS (301.9)

Other Conditions That May Be a Focus of Clinical Attention
Psychological Factors Affecting Medical Condition
Medication-Induced Movement Disorders: Neuroleptic Induced Parkinsonism | Neuroleptic Malignant Syndrome | Neuroleptic Induced Acute Dystonia | Neuroleptic Induced Acute Akathisia | Neuroleptic Induced Tardive Dyskinesia | Medication Induced Postural Tremor | Medication-Induced Movement Disorder NOS (333.90)
Other Medication-Induced Disorder: Adverse Effects of Medication NOS (995.2)
Relational Problems: Related to a Mental Disorder or General Medical Condition (V61.9) | Parent-Child (V61.20) | Partner (V61.1) | Sibling (V61. Cool

| NOS
Problems Related to Abuse or Neglect: Physical Abuse of Child (V61.21) | Sexual Abuse of Child (V61.21) | Neglect of Child (V61.21) | Physical Abuse of Adult (V61.1) | Sexual Abuse of Adult (V61.1)
Additional Conditions that May Be a Focus of Clinical Attention: Noncompliance with treatment (V15.81) | Malingering | Adult Antisocial Behavior (V71.01) | Child or Adolescent Antisocial Behavior (V71.02) | Borderline Intellectual Functioning (V62.89) | Age-Related Cognitive Decline (780.9) | Bereavement | Academic Problem (V62.3) | Occupational Problem (V62.2) | Identity Problem (313.82) | Religious or Spiritual Problem (V62.89) | Acculturation Problem (V62.4) | Phase of Life Problem (V62.89)
Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

Idea

http://www.behavenet.com/capsules/disorders/dsm4TRclassification.htm
BehaveNet® Clinical Capsule™:
DSM-IV-TR: numerical listing of codes and diagnoses
Diagnoses & Criteria by Category

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To maintain compatibility with ICD-9-CM, some DSM-IV-TR diagnoses share the same code numbers.
http://www.behavenet.com/capsules/disorders/dsmivtrcodes.ht
NOS = Not Otherwise Specified
290.40 Vascular Dementia, Uncomplicated
290.41 Vascular Dementia, With Delirium
290.42 Vascular Dementia, With Delusions
290.43 Vascular Dementia, With Depressed Mood
291.0 Alcohol Intoxication Delirium
291.0 Alcohol Withdrawal Delirium
291.1 Alcohol-Induced Persisting Amnestic Disorder

291.2 Alcohol-Induced Persisting Dementia
291.3 Alcohol-Induced Induced Psychotic Disorder, With Hallucinations

291.5 Alcohol-Induced Psychotic Disorder, With Delusions
291.81 Alcohol Withdrawal (new code as of 10/01/96)
291.82 Alcohol-Induced Sleep Disorder (new code as of 10.01.2005)
291.89 Alcohol-Induced Anxiety Disorder (new code as of 10/01/96)
291.89 Alcohol-Induced Mood Disorder (new code as of 10/01/96)
291.89 Alcohol-Induced Sexual Dysfunction (new code as of 10/01/96)
291.89 Alcohol-Induced Sleep Disorder (10.01.1996-10.01.2005)

291.9 Alcohol-Related Disorder NOS
292.0 Amphetamine Withdrawal
292.0 Cocaine Withdrawal
292.0 Nicotine Withdrawal

292.0 Opioid Withdrawal
292.0 Other (or Unknown) Substance Withdrawal
292.0 Sedative, Hypnotic, or Anxiolytic Withdrawal
292.11 Amphetamine-Induced Psychotic Disorder, With Delusions
292.11 Cannabis-Induced Psychotic Disorder, With Delusions

292.11 Cocaine-Induced Psychotic Disorder, With Delusions
292.11 Hallucinogen-Induced Psychotic Disorder, With Delusions
292.11 Inhalant-Induced Psychotic Disorder, With Delusions
292.11 Opioid-Induced Psychotic Disorder, With Delusions
292.11 Other (or Unknown) Substance Induced Psychotic Disorder, With Delusions
292.11 Phencyclidine-Induced Psychotic Disorder, With Delusions

292.11 Sedative, Hypnotic, or Anxiolytic-Induced Psychotic Disorder, With Delusions
292.12 Amphetamine-Induced Psychotic Disorder, With Hallucinations
292.12 Cannabis-Induced Psychotic Disorder, With Hallucinations
292.12 Cocaine-Induced Psychotic Disorder, With Hallucinations

