This category applies to presentations in which symptoms characteristic of a trauma- and
stressor-related 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 trauma- and stressor-related disorders diagnostic
class. The other specified trauma- and stressor- related disorder category is used in situa-
tions in which the clinician chooses to communicate the specific reason that the presenta-
tion does not meet the criteria for any specific trauma- and stressor-related disorder. This
is done by recording “other specified trauma- and stressor-related disorder” followed by
the specific reason (e.g., “persistent complex bereavement disorder”).
Examples of presentations that can be specified using the “other specified” designation
include the following:
1.Adjustment-like disorders with delayed on set of symptoms that occur more than
3 months after the stressor.
2.Adjustment-like disorders with prolonged duration of more than 6 months with-
out prolonged duration of stressor.
3.Ataque de nervios:  See “Glossary of Cultural Concepts of Distress” in the Appendix.
4.Other cultural syndromes:  See “Glossary of Cultural Concepts of Distress” in the Ap-
pendix.
5.Persistent complex bereavement disorder:  This disorder is characterized by severe
and persistent grief and mourning reactions (see the chapter “Conditions for Further
Study”).