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Substance Abuse and Mental Health Services Administration. Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.
| DSM-IV | DSM-5 |
|---|---|
| Disorder Class: Impulse-Control Disorders Not Elsewhere Classified | Disorder Class: Disruptive, Impulse-Control, and Conduct Disorders |
| A. Several discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property. | A. Recurrent behavioral outburst representing a failure to control aggressive impulses as manifested by either of the following:
|
| B. The degree of aggressiveness expressed during the episodes is grossly out of proportion to any precipitating psychosocial stressors. | B. The magnitude of aggressiveness expressed during the recurrent outbursts is grossly out of proportion to the provocation or to any precipitating psychosocial stressors. |
| C. The aggressive episodes are not better accounted for by another mental disorder (e.g., antisocial personality disorder, borderline personality disorder, a psychotic disorder, a manic episode, conduct disorder, or attention-deficit/hyperactivity disorder) and are not because of to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma, Alzheimer’s disease). | F. The recurrent aggressive outbursts are not better explained by another mental disorder (e.g., major depressive disorder, bipolar disorder, disruptive mood dysregulation disorder, a psychotic disorder, antisocial personality disorder, borderline personality disorder) and are not attributable to another medical condition (e.g., head trauma, Alzheimer’s disease) or to the physiological effects of a substance (e.g., a drug of abuse, a medication). For children ages 6 to 18 years, aggressive behavior that occurs as part of an adjustment disorder should not be considered for this diagnosis. |
| C. The recurrent aggressive outbursts are not premeditated (i.e., they are impulsive and/or anger-based) and are not committed to achieve some tangible objective (e.g., money, power, intimidation). | |
| D. The recurrent aggressive outbursts cause either marked distress in the individual or impairment in occupational or interpersonal functioning, or are associated with financial or legal consequences. | |
| E. Chronological age is at least 6 years (or equivalent developmental level). |
From: 3, Mental Illness
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