{
  "diagnoses": [
    {
      "name": "Generalised anxiety disorder",
      "criteria": [
        {
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        {
          "description": "The anxiety and worry are associated with three or more of the following six symptoms (with at least some symptoms present for more days than not for the past 6 months).",
          "symptom_list": [
            "Restlessness or feeling keyed up or on edge",
            "Being easily fatigued",
            "Difficulty concentrating or mind going blank",
            "Irritability",
            "Muscle tension",
            "Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep)"
          ],
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        {
          "description": "The disturbance is not better explained by another mental disorder (e.g., anxiety or worry about having panic attacks in panic disorder, negative evaluation in social anxiety disorder [social phobia], contamination or other obsessions in obsessive-compulsive disorder, separation from attachment figures in separation anxiety disorder, reminders of traumatic events in posttraumatic stress disorder, gaining weight in anorexia nervosa, physical complaints in somatic symptom disorder, perceived appearance flaws in body dysmorphic disorder, having a serious illness in illness anxiety disorder, or the content of delusional beliefs in schizophrenia or delusional disorder).",
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        {
          "description": "These symptoms or behaviors are clinically significant, as evidenced by one or both of the following:",
          "symptom_list": [
            "Marked distress that is out of proportion to the severity or intensity of the stressor, taking into account the external context and the cultural factors that might influence symptom severity and presentation.",
            "Significant impairment in social, occupational, or other important areas of functioning."
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    },
    {
      "name": "Major depressive disorder",
      "criteria": [
        {
          "description": "Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning: at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. The symptoms are:",
          "symptom_list": [
            "Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g.,appears tearful). (Note: In children and adolescents, can be irritable mood.)",
            "Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation).",
            "Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. (Note: In children, consider failure to make expected weight gain.)",
            "Insomnia or hypersomnia nearly every day.",
            "Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down).",
            "Fatigue or loss of energy nearly every day.",
            "Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).",
            "Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).",
            "Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide."
          ],
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    {
      "name": "Substance/Medication-Induced Depressive Disorder",
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        {
          "description": "There is evidence from the history, physical examination, or laboratory findings of both (1) and (2):",
          "symptom_list": [
            "The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication.",
            "The involved substance/medication is capable of producing the symptoms in Criterion A."
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        {
          "description": "The disturbance is not better explained by a depressive disorder that is not substance/medication-induced. Such evidence of an independent depressive disorder could include the following: The symptoms preceded the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute withdrawal or severe intoxication; or there is other evidence suggesting the existence of an independent non-substance/medication-induced depressive disorder (e.g., a history of recurrent non-substance/medication-related episodes).",
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    {
      "name": "Disruptive mood dysregulation disorder",
      "criteria": [
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        {
          "description": "The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others (e.g., parents, teachers, peers).",
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        {
          "description": "Criteria A-D have been present for 12 or more months. Throughout that time, the individual has not had a period lasting 3 or more consecutive months without all of the symptoms in Criteria A-D.",
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        {
          "description": "Criteria A and D are present in at least two of three settings (i.e., at home, at school, with peers) and are severe in at least one of these.",
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        {
          "description": "The diagnosis should not be made for the first time before age 6 years or after age 18 years.",
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        {
          "description": "By history or observation, the age at onset of Criteria A-E is before 10 years.",
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          "description": "There has never been a distinct period lasting more than 1 day during which the full symptom criteria, except duration, for a manic or hypomanie episode have been met.",
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        {
          "description": "The behaviors do not occur exclusively during an episode of major depressive disorder and are not better explained by another mental disorder (e.g., autism spectrum disorder, posttraumatic stress disorder, separation anxiety disorder, persistent depressive disorder [dysthymia]).",
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    {
      "name": "Unspecified anxiety disorder",
      "criteria": [
        {
          "description": "This category applies to presentations in which symptoms characteristic of an anxiety disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the anxiety disorders diagnostic class. The unspecified anxiety disorder category is used in situations in which the clinician chooses not to specify the reason that the criteria are not met for a specific anxiety disorder, and includes presentations in which there is insufficient information to make a more specific diagnosis (e.g., in emergency room settings).",
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    },
    {
      "name": "Post-traumatic stress disorder",
      "criteria": [
        {
          "description": "Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the following ways:",
          "symptom_list": [
            "Directly experiencing the traumatic event(s).",
            "Witnessing, in person, the event(s) as it occurred to others.",
            "Learning that the traumatic event(s) occurred to a close family member or close friend. In cases of actual or threatened death of a family member or friend, the event(s) must have been violent or accidental.",
            "Experiencing repeated or extreme exposure to aversive details of the traumatic event(s) (e.g., first responders collecting human remains; police officers repeatedly exposed to details of child abuse). Note: Criterion A4 does not apply to exposure through electronic media, television, movies, or pictures, unless this exposure is work related."
