F98 Emotions and behavior disorders and adolescence

Excludes:
Containing attack attacks (R06.8).
Sexual identity disorder in childhood (F64.2).
Hypersomnium and megafagia (Kleine-Levin syndrome, G47.8).
Sleep disorders (F51.-).
Obsessive-compulsive disorder (F42.-).

Content

• F98.0 non -organic enuresis
• Diagnosis guidelines
• F98.1 non -organic foundis
• Diagnosis guidelines
• F98.2 eating disorder in childhood
• Diagnosis guidelines
• F98.3 pica in childhood
• F98.4 motor stereotype disorders
• F98.5 stuttering (spasmophymia)
• F98.6 Pharmleus
• F98.8 Other emotions disorders and the usual beginning behavior in childhood or adolescence
• F98.9 Emotions disorder and the usual beginning behavior in childhood or adolescence without specification
• F99 mental disorder without specification

F98.0 non -organic enuresis

Disorder characterized by involuntary urine emission, during daytime, or during the night, which is abnormal for the patient's mental age and is not a consequence of a lack of vesical control secondary to a neurological disorder, to epileptic attacks or some anomaly Structural urinary tract. Enuresis may have been present from birth (for example, as an abnormal prolongation of child normal incontinence) or appears after an adequate bladder period. The late (or secondary) variety usually starts between five and seven years. Enuresis can be an isolated disorder or can accompany a broader behavior disorder. Emotional problems can occur as a consequence secondary to the discomfort produced by enuresis, feeling stigmatized by it or being part of some other psychiatric disorder, or both, the enuresis and the disorder of behavioral emotions can occur in parallel, as an expression of current etiological factors.

Diagnosis guidelines

There is no clear separation line between the normal variations of the age acquisition of bladder control and enuretic disorder. However, enuresis, in general, should not be diagnosed in children under five or with a mental age of less than four years. If the enuresis is accompanied by some other alteration, emotional or behavior, the enuresis will be the first diagnosis only if the involuntary emission of the urine took place at least several times a week and the rest of the symptoms have variations over time related to the intensity of enuresis. Enuresis is sometimes accompanied by Encopresis. In this case, the diagnosis of foundis will be made.

Includes:
Functional enuresis.
Psychogenic enuresis.
Non -organic urinary incontinence.
Inuresis of non -organic, primary or secondary origin.

Excludes:
INURESIA WITHOUT SPECIFICATION (R32).

F98.1 non -organic foundis

Disorder characterized by the repeated presence of voluntary or involuntary depositions of stool of normal or abnormal consistency, in places not suitable for this purpose, according to the sociocultural guidelines of the place. The disorder can be the expression of the continuity of a child physiological incontinence, appear after having acquired control of sphincters or consisting of the deliberate deposition of feces in not adequate places, even when there is a normal control of sphincters.

Diagnosis guidelines

Inappropriate emission of feces, which can manifest in different ways. First, it may be the expression of inadequate teaching of sphincter control or a failure in learning such teaching, with a history of a continuous failure of sphincter control. Second, it can be an expression of a certain psychological disorder in which there is a normal physiological control of the function, but that for some reason there is a rejection, resistance or failure to accept the social norms on defecation in the right places. Third, it can be a consequence of physiological retention due to the impact of feces, with a secondary overflow and feces deposition in not suitable places. This retention may have originated in the consequences of tensions between parents and children on the learning of sphincter control, of the retention of feces because of a malicious defecation (for example, as a result of an anal fissure) or for other reasons.

On some occasions I find it, it can be accompanied by feces itself by the body or the surrounding environment and less frequently by manipulations or annal masturbations. It is often accompanied by some degree of emotions or behavior disorder. The association of foundis and enuresis is not rare, in this case the coding of the foundis has preference on the enuresis. Sometimes I found it can have a somatic etiology, such as an anal fissure or a gastrointestinal infection. The organic cause is the diagnosis to take into account if it is a sufficient explanation for fecal deposition.

