UNIT: 2 Principles & Concepts of Mental Health Nursing Topic- Classification of Mental Disorders.pptx

This topic includes the definition of mental health nursing & classification of mental disorders. It is a part of Unit 2: Principles & Concepts of Mental Health Nursing –Topic- Classification of Mental Disorders in the subject Mental Health Nursing for 5th semester B.Sc. Nursing students and will be helpful in developing their knowledge and application of therapeutic approaches in clinical practice.

1. CLASSIFICATION OF MENTAL DISORDERS SWATI MISTRY ASSISTANT PROFESSOR SANDRA SHROFF COLLEGE OF NURSING VAPI 1

2. Mental health nursing Mental health nursing is defined as a branch of nursing which deals with the study of measures to prevent mental illness, promotes mental health and restores the patient with mental illnesses. MS. SWATI MISTRY 2

3. ICD 11 DSM V (Diagnostic Statical Manual of Mental Disorders) Geropsychiatry Manual Classification Indian Classification Of Mental Disorders MS. SWATI MISTRY 3

4. ICD 11 International Classification of Diseases produced by WHO ICD 11 was approved by the World Health Assembly in 2019 & use from 1st January 2022 Mental disorders are placed in 6 th chapter and codes starting from 6A00 – 6E69 Total 30 chapters. MS. SWATI MISTRY 4

5. ICD 11 Neuro developmental disorders (Block L1-6A0) Schizophrenia or other primary psychotic disorders (Block L1-6A2) Catatonia (Block L1 -6A4) Mood disorders (Block L1-6A6) Depressive disorders (Block L2-6A7) Anxiety or fear related disorders (Block L1-6B0) Obsessive-compulsive or Related Disorders(Block L1-6B2) Disorders Specifically Associated With Stress (Block L1-6B4) MS. SWATI MISTRY 5

6. Dissociative Disorders (Block L1-6B6) Feeding or Eating Disorders (Block L1-6B8) Elimination Disorders (Block L1-6C0) Disorders of Bodily Distress or Bodily Experience (Block L1-6C2) Disorders due to Substance use or Addictive Behaviors (Block L1-6C4) Disorders due to Addictive Behaviors (Block L2-6C5) Impulse Control Disorders (Block L1-6C7) MS. SWATI MISTRY 6

7. Disruptive Behavior or Dissocial Disorders (Block L1-6C9) Personality Disorders and Related Traits (Block L1-6D1) Paraphilic Disorders (Block L1-6D3) Factitious Disorders (Block L1-6D5) Neurocognitive Disorders (Block L1-6D7) Mental or Behavioral Disorders Associated With Pregnancy, Childbirth or the Puerperium (Block L1-6E2) MS. SWATI MISTRY 7

8. Classification of mental and behavioral disorders (ICD-11) Neuro developmental disorders (Block L1-6A0) 6A00 disorders of intellectual development 6A01 developmental speech or language disorders 6A02 autism spectrum disorder 6A03 developmental learning disorder 6A04 developmental motor coordination disorder 6A05 attention deficit hyperactivity disorder 6A06 stereotyped movement disorder 6A0Y other specified neurodevelopmental disorders 6A0Z neurodevelopmental disorder, unspecified MS. SWATI MISTRY 8

9. Schizophrenia or other primary psychotic disorders (Block L1-6A2) 6A20 schizophrenia 6A21 schizoaffective disorder 6A22 schizotypal disorder 6A23 acute and transient psychotic disorder 6A24 delusional disorder 6A25 symptomatic manifestations of primary psychotic disorders 6A2y other specified primary psychotic disorder 6A2Z schizophrenia or other primary psychotic disorders, unspecified MS. SWATI MISTRY 9

10. Catatonia (Block -L16A4) 6A40 catatonia associated with another mental disorder 6A41 catatonia induced by substances or medications 6A4Z catatonia, unspecified MS. SWATI MISTRY 10

11. Mood disorders, (Block L1-6A6) 6A60 bipolar type 1 disorder 6A61 bipolar type 2 disorder 6A62 cyclothymic disorder 6A6Y other specified by polar or related disorders 6A6Z Bipolar or related disorders, unspecified MS. SWATI MISTRY 11

12. Depressive disorders (block L26A7) 6A70 single episode depressive disorder 6A71 recurrent depressive disorder 6A72 dysthymic disorder 6A73 mixed depressive and anxiety disorder 6A7Y other specified depressive disorders 6A7Z depressive disorders unspecified 6A80 symptomatic and course presentations for mood episodes in mood disorders 6A8Y other specified mood disorder 6A8Z mood disorders, unspecified MS. SWATI MISTRY 12

13. Anxiety or fear related disorders (Block L1-6B0) 6B00 generalized anxiety disorder 6B01 panic disorder 6B02 agoraphobia 6B03 Specific phobia 6B04 social anxiety disorder 6B05 separation anxiety disorder 6B06 selective mutism 6B0Y other specified anxiety or fear related disorders 6B0Z anxiety or fear related disorders, unspecified MS. SWATI MISTRY 13