          ],
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        },
        {
          "description": "Presence of one (or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred:",
          "symptom_list": [
            "Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). Note: In children older than 6 years, repetitive play may occur in which themes or aspects of the traumatic event(s) are expressed.",
            "Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s). Note: In children, there may be frightening dreams without recognizable content.",
            "Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring. (Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings.) Note: In children, trauma-specific reenactment may occur in play.",
            "Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).",
            "Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s)."
          ],
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        },
        {
          "description": "Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic event(s) occurred, as evidenced by one or both of the following:",
          "symptom_list": [
            "Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).",
            "Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s)."
          ],
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        },
        {
          "description": "Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following:",
          "symptom_list": [
            "Inability to remember an important aspect of the traumatic event(s) (typically due to dissociative amnesia, and not to other factors such as head injury, alcohol, or drugs).",
            "Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., \u201cI am bad,\u201d \u201cNo one can be trusted,\u201d \u201cThe world is completely dangerous,\u201d \u201cMy whole nervous system is permanently ruined\u201d).",
            "Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others.",
            "Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame).",
            "Markedly diminished interest or participation in significant activities.",
            "Feelings of detachment or estrangement from others.",
            "Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings)."
          ],
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        {
          "description": "Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following:",
          "symptom_list": [
            "Irritable behavior and angry outbursts (with little or no provocation), typically expressed as verbal or physical aggression toward people or objects.",
            "Reckless or self-destructive behavior.",
            "Hypervigilance.",
            "Exaggerated startle response.",
            "Problems with concentration.",
            "Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep)."
          ],
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    {
      "name": "Relationship Distress With Spouse or Intimate Partner",
      "criteria": [
        {
          "description": "This category should be used when the major focus of the clinical contact is to address the quality of the intimate (spouse or partner) relationship or when the quality of that relationship is affecting the course, prognosis, or treatment of a mental or other medical disorder. Partners can be of the same or different genders. Typically, the relationship distress is associated with impaired functioning in behavioral, cognitive, or affective domains. Examples of behavioral problems include conflict resolution difficulty, withdrawal, and overinvolvement. Cognitive problems can manifest as chronic negative attributions of the other's intentions or dismissals of the partner's positive behaviors. Affective problems would include chronic sadness, apathy, and/or anger about the other partner.",
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    {
      "name": "Attention-Deficit/Hyperactivity Disorder",
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        },
        {
          "description": "Inattention: Six or more symptoms of inattention for children up to age 16 years, or five or more for adolescents age 17 years and older and adults; symptoms of inattention have been present for at least 6 months, and they are inappropriate for developmental level: ",
          "symptom_list": [
            "Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities.",
            "Often has trouble holding attention on tasks or play activities.",
            "Often does not seem to listen when spoken to directly.",
            "Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked).",
            "Often has trouble organizing tasks and activities.",
            "Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework).",
            "Often loses things necessary for tasks and activities (e.g. school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).",
            "Is often easily distracted",
            "Is often forgetful in daily activities."
