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Mental and Behavioural Health CRG

Date

22 Nov 2023

Discussion items

ItemDescriptionOwnerNotesAction
1Phobia (finding)

Are we keeping concept phobia (finding) or is phobia only a disorder?

  •  
2First episode psychosis

Verify this is first experience of psychosis by person, not first encounter with health professional for psychosis.  Also that a distinct concept would be useful for this.  The UK have one in their extension as a finding 1127191000000108 |First episode psychosis (finding)|.  If appropriate we could request to promote this to the international release.


3Dissociative neurological disorders

Are aphonia and dysphonia speech disturbances?

Relationship between dissociative muteness and dissociative aphonia



3.1Bodily distress disorders


Review concepts:

Appear to be outdated, inactivate as may be a bodily distress disorder?

  • 397923000 | Somatization disorder (disorder) |: diagnostic criteria required at least four pain symptoms, two gastrointestinal symptoms, one sexual symptom, and one pseudo neurological symptom
  • 397826007 | Briquet's syndrome (disorder) |  outdated. may be a bodily distress disorder (SYN of above?)

No references found for this disorder:
 397795007 | Polysomatizing disorder (disorder) |

DSM-5 makes a distinction between somatic symptom disorders and illness anxiety/bodily distress disorders,  Should this be inactivated and recreated for clarity? (Currently child of bodily distress disorder)

Somatoform pain disorder (disorder)


3.2Psychogenic concepts


275446004 | Gardner-Diamond syndrome (disorder) | (SYN = psychogenic purpura, SYN = factitious purpura)



3.3Functional neurological disorders

Value of grouper concept 36480000 | Disturbance of perception associated with conversion and dissociative phenomenon (finding)

Relationship between functional disorder (disorder) and dissociative neurological disorder and psychogenic disorder

Psychogenic movement disorder, DEF: A rare neurologic disease with the manifestation of an underlying psychiatric illness that cannot be attributed to any known structural or neurochemical disease. The disease presents typically during adolescence or adulthood. Symptoms may include one or several types of abnormal movements seen in organic movement disorders (tremor, dystonia, chorea, bradykinesia, myoclonus, tics, athetosis, ballism, cerebellar incoordination) and also affect speech and gait. Underlying causes fall into three categories: Conversion disorder, somatic symptom disorders or in rare cases factitious disorder.

Functional movement disorder, DEF: The occurrence of abnormal involuntary movements that are incongruent with a known neurologic cause and are significantly improved on neurological exam with distraction or non-physiologic maneuvers. The disorder is defined by its clinical appearance, rather than by any causative speculation.


4Affect

Review proposed changes to concepts related to affect and expression of emotion


5Multiple concepts describing fear and anxiety about body function

Resolve the relationships between the following concepts:

  • Fear associated with illness and body function (finding) 
  • Anxiety about body function or health (finding)
  • Fear relating to body function (finding) 

6Complex and social behaviorReview proposed changes to concept and child concepts of Finding relating to complex and social behaviors (finding)

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