Provisional tic disorder
Single or multiple motor and/or vocal tics
NeurodevelopmentalF95.0
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Single or multiple motor and/or vocal tics
Repeated episodes of arousal during sleep associated with vocalisation and/or complex motor behaviours
Pervasive pattern of instability of interpersonal relationships, self-image, and affect, with marked impulsivity beginning by early adulthood; ≥5 of 9: frantic efforts to avoid abandonment; unstable intense relationships; identity disturbance; impulsivity in ≥2 damaging areas; suicidal/self-mutilating behaviour; affective instability; chronic emptiness; inappropriate intense anger; transient stress-related paranoia/dissociation
Cessation or reduction of heavy/prolonged alcohol use
Pervasive pattern of disregard for/violation of rights of others since age 15: ≥3 of 7: failure to conform to lawful behaviours; deceitfulness; impulsivity; irritability/aggressiveness; reckless disregard for safety; consistent irresponsibility; lack of remorse
Persistent deficits in social communication/interaction across multiple contexts (≥3 components: social-emotional reciprocity; nonverbal communicative behaviours; developing/maintaining relationships)
Recurrent binge eating episodes associated with ≥3 of: eating faster; eating until uncomfortably full; eating large amounts when not physically hungry; eating alone due to embarrassment; feeling disgusted/depressed/guilty afterwards
Preoccupation with ≥1 perceived defect(s) or flaw(s) in physical appearance (not observable or only slightly observable to others)
Recurrent binge eating episodes (eating large amount in discrete period + sense of lack of control)
Pattern of culturally inappropriate, overly familiar behaviour with relatively unfamiliar adults; ≥2 of: reduced/absent reticence; overly familiar verbal/physical behaviour; diminished checking back with caregiver; willingness to go with unfamiliar adult
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
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
Over ≥6 months, recurrent and intense sexual arousal from touching or rubbing against a non-consenting person, as manifested by fantasies, urges, or behaviours
Preoccupation with having or acquiring a serious illness
Recurrent episodes of incomplete awakening from sleep, usually occurring during the first third of the major sleep episode, accompanied by either sleepwalking (complex behaviour without full consciousness) or sleep terrors (abrupt awakenings with intense fear/autonomic arousal; difficult to console)
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
Recurrent and intense sexual arousal to atypical objects, situations, or individuals, as manifested by fantasies, urges, or behaviours, for ≥6 months
Over ≥6 months, recurrent, intense sexually arousing fantasies, urges, or behaviours involving sexual activity with a prepubescent child or children (generally ≤13 years)
Intoxication: recent sedative/hypnotic/anxiolytic use; Withdrawal: cessation/reduction after prolonged heavy use
Over ≥6 months, recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviours
Over ≥6 months, recurrent and intense sexual arousal from physical or psychological suffering of another person, as manifested by fantasies, urges, or behaviours
≥1 somatic symptom that is distressing or results in significant disruption of daily life
Over ≥6 months, recurrent and intense sexual arousal from cross-dressing, as manifested by fantasies, urges, or behaviours
Over ≥6 months, recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviours
Restriction of energy intake → significantly low body weight for age, sex, developmental trajectory, and physical health
≥1 of: delusions; hallucinations; disorganised speech; grossly disorganised/catatonic behaviour
Repetitive/persistent pattern of behaviour violating rights of others or major societal norms; ≥3 of 15 criteria in past 12 months (≥1 in past 6): aggression to people/animals; destruction of property; deceitfulness/theft; serious rule violations
≥1 month of ≥1 delusion(s)
Pervasive and excessive need to be taken care of, leading to submissive and clinging behaviour and fears of separation, beginning by early adulthood; ≥5 of 8: difficulty making everyday decisions without advice/reassurance; needs others to assume responsibility for major areas of life; difficulty expressing disagreement out of fear; difficulty initiating projects alone; goes to excessive lengths to obtain nurturance/support; feels uncomfortable/helpless when alone; urgently seeks a replacement relationship when one ends; preoccupied with fears of being left to care for self