292.12 Hallucinogen-Induced Psychotic Disorder, With Hallucinations
292.12 Inhalant-Induced Psychotic Disorder, With Hallucinations
292.12 Opioid-Induced Psychotic Disorder, With Hallucinations
292.12 Other (or Unknown) Substance-Induced Psychotic Disorder, With Hallucinations
292.12 Phencyclidine-Induced Psychotic Disorder, With Hallucinations
292.12 Sedative, Hypnotic, or Anxiolytic-Induced Psychotic Disorder, With Hallucinations
292.81 Amphetamine Intoxication Delirium
292.81 Cannabis Intoxication Delirium
292.81 Cocaine Intoxication Delirium
292.81 Hallucinogen Intoxication Delirium
292.81 Inhalant Intoxication Delirium
292.81 Opioid Intoxication Delirium
292.81 Other (or Unknown) Intoxication Delirium
292.81 Phencyclidine Intoxication Delirium
292.81 Sedative, Hypnotic, or Anxiolytic Intoxication Delirium
292.81 Sedative, Hypnotic, or Anxiolytic Withdrawal Delirium
292.82 Inhalant-Induced Persisting Dementia
292.82 Other (or Unknown) Substance-Induced Persisting Dementia
292.82 Sedative, Hypnotic, or Anxiolytic-Induced Persisting Dementia
292.83 Other (or Unknown) Substance-Induced Persisting Amnestic Disorder
292.83 Sedative, Hypnotic, or Anxiolytic-Induced Persisting Amnestic Disorder
292.84 Amphetamine-Induced Mood Disorder
292.84 Cocaine-Induced Mood Disorder
292.84 Hallucinogen-Induced Mood Disorder
292.84 Inhalant-Induced Mood Disorder
292.84 Opioid-Induced Mood Disorder
292.84 Other (or Unknown) Substance-Induced Mood Disorder
292.84 Phencyclidine-Induced Mood Disorder
292.84 Sedative, Hypnotic, or Anxiolytic-Induced Mood Disorder
292.85 Amphetamine-Induced Sleep Disorder (new code as of 10.01.2005)
292.85 Caffeine-Induced Sleep Disorder (new code as of 10.01.2005)
292.85 Cocaine-Induced Sleep Disorder (new code as of 10.01.2005)
292.85 Opioid-Induced Sleep Disorder (new code as of 10.01.2005)
292.85 Other (or Unknown) Substance-Induced Sleep Disorder (new code as of 10.01.2005)
292.85 Sedative, Hypnotic, or Anxiolytic-Induced Sleep Disorder (new code as of 10.01.2005)
292.89 Amphetamine-Induced Anxiety Disorder
292.89 Amphetamine-Induced Sexual Dysfunction
292.89 Amphetamine-Induced Sleep Disorder (before 10.01.2005)
292.89 Amphetamine Intoxication
292.89 Caffeine-Induced Anxiety Disorder
292.89 Caffeine-Induced Sleep Disorder (before 10.01.2005)
292.89 Cannabis-Induced Anxiety Disorder
292.89 Cannabis Intoxication
292.89 Cocaine-Induced Anxiety Disorder
292.89 Cocaine-Induced Sexual Dysfunction
292.89 Cocaine-Induced Sleep Disorder (before 10.01.2005)
292.89 Cocaine Intoxication
292.89 Hallucinogen-Induced Anxiety Disorder
292.89 Hallucinogen Intoxication
292.89 Hallucinogen Persisting Perception Disorder
292.89 Inhalant-Induced Anxiety Disorder
292.89 Inhalant Intoxication
292.89 Opioid-Induced Sexual Dysfunction
292.89 Opioid-Induced Sleep Disorder (before 10.01.2005)
292.89 Opioid Intoxication
292.89 Other (or Unknown) Substance-Induced Anxiety Disorder
292.89 Other (or Unknown) Substance-Induced Sexual Dysfunction
292.89 Other (or Unknown) Substance-Induced Sleep Disorder (before 10.01.2005)
292.89 Other (or Unknown) Substance Intoxication
292.89 Phencyclidine-Induced Anxiety Disorder
292.89 Phencyclidine Intoxication
292.89 Sedative, Hypnotic, or Anxiolytic-Induced Anxiety Disorder
292.89 Sedative, Hypnotic, or Anxiolytic-Induced Sexual Dysfunction
292.89 Sedative, Hypnotic, or Anxiolytic-Induced Sleep Disorder (before 10.01.2005)
292.89 Sedative, Hypnotic, or Anxiolytic Intoxication
292.9 Amphetamine-Related Disorder NOS
292.9 Caffeine-Related Disorder NOS
292.9 Cannabis-Related Disorder NOS
292.9 Cocaine-Related Disorder NOS
292.9 Hallucinogen-Related Disorder NOS
292.9 Inhalant-Related Disorder NOS
292.9 Nicotine-Related Disorder NOS
292.9 Opioid-Related Disorder NOS
292.9 Other (or Unknown) Substance-Related Disorder NOS
292.9 Phencyclidine-Related Disorder NOS
292.9 Sedative, Hypnotic, or Anxiolytic-Related Disorder NOS
293.0 Delirium Due to...[Indicate the General Medical Condition]
293.81 Psychotic Disorder Due to...[Indicate the General Medical Condition], With Delusions
293.82 Psychotic Disorder Due to...[Indicate the General Medical Condition] , With Hallucinations
293.83 Mood Disorder Due to...[Indicate the General Medical Condition]
293.84 Anxiety Disorder Due to... (new code as of 10/01/96) [Indicate the General Medical Condition]
293.89 Catatonic Disorder Due to...[Indicate the General Medical Condition]
293.9 Mental Disorder NOS Due to...[Indicate the General Medical Condition]
294.0 Amnestic Disorder Due to...[Indicate the General Medical Condition], Without Behavioral Disturbance
294.10 Dementia Due to...[Indicate the General Medical Condition], Without Behavioral Disturbance
294.10 Dementia of the Alzheimer's Type, With Early Onset, Without Behavioral Disturbance
294.10 Dementia of the Alzheimer's Type, With Late Onset, Without Behavioral Distrubance
294.11 Dementia Due to...[Indicate the General Medical Condition], With Behavioral Disturbance
294.11 Dementia of the Alzheimer's Type, With Early Onset, With Behavioral Disturbance
294.11 Dementia of the Alzheimer's Type, With Late Onset, With Behavioral Disturbance
294.1x Dementia Due to Creutzfeldt-Jakob Disease
294.1x Dementia Due to Head Trauma
294.1x Dementia Due to HIV Disease
294.1x Dementia Due to Huntington's Disease
294.1x Dementia Due to Parkinson's Disease
294.1x Dementia Due to Pick's Disease
294.1x Dementia Due to...[Indicate the General Medical Condition not listed above] (also code the general medical condition on Axis III)
294.8 Amnestic Disorder NOS
294.8 Dementia NOS
294.9 Cognitive Disorder NOS
294.9 Cognitive Disorder (new code as of 10/01/96)
295.10 Schizophrenia, Disorganized Type
295.20 Schizophrenia, Catatonic Type
295.30 Schizophrenia, Paranoid Type
295.40 Schizophreniform Disorder
295.60 Schizophrenia, Residual Type
295.70 Schizoaffective Disorder
295.90 Schizophrenia, Undifferentiated Type
296.00 Bipolar I Disorder, Single Manic Episode, Unspecified
296.01 Bipolar I Disorder, Single Manic Episode, Mild
296.02 Bipolar I Disorder, Single Manic Episode, Moderate
296.03 Bipolar I Disorder, Single Manic Episode, Severe Without Psychotic Features
296.04 Bipolar I Disorder, Single Manic Episode, Severe With Psychotic Features
296.05 Bipolar I Disorder, Single Manic Episode, In Partial Remission
296.06 Bipolar I Disorder, Single Manic Episode, In Full Remission
296.20 Major Depressive Disorder, Single Episode, Unspecified
296.21 Major Depressive Disorder, Single Episode, Mild
296.22 Major Depressive Disorder, Single Episode, Moderate
296.23 Major Depressive Disorder, Single Episode, Severe Without Psychotic Features
296.24 Major Depressive Disorder, Single Episode, Severe With Psychotic Features
296.25 Major Depressive Disorder, Single Episode, In Partial Remission
296.26 Major Depressive Disorder, Single Episode, In Full Remission
296.30 Major Depressive Disorder, Recurrent, Unspecified
296.31 Major Depressive Disorder, Recurrent, Mild
296.32 Major Depressive Disorder, Recurrent, Moderate
296.33 Major Depressive Disorder, Recurrent, Severe Without Psychotic Features
296.34 Major Depressive Disorder, Recurrent, Severe With Psychotic Features
296.35 Major Depressive Disorder, Recurrent, In Partial Remission
296.36 Major Depressive Disorder, Recurrent, In Full Remission
296.40 Bipolar I Disorder, Most Recent Episode Hypomanic
296.40 Bipolar I Disorder, Most Recent Episode Manic, Unspecified
296.41 Bipolar I Disorder, Most Recent Episode Manic, Mild
296.42 Bipolar I Disorder, Most Recent Episode Manic, Moderate
296.43 Bipolar I Disorder, Most Recent Episode Manic, Severe Without Psychotic Features
296.44 Bipolar I Disorder, Most Recent Episode Manic, Severe With Psychotic Features
296.45 Bipolar I Disorder, Most Recent Episode Manic, In Partial Remission
296.46 Bipolar I Disorder, Most Recent Episode Manic, In Full Remission
296.50 Bipolar I Disorder, Most Recent Episode Depressed, Unspecified
296.51 Bipolar I Disorder, Most Recent Episode Depressed, Mild
296.52 Bipolar I Disorder, Most Recent Episode Depressed, Moderate
296.53 Bipolar I Disorder, Most Recent Episode Depressed, Severe Without Psychotic Features
296.54 Bipolar I Disorder, Most Recent Episode Depressed, Severe With Psychotic Features
296.55 Bipolar I Disorder, Most Recent Episode Depressed, In Partial Remission
296.56 Bipolar I Disorder, Most Recent Episode Depressed, In Full Remission
296.60 Bipolar I Disorder, Most Recent Episode Mixed, Unspecified
296.61 Bipolar I Disorder, Most Recent Episode Mixed, Mild
296.62 Bipolar I Disorder, Most Recent Episode Mixed, Moderate
296.63 Bipolar I Disorder, Most Recent Episode Mixed, Severe Without Psychotic Features
296.64 Bipolar I Disorder, Most Recent Episode Mixed, Severe With Psychotic Features
296.65 Bipolar I Disorder, Most Recent Episode Mixed, In Partial Remission
296.66 Bipolar I Disorder, Most Recent Episode Mixed, In Full Remission
296.7 Bipolar I Disorder, Most Recent Episode Unspecified
296.80 Bipolar Disorder NOS
296.89 Bipolar II Disorder
296.90 Mood Disorder NOS
297.1 Delusional Disorder
297.3 Shared Psychotic Disorder
298.8 Brief Psychotic Disorder
298.9 Psychotic Disorder NOS
299.00 Autistic Disorder
299.10 Childhood Disintegrative Disorder
299.80 Asperger's Disorder
299.80 Pervasive Developmental Disorder NOS
299.80 Rett's Disorder
300.00 Anxiety Disorder NOS
300.01 Panic Disorder Without Agoraphobia
300.02 Generalized Anxiety Disorder
300.11 Conversion Disorder
300.12 Dissociative Amnesia
300.13 Dissociative Fugue
300.14 Dissociative Identity Disorder
300.15 Dissociative Disorder NOS
300.16 Factitious Disorder With Predominantly Psychological Signs and Symptoms
300.19 Factitious Disorder NOS
300.19 Factitious Disorder With Combined Psychological and Physical Signs and Symptoms
