ICD10 World Health Organization 1992

The tenth edition of the International Classification of Disease (ICD-10), prepared by the World Health Organization, covers the whole of medicine, and also includes a Classification of Mental and Behavioural Disorders. This is the official classification used in the UK. It is available free at http://www3.who.int/icd/ currentversion/fr-icd.htm. It is a descriptive classification, with main headings as follows:

F00-F09 Organic, including symptomatic, mental disorders F10-F19 Mental and behavioural disorders due to psychoactive substance use

F20-F29 Schizophrenia, schizotypal and delusional disorders F30-F39 Mood (affective) disorders

F40-F48 Neurotic, stress-related, and somatoform disorders

F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors F60-F69 Disorders of adult personality and behaviour F70-F79 Mental retardation F80-F89 Disorders of psychological development

F90-F98 Behavioural and emotional disorders with onset usually in childhood or adolescence F99 Unspecified mental disorder.

Each of the main categories listed above has a number of subdivisions. Diagnostic guidelines for each condition are given in the ICD.

Some conditions relevant to psychiatry, such as suicide and self-inflicted injury or poisoning, are classified in other sections of the ICD. For example, 'factors influencing health status and contact with health services', codes Z00-Z99, is a neglected section of the ICD. Codes such as 'Z60.4 Social exclusion and rejection: Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behaviour' seem to have a common-sense basis, and offer an antidote to the potential medicalization of some life problems through over-diagnosis of mental disorder. The Z codes to some extent fill the gap in the ICD left by the absence of the axes of the DSM, which cover aspects other than the presence or absence of mental illness (see next section).

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