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ICD-10 - Delusional Disorders


[From World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. Copyright, World Health Organization, Geneva, 1993.] ...

Delusional disorder
  1. A delusion or a set of related delusions, other than those listed as typically schizophrenic in Criterion G1(1)b or d for paranoid, hebephrenic, or catatonic schizophrenia (i.e., other than completely impossible or culturally inappropriate), must be present. The commonest examples are persecutory, grandiose, hypochondriacal, jealous (zelotypic), or erotic delusions.
  2. The delusion(s) in Criterion A must be present for at least 3 months.
  3. The general criteria for schizophrenia are not fulfilled.
  4. There must be no persistent hallucinations in any modality (but there may be transitory or occasional auditory hallucinations that are not in the third person or giving a running commentary).
  5. Depressive symptoms (or even a depressive episode) may be present intermittently, provided that the delusions persist at times when there is no disturbance of mood.
  6. Most commonly used exclusion clause. There must be no evidence of primary or secondary organic mental disorder as listed under organic, including symptomatic, mental disorders, or of a psychotic disorder due to psychoactive substance use.
Specification for possible subtypes
The following types may be specified if desired: persecutory; litigious; self-referential; grandiose; hypochondriacal (somatic); jealous; erotomanic.
Other persistent delusional disorders
This is a residual category for persistent delusional disorders that do not meet the criteria for delusional disorder. Disorders in which delusions are accompanied by persistent hallucinatory voices or by schizophrenic symptoms that are insufficient to meet criteria for schizophrenia should be coded here. Delusional disorders that have lasted for less than 3 months should, however, be coded, at least temporarily, under acute and transient psychotic disorders.
Persistent delusional disorder, unspecified

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