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307 Special symptoms or syndromes, not elsewhere classified
Conditions in which an outstanding symptom or group of symptoms is not
manifestly part of a more fundamental classifiable condition.
Excludes: when due to mental disorders classified elsewhere
when of organic origin
307.0 Stammering and stuttering
Disorders in the rhythm of speech, in which the individual knows precisely
what he wishes to say, but at the time is unable to say it because of an
involuntary, repetitive prolongation or cessation of a sound.
Excludes: dysphasia (784.5)
lisping or lalling (307.9)
retarded development of speech (315.3)
307.1 Anorexia nervosa
A disorder in which the main features are persistent active refusal to eat and
marked loss of weight. The level of activity and alertness is
characteristically high in relation to the degree of emaciation. Typically
the disorder begins in teenage girls but it may sometimes begin before puberty
and rarely it occurs in males. Amenorrhoea is usual and there may be a variety
of other physiological changes including slow pulse and respiration, low body
temperature and dependent oedema. Unusual eating habits and attitudes toward
food are typical and sometimes starvation follows or alternates with periods
of overeating. The accompanying psychiatric symptoms are diverse.
Excludes: eating disturbance NOS (307.5)
loss of appetite (783.0)
of nonorganic origin (307.5)
307.2 Tics
Disorders of no known organic origin in which the outstanding feature consists
of quick, involuntary, apparently purposeless, and frequently repeated
movements which are not due to any neurological condition. Any part of the
body may be involved but the face is most frequently affected. Only one form
of tic may be present, or there may be a combination of tics which are carried
out simultaneously, alternatively or consecutively. Gilles de la Tourette's
syndrome refers to a rare disorder occurring in individuals of any level of
intelligence in which facial tics and tic-like throat noises become more
marked and more generalized and in which later, whole words or short sentences
[often with an obscene content] are ejaculated spasmodically and
involuntarily. There is some overlap with other varieties of tic.
Excludes: nail-biting or thumb-sucking (307.9)
stereotypies occurring in isolation (307.3)
tics of organic origin (333.3)
307.3 Stereotyped repetitive movements
Disorders in which voluntary repetitive stereotyped movements, which are not
due to any psychiatric or neurological condition, constitute the main feature.
Includes head-banging, spasmus nutans, rocking, twirling, finger-flicking
mannerisms and eye poking. Such movements are particularly common in cases of
mental retardation with sensory impairment or with environmental monotony.
Stereotypies NOS
Excludes: tics:
NOS (307.2)
of organic origin (333.3)
307.4 Specific disorders of sleep
This category should only be used when a more precise medical or psychiatric
diagnosis cannot be made.
Of nonorganic origin: Of nonorganic origin:
Hypersomnia Nightmares
Insomnia Night terrors
Inversion of sleep rhythm Sleepwalking
Excludes: narcolepsy (347)
when of unspecified cause (780.5)
307.5 Other and unspecified disorders of eating
This category should only be used when a more precise medical or psychiatric
diagnosis cannot be made.
Of nonorganic origin: Of nonorganic origin:
Infantile feeding Overeating
disturbances Pica
Loss of appetite Psychogenic vomiting
Excludes: anorexia:
nervosa (307.1)
of unspecified cause (783.0)
overeating of unspecified cause (783.6)
vomiting:
NOS (787.0)
cyclical (536.2)
psychogenic (306.4)
307.6 Enuresis
A disorder in which the main manifestation is a persistent involuntary voiding
of urine by day or night which is considered abnormal for the age of the
individual. Sometimes the child will have failed to gain bladder control and
in other cases he will have gained control and then lost it. Episodic or
fluctuating enuresis should be included. The disorder would not usually be
diagnosed under the age of four years.
Enuresis (primary) (secondary) of nonorganic origin
Excludes: enuresis of unspecified cause (788.3)
307.7 Encopresis
A disorder in which the main manifestation is the persistent voluntary or
involuntary passage of formed motions of normal or near-normal consistency
into places not intended for that purpose in the individual's own
sociocultural setting. Sometimes the child has failed to gain bowel control,
and sometimes he has gained control but then later again became encopretic.
There may be a variety of associated psychiatric symptoms and there may be
smearing of faeces. The condition would not usually be diagnosed under the
age of four years.
Encopresis (continuous) (discontinuous) of nonorganic origin
Excludes: encopresis of unspecified cause (787.6)
307.8 Psychalgia
Cases in which there are pains of mental origin, e.g., headache or backache,
when a more precise medical or psychiatric diagnosis cannot be made.
Psychogenic backache Tension headache
Excludes: migraine (346.-)
pains not specifically attributable to a psychological cause
(in):
back (784.5)
headache (784.0)
joint (719.4)
limb (729.5)
lumbago (724.2)
rheumatic (729.0)
307.9 Other and unspecified
The use of this category should be discouraged. Most of the items listed in
the inclusion terms are not indicative of psychiatric disorder and are
included only because such terms may sometimes still appear as diagnoses.
Hair plucking Masturbation
Lalling Nail-biting
Lisping Thumb-sucking
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