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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.

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Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet].

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Table 3.27DSM-IV to DSM-5 Trichotillomania (Hair-Pulling Disorder) Comparison

DSM-IVDSM-5
Disorder Class: Impulse-Control Disorders Not Classified ElsewhereDisorder Class: Obsessive-Compulsive and Related Disorders
A. Recurrent pulling out of one’s hair resulting in noticeable hair loss.A. Recurrent pulling out of one’s hair, resulting in hair loss.
B. An increasing sense of tension immediately before pulling out the hair or when attempting to resist the behavior.DROPPED
B. Repeated attempts to decrease or stop hair pulling.
C. Pleasure, gratification, or relief when pulling out the hair.DROPPED
D. The disturbance is not better accounted for by another mental disorder and is not due to a general medical condition (e.g., a dermatological condition).E. The hair pulling cannot be better explained by the symptoms of another mental disorder (e.g., attempts to improve a perceived defect or flaw in appearance, such as may be observed in body dysmorphic disorder).
D. The hair pulling or hair loss cannot be attributed to another medical condition (e.g., a dermatological condition).
E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.SAME

From: 3, Mental Illness

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