1. Significant Subaverage intellectual functioning (i.e. IQ below 70)

2. Significant limitatons in two of the following:

• communication
• self care
• home living
• social/ interpersonal skills

3. Onset before age 18

Mental Retardation:

Degrees of Severity

1. Mild MR- IQ level of 50-55 to 70

2. Moderate MR- IQ level of 35-40 to 50-55

3. Severe MR- IQ level of 20-25 to 35-40

4. Profound MR- IQ level below 20-25

1. Tested reading achievement below expected achivement according to age and education level

2. Disturbance significantly interferes with daily living that requires reading skills

1. Tested mathematical ability below expected achievement based on age and education level

2. Disterbances significantly interferes with daily living that requires mathematical ability

1. Writting skills substantually below expected skills based on age and educational level.

2. Disturbances interfere with life when basic writing skills are needed (i.e. grammer, organized thought communication)

1. Motor Coordination below expected time line given age and measured intelligence

2. Interferes with academic achievement or daily living

3. Not due to General Medical Condition

1. Developmental impairments to EXPRESS thoughts and ideas in an intellectual capacity.

2. Difficulty expressing language academically or occupationally thru social communication

3. Criteria not met for Mixed Receptive-Expressive Language Disorder or a Pervasive Development Disorder

1. Developmental impairments to UNDERSTAND and EXPRESS thoughts and ideas with language

2. ELD Criteria plus difficulty understanding words, sentences or specific types of words such as spatial terms

3. Criteria not met for a Pervasive Developmental Disorder

Phonological Disorder

(Development Articulation Disorder)

1. Unable to develop speech sounds expected for age and dialect

2. Speech sound production interferes with academic or occupational achievement or with social communication

1. Difficulty producing speech with normal fluency and time patterning, characterized by one or more:

• Sound and syllable repetitions    /    sound prolongations    /    interjections         /     broken words (Pauses between a word)     /     audible or silent blocking (filled/unfilled pauses)    /    circumlocutions (word subs to avoid difficult words)   /    words produced with an excess of physical tension    /     monosyllabic word repetitions ("I-I-I-I see him")

2. Interferes with academic or occupational achivement or social communicaton

Markedly abnormal or impaired development in social interaction and communication and a significantly restricted set of activity and interests. Other names given to disorder: early infantile autism, childhood autism, kanner's autism.

Restricted, Repetitive and stereotyped patterns of behavior, interests and activities. Diagnosed before the age of 3.

Diagnostic Criteria:

(1) Qualitative impairment in social interaction,

(2) Qualitative impairments in communication

(3)  restricted repetitive and stereotyped patterns behavior, interests and activities

Diagnostic Criteria for 299.80 Rhett's Disorder

A.  All of the following:

1) apparently normal prenatal and perinatal development

2) apparently normal psychomotor development through the first 5 mos after birth

3) normal head circumference at birth

B. Onset of all the following after the period of normal development:

1) deceleration of head growth b/w ages 5 and 48 mos.

2) loss of previously acquired purposeful hand skills b/w ages 5 and 30 mos. w/ the subsequent development of stereotyped hand movements (eg,.hand wringing or hand washing)

3) loss of social engagement early in the course (although often social interaction develops later)

4) appearance of poorly coordinated gait or trunk movements

5) severely impaired expressiv and receptive language development w/ severe psychomotor retardation

Marked regression in multiple areas of functioning following a period of normal development of at least two years

Significant loss of previously acquired skills ( before the age of 10) in at least two of the following areas:

1. Expressive or receptive Language

2. social skills or adaptive behavior

3. bowel or bladder control

4. play

5. Motor skills

Abnormalities of fnctioning in at least two of the following areas:

 1. Qualitative impairment in social interaction

 2. Qualitative impairment in communication (delay in spoken language or lack of language)

 3. restricted, repetitive, and stereotyped patterns of behavior, interests and activities, including motor stereotypies and mannerisms

Not accounted for by any specific Pervasive Developmental Disorder or by Schizophrenia

299.80 Asprger's Disorder

Severe and sustained impairment in social interaction, and the development of restricted, repetitive patterns of behavior,interests, and activities, must cause clinical significant impairment in social, occupational or other important areas of functioning, during first three years of life there are no clinically significant delays in cognitive development

***continous obsession with specific topic or interests.***

299.80 Pervasive Developmental Disorder Not Otherwise Specified

( Including Atypical Autism)

Attention Deficit/Hypractivity Disorder

subt types include:

314.01 Attention Deficit/Hypractivity Disorder, Combined Type

314.00 Attention Deficit/Hypractivity Disorder, Predominantley Inattentive Type

314.01 Attention Deficit/Hypractivity Disorder, Predominantley Hyperactive-Impulsive Type

Persistent pattern of inattention, and or hyperactivity-impulsivity that is more frequently displayed and more severe than is typically observed in indivuduals at a comparable level of development, impairment must have been present before the age of 7. Clear impairment must affect everyday life. Inattention is characterized by messy and careless work, without consideration to thought or completion of tasks, chidlren with this disorder often start one project and move to other tasks and do not complete the projects. Work habits are disorganized and children have a strong dislike for taks that require organization and metal effort. 