300.19 Factitious Disorder With Predominantly Physical Signs and Symptoms
300.21 Panic Disorder With Agoraphobia
300.22 Agoraphobia Without History of Panic Disorder
300.23 Social Phobia
300.29 Specific Phobia
300.3 Obsessive-Compulsive Disorder
300.4 Dysthymic Disorder
300.6 Depersonalization Disorder
300.7 Body Dysmorphic Disorder
300.7 Hypochondriasis
300.81 Somatization Disorder
300.82 Somatoform Disorder NOS (new code as of 10/01/96)
300.82 Undifferentiated Somatoform Disorder (new code as of 10/01/96)
300.9 Unspecified Mental Disorder (nonpsychotic)
301.0 Paranoid Personality Disorder
301.13 Cyclothymic Disorder
301.20 Schizoid Personality Disorder
301.22 Schizotypal Personality Disorder
301.4 Obsessive-Compulsive Personality Disorder
301.50 Histrionic Personality Disorder
301.6 Dependent Personality Disorder
301.7 Antisocial Personality Disorder
301.81 Narcissistic Personality Disorder
301.82 Avoidant Personality Disorder
301.83 Borderline Personality Disorder
301.9 Personality Disorder NOS
302.2 Pedophilia
302.3 Transvestic Fetishism
302.4 Exhibitionism
302.6 Gender Identity Disorder in Children
302.6 Gender Identity Disorder NOS
302.70 Sexual Dysfunction NOS
302.71 Hypoactive Sexual Desire Disorder
302.72 Female Sexual Arousal Disorder
302.72 Male Erectile Disorder
302.73 Female Orgasmic Disorder
302.74 Male Orgasmic Disorder
302.75 Premature Ejaculation
302.76 Dyspareunia (Not Due to a General Medical Condition)
302.79 Sexual Aversion Disorder
302.81 Fetishism
302.82 Voyeurism
302.83 Sexual Masochism
302.84 Sexual Sadism
302.85 Gender Identity Disorder in Adolescents or Adults
302.89 Frotteurism
302.9 Paraphilia NOS
302.9 Sexual Disorder NOS
303.00 Alcohol Intoxication
303.90 Alcohol Dependence
304.00 Opioid Dependence
304.10 Sedative, Hypnotic, or Anxiolytic Dependence
304.20 Cocaine Dependence
304.30 Cannabis Dependence
304.40 Amphetamine Dependence
304.50 Hallucinogen Dependence
304.60 Inhalant Dependence
304.60 Phencyclidine Dependence (new code as of 10/01/96)
304.80 Polysubstance Dependence
304.90 Other (or Unknown) Substance Dependence
305.00 Alcohol Abuse
305.10 Nicotine Dependence
305.20 Cannabis Abuse
305.30 Hallucinogen Abuse
305.40 Sedative, Hypnotic, or Anxiolytic Abuse
305.50 Opioid Abuse
305.60 Cocaine Abuse
305.70 Amphetamine Abuse
305.90 Caffeine Intoxication
305.90 Inhalant Abuse
305.90 Other (or Unknown) Substance Abuse
305.90 Phencyclidine Abuse
306.51 Vaginismus (Not Due to a General Medical Condition)
307.0 Stuttering
307.1 Anorexia Nervosa
307.20 Tic Disorder NOS
307.21 Transient Tic Disorder
307.22 Chronic Motor or Vocal Tic Disorder
307.23 Tourette's Disorder
307.3 Stereotypic Movement Disorder
307.42 Insomnia Related to...[Indicate the Axis I or Axis II Disorder] (before 10.01.2005)
307.42 Primary Insomnia
307.44 Hypersomnia Related to...[Indicate the Axis I or Axis II Disorder] (before 10.01.2005)
307.44 Primary Hypersomnia
307.45 Circadian Rhythm Sleep Disorder (before 10.01.2005)
307.46 Sleep Terror Disorder
307.46 Sleepwalking Disorder
307.47 Dyssomnia NOS
307.47 Nightmare Disorder
307.47 Parasomnia NOS
307.50 Eating Disorder NOS
307.51 Bulimia Nervosa
307.52 Pica
307.53 Rumination Disorder
307.59 Feeding Disorder of Infancy or Early Childhood
307.6 Enuresis (Not Due to a General Medical Condition)
307.7 Encopresis, Without Constipation and Overflow Incontinence
307.80 Pain Disorder Associated With Psychological Factors
307.89 Pain Disorder Associated With Both Psychological Factors and a General Medical Condition
307.9 Communication Disorder NOS
308.3 Acute Stress Disorder
309.0 Adjustment Disorder With Depressed Mood
309.21 Separation Anxiety Disorder
309.24 Adjustment Disorder With Anxiety
309.28 Adjustment Disorder With Mixed Anxiety and Depressed Mood
309.3 Adjustment Disorder With Disturbance of Conduct
309.4 Adjustment Disorder With Mixed Disturbance of Emotions and Conduct
309.81 Posttraumatic Stress Disorder
309.9 Adjustment Disorder Unspecified
310.1 Personality Change Due to...[Indicate the General Medical Condition]
311 Depressive Disorder NOS
312.30 Impulse-Control Disorder NOS
312.31 Pathological Gambling
312.32 Kleptomania
312.33 Pyromania
312.34 Intermittent Explosive Disorder
312.39 Trichotillomania
312.81 Conduct Disorder Childhood-Onset Type (new code as of 10/01/96)
312.82 Conduct Disorder Adolescent-Onset Type (new code as of 10/01/96)
312.89 Conduct Disorder Unspecified Onset (new code as of 10/01/96)
312.9 Disruptive Behavior Disorder NOS
313.23 Selective Mutism
313.81 Oppositional Defiant Disorder
313.82 Identity Problem
313.89 Reactive Attachment Disorder of Infancy or Early Childhood
313.9 Disorder of Infancy, Childhood, or Adolescence NOS
314.00 Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type
314.01 Attention-Deficit/Hyperactivity Disorder, Combined Type
314.01 Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type
314.9 Attention-Deficit/Hyperactivity Disorder NOS
315.00 Reading Disorder
315.1 Mathematics Disorder
315.2 Disorder of Written Expression
315.31 Expressive Language Disorder
315.32 Mixed Receptive-Expressive Language Disorder (new code as of 10/01/96)
315.39 Phonological Disorder
315.4 Developmental Coordination Disorder
315.9 Learning Disorder NOS
316... [Specified Psychological Factor] Affecting...[Indicate the General Medical Condition]
317 Mild Mental Retardation
318.0 Moderate Mental Retardation
318.1 Severe Mental Retardation
318.2 Profound Mental Retardation
319 Mental Retardation, Severity Unspecified
327.01 Sleep Disorder Due to...[Indicate the General Medical Condition], Insomnia Type (new code as of 10.01.2005)
327.02 Insomnia Related to...[Indicate the Axis I or Axis II Disorder] (new code as of 10.01.2005)
327.14 Sleep Disorder Due to...[Indicate the General Medical Condition], Hypersomnia Type (new code as of 10.01.2005)
327.15 Hypersomnia Related to...[Indicate the Axis I or Axis II Disorder] (new code as of 10.01.2005)
327.30 Circadian Rhythm Sleep Disorder (unspecified type) new code as of 10.01.2005
327.31 Circadian Rhythm Sleep Disorder (delayed sleep phase type) new code as of 10.01.2005
327.35 Circadian Rhythm Sleep Disorder (jet lag type) new code as of 10.01.2005
327.36 Circadian Rhythm Sleep Disorder (shift work type) new code as of 10.01.2005
327.44 Sleep Disorder Due to...[Indicate the General Medical Condition], Parasomnia Type (new code as of 10.01.2005)
327.8 Sleep Disorder Due to...[Indicate the General Medical Condition], Mixed Type (new code as of 10.01.2005)
332.1 Neuroleptic-Induced Parkinsonism
333.1 Medication-Induced Postural Tremor
333.7 Neuroleptic-Induced Acute Dystonia
333.82 Neuroleptic-Induced Tardive Dyskinesia
333.90 Medication-Induced Movement Disorder NOS
333.92 Neuroleptic Malignant Syndrome
333.99 Neuroleptic-Induced Acute Akathisia
347.00 Narcolepsy
607.84 Male Erectile Disorder Due to...[Indicate the General Medical Condition]
608.89 Male Dyspareunia Due to...[Indicate the General Medical Condition
608.89 Male Hypoactive Sexual Desire Disorder Due to...[Indicate the General Medical Condition
608.89 Other Male Sexual Dysfunction Due to...[Indicate the General Medical Condition
625.0 Female Dyspareunia Due to...[Indicate the General Medical Condition
625.8 Female Hypoactive Sexual Desire Disorder Due to...[Indicate the General Medical Condition
625.8 Other Female Sexual Dysfunction Due to...[Indicate the General Medical Condition
780.09 Delirium NOS
780.52 Sleep Disorder Due to...[Indicate the General Medical Condition], Insomnia Type (before 10.01.2005)
780.54 Sleep Disorder Due to...[Indicate the General Medical Condition], Hypersomnia Type (before 10.01.2005)
780.57 Breathing-Related Sleep Disorder (new code as of 10.01.2005)
780.59 Breathing-Related Sleep Disorder (before 10.01.2005)
780.59 Sleep Disorder Due to...[Indicate the General Medical Condition], Mixed Type
780.59 Sleep Disorder Due to...[Indicate the General Medical Condition], Parasomnia Type (before 10.01.2005)
780.9 Age-Related Cognitive Decline
787.6 Encopresis, With Constipation and Overflow Incontinence
799.9 Diagnosis Deferred on Axis II
799.9 Diagnosis or Condition Deferred on Axis I
995.2 Adverse Effects of Medication NOS
995.52 Neglect of Child (if focus of attention is on victim) (new code as of 10/01/96)
995.53 Sexual Abuse of Child (if focus of attention is on victim) (new code as of 10/01/96)
995.54 Physical Abuse of Child (if focus of attention is on victim) (new code as of 10/01/96)
995.81 Physical Abuse of Adult (if focus of attention is on victim)
995.83 Sexual Abuse of Adult (if focus of attention is on victim) (new code as of 10/01/96)
V15.81 Noncompliance With Treatment
V61.10 Partner Relational Problem (new code as of 10/01/96)
V61.12 Physical Abuse of Adult (if by partner) (new code as of 10/01/96)
V61.12 Sexual Abuse of Adult (if by partner) (new code as of 10/01/96)
V61.20 Parent-Child Relational Problem
V61.21 Neglect of Child
V61.21 Physical Abuse of Child
V61.21 Sexual Abuse of Child
V61.8 Sibling Relational Problem
V61.9 Relational Problem Related to a Mental Disorder or General Medical Condition
V62.2 Occupational Problem
V62.3 Academic Problem
V62.4 Acculturation Problem
V62.81 Relational Problem NOS
V62.82 Bereavement
V62.83 Physical Abuse of Adult (if by person other than partner) (new code as of 10/01/96)
V62.83 Sexual Abuse of Adult (if by person other than partner) (new code as of 10/01/96)
V62.89 Borderline Intellectual Functioning
V62.89 Phase of Life Problem
V62.89 Religious or Spiritual Problem
V65.2 Malingering
V71.01 Adult Antisocial Behavior
V71.02 Child or Adolescent Antisocial Behavior
V71.09 No Diagnosis on Axis II
V71.09 No Diagnosis or Condition on Axis I
http://www.behavenet.com/capsules/disorders/dsmivtrcodes.htm
Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

