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Transcript
314.9 Attention-DeficitlHyperactivity Disorder
Not Otherwise Specified
93
Diagnostic criteria for
Attention-Deficit/Hyperactivity Disorder continued
D. There must be clear evidence of clinically significant impairment in social, academic,
or occupational functioning.
E. The symptoms do not occur exclusively during the course of a Pervasive Developmen
tal Disorder, Schizophrenia, or other Psychotic Disorder and are not better accounted
for by another mental disorder e.g., Mood Disorder, Anxiety Disorder, Dissociative
Disorder, or a Personality Disorder.
Code based on type:
314.01 Attention-Deficit/Hyperactivity Disorder, Combined Type:
if both Criteria Al and A2 are met for the past 6 months
314.00 Attention-Deficit/Hyperactivity Disorder. Predominantly
Inattentive Type: if Criterion Al is met but Criterion A? is not met for
the past 6 months
314.01 Attention-Deficit/Hyperactivity Disorder. Predominantly
Hyperactive-Impulsive Type: if Criterion AZ is met but Criterion Al is not met
for the past 6 months
Coding note: For individuals especially adolescents and adults who currently have
symptoms that no longer meet full criteria, "In Partial Remission" should be specified.
314.9 Attention-Deficit/Hyperactivity Disorder
Not Otherwise Specified
This category is for disorders with prominent symptoms of inattention or hyperactivity
impulsivity that do not meet criteria for Attention-Deficit/Hyperactivity Disorder.
Examples include
1. Individuals whose symptoms and impainnent meet the criteria for AttentionDeficit/Hyperactivity Disorder, Predominantly Inattentive Type but whose age
at onset is 7 years or after
2. Individuals with clinically significant impairment who present with inattention
and whose symptom pattern does not meet the full criteria for the disorder but
have a behavioral pattern marked by sluggishness, daydreaming, and hypoac
tivity
Conduct Disorder
Diagnostic Features
The essential feature of Conduct Disorder is a repetitive and persistent pattern of
behavior in which the basic rights of others or major age-appropriate societal norms
or rules are violated Criterion A. These behaviors fall into four main groupings:
Disorders Usually First Diagnosed in Infancy,
Childhood, or Adolescence
92
Diagnostic criteria for
Attention-DeficitlHyperactivity Disorder
A. Either 1 or 2:
1 six or more of the following symptoms of inattention have persisted for at
least 6 months to a degree that is maladaptive and inconsistent with develop
mental level:
Inattention
a often fails to give close attention to details or makes careless mistakes in
schoolwork, work, or other activities
b often has difficulty sustaining attention in tasks or play activities
c often does not seem to listen when spoken to directly
d often does not follow through on instructions and fails to finish school
work, chores, or duties in the workplace not due to oppositional behavior
or failure to understand instructions
e often has difficulty organizing tasks and activities
f often avoids, dislikes, or is reluctant to engage in tasks that require sw
tamed mental effort such as schoolwork or homework
g often loses things necessary for tasks or activities e.g., toys, school assign
ments, pencils, books, or tools
h is often easily distracted by extraneous stimuli
i is often forgetful in daily activities
2 six or more of the following symptoms of hyperactivity-inipulsivity have
persisted for at least 6 months to a degree that is maladaptive and inconsistent
with developmental level:
Hyperactivity
a often fidgets with hands or feet or squirms in seat
b often leaves seat in classroom or in other situations in which remaining
seated is expected
c often runs about or climbs excessively in situations in which it is inappro
priate in adolescents or adults. may be limited to subjective feelings of
restlessness
d often has difficulty playing or engaging in leisure activities quietly
e is often "on the go" or often acts as if "driven by a motor"
f often talks excessively
Impulsivity
g often blurts out answers before questions have been completed
h often has difficulty awafting turn
I often interrupts or intrudes on others e.g., butts into conversations or
games
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment were
present before age 7 years.
C. Some impairment from the symptoms is present in two or more settings e.g.. at
school [or worki and at home.