Attention Deficit/Hypractivity Disorder, Combined Type-6 or more symptoms of inattention & 6 more symptoms of  hyperactivity-impulsivity 4 6 mos.

Attention Deficit/Hypractivity Disorder, Predominantley Inattentive Type- 6 or more symptoms of inattention 4 6 mos.

Attention Deficit/Hypractivity Disorder, Predominantley Hyperactive-Impulsive Type- 6 or more symptoms of hyperactivity-impulsivity 4 6 mos.

Conduct Disorder

Subtypes include:

312.81 Childhood Onset Type

312.82- Adolescent -Onset Type

312.89 Unspecified Onset- Subtype

Repetitive and persistent pattern of behavior in which the basic rights of others or major age appropriate societal norms or rules are violated, the behaviors fall into four main groupings: aggressive conduct that causes or theratens physical harm to other people or animals, nonaggressive conduct that causes property loss or damage, deceitfulness or theft and serious violations of rules. Chidlren may bully, threaten or intimidate people, may initiate physical fights, use a weapon, be cruel to people or force someone into sexual activity

312.81 Childhood Onset Type- at least one criterion characteristic of Conduct Disorder before the age of 10 yrs., usually male, have frequent physical aggression, can have comorbidities like ADHD, may develop AntiSocial Personality Disorder as adult

312.82- Adolescent -Onset Type- less likely to have criterion characteristics before the age of 10, do not have persistent conduct disorder and do not develop ASPD as adults

312.89 Unspecified Onset- Subtype is used if the age at onset of CD in not known.

1. A. both multiple motor and one or more vocal tics present for some time, not necessarily concurrently
2. Tics occur many times a day (usually in bouts) nearly every day, or intermittently for a period more than one year
3. The onset is before age 18 years.
4. The disturbance is not due to the direct physiological effects of a substance or a general medical condition.

1. Single or multiple motor OR vocal tics
2. Tics occur many times per day nearly every day or intermittently for more than a year with-out being tic free for more than 3 consecutive months.
3. Onset is before age 18 years
4. Disturbance is not due to the effects of a substance or a general medical condition
5. Criteria have never been met for Tourette's Disorder.

1. Single or multiple motor and/or vocal tics
2. Tics occur many times a day, nearly every day for at least 4 weeks, but no longer than 12 consecutive months.
3. onset is before age 18 years.
4. Disturbance is not due to the effects of a substance or a general medical condition
5. Criteria have never been met for Tourette's Disorder or Chronic Motor or Vocal Tic Disorder

specifiy if single episode or recurrent.

1. Repeated passage of feces into inappropriate places, whether involuntary or intentional
2. At least one such event a month for at least 3 months
3. Chronological age is at least 4 years (or equivalent developmental level)
4. Behavior is not due exclusively to a substance or a general medical condition, except through a mechanism involving constipation

787.6 With Constipation and Overflow Incontinence

307.7 Without Constipation and Overflow Incontinence

1. Repeated voiding of urine into bed or clothes
2. Behavior is clinically significant either by frequency of twice weekly for 3 months or the presence of clinically significant distress or impairment
3. Chronological age is at least 5 years ( or equivalent developmental level)
4. Behavior is not due to a substance or a general medical condition

Specify:  Nocturnal Only, Diurnal Only, or Nocturnal and Diurnal

1. Developmentally inappropriate and excessive anxiety concerning separation from home or from those to whom the individual is attached as evidenced by 3 of the list on pg 125 of DSM-IV-TR
   1. For example: excessive worry about losing, or about harm befalling major attachment figures
      
2. Duration of disturbance is at least 4 weeks
3. Onset is before age 18 years (early onset if before age 6 years)
   
4. Disturbance causes clinically significant distress or impairment
5. disturbance does not occur exclusively during course of PDD, Schizophrenia or other psychotic disorder.  In adults, is not better accounted for by Panic Disorder with Agoraphobia

