F93 Specific Start Emotions Disorders

Content

• F93.0 childhood separation anxiety disorder
• Diagnosis guidelines
• F93.1 phobic anxiety disorder of childhood
• Diagnosis guidelines
• F93.2 social hypersensitivity disorder
• Diagnosis guidelines
• F93.3 Brothers rivalry disorder
• Diagnosis guidelines
• F93.8 Other disorders of childhood emotions
• F93.9 childhood emotions disorder without specification

F93.0 childhood separation anxiety disorder

The separation anxiety disorder will be diagnosed only when the fear of separation constitutes the focus of anxiety, and when anxiety appears for the first time at an early age. This disorder differs from normal separation anxiety due to its gravity that is of a statistically abnormal degree (including its abnormal persistence beyond the usual age) and when accompanied by significantly restricted social behavior. In addition, the diagnosis requires that there are no generalized alterations of personality development (if present, the possibility of F40-F49 categories should be taken into account. The separation anxiety that begins at an age not appropriate at the evolutionary time (for example, during adolescence) should not be encoded in accordance with this category unless it constitutes the persistence of what was an anxiety of child separation itself said said.

Diagnosis guidelines

The key diagnostic trait is an excessive anxiety focused on the separation of individuals with which the child is generally linked (parents or other family members) and is not simply part of a generalized anxiety in multiple possible situations. Separation anxiety can be presented as:

1. Unjustified concern to possible damage that could occur to significant people or fear that any of them will address.
2. Unjustified concern for an adverse event to separate him from a significant person (such as being able to miss, be kidnapped, admitted to a hospital or murdered).
3. Distract or persistent rejection of going to school for fear of separation (rather than for other reasons, such as fear of something that could happen at school).
4. Disagree or persistent rejection of going to bed without company or closeness of some significant person.
5. Inappropriate and persistent fear to be alone, or without the significant person, at home during the day.
6. Repeated nightmares on separation.
7. Repeated somatic symptoms (such as nausea, gastralgia, headaches or vomiting) in situations that involve the separation of a significant person, such as leaving home to go to school.
8. Excessive and recurring discomfort (in the form of anxiety, cries, tantrums, sadness, apathy or social withdrawal) in advance, during or immediately after the separation of an important link figure.

Excludes:
Phobic anxiety disorder of childhood (F93.1).
Social hypersensitivity disorder of childhood (F93.2).
Humor disorders (affective) (F30-F39).
Neurotic disorders (F40-F48).

F93.1 phobic anxiety disorder of childhood

Children, like adults, can suffer from concrete fears to a wide range of objects and situations. Some of these fears (or phobias) are not part of the normal psychosocial development, as in the case of agoraphobia. When these fears occur in childhood they must be classified according to the category of section F40-F48. However, some fears have a specific marked for an evolutionary phase and are presented in variable degrees in most children, for example, fears of animals in the preschool period.

Diagnosis guidelines

This category must be only used for fears that occur in specific evolutionary periods and when additional guidelines are satisfied for all F93 disorders and:

1. The beginning has taken place in the appropriate evolutionary period.
2. The degree of anxiety is clinically abnormal.
3. Anxiety is not part of a broader disorder.

Excludes:
Generalized anxiety disorder (F41.1).

F93.2 social hypersensitivity disorder

Distrust of strangers is a normal phenomenon in the second half of the first year of life and is normal during early childhood, a certain degree of social apprehension or anxiety, when children are in new, strange or threatening situations. This category should be used only for disorders that occur before the age.

Diagnosis guidelines

Those affected by this disorder present before the strangers a persistent or recurring fear or an avoidance behavior. Fear can appear mainly to adults or colleagues. Fear is accompanied by a normal degree of selective dependence on parents or other relatives. The avoidance or fear of social meetings is of such a degree that it overflows the normal limits for the age of the boy and is accompanied by a clearly significant social inability.

Includes:
Childhood or adolescence avoidance disorder.

F93.3 Brothers rivalry disorder

The majority of minor children have emotional alterations after the birth of the brother who follows them. In most cases the disorder is mild, but the rivalry or jealousy arose after the birth of the younger brother can persist markedly in some cases.

Diagnosis guidelines

1. Presence of rivalry or fraternal jealousy.
2. Begin during the months of the birth of the younger brother generally immediate.
3. Emotions disorder in abnormal degree and persistence and accompanied by psychosocial problems.

The rivalry or jealousy between brothers can manifest itself by a competitiveness marked with the brothers to achieve the attention and affection of the parents. Therefore, to be considered abnormal, they must be accompanied by a rare degree of negative feelings. In severe cases, it can be accompanied by hostility and physical aggressions or evil and infamies towards the brother. In less serious cases, it can be manifested by a rejection of sharing objects, a lack of consideration and impoverished friendly relationships.

Emotions disorder can adopt very varied forms frequently is accompanied in addition to some regression with previously acquired abilities (such as anal or bladder control) and a predisposition to childish behavior. Often, the patient wants to imitate the baby in activities that provide him with attention from parents, such as food. There is usually an increase in confrontations or oppositionist behavior with parents, tantrums accompanied by agitation and emotions disorders such as anxiety, sadness or social isolation. The dream can be altered and there is often an increase in the activity directed towards the search for parents' attention, as in the moments of going to bed.

Includes:
Jealousy between brothers.

Excludes:
Rivalries with colleagues (no brothers) (F93.8).

F93.8 Other disorders of childhood emotions

Includes:
Identity disorder.
Mental and behavioral disorders.
Anxiety disorder.
Rivalries between colleagues (no brothers).

Excludes:
Sexual identity disorder in childhood (F64.2).

F93.9 childhood emotions disorder without specification

Includes:
Emotional childhood disorder without specification.