http://www.behavenet.com/capsules/

Posted: Mon Mar 02, 2009 3:50 am

IMO it looks as if some defense attorneys and public defenders considered themselves behavioral health care professionals as they seem to discover previous undiagnosed mental illness during initial jail house interviews especially when the death penalty is on the table thus filing motion after motion delaying trials for years bringing justice delayed is justice denied to mind. As I stated this is my opinion based on my own observations and as always forum members are encouraged to express their views.

Lawman this s lot of information to digest, how can members use this information within the scope of this forum?

Posted: Mon Mar 02, 2009 6:46 am

LM,
I'm truly impressed. I know you just rattled this off from the top of you're head Very Happy

Imagine if you had access to reference material Very Happy

WM,
The difficulty with dealing with mental illness/disorders is that so many behaviors/characteristics overlap. (I know that you have read and memorized every word of LM's post so that you have already recognized this pattern!)
The DSM takes an almost empirical approach to the diagnosis of mental illness - i.e. DSM will read : pt over the age of 18 will exhibit 3 or more symptoms for 2 weeks or more in order to determine a diagnosis. Psychiatry/Psychology are not true sciences, although with the advances of technology in Nueroimaging (the PET and SPECT scans etc.), it is now possible to visualize metabolic and structural abnormalities in the brain and correlate that with behavior.

It is relatively rare to see someone with an isolated mental illness. Some behaviors overlap so much that it becomes classified as a separate diagnosis i.e. SchizoAffective Disorder has components of both schizophrenia and Mood Disorders (depression, bipolar etc.)

Knowing if someone is suffering from a mental illness/disorder can help you determine how to approach the person. People with Borderline Personality Disorder have severe, rapid mood swings. They also can rapidly escalate from idealizing someone to completely devaluing them and this can result in severe anger or rage. Often people with PDD have a large sense of space so you don't want to "get in their face". Men and women can present with different symptoms of the same disease. Women with depression tend to be sad, cry etc. whereas men will often become aggressive. If you are dealing with a depressed man one might expect to see docile behavior but you can also see aggression. This is obviously important to protect your safety.

The National Institute of Mental Health is a great resource for all mental health conditions (NIMH.com) you can also click on "Publications" and you can order as many fact sheets, pamphlets etc. as you want, on any disorders, and they will send them to you for free.

Well, I'll get off my soapbox now so that LM can get back on Laughing

4myinfo

Posted: Mon Mar 02, 2009 7:05 pm

4my thank you for your follow up, informative and well written.
I read LM’s post zzzzzzzz and maintain sometimes less is more. Wink

Posted: Tue Mar 03, 2009 12:40 am

Quote:

Well, I'll get off my soapbox now so that LM can get back on Laughing

4myinfo

4my he's back on!

Posted: Sun Mar 08, 2009 11:24 pm

ELABORATING FROM ATOP MY BOX!

FORENSIC & CRIMINAL INTELLIGENCE INVESTIGATIVE RESOURCES. TOOLS.SEARCHES.UNIQUE SOURCES OF/TO INFO...FROM: “AUTOPSIES to ZEALOTS!" fo·ren·sics (fə-rěn'sĭks, -zĭks) 1.The art or study of formal debate; argumentation. 2.The use of science and technology to investigate and establish facts in criminal or civil courts of law.
FORMER FORENSIC PSYCH. GANG /S.R.G. CORRECTIONAL: TREATMENT,TACTICAL&TRAINING OFFICER, A FORMER ELITE E.MS, UNIT INSTRUCTOR/SUPERVISOR MEDICAL /FORENSIC PHOTOGRAPHER, PSYCHIATRIC,AUTOPSY & RESPRITORY TECH. ORIGINALLY TRAINED AS A POLICE OFFICER AT 18 AFTER COMPLETEING APROX 3000 HOURS OF EXTENSIVE LAW ENFORCEMENT & CRIMINAL JUSTICE TRAINING AND COLLEGE COURSES HE BEGAN WORKING AS A NEW YORK CITY FED CONTRACTED INVESTIGATOR WORKING CASES NON STOP ALL OVER THE STREETS OF N.Y. CITY'S 5 BOUROUGHS BUT N.J., CT. BOSTON,MONTREAL CANADA & MEXICO CITY! AFTER BECOMMING A DAD HE WORKED STINTS, AS A SECURITY SUPERVISOR,"MALL COP" BOUNTY HUNTER (OF COURSE) & PAROLE,PROBATION POLICE OFFICER POSITIONS & AN ASSISTANT FORENSIC INVESTIGATOR FOR THE FORMER CHIEF STATES ATTORNEY AN INSURANCE MEDICAL EXAMINER ! .(FOR OVER 3 YEARS!! BEFORE THEY FINALLY RETIRED ME LAST YEAR!! SO ALL THIS TIME ! I HAVE BEEN OFF ON NUMEROUS WORK RELATED INJURIES...SO I HAVEN'T BEEN OUT MUCH AND I'M PRETTY Dang FRUSTRATED!!!! FROM BEING CONSCIENTIOUS &DOING MY JOB AND NEVER EVER RAN INTO A CLOSET!!!! OR HESITATED TO GET AN OFFICERS BACK!!FROM WELL DOCUMENTED WORK INJURIES!! AND BELIEVE ME I GOT'EM
FROM A PUBLIC SERVICE CAREER WORK/TRAINING PROGRAM AS A POLICE CADET TO OFFICER After completing a 4 year 3000+ hour H.S. law enforcement/criminology & criminal justice vocational program OF ALL ASPECTS,DUTIES, FUNCTIONS DIDACTIC, PRACTICAL STUDY &TRAINING & ACTUAL PROGRESSIVLY WORKING ,PATROLING, & PERFORMING ALL ASPECTS OF A LARGE MUNICIPAL CITY POLICE OFFICER AS WELL AS X TRAINING & INTERNING WITH OTHER STATE,& FEDERAL AGENCIES .I was a POLICE CADET working UNDERCOVER prior to my 18th. B-ANdAY! A N INTEREST IN
CLINICAL PSYCHOLOGY & WAS TOLD I HAD A NATURAL INNATE UNDERSTANDING
FOR PSYCHOANALYTICAL & HUMAN NATURE AND TOOK SOME COLLEGE CREDIT
COURSES WHILE STILL IN H.S. IN CONJUNCTION WITH THE COP THING, WHICH
AT THE TIME I WASN'T INTO ALL THE PARA MILITARY STUFF AND HAVE STRONG
OPINIONS ABOUT PERSONAL FREEDOMS ETC. BUT IT ALSO INSTILLED A VERY
STRONG PUBLIC SAFETY /PROTECT THE WEAK VALUE , I THINK PEOPLE SHOULD
BE ABLE TO DO WHAT EVER THEY WANT AMONG "ADULTS" & JUST DON'T INFRINGE
ON OTHERS RIGHTS OR HURT INNOCENT PEOPLE,CHILDREN OR ANIMALS
ESSENTIALLY AS LONG AS PEOPLE DON'T GET IT TWISTED!
ASIDE FROM BEING A LEGAL INVESTIGATOR / FORENSIC INTELLIGENCE
SPECIALIST I AM A CERTIFIED PRRN PROFESSIONAL NATIONWIDE PUBLIC
RECORD RETRIEVER! NET WORK I SPECIALIZE IN LOCATING PEOPLE &
INFORMATION FOR LEGAL AFFIRMATION & DOCUMENTATION MY BUSINESS IS
OFFICIALLY REGISTERED AS "411 FORENSICS C.I.D. (CRITICAL INCIDENT
DOCUMENTATION) I HAVE AN EXTENSIVE BACKGROUND & EXPERIENCE

FORMER FORENSIC PSYCH. GANG /S.R.G. CORRECTIONAL: TREATMENT,TACTICAL&TRAINING OFFICER, A FORMER ELITE E.MS, UNIT INSTRUCTOR/SUPERVISOR MEDICAL /FORENSIC PHOTOGRAPHER, PSYCHIATRIC,AUTOPSY & RESPRITORY TECH. ORIGINALLY TRAINED AS A POLICE OFFICER AT 18 AFTER COMPLETING APROX 3000 HOURS OF EXTENSIVE LAW ENFORCEMENT & CRIMINAL JUSTICE TRAINING AND COLLEGE COURSES HE BEGAN WORKING AS A NEW YORK CITY FED CONTRACTED INVESTIGATOR WORKING CASES NON STOP ALL OVER THE STREETS OF N.Y. CITY'S 5 BOROUGHS BUT N.J., CT. BOSTON,MONTREAL CANADA & MEXICO CITY! AFTER BECOMING A DAD PAROLE,PROBATION POLICE OFFICER POSITIONS & AN ASSISTANT FORENSIC INVESTIGATOR FOR THE FORMER CHIEF STATES ATTORNEY AN INSURANCE MEDICAL EXAMINER !

