Dissociative
Psychotic Disorders
Persistent or recurrent experiences of depersonalisation (feelings of unreality/detachment from one's mind/body) and/or derealisation (feelings of unreality of surroundings)
Prominent hallucinations or delusions
B. Reality testing remains intact during experiences C. Clinically significant distress or impairment D. Not attributable to physiological effects of a substance or another medical condition
B. Evidence that disturbance is direct pathophysiological consequence of another medical condition C. Not better explained by another mental disorder D. Not occurring exclusively during delirium; clinically significant distress or impairment
A. Persistent or recurrent experiences of depersonalisation (feelings of unreality/detachment from one's mind/body) and/or derealisation (feelings of unreality of surroundings) B. Reality testing remains intact during experiences C. Clinically significant distress or impairment
A. Prominent hallucinations or delusions B. Evidence that disturbance is direct pathophysiological consequence of another medical condition C. Not better explained by another mental disorder
No DSM-5-TR specifiers
With delusions; With hallucinations; Severity (Mild / Moderate / Severe)
Psychotic disorder (in DDD, reality testing is intact; in psychosis, it is impaired); Panic disorder (depersonalisation can occur during panic; specify if occurs only during attacks); PTSD (dissociation tied to trauma cues; may coexist)
Primary schizophrenia spectrum (no GMC; prior episodes); Substance/medication-induced psychosis; Delirium with psychotic features (not coded separately)