From parent levels

ChapterVMental and behavioural disordersOpen

Inclusions

  • disorders of psychological development

Exclusions

  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
BlockF40-F48Neurotic, stress-related and somatoform disordersOpen

Exclusions

  • when associated with conduct disorder in F91.- (F92.8)
CategoryF45Somatoform disordersOpen

The main feature is repeated presentation of physical symptoms together with persistent requests for medical investigations, in spite of repeated negative findings and reassurances by doctors that the symptoms have no physical basis. If any physical disorders are present, they do not explain the nature and extent of the symptoms or the distress and preoccupation of the patient.

Exclusions

  • dissociative disorders (F44.-)
  • hair-plucking (F98.4)
  • lalling (F80.0)
  • lisping (F80.8)
  • nail-biting (F98.8)
  • psychological or behavioural factors associated with disorders or diseases classified elsewhere (F54)
  • sexual dysfunction, not caused by organic disorder or disease (F52.-)
  • thumb-sucking (F98.8)
  • tic disorders (in childhood and adolescence) (F95.-)
  • Tourette syndrome (F95.2)
  • trichotillomania (F63.3)

Somatoform autonomic dysfunction

Symptoms are presented by the patient as if they were due to a physical disorder of a system or organ that is largely or completely under autonomic innervation and control, i.e. the cardiovascular, gastrointestinal, respiratory and urogenital systems. The symptoms are usually of two types, neither of which indicates a physical disorder of the organ or system concerned. First, there are complaints based upon objective signs of autonomic arousal, such as palpitations, sweating, flushing, tremor, and expression of fear and distress about the possibility of a physical disorder. Second, there are subjective complaints of a nonspecific or changing nature such as fleeting aches and pains, sensations of burning, heaviness, tightness, and feelings of being bloated or distended, which are referred by the patient to a specific organ or system.

Inclusions

  • Cardiac neurosis
  • Da Costa syndrome
  • Gastric neurosis
  • Neurocirculatory asthenia
  • Psychogenic forms of: aerophagy
  • Psychogenic forms of: cough
  • Psychogenic forms of: diarrhoea
  • Psychogenic forms of: dyspepsia
  • Psychogenic forms of: dysuria
  • Psychogenic forms of: flatulence
  • Psychogenic forms of: hiccough
  • Psychogenic forms of: hyperventilation
  • Psychogenic forms of: increased frequency of micturition
  • Psychogenic forms of: irritable bowel syndrome
  • Psychogenic forms of: pylorospasm

Exclusions

  • psychological and behavioural factors associated with disorders or diseases classified elsewhere (F54)
Parent: F45 Somatoform disorders