I am & have worked in one capacity or another as a professional Investigator since I was 18 after Attending a Colg prep H.S. & TAKING COLLEGE PSYCH.& SOCIOLOGY CLASSES AT NIGHT ,COMPLETING APROX 3000 HOURS OF DIDACTIC,PRACTICAL,& O.J.T. POLICE ACADEMY & TRAINING CERTIFICATION ,& PARTYING LIKE A ROCK STAR! Wink

I WORKED NUMEROUS & VARIOUS DUTIES,POSITIONS,ASSIGNMENTS& FUNCTIONS AS A: CORRECTION,PAROLE,POLICE & PROBATION OFFICER
A PRIVATE,FORENSIC,GANG,FUGITIVE,SEXUAL& VIOLENT PREDATOR & LEGAL INVESTIGATOR AN E.M.S. SUPERVISOR/INSTRUCTOR,AUTOPSY TECHNICIAN,INSURANCE MEDICAL EXAMINER, TACTICAL OFFICER INSTRUCTOR C.T.O/CRIMINALALIST & INTERVENTION SPECIALIST.
TRAINED & CERTIFIED BY THE F.B.I/STATE POLICE IN THE METHODS,PROCEDURES & POLICIES FOR UTILIZING ,INVESTIGATING & APPLICATION OF ANY & ALL LEVELS OF/TO INTELLIGENCE SHARING & ACCESSING LOCAL,STATE,NATIONAL& INTERPOL N.C.I.C.,N.L.E.T.S.ALL DMV,D.O.C F.D.I.C..A.T.F. SECRET SERVICE & F.B.I. COMPUTER TERMINAL DATABASES, RETIRED LAST YEAR WITH DISTINCTION FROM SUSTAINING NUMEROUS LINE OF DUTY INJURIES & INVITED TO APPLY FOR MEMBERSHIP WHERE UPON VERIFICATION I RECEIVED MY CERTIFICATION CERTIFICATE & MEMBERSHIP INTO THE ELITE "AMERICAN POLICE VETERAN ASSOCIATION" OF/FOR LAW ENFORCEMENT OFFICERS SEVERELY INJURIES & RETIRED FROM INJURIES SUSTAINED IN PERFORMANCE ABOVE & BEYOND THE LINE OF DUTY! MAINLY FROM THE NUMEROUS VIOLENT ATTACKS,CONFRONTATIONS, INTERVENTION , OF HYPER VIOLENT,AGITATED,SUICIDAL.PARANOID DELUSIONAL PSYCHIATRIC AFFLICTED & EFFECTED CRIMINAL OFFENDERS AUDITORY HALLUCINATIONS, A.I.D.S.DIMENTIA, PSYCOSIS ,FROM SMOKING
"WET" EMBALMING FLUID!THE FIRST GENERATION OF NOW ADULT "CRACK BABIES" & NEEDING WANTING & STRIVING FOR ANY KIND OF ATTENTION POSITIVE OR NEGATIVE!

WITH AN EXTENSIVE WORKING KNOWLEDGE & EXPERIENCE OF & IN A WIDE / VAST VARIETY OF
POSITIONS, DUTIES, ASSIGNMENTS, INCIDENTS,CASES,SITUATIONS & FUNCTIONS IN LAW ENFORCEMENT,
CRIMINAL JUSTICE, CRIMINOLOGY, & , PUBLIC SAFETY AS A WHOLE IN "FUGITIVE RECOVERY " IN A WIDE RANGE OF ASSIGNMENTS & VARIATIONS
IN / AS A P.I.I A POLICE/CORRECTION /PAROLE, PROBATION
OFFICER ALONE, AS PART OF A D.O.C. REMAND TEAM & EMERGENCY RESPONSE
/SPECIAL OPS TACTICAL UNIT AND AN INSTRUCTOR FROM TEACHING ARRIVAL ON
SCENE ,SAFETY/OBSERVATION & THE CRIMINOLOGY/DRUG ADDICTED & FORENSIC
PSYCHIATRIC PROFILE , VERBALIZATION, ACTIVE LISTENING , AND
SUBSCRIPTION TO ACTIONS/MANNERISMS OVER SPEECH DEFENSIVE
POSTURING/POSITIONING RESTRAINING TECHNIQUES, , PRESSURE POINTS, ARM
LOCKS WITH VERBALIZING COMMANDS ESSENTIAL VS TORTURE ETC. AND OTHER
LEGAL /USE OF FORCE ,REPORTING & BOOKING & BONDING PROCEDURES BUT
WHAT I ACTUALLY SPECIALIZE IN IS FINDING THEM! AND THE LEGAL
TOOLS TO DO IT FOR ANYONE WHO MAY NEED OR USE MY SERVICES As I often say : A /The real or ultimate job with "Private Investigators ,Detectives Which I have had a long experience of
working as; is not to "solve crimes or bring the Bad Guy to justice
but to "Bring Closure" to get provide the information,details,&/or
proof to help one make a decision Based on Facts!" or a final
determination that will enable a course of action!
I am trying to utilize my Clinical, Para Legal
Criminology & L.E Training & Experience to not only help "victims" &
or Attorneys ,& anyone who requests my help As I DEFINE
my-self as a: "Forensic Intelligence , Investigative, Strategist's " To not only help people to
Investigate But also to "Advocate" & "Navigate" people, professionals
, & Victims through & too the "proper"and appropriate procedures to
help them get fair & honest Justice to bring "closure", become, whole,
while providing, promoting & ensuring public public safety!
A N INTEREST IN CLINICAL PSYCHOLOGY & WAS TOLD I HAD A NATURAL INNATE UNDERSTANDING
FOR PSYCHOANALYTICAL & HUMAN NATURE AND TOOK SOME COLLEGE CREDIT
COURSES WHILE STILL IN H.S. IN CONJUNCTION WITH THE COP THING, WHICH
AT THE TIME I WASN'T INTO ALL THE PARA MILITARY STUFF AND HAVE STRONG
OPINIONS ABOUT PERSONAL FREEDOMS ETC. BUT IT ALSO INSTILLED A VERY
STRONG PUBLIC SAFETY /PROTECT THE WEAK VALUE , I THINK PEOPLE SHOULD
BE ABLE TO DO WHAT EVER THEY WANT AMONG "ADULTS" & JUST DON'T INFRINGE
ON OTHERS RIGHTS OR HURT INNOCENT PEOPLE,CHILDREN OR ANIMALS
ESSENTIALLY AS LONG AS PEOPLE DON'T GET IT TWISTED!
ASIDE FROM BEING A LEGAL INVESTIGATOR / FORENSIC INTELLIGENCE
SPECIALIST I AM A PROFESSIONAL NATIONWIDE PUBLIC
RECORD RETRIEVER! I SPECIALIZE IN LOCATING PEOPLE &
INFORMATION FOR LEGAL AFFIRMATION & DOCUMENTATION MY BUSINESS IS
OFFICIALLY REGISTERED AS "411 FORENSICS C.I.D. (CRITICAL INCIDENT
DOCUMENTATION) I HAVE AN EXTENSIVE BACKGROUND & EXPERIENCE
IN "FUGITIVE RECOVERY " IN A WIDE RANGE OF ASSIGNMENTS & VARIATIONS
IN " AND AS A POLICE/CORRECTION & PAROLE
OFFICER ALONE, AS PART OF A D.O.C. REMAND TEAM & EMERGENCY RESPONSE
/SPECIAL OPS TACTICAL UNIT AND AN INSTRUCTOR FROM TEACHING ARRIVAL ON
SCENE ,SAFETY/OBSERVATION & THE CRIMINOLOGY/DRUG ADDICTED & FORENSIC
PSYCHIATRIC PROFILE , VERBALIZATION, ACTIVE LISTENING , AND
SUBSCRIPTION TO ACTIONS/MANNERISMS OVER SPEECH DEFENSIVE
POSTURING/POSITIONING RESTRAINING TECHNIQUES, , PRESSURE POINTS, ARM
LOCKS WITH VERBALIZING COMMANDS ESSENTIAL VS TORTURE ETC. AND OTHER
LEGAL /USE OF FORCE ,REPORTING & BOOKING & BONDING PROCEDURES BUT
WHAT I ACTUALLY SPECIALIZE IN IS FINDING THEM! AND THE LEGAL TOOLS TO DO IT FOR ANYONE WHO MAY NEED OR USE MY SERVICES