14. Obsessive-compulsive or Related Disorders(Block L1-6B2) 6B20: Obsessive-compulsive disorder 6B21: Body dysmorphic disorder 6B22: Olfactory reference disorder 6823: Hypochondriasis 6B24: Hoarding disorder 6825: Body-focused repetitive behavior disorders 6B2Y: Other specified obsessive-compulsive or related disorders 6B2Z: Obsessive-compulsive or related disorders, unspecified MS. SWATI MISTRY 14

15. Disorders Specifically Associated With Stress (Block L1-6B4) 6B40: Post-traumatic stress disorder 6B41: Complex post-traumatic stress disorder 6B42: Prolonged grief disorder 6B43: Adjustment disorder 6B44: Reactive attachment disorder 6B45: Disinhibited social engagement disorder 6B4Y: Other specified disorders specifically associated with stress 6B4Z: Disorders specifically associated with stress, unspecified MS. SWATI MISTRY 15

16. Dissociative Disorders (Block L1-6B6) 6B60: Dissociative neurological symptom disorder 6B61: Dissociative amnesia 6B62: Trance disorder 6B63: Possession trance disorder 6B64: Dissociative identity disorder 6B65: Partial dissociative identity disorder 6B66: Depersonalization-derealization disorder 6B6Y: Other specified dissociative disorders 6B6Z: Dissociative disorders, unspecified MS. SWATI MISTRY 16

17. Feeding or Eating Disorders (Block L1-6B8) 6B80: Anorexia nervosa 6B81: Bulimia nervosa 6B82: Binge-eating disorder 6B83: Avoidant-restrictive food intake disorder 6B84: Pica 6B85: Rumination-regurgitation disorder (in the absence of organic disease) 6B8Y: Other specified feeding or eating disorders 6B8Z: Feeding or eating disorders, unspecified MS. SWATI MISTRY 17

18. Elimination Disorders (Block L1-6C0) 6C00: Enuresis 6C01: Encopresis 6C0Z: Elimination disorders, unspecified MS. SWATI MISTRY 18

19. Disorders of Bodily Distress or Bodily Experience (Block L1-6C2) 6C20: Bodily distress disorders 6C21: Body integrity dysphoria 6C2Y: Other specified disorders of bodily distress or bodily experience 6C2Z: Disorders of bodily distress or bodily experience, unspecified MS. SWATI MISTRY 19

20. Disorders due to Substance use or Addictive Behaviors (Block LI-6C4) Disorders due to Substance use (Block 12-6C4) 6C40: Disorders due to use of alcohol 6C41: Disorders due to use of cannabis 6C42: Disorders due to use of synthetic cannabinoids 6C43: Disorders due to use of opioids 6C44: Disorders due to use of sedatives, hypnotics or anxiolytics 6C45: Disorders due to use of cocaine 6C46 Disorders due to use of stimulants including amphetamine, methamphetamine or methcathinone MS. SWATI MISTRY 20

21. 6C47: Disorders due to use of synthetic cathinone 6C48: Disorders due to use of caffeine 6C49: Disorders due to use of hallucinogens 6C4A: Disorders due to use of nicotine O6C4B: Disorders due to use of volatile inhalants 6C4C: Disorders due to use of MDMA or related drugs, including MDA 6C4D: Disorders due to use of dissociative drugs including ketamine and phencyclidine (PCP) 6C4E: Disorders due to use of other specified psychoactive substances, including medications 6C4F: Disorders due to use of multiple specified psychoactive substances, including medications 6C4G: Disorders due to use of unknown or unspecified psychoactive substances MS. SWATI MISTRY 21

22. 6C4H: Disorders due to use of non psychoactive substances 6C4Y: Other specified disorders due to substance use 6C4Z: Disorders due to substance use, unspecified MS. SWATI MISTRY 22

23. Disorders due to Addictive Behaviors (Block L2-6C5) 6C50: Gambling disorder 6C51: Gaming disorder 6C5Y: Other specified disorders due to addictive behaviors 6C5Z: Disorders due to addictive behaviors, unspecified MS. SWATI MISTRY 23

24. Impulse Control Disorders (Block L1-6C7) 6C70: Pyromania 6C71: Kleptomania 6C73: Intermittent explosive disorder 6C7Y: Other specified impulse control disorders 6C7Z: Impulse control disorders, unspecified MS. SWATI MISTRY 24

25. Disruptive Behavior or Dissocial Disorders (Block L1-6C9) 6C90: Oppositional defiant disorder 6C91: Conduct-dissocial disorder 6C9Y: Other specified disruptive behavior or dissocial disorders 6C9Z: Disruptive behavior or dissocial disorders, unspecified MS. SWATI MISTRY 25

26. Personality Disorders and Related Traits (Block L1-6D1) 6D10: Personality disorder 6D11: Prominent personality traits or patterns MS. SWATI MISTRY 26

27. Paraphilic Disorders (Block L1-6D3) 6D30: Exhibitionistic disorder 6D31: Voyeuristic disorder 6D32: Pedophilic disorder 6D33: Coercive sexual sadism disorder 6D34: Frotteuristic disorder 6D35: Other paraphilic disorder involving nonconsenting individuals 6D36: Paraphilic disorder involving solitary nor behavior or consenting individuals 6D3Z: Paraphilic disorders, unspecified MS. SWATI MISTRY 27