          ],
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        },
        {
          "description": "Hyperactivity and Impulsivity: Six or more symptoms of hyperactivity-impulsivity for children up to age 16 years, or five or more for adolescents age 17 years and older and adults; symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for the person\u2019s developmental level: ",
          "symptom_list": [
            "Often fidgets with or taps hands or feet, or squirms in seat.",
            "Often leaves seat in situations when remaining seated is expected.",
            "Often runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless).",
            "Often unable to play or take part in leisure activities quietly.",
            "Is often \u201con the go\u201d acting as if \u201cdriven by a motor\u201d.",
            "Often talks excessively.",
            "Often blurts out an answer before a question has been completed.",
            "Often has trouble waiting their turn.",
            "Often interrupts or intrudes on others (e.g., butts into conversations or games)"
          ],
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          "description": "Several inattentive or hyperactive-impulsive symptoms were present before age 12 years.",
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        {
          "description": "The symptoms are not better explained by another mental disorder (such as a mood disorder, anxiety disorder, dissociative disorder, or a personality disorder). The symptoms do not happen only during the course of schizophrenia or another psychotic disorder.",
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    {
      "name": "Persistent Depressive Disorder (Dysthymia)",
      "criteria": [
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        {
          "description": "Presence, while depressed, of two (or more) of the following: 1. Poor appetite or overeating. 2. Insomnia or hypersomnia. 3. Low energy or fatigue. 4. Low self-esteem. 5. Poor concentration or difficulty making decisions. 6. Feelings of hopelessness.",
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        {
          "description": "During the 2-year period (1 year for children or adolescents) of the disturbance, the individual has never been without the symptoms in Criteria A and B for more than 2 months at a time.",
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          "description": "There has never been a manic episode or a hypomanie episode, and criteria have never been met for cyclothymic disorder.",
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    {
      "name": "Autism Spectrum Disorder",
      "criteria": [
        {
          "description": "Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive; see text): ",
          "symptom_list": [
            "Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions.",
            "Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.",
            "Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers."
          ],
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        },
        {
          "description": "Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive; see text): ",
          "symptom_list": [
            "Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypes, lining up toys or flipping objects, echolalia, idiosyncratic phrases).",
            "Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat same food every day).",
            "Highly restricted, fixated interests that are abnormal in intensity or focus (e.g., strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).",
            "Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment (e.g. apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects, visual fascination with lights or movement)."
          ],
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          "description": "Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).",
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        {
          "description": "These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Intellectual disability and autism spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expected for general developmental level.",
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        {
          "description": "During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:",
          "symptom_list": [
            "Inflated self-esteem or grandiosity.",
            "Decreased need for sleep (e.g., feels rested after only 3 hours of sleep).",
            "More talkative than usual or pressure to keep talking.",
            "Flight of ideas or subjective experience that thoughts are racing.",
            "Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed.",
            "Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation.",
            "Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)."
          ],
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        {
          "description": "The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition. Note: A full manic episode that emerges during antidepressant treatment (e.g., medication, electroconvulsive therapy) but persists at a fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a manic episode and, therefore, a bipolar I diagnosis.",
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    {
      "name": "Bipolar I Disorder",
      "criteria": [
        {
          "description": "Criteria have been met for at least one manic episode (Criteria A-D under \u201cManic Episode\u201d above).",
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        {
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      "name": "Bipolar II Disorder Hyponamic Episode",
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        {
          "description": "During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms have persisted (four if the mood is only irritable), represent a noticeable change from usual behavior, and have been present to a significant degree:",
          "symptom_list": [
            "inflated self-esteem or grandiosity",
            "decreased need for sleep (e.g., feels rested after only 3 hours of sleep)",
            "more talkative than usual or pressure to keep talking",
            "flight of ideas or subjective experience that thoughts are racing",
            "distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed.",
            "increase in goal-directed activity (at work, at school, or sexually) or psychomotor agitation",
            "excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)."
          ],
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        },
        {
          "description": "The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication or other treatment). Note: A full hypomanic episode that emerges during antidepressant treatment (e.g., medication, electroconvulsive therapy) but persists at a fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a hypomanic episode diagnosis. However, caution is indicated so that one or two symptoms (particularly increased irritability, edginess, or agitation following antidepressant use) are not taken as sufficient for diagnosis of a hypomanic episode, nor necessarily indicative or a bipolar diathesis.",
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    },
    {
      "name": "Bipolar II Disorder Major Depressive Episode",
      "criteria": [
        {
          "description": "Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1 ) depressed mood or (2) loss of interest or pleasure. Note: Do not include symptoms that are clearly attributable to a medical condition",
          "symptom_list": [
            "Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, or hopeless) or observation made by others (e.g., appears tearful). (Note: In children and adolescents, can be irritable mood.)",
            "Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation).",
            "Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. (Note: In children, consider failure to make expected weight gain.)",
            "Insomnia or hypersomnia nearly every day.",
            "Psychomotor agitation or retardation nearly every day (observable by others; not merely subjective feelings of restlessness or being slowed down).",
            "Fatigue or loss of energy nearly every day.",
            "Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).",
            "Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).",
            "Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, a suicide attempt, or a specific plan for committing suicide."
