count, or other severity indicator of a disorder . Severity specifiers are indicated by the in-
struction “ Specify  current severity” in the criteria se t and include disorder-specific defini-
tions. Descriptive features specifiers  have also been provided in the criteria set and convey
additional information that can inform trea tment planning (e.g., obsessive-compulsive
disorder, with poor insight). Not all disorders include course , severity, and/or descriptive
features specifiers. 
Medication-Induced Movement Disorders and Other 
Conditions That May Be a Fo cus of Clinical Attention
In addition to important psychosocial and en vironmental factors (see “The Multiaxial Sys-
tem” in the “Introduction” elsewhere in this ma nual), these chapters in Section II also con-
tain other conditions that are not mental disorders but may be encountered by mental
health clinicians. These conditions may be listed as a reason for clinical visit in addition to,
or in place of, the mental disorders listed in  Section II. A separate chapter is devoted to
medication-induced disorders and other adverse effects of medication that may be as-
sessed and treated by clinicians in mental health practice such as akathisia, tardive dyski-
nesia, and dystonia. The description of neurol eptic malignant syndrome is expanded from
that provided in DSM-IV-TR to highlight the em ergent and potentially life-threatening na-
ture of this condition, and a new entry on an tidepressant discontinuation syndrome is pro-
vided. An additional chapter discusses other conditions that may be a focus of clinical
attention. These include relational problems, problems related to abuse and neglect, prob-
lems with adherence to treatment regimens, obesity, antisocial behavior, and malingering.
Principal Diagnosis