EMPHATICALLY BELIEVE THAT IN ORDER FOR "CORRECTIONS" TO WORK EFFECTIVELY SOCIETY,POLITICIANS,THE LAW ENFORCEMENT & CRIMINAL JUSTICE SYSTEM AND CORRECTION ADMINISTRATION HAS TO CHANGE IT'S MYOPIC VIEWS, PERCEPTION & DEFINITION OF CORRECTIONS AS A WHOLE:To stop the revolving door ,to reduce crime, & to be truly effective & AND TO MAKE TRUE THE MISSION STATEMENT OF MOST CORRECTION/PAROLE, PROBATION & SHERIFF DEPARTMENTS "PROTECT THE PUBLIC" and to provide a safe clean environment to rehabilitate & prevent offenders from re offending...Corrections has to extend beyond the walls & HAS TO START IN THE COMMUNITY BEFORE OFFENDERS OFFEND OR RE-OFFEND! AND MORE IMPORTANTLY TO SIEZE THE OPPERTUNITY PRESENTED TO PROFESSIONAL LAW ENFORCEMENT, CRIMINAL JUSTICE & PUBLIC SAFETY WITH AUTHORIZING & ENABLING FRONT LINE OFFICERS WHO MORE THAN ANYONE IS AWARE OF THE BEHAVIOR,TRAITS,SIGNS,SYMPTOMS, ACTIONS, INTERESTS/OBSESSIONS INTERACTIONS, MANDATING MORE EMPHASIS ON TRAINING DOCUMENTING CRIMINALITY,PR EDITORIAL, DYSFUNCTIONAL ,MENTAL HEALTH DISORDERS ACTIONS & ISSUES ,SIGNS,SYMPTOMS, MANNERISMS, TESTING CLASSIFICATION & PROFILING THE POTENTIAL THREAT AN ACCUSED OR CONVICTED OFFENDER CAN HAVE ON THE COMMUNITY & PUBLIC SAFETY AS A WHOLE RESPONSIBILITY & AUTHORITY HAS TO BE PUT ON THE FRONT LINE OFFICERS! JUST BECAUSE "THE POWERS THAT BE" MY NOT LET YOU BE IN THE KNOW"..OR JUST DON"T HAVE "THE HEART" Are too Scared to Care! CLICK-ON "MY-LINKS TO Intelligence,Investigating & Documenting or Physical,Psychological INTERVENTION: TACTICS,TECHNIQUES,TOOLS & RESOURCES TO KEEP VIOLENT & HABITUAL PREDATORS, THUGS SHYSTERS & MOLESTERS FROM PREYING ON SOCIETY To DO WHAT YOU KNOW SHOULD BE DONE How to utilize your authority &/0R proper authority :SAVVEY & KNOW HOW, WHAT THEY DON'T TEACH IN THE ACADEMY!! TO REALLY PROTECT SOCIETY FROM PREDATORS!! UNIQUE POLICING TECHNIQUES TO LOCK-UP,COMMIT,I.D.GET EVIDENCE, & DEFEND AGAINT ALL TYPES OF PREDITORIAL, VIOLENT & "WANNA-BE" GANGSTER/KILLERS,MOLESTERS-HELP NON-VIOLENT "CIRCUMSTANTIAL" OFFENDERS TO STOP OFFENDING! A SAVVY INVESTIGATOR KNOWS THAT YOU HAVE TO LOOK OUTSIDE THE BOX-AND USE UNORTHODOX METHODS TO GET INFO. EVEN THOSE OF US WHO HAVE BEEN TRAINED & HAVE ACCESS TO WORLD WIDE LAW ENFORCEMENT DATA BASES Eg: N.C.I.C. , N.L.E.T.S., ETC.NOW TERMINALS ARE CLOSELY MONITORED
I WROTE & WAS PARTY TO INITIATING THE FIRST ADMINISTRATIVE DIRECTIVES /POST ORDERS, TRAINING,PROFILING, INTERVIEWING INTERACTION,INTERVENTION, DE-ESCALATING, DOCUMENTING. ASSESSING SITUATIONS PRESENTED IN THE STATES "SEVERE CHRONIC & ACUTE INTENSIVE CRIMINAL OFFENDER & CONVICTED MENTAL HEALTH UNIT I WAS A HAND PICKED & INITIALLY PROVISIONALLY APPOINTED AS A C.TO./PAROLE OFFI(THEN AFTER GOING THROUGH THE WHOLE TESTING PROCESS WHICH INCLUDED A THOROUGH ION/ VALIDATION OF COLLEGE EDUCATION, TRAINING & WORK EXPERIENCE CREDIT & 3 ORAL BOARDS 0N:1.CRIMINOLOGY (PROFILING,PATHOLOGY, TRENDS, GANGS, SOCIAL,PSYCH ISSUES, ETC. 2. LAWS,DIRECTIVES, HUMAN RIGHTS, USE OF FORCE, LAW ENFORCEMENT,CRIMINAL JUSTICE & PUBLIC SAFETY PROCEDURES 3. HYPOTHETICAL SITUATIONS & SCENARIOS: HOSTAGE SITUATIONS,PLACEMENT OF HOMOSEXUAL/TRANSGENDERED CRIMINALS, X PORTING HIGH PROFILE CRIMINALS, TO COURT, OR TAKING INTO CUSTODY FROM THE COMMUNITY, PAROLE HEARINGS, VICTIM NOTIFICATION, CHECKING FOR OUT OF STATE WANTS WARRANTS!,CLASSIFICATION, SEXUAL OFFENDER, VIOLENCE,ESCAPE,SUBSTANCE ABUSE,EDUCATIONAL,VOCATIONAL & HOUSING DESIGNATIONS ETC.
I Walked & Worked one of the toughest Beats in Law-Enforcement & has the physical & Emotional scars! (As do a lot of you!) who have shed "Blood,Sweat & Tears" of FRUSTRATION of working in a System & Society that is a PURE BREEDING GROUND of APATHEY & CONTEMPT"LAWMAN" is NOT ONLY A SYN. OF MY NAME & OCCUPATION: But it's Having an INATE DESIRE & SATISFACTION -PROTECTING THE PUBLIC "AS MOST OF OUR JOBs SPECIFY!" Especially that TODAY WE ARE SO VERY LUCKY TO GET THE PERKS & BENES 20 YEAR FULL RETIRMENTS "GOOD LIVING WAGE JOBS PAYING 50,60-100 K A YR. & MORE W/OT! HAS MADE THEM INTO MAGNETS 4 MAGGOTS; BUT A CERTAIN BREED WOULD DO IT FREE! Due to our PRINCIPLES,INTEGRITY & HUMANITY! WE LOOK AT OUR WORK NOT AS A JOB BUT as A CALLING "NOT A NEW FORM OF "WELFARE" Or Being a "HOMER SIMPSON WITH A BADGE!" JUST BECAUSE "THE POWERS THAT BE" MY NOT LET YOU BE IN THE KNOW"..!! "To DO WHAT YOU KNOW SHOULD BE DONE!" "TO PROTECT THE PUBLIC!"UTILIZING THE INATE RIGHTS & AUTHORITY YOU HAVE- NOT JUST AS OFFICERS BUT AS "CITIZENS!" THE SAVVEY & KNOW HOW, THEY DON'T TEACH IN THE ACADEMY!!(I WROTE THAT PARAGRAPH FOR ONE OF MY WEB SITES! AS I HAD A LITTLE MORE SAVVY ..I WOULD OFTEN "PULL STRINGS" TO GET PEDIPHILES & PREDITORS "MEDICAL PANALED & HAVE THEM COMMITED IF THEY WERE AT THE LEGAL END OF THEIR SENTENCE!!(I AM VERY FRUSTRATED THAT THEY DON'T TEACH OFFICERS WHAT & TO SEE & DO!)

POLICEING THE PSYCHIATRIC OFFENDER ,DE-ESCALATION,"UNORTHODOX" MIND

> CONTROL TECHNIQUES,THE AMAZING EFFECTS & HOW TO'S ON "ACTIVE

> LISTINING" UNDERSTANDING & UTILIZING SPECIAL TACTICS WITH THE NEW

> BREED OF OFFENDER: THE 1ST. GENERATION OF "CRACK-BABIES" "THAT ARE NO

> LONGER BABIES" THE ART OF CRISIS INTERVENTION , VERBALIZATION &

> COMMUNICATION TECHNIQUE

Basic behavioral and social science research is concerned with uncovering the fundamental principles & processes which govern how human beings perceive the environment, process information, make decisions, experience, express and regulate emotion, form and change attitudes, beliefs and values, and become and remain motivated to change behavior. As defined by the NIH’s Office of Behavioral and Social Sciences Research (OBSSR), basic behavioral and social science research can involve research at the individual, small group, institution, organization, and community or population level. At the individual level, this research may involve the study of behavioral factors such as cognition, memory, language, perception, personality, emotion, motivation, and others. At higher levels of aggregation, it includes the study of social variables such as the structure and dynamics of small groups (e.g., couples, families, work groups, etc.); institutions and organizations (e.g., schools, religious organizations, etc.); communities (defined by geography or common interest); and larger environmental, demographic, political, economic, and cultural systems.