          ],
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        {
          "description": "Note: Responses to a significant loss (e.g., bereavement, financial ruin, losses from a natural disaster, a serious medical illness or disability) may include the feelings of intense sadness, rumination about the loss, insomnia, poor appetite, and weight loss noted in Criterion A, which may resemble a depressive episode. Although such symptoms may be understandable or considered appropriate to the loss, the presence of a major depressive episode in addition to the normal response to a significant loss should be carefully considered. This decision inevitably requires the exercise of clinical judgment based on the individual\u2019s history and the cultural norms for the expression of distress in the context of loss.",
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    },
    {
      "name": "Schizophrenia",
      "criteria": [
        {
          "description": "Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3):",
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        {
          "description": "For a significant portion of the time since the onset of the disturbance, level of functioning in one or more major areas, such as work, interpersonal relations, or self-care, is markedly below the level achieved prior to the onset (or when the onset is in childhood or adolescence, there is failure to achieve expected level of interpersonal, academic, or occupational functioning).",
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        {
          "description": "Duration: Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or two or more symptoms listed in Criterion A present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences).",
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        {
          "description": "Schizoaffective disorder and depressive or bipolar disorder with psychotic features have been ruled out because either (1) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or (2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.",
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        {
          "description": "If there is a history of autism spectrum disorder or a communication disorder of childhood onset, the additional diagnosis of schizophrenia is made only if prominent delusions or hallucinations, in addition to the other required symptoms of schizophrenia, are also present for at least 1 month (or less if successfully treated).",
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    },
    {
      "name": "Panic disorder",
      "criteria": [
        {
          "description": "Recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time four (or more) of the following symptoms occur:",
          "symptom_list": [
            "Palpitations, pounding heart, or accelerated heart rate.",
            "Sweating.",
            "Trembling or shaking.",
            "Sensations of shortness of breath or smothering.",
            "Feelings of choking.",
            "Chest pain or discomfort.",
            "Nausea or abdominal distress.",
            "Feeling dizzy, unsteady, light-headed, or faint.",
            "Chills or heat sensations.",
            "Paresthesias (numbness or tingling sensations).",
            "Derealization (feelings of unreality) or depersonalization (being detached from oneself.",
            "Fear of losing control or 'going crazy.'",
            "Fear of dying."
          ],
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        },
        {
          "description": "At least one of the attacks has been followed by 1 month (or more) of one or both of the following:",
          "symptom_list": [
            "Persistent concern or worry about additional panic attacks or their consequences (e.g., losing control, having a heart attack, 'going crazy').",
            "A significant maladaptive change in behavior related to the attacks (e.g., behaviors designed to avoid having panic attacks, such as avoidance of exercise or unfamiliar situations)."
          ],
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        {
          "description": "This disturbance is not better explained by another mental disorder (e.g., the panic attacks do not occur only in response to feared social situations, as in social anxiety disorder; in response to circumscribed phobic objects or situations, as in specific phobia; in response to obsessions, as in obsessive-compulsive disorder; in response to reminders of traumatic events, as in posttraumatic stress disorder; or in response to separation from attachment figures, as in separation anxiety disorder).",
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    },
    {
      "name": "Oppositional Defiant Disorder",
      "criteria": [
        {
          "description": "A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the following categories, and exhibited during interaction with at least one individual who is not a sibling.",
          "symptom_list": [
            "Often loses temper.",
            "Is often touchy or easily annoyed.",
            "Is often angry and resentful.",
            "Often argues with authority figures or, for children and adolescents, with adults.",
            "Often actively defies or refuses to comply with requests from authority figures or with rules.",
            "Often deliberately annoys others.",
            "Often blames others for his or her mistakes or misbehavior.",
            "Has been spiteful or vindictive at least twice within the past 6 months.",
            "Note: The persistence and frequency of these behaviors should be used to distinguish a behavior that is within normal limits from a behavior that is symptomatic. For children younger than 5 years, the behavior should occur on most days for a period of at least 6 months unless otherwise noted (Criterion A8). For individuals 5 years or older, the behavior should occur at least once per week for at least 6 months, unless othenwise noted (Criterion AS). While these frequency criteria provide guidance on a minimal level of frequency to define symptoms, other factors should also be considered, such as whether the frequency and intensity of the behaviors are outside a range that is normative for the individual\u2019s developmental level, gender, and culture."
          ],
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          "description": "The behaviors do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood dysregulation disorder.",
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