Diagonistic and Statistical Manual of the American Psychiatric Association, Fourth Edition

Copyright 2001 David A. Wheeler, Ph.D., PHR, CMT NoStress@mail.com   Last updated 10/11/05 04:09 PM

File: dsm4.htm

Definition of Abnormal-
  1. Different from average. (Statistical abnormality: more than two standard deviations from mean)
  2. Do things different or have beliefs different from your culture (Cultural)
  3. Inablility to function in daily life (Psychology)

DSM-IV: Diagnostic and Statistical Manual of the American Psychiatric Association (4th ed.)

Five Axes

  1.     Clinical Syndromes
  2.     Personality Disorders
  3.     Medical Conditions related to Disorder
  4.     Psychosocial Stressors
  5.     Global Assessment of Function

Axis I


Mood Disorders

Dissociative Disorders

Mental Retardation, IQ 100 is the mean, standard deviation is 15.  +/- two standard deviations is normal

  1. Mild, 55-69
  2. Moderate, 40-54
  3. Severe, 25-39
  4. Profound, <25

Learning Disorders

Motor Skills Disorder

Pervasive Developmental Disorders

Disruptive Behavior and Attention Deficit Disorders

Feeding and Eating Disorders of Infancy or Early Childhood


Elimination Disorders



Tic Disorders

Tourette's Disorder

Chronic Motor or Vocal Tic

Transient Tic

Anxiety Disorders

Post Traumatic Stress Disorder

Long term consequences of an event beyond the scope of normal human experience

Terrorist attack, hijacking, kidnapping, war, rape, hostage, car accident,  natural disasters, molestation, loss of loved one

Symptoms: nightmares, flashbacks, , survivor guilt, insomnia, depressed mood, loss of appetite

Acute Stress Disorder: Short term ( < 6 months) consequences of experiencing an event beyond the range of normal human experience

If people are treated for acute stress disorder, they do not develop PTSD

General Anxiety

Panic Disorder

with or without Agoraphobia


Social Phobia

Obsessive - Compulsive Disorder

Impulse Control Disorders

Somatoform Disorders

Factitious Disorders

Adjustment Disorders

Sleep Disorders



Sleep Apnea

Nightmare - REM

Night Terror - Deep Sleep

Sleep walking - Deep Sleep


Axis II

Personality Disorders

Antisocial Personality PD




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