F98.2 eating disorder in childhood

Disorder of eating behavior with various manifestations that usually occurs in childhood and childhood. They usually imply a rejection of food and represent extremely capricious variations of what is normal eating behavior, which are carried out in the presence of the person (of sufficient competition) that takes care of the child. There is also an absence of organic disease. It can be accompanied or not (that is, repeated regurgitation without nausea or gastrointestinal discomfort)).

Diagnosis guidelines

The minor difficulties in food are very frequent in childhood and childhood (in the form of whims, supposed lack or excess food) and by themselves should not be considered as indicative of this disorder. The disorder will be diagnosed only if its degree exceeds in a clear way to the normal average, if the characteristics of the food problem are qualitatively abnormal, or if the child has a clear tendency to win or lose weight in a period of at least one month.

Includes:
Rumiation disorder in childhood.

F98.3 pica in childhood

Persistent ingestion of non -nutritional substances (earth, disconconchones of painting, etc.). Pica can appear as one among many more broad psychiatric disorder (such as autism) or can occur as a relatively isolated psychopathological behavior. The disorder is more frequent in children with mental retardation, which, if present, will be encoded according to F70-F79. However, Pica can appear in children with normal intelligence (generally young children).

F98.4 motor stereotype disorders

Disorder characterized by the presence of voluntary, repetitive, stereotyped movements, which lack a specific function, which are usually rhythmic and that are not part of any recognized psychiatric or neurological picture. When these movements take place as symptoms of another alteration, only the main alteration will be coded. The movements that are not aggressive are: bodily balancing, head balance, starting or twisting hair, dawned movements of fingers and hands (onycophagy, thumb suction and rhinodactile are not included in this section, since they are not valid indicators of psychopathology and do not have enough importance in public health to justify their classification). Self -supporting stereotype.

Excludes:
ICT Disorders (F95.-).
Stereotypes that are part of a broader psychiatric disorder (such as generalized developmental disorder).
Organic Motility Disorders (G20-G26).
Involuntary abnormal movements (R25.-).
Obsessive-compulsive disorder (P42.-).
Tricotylomania (F63.3).
Onicophagy, rhinactylomania and thumb suction (F98.8).

F98.5 stuttering (spasmophymia)

Speech disorder characterized by the frequent repetition or prolongation of sounds, syllables or words or by frequent doubts or pauses that interrupt the rhythmic flow of speech. Minor dyshritmias of this type are quite frequent temporarily in early childhood or as a minor but persistent feature of speech in the latest childhood and adult life. They must be classified as a disorder only when their severity affects language in an important way. It can be accompanied by tics or body movements that coincide over time with repeated extensions or pauses of language flow. Stuttering must be differentiated from the pharmelo (see later) and from the ICTs.

Excludes:
ICT Disorders (F95.-).
Pharmleus (F98.6).
Neurological disorders that produce speech dysritmias.
Obsessive-compulsive disorder (F42.-).

F98.6 Pharmleus

Disorder characterized by a rapid pace of speech with interruptions in fluidity, but without repetitions or indecisions, of a gravity that gives rise to a deterioration in the understanding of speech. Speech is erratic and dysrhythmic, with sudden spasmodic outbreaks that generally imply incorrect forms of the construction of phrases (for example, alternation of pauses and speech explosions giving rise to the expression groups of words without relation to the grammatical structure of the sentence ).

Excludes:
Stamudeo (F98.5).
ICT Disorders (F95.-).
Neurological disorders that cause dysrhythmias of speech.
Obsessive-compulsive disorder (F42.-).

F98.8 Other emotions disorders and the usual beginning behavior in childhood or adolescence

Includes:
ONICOPHY.
Rinodactylomania.
Thumb suction.
Masturbation (excessive).
Attention deficit disorder without hyperactivity.

F98.9 Emotions disorder and the usual beginning behavior in childhood or adolescence without specification

F99 mental disorder without specification

Residual category not recommended, by the time you cannot resort to another code (F00-F98)