1. Consistent failure to speak in specific social situations despite speaking in other situations
2. Disturbance interferes with educational or occupational achievement or with social communication
3. Duration of the disturbance is at least 1 month
4. Failure to Speak is not due to a lack of knowledge of or comfort with the spoken language
5. Not better accounted for by a communication disorder, does not exclusively occur during a PDD, schizophrenia or other psychotic Disorder

1. Disturbed and developmentally inappropriate social relatedness in most contexts, beginning before age 5 years as evidenced by 1. or 2.
   1. Excessively inhibited, hypervigilant or highly ambivalent and contradictory responses
   2. diffuse attachments, indiscriminate sociability without appropriate selective attachments
2. Criterion A not accounted for solely by developmental delay, does not meet criteria for PDD
3. Pathogenic care as evidenced by at least 1 of the following:  persistent disregard of child's basic emotional needs, basic physical needs or repeated changes of primary caregiver that prevent formation of stable attachments
   
4. There is a presumption that Criterion C is responsible for the disturbed behavior in Criterion A

1. Repetitive, seemingly driven and nonfunctional motor behavior
2.  behavior interferes with normal activities or results in bodily injury requiring medical treatment
3. If mental Retardation is present, the behavior is of sufficient severity to become a focus of treatment
4. Behavior is not accounted for by a compuslion, tic, stereotypy as part of a PDD or hair pulling.
5. Behavior is not due to the effects of a substance or a general medical condition
6. Behavior persists for 4 weeks or longer

Specify: with Self-Injurious Behavior

Diagnostic Criteria

• Refusal to maintain body weight at or above a minimally normal weight for and and height (Body weight less than 85%).
• Intense fear of gaining weight or becoming fat, even though underweight.
• Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
• In postmenarcheal females, amenorrhea (absence of 3 consecutive menstrual cycles).

Diagnostic Critera

• Recurrent episodes of binge eating.
• Eating large amount of food in discrete period of time.
• A sense of lack of control over eating.
• Recurrent inappropriate compensatory behavior to prevent weight gain.
• Binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months.
• Self-evaluation is unduly influenced by body shape and weight.
• The disturbance does not occur exclusively during episodes of Anorexia Nervosa.
• 2 types: Purging and Nonpurging

• Intermittent Explosive Disorder
• Kleptomania
• Pyromania
• Pathological Gambling
• Trichotillomania
• mpulse-Control Disorder NOS

• Several episodes of impulsive behavior that result in serious damage to either persons or property.
• The degree of the aggressiveness is grossly disproportionate to any precipitating psychosocial stressors.
• The aggressive episodes are not better accounted for by another mental or physical medical condition.

• The individual is unsuccessful in resisting impulses to steal things that are not needed.
• The individual experiences gratification, relief or pleasure when carrying out the theft.
• The individual experiences a rise of tension immediately prior to the act of stealing.
• The act is not an expression of anger or some other emotion nor is it the the result of delusion or hallucination.
• The stealing is not better accounted for by another mental disorder such as Conduct Disorder, Anti-Social Personality, or the Manic Phase of a manic-depressive illness.

• Repeated fires that have been deliberately set.
• There is no monetary gain, political expression, criminal concealment, expression of vengeance or anger, or impaired judgment (by reason of mental disorder, or other impairment)
• Fascination with, interest in, curiosity about, or attraction to fire.
• Tension or arousal prior to setting the fire.
• Pleasure, relief or gratification when watching or participating in the fire.
• The behavior is not better explained by Antisocial Personality Disorder, a Manic episode, or Conduct Disorder.

5 or more of the following:

• Pre-occupation with gambling
• Repeated unsuccessful attempts to stop or slow down gambling
• Irritability and restlessness during these attempts
• Illegal acts to obtain money for gambling
• Gambling to escape from problems or negative feelings
• Persistence in gambling even after losing in attempt to recover losses
• Betrayal of others by lying about the extent of the behavior or consequences
• Soliciting money from others either to gamble or to pay debts related to gambling
• Loss of jobs and/or other opportunity and/or important relationships because of the gambling behavior
• Need to increase the amount of money gambled in order to experience the same adrenalin 'rush'

• Recurrent plucking of one's hair resulting in noticeable hair loss.
• Increasing build-up of tension immediately before the plucking.
• Pleasure, gratification, or relief when pulling out hair.
• The problem is not better explained by an alternative mental or medical disorder.
• The problem results in significant distress or impairment to the individual in social, vocational or other areas of life.