ICD10 ORIENTATION FOR PSYCHIATRISTS

Ahmed Eid ElaghouryEgyptian and Arab Boards of PsychiatryTaif, SA

Background

ICD6 & DSM I

ICD 8 & DSM II: identical

ICD: hierarchical organizations of categories

Glossary of terms with ICD8

DSM III: The first descriptive approach (1980) vs ICD9

DSM IV & ICD10: collaboration, and very similar

lark, L. A., et al. (2017). Psychological Science in the Public Interest, 18(2).

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From the ICD10 Introduction (1992)

To improve reliability of diagnosis

International character: Different psychiatric traditions and schools

Field trials in 40 countries (1987)

Publications of the chapter V (F): different versions

Flexibility, Durations: general, not strict, plus Clinical judgement

Expert agreement: NO theoretical implications

Impairment = Disability

Work & social roles: different cultures

Multiple diagnoses: main, and additional/ subsidiary

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ICD system is free and has a training tool

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http://apps.who.int/classifications/icd10/browse/2016/en#/VTaif, Jan 2018 dr.aghoury@gmail.com 5

Main blocks of chapter V of the ICD10 (Chapter F)

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Other (0.8) and Unspecified (0.9) disorders

Other: new or different disorder

Unspecified: not enough information (provisional/tentative)

DSM5 Introduction, Pg: 15Taif, Jan 2018 dr.aghoury@gmail.com 8

DSM5 mentions the ICD10 codes with each disorder between brackets

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ICD10 inclusion and exclusion terms

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ICD 10 Vol 3

ICD10 online search tool

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DSM5

WHO lexicon, 1994

ICD10 Symptom Glossary, 1994

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Z codes

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DSM5

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An example of Z codes related to employment problems

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DSM5

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ICD10 CDDG ‘The bluebook”1992

ICD10 DCR, “The green book”1993 WHO-APA workFlexible guidance, and more prototypic

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Arab Countries in The ICD10

Contributing principal investigators of the ICD10 mental and behavioral disorders CDDG book, ‘The Bluebook” from the Arab world.

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Key recent article about ICD-11, DSM5 & RDoC

“Both WHO and APA have a legitimate historical claim to the intellectual foundations of modern classifications of mental disorders.”C

lark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017). Three Approaches to Understanding and Classifying Mental Disorder: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (RDoC). Psychological Science in the Public Interest, 18(2), 72-145.

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DSM5 introduction: Pg 11

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https://icd.who.int/dev11/l-m/en

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An example from the ICD11 draft

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