28. Factitious Disorders (Block L1-6D5) 6D50: Factitious disorder imposed on self 6D51: Factitious disorder imposed on another 6D5Z: Factitious disorders, unspecified MS. SWATI MISTRY 28

29. Neurocognitive Disorders (Block L1-6D7) 6D70: Delirium 6D71: Mild neurocognitive disorder 6D72: Amnestic disorder Dementia (Block L2-6D8) 6D80: Dementia due to Alzheimer's disease 6D81: Dementia due to cerebrovascular disease 6D82: Dementia due to Lewy body disease 6D83: Frontotemporal dementia 6D84: Dementia due to psychoactive substances including medications MS. SWATI MISTRY 29

30. 6D85: Dementia due to diseases classified elsewhere 6D8Y: Dementia, other specified cause 6D8Z: Dementia, unknown or unspecified 6D86: Behavioral or psychological disturbances in dementia 6EOY: Other specified neurocognitive disorders 6EOZ: Neurocognitive disorders, unspecified MS. SWATI MISTRY 30

31. Mental or Behavioral Disorders Associated With Pregnancy, Childbirth or the Puerperium (Block L1-6E2) 6E20: Mental or behavioral disorders associated with pregnancy, childbirth or the puerperium, without psychotic symptoms 6E21: Mental or behavioral disorders associated with pregnancy, childbirth or the puerperium, with psychotic symptoms 6E27: Mental or behavioral disorders associated with pregnancy, childbirth or the puerperium unspecified 6E40: Psychological or behavioral factors affecting disorders or diseases classified elsewhere 6E60: Secondary neurodevelopmental syndrome 6E61: Secondary psychotic syndrome MS. SWATI MISTRY 31

32. 6E62: Secondary mood syndrome 6E63: Secondary anxiety syndrome 6E64: Secondary obsessive-compulsive or related syndrome 6E65: Secondary dissociative syndrome 6E66: Secondary impulse control syndrome 6E67: Secondary neurocognitive syndrome MS. SWATI MISTRY 32

33. 6E68: Secondary personality change 6E69: Secondary catatonia syndrome 6E6Y: Other specified secondary mental or behavioral syndrome 6E6Z: Secondary mental or behavioral syn- drome, unspecified 6E8Y: Other specified mental, behavioral or neurodevelopmental disorders 6E8Z Mental, behavioral or neurodevelopmental disorders, unspecified MS. SWATI MISTRY 33

34. Diagnostic and statistical manual of mental disorders DSM-V DSM is a publication of American psychiatric association Latest addition was released in May 2013 DSM-5 is divided into three sections Section I: DSM V basics Section II: Diagnostic criterion and codes Section III: Emerging measures and models and an appendix MS. SWATI MISTRY 34

35. 1.2.1: Neurodevelopmental disorders 1.2.2: Schizophrenia spectrum and other psychotic disorders 1.2.3: Bipolar and related disorders 1.2.4: Depressive disorders 1.2.5: Anxiety disorders 1.2.6: Obsessive-compulsive and related disorders 1.2.7: Trauma- and stressor-related disorders 1.2.8: Dissociative disorders 1.2.9: Somatic symptom and related disorders MS. SWATI MISTRY 35

36. 1.2.10: Feeding and eating disorders 1.2.11: Sleep-wake disorders 1.2.12: Sexual dysfunctions 1.2.13: Gender dysphoria 1.2.14: Disruptive, impulse-control, and conduct disorders 1.2.15: Substance-related and addictive disorders 1.2.16: Neurocognitive disorders 1.2.17: Paraphilic disorders 1.2.18: Personality disorders MS. SWATI MISTRY 36

37. Geropsychiatry Classification of Mental Disorders Geriatric classification of mental disorders are specific to older adults, typically aged 65 and older. MS. SWATI MISTRY 37

38. Common Classification of Geropsychiatric Patients 1. Dementia Mild cognitive impairment Moderate cognitive impairment Severe cognitive impairment Alzheimer's disease Vascular dementia Dementia with lewy bodies Parkinson's disease MS. SWATI MISTRY 38

39. 2. Psychiatric Disorders Schizophrenia Depression Personality disorders Bipolar disorder Anxiety disorder Substance use disorders MS. SWATI MISTRY 39

40. 3. Neuropsychiatric Complications Stroke Peripheral neuropathy Macular degeneration MS. SWATI MISTRY 40

41. INDIAN CLASSIFICATION 1971 Modification of ICD-8 by Indian Psychiatrists A. Psychosis • Functional – Schizophrenia (simple / hebephrenic / catatonic / paranoid) • Affective – Mania and Depression • Organic – Acute and Chronic B. Neurosis • Anxiety Neurosis • Depressive Neurosis • Hysterical Neurosis • OCD • Phobic Neurosis MS. SWATI MISTRY 41

42. C. Special Disorders Childhood Disorders Personality Disorders Substance Abuse Mental Retardation MS. SWATI MISTRY 42