Basic behavioral and social science research may also involve biopsychosocial or biobehavioral research, which concerns the study of the interactions of biological factors with behavioral or social variables and how they affect each other (i.e., the study of bi-directional multilevel relationships). Additional details and examples of basic behavioral and social science research can be found on the OBSSR website at http://obssr.od.nih.gov/Content/About_OBSSR/BSSR_Definition/.
Significant advances in basic behavioral and social science research are contributing to a more sophisticated understanding of the fundamental biological, cognitive, emotional, and social underpinnings of human behavior. Recent discoveries in fields such as cognitive and affective neuroscience, communication science and social marketing, decision-making, food choice and the formation of habits, the psychophysiology of stress and eating behavior, behavioral economics, and the nature and impact of social networks, coupled with the development of more sophisticated tools for understanding psychosocial determinants and physiologic concomitants of human behavior (e.g., brain imaging, systems dynamics theories, geospatial methods), are yielding new and important insights about human cognition, affect, motivation and behavior. These findings suggest promising new directions

. IN SHORT AND NOT TO QUALIFY NOR EXPRESS /IMPLY IT AS AN ENDORSEMENT
I AM IN FACT AN AT LARGE APOINTED STATE OFFICIAL/ DEFACTO OFFICER OF THE COURT

ACCESS TO OFFICIAL LAW ENFORCEMENT PROFESSIONAL RESTRICTED DATABASES
I SUBSCRIBE TO! (THERE ARE SO MANY POOR PEOPLE OUT THERE WHO DON'T
REALIZE THAT A SIDE FROM THE FBI & STATE GOV. THERE ARE JUST A FEW
REAL AUTHENTIC (USED BY LAW ENFORCEMENT /CRIMINAL JUSTICE AGENCIES &
PROFESSIONALS & IT ALL COSTS$$ PROVIDERS OF ALL "RESTRICTED" DATA
BASES ARE ALL PROPRIETARY (TRW, EQUIFAX, EXPERIEN , CREDIT ,NEXIS
LEXIS ,MELLISSA GOV. N.LET.S/D.M V.,PRRN ), UTILITY,S ETC. CHARGE
LOCAL GOV. PUBLIC & PRIVATE AUTHORITIES FOR EVERY CHECK…TO
AUTHORIZED,CREDENTIALED Razz

.S.A's,CRIMINAL JUSTICE,& UNIQUE SPECIALTY
AS NEEDED: E.G. INSURANCE & TOWING COMPANIES, CREDIT ,EMPLOYEE OR
TENANT SCREENING COMPANY'S PROFESSIONAL LICENSED PRIVATE INVESTIGATORS
ETC AND YOUR INTELLUS, U.S. INFO SEARCH.'s & SHYSTEE HALFP.I WHO MARK-UP
THE RESTRICTED INFO ,SELLING IT TO USUALLY DESPERATE PEOPLE LOOKING
FOR ANSWERS! OR CLOSURE! OR WORSE SELL PEOPLE (US OUR OWN FREE PUBLIC
INFO WITH LINKS TO THESE HIGH PRICED! MARKED UP 800% SEAARCHES ,WHICH
AS I SAID ARE SLICK MARKETED, NEATLY PACKAGED, MISLEADING , CLEVERLY &
LEGALLY WRITTEN/ADVERTISED BULL --[Censored]--! SO THE ONLY THING PEOPLE GET IN
THAT 39.99$ WEB P.I. DOWN LOAD IS A NICE PACKAGE OF PUBLIC
INFORMATION!) USUALLY PURCHASED BY PEOPLE WHO NEED FORENSIC
INTELLIGENCE/INFORMATION THE MOST BUT CAN AFFORD IT THE LEAST!! (AND I
AM TRYING TO FIND THE BALANCE MY SELF! AS I WANT TO MAKE A PROFIT ,AND
CAN NO LONGER AFFORD TO PAY FOR EXPENSES OUT OF POCKET , BUT I THINK
THOSE RIP OFF"INFO PIMPS" ARE LOW LIFE'S PREYING ON DESPERATE PEOPLE
AND UN FORTUNATELY & VERY FRUSTRATING FOR ME IS THE FACT THAT AS I
SAID I AM NOT A BUSINESS MAN BUT STILL MORE OF A LAWMAN (IN THE PROVIDING
PUBLIC SAFETY/PROTECTING & HELPING SENSE , I HAVE VERY STRONG PUBLIC
SAFETY TENDENCIES IN CONJUNCTION WITH THE SATISFACTION OF USING MY SKILLS & TALENT!

I began writing posts on the International "Detective Forums" website OVER.2 years ago As "Lawman Confidential" a way to utilize my talent, skills, knowledge & education I obtained from a life long career in a wide spectrum of duties, functions in public safety, Law Enforcement & Criminal justice! I GET LETTERS ALMOST DAILY FROM PEOPLE LITERALLY AROUND THE WORLD ASKING FOR MY HELP & ADVICE FROM PEOPLE WHO ARE OFTEN IN DESPERATE NEED OF CLOSURE!

FORENSIC INTELLIGENCE/INVESTIGATIVE STRATEGIST & ADVOCATE I DON'T JUST INVESTIGATE –I ADVOCATE FOR VICTIM JUSTICE! But I am really not into the business thing! WHAT I AM INTO IS UTILIZING MY UNIQUE TALENTS, TOOLS, TACTICS, TECHNIQUES & MASSIVE DATABASE OF SOME OF THE MOST UNIQUE LAW ENFORCEMENT & CRIMINAL TRAINING MANUALS, SITES, LINKS ETC.. .WHO VIEWS BOGUS WEB DETECTIVE FREE PUBLIC INFO PIMPS AS LOW LIFE CROOKS,PREYING ON THE NEEDY,DESPERATE & PEOPLE WHO NEED SOUND "FORENSIC FACTS" & CAN AFFORD IT THE LEAST
ASIDE FROM JUST NOT BEING GREEDY WITH WHAT IS FREE INFO THE FACT REMAINS & I HAVE SEEN IT PLAYED OUT AGAIN & AGAIN THE IN EQUALITY OF JUSTICE FOR THE POOR & MIDDLE CLASS , WHO SHOULD BE ABLE TO HAVE A PRIVATE DEDICATED INVESTIGATOR TO GIVE THE WORKING MAN THE SAME CHANCE TO DEFEND THEM SELFS AS THE BIG MONEY FAT CATS THAT ARE PERSECUTING THE WORKING MIDDLE &WORKING POOR ...I HAVE MANY GRANT & .ORG "FORENSICS 4 ALL" CONSUMER & CRIME VICTIM INTELLIGENCE, SEXUAL PREDITOR, FUGITIVE & TRAVELING CRIMINAL ,GROUPS , DOMESTIC VIOLENCE ETC. PROFILE SITES BUT ALSO D.O.J. & OTHER POTENTIAL FUNDING FOR A PARA/DEPUTIZED LAW ENFORCEMENT .ORG ALONG THE LINES OF AMERICAS MOST WANTED & "PERVERTED JUSTICE" PROVIDING & PROMOTING PUBLIC SAFETY THROUGH INTELLIGENCE! WITH "THE REAL DEAL" BEST BANG FOR THE WORKING PERSON'S BUCK!! BAR NONE!! READ MY POSTS & ARTICLES ON "DETECTIVEFORUMS.COM"--"GET PEACE OF MIND W/ 50 STATE CRIMINAL CONVICTION REPORT FOR 4.11$ OR "CLOSURE" W/FORENSIC INTELLIGENCE INVESTIGATION RECORDS,DATA OR SPECIFIC INFO YOU NEED! 411FORENSICS.COM,SEE WHO ELSE MIGHT BE USING YOUR S.S.# &/OR LAWMANCONFIDENTIAL.COM FREE FORENSIC UNIQUE: TOOLS,TACTICS,TECHNIQUES & TRAINING LINKS 411 FORENSICS http://www.411forensics.com
REAL L.E.CERT.DATABASE REPORTS: OF/ON "ANY"PERSON,ADDRESS &"EVERY" CONVICTED CRIMINAL, OWNER&USER of S.S.#!DMV http://lawmanconfidential.com

Mental Illness in the Justice System
Mentally ill offender treatment and crime reduction act becomes US law

Criminalizing the Mentally Ill -- The criminalization of the mentally ill is inhumane; expensive, and a testament to government failure. The Washington Post

Criminal Insanity

Evolution Of The Insanity Plea University of Missouri-Kansas City School of LawPrior to the 19th century, guilt was judged by causation not intent. The insanity defense has been used throughout recorded history. Latin tribes of ancient Rome religious beliefs, believed the insane were divinely blessed, and beyond the reach of human laws.

The insanity plea is used in less than 1% of all US Criminal Justice System criminal cases; 35% of those are murder cases. One fourth of these cases are successful. Approximately 70% of the successful insanity acquittals were the results of agreements between the prosecution and defense. A jury trial is waived If evidence is presented to a judge for determination with the prosecution and defense both in agreement regarding the defendant's mental state. If they disagree expert witnesses will to testify at a jury trial. Journal of Psychiatric Practice.

The legal standard for the criminal insanity pleas is the defendant's ability to differentiate right from wrong. If they know right from wrong but are unable to act on that knowledge due to mental illness they don't meet the criteria of "criminally insane." The legal standards for criminal insanity do not match the psychiatric diagnostic criteria for conditions that render a person incapable of controlling impulses or perceived threats in a reasonable manner. Forensic psychiatric testimony establishes probable mental status during the commission of the crime. Many defendants meet the criteria for the insanity defense but it is rarely used because it almost always leads to a conviction of the defendant. The insanity defense is one of the most misunderstood aspects of forensic psychiatry.

In 1982, the US insanity defense suffered a set back in public opinion, after John Hinckley, Jr.’s acquittal for his attempt to assassinate President Reagan. In response to the verdict in the Hinckley trial, in 1984, The US Insanity Defense Reform Act was enacted by Congress.Department of Justice

The insanity defense and diminished capacity Cornell Law School

Forensic Assessment I Competency & Insanity The Institute for Criminal Justice Ethics

Does the Insanity Defense Have a Legitimate Role? Psychiatric Times by James F. Hooper, M.D., F.A.P.A., and Alix M. McLearen, M.S.