Disruption of identity characterised by ≥2 distinct personality states/possession experiences with marked discontinuity in sense of self and agency, accompanied by alterations in affect, behaviour, consciousness, memory, perception, cognition, and/or sensory-motor functioning
Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception in self (imposed on self) or in another person (imposed on another)
Criteria met for major or mild NCD
Pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood; ≥5 of 8: uncomfortable when not the centre of attention; inappropriate sexually seductive or provocative behaviour; rapidly shifting shallow emotions; uses physical appearance to draw attention; impressionistic/lacking-in-detail speech; theatrical/exaggerated emotional expression; suggestible; considers relationships more intimate than they are
Criteria met for major or mild NCD with insidious onset and gradual progression
≥4 symptoms from: angry/irritable mood (loses temper; touchy/easily annoyed; angry/resentful); argumentative/defiant behaviour (argues with authority; defies rules; deliberately annoys; blames others); or vindictiveness — for ≥6 months, exhibited during interaction with ≥1 non-sibling individual
Recurrent unexpected panic attacks (abrupt surge reaching peak within minutes; ≥4 of 13 symptoms)
Exposure to actual/threatened death, serious injury, or sexual violence (direct, witnessed, learning about close person, or repeated indirect exposure)
Consistent pattern of inhibited, emotionally withdrawn behaviour toward caregivers; ≥2 of: rarely seeks/responds to comfort when distressed; minimal positive affect; unexplained irritability/sadness/fearfulness
≥2 of: delusions; hallucinations; disorganised speech; grossly disorganised/catatonic behaviour; negative symptoms — ≥1 must be delusions, hallucinations, or disorganised speech
Pervasive pattern of social/interpersonal deficits with acute discomfort in close relationships, cognitive/perceptual distortions, and eccentricities of behaviour, beginning by early adulthood; ≥5 of 9: ideas of reference; odd beliefs/magical thinking; unusual perceptual experiences; odd thinking/speech; suspiciousness/paranoid ideation; inappropriate/constricted affect; odd/eccentric behaviour/appearance; lacks close friends; excessive social anxiety
Repetitive, seemingly driven, and apparently purposeless motor behaviour (e.g. hand shaking/waving, body rocking, head banging, self-biting, hitting own body)
Prominent anxiety, panic attacks, or obsessions/compulsions directly attributable to physiological effects of another medical condition
Persistent or recurrent pattern of sleep disruption primarily due to alteration of the circadian system or misalignment between endogenous circadian rhythm and sleep-wake schedule
Inability to recall important autobiographical information (usually traumatic/stressful) inconsistent with ordinary forgetting; may include dissociative fugue (purposeful travel or bewildered wandering)
Recurrent skin picking resulting in skin lesions
Persistent difficulty discarding or parting with possessions, regardless of their actual value
Symptoms characteristic of a dissociative disorder causing clinically significant distress/impairment
Symptoms characteristic of a somatic symptom/related disorder causing clinically significant distress/impairment
Deliberate and purposeful fire setting on more than one occasion
Both multiple motor tics AND ≥1 vocal tic present at some time during the illness, though not necessarily simultaneously
Recurrent pulling out of one's hair, resulting in hair loss
Recurrent periods of irrepressible need to sleep, lapsing into sleep, or napping within same day, for ≥3 months; ≥1 of: cataplexy (brief episodes of bilateral muscle tone loss) ≥few times/month; hypocretin deficiency (CSF hypocretin-1 ≤110 pg/mL); REM sleep latency ≤15 min on MSLT (or mean sleep latency ≤8 min with ≥2 sleep-onset REM periods)
Symptoms characteristic of a disruptive, impulse-control, or conduct disorder causing clinically significant distress/impairment
Symptoms characteristic of a feeding/eating disorder causing clinically significant distress/impairment
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
Repeated regurgitation of food for ≥1 month; regurgitated food may be re-chewed, re-swallowed, or spat out