These trait domains are: Negative Affectivity, Detachment, Dissociality, Disinhibition, Anankastia.

In order to further characterize individual features, the practitioner also has the option to specify one or more trait domain specifier that contribute to the individual expression of personality dysfunction. Alternatively, the user can assign a sub-threshold Personality Difficulty code (comparable to ICD-10 Z73.1 accentuated personality traits). Instead of diagnosing PDs according to familiar categorical types, the practitioner must now focus on general impairments of self- and interpersonal functioning, which can be classified according to their overall severity (i.e., Mild Personality Disorder, Moderate Personality Disorder, Severe Personality Disorder). While many diagnoses remain largely unchanged, a fundamentally different approach to classification of personality disorders (PD) is introduced in ICD-11. This migration is particularly pertinent for European countries, which have been designated to be the first in this enterprise, starting from January 2022. It is our hope that these questions will stimulate further research and discussion among researchers and clinicians in the coming years.Īll WHO member countries are expected to migrate from the ICD-10 to the ICD-11 Classification of Mental Disorders, which will be used for coding purposes, national statistics, and billing for health insurance companies. The anticipated challenges and opportunities are put forward in terms of specific unanswered questions.

The advent of the ICD-11 PD classification involves major changes for health care workers, researchers, administrators, and service providers as well as patients and families involved. We discuss the perceived challenges and opportunities of using the ICD-11 approach with particular focus on its continuity and discontinuity with familiar PD categories such as avoidant PD and narcissistic PD. The present paper provides an overview of this new ICD-11 model including PD severity classification, trait domain specifiers, and the additional borderline pattern specifier. ICD-11 is expected to be implemented first in European countries before other WHO member states. The 11th revision of the World Health Organization (WHO) International Classification of Diseases (ICD-11) includes a fundamentally new approach to Personality Disorders (PD).

Icd 10 vs icd 11