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313 Disturbance of emotions specific to childhood and adolescence

          Less well differentiated emotional disorders characteristic of the childhood
          period. Where the emotional disorder takes the form of a neurotic disorder
          described under 300.-, the appropriate 300.- coding should be made. This
          category differs from category 308.- in terms of longer duration and by the
          lack of close relationship in time and content to some stress.
          Excludes: adjustment reaction (309.-)
           masturbation, nail-biting, thumb-sucking, and other isolated
           symptoms (307.-)

313.0 With anxiety and fearfulness

          Ill-defined emotional disorders characteristic of childhood in which the main
          symptoms involve anxiety and fearfulness. Many cases of school refusal or
          elective mutism might be included here.
          Overanxious reaction of childhood and adolescence
          Excludes: abnormal separation anxiety (309.2)
           anxiety states (300.0)
           hospitalism in children (309.8)
           phobic state (300.2)

313.1 With misery and unhappiness

          Emotional disorders characteristic of childhood in which the main symptoms
          involve misery and unhappiness. There may also be eating and sleep
          disturbances.
          Excludes: depressive neurosis (300.4)

313.2 With sensitivity, shyness, and social withdrawal

          Emotional disorders characteristic of childhood in which the main symptoms
          involve sensitivity, shyness, or social withdrawal. Some cases of elective
          mutism might be included here.
          Withdrawing reaction of childhood or adolescence
          Excludes: infantile autism (299.0)
           schizoid personality (301.2)
           schizophrenia (295.-)

313.3 Relationship problems

          Emotional disorders characteristic of childhood in which the main symptoms
          involve relationship problems.
          Sibling jealousy
          Excludes: relationship problems associated with aggression, destruction,
           or other forms of conduct disturbance (312.-)

313.8 Other or mixed

          Many emotional disorders of childhood include several elements but whenever
          possible a specific coding under .0, .1, .2 or .3 should be made according to
          the preponderant type of disturbance. The category of mixed disorders should
          only be used when there is such an admixture that this cannot be done.

313.9 Unspecified

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