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Mental Health Nursing (NRSG210 ) DSM-5 & ICD-10 Difference

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John Marsh
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NRSG210 copy – DSM-5 & ICD-10 Difference

Australian Catholic University

Mental Health Nursing (NRSG210 )

Examine the difference in diagnosing conditions of schizophrenia and depression in
the DSM5 to the ICD10.
DSM-5 – Schizophrenia
Two (or more) of the following, each present for a significant portion of time during a
1-month period (or less if successfully treated). At least one of these must be (1),
(2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behaviour
5. Negative symptoms (i.e., diminished emotional expression or avolition).
(American Psychiatric Association, 2013)
6. For a significant portion of the time since the onset of the disturbance, level of
functioning in one or more major areas, such as work, interpersonal relations,
or self-care, is markedly below the level achieved prior to the onset (or when
the onset is in childhood or adolescence, there is failure to achieve expected
level of interpersonal, academic, or occupational functioning).
7. Continuous signs of the disturbance persist for at least 6 months. This 6-
month period must include at least 1 month of symptoms (or less if
successfully treated) that meet Criterion A (i.e., active-phase symptoms) and
may include periods of prodromal or residual symptoms. During these
prodromal or residual periods, the signs of the disturbance may be manifested
by only negative symptoms or by two or more symptoms listed in Criterion A
present in an attenuated form (e.g., odd beliefs, unusual perceptual
experiences).
8. Schizoaffective disorder and depressive or bipolar disorder with psychotic
features have been ruled out because either 1) no major depressive or manic
episodes have occurred concurrently with the active-phase symptoms, or 2) if
mood episodes have occurred during active-phase symptoms, they have
been present for a minority of the total duration of the active and residual
periods of the illness.
9. The disturbance is not attributable to the physiological effects of a substance
(e.g., a drug of abuse, a medication) or another medical condition.
10. If there is a history of autism spectrum disorder or a communication disorder
of childhood onset, the additional diagnosis of schizophrenia is made only if
prominent delusions or hallucinations, in addition to the other required
symptoms of schizophrenia, are also present for at least 1 month (or less if
successfully treated).

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Mental Health Nursing (NRSG210 ) DSM-5 & ICD-10 Difference

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