Reference

Guide | Reference

2  DSM Wrapper Manual — Clean Reference

Lookup-oriented reference for the full framework. For a reading-first overview, use the Clean Guide.

2.1 Read in Order

• Volume 0 → Volume 1 → Volume 2 → Volume 3 → Volume 4 → Volume 5 → Volume 6 → Volume 7 → Volume 8 → Volume 9 Most readers use Volumes 0-4 regularly; Volume 7 as needed for rule-outs; Volumes 8-9 are reference.

2.2 Front Doors and Structure

• Front Door A: Clinician Workflow
• Front Door B: Reference Navigation
• Standard Module Page Structure

2.3 Volume 0 — How to Use

• Start Here
• Purpose, Scope, and Limits
• Core Workflow: Identify to Monitor
• Evidence Grading Key
• Documentation Templates
• How Clinicians Actually Use This

2.4 Volume 1 — Clinical Core

• Clinical Core Overview
• Universal Intake Set
• Measurement-Based Care Toolkit
• Differential Diagnosis Engine
• Case Formulation Framework

2.5 Volume 2 — Atlas of Human Experience

• Atlas Overview
• Affect and Mood Experiences
• Anxiety, Threat, and Bodily Alarm
• Trauma-Related Experiences
• Obsessions, Compulsions, and Stuckness
• Reality Distortion and Psychosis-Spectrum Experiences
• Attention, Executive Function, and Neurodevelopmental Experiences
• Emotion Regulation, Self-Concept, and Interpersonal Pain
• Somatic Distress and Interoception
• Sleep, Circadian, and Arousal Regulation
• Eating, Appetite, and Body Image
• Substance Use and Compulsive Reward Seeking

2.6 Volume 3 — Dimensional Domains

• Domains Overview
• Mood and Drive Dysregulation
• Anxiety and Threat Sensitivity
• Trauma and Stress Response
• Compulsivity and Perseveration
• Psychosis and Reality Testing
• Cognitive Control and Executive Function
• Social Communication and Relatedness
• Arousal, Sleep, and Circadian Regulation
• Somatic Distress and Interoception
• Reward, Habit, and Substance-Related Compulsion
• Eating and Feeding Regulation
• Personality Functioning (Dimensional)

2.7 Volume 4 — Prototype Syndromes

• Prototypes Overview
• How to Use Prototypes
• Prototype Modules: Organization and Logic

2.7.1 Mood and Drive Cluster

• Predominant Mood and Drive Prototypes
• Major Depressive Episode Prototype
• Bipolar Spectrum Episode Prototypes
• Persistent Depressive Pattern Prototype

2.7.2 Threat Cluster

• Predominant Threat Prototypes
• Panic Pattern Prototype
• Generalized Worry Pattern Prototype
• Social Threat Pattern Prototype
• Specific Phobia Pattern Prototype

2.7.3 Trauma and Stress Cluster

• Predominant Trauma and Stress Prototypes
• PTSD Pattern Prototype
• Complex Trauma Pattern Prototype
• Adjustment Pattern Prototype

2.7.4 Compulsivity Cluster

• Predominant Compulsivity Prototypes
• OCD Pattern Prototype
• Body-Focused Repetitive Behaviors Prototype
• Illness Anxiety Pattern Prototype

2.7.5 Psychosis Cluster

• Predominant Psychosis Prototypes
• First Episode Psychosis Prototype
• Schizophrenia-Spectrum Prototype
• Mood-Psychosis Pattern Prototype

2.7.6 Neurodevelopmental Cluster

• Predominant Neurodevelopmental Prototypes
• ADHD Pattern Prototype
• Autism Pattern Prototype
• Learning Disorder Patterns

2.7.7 Somatic and Interoceptive Cluster

• Predominant Somatic and Interoceptive Prototypes
• Functional Neurologic Symptom Prototype
• Somatic Symptom Burden Prototype

2.7.8 Eating and Feeding Cluster

• Predominant Eating and Feeding Prototypes
• Anorexia Pattern Prototype
• Bulimia Pattern Prototype
• Binge-Eating Pattern Prototype
• ARFID Pattern Prototype

2.7.9 Substance-Related Cluster

• Substance-Related Prototypes
• Alcohol Pattern Prototype
• Opioid Pattern Prototype
• Stimulant Pattern Prototype
• Cannabis Pattern Prototype
• Sedative Pattern Prototype
• Other Substance Patterns

2.7.10 Personality Pattern Cluster

• Personality Pattern Prototypes

2.8 Volume 5 — Cross-Cutting Specifiers

• Specifiers Overview
• Severity and Impairment
• Course and Time Pattern
• Etiologic Contributors
• Risk Modifiers
• Context and Culture

2.9 Volume 6 — Life-Stage and Setting Adaptations

• Life-Stage and Settings Overview
• Early Childhood
• School Age
• Adolescence
• Perinatal and Postpartum
• Adulthood
• Late Life and Neurocognitive Overlap
• Emergency and Acute Care
• Primary Care Integration
• Inpatient and Forensic Considerations
• Neurodiversity-Affirming Adaptations

2.10 Volume 7 — Rule-Out Compendium

• Rule-Out Compendium Overview
• Delirium and Acute Confusional States
• Substance Intoxication and Withdrawal
• Medication and Iatrogenic Psychiatric Syndromes
• Endocrine and Metabolic Mimics
• Seizure, Autoimmune, Infectious, and Neurodegenerative Mimics
• Sleep Disorders Masquerading as Psychiatric Illness
• Pain and Fatigue Syndromes with Bidirectional Causality

2.11 Volume 8 — Clinical Utility Add-Ons

Optional reference material; not required for routine use.

• Clinical Utility Overview
• Care Pathways Map
• Matching Interventions to Domain Patterns
• Monitoring Schedules
• Communication Tools
• Documentation Examples

2.12 Volume 9 — Appendices

Optional reference material; not required for routine use.

• Appendices Overview
• Appendix A: Glossary
• Appendix G: Common Failure Modes
• Appendix H: When Not to Label Yet