Certain infectious and parasitic diseases

Certain infectious and parasitic diseases Certain infectious and parasitic diseases

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F66.8 Other psychosexual development disorders F66.9 Psychosexual development disorder, unspecified F68 Other disorders of adult personality and behaviour F68.0 Elaboration of physical symptoms for psychological reasons Physical symptoms compatible with and originally due to a confirmed physical disorder, disease or disability become exaggerated or prolonged due to the psychological state of the patient. The patient is commonly distressed by this pain or disability, and is often preoccupied with worries, which may be justified, of the possibility of prolonged or progressive disability or pain. Compensation neurosis F68.1 Intentional production or feigning of symptoms or disabilities, either physical or psychological [factitious disorder] The patient feigns symptoms repeatedly for no obvious reason and may even inflict self-harm in order to produce symptoms or signs. The motivation is obscure and presumably internal with the aim of adopting the sick role. The disorder is often combined with marked disorders of personality and relationships. Hospital hopper syndrome Münchhausen's syndrome Peregrinating patient Excludes: factitial dermatitis ( L98.1 ) person feigning illness (with obvious motivation) ( Z76.5 ) F68.8 Other specified disorders of adult personality and behaviour Character disorder NOS Relationship disorder NOS F69 Unspecified disorder of adult personality and behaviour Mental retardation (F70-F79) A condition of arrested or incomplete development of the mind, which is especially characterized by impairment of skills manifested during the developmental period, skills which contribute to the overall level of intelligence, i.e. cognitive, language, motor, and social abilities. Retardation can occur with or without any other mental or physical condition. Degrees of mental retardation are conventionally estimated by standardized intelligence tests. These can be supplemented by scales assessing social adaptation in a given environment. These measures provide an approximate indication of the degree of mental retardation. The diagnosis will also depend on the overall assessment of intellectual functioning by a skilled diagnostician. Intellectual abilities and social adaptation may change over time, and, however poor, may improve as a result of training and rehabilitation. Diagnosis should be based on the current levels of functioning. The following fourth-character subdivisions are for use with categories F70-F79 to identify the extent of impairment of behaviour: 214 WHO’s ICD-10

.0 With the statement of no, or minimal, impairment of behaviour .1 Significant impairment of behaviour requiring attention or treatment .8 Other impairments of behaviour .9 Without mention of impairment of behaviour Use additional code, if desired, to identify associated conditions such as autism, other developmental disorders, epilepsy, conduct disorders, or severe physical handicap. F70 Mild mental retardation [See before F70 for subdivisions ] Approximate IQ range of 50 to 69 (in adults, mental age from 9 to under 12 years). Likely to result in some learning difficulties in school. Many adults will be able to work and maintain good social relationships and contribute to society. Includes: feeble-mindedness mild mental subnormality F71 F72 F73 F78 F79 Moderate mental retardation [See before F70 for subdivisions ] Approximate IQ range of 35 to 49 (in adults, mental age from 6 to under 9 years). Likely to result in marked developmental delays in childhood but most can learn to develop some degree of independence in self-care and acquire adequate communication and academic skills. Adults will need varying degrees of support to live and work in the community. Includes: moderate mental subnormality Severe mental retardation [See before F70 for subdivisions ] Approximate IQ range of 20 to 34 (in adults, mental age from 3 to under 6 years). Likely to result in continuous need of support. Includes: severe mental subnormality Profound mental retardation [See before F70 for subdivisions ] IQ under 20 (in adults, mental age below 3 years). Results in severe limitation in self-care, continence, communication and mobility. Includes: profound mental subnormality Other mental retardation [See before F70 for subdivisions ] Unspecified mental retardation [See before F70 for subdivisions ] Includes: mental: · deficiency NOS · subnormality NOS Version for 2007 215

F66.8 Other psychosexual development disorders<br />

F66.9 Psychosexual development disorder, unspecified<br />

F68 Other disorders of adult personality <strong>and</strong> behaviour<br />

F68.0 Elaboration of physical symptoms for psychological reasons<br />

Physical symptoms compatible with <strong>and</strong> originally due to a confirmed physical<br />

disorder, disease or disability become exaggerated or prolonged due to the<br />

psychological state of the patient. The patient is commonly distressed by this pain<br />

or disability, <strong>and</strong> is often preoccupied with worries, which may be justified, of<br />

the possibility of prolonged or progressive disability or pain.<br />

Compensation neurosis<br />

F68.1 Intentional production or feigning of symptoms or disabilities, either<br />

physical or psychological [factitious disorder]<br />

The patient feigns symptoms repeatedly for no obvious reason <strong>and</strong> may even<br />

inflict self-harm in order to produce symptoms or signs. The motivation is<br />

obscure <strong>and</strong> presumably internal with the aim of adopting the sick role. The<br />

disorder is often combined with marked disorders of personality <strong>and</strong><br />

relationships.<br />

Hospital hopper syndrome<br />

Münchhausen's syndrome<br />

Peregrinating patient<br />

Excludes: factitial dermatitis ( L98.1 )<br />

person feigning illness (with obvious motivation) ( Z76.5 )<br />

F68.8 Other specified disorders of adult personality <strong>and</strong> behaviour<br />

Character disorder NOS<br />

Relationship disorder NOS<br />

F69<br />

Unspecified disorder of adult personality <strong>and</strong> behaviour<br />

Mental retardation<br />

(F70-F79)<br />

A condition of arrested or incomplete development of the mind, which is especially<br />

characterized by impairment of skills manifested during the developmental period, skills<br />

which contribute to the overall level of intelligence, i.e. cognitive, language, motor, <strong>and</strong><br />

social abilities. Retardation can occur with or without any other mental or physical<br />

condition.<br />

Degrees of mental retardation are conventionally estimated by st<strong>and</strong>ardized intelligence<br />

tests. These can be supplemented by scales assessing social adaptation in a given<br />

environment. These measures provide an approximate indication of the degree of mental<br />

retardation. The diagnosis will also depend on the overall assessment of intellectual<br />

functioning by a skilled diagnostician.<br />

Intellectual abilities <strong>and</strong> social adaptation may change over time, <strong>and</strong>, however poor, may<br />

improve as a result of training <strong>and</strong> rehabilitation. Diagnosis should be based on the current<br />

levels of functioning.<br />

The following fourth-character subdivisions are for use with categories F70-F79 to identify<br />

the extent of impairment of behaviour:<br />

214 WHO’s ICD-10

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