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Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.
| DSM-IV | DSM-5 |
|---|---|
| Disorder Class: Disorders Usually Diagnosed in Infancy, Childhood, and Adolescence | Disorder Class: Anxiety Disorders |
| A. Developmentally inappropriate and excessive anxiety concerning separation from home or from those to whom the individual is attached, as evidenced by three or more of the following: | A. Developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom the individual is attached, as evidenced by at least three of the following: |
| 1. Recurrent excessive distress when separation from home or major attachment figures occurs or is anticipated | 1. Recurrent excessive distress when anticipating or experiencing separation from home or from major attachment figures. |
| 2. Persistent and excessive worry about losing, or about possible harm befalling, major attachment figures | 2. Persistent and excessive worry about losing major attachment figures or about possible harm to them, such as illness, injury, disasters, or death. |
| 3. Persistent and excessive worry that an untoward event will lead to separation from a major attachment figure (e.g., getting lost or being kidnapped) | 3. Persistent and excessive worry about experiencing an untoward event (e.g., getting lost, being kidnapped, having an accident, becoming ill) that causes separation from a major attachment figure. |
| 4. Persistent reluctance or refusal to go to school or elsewhere because of fear of separation | 4. Persistent reluctance or refusal to go out, away from home, to school, to work, or elsewhere because of fear of separation. |
| 5. Persistently and excessively fearful or reluctant to be alone or without major attachment figures at home or without significant adults in other settings | 5. Persistent and excessive fear of or reluctance about being alone or without major attachment figures at home or in other settings. |
| 6. Persistent reluctance or refusal to go to sleep without being near a major attachment figure or to sleep away from home | 6. Persistent reluctance or refusal to sleep away from home or to go to sleep without being near a major attachment figure. |
| 7. Repeated nightmares involving the theme of separation | 7. SAME |
| 8. Repeated complaints of physical symptoms (such as headaches, stomachaches, nausea, or vomiting) when separation from major attachment figures occurs or is anticipated | 8. SAME |
| B. The duration of the disturbance is at least 4 weeks. | B. The fear, anxiety, or avoidance is persistent, lasting at least 4 weeks in children and adolescents and typically 6 months or more in adults. |
| C. The onset is before age 18 years. | DROPPED |
| D. The disturbance causes clinically significant distress or impairment in social, academic (occupational), or other important areas of functioning. | SAME (now part C) |
| E. The disturbance does not occur exclusively during the course of a pervasive developmental disorder, schizophrenia, or other psychotic disorder and, in adolescents and adults, is not better accounted for by panic disorder with agoraphobia. | D. The disturbance is not better explained by another mental disorder, such as refusing to leave home because of excessive resistance to change in autism spectrum disorder; delusions or hallucinations concerning separation in psychotic disorders; refusal to go outside without a trusted companion in agoraphobia; worries about ill health or other harm befalling significant others in generalized anxiety disorder; or concerns about having an illness in illness anxiety disorder. |
| Specify if: Early Onset: if onset occurs before age 6 years | DROPPED |
From: 3, DSM-5 Child Mental Disorder Classification
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