Common Psychosocial Disorders -- Health issues of concern include alcohol and substance abuse, domestic violence, mid-life crisis and depression. American Academy of Family Physicians

Psychiatric Disorders Common Among Detained Youth -- Among teens in juvenile detention, nearly 2/3rds of the boys and nearly 3/4 of the girls have at least one psychiatric disorder. These rates dwarf the estimated 15% of youth in the general population thought to have psychiatric illness, placing detained teens on a par with those at highest risk, such as maltreated and runaway youth. National Institutes of Health.

Antisocial Personality, Psychopathy, and Forensic Psychiatry Diagnosis, assessment, forensic relevance, and treatment of antisocial personality Disorder (APD) and its more severe subtype, psychopathy. Journal of Psychiatric Practice

Legal Issues Schizophrenia.com

Schizophrenia -- A number of people with schizophrenia find themselves in trouble with the law. Offenses frequently range from shoplifting, mischief, and assault to aggravated assault, arson or murder. Phillip W. Long, M.D.

In prison appropriate treatment for psychosis is rare. To allow psychosis to go untreated, is unconstitutional, and morally unjust. Todd Moore, MD

Dr Tim Amos, a forensic psychiatrist, told the Royal College of Psychiatrists that "stranger murder" by the mentally ill is unusual.

Some states are abolishing the insanity defense.

Self Harm

The mentally ill usually represent the risk of self harm.

A schizophrenic is 2,000 times more likely to commit suicide than harm someone else.

The Psychology of Suicide-Murder and the Death Penalty -- To understand individuals who seek or are attracted to the death penalty as a form of suicide, probe the syndrome. A sketch of 22 cases of murderers in the US who killed in hopes of getting themselves executed, is provided, the term suicide-murder is used instead of murder-suicide. Katherine van Wormer, MSSW, Ph.D. 1999. Journal of Criminal Justice, 27(4), 361-370.

Documenting Suicide Risk Assessment. Suicide is a common cause of action against mental health care professionals. Misdiagnosis, negligent treatment, sexual exploitation, and implanting false memories are potential suits. Documentation is a cornerstone of the defense. Journal of Psychiatric Practice

Contracting For Safety -- Caring for a suicidal patient means doing more than having them sign a promise not to attempt suicide. Relying on a statement when the stakes are so high, or allowing it to supplant appropriate care is risky and negligent. An urban myth claims a Contract For Safety in the chart diminishes liability but experience and research shows otherwise. Journal of Psychiatric Practice Vol. 11, No. 1

Competency to stand trial

Competency to stand trial is the defendant's ability to assist legal counsel in the preparation of their defense, make decisions, or plead. Incompetence to Stand Trial IST is not a defense, its not proclaimed by the defendant -- usually by a court official concerned about the defendant’s ability to understand the charges or assist with their defense. The trial is postponed for re-evaluation. It does not resolve the criminal charges. Cornell Law School.

In 1960, the U.S. Supreme Court ruled in Dusky v. United States that a defendant must have adequate ability to lucidly consult with his attorney and to clearly comprehend the charges to be Competent to Stand Trial CST.

Not guilty by reason of insanity

Not guilty by reason of insanity" NGRI pleas are based on the principle that punishment is reasonable only if the defendant is able to take criminal responsibility for their actions. This requires a diagnosis of active psychosis, schizophrenia, schizoaffective disorder, or bipolar disorder, with active psychotic features are present during the crime. After an NGRI finding they are locked in public institutions where they receive psychiatric treatment. They receive their sentences for their crimes when they are no longer considered at risk. They are frequently held in these institutions longer than if they'd been found guilty and served their sentence. (Foucha v. Louisiana the Supreme Court 1992 ruled a person could not be held indefinitely.) The National Mental Health Association supports ALI's not guilty by reason of insanity plea and opposes guilty but insane laws which preclude use of the insanity defense. NMHA supports broad ALI's Model Penal Code standards. National Mental Health Association.

Diminished Capacity or Guilty but Mentally Ill

Some states have amended laws to include diminished capacity or guilty but mentally ill. These result in a lesser conviction while the insanity defense pleads for a not guilty verdict in exchange for an indeterminate amount of time in a mental institution. Defendants with an indisputable diagnosed psychiatric mental illness determined as sane by the court's standards, are held responsible for their crimes under a Guilty but Mentally Ill (GBMI) or a Guilty but Insane verdict. Michigan was the first of 13 states to use GBMI. Physician’s Weekly"

Temporary insanity

Temporary insanity is when a sane defendant was rendered temporarily insane during the commission of the crime. This defense was first used in 1859 by New York Congressman Daniel Sickles after he killed his wife's lover, Philip Barton Key. It was a popular defense during the 1940s-50s. Assumption College

Irresistible Impulse Defense

When a perpetrator knows they are committing a crime; but are unable to control their behavior due to a mental impairment they may use the irresistible impulse defense. In 1834, Ohio,The Irresistible Impulse Test, focused on the inability of people to control their actions; concluding crimes during a fit of passion were insane, not guilty because irresistible impulse driven by mental disease causes one to act against their will. Criticisms of the test claim there is no way to identify impulses which could be resisted or controlled. In the late nineteenth century, irresistible impulse added volition to the M'Naughton Rule. By the 20th century, almost half of the states supplemented the M'Naughton Rule with the Irresistible Impulse Test.

The Substantial Capacity Test

The American Law Institute ALI of leading legal and medical professionals gathered in 1953 by to study criminal responsibility. ALI's 1962 Model Penal Code; The Substantial Capacity Test, defined the lack of substantial capacity to control behavior. Substantial capacity, similar to the M'Naughton Rule and irresistible impulse is a lack of the mental capacity required to understand the wrongfulness of an act, or conform to the law.

Reentry Mapping Network
The Reentry Mapping Network (RMN) is a nationwide partnership between the Urban Institute and organizations in 15 cities working to map and analyze prisoner reentry and related issues in their communities. The Urban Institute provides guidance and assistance to the RMN partners, promotes collaboration across the sites, and shares knowledge developed in the Network through products such as this website.

The website provides information on reentry mapping and the RMN, along with resources and sample maps for anyone interested in developing a reentry mapping project.

http://www.urban.org/reentry_mapping/tools.cfm

Posted: Sun Mar 08, 2009 11:36 pm

Hotline Numbers
Children and Family Help Lines

The numbers listed below can be dialed toll-free from anywhere within the United States. These organizations provide mental health information and referrals, and in some cases, crisis counseling.

CHILDHELP USA®
National Child Abuse Hotline
800-4-A-CHILD
800-2-A-CHILD (TDD)
www.childhelpusa.org/programs_counseling.htm
Provides multilingual crisis intervention and professional counseling on child abuse and domestic violence issues. Gives referrals to local agencies offering counseling and other services related to child abuse, adult survivor issues, and domestic violence. Provides literature on child abuse in English and Spanish.

Children and Adults with Attention Deficit Disorders (C.H.A.D.D.)
800-233-4050
8:00 a.m.-5:30 p.m., Monday-Friday
Spanish-speaking operators available.
www.chadd.org

Covenant House Nineline
800-999-9999
Spanish-speaking operators available.
www.covenanthouse.org/programs_nl.html
Crisis line for youth, teens, and families. Locally based referrals throughout the United States. Help for youth and parents regarding drugs, abuse, homelessness, runaway children, and message relays.

Girls and Boys Town National Hotline
800-448-3000
800-448-1833 (TDD)
Spanish-speaking operators available; TDD capability.
www.girlsandboystown.org

National Adoption Center
800-862-3678
9:00 a.m.-5:00 p.m.
www.adopt.org

National Child Care Information Center, ACF
800-616-2242
800-516-2242 (TDD)
800-716-2242 (Fax)
8:30 a.m.-5:30 p.m., Wednesdays, 8:30 a.m.-8:00 p.m.
Spanish-speaking operators available.
www.nccic.org

National Clearinghouse on Child Abuse and Neglect Information
800-394-3366
http://nccanch.acf.hhs.gov/index.cfm

National Coalition Against Domestic Violence
(800) 799-SAVE (7233)
Spanish-speaking operators available.
http://www.ncadv.org

National Resource Center on Domestic Violence
888-Rx-ABUSE
800-595-4889 (TDD)
http://endabuse.org/programs/display.php3?DocID=41

National Runaway Switchboard
800-621-4000
800-621-0394 (TDD)
8:00 a.m.-5:00 p.m., 24-hour voice mail
www.nrscrisisline.org
Provides crisis intervention and travel assistance information to runaways. Gives referrals to shelters nationwide. Also relays messages to, or sets up conference calls with, parents at the request of the child. Has access to AT&T Language Line.

Rape, Abuse, and Incest National (RAIN) Network
800-656-4673
Spanish-speaking operators available.
www.rainn.org/

Well Spouse Association
800-838-0879
9:00 a.m.-5:00 p.m.
24-hour recording - leave message
www.wellspouse.org/information.html