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  1. Aug 17, 2012 · The ICD-10 section “F2 Schizophrenia, schizotypal and delusional disorders” will be renamed “Schizophrenia spectrum and other primary psychotic disorders.”. The use of the term “primary” here could be debated, but the intention is to distinguish these disorders from nonprimary psychotic disorders. Psychotic symptoms occurring in ...

    • Wolfgang Gaebel
    • 2012
  2. Onset of the disorder should be directly related to the use of the psychoactive substance. Cases in which initial onset of the state occurs later than episode(s) of such substance use should be coded here only where clear and strong evidence is available to attribute the state to the residual effect of the psychoactive substance.

  3. F23.3 Other acute predominantly delusional psychotic disorders Definition Acute psychotic disorders in which comparatively stable delusions or hallucinations are the main clinical features, but do not justify a diagnosis of schizophrenia (F20.-). If the delusions persist the diagnosis should be changed to persistent delusional disorder (F22.-).

  4. Aug 17, 2012 · Also, ATPD in ICD-11 as in ICD-10 allows up to 3 months of symptom duration compared to 1 month for brief psychotic disorder in DSM-5. The rationale for this longer duration of symptoms is that the modal duration of remitting psychoses with acute onset is 2–4 months. 10.

    • Wolfgang Gaebel
    • 2012
    • Introduction
    • Diagnostic guidelines
    • Diagnostic guidelines
    • F1x.07 Pathological intoxication
    • F1x.1 Harmful use
    • F1x.2 Dependence syndrome
    • Diagnostic guidelines
    • F1x.21 Currently abstinent, but in a protected environment
    • F1x.22 Currently on a clinically supervised maintenance or replacement regime [controlled dependence]
    • F1x.3 Withdrawal state
    • Diagnostic guidelines
    • F1x.5 Psychotic disorder
    • F1x.6 Amnesic syndrome
    • Diagnostic guidelines
    • F1x.7 Residual and late-onset psychotic disorder
    • F1x.70 Flashbacks

    This block contains a wide variety of disorders that differ in severity (from uncomplicated intoxication and harmful use to obvious psychotic disorders and dementia), but that are all attributable to the use of one or more psychoactive substances (which may or may not have been medically prescribed). The substance involved is indicated by means o...

    Identification of the psychoactive substance used may be made on the basis of self-report data, objective analysis of specimens of urine, blood, etc, or other evidence (presence of drug samples in the patient’s possession, clinical signs and symptoms, or reports from informed third parties). It is always advisable to seek corroboration from more th...

    Acute intoxication is usually closely related to dose levels (see ICD-10, Chapter XX). Exceptions to this may occur in individuals with certain underlying organic conditions (e.g. renal or hepatic insufficiency) in whom small doses of a substance may produce a disproportionately severe intoxicating effect. Disinhibition due to social context sh...

    Applies only to alcohol. Sudden onset of aggression and often violent behaviour that is not typical of the individual when sober, very soon after drinking amounts of alcohol that would not produce intoxication in most people.

    A pattern of psychoactive substance use that is causing damage to health. The damage may be physical (as in cases of hepatitis from the self-administration of injected drugs) or mental (e.g. episodes of depressive disorder secondary to heavy consumption of alcohol).

    cluster of physiological, behavioural, and cognitive phenomena in which the use of substance or a class of substances takes on a much higher priority for a given individual than other behaviours that once had greater value. A central descriptive characteristic of the dependence syndrome is the desire (often strong, sometimes overpowering) to take p...

    definite diagnosis of dependence should usually be made only if three or more of the following have been present together at some time during the previous year: a strong desire or sense of compulsion to take the substance; difficulties in controlling substance-taking behaviour in terms of its onset, termination, or levels of use; a physiological wi...

    (e.g. in hospital, in a therapeutic community, in prison, etc.)

    (e.g. with methadone; nicotine gum or nicotine patch)

    A group of symptoms of variable clustering and severity occurring on absolute or relative withdrawal of a substance after repeated, and usually prolonged and/or high-dose, use of that substance. Onset and course of the withdrawal state are time-limited and are related to the type of substance and the dose being used immediately before abstinence. T...

    Withdrawal state is one of the indicators of dependence syndrome (see F1x.2) and this latter diagnosis should also be considered. Withdrawal state should be coded as the main diagnosis if it is the reason for referral and sufficiently severe to require medical attention in its own right. Physical symptoms vary according to the substance being...

    A cluster of psychotic phenomena that occur during or immediately after psychoactive substance use and are characterized by vivid hallucinations (typically auditory, but often in more than one sensory modality), misidentifications, delusions and/or ideas of reference (often of a paranoid or persecutory nature), psychomotor disturbances (excitement ...

    A syndrome associated with chronic prominent impairment of recent memory; remote memory is sometimes impaired, while immediate recall is preserved. Disturbances of time sense and ordering of events are usually evident, as are difficulties in learning new material. Confabulation may be marked but is not invariably present. Other cognitive functions ...

    Amnesic syndrome induced by alcohol or other psychoactive substances coded here should meet the general criteria for organic amnesic syndrome (see F04). The primary requirements for this diagnosis are: memory impairment as shown in impairment of recent memory (learning of new material); disturbances of time sense (rearrangements of chronological ...

    A disorder in which alcohol- or psychoactive substance-induced changes of cognition, affect, personality, or behaviour persist beyond the period during which a direct psychoactive substance-related effect might reasonably be assumed to be operating.

    May be distinguished from psychotic disorders partly by their episodic nature, frequently of very short duration (seconds or minutes) and by their duplication (sometimes exact) of previous drug-related experiences.

  5. Jan 31, 2024 · Diagnosis. Treatment. Outlook. Psychotic disorders are severe mental health disorders that cause abnormal thinking and perceptions. Persons with a psychotic disorder often lose touch with reality and may experience symptoms like delusions and hallucinations. There are several different types of psychotic disorders, and they each have diagnostic ...

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  7. Sep 1, 2022 · The ICD-11 with its chapter on Mental, Behavioural or Neurodevelopmental Disorders, its Mortality and Morbidity Statistics (MMS), Coding Tool and Reference Guide, Clinical Descriptions and Diagnostic Guidelines (CDDG), and other tools for translation and implementation offers an innovative approach for individualised diagnosis, treatment and care of people with mental disorders.

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