Lewy body neurocognitive disorder
Criteria met for major or mild NCD with insidious onset and gradual progression
Criteria met for major or mild NCD with insidious onset and gradual progression
Criteria met for major or mild NCD
Criteria met for major or mild NCD (substantial or modest cognitive decline in ≥1 domain)
Parkinsonian tremor, muscular rigidity, or akinesia developing in association with medication use (most commonly neuroleptic/antipsychotic or dopamine-depleting agent)
Preoccupation with ≥1 perceived defect(s) or flaw(s) in physical appearance (not observable or only slightly observable to others)
Criteria met for major or mild NCD
Criteria met for major or mild NCD
Repetitive, seemingly driven, and apparently purposeless motor behaviour (e.g. hand shaking/waving, body rocking, head banging, self-biting, hitting own body)
Restriction of energy intake → significantly low body weight for age, sex, developmental trajectory, and physical health
Recurrent binge eating episodes (eating large amount in discrete period + sense of lack of control)
Disturbance of attention (reduced ability to direct, focus, sustain, shift attention) and awareness (reduced orientation to environment)
Persistent or recurrent experiences of depersonalisation (feelings of unreality/detachment from one's mind/body) and/or derealisation (feelings of unreality of surroundings)
Inability to recall important autobiographical information (usually traumatic/stressful) inconsistent with ordinary forgetting; may include dissociative fugue (purposeful travel or bewildered wandering)
Over ≥6 months, recurrent and intense sexual arousal from either the use of non-living objects or a highly specific focus on non-genital body part(s), as manifested by fantasies, urges, or behaviours
Preoccupation with having or acquiring a serious illness
Criteria met for major or mild NCD
Criteria met for major or mild NCD
Criteria met for major or mild NCD
Criteria met for major or mild NCD
Repeated episodes of arousal during sleep associated with vocalisation and/or complex motor behaviours
Eating/feeding disturbance (apparent lack of interest; sensory-based avoidance; concern about aversive consequences) → persistent failure to meet nutritional/energy needs
Recurrent skin picking resulting in skin lesions
Over ≥6 months, recurrent and intense sexual arousal from the exposure of one's genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviours
≥1 symptom of altered voluntary motor or sensory function
Marked incongruence between one's experienced/expressed gender and assigned gender, ≥6 months; in adolescents/adults: ≥2 of: incongruence between experienced gender and primary/secondary sex characteristics; strong desire to be rid of primary/secondary sex characteristics; strong desire for sex characteristics of experienced gender; strong desire to be of experienced gender; strong desire to be treated as experienced gender; strong conviction of having typical feelings/reactions of experienced gender
Persistent difficulty discarding or parting with possessions, regardless of their actual value
Substantial cognitive decline in ≥1 domain (complex attention, executive function, learning/memory, language, perceptual-motor, social cognition) based on concern + objective evidence
Modest cognitive decline in ≥1 domain (concern of individual, knowledgeable informant, or clinician; supported by objective performance evidence)
Presence of obsessions (recurrent/persistent intrusive thoughts/urges/images + attempts to suppress or neutralise), compulsions (repetitive behaviours/mental acts driven by rigid rules aimed at reducing distress/feared event), or both
Symptoms characteristic of an OCD-related disorder causing clinically significant distress/impairment
Persistent personality disturbance representing a change from the individual's previous characteristic personality pattern
Exposure to actual/threatened death, serious injury, or sexual violence (direct, witnessed, learning about close person, or repeated indirect exposure)
Deliberate and purposeful fire setting on more than one occasion
Repeated regurgitation of food for ≥1 month; regurgitated food may be re-chewed, re-swallowed, or spat out
Involuntary movements (tardive dystonia: sustained/repetitive muscle contractions; tardive akathisia: subjective restlessness + repetitive movements) developing in association with neuroleptic use, persisting ≥4 weeks